Fillable NCUA 4505 PROOF OF RESULTS OF MEMBERSHIP VOTE

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NCUA 4505 PROOF OF RESULTS OF MEMBERSHIP VOTE

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AFFIDAVIT
PROOF OF RESULTS OF MEMBERSHIP VOTE - PROPOSED CONVERSION FROM
FEDERAL CREDIT UNION TO STATE CREDIT UNION
We, the undersigned  chairperson and secretary of
thHFederalCredit Union, hereby swear or affirm as follows:
1. That the conversion proposal as set forth in the attached Notice of Meeting of
the Members was fully explained to the members present at said meeting of
members.
2. That on the date of the said meeting of members there were members of
this credit union qualified to vote; members were present at said
meeting; of those members present, members voted in favor of the
conversion and members voted against the conversion; of those
members not present at the meeting but who filed ballots, members
voted in favor of the conversion and members voted against the
conversion; and that, without duplication of the votes of any member, a total
of members voted in favor of the conversion and members voted
against the conversion.
NCUA 4505 PAGE 1
3. That the action of the members of this credit union at said meeting is fully and
completely recorded in the minutes of said meeting and all ballots cast by the
members on the question of conversion, either at the meeting or by delivery to
the credit union, are on file with the secretary of this credit union.
TITLE:
(CHAIRPERSON)
TITLE:
(BOARD SECRETARY)
FEDERAL CREDIT UNION
Subscribed before me, an officer competent to administer oaths, at _________
_______________________, this _______________________________________
(day) (month) (year)
Signed
(SEAL)
Title
(Notary Public or other
competent officer)
My Commission Expires ,
(year)
NCUA 4505 PAGE 2
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NCUA 4505 PROOF OF RESULTS OF MEMBERSHIP VOTE

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Completed 17 February 2020

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