What must the Board do at least once a year according to the guidelines?

The correct answer highlights the procedural responsibilities of the Board regarding its leadership structure. Electing a new President and Secretary at least once a year ensures that the Board maintains current and effective leadership. This practice promotes democratic governance within the Board and allows for the introduction of fresh ideas and perspectives in its operations.

Regular elections are crucial for fostering accountability among the members and preserving the integrity of the Board's oversight responsibilities. It is common for governing bodies to have such requirements, ensuring that they remain dynamic and responsive to changing circumstances. While it is important to consider other operational aspects, such as licensing fees or conducting reviews, the leadership election specifically emphasizes the necessity for regular transitions to uphold good governance principles.