UNITED
STATES
SECURITIES
AND EXCHANGE COMMISSION
Washington,
D.C. 20549
SCHEDULE
14A INFORMATION
Proxy
Statement Pursuant to Section 14(a) of the Securities
Exchange
Act of 1934 (Amendment No. )
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Filed
by the Registrant þ
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Filed
by a Party other than the Registrant ¨
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Check
the appropriate box:
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þ Preliminary
Proxy Statement
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¨ Confidential,
for Use of the Commission Only (as permitted by
Rule 14a-6(e)(2))
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¨ Definitive
Proxy Statement
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Definitive Additional Materials
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Soliciting Material Pursuant to
§240.14a-12
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Taiwan
Greater China Fund
(Name
of
Registrant as Specified In Its Charter)
(Name
of
Person(s) Filing Proxy Statement, if other than the Registrant)
Payment
of Filing Fee (Check the appropriate box):
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Fee computed on table below per Exchange Act Rules 14a-6(i)(4) and
0-11.
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1) Title
of each class of securities to which transaction
applies:
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2) Aggregate
number of securities to which transaction
applies:
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3) Per
unit price or other underlying value of transaction computed pursuant
to
Exchange Act Rule
0-11
(set forth the amount on which the filing fee is calculated and
state how
it was determined):
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transaction:
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Check box if any part of the fee is offset as provided by Exchange
Act
Rule 0-11(a)(2) and identify the filing for which the offsetting fee
was paid previously. Identify the previous filing by registration
statement number, or the Form or Schedule and the date of its
filing.
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1) Amount
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4) Date
File:
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TAIWAN
GREATER CHINA FUND
October
9, 2006
c/o
Brown
Brothers Harriman
P.O.
Box
962047
Boston,
MA 02196-2047
Telephone:
1-800-343-9567
Dear
Shareholders:
You
are
cordially invited to attend a Special Meeting of Shareholders (the “Meeting”) of
the Taiwan Greater China Fund (the “Trust” or the “Fund”), formerly known as The
R.O.C. Taiwan Fund), which will be held at the offices of Clifford Chance
US
LLP, 31 W. 52nd Street, New York, New York, 10019-6131 on Tuesday, November
21,
2006 at 9:30 a.m., Eastern time. A formal notice and a Proxy Statement regarding
the Meeting, a proxy card for your vote at the Meeting and a postage prepaid
envelope in which to return your proxy are enclosed. Shareholders who plan
on
attending the Meeting will be required to provide valid identification in
order
to gain admission.
At
the
Meeting, Shareholders will:
(i) |
Consider
whether to approve amendment of the Trust’s current fundamental investment
policy regarding lending to allow for securities lending to the extent
permitted by law.
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The
Board
of Trustees recommends that you vote for
amendment of the Trust’s fundamental investment policy regarding
lending.
Whether
or not you plan to attend the Meeting in person, it is important that your
shares be represented and voted. After reading the enclosed notice and Proxy
Statement, please complete, date, sign and return the enclosed proxy card
at
your earliest convenience. Your return of the proxy card will not prevent
you
from voting in person at the Meeting should you later decide to do
so.
If
you
are a beneficial owner holding shares through a broker-dealer or other nominee,
please note that, under the rules of the New York Stock Exchange, broker-dealers
or other nominees may not vote your shares on the proposal described in
paragraph (i) above without your instructions. In addition, if you are a
beneficial owner holding shares through a bank or trust company nominee,
you may
find that such nominee will not vote your shares in respect of the matter
to be
considered at the Meeting without your instructions. Accordingly, the Board
of
Trustees of the Trust urges all beneficial owners of shares who are not also
record owners of such shares to contact the institutions through which their
shares are held and give appropriate instructions, if necessary, to vote
their
shares. The Trust also will be pleased to cooperate with any appropriate
arrangement pursuant to which beneficial owners desiring to attend the Meeting
may be identified as such and admitted to the Meeting as
Shareholders.
Time
will
be provided during the Meeting for discussion, and Shareholders present will
have an opportunity to ask questions about matters of interest to them.
Shareholders also may call 1-800-814-0979 with questions concerning this
proposal.
Respectfully,
Steven
R.
