I, _______________________, a stockholder of record of ____________________ ("Corporation") do hereby constitute and appoint as my lawful attorney, and agent, _____________________for a period expiring on___________________ to reprent me at any and all stockholder meetings of the corporation and at any adjournment thereof, to act for and in the name, place and stead of the undersigned on all matters and things which may be prented for action or consideration at such meetings, giving and granting unto said attorney full power in all respects that I could exerci if prent in person.
Date:
__________________
Shareholder
Witness Signature: __________________________
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Notary's Acknowledgment
State of:
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On this _________________ (Date), before me personally appeared ________ (Name of Shareholder), known to me as the person described in and who executed the foregoing instrument and acknowledged to me that he/she executed the same as said person's free act and deed.
______________________
Notary Public
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Commission Expires:
Review List
This review list is provided to inform you about the document in question and assist you in its preparation.
1. A Proxy must be signed by the Stockholder with their name signed exactly as
written on their share certificate or certificates. If the stock is jointly owned, the Proxy must be signed
百里玄策连招口诀by all Stockholders with their exact names. The signatures should be notarized becau, in important matters, they may be challenged.
2. While most states do not require the signing of a Proxy to be witnesd or notarized,
taking the steps provides additional assurance that the Proxy will withstand challenges to its validity.
补肾阳的中药3. The original signed proxy should be provided to the corporate cretary prior to the
meeting or, if not possible, by the proxy at the meeting. The Stockholder should keep a copy for his or her files and provide the Proxy a copy.
4. Be sure to instruct the proxy as to how the shares should be voted.
5. The Proxy is effective until the end of term date specified on the document.
6. The Proxy may be terminated prior to its official termination date by prior written
notice nt to the corporation in question.
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