FORM 51-101F5
NOTICE OF
CEASING TO ENGAGE IN OIL AND GAS ACTIVITIES
This is the form referred to in section 6.2 of National Instrument 51-101 Standards of Disclosure for Oil and Gas Activities ("NI 51-101").
1. Terms to which a meaning is ascribed in NI 51-101 have the same meaning in this form.
2. The notice referred to in section 6.2 of NI 51-101 must in all material respects be in the following form:
Notice of
Ceasing to Engage in Oil and Gas Activities
Management and the board of directors of [name of reporting issuer] (the "Company") have determined that as of [date] the Company is no longer engaged, directly or indirectly, in oil and gas activities.
[signature, name and title of chief executive officer]
[signature, name and title of an officer other than the chief executive officer]
[signature, name of a director]
[signature, name of a director]
[Date]