UNITED
STATES
SECURITIES
AND EXCHANGE COMMISSION
Washington,
D.C. 20549
SCHEDULE
14A
Proxy
Statement Pursuant to Section 14(a) of the Securities
Exchange
Act of 1934 (Amendment No. [ ]) | |||||||
[xx] |
Filed
by Registrant | ||||||
[
] |
Filed
by a Party other than the Registrant | ||||||
Check
the appropriate box: | |||||||
[
] |
Preliminary
Proxy Statement | ||||||
[
] |
Confidential,
for Use of the Commission Only (as permitted by Rule
14a-6(e)2) | ||||||
[xx] |
Definitive
Proxy Statement | ||||||
[
] |
Definitive
Additional Materials | ||||||
[
] |
Soliciting
Material Pursuant to Section 240.14a-11(c) or Section
240.14a-12 | ||||||
Citizens
Financial Services, Inc.
(Name
of Registrant as Specified in Its Charter) | |||||||
(Name
of Person(s) Filing Proxy Statement if other than the
Registrant) | |||||||
Payment
of Filing Fee (Check the appropriate box): | |||||||
[xx] |
No
filing fee required. | ||||||
[
] |
Fee
computed on table below per Exchange Act Rules 14a-6(i)(4) and
0-11. | ||||||
1) |
Title
of each class of securities to which transaction
applies: | ||||||
2) |
Aggregate
number of securities to which transaction applies: | ||||||
3) |
Per
unit price of other underlying value of transaction computed pursuant to
Exchange Act Rule 0-11 (set forth the amount on which the filing is
calculated and state how it was determined): | ||||||
4) |
Proposed
maximum aggregate value of transaction: | ||||||
5) |
Total
fee paid: | ||||||
[
] |
Fee
paid previously with preliminary materials. | ||||||
[
] |
Check
box if any part of the fee is offset as provided by Exchange Act Rule
0-11(A)(2) and identify the filing fee for which offsetting fee was paid
previously. Identify the previous filing by registration statement number,
or the Form or Schedule and the date of its filing. | ||||||
1) |
Amount
Previously Paid: | ||||||
2) |
Form,
Schedule or Registration Statement No.: | ||||||
3) |
Filing
Party: | ||||||
4) |
Date
Filed: |
• |
by
giving written notice of revocation to Terry B. Osborne, Secretary of
Citizens Financial Services, Inc., at 15 South Main Street, Mansfield,
Pennsylvania 16933, |
• |
by
executing a later-dated proxy and giving written notice to the Secretary
of the corporation, or |
• |
by
attending the annual meeting and voting in person after giving written
notice to the Secretary of the corporation. |
• |
Mark
your selections. |
• |
Date
your proxy and sign your name exactly as it appears on your
proxy. |
• |
Mail
the proxy to Citizens Financial Services, Inc. in the enclosed
postage-paid envelope. |
• |
Attend
the annual meeting and show proof of eligibility to
vote. |
• |
Obtain
a ballot. |
• |
Mark
your selections. |
• |
Date
your ballot and sign your name exactly as it appears in the corporation’s
transfer books. |
Name |
Class
of
Director |
Director
Since |
Age
as of
March
2, 2005 |
Randall
E. Black |
1 |
2004 |
38 |
R.
Lowell Coolidge |
1 |
1984 |
64 |
Larry
J. Croft |
1 |
1990 |
69 |
Mark
L. Dalton |
2 |
1998 |
50 |
Roger
C. Graham, Jr. |
3 |
2001 |
49 |
E.
Gene Kosa |
3 |
2001 |
58 |
R.
Joseph Landy |
3 |
2001 |
50 |
John
E. Novak |
2 |
1984 |
68 |
Carol
J. Tama |
1 |
1986 |
64 |
Rudolph
J. van der Hiel |
2 |
1984 |
65 |
James
A. Wagner |
3 |
2004 |
58 |
Name
and Position
|
Held
Since
|
Employee
Since
|
Number
of Shares
Beneficially
Owned(1)
|
Age
as of
March
2, 2005
| |
R.
