cfo nomination form

8/6/2019 CFO Nomination Form

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A successful chief financial officer has a range of responsibilities that extend beyond thetraditional duties of accounting, financial reporting, budgeting and capital financing. In todayschallenging business environment, a top CFO must be the organizations financial steward whilecontributing to operational and strategic planning in innovative ways a leader as dedicated totheir companys success as they are to ensuring their companys reputation in the community.

This program will recognize the outstanding contributions a CFO has made to his/her companys performance, their contribution and commitment to their professions and organizations as well astheir involvement in the community.

Eligibility:y Candidates must be a Chief Financial Officer or heads of finance within the

company/organizationy M inimum period of service is two consecutive years in the same company/organizationy N ominee must live and work on Long Island in N assau County or Suffolk Countyy All nominations must be acknowledged or endorsed by the nomineey N ominations may be submitted by a company/organization for their own CFO or on

behalf of another, such as a client. Self-nominations will also be accepted.

Ca tegories: Public Company with revenue from $1mm to $10mm Public Company with revenue from $10mm to $25mm Public Company with revenue from $25mm to $50mm Public Company with revenue $50mm and above

Private Company with revenue from $1mm to $10mm Private Company with revenue from $10mm to $25mm Private Company with revenue from $25mm to $50mm Private Company with revenue $50mm and above

Not-For-Profit with revenue from $1mm to $5mm Not-For-Profit with revenue from $5mm to $15mm Not-For-Profit with revenue $15mm and above

C riteri a :y Financial management-demonstrated contribution to the companys growth and/or

profitability, with quantitative examples. Please provide specific examples.y Achieved operational efficiency, cost reduction, cash flow improvement.y Innovative financing.y R evenue growth.y Formed strategic partnerships.y Implementation of best practices.y Strategic thinking-provide details of how his/her ideas or initiatives strengthened the

companys market position. Indicate success in overcoming business challenges.


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y Contribution to the companys reputation-demonstrated commitment to fiscal integrityand accountability.

y Outstanding mentor.y Contributions outside of the company-volunteering, pro-bono or non-profit work,

fundraising initiatives, participation on Boards of charitable and civic organizations.

Ca tegory: E merging Company with revenue up to $3mmC omp an y criteri a : A public or private company; is currently or has in the past been backed byventure investors; has demonstrated significant and sustainable growth over the most recentthree-year period; has become a leader in its industry sector.N omi na tio n criteri a : CFO of a company under $3mm in revenue who has made an outstandingcontribution to his/her companys performance as evidenced by significant growth and byrecognition of the company as a future leader in its industry. Has played a key role in thecompany achieving significant milestones, such as :

y M anaging rapid growth.y Achieving operational efficiency.y Capital structure improvement.y Implementation of best practices.y Achievement is measurable in terms of financial performance, improved competitive

position, and improved company image.y Outstanding team builder.y Contributions outside of the company-volunteering, pro-bono or non-profit work,


Ca tegory:T ransformation Agent This category will recognize particularly tough assignments. The CFO of a public or privatecompany who has used his/her expertise in contributing to a significant transaction,transformation or turnaround of his/her company signifying exceptional work, dedication andachievement. This candidate has played a key role in a significant financial transaction or seriesof transactions resulting in transformation of company, such as :

y R ecapitalization/ R estructuringy Acquisition/divestiturey IPOy Achievement is measureable in terms of capital structure improvement, growth in market

cap and/or revenue, positive ratings changes from equity research analysts and/or debt

rating agencies.y Outstanding team builder.y E xtraordinary performer in difficult circumstances.y Contributions outside of the company-volunteering, pro-bono or non-profit work,



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Ca tegory: L ifetime Achievement Award The Lifetime Achievement Award will recognize a current or former senior financial executivewho has honorably represented his/her company or organization by exemplifying performance,

leadership, integrity, strategy and growth throughout his/her career while bettering the finance profession overall.

To submit a nomination, please supply the following information and give answers to thequestions listed. All information will be held in strict confidence and not made available for

publishing purposes.

INDI CAT E TH E CAT EGORY FOR W H I CH TH IS N OM IN AT I O N IS SUB M I TT E D :

W H O IS SUB M I TT IN G TH IS N OM IN AT I O N?

N a me of N OM IN AT OR:

Em a il add ress of N OM IN AT OR:

T itle of N OM IN AT OR:

C omp an y of N OM IN AT OR:

C omp an y Add ress:

C omp an y T elepho n e:

N a me of comp an y C EO:

Em a il add ress of C EO:

C on ta ct na me (m a rketi n g, office etc):

C on ta ct em a il add ress:

C omp an y INDUS T RY:


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W H O IS B E IN G N OM IN AT E D?

N a me of N OM IN EE:

Ema

iladd

ress of N

OMIN

EE:C omp an y of N OM IN EE:

Nu mber of s u ccessive ye a rs i n C FO or eq u iva len t positio n :

C omp an y Add ress:

N a me of comp an y C EO/Presi d en t:

Em a il add ress of C EO/Presi d en t:

T ELL US A B O U T TH E N OM IN EE S C OMP A N Y

C omp an y INDUS T RY:

D escriptio n of pro d u cts and services:

C omp an ys pro d u ct or service mergers or a cq u isitio n s in p a st three ye a rs:

Ann u a l comp an y s a les (fisc a l or c a lenda r ye a r): 2010, 2009, 2008:

Nu mber of employees:

T ELL US A B O U T TH E N OM IN EE

Why sho u ld this perso n be co n sid ere d a s the C FO of the Ye a r ?

Provi d e a res u me or other d ocu me n ta tio n th a t d et a ils the n omi n ees c a reer history and sig n ific an t a chieveme n ts ( awa r d s, p u blic a tio n s, recog n itio n , etc).

H ow h a s the n omi n ee co n trib u te d to the comp an ys gro w th and /or profit a bility ?

D escribe the n omi n ees str a tegic i n iti a tives and give d et a ils of ho w m a rket positio n h a sbee n stre n gthe n ed by n omi n ees i n iti a tives:

H ighlight the n omi n ees b u sin ess and m ana geme n t pr a ctices th a t exemplify high st anda r d sin in tegrity/ethics and d emo n str a te his/her excelle n ce and a cco u n ta bility:


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H ow h a s the n omi n ee co n trib u te d to other a re a s of corpor a te m ana geme n t?

H ow h a s the n omi n ee m ad e co n trib u tio n s o u tsi d e of the comp an y?

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