Common use of Disclosed Beneficial Purchaser Information Clause in Contracts

Disclosed Beneficial Purchaser Information. If the Subscriber is signing as agent for a principal and is not deemed to be purchasing as principal pursuant to NI 45-106 (as defined herein) by virtue of being either (i) a trust company or trust corporation acting on behalf of a fully managed account managed by the trust company or otherwise or, (ii) a person acting on behalf of a fully managed account managed by it, and in each case satisfying the criteria set forth in NI 45-106, complete the following and ensure that Schedule A is completed in respect of such principal: (Full Name of Principal) (Principal’s Residential Address) (Telephone Number (including area code)) (Email address) The undersigned (hereinafter referred to as the “Subscriber”) hereby irrevocably subscribes for and agrees to purchase the number of Series C Preferred Shares (“Preferred Shares”) of the Corporation set forth below for the aggregate consideration set forth below, representing a subscription price per Preferred Share equal to the net asset value per Preferred Share to be determined as at the Closing Date (defined below) and as set forth below, upon and subject to the terms and conditions set forth in “Terms and Conditions of Subscription for Preferred Shares of Xxxxxxxx Xxxxxxx Mortgage Corporation” attached hereto (the “Subscription Agreement”). In addition to this face page, the Subscriber must also complete all applicable schedules attached hereto. Full Legal Name of Subscriber (Please Print) By: Signature of its Authorized Representative Official Title or Capacity (please print) Name of Signatory (please print name of individual whose signature appears above if different than name of Subscriber) Address Telephone Number (including area code) Social Insurance Number or Business Number as applicable Indicate if Subscriber is registered or required to be registered under applicable securities legislation. Yes/No If Yes, please provide details below: Aggregate Subscription Amount: $ Div. Reinvest: ☐ Yes ☐ No (Please review the dividend reinvestment plan of the Corporation attached hereto as Schedule “B”.) FUNDSERV: ☐ Yes ☐ No Direct Deposit: ☐ Yes ☐ No Banking Information for Direct Deposit (please attach void cheque) Name of Banking Institution: Address: Transit Number: Account Number: Account Name: FOR OFFICE USE ONLY Price per Preferred Share: $ Number of Preferred Shares: _ Register the Preferred Shares (if different from above) as follows: Name Account reference, if applicable Address (including postal code) ACCEPTANCE: The corporation hereby accepts the subscription as set forth above on the terms and conditions contained in this Subscription Agreement.

Appears in 2 contracts

Samples: www.morrisonlaurier.ca, www.morrisonlaurier.ca

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Disclosed Beneficial Purchaser Information. If the Subscriber is signing as agent for a principal and is not deemed to be purchasing as principal pursuant to NI 45-106 (as defined herein) by virtue of being either (i) a trust company or trust corporation acting on behalf of a fully managed account managed by the trust company or otherwise or, (ii) a person acting on behalf of a fully managed account managed by it, and in each case satisfying the criteria set forth in NI 45-106, complete the following and ensure that Schedule A is completed in respect of such principal: (Full Name of Principal) (Principal’s Residential Address's address) (Telephone Number (including area code)Number) (Email addressE-mail Address) Number of Class B Units subscribed for: Number of Class F Units subscribed for: The identification number for this tax shelter is TS086512 Aggregate Subscription Amount: $ The undersigned (hereinafter referred to as the "Subscriber") hereby irrevocably subscribes for and agrees to purchase the number of Series C Preferred Shares Class B Units and Class F Units (“Preferred Shares”collectively, the "Units") of the Corporation Partnership set forth below for the aggregate consideration set forth below, representing a subscription price of Cdn. $10.00 per Preferred Share equal to the net asset value per Preferred Share to be determined as at the Closing Date (defined below) and as set forth belowUnit, upon and subject to the terms and conditions set forth in "Terms and Conditions of Subscription for Preferred Shares Units of Xxxxxxxx Xxxxxxx Mortgage Corporation” Gravitas Select Flow-Through L.P. 2017" attached hereto (the "Subscription Agreement"). In addition to this face page, the Subscriber must also complete all applicable schedules attached hereto. Full Legal Name of Subscriber (Please Print) By: Signature of its Authorized Representative Official Title or Capacity (please print) Name of Signatory (please print name of individual whose signature appears above if different than name of Subscriber) Address Telephone Number (including area code) Social Insurance Number or Business Number as applicable Indicate if Subscriber is registered or required to be registered under applicable securities legislation. Yes/No If Yes, please provide details below: Aggregate Subscription Amount: $ Div. Reinvest: ☐ Yes ☐ No (Please review the dividend reinvestment plan of the Corporation attached hereto as Schedule “B”.) FUNDSERV: ☐ Yes ☐ No Direct Deposit: ☐ Yes ☐ No Banking Information for Direct Deposit (please attach void cheque) Name of Banking Institution: Address: Transit Number: Account Number: Account Name: FOR OFFICE USE ONLY Price per Preferred Share: $ Number of Preferred Shares: _ Register the Preferred Shares Units (if different from address above) as follows: Name Account reference, if applicable Address (including postal code) ACCEPTANCEDeliver the Units (if different from address above) as follows: The corporation hereby accepts the subscription as set forth above on the terms and conditions contained in this Subscription Agreement.Name Account reference, if applicable Contact Name Address (including postal code) Telephone Number (including area code)

