5 - Ongoing Requirements for Issuers and Insiders

Decision Information

Decision Content

National Instrument 54-101 Communication with Beneficial Owners of Securities of a Reporting Issuer Form 54-101F10 Undertaking Note: Terms used in this Form have the meanings given to them in National Instrument 54-101. The use of this Form is referenced in section 6.2 of National Instrument 54-101. I, , (Full Residence Address) , (If this undertaking is made on behalf of a person or company other than an individual, set out the full legal name of that person or company, position of the individual signing on behalf of that person or company and address for service). SOLEMNLY DECLARE AND UNDERTAKE THAT: 1. I wish to send materials to beneficial owners of securities of [insert name of the reporting issuer] on whose behalf intermediaries hold securities, using the indirect sending procedures provided in National Instrument 54-101 (the NI 54-101 Procedures”). 2. I undertake that I am using the NI 54-101 Procedures to send materials to beneficial owners only for the purpose of one or both of the following: (a) an effort to influence the voting of securityholders of the reporting issuer; (b) an offer to acquire securities of the reporting issuer. 3. I am aware that it is a contravention of the law to send materials using the NI 54-101 Procedures for purposes other than in connection with one or both of the following: (a) an effort to influence the voting of securityholders of the reporting issuer; (b) an offer to acquire securities of the reporting issuer. Signature Name of person signing Date 1
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