This is the petition please immediately
fax a copy to
IBDA (516-942-2670) and MAIL an original signed copy to:
IBDA,
195 E Main Street
PO Box 746
Smithtown NY 11787-0746
Ms. Joan C. Conley,
Corporate Secretary,
NASD, Inc.
1735 K Street, NW,
Washington, DC 20006.
Dear Ms. Conley,
This nominating petition is submitted by:
___________________________________________
[Insert Name of NASD Member Firm].
in support of the nomination for the NASD Board of Governors of the following
candidates as indicated below:
| CANDIDATE | CATEGORY |
| M. LaRae Bakerink | INDUSTRY |
| Alan Davidson | INDUSTRY |
| Dan Jamieson | NON-INDUSTRY |
[I HAVE CROSSED OUT THE NAME OF ANY CANDIDATE THAT I DO NOT SUPPORT].
Dated:
__________________________________
Signature of the Executive Representative
of the Member Eligible to Vote.
__________________________________________
(Please Print the Executive Representative's Name)
CC: Independent Broker-Dealer Association, Inc.