REASON FOR TRANSFER. For US Residents only (where the individual(s) or corporation receiving the securities is a US resident). Please select only one (see instructions below). Gift ownership) Estate Private Sale Other (or no change in Date of Event (Date of gift, death or sale): Value per Warrant on the date of event: CAD OR USD NOTES:
Appears in 3 contracts
Samples: Warrant Indenture, webfiles.thecse.com, webfiles.thecse.com
REASON FOR TRANSFER. For US Residents only (where the individual(s) or corporation receiving the securities is a US resident). Please select only one (see instructions below). ☐ Gift ownership) ☐ Estate ☐ Private Sale Other ☐ Other (or no change in ownership) Date of Event (Date of gift, death or sale): Value per Warrant on the date of event: ☐ CAD OR USD NOTES:☐ USD
Appears in 2 contracts
Samples: First Supplemental Indenture (Uranium Energy Corp), First Supplemental Indenture (Uranium Energy Corp)
REASON FOR TRANSFER. For US Residents only (where the individual(s) or corporation receiving the securities is a US resident). Please select only one (see instructions below). ☐ Gift ownership) ☐ Estate ☐ Private Sale ☐ Other (or no change in ownership) Date of Event (Date of gift, death or sale): Value per Warrant on the date of event: ☐ CAD OR USD ☐ NOTES:
Appears in 2 contracts
Samples: Warrant Indenture (Mind Medicine (MindMed) Inc.), Supplemental Warrant Agreement (Mind Medicine (MindMed) Inc.)
REASON FOR TRANSFER. For US Residents only (where the individual(s) or corporation receiving the securities is a US resident). Please select only one (see instructions below). ¨ Gift ownership) ¨ Estate ¨ Private Sale ¨ Other (or no change in ownership) Date of Event (Date of gift, death or sale): Value per Warrant on the date of event: ¨ CAD OR USD NOTES:¨ USD
Appears in 2 contracts
Samples: Warrant Indenture (Augusta Gold Corp.), Warrant Indenture (Vista Gold Corp)
REASON FOR TRANSFER. For US Residents only (where the individual(s) or corporation receiving the securities is a US resident). Please select only one (see instructions below). ¨ Gift ownership) ¨ Estate ¨ Private Sale ¨ Other (or no change in ownership) Date of Event (Date of gift, death or sale): Value per Special Warrant on the date of event: ¨ CAD OR USD NOTES:¨ USD
Appears in 2 contracts
Samples: Special Warrant Indenture (Niocorp Developments LTD), Special Warrant Indenture (Niocorp Developments LTD)
REASON FOR TRANSFER. For US Residents only (where the individual(s) or corporation receiving the securities is a US resident). Please select only one (see instructions below). ☐ Gift ownership) ☐ Estate ☐ Private Sale ☐ Other (or no change in ownership) Date of Event (Date of gift, death or sale): Value per Warrant on the date of event: CAD OR USD NOTES:USD
Appears in 2 contracts
REASON FOR TRANSFER. For US Residents only (where the individual(s) or corporation receiving the securities is a US resident). Please select only one (see instructions below). ☐ Gift ownership) ☐ Estate ☐ Private Sale ☐ Other (or no change in ownership) Date of Event (Date of gift, death or sale): Value per Warrant on the date of event: CAD OR USD NOTES:
Appears in 2 contracts
Samples: Warrant Indenture (Planet 13 Holdings Inc.), Planet 13 Holdings Inc.
REASON FOR TRANSFER. For US Citizens or Residents only (where the individual(s) or corporation receiving the securities is a US citizen or resident). Please select only one (see instructions below). ¨ Gift ownership) ¨ Estate ¨ Private Sale ¨ Other (or no change in ownership) Date of Event (Date of gift, death or sale): Face Value per Warrant Debenture on the date of event: ¨ CAD OR USD NOTES:¨ USD
Appears in 2 contracts
Samples: Subordination Agreement (Mogo Inc.), Subordination Agreement (Mogo Finance Technology Inc.)
REASON FOR TRANSFER. For US Residents only (where the individual(s) or corporation receiving the securities is a US resident). Please select only one (see instructions below). ☐ Gift ownership) ☐ Estate ☐ Private Sale ☐ Other (or no change in ownership) Date of Event (Date of gift, death or sale): Value per Warrant on the date of event: CAD OR USD NOTES:
Appears in 1 contract
Samples: Warrant Indenture (HEXO Corp.)
REASON FOR TRANSFER. For US Residents only (where the individual(s) or corporation receiving the securities is a US resident). Please select only one (see instructions below). Gift in ownership) Estate Private Sale Other (or no change in Date of Event (Date of gift, death or sale): Value per Warrant on the date of event: CAD OR USD NOTES:
Appears in 1 contract
Samples: webfiles.thecse.com
REASON FOR TRANSFER. For US Residents only (where the individual(s) or corporation receiving the securities is a US resident). Please select only one (see instructions below). [ ] Gift ownership) [ ] Estate [ ] Private Sale [ ] Other (or no change in ownership) Date of Event (Date of gift, death or sale): Value per Warrant on the date of event: CAD OR USD NOTES:
Appears in 1 contract
Samples: Invictus MD Strategies Corp.
REASON FOR TRANSFER. For US Residents only (where the individual(s) or corporation receiving the securities is a US resident). Please select only one (see instructions below). ¨ Gift ownership) ¨ Estate ¨ Private Sale ¨ Other (or no change in ownership) Date of Event (Date of gift, death or sale): Value per Warrant on the date of event: ¨ CAD OR USD NOTES:¨ USD
Appears in 1 contract
Samples: Cardiol Therapeutics Inc.
