__________________, being a shareholder of __________________, do hereby acknowledge receipt of the
following items to be discussed at the company annual meeting on
1. Notice of
the Annual Meeting;
stated special purpose of the meeting contained
in the notice;
3. A slate
of proposed officers;
In conjunction with the accepted business practices which
govern annual meetings under ____________________ law, I state
that I understand the stated purpose of the annual meeting as
set forth in the enclosed notice and do hereby provide to
_________________________, President of the _____________________, my
proxy to vote my ____________ shares as he deems fit and
necessary so long as such vote relates to the enclosed
Subscribed and sworn to before the undersigned Notary
Public of ____________ County of the State of ________________.
NOTARY PUBLIC, STATE OF ______________
is not a substitute for legal advice. An
attorney must be consulted.
This is not a substitute for legal advice. An attorney must be consulted.
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