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Multiple District 19 of Lions Clubs International is administered by a Council Of Governors consisting of the seated District Governors and Immediate Past District Governors of each of the 9 MD19 Districts, the Council Chairperson, Vice Council Chairperson and Immediate Past Council Chairperson.

District Governors are elected at their respective District conferences, usually held in the spring, and serve 1 year terms over a fiscal year from July 1 through June 30.

The Council Chair serves as the chairperson of the Multiple District and the Council Of Governors. Council Chairs and Vice Council Chairs are elected annually by club delegates, allocated based on club size, with the election being held at each District conference. Council Chairs and Vice Council Chairs also serve 1 year terms over a fiscal year from July 1 through June 30.

The Council Of Governors typically holds 3 formal meetings each year: A Fall Council Meeting at the annual MD19 Convention, a Winter Council Meeting in February, and a Spring Council Meeting in May.

MD19 holds an Annual Convention in the Fall, typically in October. Lions clubs in the Multiple District vote at the annual convention by delegates allocated to the clubs based on club size.

The MD19 Executive Secretary Treasurer, a full–time employee hired by the Council Of Governors, oversees day–to–day business operations.

The MD19 office is located in Bellingham, Washington U.S.A.

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