Harbinger Group Inc.
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SEC Filings

S-4
HRG GROUP, INC. filed this Form S-4 on 01/15/2016
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Name of Tendering Institution:  
 
 
 
 
 
 
 
 
 
 
 
 
 
Account Number:  
 
 
  
Transaction Code Number:  
 
 
By crediting Initial Notes to the Exchange Agent’s Account at the Book-Entry Transfer Facility in accordance with the Book-Entry Transfer Facility’s Automated Tender Offer Program (“ATOP”) and by complying with applicable ATOP procedures with respect to the Exchange Offer, including transmitting an Agent’s Message to the Exchange Agent in which the holder of Initial Notes acknowledges and agrees to be bound by the terms of this Letter, the participant in ATOP confirms on behalf of itself and the beneficial owners of such Initial Notes all provisions of this Letter applicable to it and such beneficial owners as if it had completed the information required herein and executed and transmitted this Letter to the Exchange Agent.
¨
CHECK HERE IF TENDERED INITIAL NOTES ARE BEING DELIVERED PURSUANT TO A NOTICE OF GUARANTEED DELIVERY AND COMPLETE THE FOLLOWING:
 
 
 
Name(s) of Registered Holder(s):  
 
 
 
 
 
 
 
Window Ticket Number (if any):  
 
 
 
 
 
 
 
Date of Execution of Notice of Guaranteed Delivery:  
 
 
 
 
 
 
 
Name of Eligible Institution that Guaranteed Delivery:  
 
 
If delivered by Book-Entry Transfer, complete the following:
 
 
 
 
Account Number:  
 
 
  
Transaction Code Number:  
 
 
¨
CHECK HERE IF YOU ARE A BROKER-DEALER.
¨
CHECK HERE IF YOU WISH TO RECEIVE 10 ADDITIONAL COPIES OF THE PROSPECTUS AND 10 COPIES OF ANY AMENDMENTS OR SUPPLEMENTS THERETO.
 
 
 
Name:  
 
 
 
 
Address:  
 
 
 
 
 
 
 






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