EX-99.5
Published on November 5, 2025
Exhibit 99.5
FORM OF BENEFICIAL OWNER ELECTION FORM
I (we) acknowledge receipt of your letter and the enclosed materials relating to the offering of rights (the “Series C GCI Group Rights”) to purchase shares of Series C GCI Group common stock, par value $0.01 per share (the “Series C GCI Group Common Stock”), of GCI Liberty, Inc. (the “Company”).
In Part I of this form, I (we) instruct you whether to exercise, sell or transfer the Series C GCI Group Rights distributed pursuant to the terms and subject to the conditions set forth in the prospectus dated November 26, 2025.
PART I
BOX 1. | ☐ | Please do not exercise Series C GCI Group Rights. |
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BOX 2. | ☐ | Please exercise Series C GCI Group Rights as set forth below: |
| Number of | | Subscription Price | | Payment |
Basic Subscription Privilege: |
| x | $[·] | = | $ (Line 1) |
Oversubscription Privilege: |
| x | $[·] | = | $ (Line 2) |
By exercising the oversubscription privilege (the “Oversubscription Privilege”) with respect to my (our) Series C GCI Group Rights, I (we) hereby represent and certify that I (we) have fully exercised my (our) basic subscription privilege (the “Basic Subscription Privilege”) received in respect of shares of Series C GCI Group Common Stock held in the below described capacity.
Total Payment Required = $
(Sum of Lines 1 and 2 must equal total of amounts in Boxes 3 and 4)
BOX 3. | ☐ | Payment in the following amount is enclosed: |
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BOX 4. | ☐ | Please deduct payment from the following account maintained by you as follows: |
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| Type of Account | | | Account No. | |
| Amount to be deducted: $ | | | | |
| Date: ,2025 | | Signature(s): | | |
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| | | Signature(s): | | |
| | | | (If held jointly) | |
BOX 5. | ☐ | Please sell of my Series C GCI Group Rights. | |
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BOX 6. | ☐ | Please have Broadridge Corporate Issuer Solutions, LLC effect my specific instructions that I have attached hereto and for which I have had an Eligible Institution with membership in an approved signature guarantee medallion program pursuant to Securities and Exchange Commission Rule 17Ad-15 guarantee my signature. | |
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| Signature(s): | |
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| Signature(s): | |
| (If held jointly) | |
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Please type or print name(s) below: | | |
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Signature(s) Guaranteed by: | | |
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Eligible Institution | | |
IMPORTANT: The signature(s) should be guaranteed by an eligible guarantor institution (bank, stock broker, savings & loan association or credit union) with membership in an approved signature guarantee medallion program pursuant to Securities and Exchange Commission Rule 17Ad-15.
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