Lowell Coolidge
Chairman
of the Board |
1984 |
(2) |
154,018 |
64 | |
Randall
E. Black
Chief
Executive Officer and President |
2004
|
1993
|
1,193
|
38
| |
Terry
B. Osborne
Secretary |
1984
|
1984
|
1,294
|
51
| |
Rudolph
J. van der Hiel
Assistant
Secretary |
1984
|
(2)
|
17,805
|
65
| |
Thomas
C. Lyman
Treasurer |
1988
|
1988
|
402
|
59
| |
Mickey
L. Jones
Assistant
Treasurer |
2004
|
2004
|
0
|
44
|
(1) |
See
Table entitled “Share Ownership by Directors, Officers and Nominees” on
page 14 for additional share ownership
information. |
(2) |
This
individual is not an employee of Citizens Financial Services, Inc. or
First Citizens National Bank. |
Year End December 31, |
2003 |
2004 |
Audit Fees (1) |
$69,661 |
$70,508 |
Audit Related Fees |
$0 |
$0 |
Tax Services (2) |
$6,550 |
$7,550 |
All Other Fees (3) |
$95,007 |
$45,009 |
(1) |
Audit
fees consist of fees for professional services rendered for the audit of
Citizens Financial Services, Inc.’s financial statements and review of
financial statements included in Citizens Financial Services, Inc.’s
quarterly reports and services normally provided by the independent
auditor in connection with statutory and regulatory filings or
engagements. |
(2) |
Tax
service fees consist of compliance fees for the preparation of original
tax returns. Tax service fees also include fees relating to other tax
advices, tax consulting and planning other than for tax compliance and
preparation. |
(3) |
Other
services consisted primarily of consulting services for the facilitating
of strategic planning meetings, loan servicing quality control review and
regulatory compliance review |
Larry
J. Croft |
Mark
L. Dalton |
Rudolph
J. van der Hiel | ||
John
E. Novak |
E.
Gene Kosa |
Summary
Compensation Table | ||||||||
Name
and
Principal
Position |
Year |
Long
Term Compensation |
||||||
Annual
Compensation |
Awards |
Payouts |
||||||
Salary
($) |
Bonus
($) |
Other
Annual
Compensation
($) |
Restricted
Stock
Award(s)
($) |
Securities
Underlying
Options/SARs
(#) |
LTIP
Payouts
($) |
All
Other
Compensation
($) | ||
John
M. Thomas, M.D. Interim President of the corporation and
bank |
2004
2003 |
None |
None |
$29,897
(1)
$13,080
(1) |
None |
None |
None |
$21,155
(2)
$4,850
(2) |
Terry
B. Osborne
Executive
Vice
President
& Secretary of the
corporation
and bank |
2004
2003
2002 |
$125,214
$117,431
$111,688 |
$10,908
$16,545
$19,941 |
$4,560
(3)
$4,455
(3)
$4,020
(3) |
None |
None |
None |
$5,073
(4)
$3,990
(4)
$8,227
(4) |
Randall
E. Black
CEO
& President of the corporation and bank |
2004
2003 |
$104,600
$100,600 |
$9,847
$12,090 |
$1,082
(5)
None |
None |
None |
None |
$3,724
(6)
$3,099
(6) |
Alexander
D. Nadalini
Senior
Vice President/
Senior
Credit Officer |
2004
2003 |
$103,750
$96,154 |
$9,961
$5,937 |
None |
None |
None |
None |
$4,696
(7)
$803
(7) |
(1) |
In
2004, this amount includes $17,474 in taxes paid by the corporation on
behalf of Dr. Thomas and $12,423 in reimbursed temporary living expenses
including rent, utilities, and airfare. In 2003, this amount included
$4,991 in taxes paid by the corporation on behalf of Dr. Thomas and $8,089
in reimbursed temporary living expenses including rent, utilities, and
airfare. |
(2
) |
In
2004, this amount includes $16,130 non-cash compensation received by Dr.
Thomas in the form of stock and $5,025 in deferred director’s fees earned
by Dr. Thomas. In 2003, this amount includes $4,850 in deferred directors
fees earned by Dr. Thomas. |
(3) |
In
2004, this amount includes $4,560 in fees paid to Mr. Osborne as Secretary
of the corporation. In 2003, this amount included $4,455in fees paid to
Mr. Osborne. In 2002, this amount included $4,020 in fees paid to Mr.
