Proxy Statement

Proxy Statement Form

The following proxy is solicited by and on behalf of the trustees of the PennPRIME Trust and/or PennPRIME Workers’ Compensation Trust. All costs of solicitation (including printing and mailing this proxy statement, meeting notice and form of proxy, as well as any necessary supplementing solicitations) will be paid by the Trust(s) Administrator, the Pennsylvania Municipal League (the League). In addition to the solicitation of proxies by mail, officers and employees of the Trust(s) or the League may solicit in person or by telephone. Municipal entities which are members at the close of business on August 20, 2019 are entitled to vote at the Annual Membership Meeting. Each member is entitled to one vote. Members represented by a properly executed proxy will be voted in accordance with the instructions thereon. Proxies may be revoked at any time before they are exercised by the subsequent execution of a revised proxy, by written notice of revocation to the Secretary for the Trust, or by voting in person at the Annual Meeting. The business address of the Trust is 414 North Second Street, Harrisburg, Pennsylvania, 17101.
Attendance Options*
- I will attend the Annual Membership Meeting on September 19, 2019.
- I cannot attend the Annual Membership Meeting (You must complete all remaining sections of this form)
Please check all that apply:*
- Property & Liability Trust Proxy Statement
- Workers' Compensation Trust Proxy Statement
THE UNDERSIGNED HEREBY APPOINTS:*
- Richard J.Schuettler
- OR name of substitute
Name of Substitute*
as my proxy and hereby authorizes them to represent, vote, execute consents and otherwise act in the same manner and with the same effect as if I were personally present at the Annual Membership Meeting of the PennPRIME Trust and/or PennPRIME Workers’ Compensation Trust to be held on September 19, 2019, or at any adjournment thereof.
Date*
MM slash DD slash YYYY
Name*
First Last
Name of Municipal Entity*
Email*
Signature*

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