Commissioner of banking & insurance of new jersey: We, hereby certify that at the annual meeting of the board of Managers of the of, New Jersey, held on the




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To the COMMISSIONER OF BANKING & INSURANCE OF NEW JERSEY:



We, hereby certify that at the annual meeting of the board of Managers of the
_________________________________ of ____________ , New Jersey, held on the

(Name of Institution) (Location)

__________day of ___________, 20____, the following were elected managers to serve in
the class set opposite their respective names:


Director

ALPHA ORDER


Residential mailing address


Class (Year Expires)




















































































Dated______________________ __________________________________



(Signature & Official Title)
(SEAL) ___________________________________

(Signature & Official Title)


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