Osborne. |
(4) |
In
2004, this amount includes approximately $4,245 for tax deferred profit
sharing for Mr. Osborne and $828 for imputed income for life insurance. In
2003, this amount included approximately $3,461 for tax deferred profit
sharing for Mr. Osborne and $529 for imputed income for life insurance. In
2002, this amount included approximately $7,732 for tax deferred profit
sharing for Mr. Osborne and $495 for imputed income for life insurance.
|
(5) |
In 2004, this amount includes golf fee reimbursement to Mr. Black. |
(6) |
In
2004, this amount includes approximately $3,442 for tax deferred
profit-sharing for Mr. Black and $282 for imputed income for life
insurance. In 2003, this amount included approximately $2,830 for tax
deferred profit sharing and $269 for imputed income for life insurance.
|
(7) |
In
2004, this amount includes approximately $3,449 for tax deferred profit
sharing for Mr. Nadalini and $1,247 for imputed income for life insurance.
In 2003, this amount included $803 for imputed income for life insurance.
|
Average
Annual
Earnings
|
Annual
Pension Benefits Upon Retirement
with
Years of Service Indicated | |||||
15
---- |
20
---- |
25
---- |
30
---- |
35
---- | ||
$20,000 |
3,900 |
5,200 |
6,500 |
7,800 |
7,800 | |
$40,000 |
7,800 |
10,400 |
13,000 |
15,600 |
15,600 | |
$60,000 |
13,140 |
17,520 |
21,900 |
26,280 |
26,280 | |
$80,000 |
19,140 |
25,520 |
31,900 |
38,280 |
38,280 | |
$100,000 |
25,140 |
33,520 |
41,900 |
50,280 |
50,280 | |
$120,000 |
31,140 |
41,520 |
51,900 |
62,280 |
62,280 | |
$140,000 |
37,140 |
49,520 |
61,900 |
74,280 |
74,280 | |
$160,000 |
43,140 |
57,520 |
71,900 |
86,280 |
86,280 | |
$180,000 |
49,140 |
65,520 |
81,900 |
98,280 |
98,280 | |
$200,000 |
55,140 |
73,520 |
91,900 |
110,280 |
110,280 | |
$220,000 |
56,640 |
75,520 |
94,400 |
113,280 |
113,280 | |
$240,000 |
56,640 |
75,520 |
94,400 |
113,280 |
113,280 |
Name |
Age
as of
March
2, 2005 |
Principal
Occupation
for
Past Five Years |
Director
Since
Corporation/Bank |
CURRENT
CLASS 1 DIRECTORS WHOSE TERM EXPIRES IN 2005
AND
NOMINEES FOR CLASS 1 DIRECTOR WHOSE TERM EXPIRES IN
2008 | |||
Carol
J. Tama |
64 |
Retired
President of Monaghan Transportation Company |
1986
(1984) |
R.
Lowell Coolidge |
64 |
Attorney-at-Law
with the firm of Walrath and Coolidge, located in Wellsboro,
PA |
1984
(1984) |
Larry
J. Croft |
69 |
Owner
of Croft Ford, Inc., located in Athens, PA |
1990
(1969) |
Randall
E. Black |
38 |
Chief
Executive Officer and President of Citizens Financial Services, Inc. and
First Citizens National Bank |
2004
(2004) |
CURRENT
CLASS 3 DIRECTOR WHOSE TERM EXPIRES IN 2005
AND
NOMINEE FOR CLASS 3 DIRECTOR WHOSE TERM EXPIRES IN
2006 | |||
James
A. Wagner |
58 |
President
of Wagner Ace Hardware, with stores located in Ulysses, PA and
Coudersport, PA |
2004
(2004) |
CURRENT
CLASS 3 DIRECTORS WHOSE TERM EXPIRES IN 2006 | |||
E.
Gene Kosa |
58 |
Partner
in EDKO Farms, a vegetable and dairy farm, located in Ulysses,
PA |
2001
(2001) |
R.
Joseph Landy |
50 |
Attorney-at-Law
with the firm of Landy & Landy, located in Sayre, PA |
2001
(2001) |
Roger
C. Graham, Jr. |
49 |
Retired
Owner of Graham Excavating |
2001
(2001) |
CURRENT
CLASS 2 DIRECTORS WHOSE TERM EXPIRES IN 2007 | |||
John
E. Novak |
68 |
Retired
School Administrator with Southern Tioga School District; retired from
supervising student teachers at Elmira College, located in Elmira,
NY |
1984
(1976) |
Rudolph
J. van der Hiel |
65 |
Attorney-at-Law
with the Law Offices of van der Hiel & Chappell, located in Mansfield,
PA; Rector at St. James Episcopal Church, Mansfield, PA; and Trinity
Episcopal Church, Antrim, PA |
1984
(1975) |
Mark
L. Dalton |
50 |
Owner
of Robert E. Dalton General Insurance, located in Blossburg,
PA |
1998
(1997) |
Name
and Address |
Number
of Shares
Beneficially
Owned
(1) |
Percent
of Outstanding
Common
Stock
Beneficially
Owned (2) |
R.
