KNOW ALL MEN BY THESE PRESENT that I Member Name* of the Please Select Bermuda Clover Hill Dale Midlothian Matoaca * District of Chesterfield County do herby constitute and appoint Name of Proxy* of the Please Select Bermuda Clover Hill Dale Midlothian Matoaca * District as my true and lawful attorney, to vote as my proxy at a meeting of the Chesterfield County Republican Committee on 5/20/2024 or an adjourned meeting thereof and for me and in my name, place and stead to vote upon any question that properly may come before such meeting with all the powers I should possess if personally present herby revoking all previous proxies.I have hereunto set my hand and affixed my seal this date Date* .