Application and Statement of Interest for the Board of Directors Name: Age: Address: Telephone: Email: B. All positions and offices presently held with the Corporation: C. Remaining Term of Office: D. All periods of service as Director of the Corporation: E. If you were on the Board this past fiscal year, did you attend at least 75% of the Board’s meetings (including regularly scheduled meetings, special meetings, and meetings for committees on which you served)? YesNo If no, please disclose the percentage of meetings you attended: F. Do you have a family relationship (meaning parent, spouse, sibling or child) with any director or executive officer of the Corporation or any of its subsidiaries? YesNo If yes, please describe the name of the person and the nature of any family relationship: G. Total number of Board meetings, including regularly scheduled and special meetings on which you served percentage of attendance: H. Current occupation: If you have held more than one job in the past 5 years, please describe your previous occupation(s) in the past 5 years: I. Please list any qualifications, experience and education that prepare you for FWI Board service. List all other boards, commissions, councils, etc. on which you serve(d) and how that experience will enhance your participation on the FWI Board of Directors: J. Please describe your education: High School graduate? YesNo Where? Post-High School? YesNo Describe all education, post high school, including college or post graduate degrees, trade school certificates you hold, certifications and other courses: K. Have you been declared by a court of competent jurisdiction to be mentally incapable of caring for oneself or a danger to others by reason of mental illness or physical incapacity in the last 15 years? YesNo L. Have you been convicted of, plead guilty, or plead nolo contendere to a felony or a crime of moral turpitude in the last 15 years? YesNo M. Have you been found liable for, or confessed judgment for commission of fraud or conversion in the last 15 years? YesNo N. Have you owed on an outstanding judgment issued in favor of the Corporation in the last 15 years? YesNo O. Have you been directed or ordered by any court or other lawful authority to enroll or participate in an alcohol or drug rehabilitation program and did not successfully complete such program in the last 15 years? YesNo P. Have you been prohibited by any court or other lawful authority from engaging in any insurance business, securities business, commodities futures businesses, mortgage banking business, banking, savings and loan, or credit union business, or gaming or wagering business in the last 15 years? YesNo Q. Have you been found by any court or other lawful authority to have committed a breach of trust, a breach of fiduciary duty, or a fraud upon creditors, insurers, employers, or consumers in the last 15 years? YesNo R. Have you been removed from the position of director or officer of any other Corporation in the last 15 years? YesNo S. Have you been found by any court or other lawful authority to have been a cause for any disciplinary action imposed upon a business entity in the last 15 years? YesNo T. Have you had a license to practice law, public accounting, medicine, or pharmacy revoked by a court, regulatory or administrative authority or official, or arbitral official based on any finding of misconduct, incompetence, or gross negligence in the last 15 years? YesNo U. Have you been found by a court, regulatory, administrative authority or official, or arbitral body (or admitted in a proceeding) to have materially breached a confidentiality agreement with the Corporation in the last 15 years? YesNo V. Have you been convicted of crime or entered a plea of no contest in any criminal proceeding, other than a traffic violation in the last 15 years? YesNo If yes, please fully disclose the nature of each offense for which you were convicted or entered a plea of no contest. Please fully describe each such event, including the nature of the conviction and whether you are now on probation. W. Within the past 15 years, have you been part of any bankruptcy or insolvency proceedings or been appointed a receiver? YesNo If yes, please fully disclose the nature of the proceedings. Please fully describe each such event. X. Has a final judgment, order, or decree (not subsequently reversed or vacated) been entered against you for engaging in unethical or illegal business practices or for violating securities laws? YesNo If yes, please fully disclose the nature of the proceedings. Please fully describe each such event, including the final disposition of the case. Y. Are you, or anyone in your family, employed by, an officer or director of, or owner of any other entity that has engaged in any financial transactions with the Corporation? YesNo If yes, please describe the nature of the financial transaction. Z. Write a short paragraph stating why you are interested in being on the Board of Directors for Far West, Inc. and how you feel you can be of service to Far West, Inc. and how many shareholders meetings you have attended and what interested you: AA. Describe your understanding of the role of a Director and the major duties and responsibilities: BB. Describe your experience with reading and understanding audits, budgets, financial statements, and related reports: CC. Describe your views on the relationship between a Board of Directors and Management: DD. Describe your investment and business development philosophy. With your experience, what suggestions would you make to improve FWI’s performance? EE. What are your opinions on investing in the Chignik region, within the State of Alaska, outside the State of Alaska? FF. What ways would you suggest FWI promote economic development within the Chignik region? GG. Do you have additional comments or questions? I certify that I have truthfully answered each of the foregoing questions. I would like the Board of Directors of Far West, Inc. to consider my application for appointment to a position on the Board of Directors of Far West, Inc. I understand that, if I am appointed, I will become a fiduciary of Far West, Inc. and I agree to serve on the Board of Directors of Far West, Inc. I authorize Far West, Inc. to disclose the matters stated on this application and I understand that the personal details to which I have answered may be published to shareholders of Far West, Inc. I therefore expressly waive any right to privacy that I may have with regard to any matter contained herein, and I expressly authorize Far West, Inc. to publish my qualifications as stated herein. I understand that by submitting this application, I am requesting the Far West Board of Directors to consider my name for appointment as a member of the Board of Directors of Far West, Inc. I understand that the Far West Board of Directors, in its sole discretion, may decide whether or not to consider my name for appointment. If my name is not considered or appointed by the Board of Directors, I expressly release the Board of Directors, and each of them individually, and Far West, Inc. from any and all liability or fault, whether innocent, negligent, reckless, or intentional. I agree to indemnify, hold harmless and defend Far West, Inc., its officers and directors, agents and attorneys from and against any claims, causes of action, or lawsuit arising out of the use or publication of the information contained herein, or any decision not to consider or appoint my name. Dated: Signature:
