HomeMy WebLinkAbout08/27/2005
BALLOT
FISHERS ISLAND CIVIC ASSOCIATION, INC.
Annual Meeting of Members. August 27. 2005
The undersigned, Member in good standing of Fishers Island Civic Association, Inc. (the "Corporation")
on July 15,2005, hereby votes
FOR ~AGAlNST_ the proposal to consolidate the activities of the Corporation and its
Civic Committee, Island Community Board ("ICB") and effectively merge ICB into the
Corporation by amending its Certificate ofIncorporation and ByLaws as provided in the Notice
of the Annual Meeting of Members of the Corporation on August 27, 2005, and electing and
appointing the Year-Round Directors, Seasonal Directors and Organizational Directors named in
such Notice for the respective terms specified therein;
Name of Member - Please Print
Dated: August 27, 2005
,dfo
of Member
BALLOT
FISHERS ISLAND CIVIC ASSOCIATION, INC.
Annual Meeting of Members. August 27. 2005
The undersigned, Member in good standing of Fishers Island Civic Association, Inc. (the "Corporation")
on July 15,2005, hereby votes
FOR .~ /AGAINST_ the proposal to consolidate the activities of the Corporation and its
Civic -b;-mmittee, Island Community Board ("ICB") and effectively merge ICB into the
Corporation by amending its Certificate ofIncorporation and ByLaws as provided in the Notice
of the Annual Meeting of Members of the Corporation on August 27,2005, and electing and
appointing the Year-Round Directors, Seasonal Directors and Organizational Directors named in
such Notice for the respective terms specified therein;
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Signature of Member
Dated: August 27, 2005
PROXY
FISHERS ISLAND CIVIC ASSOCIATION, INC.
Annual Meeting of Members, August 27, 2005
The undersigned, Member in good standing of Fishers Island Civic Association, Inc. (the "Corporation") on July 15,2005, hereby
appoints Heather Ferguson, Peter Rugg and Meredith Harr, or anyone or more of them, each with power of substitution, as the lawful
proxies and attorneys-in-fact of the undersigned to appear and to vote on behalf of the undersigned at the Annual Meeting of Members of
the Corporation to be held at 4:00 P.M. on August 27, 2005, at Fishers Island School, Fishers Island, NY 06390, and at any adjournment
thereof, upon the following matters:
(1) FOR~A1NST_ the proposal to consolidate the activities of the Corporation and its Civic Committee,
Island Community Board ("ICB") and effectively merge ICB into the Corporation by amending its Certificate of Incorporation and
ByLaws as provided in the Notice of such Meeting, and electing and appointing the Year-Round Directors, Seasonal Directors and
Organizational Directors named in such Notice for the respective terms specified therein;
(2) In their discretion, on such other matters as may properly come before the Meeting.
The Board of Directors recommends a vote FOR item (I).
Dated:~' 2005
Unless contrary instructions are given, this proxy will be voted FOR item (I).
Ih~'k II !:lIu
Signature of Member
BALLOT
FISHERS ISLAND CIVIC ASSOCIATION, INC.
Annual Meeting of Members. August 27. 2005
The undersigned, Member in good standing of Fishers Island Civic Association, Inc. (the "Corporation")
on July 15, 2005, hereby votes
FOR~.JAGAlNST_ the proposal to consolidate the activities of the Corporation and its
Civic Committee, Island Community Board ("ICB") and effectively merge ICB into the
Corporation by amending its Certificate ofIncorporation and ByLaws as provided in the Notice
of the Annual Meeting of Members of the Corporation on August 27,2005, and electing and
appointing the Year-Round Directors, Seasonal Directors and Organizational Directors named in
such Notice for the respective terms specified therein;
GS~~IW
Name of Member - Please Print
Lt~W
Signature of Member
Dated: August 27, 2005
BALLOT
FISHERS ISLAND CIVIC ASSOCIATION, INC.
Annual Meeting of Members. August 27. 2005
The undersigned, Member in good standing of Fishers Island Civic Association, Inc. (the "Corporation")
on July 15, 20~5' ereby votes
FOR ' /AGAINST_ the proposal to consolidate the activities of the Corporation and its
Civic ommittee, Island Community Board ("ICB") and effectively merge ICB into the
Corporation by amending its Certificate ofIncorporation and ByLaws as provided in the Notice
of the Annual Meeting of Members of the Corporation on August 27, 2005, and electing and
appointing the Year-Round Directors, Seasonal Directors and Organizational Directors named in
such Notice for the respective terms specified therein;
L I K/n
e of Member - PI e Print
Dated: August 27, 2005
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Signature of M~ber
BALLOT
FISHERS ISLAND CIVIC ASSOCIATION, INC.