Appears in 1 contract

Samples: gravitasinvestments.com

Disclosed Beneficial Purchaser Information. If the Subscriber is signing as agent for a principal and is not deemed to be purchasing as principal pursuant to NI 45-106 (as defined herein) by virtue of being either (i) a trust company or trust corporation acting on behalf of a fully managed account managed by the trust company or otherwise or, (ii) a person acting on behalf of a fully managed account managed by it, and in each case satisfying the criteria set forth in NI 45-106, complete the following and ensure that Schedule A “A” is completed in respect of such principal: (Full Name of Principal) (Principal’s Residential Address) Aggregate Subscription Amount: $ Div. Reinvest: ☐ Yes ☐ No (Please review the dividend reinvestment plan of the Corporation attached hereto as Schedule “B”.) FUNDSERV: ☐ Yes ☐ No Direct Deposit: ☐ Yes ☐ No Banking Information for Direct Deposit (please attach void cheque) Name of Banking Institution: Address: Transit Number: Account Number: Account Name: Full Legal Name of Subscriber (Please Print) By: Signature of its Authorized Representative Official Title or Capacity (please print) Name of Signatory (please print name of individual whose signature appears above if different than name of Subscriber) Address Telephone Number (including area code)) (Email address) Social Insurance Number or Business Number as applicable Indicate if Subscriber is registered or required to be registered under applicable securities legislation. Yes/No If Yes, please provide details below: The undersigned (hereinafter referred to as the “Subscriber”) hereby irrevocably subscribes for and agrees to purchase the number of Series C F Preferred Shares (“Preferred Shares”) of the Corporation set forth below for the aggregate consideration set forth below, representing a subscription price per Preferred Share equal to the net asset value per Preferred Share to be determined as at the Closing Date (defined below) and as set forth below, upon and subject to the terms and conditions set forth in “Terms and Conditions of Subscription for Preferred Shares of Xxxxxxxx Xxxxxxx Mortgage Corporation” attached hereto (the “Subscription Agreement”). In addition to this face page, the Subscriber must also complete all applicable schedules attached hereto. Full Legal Name of Subscriber (Please Print) By: Signature of its Authorized Representative Official Title or Capacity (please print) Name of Signatory (please print name of individual whose signature appears above if different than name of Subscriber) Address Telephone Number (including area code) Social Insurance Number or Business Number as applicable Indicate if Subscriber is registered or required to be registered under applicable securities legislation. Yes/No If Yes, please provide details below: Aggregate Subscription Amount: $ Div. Reinvest: ☐ Yes ☐ No (Please review the dividend reinvestment plan of the Corporation attached hereto as Schedule “B”.) FUNDSERV: ☐ Yes ☐ No Direct Deposit: ☐ Yes ☐ No Banking Information for Direct Deposit (please attach void cheque) Name of Banking Institution: Address: Transit Number: Account Number: Account Name: FOR OFFICE USE ONLY Price per Preferred Share: $ Number of Preferred Shares: _ Register the Preferred Shares (if different from above) as follows: Name Account reference, if applicable Address (including postal code) ACCEPTANCE: The corporation hereby accepts the subscription as set forth above on the terms and conditions contained in this Subscription Agreement.

Appears in 1 contract

Samples: www.morrisonlaurier.ca

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Disclosed Beneficial Purchaser Information. If the Subscriber is signing as agent for a principal and is not deemed to be purchasing as principal pursuant to NI 45-106 (as defined herein) by virtue of being either (i) a trust company or trust corporation acting on behalf of a fully managed account managed by the trust company or otherwise or, (ii) a person acting on behalf of a fully managed account managed by it, and in each case satisfying the criteria set forth in NI 45-106, complete the following and ensure that Schedule A is completed in respect of such principal: (Full Name of Principal) (Principal’s Residential Address's address) (Telephone Number (including area code)Number) (Email addressE-mail Address) Number of Class B Units subscribed for: Number of Class F Units subscribed for: The identification number for this tax shelter is TS088385 Aggregate Subscription Amount: $ The undersigned (hereinafter referred to as the "Subscriber") hereby irrevocably subscribes for and agrees to purchase the number of Series C Preferred Shares Class B Units and Class F Units (“Preferred Shares”collectively, the "Units") of the Corporation Partnership set forth below for the aggregate consideration set forth below, representing a subscription price of Cdn. $10.00 per Preferred Share equal to the net asset value per Preferred Share to be determined as at the Closing Date (defined below) and as set forth belowUnit, upon and subject to the terms and conditions set forth in "Terms and Conditions of Subscription for Preferred Shares Units of Xxxxxxxx Xxxxxxx Mortgage Corporation” Gravitas Short-Duration Flow-Through L.P. 2019" attached hereto (the "Subscription Agreement"). In addition to this face page, the Subscriber must also complete all applicable schedules attached hereto. Full Legal Name of Subscriber (Please Print) By: Signature of its Authorized Representative Official Title or Capacity (please print) Name of Signatory (please print name of individual whose signature appears above if different than name of Subscriber) Address Telephone Number (including area code) Social Insurance Number or Business Number as applicable Indicate if Subscriber is registered or required to be registered under applicable securities legislation. Yes/No If Yes, please provide details below: Aggregate Subscription Amount: $ Div. Reinvest: ☐ Yes ☐ No (Please review the dividend reinvestment plan of the Corporation attached hereto as Schedule “B”.) FUNDSERV: ☐ Yes ☐ No Direct Deposit: ☐ Yes ☐ No Banking Information for Direct Deposit (please attach void cheque) Name of Banking Institution: Address: Transit Number: Account Number: Account Name: FOR OFFICE USE ONLY Price per Preferred Share: $ Number of Preferred Shares: _ Register the Preferred Shares Units (if different from address above) as follows: Name Account reference, if applicable Address (including postal code) ACCEPTANCEDeliver the Units (if different from address above) as follows: The corporation hereby accepts the subscription as set forth above on the terms and conditions contained in this Subscription Agreement.Name Account reference, if applicable Contact Name Address (including postal code) Telephone Number (including area code)

Appears in 1 contract

Samples: gravitasinvestments.com

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