Submission of Matters to a Vote of Security

On July 25, 2016, Spok Holdings, Inc. (the Company) held its 2016 Annual Meeting of Stockholders (the Annual Meeting). There were 20,547,871 shares of common stock eligible to vote, of which 19,184,472 shares were represented by proxy at the Annual Meeting. The purpose of the Annual Meeting was to elect eight directors; to ratify the appointment of Grant Thornton LLP as the Companys independent registered public accounting firm for the year ending December31, 2016; to approve, on an advisory basis, the compensation of the Companys named executive officers (the NEOs); and to approve the Spok Holdings, Inc. 2016 Employee Stock Purchase Plan ("2016 ESPP"). No other business was transacted.

Nominees for election to the Board of Directors were approved by a plurality of the votes properly cast by holders of the common stock present by proxy at the Annual Meeting, each share being entitled to one vote. Shares withheld from voting on the election of directors, including broker non-votes, had no effect on the outcome of the election of directors. Eight directors were elected to hold office until the next annual meeting and until their respective successors have been elected or appointed.

The results of the election of the directors; the ratification of the appointment of Grant Thornton LLP; the advisory vote on the compensation of the Companys NEOs; and the vote on the 2016 ESPP; were as follows:

Election of Directors:

Votes For

Votes Withheld

Broker Non-Votes

N. Blair Butterfield

17,607,173

157,932

1,419,367

Nicholas A. Gallopo

17,567,609

197,496

1,419,367

Stacia A. Hylton

17,609,333

155,772

1,419,367

Vincent D. Kelly

17,586,824

178,281

1,419,367

Brian OReilly

17,543,285

221,820

1,419,367

Matthew Oristano

17,560,246

204,859

1,419,367

Samme L. Thompson

17,540,106

224,999

1,419,367

Royce Yudkoff

17,539,713

225,392

1,419,367

Ratification of the Appointment of:

Votes For

Votes Against

Abstentions

Broker Non-Votes

Grant Thornton LLP

19,067,596

103,999

12,877

Advisory Vote on the Approval of:

Votes For

Votes Against

Abstentions

Broker Non-Votes

NEO Compensation

17,581,216

161,698

22,191

1,419,367

Vote on the Approval of:

Votes For

Votes Against

Abstentions

Broker Non-Votes

2016 ESPP

16,221,399

1,508,831

34,875

1,419,367

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