4 - Distribution Requirements

Decision Information

Decision Content

Form 45-106F17

Notice of Specified Key Events


This is the form required under subsection 2.9(17.20) of National Instrument 45-106 Prospectus Exemptions (NI 45-106) in New Brunswick, Nova Scotia and Ontario to make available notice of specified key events to holders of securities acquired under subsection 2.9(2.1) of NI 45-106.


1. Issuer Name and Address

Provide the following information.

Full legal name



Street address







 Postal code/Zip code









2. Specified Key Event

Provide the following information.

The event, as described in section 3, is: [Select one or more type of event from the list below]


  a discontinuation of the issuer’s business


  a change in the issuer’s industry


  a change of control of the issuer


            /            /            

Date on which the event occurred (yyyy/mm/dd):


3. Event Description

Provide a brief description of the event identified in section 2.







4. Contact Person

Provide the following information for a person at the issuer who can be contacted regarding the event described in section 3.







Email address


Telephone number





             /              /                 

Date of notice (yyyy/mm/dd):

 You are being directed to the most recent version of the statute which may not be the version considered at the time of the judgment.