Nomination Form For The Fire Island Pines, Inc. Board Of Directors

I, the undersigned, wish to nominate the following named Co-op Shareholder for an open position on the Fire Island Pines, Inc. Board of Directors for a term of two (2) Years.  The below named person has given permission to submit his/her name, and has agreed to serve on the Board if elected by the membership at the Spring Shareholders Meeting. Deadline for submissions is May 1, 2018.

Nominee's Name *
Nominee's Name
Nominating Shareholder's Name *
Nominating Shareholder's Name
Date *