Lowell Coolidge
Post
Office Box 41
Wellsboro,
Pennsylvania 16901 |
154,018
|
5.42%
|
(1) |
The
securities “beneficially owned” by an individual are determined in
accordance with the definitions of “Beneficial Ownership” set forth in the
general rules and regulations of the Securities and Exchange Commission
and may include securities owned by or for the individual’s spouse and
minor children and any other relative who has the same home, as well as
securities to which the individual has or shares voting or investment
power or has the right to acquire beneficial ownership within 60 days
after March 2, 2005. Beneficial ownership may be disclaimed as to certain
of the securities. |
(2) |
Mr.
Coolidge holds 124,016 shares individually, and 30,002 shares are held by
his spouse. |
Name
of Beneficial
Owner |
Amount
and Nature of
Beneficial
Ownership (1) |
Percent
of Class | |
CURRENT
CLASS 1 DIRECTORS WHOSE TERM EXPIRES IN 2005 AND
NOMINEES
FOR CLASS 1 DIRECTOR WHOSE TERM EXPIRES IN
2008 | |||
Carol J. Tama |
79,385 |
(2) |
2.79% |
R. Lowell Cooldige |
154,018 |
(3) |
5.42% |
Larry J. Croft |
28,337 |
(4) |
1.00% |
Randall E. Black |
1,193 |
(5) |
.04% |
CURRENT
CLASS 3 DIRECTOR WHOSE TERM EXPIRES IN 2005 AND
NOMINEE
FOR CLASS 3 DIRECTOR WHOSE TERM EXPIRES IN
2006 | |||
James A. Wagner |
20,042 |
(6) |
.71% |
CURRENT CLASS 3 DIRECTORS WHOSE
TERM EXPIRES IN 2006 | |||
E. Gene Kosa |
1,062 |
(7) |
.04% |
R. Joseph Landy |
7,416 |
(8) |
.26% |
Roger C. Graham, Jr. |
13,527 |
.48% | |
CURRENT CLASS 2 DIRECTORS WHOSE
TERM EXPIRES IN 2007 | |||
John E. Novak |
3,606 |
(9) |
.13% |
Rudolph J. van der Hiel |
17,805 |
(10) |
.63% |
Mark L. Dalton |
1,208 |
.04% | |
All
Nominees, Directors and Executive Officers as a Group
11
directors, 8 officers, 19 persons |
332,328 |
11.70% |
(1) |
The
securities “beneficially owned” by an individual are determined in
accordance with the definitions of “Beneficial Ownership” set forth in the
general rules and regulations of the Securities and Exchange Commission
and may include securities owned by or for the individual’s spouse and
minor children and any other relative who has the same home, as well as
securities to which the individual has or shares voting or investment
power or has the right to acquire beneficial ownership within 60 days
after March 2, 2005. Beneficial ownership may be disclaimed as to certain
of the securities. |
(2) |
Mrs.
Tama holds 74,578 shares individually, and 4,807 shares in a
partnership. |
(3) |
Mr.
Coolidge holds 124,016 shares individually, and 30,002 shares are held by
his spouse. |
(4) |
Mr.
Croft holds 17,928 shares individually, 9,850 shares jointly with his
spouse, and 559 shares are held by his spouse.
|
(5) |
Mr.
Black holds 1,193 shares jointly with his
spouse. |
(6) |
Mr.
Wagner holds 7,501 shares individually, and 12,541 shares jointly with his
father and brother. |
(7) |
Mr.
Kosa holds 985 shares jointly with his spouse, 20 shares are held by his
spouse, and 57 shares are held in an investment
club. |
(8) |
Mr.
Landy holds 3,882 shares individually, 2,586 shares jointly with his
spouse, and 948 as custodian for his
children. |
(9) |
Mr.
