Nomination Form for Board of Directors Candidate
This nomination form must be received by the Secretary of Royal Neighbors of America at 230 Sixteenth Street, Rock Island, Illinois 61201-8645, no later than April 1, 2026. Two hundred (200) or more signatures of Adult Beneficial members are required for such nomination.
The individuals listed below hereby certify and acknowledge that they are Adult Beneficial members of Royal Neighbors of America. We hereby nominate
_________________________________________of
Name of Candidate
_______________________________________________________________________________,
Address
_______________________________________________________________________________,
City, State, ZIP
_________________________________________
Phone Number
who is an Adult Beneficial member of Royal Neighbors of America, as a candidate for the position of outside director on the Board of Directors of Royal Neighbors of America. This nomination will be submitted to the Governance Committee of Royal Neighbors of America which will determine whether the nominee meets the qualifications set forth in or otherwise established in accordance with the Royal Neighbors of America Bylaws.
| Printed Name | Complete Address | Signature | Date |
|---|---|---|---|
| 1._________________________________________ | _________________________________________ | _________________________________________ | _________________________________________ |
| 2._________________________________________ | _________________________________________ | _________________________________________ | _________________________________________ |
| 3._________________________________________ | _________________________________________ | _________________________________________ | _________________________________________ |
| 4._________________________________________ | _________________________________________ | _________________________________________ | _________________________________________ |
| 5._________________________________________ | _________________________________________ | _________________________________________ | _________________________________________ |
| 6._________________________________________ | _________________________________________ | _________________________________________ | _________________________________________ |
| 7._________________________________________ | _________________________________________ | _________________________________________ | _________________________________________ |
| 8._________________________________________ | _________________________________________ | _________________________________________ | _________________________________________ |
| 9._________________________________________ | _________________________________________ | _________________________________________ | _________________________________________ |
| 10._________________________________________ | _________________________________________ | _________________________________________ | _________________________________________ |
Please make as many copies of this form as necessary to obtain the 200-plus signatures for your nominee.
Acceptance of Nomination by Candidate
I,_________________________________________,
Name of Candidate
hereby accept my nomination as a candidate Name of Candidate for outside director on the Board of Directors of Royal Neighbors of America.
________________________________________________________________________
Signature of Candidate
_________________________________________
Date
Only one signed Acceptance needs to be completed by the candidate.