EX-99.3 9 tm218423d3_ex99-3.htm EXHIBIT 99.3

Exhibit 99.3

 

2345_expage099page003_page001.jpg A properly completed original stock order form must be used to subscribe for common stock. Please read the Stock Ownership Guide Instructions as you complete this form. Subscription & Community Offering Stock Order Form STOCK ORDER DEADLINE day, [Expiration Date] at _:00 p.m. Eastern Time (Received not postmarked) STOCK ORDER DELIVERY If By Hand Delivery (Drop Box) NorthEast Community Bank Address, City, State Zipcode STOCK ORDER DELIVERY If By Overnight Delivery xxxxxxx Address, City, State Zipcode, (xxx) xxx-xxxx SHARES TOTAL PAYMENTS DUE Purchase Limitations (see instructions and the Prospectus) X 10.00 = $ .00 Minimum 25 shares $250 Maximum 40,000 shares $400,000 Maximum for associates or group 80,000 shares $800,000 Check here if you are a NorthEast Community Bank, NorthEast Community Bancorp, MHC, or NorthEast Community Bancorp, Inc.: EMPLOYEE, OFFICER, DIRECTOR or IMMEDIATE FAMILY MEMBER of such person living in the same household. CHECK PAYMENT Check, bank draft or money order NorthEast Community Bank line of credit and third party checks cannot be used for check payment. Payable to NorthEast Community Bancorp, Inc. Enclosed.00 (5) WITHDRAWAL PAYMENT The undersigned authorizes withdrawal from the following account(s). There is no early withdrawal penalty for this form of payment. Bank Use Bank Use Amount Amount .00 .00 PURCHASER INFORMATION Subscription Offering The purchaser had a deposit account(s) totaling $50 or more on September 30, 2019 at NorthEast Community Bank. The purchaser had a deposit account(s) totaling $50 or more on [Month] _ _, 2021 at NorthEast Community Bank and is not a director or officer of NorthEast Community Bank, NorthEast Community Bancorp, MHC or NorthEast Community Bancorp, Inc. The purchaser had a deposit account(s) at NorthEast Community Bank on [Month] , 2021. Community Offering The purchaser in the community offering RESIDES in: Bronx, Kings, New York, Orange, Rockland, Sullivan or Westchester County in NY, or Essex, Middlesex, Norfolk and Suffolk County in MA. Indicate county of residence here: The purchaser in the community offering DOES NOT RESIDE in one of the above listed counties. Account Information - List below all NorthEast Community Bank accounts the purchaser had as of the applicable Subscription Offering eligibility date(s) as indicated above. Failure to list all your eligible accounts, or providing incorrect information, may result in the loss of part or all of your subscription rights. Additional space on reverse side at Item 6. Qualifying Account # of Purchaser Qualifying Account # of Purchaser Names(s) on Account Names(s) on Account STOCK OWNERSHIP REGISTRATION (to appear on stock registration statement) Please provide all requested information. Adding the names of other persons who are not owners of your qualifying account(s) will result in the loss of your subscription rights. Form of Ownership (check one box and indicate SS# or Tax ID#)IRA or Other Qualified Plan Order SS/Tax ID# Individual Joint Tenants Registration Uniform Transfers to Minors Act (minor SS#) Tenants In Common Business (co., corp.) Fiduciary (trust, estate) Reporting SS/Tax ID# TTEE Tax ID# -Owner SS# --_ Address Name Name Telephone Street CityStateZip code Day Evening ASSOCIATES / ACTING IN CONCERT (Definitions on reverse side) Check here if you, or any associates or persons acting in concert with you, have submitted other orders for shares and/or are current owners of existing shares of NorthEast Community Bancorp. If you checked this box, complete reverse side. ACKNOWLEGEMENT - To be effective, this stock order form must be properly completed and physically received (not postmarked) by NorthEast Community Bancorp, Inc. no later than _:00 p.m., Eastern Time, on [day], [month], 2021, unless extended; otherwise this stock order form and all subscription rights will be void. The undersigned agrees that after receipt by NorthEast Community Bancorp, Inc., this stock order form may not be modified, withdrawn or canceled without NorthEast Community Bancorp, Inc.’s consent and if authorization to withdraw from deposit accounts at NorthEast Community Bank has been given as payment for shares, the amount authorized for withdrawal shall not otherwise be available for withdrawal by the undersigned. (continued on reverse side) By signing below, I also acknowledge that I have read the Certification Form and Acknowledgement continued on the reverse side of this form (Item 9). SignatureDateSignatureDate

 

 

 

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2345_expage099page003_page003.jpg NorthEast Community Bancorp, Inc.