This required section provides for the designation of a "proxy", a person who will act (vote) on behalf of the Stockholder. Press [Ctrl+F1] for more information.
This required section states that the designation of proxy shall be effective for either an unspecified period of time to begin immediately, or a specific meeting. Press [Ctrl+F1] for more information.
This required section provides for the designation of the extent of the Proxy's authority to act on behalf of the Stockholder. Press [Ctrl+F1] for more information.
This required section provides signature lines for the Stockholder(s) and Witness, and shows the date of signing. Press [Ctrl+F1] for more information.
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Corporate Proxy
CPROXY
The Corporate Proxy is a document used by a shareholder of a corporation to permit another person to represent and vote for the shareholder at the shareholders meeting.
Enter the name of the Stockholder or use the P.I. Manager to select and paste a record. The Stockholder is the person who owns the stock and who wants to designate another person (a "Proxy") to represent the Stockholder at a stockholders meeting. For more help, access Document Information.
Enter an X to include the name of a second stockholder. For example, a joint owner of the stock.
Enter the name of the Second Stockholder or use the P.I. Manager to select and paste a record.
CPR01
! Designation of Proxy Section (1 of 4)
CORPORATE PROXY
! and !,
the undersigned stockholder(s) (the "Stockholder"),
!, ! !,
! Country: !,
hereby designate(s) ! (the "Proxy") as the proxy for the Stockholder, with respect to the Stockholder's shares of stock (the "Stock") in ! (the "Corporation").
By this designation of proxy, the Stockholder hereby revokes any prior designation of proxy that the Stockholder may have given previously with respect to the Stock.
Enter the name of the Stockholder or use the P.I. Manager to select and paste a record. The Stockholder is the person who owns the stock and who wants to designate another person (a "Proxy") to represent the Stockholder at a stockholders meeting. For more help, access Document Information.
Enter an X to include the name of a second stockholder. For example, a joint owner of the stock.
Enter the name of the Second Stockholder or use the P.I. Manager to select and paste a record.
Enter the Stockholder's street address or edit the information as desired.
Enter the Stockholder's extended street address or edit the information as desired.
Enter the Stockholder's city or edit the information as desired.
Enter the Stockholder's state/province or edit the information as desired.
Enter the Stockholder's zip/postal code or edit the information as desired.
Enter an X to include the Stockholder's country, if outside of the United States.
Enter the country or edit the information as desired.
Enter the name of the Proxy or use the P.I. Manager to select and paste a record. The Proxy is the person who is given the authority to represent, vote, and exercise all powers associated with the Stockholder's shares of the stock.
Enter the name of the Corporation or use the P.I. Manager to select and paste a record. A Corporate Proxy is used to designate and authorize a person (known as a "Proxy") to represent, vote, and exercise all powers associated with the stock of a Corporation owned by a Stockholder (the person who designates the Proxy). Press [Ctrl+F1] for more information.
CPR02
! Duration of Proxy Section (2 of 4)
This designation of proxy shall be effective
! immediately, and shall continue in effect until terminated by a written notice delivered to the Corporation.
! for the
! Annual
! Special
! [Other] !
Meeting of the
! Stockholders
! Stockholders and Directors
! [Other] !
of the Corporation to be held on !, at !, and at all adjournments of such meeting.
Enter an X to provide that the designation of proxy shall be effective immediately, and shall continue in effect until terminated by a written notice delivered to the Corporation. Press [Ctrl+F1] for more information.
Enter an X to designate a specific meeting for which the designation of proxy will be effective. Press [Ctrl+F1] for more information.
Enter an X if the specific meeting will be an "annual" meeting.
Enter an X if the specific meeting will be a "special" meeting.
Enter an X to designate some other type of meeting. Generally, a designation of proxy is given for either an annual or special meeting.
Enter a description of the type of meeting. For example, "Semi-Annual".
Enter an X if the meeting will be a meeting of stockholders only. Please note that most state corporate laws permit the designation of a Proxy for a stockholder, but not for a director.
Enter an X if the meeting will be a meeting of both stockholders and directors.
Enter an X to designate some other type of meeting. Please note that most state corporate laws permit the designation of a Proxy for a stockholder, but not for a director.
Enter a description of the type of meeting. Generally, the word "Stockholders" should be included.
Using the format MM/DD/YYYY, enter the date that the meeting will be held or edit the information as desired.
Enter the starting time for the meeting. For example, "10:00 A.M." or "2:00 P.M.".
CPR03
! Designation of Authority Section (3 of 4)
The Proxy shall have the full power, as the Stockholder's substitute, to represent the Stockholder and vote the Stock on all issues and motions that are properly presented at the meeting(s) for which this designation of proxy is effective. The Proxy shall have the authority to vote entirely in the discretion of the Proxy.
Provided, however, with respect to the following issue(s) the Proxy shall vote as follows: !
Enter an X to direct the Proxy how to vote with respect to a specific issue. For more help, access Document Information regarding when it may be appropriate to provide specific voting instructions to the Proxy.
Enter a brief explanation of the issue and specify how the Proxy should vote on the issue.
Using the format MM/DD/YYYY, enter the date that the Proxy document will be signed. This field may be left blank and completed at the time of signing. For more help, access Document Information to review the signing instructions.
The program completes this field by transferring the Stockholder's name from the Designation of Proxy section. You may modify the information only by returning to that section.
The program completes this field by transferring the Second Stockholder's name from the Designation of Proxy section. You may modify the information only by returning to that section.
Enter the name of the witness or use the P.I. Manager to select and paste a record. The name of the witness may be left blank and be completed when the document is signed.
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