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Nelson Tsay began their work experience as the Sales and Marketing Manager at Mitsuba Corporation in 1998. Nelson then moved on to CTX Technology Corporation, where they held roles as the Director of Sales and Marketing and later as the Director of Marketing and Product Management. In 2005, Tsay joined American Industrial Systems, Inc. as the President, overseeing the company's vision, mission, and strategic plan. Most recently, in 2019, Tsay became the President of Ennoconn Corporation.

Nelson Tsay completed their Master of Business Administration (M.B.A.) degree in Financial Management and Analysis from West Coast University between 1992 and 1994.