Novak holds 3,419 shares individually, and 187 shares are held by his
spouse. |
(10) |
Mr.
van der Hiel holds 16,241 shares individually, 22 shares are held jointly
with his spouse, and 1,542 shares are held by his spouse.
|
Period
Ending |
||||||
Index |
12/31/99 |
12/31/00 |
12/31/01 |
12/31/02 |
12/31/03 |
12/31/04 |
Citizens
Financial Services, Inc. |
100.00 |
73.76 |
92.25 |
152.14 |
172.18 |
179.52 |
S&P
500* |
100.00 |
101.90 |
80.42 |
62.64 |
80.62 |
89.47 |
NASDAQ
Composite |
100.00 |
60.82 |
48.16 |
33.11 |
49.93 |
54.49 |
Mid-Atlantic
Custom Peer Group** |
100.00 |
90.64 |
107.51 |
135.15 |
182.03 |
204.59 |
NOTE:
The Mid-Atlantic Custom Peer Group consists of Mid-Atlantic commercial
banks with assets less than $1 billion. | ||||||
Source:
CRSP, Center for Research in Security Prices, Graduate School of Business,
The University of Chicago 2005. Used with permission. All
rights reserved. crsp.com. |
1. |
To
Elect Four Class 1 Directors |
• |
Carol
J. Tama (director since 1984). |
• |
R.
Lowell Coolidge (director since 1984). |
• |
Larry
J. Croft (director since 1990). |
• |
Randall
E. Black (director since 2004). |
2. |
To
Elect One Class 3 Director |
• |
James
A. Wagner (director since 2004). |
· |
Monitor
the integrity of the Corporation's financial reporting process and systems
of internal controls regarding finance, accounting and regulatory
compliance. |
· |
Monitor
the independence and performance of the Corporation's independent auditors
and internal auditing department. |
· |
Provide
an avenue of communication among the independent auditors,
|
· |
Perform
the Audit Committee Function for such subsidiaries of the Corporation as
determined by the Board of Directors to the extent permissible under
applicable law. |
1.
|
Review
the Corporation's interim financial results and annual audited financial
statements prior to filing or distribution. The review should include
discussion with management and independent auditors of significant issues
regarding accounting principles, practices, and judgments. Discuss with
Independent Auditors its judgment about the quality, not just
acceptability, of the Corporation's accounting principles as applied in
its financial reporting. |
2.
|
In
consultation with management, independent auditors, and internal auditors,
consider the integrity of the Corporation's financial reporting processes
and controls. Discuss significant financial risk exposures and steps taken
by management to monitor, control, and report such
exposures. |
3.
|
Review
significant findings prepared by the independent auditors and the internal
auditors together with management's responses. Gain an understanding of
whether internal control recommendations made by internal and independent
auditors have been implemented by
management. |
4. |
Review
the adequacy of the Corporation's internal controls.
|
5. |
The
Committee's job is one of oversight as set forth in this Audit Charter. It
is not the duty of the Committee to prepare the Corporation's financial
statements, to plan or conduct audits, or to determine that the
Corporation's financial statements are complete and accurate and are in
accordance with generally accepted accounting principles. The
Corporation's management is responsible for preparing the Corporation's
financial statements and for maintaining internal control, and the
independent auditors are responsible for auditing the financial
statements. |
6. |
In
performing their duties and responsibilities, as permitted under the
Pennsylvania Business Corporation Law, as amended, Committee members are
entitled to rely in good faith on information, opinions, reports or
statements prepared or presented by: |
· |
One
or more officers or employees of the Corporation whom the Committee member
reasonably believes to be reliable and competent in the matters
presented; |
· |
Counsel,
independent auditors, or other persons as to matters which the Committee
member reasonably believes to be within the professional or expert
competence of such person; or |
· |
Another
committee of the Board as to matters within its designated authority which
committee the Committee member reasonably believes to merit
confidence. |
1. |
The
independent auditors are ultimately accountable to the Audit Committee and
the Board of Directors. The Audit Committee shall review the independence
and performance of the auditors and annually recommend to the Board of
Directors the appointment of the independent auditors or approve any
discharge of auditors when circumstances
warrant. |
2. |
Review
the independent auditors' timetable, scope and approach of the quarterly
reviews and annual examination of the financial
statements. |
3. |
Obtain
from the independent auditors their annual communication to the Audit
Committee in satisfaction of SAS 61 regarding communication with the Audit
Committee, and, if applicable, any commentary on internal contracts or
