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Settlement Claim form v3

* 312 130 0 000 000*3 1 2 1 3 0 0 0 0 0 0 0 0 United States District Court for the Southern District of New York Hesse, et al. v. Godiva Chocolatier, Inc., Case No. 1:19-cv-00927-AJNMAILED Claim FORM AND INSTRUCTIONSIf you purchased one or more Godiva Chocolate Products* at any time from January 31, 2015 through October 26, 2021, you can complete this Claim Form to be eligible to receive a cash payment under the Settlement .*Godiva Chocolate Products include any product manufactured and sold by Godiva, or sold under the Godiva brand, which contains chocolate. For examples of Godiva Chocolate Products, please see the illustrative list available on the Settlement website: Forms must be completed and submitted by mail, postmarked no later than February 23, 2021 to the following:Hesse, et al. v. Godiva Chocolatier, Settlement AdministratorPO Box 225391 New York, NY 10150-5391 NOTE: If you wish to receive payment electronically, you must complete the Claim Form online at have two options for submitting your Claim .

*Godiv a Cho colate P rodu cts includ e any produ ct m anu factured and sold by Godiva, or sold und er the Godiva brand, which contains chocolate. For examples of Godiva Chocolate Products, please see the illustrative list available on the settlement website: www.godivachocolatesettlement.com.

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