Annual Meeting of Members. August 27.2005
The undersigned, Member in good standing of Fishers Island Civic Association, Inc. (the "Corporation")
on July 15,2005, hereby votes
FOR--"AGAINST_ the proposal to consolidate the activities of the Corporation and its
Civic Committee, Island Community Board ("ICB") and effectively merge ICB into the
Corporation by amending its Certificate ofIncorporation and ByLaws as provided in the Notice
of the Annual Meeting of Members of the Corporation on August 27,2005, and electing and
appointing the Year-Round Directors, Seasonal Directors and Organizational Directors named in
such Notice for the respective terms specified therein;
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Name of Member - Please Print
~k"Q~~
Signature "Of Member
Dated: August 27, 2005
BALLOT
FISHERS ISLAND CIVIC ASSOCIATION, INC.
Annual Meeting of Members. August 27. 2005
The undersigned, Member in good standing of Fishers Island Civic Association, Inc. (the "Corporation")
on July 15,2005, hereby votes
FOR,:K / AGAINST_the proposal to consolidate the activities of the Corporation and its
Civic Committee, Island Community Board ("ICB") and effectively merge ICB into the
Corporation by amending its Certificate ofIncorporation and ByLaws as provided in the Notice
of the Annual Meeting of Members of the Corporation on August 27, 2005, and electing and
appointing the Year-Round Directors, Seasonal Directors and Organizational Directors named in
such Notice for the respective terms specified therein;
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Name of Member - Please Print
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Signature of Member
Dated: August 27, 2005
BALLOT
FISHERS ISLAND CIVIC ASSOCIATION, INC.
Annual Meeting of Members. August 27. 2005
The undersigned, Member in good standing of Fishers Island Civic Association, Inc. (the "Corporation")
on July 15, 2005, hereby votes
FOR ~AGAlNST_ the proposal to consolidate the activities of the Corporation and its
Civic Committee, Island Community Board ("ICB") and effectively merge ICB into the
Corporation by amending its Certificate of Incorporation and ByLaws as provided in the Notice
of the Annual Meeting of Members of the Corporation on August 27,2005, and electing and
appointing the Year-Round Directors, Seasonal Directors and Organizational Directors named in
,"'" Notire '0' tire re'p"'tiw ~ """'00 tlrerein; ~
Or c,q~/
I Name of Member - Please Print
IZ ~;".,~
Dated: August 27,2005
BALLOT
FISHERS ISLAND CIVIC ASSOCIATION, INC.
Annual Meeting of Members. August 27. 2005
The undersigned, Member in good standing of Fishers Island Civic Association, Inc. (the "Corporation")
on July 15,2005, hereby votes
FOR _/AGAINST_ the proposal to consolidate the activities of the Corporation and its
Civic Committee, Island Community Board ("ICB") and effectively merge ICB into the
Corporation by amending its Certificate ofIncorporation and ByLaws as provided in the Notice
of the Annual Meeting of Members of the Corporation on August 27,2005, and electing and
appointing the Year-Round Directors, Seasonal Directors and Organizational Directors named in
such Notice for the respective terms specified therein;
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~
Name of Memb r - Please Print
Dated: August 27,2005
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Signrre of Member
BALLOT
FISHERS ISLAND CIVIC ASSOCIATION, INC.
Annual Meeting of Members. August 27. 2005
The undersigned, Member in good standing of Fishers Island Civic Association, Inc. (the "Corporation")
on July 15, 2005, hereby votes
FOR ~AGAINST_ the proposal to consolidate the activities of the Corporation and its
Civic Committee, Island Community Board ("ICB") and effectively merge ICB into the
Corporation by amending its Certificate ofIncorporation and ByLaws as provided in the Notice
of the Annual Meeting of Members of the Corporation on August 27, 2005, and electing and
appointing the Year-Round Directors, Seasonal Directors and Organizational Directors named in
such Notice for the respective terms specified therein;
f1nn C. Vr>.tI~...oI~
Name of Member - Please Print
~ C.....Q..- f(\--..I ·
Signature of Member
Dated: August 27, 2005
PROXY
FISHERS ISLAND CIVIC ASSOCIATION, INC.