other recommendations. |
4. |
Review
and discuss with the independent auditors all significant relationships
they have with the Corporation that could impair the auditors'
independence. |
1. |
Approve
an Annual Risk Assessment and Audit Plan developed by the internal
auditors. |
2. |
Meet
quarterly with the internal auditors to gain an understanding of the
effectiveness of the internal audit function. These meetings will also
serve in evaluating their performance. |
3. |
Review
significant reports prepared by the internal auditors together with
management's response and follow-up to these
reports. |
4. |
The
Audit Committee may contract for internal audit services as necessary to
assess the adequacy and effectiveness of internal controls, the accuracy
of management reporting and compliance with laws, regulations and bank
policy. The Audit Committee will set forth the outsourcing vendor's
responsibilities in a written contract the terms of which comply with the
"Interagency Policy Statement of Internal Audit and Internal Audit
Outsourcing." |
1. |
Periodically
obtain updates from management and compliance auditors regarding
compliance with laws and regulations. |
2. |
Review
the findings of any examination by regulatory agencies such as the Board
of Governors of the Federal Reserve System, the Office of the Comptroller
of the Currency, or the Securities and Exchange
Commission. |
3. |
3. Be
familiar with Management's response to regulatory
examinations. |
1. |
Review
and update the Audit Charter annually and submit the charter to the Board
of Directors for approval. Ensure that the charter is included within the
Corporation's proxy statement once every three years or as may otherwise
be required by applicable laws and
regulations. |
2. |
Prepare
an annual Audit Committee Report for inclusion in the Corporation's Annual
Proxy Statement that states a formal audit charter has been approved and
that the Audit Committee has satisfied its responsibility during the
year. |
3. |
Perform
other oversight functions as requested by the Board of Directors. Further,
the Audit Committee shall have the power to conduct or authorize
investigations into any matters within the committee's scope of
responsibilities. |
4. |
Maintain
minutes of meetings and periodically report to the Board of Directors on
significant results of the foregoing
activities. |
5. |
Meet
periodically with the internal auditors, the independent accountants, and
management in separate executive sessions to discuss any matters that the
committee or these groups believe should be discussed privately with the
audit committee. |
6. |
Report
Audit Committee actions to the Board of Directors with such
recommendations, as the Audit Committee may deem
appropriate. |
7. |
Establish
procedures with regard to the receipt, retention and treatment of
complaints regarding accounting, internal accounting controls or auditing
matters. |
1. |
Where
the Committee is performing the duties required by law to be performed by
an audit committee for a subsidiary bank of the Corporation that does not
have its own audit committee, will review with management and the
independent auditors the basis for the reports required to be filed by
management and by the independent auditors with the FDIC pursuant to 12
C.F.R. Sections 363. |
2. |
Perform
the duties required to be performed by the fiduciary audit committee for
any bank subsidiary of the Corporation exercising fiduciary powers that
does not have its own audit committee, in each case to the extent
permitted, and in the manner required, by applicable laws and
regulations. |
1. |
To
elect four Class 1 Directors to serve for a three-year term and until
their successors are elected and qualified. |
2. |
To
elect one Class 3 Director to serve for a one-year term and until his
successor is elected and qualified |
3. |
To
transact such other business as may properly come before the annual
meeting or any adjournment or postponement
thereof. |
By Order of the Board of Directors, |
Randall E. Black |
Chief Executive Officer and President |
1. |
ELECTION
OF CLASS 1 DIRECTORS TO SERVE FOR A THREE-YEAR
TERM |
Carol
J. Tama |
R.
Lowell Coolidge |
Larry
J. Croft |
Randall
E. Black |
r |
FOR
all nominees
listed
above (except
as
marked to the
contrary
below) |
r |
WITHHOLD
AUTHORITY
to
vote for all nominees
listed
above |
2. |
ELECTION
OF CLASS 3 DIRECTOR TO SERVE FOR A ONE-YEAR
TERM |
James
A. Wagner |
r |
FOR
all nominees
listed
above (except
as
marked to the
contrary
below) |
r |
WITHHOLD
AUTHORITY
to
vote for all nominees
listed
above |
3. |
In
their discretion, the proxyholders are authorized to vote upon such other
business as may properly come before the meeting and any adjournment or
postponement thereof. |
Dated:
,
2005 | |
| |
Number
of Shares Held of Record
on
March 2, 2005 (Indicated Above) |
Signature(s) (Seal) |