HP Securities Settlement

CLAIMANT INFORMATION

Beneficial Owner Name:

Co-Beneficial's Name:

Entity Name (if Beneficial Owner is not an individual):

Representative or Custodian Name (if different from Beneficial Owner(s) listed above):

Address 1 (street name and number): *

Address 2 (apartment, unit or box number):

Country: *

City: *

State/Territory: *

Zip: *

Telephone Number (home): *

Telephone Number (work):

Email Address (If you provide an email address, you authorize the Claims Administrator to use it in providing you with information relevant to this claim.):

Account Number (account(s) through which the securities were traded):

Claimant Account Type (check appropriate box): *

* Denotes required field

SCHEDULE OF TRANSACTIONS IN HP SECURITIES

Please be sure to include proper documentation with your Claim Form as described in detail in Part I – General Instructions, ¶ 7. The only eligible security is the common stock of HP Inc. (“HP”) (Ticker: NYSE: HPQ, CUSIP: 40434L105). Do not include information regarding securities other than HP common stock.

CLAIM DETAILS TRANSACTIONS

Security Type:

Transaction Type:

Trade Date: *

Number Of Shares Purchased: *

Price per Share: *

Total Cost (Excluding Commissions, Taxes, and Fees) : *

Confirm Proof Enclosed:

Trade Date: *

Number Of Shares Sold: *

Price per Share: *

Amount Received (Excluding Commissions, Taxes, and Fees) : *

Confirm Proof Enclosed:

Must click Add to save your information.

Security Type

Transaction Type

Trade Date

Quantity

Price

Net Amount

Proof of Purchase Enclosed

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.

Select files

Files To Be Uploaded	Size	Action

RELEASE OF CLAIMS AND SIGNATURE

I (we) hereby acknowledge that, pursuant to the terms set forth in the Stipulation and Agreement of Settlement dated March 2, 2023, without further action by anyone, upon the Effective Date of the Settlement, I (we), on behalf of myself (ourselves) and my (our) heirs, executors, administrators, predecessors, successors, and assigns, in their capacities as such, shall be deemed to have, and by operation of law and of the Judgment shall have, fully, finally, and forever compromised, settled, released, resolved, relinquished, waived, and discharged each and every Released Plaintiffs’ Claim (defined in ¶ 28 of the Notice) against Defendants and the other Defendants’ Releasees (defined in ¶ 29 of the Notice), and shall forever be barred and enjoined from prosecuting any or all of the Released Plaintiffs’ Claims against any of the Defendants’ Releasees.

CERTIFICATION

By signing and submitting this Claim Form, the Claimant(s) or the person(s) who represent(s) the Claimant(s) agree(s) to the release above and certifies (certify) as follows:

1. that I (we) have read and understand the contents of the Notice and this Claim Form, including the Releases provided for in the Settlement and the terms of the Plan of Allocation;

2. that the Claimant(s) is a (are) member(s) of the Settlement Class, as defined in the Notice, and is (are) not excluded by definition from the Settlement Class as set forth in the Notice;

3. that the Claimant(s) has (have) not submitted a request for exclusion from the Settlement Class;

4. that I (we) own(ed) the HP common stock identified in the Claim Form and have not assigned the claim against the Defendants’ Releasees to another, or that, in signing and submitting this Claim Form, I (we) have the authority to act on behalf of the owner(s) thereof;

5. that the Claimant(s) has (have) not submitted any other Claim covering the same purchases/acquisitions of HP common stock and knows (know) of no other person having done so on the Claimant’s (Claimants’) behalf;

6. that the Claimant(s) submit(s) to the jurisdiction of the Court with respect to Claimant’s (Claimants’) Claim and for purposes of enforcing the Releases set forth herein;

7. that I (we) agree to furnish such additional information with respect to this Claim Form as Lead Counsel, the Claims Administrator, or the Court may require;

8. that the Claimant(s) waive(s) the right to trial by jury, to the extent it exists, agree(s) to the determination by the Court of the validity or amount of this Claim and waives any right of appeal or review with respect to such determination;

9. that I (we) acknowledge that the Claimant(s) will be bound by and subject to the terms of any judgment(s) that may be entered in the Action; and

10. that the Claimant(s) is (are) NOT subject to backup withholding under the provisions of Section 3406(a)(1)(C) of the Internal Revenue Code. If the IRS has notified the Claimant(s) that he/she/it/they is (are) subject to backup withholding, please strike out the language in the preceding sentence.

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

NOTE: If you have been notified by the I.R.S. that you are subject to backup withholding, please strike out the language that you are not subject to backup withholding in the certification above.

Signature of Claimant (If this claim is being made on behalf of Joint Claimants, then each must sign): *

Joint Claimant Signature (if any):

(Capacity of person(s) signing, e.g. beneficial purchaser(s), executor, administrator, trustee, etc.):

REMINDER CHECKLIST

1. Sign the above release and certification. If this Claim Form is being made on behalf of joint Claimants, then each joint Claimant must sign.

2. Keep copies of the completed Claim Form and any supporting documentation for your own records.

3. The Claims Administrator will acknowledge receipt of your Claim Form by mail, within 60 days. Your Claim is not deemed submitted until you receive an acknowledgement postcard. If you do not receive an acknowledgement postcard within 60 days, please call the Claims Administrator toll-free at
1-877-388-1759 . If you submit your Claim electronically, you will receive a confirmatory email within 10 days of your submission.

4. If your address changes in the future, please send the Claims Administrator written notification of your new address. If you change your name, inform the Claims Administrator.

5. If you have any questions or concerns regarding your Claim, please contact the Claims Administrator at the address below, by email at info@HPSecuritiesSettlement.com, or by toll-free phone at 1-877-388-1759 or you may visit www.HPSecuritiesSettlement.com. DO NOT call the Court, Defendants, or Defendants’ Counsel with questions regarding your Claim.

THIS CLAIM FORM MUST BE SUBMITTED ONLINE AT WWW.HPSECURITIESSETTLEMENT.COM, NO LATER THAN AUGUST 14, 2023.

You should be aware that it will take a significant amount of time to fully process all of the Claim Forms. Please be patient and notify the Claims Administrator of any change of address.