Family, Friends and Business Associates. The Subscriber is [check appropriate box and complete related blanks]:
Family, Friends and Business Associates. The Subscriber or, if applicable, the Disclosed Purchaser, is a resident of a province of Canada other than Ontario or Saskatchewan and represents, warrants and certifies that it, he or she is: (please check the appropriate box):
Family, Friends and Business Associates. (not available for Ontario residents) The Subscriber or the Disclosed Principal, as applicable, is not a resident of or otherwise subject to the securities laws of Ontario, and is [check appropriate box and complete related blanks]
Family, Friends and Business Associates. The Subscriber and any person for whom it is acting is [check appropriate boxes]
Family, Friends and Business Associates. The Purchaser is an “family, friend or business associate” as such term is defined in NI 45-106, and as at the Closing, the Purchaser and any beneficial subscriber, as applicable, falls within the following categories: _______ (a) a director, executive officer or control person of the Company, or of an affiliate of the Company; _______ (b) a spouse, parent, grandparent, brother, sister, grandchild or child of a director, executive officer or control person of the Company or of an affiliate of the Company; _______ (c) a parent, grandparent, brother, sister, grandchild or child of the spouse of a director, executive officer or control person of the Company or of an affiliate of the Company; _______ (d) a close personal friend[6] of a director, executive officer or control person of the Company or of an affiliate of the Company; ____________________
Family, Friends and Business Associates. You are an eligible investor because, as a person described in section 2.5 [Family, friends and business associates] of NI 45-106, because: Your Initials CHECK ALL APPLICABLE BOXES You are: □ a director of the issuer or an affiliate of an issuer □ an executive officer of the issuer or an affiliate of the issuer □ a control person of the issuer or an affiliate of the issuer □ a founder of the issuer or □ a person of which a majority of the voting securities are beneficially owned by, or a majority of the directors are, (i) individuals listed in (1) above and/or (ii) family members, close personal friends or close business associates of individuals listed in (1) above □ a trust or estate of which all of the beneficiaries or a majority of the trustees or executors are (i) individuals listed in (1) above and/or (ii) family members, close personal friends or close business associates of individuals listed in (1) above You are a family member of (Insert the name of the person who is your relative either directly or through his or her spouse) who holds the following position at the issuer or an affiliate of the issuer: You are the of that person or that person’s spouse. (To qualify for this investment, you must be (a) the spouse of the person listed above or
Family, Friends and Business Associates. The Subscriber or, if applicable, the Disclosed Purchaser is a resident of any province of Canada other than Ontario or Saskatchewan and is (please check the appropriate box): □ (i) a director, executive officer or control person of the Corporation (as such terms are defined in NI 45-106) or of an affiliate of the Corporation; or □ (ii) a spouse (as such term is defined in NI 45-106), parent, grandparent, brother, sister, child or grandchild of _______________ [insert name], a Person referred to in (i) above; or □ (iii) a parent, grandparent, brother, sister, child or grandchild of _______________ [insert name], the spouse of a Person referred to in (i) above; or □ (iv) a close personal friend of _______________ [insert name], a Person referred to in (i) above and who has completed Appendix I attached hereto; or □ (v) a close business associate of _______________ [insert name], a Person referred to in (i) above and who has completed Appendix II attached hereto; or □ (vi) a founder of the Corporation or a spouse, parent, grandparent, brother, sister, child, grandchild, close personal friend (who has completed Appendix I attached hereto) or close business associate (who has completed Appendix II attached hereto) of a founder of the Corporation; or □ (vii) a parent, grandparent, brother, sister, child or grandchild of _______________ [insert name], the spouse of a founder of the Corporation; or □ (viii) a Person of which a majority of the voting securities are beneficially owned by, or a majority of the directors are, Persons described in (i) to (vii) above; or □ (ix) a trust or estate of which all the beneficiaries or a majority of the trustees or executors are Persons described in (i) to (vii) above.
Family, Friends and Business Associates. (a) the Subscriber is purchasing the Units acquired pursuant to this Subscription Agreement:
Family, Friends and Business Associates. CERTIFICATIONS (To be completed by Officers, Directors, Employees, Family, Close Friends and Business Associates Only)
Family, Friends and Business Associates. (available to Alberta and British Columbia Subscribers only) The Purchaser hereby delivers to the Corporation a completed Certificate of Friends, Family and Business Associates, in the form attached hereto as Exhibit 3.
