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<tr style="background-color:#F5F5F5">
<th style="vertical-align:top;color:#222;text-align:left;padding:7px 9px 7px 9px;border-top:1px solid #eee;">
Name of Officer:
<span class="req" style="color:red">*</span> </th>
<td style="vertical-align:top;color:#333;width:60%;padding:7px 9px 7px 0;border-top:1px solid #eee;">
<span class="fn n">
<span class="given-name" style="padding:0 5px 0 0">Samantha</span>
<span class="family-name">Demetriou</span>
</span>
</td>
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<tr style="background-color:#FFFFFF">
<th style="vertical-align:top;color:#222;text-align:left;padding:7px 9px 7px 9px;border-top:1px solid #eee;">
Officer Email Address:
<span class="req" style="color:red;">*</span> </th>
<td style="vertical-align:top;color:#333;width:60%;padding:7px 9px 7px 0;border-top:1px solid #eee;">
<a class="email" href="mailto:sdemetriou@verisign.com">sdemetriou@verisign.com</a>
</td>
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<tr style="background-color:#F5F5F5">
<th style="vertical-align:top;color:#222;text-align:left;padding:7px 9px 7px 9px;border-top:1px solid #eee;">
Date Prepared:
<span class="req" style="color:red;">*</span> </th>
<td style="vertical-align:top;color:#333;width:60%;padding:7px 9px 7px 0;border-top:1px solid #eee;">
<abbr class="dtstamp" title="20170920" style="font-style:normal;border:none;">Wednesday, September 20, 2017</abbr>
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<tr style="background-color:#FFFFFF">
<th style="vertical-align:top;color:#222;text-align:left;padding:7px 9px 7px 9px;border-top:1px solid #eee;">
GNSO Organization:
<span class="req" style="color:red">*</span> </th>
<td style="vertical-align:top;color:#333;width:60%;padding:7px 9px 7px 0;border-top:1px solid #eee;">
<div>Registries Stakeholder Group</div>
</td>
</tr>
<tr style="background-color:#F5F5F5" >
<th style="vertical-align:top;color:#222;text-align:left;padding:7px 9px 7px 9px;border-top:1px solid #eee;">
Officer Position or Title:
<span class="req" style="color:red">*</span> </th>
<td id="roField5" style="vertical-align:top;color:#333;width:60%;padding:7px 9px 7px 0;border-top:1px solid #eee;">
<div>Vice Chair, Administration</div>
</td>
</tr>
<tr style="background-color:#FFFFFF">
<th style="vertical-align:top;color:#222;text-align:left;padding:7px 9px 7px 9px;border-top:1px solid #eee;">
Voting Remedy:
<span class="req" style="color:red">*</span> </th>
<td style="vertical-align:top;color:#333;width:60%;padding:7px 9px 7px 0;border-top:1px solid #eee;">
<div>Proxy</div>
</td>
</tr>
<tr style="background-color:#F5F5F5">
<th style="vertical-align:top;color:#222;text-align:left;padding:7px 9px 7px 9px;border-top:1px solid #eee;">
Reason(s) for or condition(s) leading to the remedy:
<span class="req" style="color:red">*</span> </th>
<td style="vertical-align:top;color:#333;width:60%;padding:7px 9px 7px 0;border-top:1px solid #eee;">
<div>RySG's GNSO Councilor Keith Drazek has a conflict that may cause him to miss the GNSO Council call on 20 September 2017. He is appointing Rubens Kuhl as his proxy for any votes that occur during the call.</div>
</td>
</tr>
<tr style="background-color:#FFFFFF">
<th style="vertical-align:top;color:#222;text-align:left;padding:7px 9px 7px 9px;border-top:1px solid #eee;">
Specific subject(s)/measure(s)/motion(s)/action(s) of the Council for which the remedy is being exercised:
<span class="req" style="color:red">*</span> </th>
<td style="vertical-align:top;color:#333;width:60%;padding:7px 9px 7px 0;border-top:1px solid #eee;">
<div>Any subject(s), measure(s), motion(s) or action(s) that take place during the GNSO Council call on 20 September 2017.</div>
</td>
</tr>
<tr style="background-color:#F5F5F5">
<th style="vertical-align:top;color:#222;text-align:left;padding:7px 9px 7px 9px;border-top:1px solid #eee;">
Date upon which the remedy will expire or terminate:<br />
[Note: may not exceed 3 months initially; may be renewed by sending an email with explanation to GNSO Secretariat]
<span class="req" style="color:red;">*</span> </th>
<td style="vertical-align:top;color:#333;width:60%;padding:7px 9px 7px 0;border-top:1px solid #eee;">
<abbr class="dtstamp" title="20170921" style="font-style:normal;border:none;">Thursday, September 21, 2017</abbr>
</td>
</tr>
<tr class="radio" style="background-color:#FFFFFF">
<th style="vertical-align:top;color:#222;text-align:left;padding:7px 9px 7px 9px;border-top:1px solid #eee;">
I affirm that a voting position has been established on the matter(s) at issue pursuant to provisions contained in our Charter or Bylaws.
<span class="req" style="color:red">*</span> </th>
<td style="vertical-align:top;color:#333;width:60%;padding:7px 9px 7px 0;border-top:1px solid #eee;">
<div>Yes</div>
</td>
</tr>
<tr class="radio" style="background-color:#F5F5F5">
<th style="vertical-align:top;color:#222;text-align:left;padding:7px 9px 7px 9px;border-top:1px solid #eee;">
Our GNSO Councilor has been instructed on how to vote on the matter(s).
<span class="req" style="color:red">*</span> </th>
<td style="vertical-align:top;color:#333;width:60%;padding:7px 9px 7px 0;border-top:1px solid #eee;">
<div>Yes</div>
</td>
</tr>
<tr style="background-color:#FFFFFF">
<th style="vertical-align:top;color:#222;text-align:left;padding:7px 9px 7px 9px;border-top:1px solid #eee;">
Please identify the GNSO Councilor who will serve as the voting proxy:
<span class="req" style="color:red">*</span> </th>
<td style="vertical-align:top;color:#333;width:60%;padding:7px 9px 7px 0;border-top:1px solid #eee;">
<span class="fn n">
<span class="given-name" style="padding:0 5px 0 0">Rubens</span>
<span class="family-name">Kuhl</span>
</span>
</td>
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