Annual Meeting of Members. August 27. 2005
The undersigned, Member in good standing of Fishers Island Civic Association, Inc. (the "Corporation") on July 15,2005, hereby
appoints Heather Ferguson, Peter Rugg and Meredith HaIT, or anyone or more ofthem, each with power of substitution, as the lawful
proxies and attorneys-in-fact of the undersigned to appear and to vote on behalf of the undersigned at the Annual Meeting of Members of
the Corporation to be held at 4:00 P.M. on August 27, 2005, at Fishers Island School, Fishers Island, NY 06390, and at any adjournment
thereof, upon the following matters:
(I) FOR ~ AGAINST_the proposal to consolidate the activities of the Corporation and its Civic Committee,
Island Community Board ("ICB") and effectively merge ICB into the Corporation by amending its Certificate of Incorporation and
ByLaws as provided in the Notice of such Meeting, and electing and appointing the Year-Round Directors, Seasonal Directors and
Organizational Directors named in such Notice for the respective terms specified therein;
(2) In their discretion, on such other matters as may properly come before the Meeting.
The Board of Directors recommends a vote FOR item (1).
Dated:~, 2005
Unless contrary instructions are given, this proxy will be voted FOR item (/).
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Signature of Member
PROXY
FISHERS ISLAND CIVIC ASSOCIATION, INC.
Annual Meeting of Members. August 27.2005
The undersigned, Member in good standing of Fishers Island Civic Association, Inc. (the "Corporation") on July 15,2005, hereby
appoints Heather Ferguson, Peter Rugg and Meredith Harf, or anyone or more of them, each with power of substitution, as the lawful
proxies and attorneys-in-fact of the undersigned to appear and to vote on behalf of the undersigned at the Annual Meeting of Members of
the Corporation to be held at 4:00 P.M. on August 27, 2005, at Fishers Island School, Fishers Island, NY 06390, and at any adjournment
thereof, upon the ;91towing matters:
(I) FOR VI AGAINST_the proposal to consolidate the activities of the Corporation and its Civic Committee,
Island Community Board ("ICB") and effectively merge ICB into the Corporation by amending its Certificate of Incorporation and
ByLaws as provided in the Notice of such Meeting, and electing and appointing the Year-Round Directors, Seasonal Directors and
Organizational Directors named in such Notice for the respective terms specified therein;
(2) (n their discretion, on such other matters as may properly come before the Meeting.
The Board of Directors recommends a vote FOR item (l).
Dated~. !17 ~005
uctions are given, this proxy will be voted FOR item (I).
BALLOT
FISHERS ISLAND CIVIC ASSOCIATION, INC.
Annual Meeting of Members. August 27. 2005
The undersigned, Member in good standing of Fishers Island Civic Association, Inc. (the "Corporation")
on July 15,2005 hereby votes
FOR 0AGAlNST_ the proposal to consolidate the activities of the Corporation and its
Civic Committee, Island Community Board ("ICB") and effectively merge ICB into the
Corporation by amending its Certificate ofIncorporation and ByLaws as provided in the Notice
ofthe Annual Meeting of Members of the Corporation on August 27, 2005, and electing and
appointing the Year-Round Directors, Seasonal Directors and Organizational Directors named in
such Notice for the respective terms specified therein;
'0..1\00;;;:' S~ \~<O~
Name of Member - Please Print
. ature of Member
Dated: August 27, 2005
PROXY
FISHERS ISLAND CIVIC ASSOCIATION, INC.
Annual Meeting of Members. August 27. 2005
The undersigned, Member in good standing of Fishers Island Civic Association, Inc. (the "Corporation") on July 15,2005, hereby
appoints Heather Ferguson, Peter Rugg and Meredith Harr, or anyone or more of them, each with power of substitution, as the lawful
proxies and attorneys-in-fact of the undersigned to appear and to vote on behalf of the undersigned at the Annual Meeting of Members of
the Corporation to be held at 4:00 P.M. on August 27, 2005, at Fishers Island School, Fishers Island, NY 06390, and at any adjournment
thereof, upon the f~owing matters:
(1) FOR ~AGAINST _ the proposal to consolidate the activities of the Corporation and its Civic Committee,
Island Community Board ("ICB") and effectively merge ICB into the Corporation by amending its Certificate of Incorporation and
ByLaws as provided in the Notice of such Meeting, and electing and appointing the Year-Round Directors, Seasonal Directors and
Organizational Directors named in such Notice for the respective terms specified therein;
(2) In their discretion, on such other matters as may properly come before the Meeting.
The Board of Directors recommends a vote FOR item (1). Unless contrary instructions are given, this proxy will be voted FOR item (I).
