InterPrivate Stockholder Settlement

PART I: CLAIMANT INFORMATION


NAME SECTION



ADDRESS SECTION


CONTACT SECTION




PART II – SCHEDULE OF TRANSACTIONS IN INTERPRIVATE CLASS A COMMON STOCK OR AEVA COMMON STOCK


1. NUMBER OF ELIGIBLE SHARES1 – State the total number of shares of InterPrivate Class A common stock held as of the close of trading on March 9, 2021. (Must be documented.) If none, write “zero” or “0.” (Must be documented.) If none, enter "0.": *

1“Eligible Shares” means those shares of InterPrivate Class A Common Stock owned by Class Members immediately after the Redemption Deadline (March 9, 2021) that were not submitted for redemption in connection with the Merger.

2. PURCHASES/ACQUISITIONS FROM MARCH 9, 2021 THROUGH MARCH 7, 2024 – Separately list each and every purchase or acquisition (including free receipts) of InterPrivate Class A common stock or Aeva common stock from after the close of trading on March 9, 2021 through the close of trading on March 7, 2024. (Must be documented.):



Must click Add Purchase to submit your transactions.


Date of Purchase or Acquisition Number of Shares Purchased or Acquired Purchase or Acquired Price Per Share Total Purchase or Acquired Price Proof of Purchase Action




3. SALES FROM MARCH 9, 2021 THROUGH MARCH 7, 2024 – Separately list each and every sale or disposition (including free deliveries) of InterPrivate Class A common stock or Aeva common stock after the close of trading on March 9, 2021 through the close of trading on March 7, 2024. (Must be documented.):



Must click Add Sale to submit your transactions.


Date of Sale Number of Shares Sold Sale Price Per Share Total Sale Price Proof of Sale Action




4. HOLDINGS AS OF THE CLOSE OF MARCH 7, 2024 – State the total number of shares of Aeva common stock held as of the close of trading on March 7, 2024. (Must be documented.) If none, write “zero” or “0.”: *




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
IV. SUBMISSION TO JURISDICTION OF COURT AND ACKNOWLEDGMENTS

I (We) submit this Proof of Claim and Release under the terms of the Stipulation described in the Notice. I (We) also submit to the jurisdiction of the Court of Chancery of the State of Delaware with respect to my (our) claim as a Class Member and for purposes of enforcing the release 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 the Action. I (We) agree to furnish additional information to the Settlement Administrator to support this claim if requested to do so. I (We) have not submitted any other claim in connection with the Action and know of no other person having done so on my (our) behalf.

V. RELEASE

1. I (We) hereby acknowledge full and complete satisfaction of, and do hereby fully, finally, and forever settle, release, and discharge from the Released Plaintiffs’ Claims each and all of the Released Defendant Parties as provided in the Stipulation.

2. This release shall be of no force or effect unless and until the Court approves the Stipulation and the Settlement becomes effective on the Effective Date.

3. I (We) hereby warrant and represent that I (we) have not assigned or transferred or purported to assign or transfer, voluntarily or involuntarily, any matter released pursuant to this release or any other part or portion thereof.

4. I (We) hereby warrant and represent that I (we) have included the requested required information about all of my (our) holdings, purchases, acquisitions, or sales of InterPrivate Class A Common Stock and Aeva common stock.