Falcon Capital Stockholder Settlement

CLAIMANT INFORMATION

Beneficial Owner’s Name:

Record Owner’s Name (if applicable):

Address1 (street name and number): *

Address2 (apartment, unit or box number):

Country: *

City: *

State: *

Zip Code: *

Telephone Number (home): *

Telephone Number (work):

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)

Account Number (account(s) through which the securities were traded)¹

Claimant Account Type: *

PART II – SCHEDULE OF TRANSACTIONS IN FCAC CLASS A COMMON STOCK OR SHARECARE COMMON STOCK

1. NUMBER OF ELIGIBLE SHARES – State the total number of shares of FCAC Class A common stock held as of the close of trading on June 25, 2021. (Must be documented.) If none, write “zero” or “0.”

Proof Provided

2. PURCHASES/ACQUISITIONS FROM JUNE 26, 2021 THROUGH OCTOBER 21, 2024 – Separately list each and every purchase or acquisition (including free receipts) of FCAC Class A common stock or Sharecare common stock from after the opening of trading on June 26, 2021 through the close of trading on October 21, 2024. (Must be documented.)

Security Type:

Date of Purchase/ Acquisition (List Chronologically) (Month/Day/Year):

Number of Shares Purchased/Acquired:

Purchase/Acquisition Price Per Share:

Total Purchase/ Acquisition Price (excluding any taxes, commissions, and fees):

Confirm Proof of Purchase Enclosed:

Must click Add Purchase to submit your transactions.

Date of Purchase/ Acquisition (List Chronologically) (Month/Day/Year)

Number of Shares Purchased/Acquired

Purchase/ Acquisition Price Per Share

Total Purchase/ Acquisition Price

Ticker Symbol

Confirm Proof of Purchase Enclosed

Action

4. SALES FROM JUNE 26, 2021 THROUGH OCTOBER 21, 2024 – Separately list each and every sale or disposition (including free deliveries) of FCAC Class A common stock or Sharecare common stock ck from after the opening of trading on June 26, 2021 through the close of trading on October 21, 2021. (Must be documented.)

Security Type:

Date of Sale (List Chronologically) (Month/Day/Year):

Number of Shares Sold:

Sales Price Per Share:

Total Sale Price (not deducting any taxes, commissions, and fees):

Confirm Proof of Sale Enclosed:

Must click Add Sale to submit your transactions.

Date of Sale (List Chronologically) (Month/Day/Year)

Number of Shares Sold

Sale Price Per Share

Total Sale Price (not deducting any taxes, commissions, and fees)

Ticker Symbol

Confirm Proof of Sale Enclosed

Action

5. HOLDINGS AS OF THE CLOSE OF OCTOBER 21, 2024 – State the total number of shares of Sharecare common stock held as of the close of trading on October 21, 2024. (Must be documented.) If none, write “zero” or “0.”

Proof Provided

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

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 of 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.

IV. 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 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 included the requested required information about all of my (our) holdings of Eligible Shares.

I declare under penalty of perjury under the laws of the United States of America that the foregoing information supplied by the undersigned is true and correct.

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: *

Capacity of person signing on behalf of Claimant, if other than an individual, e.g., executor, president, trustee, custodian, etc. :