Champion David
Laux
President Chairman
of the Board of Trustees
______________________________________________________________________________________
IMPORTANT
MATTERS WILL BE CONSIDERED AT THE MEETING. ACCORDINGLY, ALL SHAREHOLDERS,
REGARDLESS OF THE SIZE OF THEIR HOLDINGS, ARE URGED TO SIGN AND MAIL THE
ENCLOSED PROXY IN THE ENCLOSED ENVELOPE, OR TO GIVE APPROPRIATE INSTRUCTIONS
TO
PERSONS HOLDING SHARES OF RECORD ON THEIR BEHALF, PROMPTLY.
TAIWAN
GREATER CHINA FUND
NOTICE
OF SPECIAL MEETING OF SHAREHOLDERS
TO
BE HELD NOVEMBER 21, 2006
To
the
Shareholders of the Taiwan Greater China Fund:
NOTICE
IS
HEREBY GIVEN that a Special Meeting of Shareholders (the “Meeting”) of the
Taiwan Greater China Fund (the “Trust” or the “Fund”), formerly known as The
R.O.C. Taiwan Fund) will be held at the offices of Clifford Chance US LLP,
31 W.
52nd Street, New York, New York, on Tuesday, November 21, 2006 at 9:30 a.m.,
Eastern time, for the following purposes:
1. |
To
consider whether to approve amendment of the Trust’s current fundamental
investment policy regarding lending to allow for securities lending
to the
extent permitted by law.
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2. |
To
transact such other business as may properly come before the Meeting
or
any adjournment thereof.
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The
Board
of Trustees of the Trust has fixed the close of business on Wednesday, September
13, 2006 as the record date for the determination of shareholders entitled
to
notice of and to vote at the Meeting and at any adjournment thereof.
Shareholders are entitled to one vote for each share of beneficial interest
of
the Trust held of record on the record date with respect to each matter to
be
voted upon at the Meeting.
You
are
cordially invited to attend the Meeting. All Shareholders are requested to
complete, date and sign the enclosed proxy card and return it promptly, and
no
later than November 20, 2006, in the envelope provided for that purpose,
which
does not require any postage if mailed in the United States. If you are able
to
attend the Meeting, you may, if you wish, revoke the proxy and vote personally
on all matters brought before the Meeting. The enclosed proxy is being solicited
by the Board of Trustees of the Trust.
BY
ORDER
OF THE BOARD OF TRUSTEES
Cheryl
Chang, Secretary
October
9, 2006
TAIWAN
GREATER CHINA FUND
PROXY
STATEMENT
INTRODUCTION
This
Proxy Statement is furnished in connection with the solicitation of proxies
on
behalf of the Board of Trustees (the “Board of Trustees” or the “Board”, the
trustees of the Board are referred to as the “Trustees”) of the Taiwan Greater
China Fund (the “Trust”, formerly known as The R.O.C. Taiwan Fund) for use at a
Special Meeting (the “Meeting”) of holders of shares (each, a “Shareholder” and
collectively, the “Shareholders”) of the Trust (the “Shares”) to be held at the
offices of Clifford Chance US LLP, 31 W. 52nd Street, New York, New York,
on
Tuesday, November 21, 2006 at 9:30 a.m., Eastern time, and at any adjournment
thereof.
This
Proxy Statement and the accompanying proxy are first being mailed to
Shareholders on or about October 9, 2006. Any Shareholder giving a proxy
has the
power to revoke it by mail (addressed to The Altman Group,
1200
Wall Street West, 3rd Floor, Lyndhurst, NJ 07071),
or in
person at the Meeting, by executing a superseding proxy or by submitting
a
notice of revocation to the Trust. All properly executed proxies received
by
mail on or before the close of business on November 20, 2006 or delivered
personally at the Meeting will be voted as specified in such proxies or,
if no
specification is made, for the approval of Proposal 1.
The
Board
of Trustees has fixed the close of business on Wednesday, September 13, 2006,
as
the record date for the determination of Shareholders entitled to notice
of and
to vote at the Meeting and at any adjournment thereof. Shareholders of record
will be entitled to one vote for each Share.
As
of the
record date, the Trust had 16,881,479
Shares outstanding. Abstentions will be counted as present for all purposes
in
determining the existence of a quorum.
