I. CLAIMANT INFORMATION
NAME INFORMATION
ADDRESS INFORMATION
ADDITIONAL INFORMATION
II. SCHEDULE OF TRANSACTIONS IN ACIES AND PLAYSTUDIOS COMMON STOCK
A. Beginning Holdings in Acies Common Stock: – State the total number of shares of Acies common stock (ticker symbol ACAC) held at the close of trading on May 14,
2021 (must be documented). If none, write “zero” or “0.”. *
B. Purchases/Acquisitions of Acies Common Stock
– Separately list each and every purchase or acquisition of Acies common stock (ticker symbol ACAC) between May 15,
2021 and June 21, 2021, both dates inclusive, and provide the following information (must be documented):1
Trade Date
(List Chronologically)
(Month/Day/Year)
|
Number of Shares
Purchased/Acquired
|
Price Per Share
|
Total Cost
(Excluding Commissions,
Taxes, and Fees)
|
Proof Provided
|
Action |
C. Redeemed Acies Common Stock – State the total number of shares of Acies common stock (ticker symbol ACAC) for which you exercised your redemption
rights between the close of trading on May 14, 2021 and the close of trading on June 21, 2021 (must be documented).
If none, write “zero” or “0.”
D. Sales of Acies Common Stock
– Separately list each and every sale of Acies common stock (ticker symbol ACAC) between May 15, 2021 and June 21,
2021, both dates inclusive, and provide the following information (must be documented):
Trade Date
(List Chronologically)
(Month/Day/Year)
|
Number of Shares Sold
|
Price Per Share
|
Amount Received
(Excluding Commissions,
Taxes, and Fees)
|
Proof Provided
|
Action |
1In the following table, please include Acies common stock acquired through any of the following transactions: the exercise of a publicly
traded option; the exercise of a publicly traded Acies warrant (ticker symbol ACACW); the separation of a publicly traded Acies unit
(ticker symbol ACACU) into its component securities at the request of the unit holder.
E. Acies Common Stock Converted Into Playstudios Common Stock In the Merger:
State the total number of shares of Acies common stock (ticker symbol ACAC) that were automatically converted, on
a one-for-one basis, into shares of Playstudios common stock (ticker symbol MYPS) in the merger between Acies and
Playstudios on or about June 21, 2021 (must be documented).2
If none, write “zero” or “0.”
F. Purchases/Acquisitions of Playstudios Common Stock
– Separately list each and every purchase or acquisition of Playstudios common stock (ticker symbol MYPS) between
June 22, 2021, and August 3, 2022, both dates inclusive, and provide the following information (must be documented):3
Trade Date
(List Chronologically)
(Month/Day/Year)
|
Number of Shares
Purchased/Acquired
|
Price Per Share
|
Total Cost
(Excluding Commissions,
Taxes, and Fees)
|
Proof Provided
|
Action |
G. Sales of Playstudios Common Stock
– Separately list each and every sale of Playstudios common stock (ticker symbol MYPS) between June 22, 2021, and
August 3, 2022, both dates inclusive, and provide the following information (must be documented):
Trade Date
(List Chronologically)
(Month/Day/Year)
|
Number of Shares
Sold
|
Price per Share
|
Amount Received
(Excluding Commissions,
Taxes, and Fees)
|
Proof Provided
|
Action |
H. Ending Holdings in Playstudios Common Stock
– State the total number of shares of Playstudios common stock (ticker symbol MYPS) held at the close of trading
on August 3, 2022 (must be documented). If none, write “zero” or “0.”
2Please include Playstudios common stock acquired as a result of the automatic separation of Acies units (ticker symbol ACACU) into
its component securities upon the consummation of the merger between Acies and Playstudios on or about June 21, 2021.
3In the following table, please include Playstudios common stock acquired through the exercise of a publicly traded option or Playstudios
warrant (ticker symbol MYPSW).
PART III - UPLOAD SUPPORTING DOCUMENTS
All supporting documentation for your positions and transactions should be uploaded to this page prior to moving
on to the next step in your online claim submission.
Please use the browse option, by clicking on “Select Files” in the box below, to upload your supporting
documentation being submitted to verify all of your positions and transactions.
Files To Be Uploaded
|
Size
|
Action
|
III. CERTIFICATION
I (We) submit this Proof of Claim and Release Form under the terms of the Stipulation described in the Notice. I (We) also
submit to the jurisdiction of the United States District Court for the District of Nevada, with respect to my (our) claim as a
Settlement Class Member(s) and for purposes of enforcing the release and covenant not to sue set forth herein. I (We) further
acknowledge that I am (we are) bound by and subject to the terms of any judgment that may be entered in this Action. I
(We) have not submitted any other claim covering the same purchases or sales of Playstudios common stock during the
Class Period and know of no other Person having done so on my (our) behalf.
I (We) certify that I am (we are) NOT subject to backup withholding under the provisions of Section 3406 (a)(1)(c) of the
Internal Revenue Code because: (a) I am (We are) exempt from backup withholding; or (b) I (We) have not been notified
by the I.R.S. that I am (we are) subject to backup withholding as a result of a failure to report all interest or dividends; or
(c) the I.R.S. has notified me (us) that I am (we are) no longer subject to backup withholding.
UNDER THE PENALTIES OF PERJURY UNDER THE LAWS OF THE UNITED STATES, I (WE) CERTIFY THAT
ALL OF THE INFORMATION I (WE) PROVIDED ON THIS PROOF OF CLAIM AND RELEASE FORM IS TRUE,
CORRECT AND COMPLETE.
If the Claimant is other than an individual, or is not the person completing this form, the following also must be provided:
ACCURATE CLAIMS PROCESSING TAKES A SIGNIFICANT AMOUNT OF TIME.
THANK YOU FOR YOUR PATIENCE.