Quantumscape Securities Litigation

CLAIMANT INFORMATION


The Claims Administrator will use this information for all communications regarding this Claim Form. If this information changes, you MUST notify the Claims Administrator in writing at the address above.



1The last four digits of the taxpayer identification number (TIN), consisting of a valid Social Security Number (SSN) for individuals or Employer Identification Number (EIN) for business entities, trusts, estates, etc., and the telephone number of the beneficial owner(s) may be used in verifying this claim.


PART III: – SCHEDULE OF TRANSACTIONS IN QUANTUMSCAPE COMMON STOCK, WARRANTS, AND/OR PUBLICLY TRADED QUANTUMSCAPE CALL OR PUT OPTIONS


Please be sure to include proper documentation with your Claim Form as described in detail in Part I.C. – Claim Form, Paragraph 4, above. Do not include information regarding securities other than QuantumScape Corporation common stock, warrants, and/or publicly traded call or put options.


COMMON STOCK:


1. Number of shares of QuantumScape common stock held at the opening of trading on November 27, 2020. (Must be documented.) If none, write “zero” or “0”: *


2. Purchases or acquisitions of QuantumScape common stock from November 27, 2020, through April 14, 2021, inclusive. (Must be documented.):



Must click Add Purchase to submit your transactions.


Date of Purchase/ Acquisition (List Chronologically) (Month/Day/Year) Number of Shares Purchased/Acquired Purchase/ Acquisition Price Per Share Total Purchase/ Acquisition Price Action




3. Purchases/Acquisitions during the 90-day lookback period: Number of shares of QuantumScape common stock purchased/acquired (including free receipts) from after the opening of trading on April 15, 2021, through and including the close of trading on July 13, 2021. If none, write “zero” or “0”:


4. Sales of QuantumScape common stock from November 27, 2020, through July 13, 2021, inclusive. (Must be documented.):



Must click Add Sale to submit your transactions.


Date of Sale (List Chronologically) (Month/Day/Year) Number of Shares Sold Sale Price Per Share Total Sales Price (not deducting taxes, commissions, and fees) Action




Number of shares of QuantumScape common stock held at the close of trading on July 13, 2021. (Must be documented.) If none, write “zero” or “0”: *


2Information requested in this Claim Form with respect to your transactions on April 15, 2021 through and including the close of trading on July 13, 2021, is needed only in order for the Claims Administrator to confirm that you have reported all relevant transactions. Purchases during this period, however, are not eligible for a recovery because these purchases are outside the Class Period and will not be used for purposes of calculating your Recognized Claim pursuant to the Plan of Allocation.



WARRANTS:


1. State the total number of QuantumScape warrants held at the opening of trading on November 27, 2020. (Must be documented.) If none, write “zero” or “0”:


2. Separately list each and every purchase of QuantumScape warrants during the period from November 27, 2020 through April 14, 2021, inclusive. (Must be documented.):



Must click Add Purchase to submit your transactions.


Date of Purchase/ Acquisition (Trade Date) Mo. / Day / Year Number of Warrants Purchased Price Per Warrant (excluding commissions, taxes, and other fees) Total Purchase Price (excluding commissions, taxes, and other fees) Exercised? (Y/N) Exercise Date (MM/DD/YY) Action



3. Purchases/Acquisitions during the 90-day lookback period: Number of QuantumScape warrants purchased/acquired (including free receipts) from after the opening of trading on April 15, 2021, through and including the close of trading on July 13, 2021. If none, write “zero” or “0”:


Separately list each and every sale of QuantumScape warrants during the period from November 27, 2020 through July 13, 2021, inclusive. (Must be documented.):



Must click Add Sale to submit your transactions.


Date of Sale (List Chronologically) (Month/Day/Year) Number of Warrants Sold Price Per Warrant (excluding commissions, taxes, and other fees) Total Sale Price (excluding commissions, taxes, and other fees) Action



State the total number of QuantumScape warrants held at the close of trading on July 13, 2021. (Must be documented.) If none, write “zero” or “0”:

3Information requested in this Claim Form with respect to your transactions on April 15, 2021 through and including the close of trading on July 13, 2021, is needed only in order for the Claims Administrator to confirm that you have reported all relevant transactions. Purchases during this period, however, are not eligible for a recovery because these purchases are outside the Class Period and will not be used for purposes of calculating your Recognized Claim pursuant to the Plan of Allocation.



CALL OPTIONS:


1. Separately list all positions in QuantumScape call option contracts in which you had an open interest as of the opening of trading on November 27, 2020. (Must be documented.)


Must click Add to submit your transactions.


Strike Price of Call Option Contract Expiration Date of Call Option Contract (Month/Day/Year) Number of Call Option Contracts in Which You Had an Open Interest Action

2. Separately list each and every purchase/acquisition (including free receipts) of QuantumScape call option contracts from after the opening of trading on November 27, 2020, through and including the close of trading on April 14, 2021. (Must be documented.)



Must click Add Purchase to submit your transactions.


Date of Purchase/ Acquisition (List Chronologically) (Month/Day/Year) Expiration Date of Call Option Contract (Month/Day/ Year) Strike Price of Call Option Contract Insert an “E” if Exercised Insert an “A” if Assigned Insert an “X” if Expired Exercise Date (Month/ Day/ Year) Number of Call Option Contracts Purchased/ Acquired Purchase/ Acquisition Price Per Call Option Contract Total Purchase/ Acquisition Price (excluding taxes, commissions, and fees) Action




3. Separately list each and every sale/disposition (including free deliveries) of QuantumScape call option contracts from after the opening of trading on November 27, 2020, through and including the close of trading on April 14, 2021. (Must be documented.)



Must click Add Sale to submit your transactions.