One-third
of the Trust's outstanding Shares, present in person or represented by proxy
at
the Meeting, will constitute a quorum for the transaction of business at
the
Meeting. The affirmative vote of a majority of the Trust’s outstanding Shares is
required to approve amendment of the Trust’s current fundamental investment
policy regarding lending. As provided under the Investment Company Act of
1940,
as amended (the “Investment Company Act”), this means the affirmative vote of
the lesser of (a) 67% or more of the outstanding Shares present or represented
at the Meeting, if holders of more than 50% of the outstanding Shares of
the
Trust entitled to vote are present or represented by proxy at the Meeting,
or
(b) more than 50% of the outstanding Shares of the Trust entitled to vote.
Abstentions
will be treated as votes present and not cast at the meeting. Accordingly,
abstentions will have the effect of votes in opposition to Proposal 1.
The
Trust
knows of no business that may or will be presented for consideration at the
Meeting, other than that mentioned in Proposal 1 described herein. If any
matter
not referred to above is properly presented, the persons named on the enclosed
proxy will vote in accordance with their discretion. However, any business
that
is not on the agenda for the Meeting may be presented for consideration or
action at the Meeting only with the approval of the Board of
Trustees.
The
address of Brown Brothers Harriman, which provides certain administrative
services for the Trust, is 40 Water Street, Boston, Massachusetts 02109-3661.
BENEFICIAL
OWNERSHIP OF SHARES
The
following table provides information, as of September 13,
2006,
except as noted, regarding the beneficial ownership of Shares by (i) each
person
or group known to the Trust to be the beneficial owner of more than 5% of
the
Shares outstanding, (ii) each of the Trust’s Trustees, (iii) each executive
officer of the Trust and (iv) all Trustees and executive officers of the
Trust
as a group. Except as noted, each of the named owners has sole voting and
dispositive power over the Shares listed.
Name
and Address of
Beneficial
Owner
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Amount
of Beneficial Ownership
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Percent
of Fund
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TRUSTEES
AND EXECUTIVE OFFICERS
Name
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Amount
of Beneficial Ownership
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Percent
of Fund
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Dollar
Range of Beneficial
Ownership
**
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Steven
R. Champion
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David
Laux
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Frederick
C. Copeland, Jr.
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Robert
P. Parker
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Edward
B. Collins
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Tsung-Ming
Chung
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All
Trustees and executive officers as a group
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**
Based
on the net asset value of the Shares as of September 13, 2006 ($ ).
PROPOSAL
1. AMENDMENT
TO THE FUNDAMENTAL INVESTMENT POLICY OF THE TRUST TO ALLOW FOR SECURITIES
LENDING TO THE EXTENT PERMITTED BY LAW
The
Trust
is registered as a diversified, closed-end management investment company
under
the Investment Company Act and has operated as a closed-end fund since the
reorganization of The Taiwan (R.O.C.) Fund, which was an open-end fund not
registered in the United States, into the Trust on May 19, 1989. The Trust
is
required under the Investment Company Act to adopt a fundamental policy with
respect to the making of loans. The Trust’s policy currently states that the
Trust may not:
“make
any
loan (other than bank deposits or by investment in debt securities or entry
into
repurchase agreements) or enter into any guaranty of any loan.”
The
Board
of Trustees has adopted the following investment policy with respect to the
making of loans, subject to approval of Shareholders, and recommends that
Shareholders approve such a change to permit the Trust to lend its portfolio
securities:
“The
Fund
may not make loans to other persons (other than bank deposits or by investment
in debt securities or entry into repurchase agreements), except that the
Fund
may lend its securities to the extent permitted by the Investment Company
Act of
1940, the rules or regulations thereunder or any exemption therefrom, as
such
statutes, rules or regulations may be amended or interpreted from time to
time.”
The
Fund
would continue to be permitted to make bank deposits, purchase debt securities
and enter into repurchase agreements. If Shareholders approve the proposed
modification to the current lending policy, the Fund would be able to lend
its
portfolio securities, subject to the limitations and requirements of the
Investment Company Act.
Securities
lending generally involves the temporary loan of securities for cash or other
securities of an equivalent or greater value (commonly referred to as the
“collateral”) with a contractual obligation to re-deliver a like quantity of the
same securities at a future date. The goal of securities lending is to generate
additional income from the Trust’s existing portfolio assets. The income
generated from securities lending activities typically takes the form of
income
earned on the invested cash collateral or by loaning the securities for a
fee.
The Board of Trustees believes that securities lending is in the best interests
of the Trust and its shareholders because of its potential to increase the
income of the Trust.
