Common use of Collection of Personal Information Clause in Contracts

Collection of Personal Information. 10.1 The Subscriber acknowledges and consents to the fact that the Issuer is collecting the Subscriber’s personal information for the purpose of fulfilling this Agreement and completing the Offering. The Subscriber acknowledges that its personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: (a) stock exchanges or securities regulatory authorities, (b) the Issuer's registrar and transfer agent, (c) tax authorities, (d) authorities pursuant to the PATRIOT Act (U.S.A.) and (e) any of the other parties involved in the Offering, including the Issuer’s Counsel. By executing this Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and to the retention of such personal information for as long as permitted or required by applicable laws. Notwithstanding that the Subscriber may be purchasing the Note as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the Issuer, all as may be required by the Issuer in order to comply with the foregoing. 10.2 Furthermore, the Subscriber is hereby notified that the Issuer may deliver to any government authority having jurisdiction over the Issuer, the Subscriber or this Subscription, including the SEC and/or any state securities commissions, certain personal information pertaining to the Subscriber, including the Subscriber’s full name, residential address and telephone number, the number of Shares or other securities of the Issuer owned by the Subscriber, the principal amount of Note purchased by the Subscriber, the total Subscription Amount paid for the Note and the date of distribution of the Note.

Collection of Personal Information. 10.1 4.1 The Subscriber acknowledges and consents to the fact that the Issuer is collecting the Subscriber’s personal information for the purpose of fulfilling this Subscription Agreement and completing the Offeringoffering. The Subscriber acknowledges that its Subscriber’s personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: to (a) stock exchanges or securities regulatory authorities, (b) the Issuer's ’s registrar and transfer agent, and (c) tax authorities, (d) authorities pursuant to the PATRIOT Act (U.S.A.) and (e) any of the other parties involved in the Offering, including legal counsel, and may be included in record books in connection with the Issuer’s Counseloffering. By executing this Subscription Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's ’s personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and to the retention of such personal information for as long as permitted or required by applicable lawslaw or business practice. Notwithstanding that the Subscriber may be purchasing the Note Securities as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the Issuer, all as may be required by the Issuer in order to comply with the foregoing. 10.2 4.2 Furthermore, the Subscriber is hereby notified that the Issuer may deliver to any government authority having jurisdiction over the Issuer, the Subscriber or this Subscription, including the SEC and/or any state securities commissions, certain personal information pertaining to the Subscriber, including the such Subscriber’s full name, residential address and telephone number, the number of Shares shares or other securities of the Issuer owned by the Subscriber, the principal amount number of Note Securities purchased by the SubscriberSubscriber and the total purchase price paid for such Securities, the total Subscription Amount paid for prospectus exemption relied on by the Note Issuer and the date of distribution of the NoteSecurities.

Collection of Personal Information. 10.1 9.1 The Subscriber acknowledges and consents to the fact that the Issuer Company is collecting the Subscriber’s 's personal information for the purpose of fulfilling this Subscription Agreement and completing the Offering. The Subscriber acknowledges that its Subscriber's personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: Company to (a) stock exchanges or securities regulatory authorities, (b) the IssuerCompany's registrar and transfer agent, (c) tax authorities, (d) authorities pursuant to the PATRIOT Act (U.S.A.) law enforcement authorities, and (ef) any of the other parties involved in the Offering, including legal counsel, and may be included in record books in connection with the Issuer’s CounselOffering. By executing this Subscription Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and to the retention of such personal information for as long as permitted or required by applicable lawslaw or business practice. Notwithstanding that the Subscriber may be purchasing the Note Securities as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the Issuer, all as may be required by the Issuer Company in order to comply with the foregoing. 10.2 . Furthermore, the Subscriber is hereby notified that the Issuer Corporation may deliver to any government authority having jurisdiction over the Issuer, the Subscriber or this Subscription, including the SEC and/or any state securities commissions, Securities and Exchange Commission certain personal information pertaining to the Subscriber, including the such Subscriber’s full name, residential address and telephone number, the number of Shares shares or other securities of the Issuer Corporation owned by the Subscriber, the principal amount number of Note Securities purchased by the SubscriberSubscriber and the total purchase price paid for such Securities, the total Subscription Amount paid for prospectus exemption relied on by the Note Corporation and the date of distribution of the NoteSecurities.

