FORM OF APPOINTMENT OF PROXY I, ………………………………………………………………………………….. (name) of …………………………………………………………………………………… (address) being a member of …………………………………………………………………… (name of Incorporated Association) appoint ……………………………………………………………………………… (name of proxy holder) of ………………………………………………………………………………………. (address of proxy holder) being a member of that Incorporated Association, as my proxy to vote for me on my behalf at the Annual General Meeting of the Association to be held on Saturday the 18th of April 2015 and at any adjournment of that meeting. My proxy is authorised to vote for/against* the following resolutions (Sign on page 3) 6. Elections 6.1 Election of Officers 2015 6.1.1 Patron His Excellency the Honourable Sir Anand Satyanand, GNZM, QSO Governor General of New Zealand For/Against (circle one) 6.1.2. President Nomination Nominated by Penelope Simmonds Eastern Southland/Invercargill For/Against (circle one) 6.1.3. Vice Presidents Nomination Nominated by Female No nominations have been received for this role. Nominations for this vacancy will be taken at the AGM (Clause 12.2, C (v) of the NZHF Rules) Male Neil Edmundson Hawkes Bay For/Against (circle one) 6.2 Election of Board Members 2015 6.2.1 Female Board Members 2 Nominated by vacancies Please circle For/Against PLUS indicate 1st, 2nd 3rd choice on a FOR vote Kylie Clegg Auckland (Current Co-Opted Hockey New Zealand Board Member) For/Against (circle one) 1st, 2nd 3rd choice (circle one) Sarah Neilson Wellington For/Against (circle one) 1st, 2nd 3rd choice (circle one) Sharon Williams North Harbour and Waikato For/Against (circle one) 1st, 2nd 3rd choice (circle one) (Current Appointed Hockey New Zealand Board Member) 6.2.2 Male Board Members Nominated by 2 vacancies Dean Ellwood Auckland For/Against (circle one) (Current elected Hockey New Zealand Board Member/Chair) Andy Rowe Marlborough For/Against (circle one) (Current elected Hockey New Zealand Board Member) Life Member Award Nominations The Board of Hockey New Zealand have unanimously accepted the following nominations for Life Membership for voting on by Members. Nominee: CRICHTON CHRISTIE Nominated by: Northland Hockey Association For/Against (circle one) Nominee: JEANETTE HARPER Nominated by: Canterbury Hockey Association For/Against (circle one) Nominee: BILL SHEPHERD Nominated by: Northland Hockey Association For/Against (circle one) Nominee: SUE SHEPHERD Nominated by: Northland Hockey Association For/Against (circle one) Nominee: JOHN WILLIAMSON Nominated by: Hockey New Zealand Board For/Against (circle one) Signed: Date:
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