Full Name of Officer:

Test Chloë-KŠthe IV

Officer Email Address:

maryeladd@gmail.com

Date Prepared:

11 May 2022

GNSO Organization:

Non-Commercial Stakeholder Group

Officer Position or Title:

Title Four

Name of Absent Councilor:

Test Chloë-KŠthe IX

Voting Remedy:

Proxy

Proxy Information

Reason(s) for or condition(s) leading to the remedy:

Proxy reason

Specific subject(s)/measure(s)/motion(s)/action(s) of the Council for which the remedy is being exercised:

Proxy remedy

Date upon which the remedy will expire or terminate:

10 May 2041

I affirm that a voting position has been established on the matter(s) at issue pursuant to provisions contained in our Charter or Bylaws.

Yes

Our GNSO Councilor has been instructed on how to vote on the matter(s).

Yes

Full Name of GNSO Councilor Serving as Voting Proxy:

Test Chloë-KŠthe IXXX

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I Agree