Dated: 21 ~ ,2005
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19nature of Member
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BALWT
FISHERS ISLAND CIVIC ASSOCIATION, INC.
Annual Meeting of Members. AUl!:USt 27. 2005
The undersigned, Member in good standing of Fishers Island Civic Association, Inc. (the uCorporation")
on July 15, 2005, hereby votes
FOR v1 AGAINST_the proposal to consolidate the activities of the Corporation and its
Civic Committee, Island Community Board ("ICB") and effectively merge ICB into the
Corporation by amending its Certificate of Incorporation and ByLaws as provided in the Notice
of1he Annual Meeting of Members of1he Corporation on August 27, 2005, and electing and
appointing the Year-Round Directors, Seasonal Directors and Organizational Directors named in
such Notice for the respective terms specified therein;
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...1.
I Name of r - Please Print
C~~
Signature of Member
Dated: August 27, 2005
BALLOT
FISHERS ISLAND CIVIC ASSOCIATION, INC.
Annual Meeting of Members. August 27. 2005
The undersigned, Member in good standing of Fishers Island Civic Association, Inc. (the "Corporation")
on July 15, 2005, hereby votes
FOR l{;AGAINST_ the proposal to consolidate the activities of the Corporation and its
Civic Committee, Island Community Board ("ICB") and effectively merge ICB into the
Corporation by amending its Certificate ofIncorporation and ByLaws as provided in the Notice
of the Annual Meeting of Members of the Corporation on August 27, 2005, and electing and
appointing the Year-Round Directors, Seasonal Directors and Organizational Directors named in
such Notice for the respective terms specified therein;
wll)JqW; C RI)~ j)J.
Name of Member - Pie e Pnnt
w){
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Dated: August 27, 2005
BALLOT
FISHERS ISLAND CIVIC ASSOCIATION, INC.
Annual Meeting of Members. August 27.2005
The undersigned, Member in good standing of Fishers Island Civic Association, Inc. (the "Corporation")
on July 15, 2005, hereby votes
FOR V'lAGAINST_ the proposal to consolidate the activities of the Corporation and its
Civic Committee, Island Community Board ("ICB") and effectively merge ICB into the
Corporation by amending its Certificate ofIncorporation and ByLaws as provided in the Notice
of the Annual Meeting of Members of the Corporation on August 27,2005, and electing and
appointing the Year-Round Directors, Seasonal Directors and Organizational Directors named in
such Notice for the respective terms specified therein;
9-\lzoh~rh +\ ~A,^,k
Name of Member - Please Print
"'-j 17r>t:P ~ . (' r-r-k.
Signature of Member
Dated: August 27, 2005
BALLOT
FISHERS ISLAND CIVIC ASSOCIATION, INC.
Annual Meeting of Members, August 27. 2005
The undersigned, Member in good standing of Fishers Island Civic Association, Inc. (the "Corporation")
on July 15, 2005, hereby votes
FOX /AGAINST_ the proposal to consolidate the activities of the Corporation and its
Ci?ic t;;'mmittee, Island Community Board ("ICB") and effectively merge ICB into the
Corporation by amending its Certificate ofIncorporation and ByLaws as provided in the Notice
of the Annual Meeting of Members of the Corporation on August 27,2005, and electing and
appointing the Year-Round Directors, Seasonal Directors and Organizational Directors named in
such Notice for the respective terms specified therein;
Dated: August 27, 2005
BALLOT
FISHERS ISLAND CIVIC ASSOCIATION, INC.
Annual Meeting of Members. August 27.2005
The undersigned, Member in good standing of Fishers Island Civic Association, Inc. (the "Corporation")
on July 15,2005, hereby votes
~/ AGAINST_the proposal to consolidate the activities of the Corporation and its
~:nmittee, Island Community Board ("ICB") and effectively merge ICB into the
Corporation by amending its Certificate ofIncorporation and ByLaws as provided in the Notice
ofthe Annual Meeting of Members of the Corporation on August 27, 2005, and electing and
appointing the Year-Round Directors, Seasonal Directors and Organizational Directors named in
such Notice for the respective terms specified therein;
'VJecne L-ceGCLAJlard
Name of Member - Please Print
l~<,~i~~~
Signa of Member
Dated: August 27, 2005
BALLOT
FISHERS ISLAND CIVIC ASSOCIATION, INC.
