Free Ballot Forms

This Ballot Form is for use during a shareholders’ meeting in order to count the votes on special types of resolutions. This Ballot is used to count shares held by proxy, those of a shareholder present in person and if these shares are for or against a certain resolution.

Disclaimer:This was not drafted by an attorney & should not be used as a legal document.

Special meeting of the Shareholders of ______________________________ (the “Company”) held on the _______ day of _______________________, 20_______ at ______________________.

Ballot on Special Resolution for Election of Directors.
The undersigned hereby votes and records all votes in respect of all voting shares held by the undersigned in the Company in the following manner:
1. Shares held by Proxies
For the Resolution: ________________________
Against the Resolution: _______________________
2. Shares held by the undersigned
For the Resolution: ________________________
Against the Resolution: _______________________


Full name

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