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NOTE: The purpose of the meeting must be added to this document.

The names and addresses

of the Shareholders must be included. The issues discussed by the Shareholders and the
resolution(s) that were adopted must be added to the minutes of the meeting.


__________________<Company Name>____________________

A special meeting of Shareholders of this Corporation was held at the date, time, and location
shown below:

Date: _______________________

Time: _______________________

Address: _______________________

City, State: _______________________

The purpose of this special meeting was:

<Enter Business Details Here>

The following Shareholders were present, constituting a quorum:





The Chairperson, <Chairperson’s Name>, called the meeting to order.

The Secretary, <Secretary’s Name>, stated that notice of the meeting had been properly given or
waived by each Shareholder in accordance with the Bylaws. The Secretary submitted a copy of
the notice or waiver to these minutes.

The Secretary was then directed to file the copy of the notice of the meeting. The Secretary was
also directed to keep the record of the meeting.

The Secretary then read a list of the names of each Shareholder and numbers of shares they held.

The Secretary then announced that the following Shareholders were present in person or by

Shareholder Number of Shares In Person By Proxy

_________________ ___________ _______ _______
_________________ ___________ _______ _______

_________________ ___________ _______ _______

_________________ ___________ _______ _______

_________________ ___________ _______ _______

The Secretary stated that the Shareholders present, in person or by proxy, constituted both a
quorum and a majority of all outstanding shares entitled to vote at the meeting.

The Secretary was then directed to file all proxies with the minutes of the meeting. The
Shareholder records of the Corporation were produced and remained open and available for
inspection throughout the entire course of the meeting.

The following matters were brought up for discussion:

<Enter Business Details Here>

Upon a motion made, seconded, and approved, the following resolution was approved by a
majority of the Shareholders entitled to vote on the issue:

<Enter Resolution Details Here>

The Chairman of the meeting declared this resolution was duly adopted.

With no further business before the meeting, and upon a motion duly made, seconded, and
carried, the meeting was adjourned.

Dated: _________