Argent Trust Co. Rollover Form - Dallas BBQ ESOP Settlement

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Dallas BBQ ESOP Settlement Administrator
c/o Atticus Administration
PO Box 64053
St. Paul, MN 55164
ROLLOVER FORM

You may be eligible to receive a payment from a Class Action Settlement. The Court has preliminarily approved the Settlement of Lloyd, et al. v. Argent Trust Company, et al., Civil Action No. 1:22-cv-04129-DLC (S.D.N.Y.). That Settlement provides for payment of cash amounts to Class Members via check or rollover as described below. The “Class” includes all participants in the W BBQ Holdings, Inc. Employee Stock Ownership Plan on or after July 29, 2016 who vested in whole or in part under the terms of the ESOP, and those participants’ beneficiaries. The terms of that Settlement are summarized in the accompanying Notice of Class Action Settlement that is included with this form. For additional information or if you have questions about this form, please review the Notice, call 1‑800‑793‑1019, or email [email protected].

Class Members who would like to elect to receive their Settlement payment through a rollover to a qualified retirement account or plan (such as a traditional or Roth IRA, a 401(a) or 401(k) plan, a 403(b) plan, or a 457(b) governmental plan) must complete, sign, and mail this form with a postmark on or before July 24, 2026. Alternatively, Class Members may fill out this form online at by July 24, 2026. Please review the instructions below carefully. Class Members who do not complete and timely return this form will receive their settlement payment by a check payable to themselves, which will be subject to applicable tax withholding. If you wish to avoid withholding of taxes, you must elect a rollover as described above.

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PART 1: INSTRUCTIONS FOR COMPLETING ROLLOVER FORM

If you would like to receive your settlement payment through a rollover to a qualified retirement account, which would eliminate the withholding of taxes from your payment, please complete this rollover form. You should also keep a copy of all pages of the rollover form that you submitted, including the first page with the address label, for your records.

1. Complete the online rollover form by July 24, 2026, or mail your completed rollover form postmarked on or before July 24, 2026 to the Settlement Administrator at the following address:

Dallas BBQ ESOP Settlement Administrator

c/o Atticus Administration

PO Box 64053
St. Paul, MN 55164

It is your responsibility to ensure the Settlement Administrator has timely received your rollover form.

2. Other Reminders:

• You must provide all required information (including date of birth and social security number) and sign and date your form where indicated below.

• If you do not provide all necessary information or do not sign and date your form, payment will be sent to you by check with taxes withheld.

• If you change your address after sending in your rollover form, please provide your new address to the Settlement Administrator.

• Timing of Payments to Eligible Class Members. The timing of the distribution of the Settlement payments is conditioned on several matters, including the Court’s final approval of the Settlement and any approval becoming final and no longer subject to any appeals in any court.

3. Questions about this rollover form, please call the Settlement Administrator at 1‑800‑793‑1019 or email to [email protected]. The Settlement Administrator will provide advice only regarding completing this form and will not provide financial, tax or other advice concerning the Settlement. You therefore may want to consult with your financial or tax advisor. Information about the status of the approval of the Settlement and the Settlement administration is available on the Settlement website.

Participant Information

PART 2: CLASS MEMBER INFORMATION

Claimant ID*

Your Name*

First Middle Last

Address*

Address Address 2 City State Zip Code

Home Phone*

Work Phone or Cell Phone

Class Member’s Social Security Number*

Class Member’s Date of Birth (MM-DD-YYYY)*

Email Address*

PART 3: FOR ALTERNATE PAYEE OR OTHER BENEFICIARY (IF APPLICABLE)

Is Beneficiary

Check here if you are the surviving spouse or other beneficiary for the Class Member and the Class Member is deceased. Documentation must be provided showing current authority of the representative to file on behalf of the deceased. Please complete the information below and then continue on to Parts 4 and 5 on the next page.

Is Alternate Payee

Check here if you are an alternate payee under a qualified domestic relations order (QDRO). The Settlement Administrator may contact you with further instructions. Please complete the information below and then continue on to Parts 4 and 5 on the next page.

Your Name*

First Middle Last

Mailing Address*

Address Address 2 City State Zip Code

Home Phone*

Work Phone or Cell Phone

Alternate Payee's Social Security Number*

Alternate Payee’s Date of Birth (MM-DD-YYYY)*

Email Address*

Upload supporting documentation which substantiates your authority to act on behalf of the deceased Class Member

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Accepted file types: pdf, jpg, jpeg, bmp, docx, Max. file size: 24 MB.

PART 4: PAYMENT ELECTION

Direct Rollover to an Eligible Plan – Check only one box below and complete the Rollover Information Section below*

Government 457(b)

401(a)/401(k)

Direct Rollover to a Roth IRA (subject to ordinary income tax)

403(b)

Direct Rollover to a Traditional IRA

Rollover Information:

Company or Trustee’s Name (to whom the check should be made payable)*

Company or Trustee's Mailing Address*

Street Address Address Line 2 City State ZIP Code

Your Account Number*

Company or Trustee’s Phone Number*

PART 5: SIGNATURE, CONSENT, AND SUBSTITUTE IRS FORM W-9

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Accepted file types: jpg, png, pdf, Max. file size: 24 MB.

Affirmation*

UNDER PENALTIES OF PERJURY UNDER THE LAWS OF THE UNITED STATES OF AMERICA, I CERTIFY THAT ALL OF THE INFORMATION PROVIDED ON THIS ROLLOVER FORM IS TRUE, CORRECT, AND COMPLETE AND THAT I SIGNED THIS ROLLOVER FORM.

Affirmation 1*

1. The Social Security number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and

Affirmation 2

2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and

Affirmation 3*

3. I am a U.S. person (including a U.S. resident alien).

Note: If you are subject to backup withholding, you must uncheck item 2 above. The IRS does not require your consent to any provision of this document other than this Form W-9 certification to avoid backup withholding.

Printed Signature (Class Member or Alternate Payee)*

Date*

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