The
Board
of Trustees understands and acknowledges that there are risks associated
with
securities lending activities, including risk that the counterparty or
“borrower” of the portfolio securities will default on its obligations and the
risk that the value of the collateral held by the Trust will be less than
the
value of the portfolio securities on loan. In order to mitigate these and
other
risks, the Trust will engage in securities lending pursuant to the limitations
and requirements of the Investment Company Act. Additionally, the Board of
Trustees has approved adoption of various non-fundamental policies regarding
securities lending, including policies limiting (i) the amount of the Trust’s
portfolio that may be lent, (ii) the permitted counterparties, and (iii)
the
types of acceptable collateral. A summary of the non-fundamental policies
adopted by the Board of Trustees with respect to securities lending is set
forth
in Appendix A. Non-fundamental policies may be amended by the Board of Trustees
as deemed necessary and prudent without the need for approval by
Shareholders.
A
critical factor to the success of any securities lending program is the
selection and appointment of the securities lending agent (the “Agent”), who
will be responsible for, among other things, negotiating the terms of the
loans
with the borrowers and maintaining and monitoring the collateral. The Agent
will
perform its duties pursuant to the Trust’s fundamental lending and
non-fundamental securities lending policies. In selecting and appointing
the
Agent, the Board of Trustees will consider, among other qualities, the Agent’s
experience and control environment.
Prior
to
its reorganization into the Trust effective May 18, 1989, the Trust operated
as
a securities investment trust fund organized in 1983 under the laws of the
Republic of China. As such, the Trust was subject to the oversight of the
Republic of China Securities and Futures Bureau (formerly the Republic of
China
Securities and Exchange Commission or “ROC SEC”) (the “ROC SFB”) and operated
under a policy requiring that consent of the ROC SFB be obtained prior to
changing certain policies of the Trust, including its lending policy. Due
to the
Trust’s reorganization, however, the Trust is no longer subject to ROC SFB’s
oversight. Nevertheless, the Trust intends to obtain confirmation from the
ROC
SFB that the consent requirement is no longer applicable to the Trust and
upon
receiving such confirmation, the Board of Trustees intends to approve the
elimination of this policy. If so eliminated, the consent requirement will
no
longer apply to any change to policies of the Trust.
REQUIRED
VOTE
As
provided by the Investment Company Act, approval of Proposal 1 requires the
affirmative vote of a majority of the outstanding voting securities of the
Trust, which means the affirmative vote of the lesser of (a) 67% or more
of the
outstanding Shares present or represented at the Meeting, if holders of more
that 50% of the outstanding Shares of the Trust entitled to vote are present
or
represented by proxy at the Meeting, or (b) more than 50% of the outstanding
Shares of the Trust entitled to vote. Abstentions and broker “non-votes” will be
treated as votes present but not cast for purposes of Proposal 1 and will
therefore have the effect of a vote cast against Proposal 1.
The
Board of Trustees believes that amendment to the Trust’s fundamental investment
policy permitting the Trust to engage in securities lending is in the best
interests of Shareholders of the Trust. Accordingly, the Board of Trustees
unanimously recommends that Shareholders vote “FOR” Proposal 1. The persons
named in the accompanying proxy will, in the absence of contrary instructions,
vote all proxies “FOR” Proposal 1.
COMMUNICATIONS
WITH THE BOARD OF TRUSTEES
Shareholders
who wish to communicate with the Board of Trustees with respect to matters
relating to the Trust may address their correspondence to the Board as a
whole
or to individual members c/o Brown Brothers Harriman, P.O. Box 962047, Boston,
Massachusetts 02196-2047, ATTN: Investor Services Counsel, Fund
Administration.
MISCELLANEOUS
Proxies
will be solicited by mail and may be solicited in person or by telephone,
email
or facsimile by officers or employees of the Trust. The Trust has also retained
The Altman Group to assist in the solicitation of proxies from Shareholders
at
an anticipated cost not to exceed $7,000 plus reimbursement of out-of-pocket
expenses. The expenses connected with the solicitation of these proxies and
with
any further proxies that may be solicited by such officers or employees or
by
The Altman Group in person or by telephone, email or facsimile will be borne
by
the Trust. The Trust will reimburse banks, brokers and other persons holding
Shares registered in their names or in the names of their nominees for their
expenses incurred in sending proxy material to and obtaining proxies from
the
beneficial owners of such Shares.
