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Form 6-9

Certificate of Mailing of [name of corporation]

I am the duly elected, qualified, and acting secretary of [name of corporation], and I sent to [number] shareholders of [name of corporation] materials relative to the annual meet­ing scheduled for [date], including the Notice of Annual Meeting, attached as Exhibit A.

These materials were addressed to the shareholders as their names and addresses appeared on [the shareholder records of [name of corporation]/the records supplied by [trans­fer agent] to [name of corporation]]. [Number] were mailed by first-class mail, and [number] were mailed by priority mail and deposited with the United States Post Office in [city, state] beginning on [date] and ending on [date].

Dated: [date].

   
[Name of secretary], Secretary

Attach notice as Exhibit A. See form 6-4 for a sample notice form.