Free Sample Shareholders Resolution Form

SHAREHOLDERS RESOLUTION
_____________________________________________________

(Name and Location of Applicant Corporation)
hereby consent and agree that the following corporate resolution was made
on______________ (date) at_______________ (time) at the following location: _______________
________________________________________________________________________________
1. The meeting was called to order.  It was determined that a quorum was present either in person or by proxy, and the meeting could conduct business.

The following shareholders were present:

Names of shareholders:                                               Number of shares:

_________________________________                  _________________

_________________________________                  _________________

The following shareholders by proxy                         Number of shares:

_________________________________                  _________________

_________________________________                  _________________

2. The Secretary determined and reported that notice of the meeting had been properly given or waived by shareholders in accordance with the bylaws.
We do hereby consent to the adoption of the following as if it was adopted at a regularly called meeting of the shareholders of this corporation.  In accordance with State law and the bylaws of this corporation, by unanimous consent, the shareholders decided that:
________________________________________________________________________________________________________________________________________________________________________
Therefore, it is resolved, that the corporation shall:
________________________________________________________________________________________________________________________________________________________________________
The officers of this corporation are authorized to perform the acts to carry out this corporate shareholder resolution.

______________________                ____________________________                ____________
Shareholder signature                         Printed name                                                   Date

______________________                ____________________________                ____________
Shareholder signature                         Printed name                                                   Date
The Secretary of the Corporation, certifies that the above is a true and correct copy of the resolution that was duly adopted at a meeting of the dated meeting of the shareholders.

___________________________                  __________________
Signature of Secretary                                                Date

___________________________
Printed name of Secretary