THE
TRUST'S ANNUAL REPORT FOR THE FISCAL YEAR ENDED DECEMBER 31, 2005 AND ITS
SEMI-ANNUAL REPORT FOR THE PERIOD ENDED JUNE 30, 2006, INCLUDING FINANCIAL
STATEMENTS, HAVE BEEN MAILED TO SHAREHOLDERS OF RECORD.
HOWEVER,
A COPY OF BOTH REPORTS WILL BE PROVIDED, WITHOUT CHARGE, TO ANY SHAREHOLDER
UPON
REQUEST. PLEASE CALL 1-800-343-9567 OR WRITE TO THE TAIWAN GREATER CHINA
FUND
C/O BROWN BROTHERS HARRIMAN, P.O. BOX 962047, BOSTON, MASSACHUSETTS 02196-2047
ATTN: INVESTOR SERVICES COUNSEL, FUND ADMINISTRATION TO REQUEST THE
REPORT.
In
the
event that a quorum is not obtained for the transaction of business at the
Meeting by November 20, 2006, the persons named as proxies in the enclosed
proxy
may propose one or more adjournments of the Meeting to permit further
solicitation of proxies in order to obtain such a quorum. Any such adjournment
would require the affirmative vote of the holders of a majority of the Shares
voting that are present in person or by proxy at the session of the Meeting
to
be adjourned. The persons named as proxies in the enclosed proxy will vote
in
favor of such adjournment if a quorum is not obtained. The costs of any such
additional solicitation and of any adjourned session will be borne by the
Trust.
SHAREHOLDER
PROPOSALS AND NOMINATIONS
Any
proposal by a shareholder intended to be presented at the 2007 Annual Meeting
of
Shareholders must be received by the Taiwan Greater China Fund c/o Brown
Brothers Harriman, P.O. Box 962047, Boston, Massachusetts 02196-2047, ATTN:
Investor Services Counsel, not later than January 26, 2007. The Board of
Trustees will consider whether any such proposal should be submitted to a
shareholder vote in light of applicable rules and interpretations promulgated
by
the Commission; but a Shareholder's timely submission of a proposal will
not
automatically confer a right to have that proposal presented for a vote at
the
Trust's 2007 Annual Meeting of Shareholders. Any nomination by a shareholder
of
a person to stand for election as a Trustee at the 2007 Annual Meeting of
Shareholders must be received by the Trust c/o Secretary, Bank Tower, Room
1001,
205 DunHua North Road, Taipei, Taiwan, Republic of China not later than February
25, 2007.
Appendix
A
Summarized
below are the relevant non-fundamental policies with respect to securities
lending activities of the Trust. The non-fundamental policies are intended
to
mitigate the risks associated with securities lending activities and assure
that
the Trust’s securities lending activities are compliant with current regulation.
Affiliated
Transactions.
(i)
The
Fund may not make loans to any affiliated person or promoter of or principal
underwriter for the Fund or any affiliated person of such a person, promoter,
or
principal underwriter; and
(ii)
The
Fund may not make loans to any person, directly or indirectly, if such person
controls or is under common control with the Fund.
Loan
Limits.
(i)
The
Fund may not enter into a loan if, after giving effect thereto, portfolio
securities having a value in excess of 33 1/3% of the market value of the
Fund’s
total assets, including collateral received from such loans, would be subject
to
securities loans; and
(ii)
The
Fund’s aggregate lending limit to any one counterparty shall be 25% of the
assets available for lending.
Right
to Terminate.
The
Fund
shall be entitled to terminate each loan at any time and recall loaned
securities within normal and customary settlement times for securities
transactions.
Entitlement
to Dividends, Interest and Distributions.
All
loans
shall be structured so that the Fund shall be entitled to receive all dividends,
interest or other distributions with respect to the loaned securities, or
the
economic equivalent thereof.
Approved
Counterparties.
The
Agent
may lend the Fund’s portfolio securities only to counterparties that are
approved by the Fund. The Fund shall approve only those counterparties whose
corporate entities have issued securities with a Standard & Poor’s long-term
credit rating of A- or better and securities with a Standard & Poor’s
short-term credit rating of A-1 or better (collectively, the “Credit
Criteria”).
Collateral
Type and Amount.
