DCRB Spac Settlement

PART I: CLAIMANT INFORMATION

NAME SECTION

Beneficial Owner’s Name (First, Middle, Last):

Record Owner’s Name (if different from beneficial owner listed above):

ADDRESS SECTION

Address 1 (street name and number): *

Address 2 (apartment, unit, or box number):

Country: *

City: *

State: *

Zip Code: *

CONTACT AND ACCOUNT SECTION

Please select Preferred Contact Phone Number: *

Primary Phone Number: *

Please select Preferred Contact Phone Number:

Secondary Phone Number:

Email Address:(email address is not required, but if you provide it you authorize the Claims Administrator to use it in providing you with information relevant to this claim)

Claimant Account Type: *

PART II: SCHEDULE OF TRANSACTIONS IN DECARB CLASS A COMMON STOCK OR ORDINARY SHARES OF HYZON

A. Number of shares of Decarb Class A common stock held as of July 13, 2021. If none, write “0” or “zero.” (Must submit documentation.): *

B. Purchases or acquisitions of shares of Decarb Class A common stock or ordinary shares of Hyzon after July 13, 2021, through March 18, 2022 (Must submit documentation.):

Trade Date (MM/DD/YY):

Number of Shares Purchased or Acquired:

Price Per Share:

Total Purchase Price:

Ticker Symbol: *

Must click Add Purchase to submit your transactions.

Trade Date

Number of Shares Purchased

Price Per Share

Total Purchase Price

Ticker Symbol

Action

C. Sales or dispositions of shares of Decarb Class A common stock or ordinary shares of Hyzon after July 13, 2021, through March 18, 2022. (Must submit documentation.):

Trade Date (Month/Day/Year):

Number of Shares Sold:

Price Per Share:

Total Sales Price:

Ticker Symbol: *

Must click Add Sale to submit your transactions.

Trade Date

Number of Shares Sold

Price Per Share

Total Sales Price

Ticker Symbol

Action

D. Number of ordinary shares of Hyzon held as of the close of the market on March 18, 2022. If none, write “0” or “zero.” (Must submit documentation.): *

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.

Select files

Files To Be Uploaded	Size	Action

IV. SUBMISSION TO JURISDICTION OF COURT AND ACKNOWLEDGMENTS

I (We) submit this Proof of Claim and Release under the terms of the Stipulation described in the Notice. I (We) also submit to the jurisdiction of the Court of Chancery for the State of Delaware with respect to my (our) claim as a Class Member 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 the Settlement Administrator to support this claim if requested to do so. I (We) have not submitted any other claim in connection with the Action and know of no other person having done so on my (our) behalf.

V. RELEASE

1. I (We) hereby acknowledge full and complete satisfaction of, and do hereby fully, finally and forever settle, release, and discharge from the Released Plaintiff’s Claims each and all of the Released Defendant Parties as provided and defined in the Stipulation.

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

3. 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.

4. I (We) hereby warrant and represent that I (we) have reviewed the definition of Excluded Persons, which includes Erik Anderson, Jennifer Aaker, Jane Kearns, Pierre Lapeyre, Jr., David Leuschen, Robert Tichio, Jim McDermott, Jeffrey Tepper, Michael Warren, Riverstone Investment Group LLC, Decarbonization Plus Acquisition Sponsor, LLC, WRG DCRB Investors, LLC, Hyzon Motors Inc., and Craig M. Knight, and that I (we) are not members of their immediate families, or any entity in which any of them has a controlling interest, or the heirs, successors, or assignees of any Excluded Person.

5. I (We) hereby warrant and represent that I (we) have included information about all of my (our) holdings of Decarb Class A common stock as of July 13, 2021. In addition, I (we) have included information about all of my (our) purchases and sales of shares of Decarb Class A common stock or ordinary shares of Hyzon from July 13, 2021, through March 18, 2022, and, if applicable, the total number of ordinary shares of Hyzon held as of the close of the market on March 18, 2022.

6. I declare under penalty of perjury under the laws of the State of Delaware that the foregoing information supplied by the undersigned is true and correct.

Signature of Claimant: *

Capacity of person(s) signing, e.g., Beneficial Purchaser, Executor, or Administrator:

ACCURATE CLAIMS PROCESSING TAKES A
SIGNIFICANT AMOUNT OF TIME.
THANK YOU FOR YOUR PATIENCE.

REMINDER CHECKLIST:

Please sign the above release and acknowledgement.

2. Remember to attach copies of supporting documentation.

3. Do not send originals of certificates or other documentation as they will not be returned.

4. Keep a copy of your Proof of Claim and Release and all supporting documentation for your records.

5. If you desire an acknowledgment of receipt of your Proof of Claim and Release, please send it Certified Mail, Return Receipt Requested.

6. If you move after submitting this Proof of Claim and Release, please notify the Settlement Administrator of the change in your address, otherwise you may not receive additional notices or payment.

7. Do not use red pen or highlighter on the Proof of Claim and Release or supporting documentation. You must use black or blue ink or your claim may be deemed deficient.

ACCURATE CLAIMS PROCESSING TAKES A SIGNIFICANT AMOUNT OF TIME. THANK YOU FOR YOUR PATIENCE.

REMINDER CHECKLIST:

ACCURATE CLAIMS PROCESSING TAKES A
SIGNIFICANT AMOUNT OF TIME.
THANK YOU FOR YOUR PATIENCE.