Quálitas Controladora B de C : » Proxy form

Mexico City, ______________, 2022.

QUÁLITAS CONTROLADORA, S.A.B. DE C.V.

ORDINARY AND EXTRAORDINARY GENERAL SHAREHOLDERS´ MEETING

Through this instrument and in accordance with article 49, fraction III of the Securities Market Law, I grant in favor of ___________________________________________________ a wide and sufficient power of attorney so that in my behalf attends to the Ordinary and Extraordinary General Shareholders´ Meeting of

QUÁLITAS CONTROLADORA, S.A.B. DE C.V. (the "Company"), to be held at 17:00 hours on April 26th, 2022, and to vote as instructed for the ______________________ shares representing the capital stock of the company, of which I am owner, with the following Agenda:

A G E N D A

O R D I N A R Y

I. DISCUSSION, MODIFICATION OR ENDORSEMENT, IF ANY, OF THE ANNUAL REPORT

REFERRED TO IN THE GENERAL PROVISION OF THE ARTICLE 172 OF THE GENERAL LAW OF COMMERCIAL COMPANIES, IN CONNECTION WITH THE TRANSACTIONS MADE BY THE COMPANY AND ITS SUBSIDIARY COMPANIES DURING THE FINANCIAL YEAR FROM JANUARY 1ST TO DECEMBER 31ST, 2021, UPON RECOMMENDATION OF THE AUDIT COMMITTEE.

• II. REPORT ON THE COMPLIANCE WITH TAX OBLIGATIONS BY THE COMPANY DURING THE FINANCIAL YEAR ENDED ON DECEMBER 31ST, 2020.

• III. DISCUSSION, MODIFICATION, OR ENDORSEMENT, IF ANY, OF THE ANNUAL REPORT

  REGARDING THE TRANSACTIONS MADE BY THE AUDIT COMMITTEE AND CORPORATE PRACTICES COMMITTEE DURING THE FINANCIAL YEAR FROM JANUARY 1ST TO DECEMBER 31ST, 2021.

• IV. DETERMINATION OF THE APPLICATION OF THE RESULTS OBTAINED BY THE

  COMPANY.

• V. REPORT OF THE BOARD OF DIRECTORS REGARDING THE SHARES REPRESENTING THE CAPITAL STOCK OF THE COMPANY, REPURCHASED BY THE FUND OF REPURCHASE OF OWN SHARES, AS WELL AS THE RELOCATION AND DETERMINATION OF THE AMOUNT OF RESOURCES THAT MAY BE ALLOCATED TO THE REPURCHASE OF OWN SHARES.

• VI. APPOINTMENT OR RATIFICATION, IF ANY, OF THE MEMBERS OF THE BOARD OF

  DIRECTORS, OFFICERS, AND MEMBERS OF THE INTERMEDIATE MANAGEMENT BODIES OF THE COMPANY.

VII.DETERMINATION OF THE REMUNERATION PAYABLE TO THE MEMBERS OF THE BOARD

OF DIRECTORS AND THE MEMBERS OF THE INTERMEDIATE MANAGEMENT BODIES OF THE COMPANY.

VIII.GRANTING OF POWERS OF ATTORNEY.

E X T R A O R D I N A R Y

• IX. REDUCTION OF THE CAPITAL STOCK BY CANCELATION OF TREASURY SHARES.

• X. PARTIAL AMENDMENT OF THE COMPANY BYLAWS AS A RESULT OF THE REDUCTION OF THE CAPITAL STOCK.

• XI. APPOINTMENT OF THE SPECIAL DELEGATES IN ORDER TO FORMALIZE AND EXECUTE

  THE RESOLUTIONS ADOPTED

ITEM ONE ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________

ITEM TWO: ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________

ITEM THREE: ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________

ITEM FOUR: ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________

ITEM FIVE: ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________

ITEM SIX: ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________

ITEM SEVEN: ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________

ITEM EIGHT: ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________

ITEM NINE: ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________

ITEM TEN: ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________

ITEM ELEVEN: ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________

I confirm since this moment the decisions made in the exercise of this mandate, according to the instructions described above.

S I N CE R E L Y

____________________________________

(GRANTOR)

WITNESS

WITNESS

___________________________

___________________________