Annual Meeting of Members. August 27. 2005
The undersigned, Member in good standing of Fishers Island Civic Association, Inc. (the "Corporation")
on July 15,2005, hereby votes
FOR DAGAINST_ the proposal to consolidate the activities of the Corporation and its
Civic Committee, Island Community Board ("ICB") and effectively merge ICB into the
Corporation by amending its Certificate ofIncorporation and ByLaws as provided in the Notice
of the Annual Meeting of Members of the Corporation on August 27,2005, and electing and
appointing the Year-Round Directors, Seasonal Directors and Organizational Directors named in
such Notice for the respective terms specified therein;
f31Jl2/3/tRII C. HOG tI ffj t-AM/L'I
Name of Member - Please Print
/'1Ot6~R. or fllcl{r7l?f) d
!1oc.n
72~uLu~c' ~L
"'Signature of Member
Dated: August 27, 2005
BALLOT
FISHERS ISLAND CIVIC ASSOCIATION, INC.
Annual Meeting of Members. August 27.2005
The undersigned, Member in good standing of Fishers Island Civic Association, Inc. (the "Corporation")
on July 15, 2005, hereby votes
FOR v' /AGAINST_ the proposal to consolidate the activities of the Corporation and its
Civic Committee, Island Community Board ("ICB") and effectively merge ICB into the
Corporation by amending its Certificate ofIncorporation and ByLaws as provided in the Notice
of the Annual Meeting of Members of the Corporation on August 27, 2005, and electing and
appointing the Year-Round Directors, Seasonal Directors and Organizational Directors named in
such Notice for the respective terms specified therein;
meJe1 ~ ~ K-U GG
Name of Member - Please Print
\'\\~A ~~Q~ ~
Signa fMember
Dated: August 27,2005
BALLOT
FISHERS ISLAND CIVIC ASSOCIATION, INC.
Annual Meeting of Members. August 27. 2005
The undersigned, Member in good standing of Fishers Island Civic Association, Inc. (the "Corporation")
on July 15,2005, hereby votes
FOR ~ AGAINST_the proposal to consolidate the activities of the Corporation and its
Civic Committee, Island Community Board ("ICB") and effectively merge ICB into the
Corporation by amending its Certificate ofIncorporation and ByLaws as provided in the Notice
of the Annual Meeting of Members of the Corporation on August 27, 2005, and electing and
appointing the Year-Round Directors, Seasonal Directors and Organizational Directors named in
such Notice for the respective terms specified therein;
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Name of Member - Please Print
I~t(.. --7"\11-,," ,..,.
/ Signature of Member
Dated: August 27, 2005
BALLOT
FISHERS ISLAND CIVIC ASSOCIATION, INC.
Annual Meeting of Members. August 27. 2005
The undersigned, Member in good standing of Fishers Island Civic Association, Inc. (the "Corporation")
on July 15,2005, hereby votes
FOR~AGAINST_ the proposal to consolidate the activities of the Corporation and its
Civic Committee, Island Community Board ("ICB") and effectively merge ICB into the
Corporation by amending its Certificate ofIncorporation and ByLaws as provided in the Notice
of the Annual Meeting of Members of the Corporation on August 27, 2005, and electing and
appointing the Year-Round Directors, Seasonal Directors and Organizational Directors named in
such Notice for the respective terms specified therein;
I~ f.1N C. 'i \"1\. M U R pH ';f
Name of Member - Please Print
nn:no I \1'-... \iI. ,.., ~ J
, Signature of~
Dated: August 27, 2005
BALLOT
FISHERS ISLAND CIVIC ASSOCIATION, INC.
Annual Meeting of Members. August 27.2005
The undersigned, Member in good standing of Fishers Island Civic Association, Inc. (the "Corporation")
on July IS, 2005, hereby votes
FOR I/AGAINST_ the proposal to consolidate the activities of the Corporation and its
Civic Committee, Island Community Board ("ICB") and effectively merge ICB into the
Corporation by amending its Certificate ofIncorporation and ByLaws as provided in the Notice
of the Annual Meeting of Members of the Corporation on August 27,2005, and electing and
appointing the Year-Round Directors, Seasonal Directors and Organizational Directors named in
such Notice for the respective terms specified therein;
vv t~JN<::~~e Print
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Signature of Member
Dated: August 27, 2005
BALLOT
FISHERS ISLAND CIVIC ASSOCIATION, INC.
