SAMPLE VOTING INSTRUCTION FORM

SAMPLE COMPANY B ANNUAL MEETING TO BE HELD ON 04/27/2010 AT 10:00 A.M. EASTERN TIME FOR HOLDERS OF RECORD AS OF 02/01/2010.This is the Annual Meeting information.


You may enter your voting instructions at designated toll-free number or at designated Web site up until 11:59 EST the day before the cut-off or meeting date. This box describes the different methods you can vote. In many situations, you will have three options:


important notice regarding the availability of proxy materials for the shareholder meeting to be held on 04/27/2010 for ABC Company


The following material is available at web site

- proxy statement                                       - Annual report

- 10k report
1234 5678 9012This is the Control Number you will use to identify yourself as a shareholder if you send your voting instructions online or over the telephone.

DIRECTORS
DIRECTORS RECOMMEND: A VOTE FOR ELECTION OF THE FOLLOWING NOMINEES
1 - 01 JANE DOE, 02-JOHN DOE, 03-MARY DOE, 04-BRIAN DOEDepending on the applicable voting rule, you can vote for or against each proposed board member, or you can vote for, or withhold authority to vote for, each, proposed board members.

                                 Directors

                     (Mark “x” for only one box)

 

      X      FOR ALL NOMINEESHere is where you vote for directors.  In addition to "for," you may have other options such as "against," "abstain," or "withhold."  See "What are the mechanics of voting either in person or by proxy?" for more information about what these options mean. In addition, there is a section in your proxy statement, often toward the front under a heading like "Votes Required to Adopt a Proposal," that will explain how your votes are counted.
      X      WITHHOLD ALL NOMINEESHere is where you vote for directors.  In addition to "for," you may have other options such as "against," "abstain," or "withhold."  See "What are the mechanics of voting either in person or by proxy?" for more information about what these options mean. In addition, there is a section in your proxy statement, often toward the front under a heading like "Votes Required to Adopt a Proposal," that will explain how your votes are counted.
      X      WITHHOLD AUTHORITY TO VOTE FOR ANY INDIVIDUAL NOMINEE.Here is where you vote for directors.  In addition to "for," you may have other options such as "against," "abstain," or "withhold."  See "What are the mechanics of voting either in person or by proxy?" for more information about what these options mean. In addition, there is a section in your proxy statement, often toward the front under a heading like "Votes Required to Adopt a Proposal," that will explain how your votes are counted.
  WRITE NUMBER(S) OF NOMINEES(S) BELOW.

    use number only 

PROPOSALSA list of brief descriptions of proposals by management and by shareholders that are expected to be raised at the meeting will be here. The proxy statement will contain more information about each of the proposals.

 Directors
Recommend
Please indicate your proposal selection by firmly placing an “x”
in the appropriate numbered box with blue or black ink.		  X 

See voting instruction No. ________ on reverse.

For

  

against

  

abstain
2 – Management Proposal.

For

 X Indicate your vote on the proposals here.    X Indicate your vote on the proposals here.    X Indicate your vote on the proposals here.
3 – Shareholder proposal

AGAINST

 X Indicate your vote on the proposals here.    X Indicate your vote on the proposals here.    X Indicate your vote on the proposals here.
 
 DO These are extra spots on form for situations when there are many proposals. Do not use them.    NOT These are extra spots on form for situations when there are many proposals. Do not use them.    USE These are extra spots on form for situations when there are many proposals. Do not use them.
1234 5678 9012This is the Control Number you will use to identify yourself as a shareholder if you send your voting instructions online or over the telephone.  
 DO These are extra spots on form for situations when there are many proposals. Do not use them.    NOT These are extra spots on form for situations when there are many proposals. Do not use them.    USE These are extra spots on form for situations when there are many proposals. Do not use them.
 
 DO These are extra spots on form for situations when there are many proposals. Do not use them.    NOT These are extra spots on form for situations when there are many proposals. Do not use them.    USE These are extra spots on form for situations when there are many proposals. Do not use them.
 X You should check this box to attend. Note that holding this VIF will not allow you to attend; your broker will send you a card that will allow you to attend. Place “x” here if you plan to attend and vote your shares at the meeting  


Brokerage Firm Name
555 FINRA Way
Brokerville, USA 56789


Mr. and mrs. investor
1234 main street
Anywhere, USA 12345
MATERIALS ELECTION


*note* such other business as may properly come before the meeting or any adjournment thereof.    


_______________________________    ________/_______/______
SIGNATURES(S)                                                               DATEIf you vote by mail, you need to sign your card for it to be valid and counted.