"Shareholder Proxy Form"

What Is a Shareholder Proxy Form?

When a shareholder is unable to attend a meeting in person to vote on a decision, they can appoint another person to act as a shareholder proxy. This person will hold the same speaking and voting abilities as the shareholder who is otherwise unable to attend the meeting and every member with these voting and decision-making rights has the ability to use a shareholder proxy. Note, this ability only applies to shareholders of the company and not anyone who belongs to the board of directors.

A printable Shareholder Proxy template can be downloaded through the link below.

Proxies can be used for annual or extraordinary general shareholder meetings. An annual general meeting is the yearly meeting to discuss all aspects of the corporation and plan out the goals for the upcoming business year. An extraordinary general meeting can be convened at any point in the year when unforeseen circumstances arise that must be addressed by the shareholders. For this type of meeting, you will want to make sure that there is at least one-tenth of all shareholder members able to attend.

However, before the person acting as a proxy can stand in for the shareholder, a Shareholder Proxy Form will need to be signed and authorized.

When creating a Shareholder Proxy document, you will want to include the following information:

  1. Names and addresses of the proxy and the shareholder they will be acting on behalf of;
  2. Company name and the shareholder's vote or decisions on a matter that the proxy will be voting on;
  3. The shareholder's signature and date.

It is also important to mention that proxies cannot be used in the statutory meeting of the company since this is the first shareholder meeting for the duration of that company.

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Shareholder Proxy Form
I, _______________________, a shareholder of record of _________________________
(hereinafter refereed to as the “Corporation”) do hereby constitute and appoint
_______________________ as my lawful attorney and agent for a period expiring
_______________________ to represent me at any and all stockholder meetings of the
corporation and at any adjournment thereof, to act for and in the name, place and stead of
the undersigned on all matters and things which may be presented for action or
consideration at such meetings, giving and granting unto said attorney full power in all
respects that I could exercise if present in person.
_________________________________
_________________________________
Shareholder’s Printed Name
Witness Printed Name
_________________________________
_________________________________
Shareholder’s Signature
Witness Signature
_________________________________
_________________________________
Date
Date
Notary Acknowledgment
State of ​ _ ___________________
County of ​
_ _________________
On the _____ day of _______________, _____, before me, _______________________,
personally appeared, _______________________, known to me as the person described
in and who executed the foregoing instrument and acknowledged to me that they
executed the same as said person’s free act and deed.
_________________________________
Printed Name of Notary Public
_________________________________
Shareholder of Notary Public
My commission expires: ___________________
(seal)
©​ ​ ​ ​
T EMPLATEROLLER.COM​
Shareholder Proxy Form
I, _______________________, a shareholder of record of _________________________
(hereinafter refereed to as the “Corporation”) do hereby constitute and appoint
_______________________ as my lawful attorney and agent for a period expiring
_______________________ to represent me at any and all stockholder meetings of the
corporation and at any adjournment thereof, to act for and in the name, place and stead of
the undersigned on all matters and things which may be presented for action or
consideration at such meetings, giving and granting unto said attorney full power in all
respects that I could exercise if present in person.
_________________________________
_________________________________
Shareholder’s Printed Name
Witness Printed Name
_________________________________
_________________________________
Shareholder’s Signature
Witness Signature
_________________________________
_________________________________
Date
Date
Notary Acknowledgment
State of ​ _ ___________________
County of ​
_ _________________
On the _____ day of _______________, _____, before me, _______________________,
personally appeared, _______________________, known to me as the person described
in and who executed the foregoing instrument and acknowledged to me that they
executed the same as said person’s free act and deed.
_________________________________
Printed Name of Notary Public
_________________________________
Shareholder of Notary Public
My commission expires: ___________________
(seal)
©​ ​ ​ ​
T EMPLATEROLLER.COM​