Board of Directors Ballot at Annual Meeting

Board of Directors Ballot at Annual Meeting

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This document represents an outline of the general format and content of a Board of Directors Ballot at Annual Meeting.

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BALLOT

 

XYZ Company, Inc.

200__ Annual Shareholders’ Meeting

 

Ballot for the Election of Board of Directors

 

Write the number of shares for each candidate up to the total number of shares you own and are entitled to vote for up to three candidates (your total shares are voted three times, or may be aggregated (multiplied by three) and placed on a single candidate):

 

Number of Shares

Candidate

 

 

 

 

 

 

 

(write in)

 

Three Directors will be elected based on the total number of shares voted for each Director.  If you have questions please contact the corporate Secretary prior to voting.

 

 

______________________

Signature

______________________

Name

______________________

Date

______________________

Current Phone

______________________

Current email

______________________

Current Address

 

 

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