Shareholder Forms

All forms can be downloaded or printed from this site. They are also available in Koniag's Shareholder Records office at 104 Center Ave Ste 205, Kodiak Alaska 99615 or by phone at (800) 658-3818 or (907) 486-2530.

 

Descendant Database Application 
Affidavit for Lost or Stolen Stock Certificate
Birth Certificate Application Form
Direct Deposit Form
Intervivos Gifting Form
Koniag Stock Will Form
Certificate of Indian Blood
Change of Address Form

Acrobat Icon Forms require the free Adobe Acrobat Reader

 

Annual Meeting Forms

How Do I Get Nominated for a Board Seat?
Koniag Nomination Form

 

 

Shareholder Information & Resources

To find out more information about these shareholder forms, information and resources please follow the links below.

Descendant Database
Direct Deposit
Gifting your Koniag Stock
Koniag Stock Will Program
Certificate of Indian Blood
Name Change

 

Descendant Database Application

The purpose of this program is to educate the descendants of Koniag shareholders and to inform them of programs and benefits they may be eligible for.

 

Who is eligible? Anyone who is a descendant of a voting Koniag shareholder. For purposes of this program, descendant is defined as child or grandchild of a voting shareholder.

 

How to apply? Complete and sign the Descendant Database Application and include copies of the birth certificates to show the relationship to the Koniag voting shareholder. For example:

-Child of a shareholder - a copy of the child's birth certificate

-Grandchild of a shareholder - a copy of the grandchild's birth certificate and a copy of the parent's birth certificate.

 

There is no deadline for signing up. The application process is on-going.

Please note: If you are currently a shareholder, you should not apply for this program.

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Direct Deposit

Koniag is pleased to offer direct deposit of dividends. Direct deposit helps you receive your dividend faster and may help to safeguard against lost, misplaced or stolen dividend checks.

 

When you participate in the direct deposit program, your dividend is electronically deposited into your bank account on the designated date of the dividend distribution. To take advantage of the direct deposit service, fill out an Authorization for Direct Deposit form and return it to Koniag.

 

Please note: If you have changed or closed your bank account you must notify the shareholder department imm