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Downtown San Leandro Community Benefit District <br />Board of Directors Nomination Form <br />Please return to the Downtown San Leandro Community Benefit District Office Staff by <br />4:00 p.m., Wednesday, October22, 2014 <br />Mail to 101 Estudillo Avenue, San Leandro, CA 94577 or <br />Scan and email to rersin@downtownsanleandro.com <br />This form will nominate one (1) individual for a seat on the Downtown San Leandro Community Benefit <br />District Board of Directors commencing November 2014 and serving for either 1 or 2 years. <br />Would you like to nominate yoursel to the board of directors? Yes No <br />Would you like to nominate someone else to the board of directors? Yes No <br />Do you understand and support the goals of <br />the Downtown San Leandro Community Benefit District? Yes No <br />Name of nominee: <br />Address of Property represented: <br />Owner of Property Represented: <br />Are you currently serving on a committee of the board? Yes No. <br />If so, what committee? <br />Before signing this nomination please consider the time required to be an active member of the <br />Downtown San Leandro Community Benefit District Board of Directors. Please see the included letter for <br />specific requirements. <br />Your name: <br />(Print name) <br />Date signed: <br />(Sign name) <br />Please see reverse 0 <br />