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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ANY AUTHORITY HEREIN CONFERRED OR AGREED TO BE CONFERRED SHALL SURVIVE THE DEATH OR INCAPACITY OF THE UNDERSIGNED AND EVERY OBLIGATION OF THE UNDERSIGNED HEREUNDER SHALL BE BINDING UPON THE HEIRS, PERSONAL REPRESENTATIVES, SUCCESSORS AND ASSIGNS OF THE UNDERSIGNED.

PLEASE SIGN HERE
 
 
 
 
 
 
                                                                                                                       
 
 
  
 
 
 
 
                                                                                                                       
 
 
  
 
Signature(s) of Owner(s) or Authorized Signatory
 
 
  
Date
 
 
Area Code and Telephone Number:                                                                              
  
 
Must be signed by the holder(s) of Initial Notes as their name(s) appear(s) on certificate(s) for Initial Notes or on a security position listing, or by person(s) authorized to become registered holder(s) by endorsement and documents transmitted with this Notice of Guaranteed Delivery. If signature is by a trustee, executor, administrator, guardian, attorney-in-fact, officer or other person acting in a fiduciary or representative capacity, such person must set forth his or her full title below.

PLEASE PRINT NAME(S) AND ADDRESS(ES)
 
 
 
 
Name(s):
  
 
 
 
 
  
 
 
 
Capacity:
  
 
 
 
Address(es):
  
 
 
 
 
  
 
 
 
 
  
 
 
 
 
  
 




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