September 2020

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CovidRiskstoSeniorsbyRonaldL.Wilder,MD,PhD

Seepage5regardingAnnualMeetingRegistrationandINSERTofproposedBy-Lawchangesp6

InformationregardingVOTEBYMAILonwebsitewww.norccra.org

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he Covid-19 epidemic is an unprecedenteddisruption to the social fabric and health caresystem in the United States. At the time of thiswriting, Covid-19 has causedmore than 140,000deathsintheUnitedStatesthusfarandhasbeenprojected to cause more than 224,000 by01Nov2020. Although initial reports suggestedthattheinfectionresultedinsymptomsfrommildcough and shortness of breath to respiratoryfailureandwidespreadvascularclotting,wenowknowthatasmany50-80%ofCovid-19infectionsare asymptomatic, depending on the populationsurveyed. Asymptomatic infection ismuchmorelikely in younger individuals than it is in olderindividuals. Because asymptomatic individualscan spread infection unknowingly, this fact hasmajorimplicationsforthegeneralpopulationandvulnerable populations and in particular seniors,especially those who live in congregate caresettings. Thefocusofthispresentationishowtoassessone’spersonalriskandtostaysafe.Tostaysafe, there are 4 topics thatmust be considered.1)WhotransmitsCOVID-19toothersandhowisthis accomplished, 2) Disease dynamics in one’sowncommunity,3)Whoismostvulnerabletotheserious outcomes, including death, to COVID-19,and 4) Situations that increase risk to acquiringCOVID-19andshouldbeavoided,ifpossible.

WhotransmitsCOVID-19toothersandhowisthisaccomplished

There are 3 groups of people that transmitCOVID-19:

1. PeoplewithsymptomaticCOVID-19.

2. People who are currently asymptomatic butwillbecomesymptomaticwithinthenext3-7days.

3. People who are currently asymptomatic andwillremainasymptomatic.

Obviously, we generally do not know who isharboring asymptomatic infection and mustassume everyone is a potential source fortransmitting infection. Each of these groups ofpeopletransmitinfectionbyoneof3routes:

1. Contaminating surfaces/fomites that othersthen touchand infect themselvesby touchingtheir nose, mouth or eyes. This route ofinfectionisrealbutisuncommon.

2. Respiratory droplets that are spread bytalking, yelling, singing, coughing, sneezingduringcloseface-to-facecontact,and

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EWNAME,NEWFACENoonewasmoresurprisedthanmeat8:53PM on Wednesday, August 5th when an email from Wayne Campbellannounced thathehad accepted theNorCCRASecretary’s resignation,and effective immediately, was himself resigning as the NorCCRAPresident . He cited medical concerns, and his doctorsrecommendationstomakedrasticchangesinhislifestyle. AstheVicePresident, I inherited the reins, and will attempt to keep the ship oncourse. Wayne and hiswife, Peggy – our secretary – have dedicatedmuchof their timeduring thepast22months faithfullyanddiligentlydoingthebusinessofNorCCRA. Forthoseefforts,andtheirsigni`icantresults, theNorCCRAExecutiveCommittee andBoardofDirectors areeternallygrateful.

Therearetwomajoritemsonournear-termhorizon.Wemustcontinuetowork,alongwithour fellow stakeholders at LeadingAge NC, to ensure that the sales tax issue is resolvedappropriately(moreinthisissue),andpertheBy-Laws,wemustconductourAnnualMeetingandof`icerelectioninOctoberofeachyear.WewillholdtheAnnualMeetingviaZoomat9:30AM onOctober 6 2020. Details and registration instructions are located on page 5 of thisissue.

Ibelievewemustremindourselvesofthesigni`icantNorCCRAsuccesses insavingNCCCRCmembers money during the past few years. In 2015, we were able to have the medicaldeductionreinstatedatthestatelevelwithasavingsofapproximately$1800perresident.In2018, we mounted a similar initiative at the federal level working with other states toeliminate a cap of $20,000 on all personal income tax deductions including mortgages,charitable contributions andmedical expenses. In 2017, therewas a proposal to severelyreducetheamountofsalestaxrefundsthatnot-for-pro`itentitiescouldreceivebackfromthestate. LeadingAgeNCjoinedwithothernot-for-pro`itstokeeptherefundcapat$45million.ThisisparticularlyimportantforCCRCswhoareundergoingmajorbuildingprojects.

