FV-39B Cooperatives Certificate of Resolution (WA Potatoes)

OMB No. 0581-0178

REPRODUCE LOCALLY. Include fOIronwnber and date on all reoroductioDS.

COOPERATIVE'S CERTIFICATE OF RESOLUTION
At a duly convened meeting of the Board of Directors of
Name of Cooperative Association

held at

on the -

of

, 20---, the following resolution

was adopted:

who is

RESOLVED, that we authorize
Authorjzed agent's name

Title

of the cooperative association, to cast the attached cooperative

association referendum ballot for the membership of the ciforesaid organization.

CERTIFICATION
I,

, Secretary of

do hereby certify this is a true and correct copy of a resolution adopted at the above-named meeting as said
resolution appears in the minutes thereof.
IN WITNESS WHEREOF, I have hereunto set my hand and the seal of said Corporation this

(Corporate Seal:
if none, so state)

_

day of

Signature

Address of Finn

City, State, and Zip Code
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FV -39B

(12/06)