NOTE: This document serves to prove that notice was properly mailed to each Shareholder.
This document must be notarized.
AFFIDAVIT OF MAILING OF NOTICE OF
ANNUAL MEETING OF SHARHOLDERS OF
__________________<Company Name>____________________
State of: _______________________________
County of: _______________________________
<Name of Secretary> being duly sworn according to law states:
I am the Secretary of <Company Name>. On <Date> I personally deposited in a post office box
in the City of <Name of City>, County of <Name of County>, copies of the attached notice of
annual meeting of Shareholders, each enclosed in a sealed postage paid envelope.
A notice was addressed to each person whose name appears on the list of Shareholders below, and
to their respective post office addresses as therein set forth.
____________________________________
____________________________________
____________________________________
____________________________________
Sworn to before me this day of <Date>.
_____________________
Secretary
_____________________
Notary Signature