Collection of Personal Information. 10.1 7.1 The Subscriber acknowledges and consents to the fact that the Issuer Corporation is collecting the Subscriber’s personal information for the purpose of fulfilling this Subscription Agreement and completing the Offeringoffering. The Subscriber acknowledges that its Subscriber’s personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: Corporation to (a) stock exchanges or securities regulatory authorities, (b) the Issuer's Corporation’s registrar and transfer agent, (c) Canadian tax authorities, (d) authorities pursuant to the PATRIOT Act (U.S.A.) PCMLTFA and (e) any of the other parties involved in the Offeringoffering, including legal counsel, and may be included in record books in connection with the Issuer’s Counseloffering. By executing this Subscription Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's ’s personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and to the retention of such personal information for as long as permitted or required by applicable lawslaw or business practice. Notwithstanding that the Subscriber may be purchasing the Note Shares as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the IssuerCorporation, all as may be required by the Issuer Corporation in order to comply with the foregoing. 10.2 . Furthermore, the Subscriber is hereby notified that that: (i) the Issuer Corporation may deliver to any government authority securities commission having jurisdiction over the IssuerCorporation, the Subscriber or this Subscriptionsubscription, including any Canadian provincial securities commissions (collectively, the SEC and/or any state securities commissions, “Commissions”) certain personal information pertaining to the Subscriber, including the such Subscriber’s full name, residential address and telephone number, the number of Shares shares or other securities of the Issuer Corporation owned by the Subscriber, the principal amount number of Note Shares purchased by the SubscriberSubscriber and the total purchase price paid for such Shares, the total Subscription Amount paid for prospectus exemption relied on by the Note Corporation and the date of distribution of the Note.Shares, (ii) such information is being collected indirectly by the Commissions under the authority granted to them in securities legislation, (iii) such information is being collected for the purposes of the administration and enforcement of the securities laws, and (iv) the Subscriber may contact the following public official in Ontario with respect to questions about the Ontario Securities Commission’s indirect collection of such information at the following address and telephone number: Administrative Support Clerk Ontario Securities Commission Xxxxx 0000, Xxx 00 00 Xxxxx Xxxxxx Xxxx Xxxxxxx, XX X0X 0X0 Telephone: (000) 000-0000

Collection of Personal Information. 10.1 11.1 The Subscriber acknowledges and consents to the fact that the Issuer Company is collecting the Subscriber’s personal information for the purpose of fulfilling this Subscription Agreement and completing the Offering. The Subscriber acknowledges that its Subscriber’s personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: Company to (a) stock exchanges or securities regulatory authorities, (b) the Issuer's Company’s registrar and transfer agent, (c) Canadian tax authorities, (d) authorities pursuant to the PATRIOT Proceeds of Crime (Money Laundering) and Terrorist Financing Act (U.S.A.Canada) and (e) any of the other parties involved in the Offering, including legal counsel, and may be included in record books in connection with the Issuer’s CounselOffering. By executing this Subscription Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's ’s personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and to the retention of such personal information for as long as permitted or required by applicable lawslaw or business practice. Notwithstanding that the Subscriber may be purchasing the Note Securities as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the Issuer, all as may be required by the Issuer Company in order to comply with the foregoing. 10.2 11.2 Furthermore, the Subscriber is hereby notified that that: (a) the Issuer Company may deliver to any government authority having jurisdiction over the Issuer, the Subscriber or this Subscription, including a provincial securities commission and/or the SEC and/or any state securities commissions, certain personal information pertaining to the Subscriber, including the such Subscriber’s full name, residential address and telephone number, the number of Shares shares or other securities of the Issuer Company owned by the Subscriber, the principal amount number of Note Securities purchased by the SubscriberSubscriber and the total purchase price paid for such Securities, the total Subscription Amount paid for prospectus exemption relied on by the Note Company and the date of distribution of the NoteSecurities, (b) such information is being collected indirectly by the provincial securities commission under the authority granted to it in securities legislation, and (c) such information is being collected for the purposes of the administration and enforcement of the securities legislation of Canada.