Annual Meeting of Members. August 27.2005
The undersigned, Member in good standing of Fishers Island Civic Association, Inc. (the "Corporation")
on July J 5,2005, hereby v tes
FOR AINST_ the proposal to consolidate the activities of the Corporation and its
Civic ommittee, Island Community Board ("ICB") and effectively merge ICB into the
Corporation by amending its Certificate ofIncorporation and ByLaws as provided in the Notice
of the Annual Meeting of Members of the Corporation on August 27, 2005, and electing and
appointing the Year-Round Directors, Seasonal Directors and Organizational Directors named in
such Notice for the respective terms specified therein;
{!oh)1;;v, ,f 11//7$
Name of Member - Please Print
~~ d ~h--
Signature of Member
Dated: August 27, 2005
BALLOT
FISHERS ISLAND CIVIC ASSOCIATION, INC.
Annual Meeting of Members. August 27. 2005
The undersigned, Member in good standing of Fishers Island Civic Association, Inc. (the "Corporation")
on July 15, 2005, hereby votes
FOR X/AGAINST_ the proposal to consolidate the activities of the Corporation and its
Ci~--c6mmittee, Island Community Board ("ICB") and effectively merge ICB into the
Corporation by amending its Certificate ofIncorporation and ByLaws as provided in the Notice
ofthe Annual Meeting of Members of the Corporation on August 27,2005, and electing and
appointing the Year-Round Directors, Seasonal Directors and Organizational Directors named in
such Notice for the respective terms specified therein;
~MM3. l. duPC'AAJ
Name of Member - Please Print
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Signature of Member
Dated: August 27. 2005
BALLOT
FISHERS ISLAND CIVIC ASSOCIATION, INC.
Annual Meeting of Members. August 27. 2005
The undersigned, Member in good standing of Fishers Island Civic Association, Inc. (the "Corporation")
on July 15,2005, hereby votes
FOR ~AINST_ the proposal to consolidate the activities of the Corporation and its
Civic Committee, Island Community Board ("ICB") and effectively merge ICB into the
Corporation by amending its Certificate ofIncorporation and ByLaws as provided in the Notice
of the Annual Meeting of Members of the Corporation on August 27, 2005, and electing and
appointing the Year-Round Directors, Seasonal Directors and Organizational Directors named in
such Notice for the respective terms specified therein;
lJ//L~j/f/ /}k it;(- /~~'
Name of Member - Please--Print
Dated: August 27, 2005
BALLOT
FISHERS ISLAND CIVIC ASSOCIATION, INC.
Annual Meeting of Members. August 27. 2005
The undersigned, Member in good standing of Fishers Island Civic Association, Inc. (the "Corporation")
on July 15,2005, hereby votes
FOR X-JAGAINST_ the proposal to consolidate the activities of the Corporation and its
Civic Committee, Island Community Board ("ICB") and effectively merge ICB into the
Corporation by amending its Certificate ofIncorporation and ByLaws as provided in the Notice
of the Annual Meeting of Members of the Corporation on August 27,2005, and electing and
appointing the Year-Round Directors, Seasonal Directors and Organizational Directors named in
such Notice for the respective terms specified therein;
0,", A'U.~ S7iE~t1~f
Name ofMemb - Please Pnnt
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Signa of Membe7
Dated: August 27, 2005
BALLOT
FISHERS ISLAND CIVIC ASSOCIATION, INC.
Annual Meeting of Members. August 27. 2005
The undersigned, Member in good standing of Fishers Island Civic Association, Inc. (the "Corporation")
on July 1~05, hereby votes
FOR ~AGAINST_ the proposal to consolidate the activities of the Corporation and its
Civic Committee, Island Community Board ("ICB") and effectively merge ICB into the
Corporation by amending its Certificate of Incorporation and ByLaws as provided in the Notice
of the Annual Meeting of Members of the Corporation on August 27, 2005, and electing and
appointing the Year-Round Directors, Seasonal Directors and Organizational Directors named in
such Notice for the respective terms specified therein;
C)\J5r\X\ \\. ) ( iJ (\ Ct\y
Name of Member - Please Print
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\ Signature of Member
Dated: August 27, 2005
BALLOT
FISHERS ISLAND CIVIC ASSOCIATION, INC.
