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SEC Filings

8-K
CHARTER COMMUNICATIONS, INC. /MO/ filed this Form 8-K on 05/19/2016
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EXHIBIT D

FORM OF CONVERSION NOTICE

The undersigned holder(s) of Convertible Preferred Units of Charter Communications Holdings, LLC, a Delaware limited liability company (the “Company”, such units, the “Convertible Preferred Units” and the holder(s) thereof, the “Holder(s)”) hereby tenders for conversion [            ] Convertible Preferred Units [represented by certificate no(s). [    ] which [has/have] been enclosed with this Conversion Notice] in accordance with the terms of Section 3.3(a) of the Amended and Restated Limited Liability Company Agreement, dated as of May 18, 2016 (as amended, supplemented or restated from time to time, the “Agreement”) of the Company. The undersigned Holder surrenders such Convertible Preferred Units as of the Conversion Date set forth below. Capitalized terms used but not otherwise defined herein shall have the meaning ascribed to them in the Agreement.

 

Name(s) and Address(es) of Registered Holders1

 

 
Total number of Convertible Preferred Units owned prior to the Conversion:

 

 
Number of Convertible Preferred Units to be converted:

 

 
Conversion Rate:

 

 
Conversion Date:

 

 
[Class A Common Stock/Class B Common Units]2 to be [issued by][Charter/the Company]:

 

 
Total number of Convertible Preferred Units Owned following the Conversion:

 

 

 

1  [Name must be exactly as it appears in on the books and records of the Company.]
2  [Where the Holder is A/N or any A/N Party, only Class B Common Units may be designated. Where the Holder is any Person other than A/N or any A/N Party, only Class A Common Stock may be selected.]

 

D-1