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NewPro Claim

CLAIM FORM

Re: Patrick Joyce v. NewPro Operating, LLC., et al.

Middlesex Superior Court, Civil Action No. 2381CV02519

To claim a share of the settlement, you must FILL OUT and SIGN all portions of this form.

IMPORTANT: This COMPLETED and SIGNED form must be received by August 25, 2025.

First Name:

Last Name:

Address:

Unit/Apt:

City:

State:

Zip:

Phone:

E-mail:

ACKNOWLEDGEMENT & RELEASE

I have read and am familiar with the Notice of Settlement of Class Action Lawsuits to which this Claim Form relates. I understand that I am forever releasing and discharging Defendants and the NewPro Releasees from any and all claims, demands, and liabilities arising out of or related to any of the allegations brought in the Pending Case, including alleged violations of the Massachusetts Wage Act, the Massachusetts Minimum Wage Law, and 454 CMR 27.00 through April 15, 2025.

Signed Date:

Optime Administration, LLC – Substitute IRS Form W-9 & W4

Please print your Social Security Number (SSN):

Select One:

Single

Married

Married, but withhold at higher Single rate

Total number of allowances you are claiming:

Additional amount, if any, you want withheld from settlement payment:

Print your name as shown on your tax return:

Certification:

Under penalty of perjury, I certify that:

The social security number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and
I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding, and
I am a U.S. person (including a U.S. resident alien)

Date Signed:

Note: If you have been notified by the IRS that you are subject to backup withholding, you must cross out line 2 above. The IRS does not require your consent to any provision of this document other than this Form W-9 certification to avoid backup withholding.

Leave this empty:

Your legal name

Your email address

Please Confirm full name and signature.

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Timestamp

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July 7, 2025 1:53 pm EST

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