Date of Sale (List Chronologically) (Month/Day/Year) Expiration Date of Call Option Contract (Month/Day/Year) Strike Price of Call Option Contract Number of Call Option Contracts Sold Sale Price Per Call Option Contract Total Sale Price (excluding taxes, commissions, and fees) Action




4. Separately list all positions in QuantumScape call option contracts in which you had an open interest as of the close of trading on April 14, 2021. (Must be documented.)


Must click Add to submit your transactions.


Strike Price of Call Option Contract Expiration Date of Call Option Contract (Month/Day/Year) Number of Call Option Contracts in Which You Had an Open Interest (including any short holdings) Action



PUT OPTIONS:


1. Separately list all positions in QuantumScape put option contracts in which you had an open interest as of the opening of trading on November 27, 2020. (Must be documented.)


Must click Add to submit your transactions.


Strike Price of Put Option Contract Expiration Date of Put Option Contract (Month/Day/Year) Number of Put Option Contracts in Which You Had an Open Interest (including any short holdings) Action

2. Separately list each and every sale (writing) (including free deliveries) of QuantumScape put option contracts from after the opening of trading on November 27, 2020, through and including the close of trading on April 14, 2021. (Must be documented.)



Must click Add Sale to submit your transactions.


Date of Sale (Writing) (List Chronologically) (Month/Day/ Year) Strike Price of Put Option Contract Expiration Date of Put Option Contract (Month/Day/ Year) Insert an “A” if Assigned Insert an “E” if Exercised Insert an “X” if Expired Exercise Date (Month/ Day/ Year) Number of Put Option Contracts Sold (Written) Sale Price Per Put Option Contract Total Sale Price (excluding taxes, commissions, and fees) Action




3. Separately list each and every purchase/acquisition (including free receipts) of QuantumScape put option contracts from after the opening of trading on November 27, 2020, through and including the close of trading on April 14, 2021. (Must be documented.):



Must click Add Purchase to submit your transactions.


Date of Purchase/ Acquisition (List Chronologically) (Month/Day/Year) Strike Price of Put Option Contract Expiration Date of Put Option Contract (Month/Day/ Year) Number of Put Option Contracts Purchased Purchase Price Per Put Option Contract Total Purchase/ Acquisition Price (excluding taxes, commissions, and fees) Action



4. Separately list all positions in QuantumScape put option contracts in which you had an open interest as of the close of trading on April 14, 2021. (Must be documented.)


Must click Add Closing Holdings Info to submit your transactions.


Strike Price of Put Option Contract Expiration Date of Put Option Contract (Month/Day/Year) Number of Put Option Contracts in Which You Had an Open Interest (including any short holdings) Action



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

PART IV – SUBMISSION TO JURISDICTION OF COURT AND ACKNOWLEDGMENTS

I (We) submit this Claim Form under the terms of the Stipulation and Agreement of Settlement dated June 11, 2024 (“Stipulation”) described in the Notice. I (We) also submit to the jurisdiction of the United States District Court for the Northern District of California with respect to my (our) claim as a Class Member (as defined in the Stipulation) 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 Plaintiffs’ Counsel and/or the Claims Administrator to support this claim if required to do so. I (We) have not submitted any other claim covering the same purchases, acquisitions, transactions, or sales of QuantumScape securities and/or publicly traded QuantumScape call or put options during the Class Period and know of no other Person having done so on my (our) behalf.


PART V – RELEASE OF CLAIMS AND SIGNATURE

YOU MUST READ AND SIGN THE RELEASE AT PAGES 11-12. FAILURE TO SIGN THE RELEASE MAY RESULT IN A DELAY IN PROCESSING OR THE REJECTION OF YOUR CLAIM.



1. I (We) hereby acknowledge full and complete satisfaction of, and do hereby fully, finally and forever settle, release, relinquish and discharge all of the Released Claims (including Unknown Claims) against each and all of the Released Defendant Persons, all as defined herein and in the Notice and Stipulation.

2. Unknown Claims include, without limitation, those claims in which some or all of the facts composing the claim may be unsuspected, undisclosed, concealed, or hidden. With respect to any and all Released Claims and Released Defendants’ Claims, I (We) stipulate and agree that, upon the Effective Date, I (We) shall expressly waive and relinquish, and each Class Member shall be deemed to have, and by operation of law and of the Judgment shall have, expressly waived and relinquished, to the fullest extent permitted by law, any and all provisions, rights and benefits conferred by California Civil Code §1542, or any law of any state or territory of the United States, or principle of common law or of international or foreign law, which is similar, comparable, or equivalent to California Civil Code §1542, which provides:

A general release does not extend to claims that the creditor or releasing party does not know or suspect to exist in his or her favor at the time of executing the release and that, if known by him or her, would have materially affected his or her settlement with the debtor or released party.


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

4. 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 and have not submitted any other claim covering the same purchases of QuantumScape common stock, warrants, and/or transactions of publicly traded QuantumScape call or put options, and know of no other person having done so on my (our) behalf.

5. I (We) hereby warrant and represent that I (we) have included all requested information about all of my (our) purchases or acquisitions of QuantumScape common stock, warrants, and/or transactions of publicly traded QuantumScape call or put options during the Class Period, as well as the number of securities held at the close of trading on July 13, 2021.

6. The number(s) shown on this form is (are) the correct SSN/TIN(s).

7. I (We) waive the right to trial by jury, to the extent it exists, and agree to the determination by the Court of the validity or amount of this claim and waive any right of appeal or review with respect to such determination.

8. 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) 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 (they are) 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 (they are) no longer subject to backup withholding. If the IRS has notified the Claimant(s) that he/she/it is (they are) 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 PENALTIES 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 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.