Collection of Personal Information. 10.1 14.1 The Subscriber acknowledges and consents to the fact that the Issuer Company is collecting the Subscriber’s personal information for the purpose of fulfilling this Agreement and completing the OfferingSubscription Agreement. The Subscriber acknowledges that its Subscriber’s personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: Company to (a) stock exchanges or securities regulatory authorities, including the Exchange, (b) the Issuer's Company’s registrar and transfer agent, (c) Canadian tax authorities, (d) authorities pursuant to the PATRIOT Proceeds of Crime (Money Laundering) and Terrorist Financing Act (U.S.A.) Canada), and (e) any of the other parties involved in the Offeringissuance of the Securities, including legal counsel, and may be included in record books in connection with the Issuer’s Counselissuance of the Securities. By executing this Subscription Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's ’s personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and to the retention of such personal information for as long as permitted or required by applicable lawslaw or business practice. Notwithstanding that the Subscriber may be purchasing the Note Securities as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the Issuer, all as may be required by the Issuer Company in order to comply with the foregoing. 10.2 14.2 Furthermore, the Subscriber is hereby notified that that: (a) the Issuer Company may deliver to any government authority having jurisdiction over the Issuer, the Subscriber or this Subscription, including a provincial securities commission and/or the SEC and/or any state securities commissions, certain personal information pertaining to the Subscriber, including the such Subscriber’s full name, residential address and telephone number, the number of Shares shares or other securities of the Issuer Company owned by the Subscriber, the principal amount number of Note Securities purchased by the SubscriberSubscriber and the total purchase price paid for such Securities, the total Subscription Amount paid for prospectus exemption relied on by the Note Company and the date of distribution of the NoteSecurities; (b) such information is being collected indirectly by the provincial securities commission under the authority granted to it in securities legislation; and (c) such information is being collected for the purposes of the administration and enforcement of the securities legislation of Canada.

Collection of Personal Information. 10.1 The Subscriber acknowledges and consents to the fact that the Issuer Company is collecting the Subscriber’s personal information for the purpose of fulfilling this Subscription Agreement and completing the Offering. The Subscriber acknowledges that its Subscriber’s personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: Company to (a) stock exchanges or securities regulatory authorities, (b) the Issuer's Company’s registrar and transfer agent, (c) Canadian tax authorities, (d) authorities pursuant to the PATRIOT Proceeds of Crime (Money Laundering) and Terrorist Financing Act (U.S.A.Canada) and (e) any of the other parties involved in the Offering, including legal counsel, and may be included in record books in connection with the Issuer’s CounselOffering. By executing this Subscription Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's ’s personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and to the retention of such personal information for as long as permitted or required by applicable lawslaw or business practice. Notwithstanding that the Subscriber may be purchasing the Note Securities as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the Issuer, all as may be required by the Issuer Company in order to comply with the foregoing. 10.2 Furthermore, the Subscriber is hereby notified that that: (a) the Issuer Corporation may deliver to any government authority having jurisdiction over the Issuer, the Subscriber or this Subscription, including a provincial securities commission and/or the SEC and/or any state securities commissions, certain personal information pertaining to the Subscriber, including the such Subscriber’s full name, residential address and telephone number, the number of Shares shares or other securities of the Issuer Corporation owned by the Subscriber, the principal amount number of Note Units purchased by the SubscriberSubscriber and the total purchase price paid for such Units, the total Subscription Amount paid for prospectus exemption relied on by the Note Corporation and the date of distribution of the NoteUnits, (b) such information is being collected indirectly by the provincial securities commission under the authority granted to it in securities legislation, and (c) such information is being collected for the purposes of the administration and enforcement of the securities legislation of Canada.

Collection of Personal Information. 10.1 a. The Subscriber Purchaser (on its own behalf and, if applicable, on behalf of any person for whose benefit the Purchaser is subscribing) acknowledges and consents to the fact that collection by the Issuer is collecting of the Subscriber’s Purchaser's (and any beneficial purchaser’s) personal information for the purpose of fulfilling this Agreement and completing the OfferingPurchaser’s subscription. The Subscriber acknowledges that Purchaser (on its personal information (own behalf and, if applicable, on behalf of any person for whose benefit the personal information of those on whose behalf the Subscriber Purchaser is contracting hereundersubscribing) may be included in record books in connection with the Offering acknowledges and may be disclosed by consents to the Issuer to: (a) stock exchanges or securities regulatory authorities, (b) retaining the Issuer's registrar and transfer agent, (c) tax authorities, (d) authorities pursuant to the PATRIOT Act (U.S.A.) and (e) any of the other parties involved in the Offering, including the Issuer’s Counsel. By executing this Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and to the retention of such personal information for as long as permitted or required by applicable lawslaw or business practices. Notwithstanding that the Subscriber may be purchasing the Note as agent The Purchaser (on its own behalf and, if applicable, on behalf of an undisclosed principal, any person for whose benefit the Subscriber agrees to provide, on request, particulars as Purchaser is subscribing) further acknowledges and consents to the nature and identity of such undisclosed principalIssuer disclosing as required by applicable securities laws, stock exchange rules, and XXX rules to regulatory authorities, or to other authorities pursuant to the Proceeds of Crime (Money Laundering) Act (Canada), any interest that such undisclosed principal has in the Issuer, all as may be required personal information provided by the Issuer Purchaser respecting itself (and any beneficial purchaser). The Purchaser represents and warrants that it has the authority to provide the consents and acknowledgements set out in order to comply with the foregoingthis paragraph on behalf of all beneficial purchasers. 10.2 b. Furthermore, the Subscriber Purchaser is hereby notified that that: A. the Issuer may deliver to any government authority having jurisdiction over the Issuer, the Subscriber or this Subscription, including the SEC and/or any state securities commissions, Commissions certain personal information pertaining to the SubscriberPurchaser, including the Subscribersuch Purchaser’s full name, residential address and telephone number, the number of Shares or other securities of the Issuer owned by the Subscriber, the principal amount of Note Units purchased by the SubscriberPurchaser and the total purchase price paid for such Units, the total Subscription Amount paid for prospectus exemption relied on by the Note Issuer and the date of distribution of the NoteUnits, B. such information is being collected indirectly by the Commissions under the authority granted to it in securities legislation, C. such information is being collected for the purposes of the administration and enforcement of the securities legislation of the applicable province, and the Purchaser may contact the appropriate Information Officer or other designated public official at each Commission with respect to questions about such Commission’s indirect collection of such information.