Annual Meeting of Members. August 27. 2005
The undersigned, Member in good standing of Fishers Island Civic Association, Inc. (the "Corporation")
on July 15, 2005, hereby votes
FOR .20AGAINST_ the proposal to consolidate the activities of the Corporation and its
Civic Committee, Island Community Board ("ICB") and effectively merge ICB into the
Corporation by amending its Certificate ofIncorporation and ByLaws as provided in the Notice
of the Annual Meeting of Members of the Corporation on August 27,2005, and electing and
appointing the Year-Round Directors, Seasonal Directors and Organizational Directors named in
such Notice for the respective terms specified therein;
/)A1/ ) 9 j 9 fer 7-1 /()
CL I? A-ClrL)-T V Bt'L",-~1
Name of Member - Pl~ase Print r
tt~;t~~11f~
Dated: August 27,2005
BALLOT
FISHERS ISLAND CIVIC ASSOCIATION, INC.
Annual Meeting of Members. August 27.2005
The undersigned, Member in good standing of Fishers Island Civic Association, Inc. (the "Corporation")
on July 15,2005, 7reby votes
FOR ~AGAINST_ the proposal to consolidate the activities of the Corporation and its
Civic Committee, Island Community Board ("ICB") and effectively merge ICB into the
Corporation by amending its Certificate ofIncorporation and ByLaws as provided in the Notice
of the Annual Meeting of Members of the Corporation on August 27, 2005, and electing and
appointing the Year-Round Directors, Seasonal Directors and Organizational Directors named in
such Notice for the respective terms specified therein;
~Gl ~rwvLx~l)toCJL\
Name of Member - Please Print LJ
ca,,,Li~lAj
---SIgnature of Member
Dated: August 27, 2005
BALLOT
FISHERS ISLAND CIVIC ASSOCIATION, INC.
Annual Meeting of Members. August 27. 2005
The undersigned, Member in good standing of Fishers Island Civic Association, Inc. (the "Corporation")
on July 15,2005, hereby votes
FOR ~AGAINST_ the proposal to consolidate the activities of the Corporation and its
Civic Committee, Island Community Board ("ICB") and effectively merge ICB into the
Corporation by amending its Certificate ofIncorporation and ByLaws as provided in the Notice
of the Annual Meeting of Members of the Corporation on August 27, 2005, and electing and
appointing the Year-Round Directors, Seasonal Directors and Organizational Directors named in
such Notice for the respective terms specified therein;
---IY:1 A (L '/ L W (j o..D
Name of Member - Please Print
M~gi
I
oL.(~
Signature of Member
Dated: August 27, 2005
BALLOT
FISHERS ISLAND CIVIC ASSOCIATION, INC.
Annual Meeting of Members. August 27. 2005
The undersigned, Member in good standing of Fishers Island Civic Association, Inc. (the "Corporation")
on July 15,2005, hereby votes
FOR -.JAGAINST_ the proposal to consolidate the activities of the Corporation and its
Civic Committee, Island Community Board ("ICB") and effectively merge ICB into the
Corporation by amending its Certificate ofIncorporation and ByLaws as provided in the Notice
of the Annual Meeting of Members of the Corporation on August 27, 2005, and electing and
appointing the Year-Round Directors, Seasonal Directors and Organizational Directors named in
such Notice for the respective terms specified therein;
ft/ll1e lV, 1)on !-tel-Nt
Name of Member - Please Print
~0,~
Signature of Member
Dated: August 27, 2005
BALLOT
FISHERS ISLAND CIVIC ASSOCIATION, INC.
Annual Meeting of Members. August 27,2005
The undersigned, Member in good standing of Fishers Island Civic Association, Inc. (the "Corporation")
on July 15, 2005, hereby votes
FOR ~/ AGAINST_the proposal to consolidate the activities of the Corporation and its
Civic Committee, Island Community Board ("ICB") and effectively merge ICB into the
Corporation by amending its Certificate ofIncorporation and ByLaws as provided in the Notice
of the Annual Meeting of Members of the Corporation on August 27, 2005, and electing and
appointing the Year-Round Directors, Seasonal Directors and Organizational Directors named in
such Notice for the respective terms specified therein;
A~ R<JR.. WALS t\
Name of Member- Please Print
~~ fuJ~~
. Signature of Member
Dated: August 27, 2005
BALLOT
FISHERS ISLAND CIVIC ASSOCIATION, INC.
Annual Meeting of Members. August 27. 2005
The undersigned, Member in good standing of Fishers Island Civic Association, Inc. (the "Corporation")
on July 15, 2005, hereby votes
FOR --"AGAINST_ the proposal to consolidate the activities of the Corporation and its
Civic Committee, Island Community Board ("ICB") and effectively merge ICB into the
Corporation by amending its Certificate ofIncorporation and ByLaws as provided in the Notice
of the Annual Meeting of Members of the Corporation on August 27, 2005, and electing and
appointing the Year-Round Directors, Seasonal Directors and Organizational Directors named in
such Notice for the respective terms specified therein;
KEI IE T~\)(~S~\<i
Name of Member - Please Print
c-;I. ~
N~'L ,-
Signa of Member
Dated: August 27, 2005
BALLOT
FISHERS ISLAND CIVIC ASSOCIATION, INC.