REASON FOR TRANSFER. For US Residents only (where the individual(s) or corporation receiving the securities is a US resident). Please select only one (see instructions below). Gift ownership) Estate Private Sale Other (or no change in ownership) Date of Event (Date of gift, death or sale): Value per Warrant Subscription Receipt on the date of event: CAD OR USD NOTES:USD
Appears in 1 contract
Samples: Subscription Receipt Agreement
REASON FOR TRANSFER. For US Residents only (where the individual(s) or corporation receiving the securities is a US resident). Please select only one (see instructions below). ☐ Gift ownership) ☐ Estate ☐ Private Sale ☐ Other (or no change in ownership) Date of Event (Date of gift, death or sale): Value per Warrant on the date of event: ☐CAD OR USD USD☐ NOTES:
Appears in 1 contract
Samples: Supplemental Warrant Agreement (Mind Medicine (MindMed) Inc.)
REASON FOR TRANSFER. For US Residents only (where the individual(s) or corporation receiving the securities is a US resident). Please select only one (see instructions below). ☐ Gift ownership) ☐ Estate ☐ Private Sale ☐ Other (or no change in ownership) Date of Event (Date of gift, death or sale): Value per Warrant on the date of event: ☐ CAD OR USD NOTES:☐USD
Appears in 1 contract
Samples: First Person Ltd.
REASON FOR TRANSFER. For US Residents only (where the individual(s) or corporation receiving the securities is a US resident). Please select only one (see instructions below). Gift ownership) Estate Private Sale Other (or no change in ownership) Date of Event (Date of gift, death or sale): Value per Warrant on the date of event: CAD OR USD NOTES:
Appears in 1 contract
Samples: sedar-filings-backup.thecse.com
REASON FOR TRANSFER. For US Residents only (where the individual(s) or corporation receiving the securities is a US resident). Please select only one (see instructions below). ☐ Gift ownership) ☐ Estate ☐ Private Sale ☐ Other (or no change in ownership) Date of Event (Date of gift, death or sale): Value per Warrant on the date of event: ☐ ☐ CAD OR USD NOTES:USD
Appears in 1 contract
Samples: Warrant Indenture (HEXO Corp.)
REASON FOR TRANSFER. For US Residents only (where the individual(s) or corporation receiving the securities is a US resident). Please select only one (see instructions below). ¨ Gift ownership) ¨ Estate ¨ Private Sale ¨ Other (or no change in ownership) Date of Event (Date of gift, death or sale): Value per Warrant Subscription Receipt on the date of event: ¨ CAD OR USD NOTES:¨ USD
Appears in 1 contract
REASON FOR TRANSFER. For US Residents only (where the individual(s) or corporation receiving the securities is a US resident). Please select only one (see instructions below). ☐ Gift ownership) ☐ Estate ☐ Private Sale ☐ Other (or no change in ownership) Date of Event (Date of gift, death or sale): Value per Warrant on the date of event: ☐ CAD OR ☐ USD NOTES:
Appears in 1 contract
REASON FOR TRANSFER. For US Residents only (where the individual(s) or corporation receiving the securities is a US resident). Please select only one (see instructions below). Gift ownership) Estate Private Sale Other (or no change in ownership) Date of Event (Date of gift, death or sale): Value per Special Warrant on the date of event: / / $ . CAD OR USD NOTESNote to Special Warrantholders:
Appears in 1 contract
Samples: Special Warrant Indenture
REASON FOR TRANSFER. For US Residents only (where the individual(s) or corporation receiving the securities is a US resident). Please select only one (see instructions below). Gift ownership) Estate Private Sale Other (or no change in ownership) Date of Event (Date of gift, death or sale): Value per Warrant on the date of event: CAD OR USD NOTES:USD
Appears in 1 contract
Samples: Supplemental Warrant Indenture (Acreage Holdings, Inc.)
REASON FOR TRANSFER. For US Residents only (where the individual(s) or corporation receiving the securities is a US resident). Please select only one (see instructions below). ☐ ☐ ☐ ☐ Gift ownership) Estate Private Sale Other (or no change in ownership) Date of Event (Date of gift, death or sale): Value per Special Warrant on the date of event: ☐ ☐ CAD OR USD NOTES:USD
Appears in 1 contract
Samples: Special Warrant Indenture (Bunker Hill Mining Corp.)
REASON FOR TRANSFER. For US Residents only (where the individual(s) or corporation receiving the securities is a US resident). Please select only one (see instructions below). ☐ Gift ownership) ☐ Estate ☐ Private Sale ☐ Other (or no change in ownership) Date of Event (Date of gift, death or sale): Value per Warrant on the date of event: ☐ CAD OR USD NOTES:☐ USD
Appears in 1 contract
REASON FOR TRANSFER. For US Residents only (where the individual(s) or corporation receiving the securities is a US resident). Please select only one (see instructions below). ☐ Gift ownership) ☐ Estate ☐ Private Sale ☐ Other (or no change in ownership Date of Event (Date of gift, death or sale): Value per Warrant on the date of event: ☐ CAD OR USD NOTES:☐
Appears in 1 contract
Samples: Planet 13 Holdings Inc.
REASON FOR TRANSFER. For US Residents only (where the individual(s) or corporation receiving the securities is a US resident). Please select only one (see instructions below). o Gift ownership) o Estate o Private Sale o Other (or no change in ownership) Date of Event (Date of gift, death or sale): Value per Warrant on the date of event: CAD OR USD NOTES:
Appears in 1 contract
REASON FOR TRANSFER. For US Residents only (where the individual(s) or corporation receiving the securities is a US resident). Please select only one (see instructions below). Gift in ownership) Estate Private Sale Other (or no change in Date of Event (Date of gift, death or sale): Value per Warrant on the date of event: CAD OR USD NOTES:USD
Appears in 1 contract
