b"MRCA NOMINATING COMMITTEE DATA SHEET Please complete the following information about the person you have recommended for the position of OFFICER or DIRECTOR ofComplete and accurate information will help the MRCA. Nominating Committee in making determinations and will likewise assist the recommended person in receiving appropriate consideration. CANDIDATE___________________________ _ OFFICE Company Name __________________________________AdddressCity ____________________________________ StateZip Positions held in local, state, or national roofing associations: Regarding his business:(Please check type ofof business and approximate percentagetotal sales.) BUR____%SHINGLE_ ___ %UNION____%OTHER ____%ROOF DECK ____%NON_UNION ____%Is candidate's roofing business :Small __,Medium __,Large ___ ? Interests and special knowledge - i.e., technical, labor, education,or? Have you talked to the candidate and does he understand that his name is being proposed? YESNO MRCA Member references (Names and Company Name, please) COMMENT:_____________________________SUBMITTED BY:____________________________PLEASE MAKE ANY ADDITIONAL COMMENTS ON THE REVERSE SIDE OF THIS SHEET. Please forward completed Data Sheet to: MRCA Nominating Committee David Kielpinski Cudahy Roofing & Supply, Inc. P.O. Box 525 Cudahy, Wisconsin531 IO"