Inlate2019,theCentersforMedicare&MedicaidServices(CMS)proposedanewfederalrulethatwouldlikelyresultinabedtaxforallCCRCs.Withthelossofthecurrentexemption,CCRCsacrossthecountrywouldberequiredtopayataxonalloftheirhealthcarebeds,amountingtomillionsofdollarsinnewtaxes.TheonlywayCCRCscouldaffordthistaxwouldbetoincreaseresidentfees.Thecurrentestimatedannualcostincreaseperresidentisapproximately$1,000.Ourmembersandothersrespondedenmasseduringthepublicresponseperiod.CMSisrequiredtorespondtoeachletterbeforetheymakeachange,sothereisasensethatwiththatmanyletters,theruleswon'tbechanged.NorCCRAcontinuestowatchthisissue.

President’sMessage…….from John Olmstead

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willing to serve as Legislative Chair andCommunications Director. It has becomeespeciallydif`icult to identifycandidateswhohave previously held leadership positions inNorCCRA. Recognizing the essentialness ofhavingindividualsinthesepositionswiththeright training, ski l ls and leadershipcapabilities, it was determined that jobdescriptions should be developed re`lectingall necessary tasks for each position. TheExecutive Committee was tasked with thisresponsibility.d. Barbara Pray, Co-Chair with VirgilTorbert for the Eastern Region, reportedthenewof.icersoftheEasternRegionallreside at Croasdaile Village. Carol Ristserves as Secretary andWoody Mason isthe Treasurer. There will be a meetingsometime in November for the CCRC’sResidentsAssociation/Council Presidents.BecauseofCovid-19,thedateandmethodof meeting has not been determined atthisJune11thB.O.D.meeting. Theirplansfor the EasternRegionAnnualMeeting issetforApril27,2021atCroasdaileVillageinDurham.e. The B.O.D. approved the ExecutiveCommittee’s recommendation to changethe NorCCRA Standing Rules to providean annual review of NorCCRA’s FinanceRecords.f. The B.O.D. endorsed the ExecutiveCommittee’s recommendation for aBylaws change that would enlarge theExecu t ive Commi t tee to i n c ludeindividuals serving in the appointedpositions of Director of MembershipServices, Communications Director andChair of the Legislative Committee, andgive them voting rights. This will bepresented at NorCCRA’s Annual MeetingonOctober6,2020,forrati`ication.

nspiteofrestrictionsimposedbythe2020Covid-19Pandemic, your NorCCRA Board of Directors held aproductivemeetingon June11,2020,utilizingZOOMteleconferencing. Participatingwere42Directorsand2visitors. For some, thiswas their `irst exposure toZOOM. With prior coordination and training byNorCCRA’s Communications Director, even the `irst-timers were successful in communicating this way.There were several topics presented for discussionandseveraldecisionsweremade,asfollows:

a. President Wayne Campbell announced theresignation, effective June 10, 2020, of FranklinSanders,whohascarriedoutthedutiesof NorCCRA’sTreasurerfor2½years. AppreciationwasstatedforhisservicetoNorCCRAinthiscapacity.TheExecutiveCommittee will determine how the `inances will behandled until a new Treasurer is elected at theupcomingAnnualMembershipMeetingscheduledforOctober6,2020.b.Vice-PresidentJohnOlmstead’sreportfocusedon restoring regional leadership, and a path tomoveforward.Currently,NorCCRAisdividedintothree regions but of`icer leadership is onlyeffective in one of those regions. Withoutleadership in the other two regions,members inthose areas do not have opportunities toparticipateinactivities/eventsthattypicallyoccurinamoreregionalizedarea. Discussionfollowedas to the need for regions and some commonproblemsinsecuringleadership. Thisresultedinindividuals volunteering to serve on an Ad HocCommittee to study this. Those individuals areArtCooper(Glenaire);MaritaEden(GraceRidge);Charles Kingan (Croasdaile Village); Bob Osborn(The Pines at Davidson); Bobbie Schroeder(Salemtowne); Jennifer Young (Village ofBrookwood); and Margaret Zircher (CarolinaMeadows). They will provide a writtenrecommendation to the Executive Committee nolaterthanSeptember15,2020.c. Virgil Torbert expressed his concerns about howweidentifyandgetourstateof`icersandindividuals

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Report AnnualBoardofDirectorsMeeting

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LEGISLATIVEUPDATEAugust4,2020....fromSindy Barker

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In June, the General Assemblyset an adjournmentdateof July11with lawmakers set to comeback into sessiononSeptember2. The issueof thesalestaxonCCRCs remained in the RulesCommittee,andthere isasense

that itwillbeassignedtoastudycommitteethisfall.ThiswillenableLeadingAgeand NorCCRA to better educate legislators ontheoperationsofnon-pro`itCCRCs.

On July 23, a joint letter from WayneCampbell, PresidentofNorCCRAandLee Syria,ChairofLeadingAgewassent toGovernorRoyCooperaskinghim to “instruct theDepartmentofRevenuetopausependingandplannedauditsofCCRCsuntil theGeneralAssembly’sRevenueLaws Study Committee can complete its

scheduledreview,andtheGeneralAssemblycanformulate an informed policy-based responseregarding the proper means of imposing salestaxonthesefacilities.”

It furthergoesontostate“ourresidentsare on a `ixed income and most likely haveexperienced a signi`icant decrease in theirsavings(duetoCOVID-19)sothisisnotthetimeto surprise them with a new tax ofapproximately7%thatisbasedsolelyonanewinterpretation by the Department of Revenueclassifying CCRCs as retailers as opposed tohealthcareandhousingserviceproviders.”

We are again in a period of behind thescenesnegotiationswhichwehopewillbecomecleareraswemoveintothefall.Sorry,tonotbemorede`initiveatthistime.

AbsenteeBallotRequestforNovember3Elections

The North Carolina Continuing Care Residents Association (NorCCRA) is encouraging CCRCresidentstorequestanabsenteeballotfortheNovember3elections.TomakethateasiertheGeneralAssemblypassedHB1169,BipartisanElectionsActof2020,whichchangeshowNCvotersvotetheirabsentee ballots by mail. Any North Carolina registered voter may request and receive a mail-inAbsentee Ballot. No Photo ID will be required to vote by mail. Previously, there had been arequirement for two witnesses to verify that you `illed out your Absentee Ballot. That has beenreducedtoonewitness.

ItisimportanttorememberthatyoumaynothaveanystaffpersonhelpyouinZillingoutyourrequest formoryourAbsenteeBallot. ForyourAbsenteeBallotRequestForm,youmayaskaspouse,fellowresident,childorotherpersonsover18yearsofagetohelpyouZillitout.Butyoumaynotaskastaffperson.ThisalsoappliestovotingbyAbsenteeBallot. You(oryourwitness)mustmailittoyourBoardofElections.

BecauseofCOVID-19,wehaveseenandheardstoriesoflongvotinglines,pollworkerswhoarenot comfortable working at the polls and other disruptions during the spring primaries. Healthof`icialsarealreadyworriedaboutaCOVID-19surgeduringthefallelections.Asasafeguard,wearesuggestingthatyousendinanAbsenteeBallotRequestForm.(ClickHeretogotoNorCCRA’swebsiteforacopy.)Theaddressesforall100countyBoardsofElectionareprovidedontherequestform.Youarenotobligatedtousethe Absentee Ballot if you decide to vote in person.

Wearealsoprovidingmoreinformationontheactualprocessofrequestinganabsenteeballotandthenthestepstofollowforvotingbymailonpage9. AbsenteeBallotswillbesentout60daysbeforetheelectionwhichmeanstheywillbegintobemailedonSeptember4.

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ZOOMING into the ANNUAL MEETING

• IfyouarenewtoZoom,oruncomfortableusingZoom,therewillbetrainingorinforma7onsessionsonSeptember21,23and/or24.Whenyouregisterfortheannualmee7ng,youwillbesentmoreinforma7on.Zoomcanbeaccessedwithacomputer,tablet,iPhoneorAndroid,regularlandline,orKIndle.Adevicewithacameraispreferredbutnotrequired.WeweresuccessfulingeGngabout15membersreadyfortheBoardofDirectorsZoommee7ng,soWE CAN GET YOU READYtoo!

• Emailyourregistra7onASAP,butifyoudon’twanttoaNendatrainingsession,signupnolaterthanSeptember29(seebelow).ZoomAnnualMee7ngmee7nginviteswillbeemailedMondayOctober5.

• Yourregistra7onforthemee7ngwillbeacknowledged,confirmingtheemailaddresstowhichyouwantthemee7nginvitetobesent;alsoareviewofzoomtoolsande7queNeforthemee7ng;andanopportunitytosignupforoneofthetrainingsessionsifyouareunfamiliarwithZoom.

NorCCRAANNUALMEETINGTuesday,October6,2020

DuetoCovidCrisis,MeetingwillbeheldonZOOM

Registrationnecessaryinordertogetinvitation9:15am Checkin&“socialhour”-Enjoyyourowncoffee!9:30am OpeningremarksbyJohnOlmstead,President9:45–11:15amSpeakersfromLeadingAge,StateandNorCCRA toaddresscurrentstatusofCCRCtaxissue.11:15-noon NorCCRABusiness/Informationsessionnoon–12:30 Electionof2021officers------------------------------------------------

REGISTRATION

Toregister,emailzircher@me.combeforeSeptember29

Include:ü Yournameü YourCCRCcommunityü Yourtelephonenumberü Emailaddresstowhichinviteshouldbesentifdifferent fromwhichyouareemailingregistration.

Ifyoudonotreceiveanacknowledgementofyourregistrationwithin5daysofsending,resendorcall919-967-1102.HavingyourcorrectemailaddressisimperativefortheZoommeeting!

NewSlateof2021OfZicerstobeVotedonat

AnnualMeeting.

Bioswillbesentwithregistrationcon`irmation.

Article V, Section 2, b&c ofNorCCRA’sbylawsstate“TheNominating Committee,having secured the consentofthenominees,shallsubmita list of candidates to thePresident at least 30 daysprior to theAnnualMeeting.…Furthernominations,uponthe prior consent of thosebeing nominated, may bemade from the `loor at thetimeoftheelection.”

President: John Olmstead Scotia Village

Vice Pres.: Dean Block Carolina Meadows

Secretary: Caroline Filbert SearStone

Treasurer: Charles (Skip) Kingan Croasdaile Village

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g.SindyBarker,LegislativeCommitteeChairandWayneCampbellpresentedthelatestinformationasofJuly11,2020,regardingtheSalesTaxchargesthattheNCDepartmentofRevenue(DOR)hasbilledtotwo CCRCs thus far. This sales tax is based on the DOR’s interpretation that CCRCs are the same asretailers,andthusshouldbechargingtheir“customers”salestaxonfood,andotherservicesprovidedtoresidentsofCCRCs. RebuttalofthisinterpretationisbeingledbySindyandWayneinconjunctionwithTomAkins,CEOofLeadingAgeNC,anassociationforthemanagersofnon-pro`itCCRCsandothernon-pro`it organizations for seniors. BecauseDOR is `irm in its interpretation of the law that CCRCs areretailers,legislativeactionisrequired.Interactionswithstatelegislatorsisanongoingprocess,andtheireducationaboutCCRCsiscritical.TheimportanceofanorganizedanduniformfrontfromNorCCRAandLeadingAgewas emphasized. Directives to theCommunityRepresentativeswillcontinue to be sent when actions are requested and will provide details/examplesofcommunicationsthatareneeded.h.

ThissummaryoftheAnnualBoardofDirectorsMeetingis providedbyPeggyCampbell,NorCCRA’sformerSecretary.

ARTICLEVIII(NorCCRABylaws)statethatBylawsmay be amended at any Annual Meeting of themembership by amajority vote of those presentandvoting,providedthatatleast20daysadvancenotice has been given in accordance with theStandingRules,which…etc…

Itisintendedthataproposedamendmentwillbeofferedat theNorCCRAAnnualMeetingwhich isscheduled to occur on October 6, 2020. Theproposedamendment is reZlected inboldandlarger font. It was approved by the NorCCRAExecutiveCommitteeonJanuary10,2020andtherequired approval of the NorCCRA Board ofDirectors at their Annual Meeting on June 11,2020. The complete Bylaws may be viewed/printedfromNorCCRA'swebsite: https://www.norccra.org/bylaws.html.

ARTICLEVIII-ExecutiveCommitteeSection1.CompositionThe Executive Committee of the Board ofDirectors shall consist of the electedof`icers, theChairperson of each region or its designee, and

the Past President(s). The Past President isde`inedasbeingtheindividual(s)whoatthetimeof annual elections last preceded the incomingPresident in of`ice. In the event there were Co-Presidents,bothindividualsshallbedesignatedasPastPresidents.ThePresidentmayappointoneormore deputy members to the ExecutiveCommittee, who shall serve at the President'spleasure. Past President(s) and Deputies shallhave the right to debate; but only one PastPresident may vote or shall be counted inestablishingaquorum.IfthereareCo-Secretaries,both shall have the right to debate but only onemayvoteorbecountedinestablishingaquorum.Additionally, the President, withconcurrence of a majority of theelected ofZ icers may appoint aCommunicationsDirector,aDirectorofMembership Services, and a Chair ofthe Legislative Committee to serve onthe Executive Committee of the Boardof Directors. If appointed, theseofZicers shall have the right to debate,may vote, and shall be counted inestablishing a quorum. All appointedpositions expire with the term of theoutgoingPresident.

PROPOSEDAMENDMENTTONorCCRABYLAWS

Board of Directors Meeting,cont’dfromp3

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3. Airborne aerosols that are generated bytalking, yelling, or singing that tend to `loatand disperse widely in the environment,particularly in small indoor spaces withlimitedairexchangewiththeoutdoors.

The major route of infection appears to bethrough respiratory droplets, but there isincreasingrecognitionthatairborneaerosolsalsopresent signi`icant risk for acquiring infection.Obviously, themajorways thatonecanminimizeinfectionareby 1)wearingamask, 2)keepingsigni`icantphysicaldistances fromothers,and 3)washingone’shandsfrequentlyand avoidtouchingone’sface.

Diseasedynamicsinone’sowncommunity

Diseasedynamicsorhowactivediseaseisinone’slocalcommunityisclearlycriticalinassessingriskand staying safe. Four metrics (each publisheddailybytheNorthCarolinaDHHSon itswebsite)need to be considered. 1) The 14-day movingaverageofdailynewcases.2)The14-daymovingaverageofpeoplehospitalized. Increasing levelsofeachof thesemetrics isobviouslyundesirable.3) Daily percent of total tests positive. A risingdaily percentage is a very sensitive indicator ofrapidly increasing new cases and communityspread. Ideally, one would like to see thepercentagebelow1%. Atthetimeofthiswriting(mid-July), North Carolina percentages are inrange of 9-11%. 4)Weekly percent positivewithasymptomaticdisease. Currently,NorthCarolinaisreportingabout4%ofasymptomaticpeoplearetesting positive for COVID-19. We ideallywouldlikethisnumberunder1%. Clearly,atthetimeofthis writing, COVID-19 is very active andspreadinginthecommunity.

AbouttheAuthor

Dr.Wilderisaphysicianscientistwhoislicensedandboardcerti`iedinbothinternalmedicineandrheumatology.HealsoholdsaPhDinImmunology.Dr.WilderspentthemajorityofhiscareerasaprogramdirectorattheNationalInstitutesofHealthinBethesda,Maryland.Heisalsoaretiredof`icerintheUSPublicHealthService.Hehasdealtwithminimizingtheriskofinfectioninimmunecompromisedindividualsthroughouthiscareer.HeiscurrentlyaresidentofSearstone,aCCRCinCaryNorthCarolina,anddevoteshimselftoadvisingresidentsabouthealthissuesofconcern.ThisinteresthasresultedinweeklyZoompresentationstotheSearstonecommunity.Thepresentationhereisanexampleofthetypesoftopicscovered

Whoismostvulnerabletotheseriousoutcomes,includingdeath,toCOVID-1

Risk for poor outcomes and death increaseprogressively with increasing age. The risk isparticularly high for individuals who are obese,havediabetes,haveheart, lungorkidneydisease,or have other factors that compromise theimmune system. These individuals must takeextremeprecautionstoavoidinfectionbyavoidingsituationsaslistedbelow.

SituationsthatincreaserisktoacquiringCOVID-19andshouldbe

avoided,ifpossible

Toassessrisk,itisconvenienttocategorizethingsintermsof4parameters,People,Place,TimeandSpace.

1. People: risk increases as the number ofpeople interacting increases. Risk increaseswhen people who do not know each otherinteract. Singing, loud talking, cardio

Covid Risks, cont’d from p1

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The Hotline SeekingLocalReporters!YOU!!!Sendarticles,ideas,photosto

NorCCRA’sDirectorofCommunicationsMargaretZircher

zircher@me.com

TojoinoneofNorCCRA’sForums:Sustainability

BoardofDirectorsResidentsCouncilPresidents

emailNorCCRA’sCommunicationsDirector,MargaretZircherzircher@me.com,withyourname,community,andforumyouwishtojoin.

exercising with others are more risky thansitting quietly in a corner by oneself awayfromothers.

2. Place: the overwhelming majority ofinfectionsareacquiredindoors.Dataindicatethatriskofinfectionindoorsis10-20Xhigherindoorsthanoutdoors.

3. Time: Risk increases as time of interactingwithothers increases. Sittingorstanding inone place increases risk. Risk decreases ifpeoplearemovingaboutandlimitingtimeofinteracting. Risk of walking outdoors isminimal,particularlyifonewearsamaskandmaintainsphysicaldistancing. Riskofsittingoutdoorsislowbutnotzero.

4. Space: Risk of transmission is much higherindoors than outdoors. Small spaces with

limited air circulation pose high risk. Largespaces(e.g.,conventioncenters)withhighaircirculation pose less risk. Interactions atdistances less than 6 feet greatly increasesrisk,butriskatlongerdistancesissubstantialfrom airborne aerosols if space is small.Interacting in spaces that preclude socialdistancing are very risky, e.g., bars, smallrestaurants,etc.

Summary

COVID-19 infection is an unprecedented risk forNorthCarolinaseniors.Thisriskwillremainhighuntil we either have an effective preventivemedication or an effective vaccine that largemajoritiesofthepopulationuse. Untilthen,riskis best minimized by keeping the factors citedaboveinmind.

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Forthosewhowouldlikemoredetailedinformation,youcangototheNCStateBoardofElectionsatthefollowingwebsite:ncsbe.gov/voting-options/absentee-voting

WhocanassistavoterincompletingthisRequestForm?•Allvotersareentitledtoassistancefromanearrelativeorveri`iablelegalguardian.

•Ifavoter isblind,disabledorunable toreadorwriteandneedsassistance incompletingtheAbsenteeBallotRequestForm(andanearrelativeisnotavailable),theymayrequestsomeotherperson togiveassistance. Thatperson’snameandaddressmustbe listedunderPart2of theform.

•If a voter is a patient in a facility (hospital, clinic, nursing home, rest home), amember of aMultipartisanAssistanceTeam(MAT)authorizedbythecountyboardofelectionscanassistthevoterincompletingtherequestform.Noowner,manager,director,oremployeecanrequestanabsenteeballotonbehalfofthevoter.

Followthese5StepstoVotebyMail

1.CompletetheAbsenteeBallotRequestForm(SeeClickHereonp4.)

2.ReturntheRequestFormtoyourCountyBoardofElections(Addressesonthirdpageofyourhandout.)Returnitinperson,byemail,faxorUSPostalService.ItmustbereceivedbyTuesday,October27,2020by5:00p.m. Youwillnotreceiveacon`irmationmailingifyourapplicationisaccepted.However,youwillhearbackifyourapplicationneedstobecorrectedorisrejected.

3.Your County Board of Elections will mail absentee ballots to registered voters who havecompleted theAbsenteeBallotRequest Form. Thepackagewill include anAbsenteeBallot, areturnenvelopewithacerti`icatestatementonitandaninstructionsheet.

4.Markyourballotwithyourchoicesinthepresenceofonewitnesswhoisatleast18yearsofageandisnotacandidatefortheelection. Thevoterandthewitnessmusteachcompleteandsignthecerti`icateonthereturnenvelopeandprovidetheiraddresses. Note: Employeesofafacilitymaynotserveasawitnessforvotersinafacility.

5.ReturntheballotinthereturnenvelopebymailordeliveritinpersontoyourCountyBoardofElections.Ifreturningbymail,itmustbepostmarkedby5:00p.m.onElectionDay.YoumaynotturnitinatanEarlyVotingsiteoranElectionDayprecinct.

ImportantNote:

YouarenotobligatedtouseyourAbsenteeBallot. IfyoudecidetovoteinyourregularprecinctonNovember3,justdiscardyourAbsenteeBallot.

ThisandotherballotinformationcanbefoundonNorCCRA’swebsite.

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If you haven’t sent in your census, do it today! Your response matters. For the first time, you can choose to respond online, by phone, or by mail . For more information, go to 2020census.gov or call 844-330-2020

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Isit OK withyou?✓Immediatelyceaseallregionalandstatemeetings,avoidingfeaturedspeakerssuchaselderattorneyKatherine Pearson on Legal Issues Affecting CCRC Residents, SBI AgentsMarie Smith and AndrewPappasonCrimesAgainstSeniors,Drs.ToddCohenandJuanSongon latestAlzheimer’sResearch,DOICommissioner andDOIManager Special Entities on current status of CCRCs and regulations affectingCCRCs,Dr.RobertCoxonSustainabilityandSeniorLiving,andnumerousothers.✓CancelactionmonitoringlegislationaffectingseniorsandCCRCs.✓ Stop all effort to impact legislation that negatively affects seniors and residents of CCRCs, andinteractingwithLeadingAgetogiveresidentinputtothismanagementorganization.✓ CeaseannualmeetingsforResidentsAssociationPresidents,whereideasandconcernsareshared,andsupportnetworksestablished.✓ Stop publishing NorCCRA’s quarterly newsletterThe Hotlinewhich shares best practices, currentissuesandconcernsaroundthestateaffectingCCRCs,boardreports,andother ideas tosharewithinyourcommunity.✓StopmonitoringstatusofstatestatuteChapter58,Article64,establishedbyHarryGrovesregulatingCCRCs.✓StopregionalmeetingsatdesignatedCCRCswhereNorCCRAmembersmeetandinteractwithotherCCRCresidentsinthestateorregionandseewhatanotherCCRCcampusislike. Whoknows,maybeeventakeafewideasandfriendshipshome.

✓Inotherwords,disbandNorCCRA.

Withoutregionalandstateleadership,thisiswhatwillhappen,soonerthanyoumightthink!Ifeveryonetooktheattitude,“someoneelsewilldoit,”or“I’mretired,I’mnotgoingtodoit,”or“I’mtoobusywithotherthings,”or “I’mtoounfamiliarwiththeof`iceorresponsibilities,”orother excuses, excuses andexcuses,whowill protectYOU frompotential future exploitativeCCRCmanagement or ownership? NorCCRA needs YOU!!! We especially need a few goodpeopleintheWesternandCentralRegionstostepupandacceptleadershiproles. Andweneedstate ofDicers. For more information, or ideas on how to solve the dilemma of absence ofleadership,contactJohnOlmstead,NorCCRAPresidentatolmsteaj@erols.com.