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This Ballot form is designed for use when voting on a resolution at a corporate meeting. It sets out the specifics regarding the corporate meeting, the purpose and official wording of the resolution and if a shareholder votes "for or against" the resolution. A Ballot becomes a part of the official corporate record.

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This Ballot is designed for use when voting on resolutions at a corporate meeting. This Ballot sets out the specific details regarding the nature of the corporate meeting, name of the corporation and date of the meeting. It also sets out the specifics regarding the resolution including its purpose and the official wording of the resolution. The Ballot also sets forth if the shares are held in proxy or by the shareholder, and if the votes are “for or against” the resolution. A Ballot is a part of the official corporate record and it is important that the ballot contain all pertinent information regarding any issue for vote.

This Ballot includes the following:
  • Meeting Information: Sets forth the type of meeting (annual, general or special), name of the corporation and the meeting date;
  • Resolution: Sets out in detail the resolution being voted on, the purpose of the resolution and its official wording;
  • Proxy Shares: Sets out if the voting shares are via proxy, the number of shares and if these shares vote “for or against” a resolution;
  • Shareholder Shares: The number of voting shares held by shareholder and their voting position on the resolution;
  • Signature: The shareholder or proxy holder must print and sign the ballot;
  • Voting Totals: Sets out the number of shares held by shareholder, the number held by proxy and the total voting shares.

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This attorney-prepared packet contains:
  1. General Instructions
  2. Corporate Ballot
State Law Compliance: This form complies with the laws of all states
Number of Pages3
DimensionsDesigned for Letter Size (8.5" x 11")
EditableYes (.doc, .wpd and .rtf)
UsageUnlimited number of prints
Product number#28501
This is the content of the form and is provided for your convenience. It is not necessarily what the actual form looks like and does not include the information, instructions and other materials that come with the form you would purchase. An actual sample can also be viewed by clicking on the "Sample Form" near the top left of this page.



[Nature of Meeting (ie. Annual, General, Special, etc.)]  Meeting of the Shareholders of [Name of Corporation] (the "Corporation") held on [Date of Meeting (ie. August 31, 2002)].
Ballot on [Nature of Resolution (ie. Special)] Resolution re [Purpose of Resolution (ie. Election of Directors)]
The undersigned hereby votes and records all votes in respect of all voting shares held by the undersigned in the Corporation (and all votes in respect of all shares in the said Corporation held by each shareholder of the said Corporation for whom the undersigned has been appointed proxy) in the manner indicated below:
FOR the Resolution:
(number of votes)
AGAINST the Resolution:
(number of votes)
the Resolution
        [Check only one]
(number of votes)
Please print full name
[To be filled in by Scrutineers]
Number of            Shares held:
Number of            Shares represented by proxy:

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