Company: KG
Filing Date: 2025-03-24
Form Type: S-4/A
Source: 0001104659-25-027242
Chunk: 543

Company: Kestrel Group Ltd
Filing Date: 2025-03-24
Form: S-4/A
Chunk 543
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, Agreement and Questionnaire, understands that it shall be bound by the terms and conditions of this Notice, Agreement and Questionnaire.

(b) The Selling Securityholder hereby provides the following information to the Company and represents and warrants that such information is accurate and complete:

#### Questionnaire
1.

(a) Full Legal Name of Selling Securityholder:

(b)

Full Legal Name of Registered Holder (if not the same as (a) above) through which Registrable Securities listed in Item (3) below are held:

(c)

Full Legal Name of DTC Participant (if applicable and if not the same as (b) above) through which Registrable Securities listed in Item (3) below are held:

2.

Address for Notices to Selling Securityholder:

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Telephone:

Fax:

Email address:

Contact Person:

3.

Beneficial Ownership of Registrable Securities:

This Item (3) covers beneficial ownership of the Company’s securities. Please consult Appendix A to this Notice, Agreement and Questionnaire for information as to the meaning of “beneficial ownership.” Except as set forth below in this Item (3), the Selling Securityholder does not beneficially own any Registrable Securities.

(a)

Number of shares of Registrable Securities beneficially owned:

(b)

Number of shares of the Registrable Securities which the Selling Securityholder wishes to be included in the Registration Statement:

4.

Beneficial Ownership of other securities of the Company owned by the Selling Securityholder.

Except as set forth below in this Item (4), the Selling Securityholder is not the beneficial or registered owner of any securities of the Company other than the Registrable Securities listed above in Item (3).

(a)

Type and amount of other securities beneficially owned by the Selling Securityholder:

(b)

CUSIP No(s). of other securities beneficially owned by the Selling Securityholder:

5.

Relationship with the Company:

(a)

Have you or any of your affiliates, officers, directors or principal equity holders (owners of five percent (5%) or more of the equity securities of the Selling Securityholder) held any position or office or have you had any other material relationship with the Company (or its predecessors or affiliates) within the past three (3) years?

☐

Yes

☐

No

(b)

If so, please state the nature and duration of your relationship with the Company:

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6.

Broker-Dealer Status:

(a)

Is the Selling Securityholder a broker-dealer registered pursuant to Section 15 of the Exchange Act?

☐

Yes