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Nomination Form for Board of Directors Candidate

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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, 2025. 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 NameComplete AddressSignatureDate
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.

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Life-Insurance

a contract between an insurance policy holder and an insurer or assurer, where the insurer promises to pay a designated beneficiary a sum of money (the benefit) in exchange for a premium, upon the death of an insured person (often the policy holder).

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MY INSURANCE CALCULATIONS

The calculations contained within this calculator are specific to Royal Neighbors of America. It is intended to estimate an amount of life insurance coverage if death occurred in the near future. It is not a recommendation for specific coverage amounts. Your financial needs may differ from the estimates. Royal Neighbors does not guarantee that the amount illustrated here will meet your financial needs. You are responsible for selecting the appropriate amount of coverage. To evaluate your specific needs, please contact Royal Neighbors directly at (866) 845-6665.

Needs
  • Immediate Needs N/A
  • Mortgage Amount: N/A
    Other Debts: N/A
    Funeral Expenses:N/A
  • Long-term Needs N/A
  • College Costs: N/A
    Total Income:N/A
  • Total Needs N/A
Resources
  • Immediate Resources N/A
  • Investment Assets N/A
    Life Insurance Proceeds N/A
  • Long-term Resources N/A
  • Partner's Earnings N/A
    Social Security N/A
  • Total Resources N/A
 
Additional Life Insurance Needed
  • Your total needs minus your total resources means you need N/A

Income Replacement Estimate

This chart estimates how much life insurance your loved ones may need to replace your income and maintain their current standard of living. Your dependents may be eligible to collect Social Security income benefits, which are included in the calculation below. The “Insurance Needed” column does not include financial needs such as paying off debt or paying for college.
Year Partner Age Partner Income S.S. Income Available Income Desired Income Surplus/Shortfall Available Resources Insurance Needed

Calculations include your answers to the previous questions, in addition to the following: 3% investment return; 2.6% anticipated inflation rate; $8,500 for funeral expenses which is based on the national median cost for an adult funeral in 2014 according to the National Funeral Directors Association1; 75% of your annual combined income for desired annual income needs; and 15 years for the number of years’ income needed or the calculation of the number of years it will take your youngest child to complete higher education, whichever is greater. Social Security benefits were factored based on the age of your youngest children (up to 4). Immediate needs include your mortgage, other debts, and $8,500 for funeral expenses.

College cost estimates are based on the following parameters (based on data provided by [College Board] . The inflation rate for college costs (5.48% annually) is based on the Bureau of Labor and Statistics Consumer Pricing Index average from January 1996-June 2016. This rate will factor into college cost assumptions for future years, adjusted annually.

  • Amount for community college: 2 years @ $3,435/year (tuition and fees only)
  • Amount for public university: 4 years @ $19,548/year (tuition, fees, room and board)
  • Amount for private university: 4 years @ $43,921/year (tuition, fees, room and board)

1 “The national median cost of a funeral with viewing and burial for calendar year 2014 was $7,181. If a vault is included, something that is typically required by a cemetery, the median cost is $8,508. The cost does not take into account cemetery, monument or marker costs or miscellaneous cash-advance charges, such as for flowers or an obituary.” http://www.nfda.org/news/statistics

 
The specified form no longer exists or is currently unpublished.
Form #: P00498; Rev. 7-2024