INSTRUCTIONS FOR THE CLAIM FORM-R
Use this form only if you have NOT received written notice
by e-mail with a Notice Number

I. Deadline For Returning Your Completed Claim Form-R

If you have NOT received written notice by e-mail with a Notice Number, then, to become an Eligible Settlement Class Member and obtain a payment, you must complete and return a valid Claim Form-R. by no later than August 5, 2026.

You may submit the Claim Form-R by U.S. mail, fax, or on-line submission.

If you are mailing the Claim Form-R, your completed Claim Form-R (together with the required documentation) must be mailed to the following address postmarked no later than August 5, 2026:

Atticus Administration, LLC

P.O. BOX 64053

St. Paul, MN 55164

You may also send your Claim Form-R (together with the required documentation) by facsimile to the following facsimile number 1-888-326-6411, by no later than 11:59 p.m. Eastern Time on August 5, 2026.

You may also submit your claim by completing and submitting an electronic version of the Claim Form-R (and uploading and submitting the required documentation) on the internet at www.SettleInfo.com, by no later than 11:59 p.m. Eastern Time on August 5, 2026.

II. You Must Complete Section I Of The Claim Form

You must complete Section I entitled “Your Information” by clearly printing or typing your information in the appropriate spaces. You must complete all of the spaces, except for your E-mail address which is optional.

III. You Must Also Provide The Necessary Document With Your Claim Form

As explained in Section II of the Claim Form, you must provide proof in either one of the following two ways:

Option (1): You may attach an original or a copy of your customer receipt that:

(a) contains more than the last five digits of your credit card or debit card number and shows that you made a transaction at any Sprouts grocery store within the United States during the period from August 16, 2020 through October 31, 2022,

or

(b) contains more than the last five digits of your EBT card number and shows that you made a transaction at any Sprouts grocery store within the United States during the period from March 15, 2021 through April 15, 2023.

By completing this Claim Form-R you also confirm that you used your own personal card for the transaction.

OR

Option (2): You may attach:

(a) an original or a copy of your credit card or debit card (excluding EBT card) statement which shows that you made a transaction at any Sprouts grocery store within the United States during the period from August 16, 2020 through October 31, 2022,

or

(b) an original or a copy of your EBT card statement which shows that you made a transaction at any Sprouts grocery store within the United States during the period from March 15, 2021 through April 15, 2023.

By completing this Claim Form-R you also confirm that you used your own personal card for the transaction. Before providing your statement or copy of your statement, please redact (meaning you may white-out or mark-over) information contained in your credit or debit card statement to prevent it from showing things like your account numbers, your other purchases, etc. The only information that is required to show on your statement for purposes of making a claim under this Settlement is your name, address, and all of the details of your transaction from any Sprouts grocery store within the United States, including the date and amount of your purchase.

You may make only one claim regardless of whether you have made one or more than one eligible card transaction. Accordingly, if you had more than one eligible transaction you only need to provide proof of either one receipt or one statement showing that you made one card transaction using your personal card at any Sprouts grocery store within the United States during any of the relevant time periods described above.

Although you may submit either the original or a copy of either your receipt or card statement, if you decide to send an original, it is encouraged that you make and keep a copy for yourself. We will not be responsible for original documents that are lost.

IV. You Must Sign In The Space Provided In Section III Of The Claim Form

You must also sign the Claim Form in the space provided in Section III of the Claim Form.