For the month of October, 2018
(Commission File No. 001-33356),
Indicate by check mark if the registrant is submitting
the Form 6-K in paper as permitted by Regulation S-T Rule 101(b)(7):
Yes ______ No ___X___
Indicate by check mark whether by furnishing the information contained in this Form,
the Registrant is also thereby furnishing the information to the Commission pursuant
to Rule 12g3-2(b) under the Securities Exchange Act of 1934:
Yes ______ No ___X___
If “Yes” is marked, indicate below the file number assigned
to the registrant in connection with Rule 12g3-2(b): N/A
Last update: 10/30/2018
Extraordinary General Meeting (EGM) - GAFISA S.A. to be held on 11/30/2018
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Shareholder's Name |
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Shareholder's CNPJ or CPF |
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Instructions on how to cast your vote This Bulletin of Distance Voting (the Bulletin), referring to the extraordinary general meeting of Gafisa SA (Company), to be held on first call on November 30, 2018, at 10:00 am, must be filled in if the shareholder chooses to exercise his/her distance voting rights, pursuant to article 121, sole paragraph, of Law 6,404 / 1976 (the Corporate Law) and CVM Instruction 481/2009 (the ICVM 481). To do so, it is imperative that the shareholder fill in the above fields with their full name (or corporate name, if legal entity) and registration number with the Ministry of Finance, either in the CNPJ or in the CPF. Filling in the email address is recommended, although it is not required. In order for this Bulletin to be considered valid and the votes cast thereon be counted as part of the quorum of the general meeting, (i) all the fields below must be duly filled out; (ii) all of its pages must be initialed by the shareholder; and (iii) at the end, the shareholder (or its legal representative, as the case may be) shall sign it. |
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Instructions for sending your ballot, indicating the delivery process by sending it directly to the Company or through a qualified service provider The shareholder who elects to exercise his/her distance voting right may (i) fill out this Bulletin and send it directly to the Company; or (ii) transmit voting instructions to qualified service providers (pursuant to Article 21-B, item II, of ICVM 481), subject to the following guidelines: EXERCISE OF VOTING BY SERVICE PROVIDERS The shareholder who elects to exercise his/her distance voting right through service providers (pursuant to article 21-B, item II, of ICVM 481) must transmit his voting instructions to his respective custodians, observing its procedures, which shall, in turn, forward such voting instructions to the Central Depository of B3 SA - Brasil, Bolsa, Balcão (the B3). To this end, shareholders should contact their custodians and verify the procedures established by them for issuing voting instructions through a bulletin, as well as the documents and information required by them.
SUBMISSION OF THE NEWSLETTER BY THE SHAREHOLDER DIRECTLY TO THE COMPANY The shareholder who elects to exercise his/her distance voting right, by sending this Bulletin directly to the Company, shall send the following documents to the Companys head office, at the address indicated below: (i) Printed copy of this Bulletin, duly completed, initialed and signed; and (ii) Authenticated copy of the following documents: (a) For Brazilian Citizens: photo ID. (b) For legal entities: (1) the last consolidated bylaws or articles of incorporation and the corporate documents proving the legal representation of the shareholder; and (2) identity document with photo of legal representative. (c) For Investment Funds: (1) the latest consolidated regulation of the fund; (2) status or bylaws of its administrator or manager, as the case may be, subject to the voting policy of the fund and corporate documents proving the powers of representation; and (3) identity document with photo of legal representative. This Bulletin, accompanied by the required documentation, shall be considered valid only if received by the Company, in full order, until November 23, 2018, also. Bulletins received by the Company after this date will be disregarded. |
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Postal and e-mail address to send the distance voting ballot, if the shareholder chooses to deliver the document directly to the company This Bulletin and related documents must be sent to Avenida Nações Unidas, nº 8501, 19th floor, Pinheiros, São Paulo / SP, CEP 05425-070, to the attention of the Investor Relations Department. |
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Indication of the institution hired by the company to provide the registrar service of securities, with name, physical and electronic address, contact person and phone number Itaú Corretora de Valores S.A. Address: Avenida Brigadeiro Faria Lima 3,500, 3rd floor, CEP 04538-132, city and State of São Paulo Email: atendimentoescrituracao@itau-unibanco.com.br Telephone: 3003-9285 (capitals and metropolitan areas) / 0800 7209285 (other locations) Business Hours: Business Days from 9 a.m. to 6 p.m. |
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Resolutions concerning the Extraordinary General Meeting (EGM) |
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Election of the fiscal board by single group of candidates
Membros indicados pela Administração |
DISTANCE VOTING BALLOT
Extraordinary General Meeting (EGM) - GAFISA S.A. to be held on 11/30/2018
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Fabio N S Mansur (Efetivo) / Thiago Fukushima (Suplente) Olavo Fortes Campos Rodrigues Júnior (Efetivo) / Eliane de Jesus Santana (Suplente) Marcelo Martins Louro (Efetivo) / Rafael Calipo Ciampone (Suplente) 1. Indication of all names that are in the slate - Membros indicados pela Administração [ ] Approve [ ] Reject [ ] Abstain 2. If one of the candidates that compose the chosen slate fails to integrate it to do the separate election as stated on Articles 161, § 4°, and 240 under Law 6.404/1976, can the votes corresponding to your shares continue to be directed to the chosen slate? -
[ ] Yes [ ] No [ ] Abstain |
City :
Date :
Signature :
Shareholder's Name :____________________________________________________________
Phone Number :
SIGNATURE
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Gafisa S.A. | |
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By: |
/s/ Ana Maria Loureiro Recart |
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Name: Ana Maria Loureiro Recart
Title: Chief Executive Officer | |