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Local Board MembershiR <br />Instructions <br />Enter the names of the Local Board members In the appropriate membership categories found <br />In the tables below, If the Chief Local Elected Official (CEO) has approved additional members, <br />enter the information under the "ADDITIONAL MEMBERS" table. If an individual represents <br />multiple categories, after the first time s /he is identified (subsequent to the first notation), <br />please asterisk his /her name at all subsequent entries. Address any vacancies under <br />"CORRECTIVE ACTION COMMENTS." If additional rows are needed, add a table following the <br />membership type. <br />Page 4 of 18 <br />55B -10 <br />