Fillable NCUA 4506 2002-NCUA_45061-15w

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NCUA 4506 2002-NCUA_45061-15w

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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: (6HOHFWWKH square opposite
the appropriate statement.)
I vote for the conversion
I vote against the conversion
(Account Number) (Signature of Member)
Date: _________________
NCUA 4506
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NCUA 4506 2002-NCUA_45061-15w

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Completed 17 February 2020

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