Call for Candidates for Upcoming FINRA Regional Committee Elections

Regional Committee Seat Sought Select only one of the seats listed below. (Qualified registered representatives are eligible to represent the region/district where their firm is headquartered.) Name: Individual CRD#:
(As you would like it to appear on official correspondence) Current Registration Title Firm Name: Firm CRD#:
Address
Street Address: Suite/Floor:
City: State:
Email:
Phone:
INSTRUCTIONS FOR PAGE 2
The information on the following page will be displayed on FINRA’s Regional Committee election web page as submitted. Please carefully review the information before submission. Provide a brief biography or summary of your qualifications to serve on the Regional Committee. You may want to consider including your employment experience, service on other industry-related boards and committees, etc. Provide a statement of why you are running for a seat on the Regional Committee and why firms should vote for you. (No more than 3,000 characters - approximately 500 words.) Eligibility Criteria (must meet all criteria) y Associated with a FINRA member headquartered in the district they are seeking to represent on the Regional Committee y Registered in the capacity of a branch manager or principal or denoted as a corporate officer of the FINRA member Candidate Nomination and Profile Form—Regional Committee Election Please complete all sections on both pages and email this document to CorporateSecretary@finra.org. Please note the second page will be made available publicly on our website. North Region Committee:
y District 9 Representative y District 11 Representative South Region Committee:
y District 5 Representative y District 6 Representative y District 7 Representative West Region Committee:
y District 1 Representative y District 2 Representative y District 3 Representative Midwest Region Committee:
y District 4 Representative y District 8 Representative New York Region Committee:
y District 10 Representative

Candidate Profile Form—Regional Committee Election (this page will be displayed on finra.org) Candidate Name:
Title: Firm:
Candidate Biography and Personal Statement (3,000 character limit - approximately 500 words) Optional Link:
LinkedIn Profile: