Shareholder Proxy

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This Shareholder Proxy is used when giving another individual the right to vote your shares at a shareholder's meeting. This proxy sets out the date, time and location of the meeting and how the proxy should vote on specific resolutions.

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This Shareholder Proxy is for use when giving another individual the authority to vote your shares at a shareholder's meeting. This proxy contains the name of the shareholder, the individual who is appointed to vote their shares and the date, time and location of the meeting where the shares will be voted. It also sets out the specific resolutions to be voted and if no proxy is appointed the chairman of the meeting is given proxy vote.

This Shareholder Proxy includes:
  • Company: Name of the company to which the shareholder is a part;
  • Proxy Information: Name of the shareholder and the proxy voter who shareholder appoints, date, time and location of the meeting and how the proxy should vote on specific resolution(s).

Protect your rights by using our attorney-prepared forms.

This attorney-prepared packet contains:
  1. General Instructions
  2. Shareholder Proxy
State Law Compliance: This form complies with the laws of all states
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.
 
 
Shareholder Proxy

 

 

Secretary
[Insert your Company Name]
[Insert the address the Proxy is to be sent to]
 
 
 
I, ____________________________________, a shareholder of ___________________   
_______________________________ (the “Company”) do hereby appoint ___________
_____________ or failing him/her ___________________________________ as my proxy at the meeting of the Company on ____________________, 20__ at ___________
_______________________________________________________________________ to vote for me at that meeting or any adjournment thereof.
 
If no person is named above, or if the person named above does not attend the meeting or is not legally capable of voting for me, the Chairman of the meeting will be my proxy to vote for me at the meeting or any adjournment thereof on my behalf.  
 
I understand that if I do not direct my proxy how to vote, he/she may vote or abstain as he/she sees fit.
 
 
Resolution               For       Against   Abstain
 
[Insert resolutions to be voted upon]
 
 
 
 
 
 
   
Dated:_____________________________
 
 
__________________________________
(Signature of shareholder)
 
 
Number of Pages3
DimensionsDesigned for Letter Size (8.5" x 11")
EditableYes (.doc, .wpd and .rtf)
UsageUnlimited number of prints
Product number#20876
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.
 
 
Shareholder Proxy

 

 

Secretary
[Insert your Company Name]
[Insert the address the Proxy is to be sent to]
 
 
 
I, ____________________________________, a shareholder of ___________________   
_______________________________ (the “Company”) do hereby appoint ___________
_____________ or failing him/her ___________________________________ as my proxy at the meeting of the Company on ____________________, 20__ at ___________
_______________________________________________________________________ to vote for me at that meeting or any adjournment thereof.
 
If no person is named above, or if the person named above does not attend the meeting or is not legally capable of voting for me, the Chairman of the meeting will be my proxy to vote for me at the meeting or any adjournment thereof on my behalf.  
 
I understand that if I do not direct my proxy how to vote, he/she may vote or abstain as he/she sees fit.
 
 
Resolution               For       Against   Abstain
 
[Insert resolutions to be voted upon]
 
 
 
 
 
 
   
Dated:_____________________________
 
 
__________________________________
(Signature of shareholder)
 
 

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