(i)
All
loans of portfolio securities will be collateralized by (a) cash, (b) U.S.
government or government agency securities or (c) bank letters of credit,
in
each case in an amount (marked to market daily) equal, at the inception of
the
loan and continuing throughout the life of the loan, to 105% of the market
value
of securities lent.
(ii)
A
letter of credit may only be accepted as collateral if (y) the letter of
credit,
in the opinion of Fund counsel, grants the Fund immediate rights to the
collateral in the event of a default by the borrower, and (z) the letter
of
credit is drawn on a bank that meets the Credit Criteria.
Investment
of Cash Collateral.
All
cash
collateral shall be invested by the Fund’s Agent in short term money market
instruments or money market funds approved by the Fund; no more than 25%
of the
aggregate cash collateral held by the Fund shall be invested in any one money
market instrument or money market fund.
Marking
to Market.
(i)
The
market value of the portfolio securities lent by the Fund will be calculated
on
a daily basis by the Fund’s Agent; In the event that the market value of the
collateral securing a particular loan has dropped to less than 104% of the
market value of the securities lent, the Agent will notify the borrower to
forward immediately additional collateral in an amount required to return
the
value of the collateral to at least 105% of the value of the loaned
securities.
Voting
of Loaned Securities.
In
any
case in which voting or consent rights that accompany a loaned security pass
to
a borrower, the Agent, at the request of the Fund, shall call the loaned
securities to permit the exercise of such rights if the matters involved
would
have a material effect on the Fund’s investment in the loaned
securities.
Reporting.
The
Fund’s Board of Trustees will be provided information with respect to the Fund’s
securities lending activities at each quarterly board meeting.
Disclosure.
The
Fund
shall disclose its securities lending practices in the annual and semi-annual
reports to shareholders.
SPECIAL
MEETING OF SHAREHOLDERS OF
TAIWAN
GREATER CHINA FUND
November
21, 2006
Please
date, sign and mail
your
proxy card in the
envelope
provided as soon
as
possible.
Please
detach along perforated line and mail in the envelope provided.
Signature
of Shareholder Date: Signature of Shareholder Date:
To
change
the address on your account, please check the box at right and indicate your
new
address in the address space above. Please note that changes to the registered
name(s) on the account may not be submitted via this method.
The
following items are proposed by the Trust
1.
Amendment of the Trust's current fundamental investment policy regarding
lending
to allow for securities lending to the extent permitted by law.
Properly
executed proxies will be voted in the manner directed herein by the undersigned.
If no such directions are given, such proxies will be voted FOR Proposal
1.
Please
sign and return promptly in the enclosed envelope. No postage is required
if
mailed in the United States.
PLEASE
SIGN, DATE AND RETURN PROMPTLY IN THE ENCLOSED ENVELOPE.
PLEASE
MARK YOUR VOTE IN BLUE OR BLACK INK AS SHOWN HERE x
p
FOR
p
AGAINST
p
ABSTAIN
TO
INCLUDE ANY COMMENTS, USE THE COMMENTS BOX ON THE REVERSE
SIDE
OF THIS CARD.
Note:
Please sign exactly as your name or names appear on this Proxy. When shares
are
held jointly, each holder should sign. When signing as executor, administrator,
attorney, trustee or guardian, please give full title as such. If the signer
is
a corporation, please sign full corporate name by duly authorized officer,
giving full title as such. If signer is a partnership, please sign in
partnership name by authorized person.
TAIWAN
GREATER CHINA FUND
This
Proxy is Solicited on Behalf of the Board of Trustees
Special
Meeting of Shareholders
November
21, 2006
The
undersigned hereby appoints Steven R. Champion and Cheryl Chang, or each
or
either of them, as Proxies of the undersigned, with full power of substitution
to each of them, to vote all shares of the Taiwan Greater China Fund (the
"Trust") which the undersigned is entitled to vote at the Special Meeting
of
Shareholders of the Trust (the "Meeting") to be held at the offices of Clifford
Chance LLP US, 31 W. 52nd Street, New York, New York, Tuesday, November 21,
2006
at 9:30 a.m., Eastern time, and at any adjournment thereof, in the manner
indicated on the reverse side and, in their discretion, on any other business
that may properly come before the Meeting or any such adjournment.
(Continued
and to be signed on the reverse side.)
COMMENTS: