Form instructions. 1. This form does not mandate the use of a specific font size or style but the font must be legible.
Form instructions. 1. The information in sections 1, 5 and 6 must be completed before the purchaser completes and signs the form.
Form instructions. 1. The information in sections 1, 5 and 6 must be completed before the subscriber completes and signs the form.
Form instructions. The information in section 5 must be completed before the purchaser completes and signs the form. The purchaser must sign this form. Each of the purchaser and the issuer or selling security holder must receive a copy of this form signed by the purchaser. The issuer or selling security holder is required to keep a copy of this form for 8 years after the distribution. SCHEDULE D MINIMUM INVESTMENT CERTIFICATE To Be Completed By All Subscribers Subscribing For $150,000 Or More of Shares All capitalized terms herein, unless otherwise defined, have the meanings ascribed thereto in the Subscription Agreement. The purpose of this Certificate is to assure the Corporation that each Subscriber will meet certain requirements of NI 45-106. The Corporation will rely on the information contained in this Certificate for the purposes of such determination. In connection with the purchase by the undersigned Subscriber of the Shares of the Corporation, the Subscriber, on its own behalf and on behalf of each disclosed principal for whom the Subscriber is acting (collectively, the “Subscriber”), hereby represents, warrants, covenants and certifies to the Corporation (and acknowledges that the Corporation and its counsel are relying thereon) that:
Form instructions. 1. The information in sections 1, 5 and 6 must be completed before the purchaser completes and signs the form. 2. The purchaser must sign this form. Each of the purchaser and the issuer or selling security holder must receive a copy of this form signed by the purchaser. The issuer or selling security holder is required to keep a copy of this form for 8 years after the distribution.
Form instructions. 1. This form does not mandate the use of a specific font size or style but the font must be legible. 2. The information in sections 1, 5 and 6 must be completed before the purchaser completes and signs the form. 3. The purchaser must sign this form. Each of the purchaser and the issuer or selling security holder must receive a copy of this form signed by the purchaser. The issuer or selling security holder is required to keep a copy of this form for 8 years after the distribution.
Form instructions. 1. The information in sections 1, 5 and 6 must be completed before the purchaser completes and signs the form. 2. The purchaser must sign this form. Each of the purchaser and the issuer or selling security holder must receive a copy of this form signed by the purchaser. The issuer or selling security holder is required to keep a copy of this form for 8 years after the distribution. [Individual Subscribers and Signatories] SCHEDULE E CLIENT IDENTIFICATION TO: Xxxxxx Xxxxxxxx RSP Fund (the “Trust”) c/o Xxxxxx Xxxxxxxx Capital Management Ltd. (the “Manager”) Capitalized terms used but not defined herein shall have the same meaning assigned to them as in the Subscription Agreement. In order to assist the Manager to discharge its client identification obligations under applicable anti-money laundering and anti- terrorist legislation, the Subscriber or each signatory of the Subscriber must complete, or assist the Manager in completing, option 1, 2, or 3 of this Client Identification Schedule depending on the verification method used to identify the Subscriber. IDENTIFICATION BY MANAGER – Options 1 to 3: A subscriber may be identified by the Manager using either the photo identification method, the credit file identification method or the dual process method. If the photo identification method is used, complete Option 1. If the credit file information method is used, complete Option 2. If the dual process method is used, complete Option 3.
Form instructions. If you are making this request for a joint filed return, enter the names and Social Security numbers in the same order as they appear on your tax return, your telephone numbers and email address.
Form instructions. This form does not mandate the use of a specific font size or style but the font must be legible. The information in sections 1, 5 and 6 must be completed before the purchaser completes and signs the form. The purchaser must sign this form. Each of the purchaser and the issuer or selling security holder must receive a copy of this form signed by the purchaser. The issuer or selling security holder is required to keep a copy of this form for 8 years after the distribution. SCHEDULE C TO THE SUBSCRIPTION AGREEMENT CLOSE PERSONAL FRIEND/CLOSE BUSINESS ASSOCIATE QUESTIONNAIRE To be completed by Subscriber if the Subscriber is relying on the “close personal friend” or “close business associate” relationship. Name of director, executive officer, control person or founder of whom Subscriber is a close personal friend/close business associate Length of relationship Details of relationship or prior business dealings The undersigned understands that the Company is relying on this information in determining to sell securities to the undersigned in a manner exempt from the registration and prospectus requirements of applicable securities laws.
Form instructions. This form should be used by a financial organization to sponsor a vendor that requests to participate in the FedLine Direct® and Fedwire® Services testing process. For assistance in completing this form, please contact the CCC at: (000) 000-0000. Send the completed form to the CCC via: Email: xxx.xx.xxxxxxx@xx.xxx.xxx or Fax: (000) 000-0000 Section 2: Customer Information Sponsoring Organization Identification Number (ABA/RTN)*