Annual Meeting of Members. August 27. 2005
The undersigned, Member in good standing of Fishers Island Civic Association, Inc. (the "Corporation")
on July 15,2005, hereby votes
~ -"AGAINST_ the proposal to consolidate the activities of the Corporation and its
'i;?vic Committee, Island Community Board ("ICB") and effectively merge ICB into the
Corporation by amending its Certificate ofIncorporation and ByLaws as provided in the Notice
of the Annual Meeting of Members of the Corporation on August 27, 2005, and electing and
appointing the Year-Round Directors, Seasonal Directors and Organizational Directors named in
such Notice for the respective terms specified therein;
~e:t~~ (7)~J<~1-.oIT
Name of Member - Please Print
~~~~
Signature of Me ...
Dated: August 27, 2005
BALLOT
FISHERS ISLAND CIVIC ASSOCIATION, INC.
Annual Meeting of Members. August 27.2005
The undersigned, Member in good standing of Fishers Island Civic Association, Inc. (the "Corporation")
on July 15,2005, hereby votes
FOR kiAGAINST_ the proposal to consolidate the activities of the Corporation and its
Civic Committee, Island Community Board ("ICB") and effectively merge ICB into the
Corporation by amending its Certificate ofIncorporation and ByLaws as provided in the Notice
of the Annual Meeting of Members of the Corporation on August 27, 2005, and electing and
appointing the Year-Round Directors, Seasonal Directors and Organizational Directors named in
such Notice for the respective terms specified therein;
!?"'IMir/1 d'AQ~~
I Name of Member - Please Print
Dated: August 27, 2005
f Member
BALLOT
FISHERS ISLAND CIVIC ASSOCIATION, INC.
Annual Meeting of Members, August 27. 2005
The undersigned, Member in good standing of Fishers Island Civic Association, Inc. (the "Corporation")
on July 15, 2005, hereby votes
FOR AAGAINST_ the proposal to consolidate the activities of the Corporation and its
Civic Committee, Island Community Board ("ICB") and effectively merge ICB into the
Corporation by amending its Certificate ofIncorporation and ByLaws as provided in the Notice
of the Annual Meeting of Members of the Corporation on August 27, 2005, and electing and
appointing the Year-Round Directors, Seasonal Directors and Organizational Directors named in
such Notice for the respective terms specified therein;
Hlffl 01 Ilt)(t( illlAld
I Name of Member - Please Print
~L~OfM=""
Dated: August 27, 2005
BALLOT
FISHERS ISLAND CIVIC ASSOCIATION, INC.
Annual Meeting of Members. August 27. 2005
The undersigned, Member in good standing of Fishers Island Civic Association, Inc. (the "Corporation")
on July 15,2005, hereby votes
FOR~AGAINST_ the proposal to consolidate the activities of the Corporation and its
Civic Committee, Island Community Board ("ICB") and effectively merge ICB into the
Corporation by amending its Certificate ofIncorporation and ByLaws as provided in the Notice
of the Annual Meeting of Members of the Corporation on August 27, 2005, and electing and
appointing the Year-Round Directors, Seasonal Directors and Organizational Directors named in
such Notice for the respective terms specified therein;
o//HR f/fJtJp
Name of Member - Please Print
I-~ l~wreOf_b&
Dated: August 27, 2005
BALLOT
FISHERS ISLAND CIVIC ASSOCIATION, INC.
Annual Meeting of Members. August 27. 2005
The undersigned, Member in good standing of Fishers Island Civic Association, Inc. (the "Corporation")
on July 15,2005, hereby votes
GaR ~-:;>GAINST_ the proposal to consolidate the activities of the Corporation and its
Civic Committee, Island Community Board ("ICB") and effectively merge ICB into the
Corporation by amending its Certificate ofIncorporation and ByLaws as provided in the Notice
of the Annual Meeting of Members of the Corporation on August 27, 2005, and electing and
appointing the Year-Round Directors, Seasonal Directors and Organizational Directors named in
such Notice for the respective terms specified therein;
~"CL \--. ~" \J2..-,
Name of Member - Please Print
~~~~\..., A
Signature of Mem~
Dated: August 27, 2005