Common use of Please complete Clause in Contracts

Please complete. Federal Tax ID No.: ---------------------------------- --------------- (Agency Name) By: Date: ----------------------------------- ------------------------------ Title: ----------------------------------------------- INSTRUCTIONS: This form should be sent to Donegal Group Inc., ▇▇▇▇ ▇▇▇▇▇ ▇▇▇▇, ▇▇▇▇▇▇▇▇, ▇▇▇▇▇▇▇▇▇▇▇▇ ▇▇▇▇▇, Attention: ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Senior Vice President, Chief Financial Officer and Secretary, along with a Subscription Agreement if not previously submitted for the Subscription Period and your check and be received prior to September 30 or March 31 of the respective Subscription Period. The dollar amount set forth above must be at least $1,000 and may not exceed, when added to the amounts paid under the direct ▇▇▇▇ commission payment method and/or the contingent commission payment method for the current Subscription Period, an aggregate of $12,000. September 4, 2001 RE: IMPORTANT CHANGES TO THE DONEGAL AGENCY STOCK PURCHASE PLAN Dear Agent: Please find enclosed a brochure highlighting the new Donegal Agency Stock Purchase Plan (the Plan), a Plan prospectus, latest Donegal Group Inc. Annual Report and Form 10-Q, and a Subscription Agreement form. Due to the recent recapitalization of Donegal Group Inc. that created two separate classes of common stock, the Company was required to adopt a new Agency Stock Purchase Plan. AS A RESULT, ALL PARTICIPANTS IN THE PREVIOUS PLAN MUST RE-ENROLL IN THE NEW PLAN IN ORDER TO CONTINUE TO PARTICIPATE IN A COMMISSION WITHHOLDING METHOD. Any funds remaining in your current account after the purchase of stock on September 30, 2001, will be returned to you. The first subscription period of the new Plan will commence on October 1, 2001 and end on March 31, 2002. If you elect to participate in this subscription period, please complete the enclosed Subscription Agreement form indicating your preference of payment method. If you select the lump sum payment method, the Subscription Agreement and payment may be submitted at any time prior to the end of the subscription period. If you select the direct ▇▇▇▇ or contingent commission method, the Subscription Agreement must be submitted to our office prior to October 15, 2001, in order for your agency to be enrolled in the first subscription period. Should any questions arise, please feel free to contact ▇▇▇ ▇▇▇▇▇▇ or ▇▇▇▇ ▇▇▇▇▇▇ at ▇-▇▇▇-▇▇▇-▇▇▇▇. Sincerely, ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇ ▇▇. Vice President & CFO Enclosures AGENCY STOCK PURCHASE PLAN SUMMARY DONEGAL GROUP INC. The items in this brochure are intended to be summaries of some of the major provisions contained in the Donegal Group Inc. Agency Stock Purchase Plan. Please refer to the prospectus for a complete discussion of each item. This brochure is not a solicitation to sell Donegal Group Inc. Class A common stock and must be accompanied by a prospectus for the plan. WHAT IS THE PURPOSE OF THE PLAN? The Company has created the Plan for the purpose of facilitating the purchase and long-term investment in its shares by eligible agencies, thereby fostering stable long-term relationships between the Company's affiliates and their agencies. WHAT ARE THE ADVANTAGES OF THE PLAN? Eligible agencies can purchase the Company's Class A common stock at a 10% discount from current market prices without incurring any brokerage commissions or service charges.

Appears in 1 contract

Sources: Subscription Agreement (Donegal Group Inc)

Please complete. Federal Tax ID No.: ---------------------------------- --------------- ----------------------------------------- ----------------- (Agency Name) By: Date: ----------------------------------- ------------------------------ ------------------------------------- ------------------------------- Title: ----------------------------------------------- ------------------------------------------ INSTRUCTIONS: This form should be sent to Donegal Group Inc., 1195 River Road, Marietta, Pennsylva▇▇▇ ▇▇▇▇▇ ▇▇▇▇, ▇▇▇▇▇▇▇▇, ▇▇▇▇▇▇▇▇▇▇▇▇ ▇▇▇▇▇, Attention: ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇, Senior ▇▇▇▇▇r Vice PresidentPresid▇▇▇, Chief Financial ▇▇▇▇▇ ▇▇▇▇▇cial Officer and Secretary, along with a Subscription Agreement if not previously submitted for the Subscription Period and your check and be received prior to September 30 or March 31 of the respective Subscription Period or, in the case of the first Subscription Period, by October 31, 2001. The dollar amount set forth above must be at least $1,000 and may not exceed, when added to the amounts paid under the direct ▇▇▇▇ bill commission payment method and/or the and/o▇ ▇▇e contingent commission payment method for the current Subscription Period, an aggregate of $12,000. September 4, 2001 ------ RE: IMPORTANT CHANGES TO THE DONEGAL AGENCY STOCK PURCHASE PLAN Dear Agent: Please find enclosed Enclosed is a brochure highlighting the new Donegal Agency Stock Purchase Plan (the Plan), a Plan prospectus, latest Donegal Group Inc. Annual Report and Form 10-Q, and a Subscription Agreement form. Due to the recent recapitalization of Donegal Group Inc. that created two separate classes of common stock, the Company was required to adopt a new Agency Stock Purchase Plan. AS A RESULT, ALL PARTICIPANTS IN THE PREVIOUS PLAN MUST RE-ENROLL IN THE NEW PLAN IN ORDER TO CONTINUE TO PARTICIPATE IN A COMMISSION WITHHOLDING METHOD. Any funds remaining in your current account after the purchase of stock on September 30, 2001, will be returned to you. The first subscription period of the new Plan will commence on October 1, 2001 and end on March 31, 2002. If you elect to participate in this subscription period, please complete the enclosed Subscription Agreement form indicating your preference of payment method. If you select the lump sum payment method, the Subscription Agreement and payment may be submitted at any time prior to the end of the subscription period. If you select the direct ▇▇▇▇ bill or contingent commission method, the ▇▇e Subscription Agreement must be submitted to our office prior to October 15November 1, 2001, in order for your agency to be enrolled in the first subscription period. Should any questions arise, please feel free to contact ▇▇▇ ▇▇▇▇▇▇ Dan Wagner or ▇▇▇▇ ▇▇▇▇▇▇ Jeff Miller at 1-▇▇▇888-8▇▇-▇▇▇▇. Sincerely, ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇ ▇▇. Ralph G. Spontak Senior Vice President & CFO Enclosures AGENCY STOCK PURCHASE PLAN SUMMARY DONEGAL GROUP INC. The items in this brochure are intended to be summaries of some of the major provisions contained in the Donegal Group Inc. Agency Stock Purchase Plan. Please refer to the prospectus for a complete discussion of each item. This brochure is not a solicitation to sell Donegal Group Inc. Class A common stock and must be accompanied by a prospectus for the plan. WHAT IS THE PURPOSE OF THE PLAN? The Company has created the Plan for the purpose of facilitating the purchase and long-term investment in its shares by eligible agencies, thereby fostering stable long-term relationships between the Company's affiliates and their agencies. WHAT ARE THE ADVANTAGES OF THE PLAN? Eligible agencies can purchase the Company's Class A common stock at a 10% discount from current market prices without incurring any brokerage commissions or service charges.

Appears in 1 contract

Sources: Subscription Agreement (Donegal Group Inc)