Flowers Securities Litigation
c/o A.B. Data, Ltd.
P.O. Box 173079
Milwaukee, WI 53217
Toll-Free: 1-877-227-6101
Email: info@FlowersSecuritiesLitigation.com
Settlement Website: www.flowerssecuritieslitigation.com

CLAIMANT INFORMATION


Claimant Names(s) (as the name(s) should appear on check, if eligible for payment; if the shares are jointly owned, the names of all beneficial owners must be provided):
Name of Person the Claims Administrator Should Contact Regarding This Claim Form (Must Be Provided):

SCHEDULE OF TRANSACTIONS IN FLOWERS FOODS COMMON STOCK


1. HOLDINGS AS OF February 7, 2013 - State the total number of shares of Flowers Foods common stock held as of the opening of trading on February 7, 2013. (Must be documented.) If none, enter "0."


2. PURCHASES/ACQUISITIONS FROM FEBRUARY 7, 2013 THROUGH AUGUST 10, 2016 - Separately list each and every purchase of Flowers Foods common stock from after the opening of trading on February 7, 2013 through and including the close of trading on August 10, 2016. (Must be documented.)



Must click Add Purchase to submit your transactions.


Trade Date (list chronologically) Month/Day/Year Number of Shares Purchased Purchase/Acquisition Price Per Share Total Amount of Purchase (excluding commissions, taxes and other fees) Proof Confirmed Action




3. Purchase/Acquisitions from August 11, 2016 through November 8, 2016 - State the total number of shares of Flowers Foods common stock purchased (including free receipts) from after the opening of trading on August 11, 2016 through and including the close of trading on November 8, 2016 (Must be documented.) If none, enter "0."


4. SALES FROM FEBRUARY 7, 2013 THROUGH NOVEMBER 8, 2016 - Separately list each and every sale/disposition (including free deliveries) of Flowers Foods common stock from after the opening of trading on February 7, 2013 through and including the close of trading on November 8, 2016. (Must be documented.)



Must click Add Sale to submit your transactions.


Date Of Sale (list chronologically) Month/Day/Year Number of Shares Sold Sales Price Per Share Total Amount of Sale (excluding commissions, taxes and other fees) Proof Confirmed Action

5. HOLDINGS AS OF NOVEMBER 8, 2016 - State the total number of shares of Flowers Foods common stock held as of the close of trading on November 8, 2016. (Must be documented.) If none, enter "0".



SUPPORTING DOCUMENTS UPLOADS


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 submission.

Please use the browse option, by clicking on “Select Files” in the box below to upload your supporting documentation.




Files To Be Uploaded Size Action

RELEASE OF CLAIMS AND SIGNATURE


I (we) hereby acknowledge that, pursuant to the terms set forth in the Stipulation, without further action by anyone, upon the Effective Date of the Settlement, I (we), on behalf of myself (ourselves), and my (our) heirs, executors, administrators, predecessors, successors, and assigns, in their capacities as such, shall be deemed to have, and by operation of the Stipulation, of law, and of the judgment shall have, fully, finally, and forever compromised, settled, released, resolved, relinquished, waived, and discharged each and every Released Plaintiffs’ Claim (including, without limitation, any Unknown Claim) against the Defendants and the other Defendant Releasees, and shall forever be barred, enjoined, and estopped from prosecuting any or all of the Released Plaintiffs’ Claims against any of the Defendant Releasees. Please refer to the Notice and the Stipulation for the definitions of the capitalized terms.

CERTIFICATION

By signing and submitting this Claim Form, the claimant(s) or the person(s) who represent(s) the claimant(s) agree(s) to the release above and certifies (certify) as follows:

1. that I (we) have read and understand the contents of the Notice and this Claim Form, including the releases provided for in the Settlement and the terms of the Plan of Allocation;

2. that the claimant(s) is a (are) Settlement Class Member(s), as defined in the Notice, and is (are) not excluded by definition from the Settlement Class as set forth in the Notice;

3. that the claimant has not submitted a request for exclusion from the Settlement Class;

4. that I (we) own(ed) the Flowers Foods common stock identified in the Claim Form and have not assigned the claim against any of the Defendants or any of the other Defendant Releasees to another, or that, in signing and submitting this Claim Form, I (we) have the authority to act on behalf of the owner(s) thereof;

5. that the claimant(s) has (have) not submitted any other claim covering the same purchases of Flowers Foods common stock and knows (know) of no other person having done so on the claimant’s (claimants’) behalf;

6. that the claimant(s) submit(s) to the jurisdiction of the Court with respect to claimant’s (claimants’) claim and for purposes of enforcing the releases set forth herein;

7. that I (we) agree to furnish such additional information with respect to this Claim Form as Lead Counsel, the Claims Administrator, or the Court may require;

8. that the claimant(s) waive(s) the right to trial by jury, to the extent it exists, and agree(s) to the Court’s summary disposition of the determination of the validity or amount of the claim made by this Claim Form;

9. that I (we) acknowledge that the claimant(s) will be bound by and subject to the terms of any judgment(s) that may be entered in the Action; and

10. that the claimant(s) is (are) NOT subject to backup withholding under the provisions of Section 3406(a)(1)(C) of the Internal Revenue Code because (a) the claimant(s) is (are) exempt from backup withholding or (b) the claimant(s) has (have) not been notified by the IRS that he/she/it is subject to backup withholding as a result of a failure to report all interest or dividends or (c) the IRS has notified the claimant(s) that he/she/it is no longer subject to backup withholding. If the IRS has notified the claimant(s) that he/she/it is subject to backup withholding, please strike out the language in the preceding sentence indicating that the claim is not subject to backup withholding in the certification above.


UNDER THE PENALTY OF PERJURY, I (WE) CERTIFY THAT ALL OF THE INFORMATION PROVIDED BY ME (US) ON THIS CLAIM FORM IS TRUE, CORRECT, AND COMPLETE, AND THAT THE DOCUMENTS SUBMITTED HEREWITH ARE TRUE AND CORRECT COPIES OF WHAT THEY PURPORT TO BE.

If 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.

Reminder Checklist:

1. Please electronically sign the above release and certification. If this Claim Form is being made on behalf of joint claimants, then both must sign.

2. Remember to attach only copies of acceptable supporting documentation as these documents will not be returned to you.

3. Keep copies of the confirmation page and documentation for your own records.

4. If your address changes in the future, please send the Claims Administrator written notification of your new address. If you change your name, please inform the Claims Administrator.

5. If you have any questions or concerns regarding your claim, please contact the Claims Administrator at the address below, by email at info@FlowersSecuritiesLitigation.com, or by toll-free phone at (877) 227-6101, or you may visit www.FlowersSecuritiesLitigation.com. Please DO NOT call Flowers Foods, any of the other Defendants, or their counsel with questions regarding your claim.


THIS CLAIM FORM MUST BE SUBMITTED BY JANUARY 3, 2020.


A Claim Form received by the Claims Administrator shall be deemed to have been submitted when posted, if a postmark date on or before January 3, 2020 is indicated on the envelope and it is mailed First Class mail, and addressed in accordance with the above instructions. In all other cases, a Claim Form shall be deemed to have been submitted when actually received by the Claims Administrator.

You should be aware that it will take a significant amount of time to fully process all of the Claim Forms. Please be patient and notify the Claims Administrator of any change of address.