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

 

Province/State

 

 

Municipality

 

 Postal code/Zip code

 

 

Website

 

Country

 

 

 

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.

 

Name

 

Title

 

 

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.