PROXY - POLA

I/We, the undersigned, represent that I am/we are the Owner(s) of Unit Number* at   Building Name*, and that I am/we are (a) Member(s) of the Copper Mountain Property Owners and Lessees Association.

The Unit is a Residential    Commercial *  

I am/We are unable to attend the Annual Meeting of the Members to be held at 3:00 p.m. on Saturday, December 6, 2025 via zoom.

To ensure that I am/we are represented at the Meeting, I/we do hereby appoint:    
    , who will be attending the meeting, OR in the event this blank has not been completed I/We select the choice below as my/our lawful agent and proxy to attend the Meeting and vote on matters coming before the Meeting:Jim Reis, Board President, POLA   Peter Siegel, Executive Director, POLA            

  

NOTE: If your unit is owned by an entity such as a Partnership, Corporation or LLC, please insert here   Entity Name  and have an authorized person sign on its behalf.

Proxy Completed By:

First Name*   Last Name*   

Signature*   

Date*   

* Every Proxy must be executed by the Member or his duly authorized attorney-in-fact.