e. NDIRF annual mtg proxy vote - Laserfiche WebLink

NORTH DAKOTA INSURANCE RESERVE FUND I PROXY FOR ANNUAL MEETING/ELECTION OF REPRESENTATIVE DIRECTOR COUNTIES This proxy is solicited on behalf of the Board of Directors of the North Dakota Insurance Reserve Fund. The undersigned hereby appoints the Chairperson of the NDIRF Board of Directors, as its proxy holder, to attend and vote for the undersigned at the Annual Meeting of members of the NDIRF to be held on May 6, 2004, and any adjournments thereof, to cast the votes of the undersigned on such business as may properly come before the meeting in conformance with the directions of the majority of the Board of Directors of the NDIRF. The number of votes you are entitled to is based on your annual NDIRF manual contribution. In addition: (circle onëöffhe thá~~e choices) /1').To elect Steven J. Cichos to the Board of Directors of the corporation to serve a term of \..:./ three years or until a successor is elected and qualified: OR 2. To elect the following person to the Board of Directors of the corporation to serve a term of three years or until a successor is elected and qualified: (Write in the name of the candidate for whom you wish to vote) OR 3. To withhold our vote in the election of directors. (Unless otherwise specified, this proxy will be voted for the election of the candidate listed in Number 1 above.) RETURN NO LATER THAN MAY 5, 2004 The undersigned acknowledges that he or she is an officer, manager, or agent for the below-entitled organization and is authorized to cast this proxy on its behalf. The undersigned further acknowledges receipt of the Notice of Annual Meeting of Members to be held on the 6th day of May, 2004 at 10:30 a.m" at the Ramkota Inn in Bismarck, North Dakota. By: Signature of Authorized Representative MIKE MONTPLAISIR, AUDITOR CASS COUNTY PO BOX 2806 FARGO ND 5~108 Votes = 176221