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Report of Organizational Actions Affecting Basis of Securities

Issuers of specified securities are required to complete Internal Revenue Service Form 8937 to report organizational actions that affect the basis of the securities involved in the organizational action. Primo Water has prepared Form 8937 to report the impacts to basis related to the acquisition of Glacier Water Services, Inc. by Primo Water Corporation on December 12, 2016.

Disclaimer: The information contained in Form 8937 and the related attachment does not constitute tax advice and does not purport to take into account any shareholder's or warrant holder's specific circumstances. Shareholders and warrant holders are urged to consult their own tax advisors regarding U.S. tax consequences of the transaction described herein and the impact to tax basis resulting from the transaction.

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PDFIRS Form 8937 1.2 MB