NCUA 4506 Federal to State Conversion Ballot for Conversion Propos

FEDERAL TO STATE CONVERSION
BALLOT FOR CONVERSION PROPOSAL

I have read the notice concerning the meeting of the members ofthe

Federal Credit Union called for
 to
considerandto vote uponthe following proposition:
"RESOLVED, That the
Federal Credit Union be
convertedto a credit union chartered under the laws of the State of
 
andoperationunder Federal Charter Number
  be discontinued.
RESOLVED FURTHER, That the board of directors and the officers of this
credit union are hereby authorized and directed to do all things necessary
to effect and to complete the conversion of this credit union from a Federal
to State-chartered credit union."
I hereby cast my vote on the proposition: (6HOHFWWKH square opposite
the appropriate statement.)

I vote for the conversion

I vote against the conversion

(Account Number)

(Signature of Member)

Date: _________________

NCUA 4506