Startup Equity Voting Form
Startup Equity Voting Form – Please complete all sections to submit your official vote as an equity holder.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Company / Startup Name
*
Share Class or Equity Class Held
*
Please Select
Common Stock
Preferred Stock
SAFE
Convertible Note
Option/Warrant
Other
Number of Shares or Voting Units Held
*
Proposal or Vote Item Identifier / Title
*
Vote Selection
*
For
Against
Abstain
Comments or Rationale (optional)
I confirm that I am authorized to submit this vote on the indicated equity position.
*
I confirm I am authorized to vote on this equity position
I acknowledge that the submitted vote reflects my decision for this Startup Equity Voting Form.
*
I acknowledge my vote reflects my final decision
Submit Vote
Should be Empty: