Nomination Form Board of Directors

NOMINATION FORM – BOARD OF DIRECTORS

CANDIDATE INFORMATION:

Full Name:Enter Full Name

Telephone Number(s):Enter Telephone NumberE-Mail:Email Address

Address:Enter Address

Member of Credit Union since:Enter Year of Membership (year)

Primary Branch: Tusket__ Wedgeport __West Pubnico __ Yarmouth __

(place an x beside one)

PLEASE NOTE THE FOLLOWING INFORMATION IS USED TO CREATE YOUR BIOGRAPHY AND WILL BE COPIED EXACTLY AS YOU PRESENT IT HERE, PLEASE PROOF READ CAREFULLY:

Employment positions and skills or experience you would bring to the Board:

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Areas of expertise relevant to Credit Union or Co-operativebusiness:

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Other Board of Director experience:

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Community Service Involvement:

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Please state why you would be a valuable member of the Board of Directors and what your goals as a Director would be:

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Telephone number and/or email address will not be included in branch or website displays. Please indicate below, if there is any other information on this form that you would NOT want displayed in the branches, on the Coastal Financial website, or newspaper advertisements.

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Note: Candidates may be contacted to arrange to have their photos taken, for displays and advertisements.

CANDIDATE STATEMENT:

I, ______hereby affirm that I have read Coastal Financial Credit Union’s Joining Your Board booklet (on the CFCU website). In reference to the Director Qualifications listed in that booklet, I declare that I am eligible to serve as a Director of Coastal Financial Credit Union.

I further declare that the information submitted in support of this nomination is accurate and true. I consent to my nomination to the Board of Directors and consent to Coastal Financial Credit Union conducting the necessary background checks (including verification that my common shares are fully paid), and that any omission to the process would disqualify my nomination.

I understand the commitment required to fulfill the position and agree to abide by the governing legislation and the organization’s By-Laws, Rules and Procedures, and Code of Conduct.

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Candidate’sNameCandidate’s Signature Complete Mailing Address Date

(Please Print and include Middle Name)(Including Civic Number)

CREDIT UNION BY-LAWS REQUIRE THAT 2 CREDIT UNION MEMBERS SUPPORT THE NOMINATION OF THE CANDIDATE.

(CURRENT EMPLOYEES OF THE CREDIT UNION ARE NOT ELIGIBLE NOMINATORS.)

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Nominator’s Name Nominator’s Signature Complete Mailing Address Date

(Please Print and include Middle Name)(Including Civic Number)

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Nominator’s NameNominator’s Signature Complete Mailing Address Date

(Please Print and include Middle Name)(Including Civic Number)

Note that the Candidate may be required to contact one or both Nominators in order to assist CFCU in identifying the Nominator. CFCU must be able to properly identify the Nominator in order to confirm that he/she is a member in good standing.

TO ENSURE ELIGIBILITY, THIS COMPLETED NOMINATION FORM MUST BE RECEIVED IN PAPER FORMAT WITH ALL APPLICABLE SIGNATURES AT A CFCU BRANCH (MARKED ATTENTION NOMINATION COMMITTEE) AND MUST BE EMAILED AS AN ATTACHMENT TO , BY CLOSE OF BUSINESS ON OR BEFORE MARCH 10TH, 2017.