Collection of Personal Information. 10.1 The Subscriber acknowledges and consents to the fact that the Issuer Company is collecting the Subscriber’s personal information for the purpose of fulfilling this Subscription Agreement and completing the Offering. The Subscriber acknowledges that its Subscriber’s personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: Company to (a) stock exchanges or securities regulatory authorities, (b) the Issuer's Company’s registrar and transfer agent, (c) Canadian tax authorities, (d) authorities pursuant to the PATRIOT Proceeds of Crime (Money Laundering) and Terrorist Financing Act (U.S.A.Canada) and (e) any of the other parties involved in the Offering, including legal counsel, and may be included in record books in connection with the Issuer’s CounselOffering. By executing this Subscription Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's ’s personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and to the retention of such personal information for as long as permitted or required by applicable lawslaw or business practice. Notwithstanding that the Subscriber may be purchasing the Note Shares as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the Issuer, all as may be required by the Issuer Company in order to comply with the foregoing. 10.2 Furthermore, the Subscriber is hereby notified that that: (a) the Issuer Company may deliver to any government authority having jurisdiction over the Issuer, the Subscriber or this Subscription, including a provincial securities commission and/or the SEC and/or any state securities commissions, certain personal information pertaining to the Subscriber, including the such Subscriber’s full name, residential address and telephone number, the number of Shares shares or other securities of the Issuer Company owned by the Subscriber, the principal amount number of Note Shares purchased by the SubscriberSubscriber and the total purchase price paid for such Shares, the total Subscription Amount paid for prospectus exemption relied on by the Note Company and the date of distribution of the NoteShares, (b) such information is being collected indirectly by the provincial securities commission under the authority granted to it in securities legislation, and (c) such information is being collected for the purposes of the administration and enforcement of the securities legislation of Canada.

Collection of Personal Information. 10.1 a. The Subscriber Purchaser (on its own behalf and, if applicable, on behalf of any person for whose benefit the Purchaser is subscribing) acknowledges and consents to the fact that collection by the Issuer is collecting of the Subscriber’s Purchaser's (and any beneficial purchaser’s) personal information for the purpose of fulfilling this Agreement and completing the OfferingPurchaser’s subscription. The Subscriber acknowledges that Purchaser (on its personal information (own behalf and, if applicable, on behalf of any person for whose benefit the personal information of those on whose behalf the Subscriber Purchaser is contracting hereundersubscribing) may be included in record books in connection with the Offering acknowledges and may be disclosed by consents to the Issuer to: (a) stock exchanges or securities regulatory authorities, (b) retaining the Issuer's registrar and transfer agent, (c) tax authorities, (d) authorities pursuant to the PATRIOT Act (U.S.A.) and (e) any of the other parties involved in the Offering, including the Issuer’s Counsel. By executing this Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and to the retention of such personal information for as long as permitted or required by applicable lawslaw or business practices. Notwithstanding that the Subscriber may be purchasing the Note as agent The Purchaser (on its own behalf and, if applicable, on behalf of an undisclosed principal, any person for whose benefit the Subscriber agrees to provide, on request, particulars as Purchaser is subscribing) further acknowledges and consents to the nature and identity of such undisclosed principalIssuer disclosing as required by applicable securities laws, stock exchange rules, and XXX rules to regulatory authorities, or to other authorities pursuant to the Proceeds of Crime (Money Laundering) Act (Canada), any interest that such undisclosed principal has in the Issuer, all as may be required personal information provided by the Issuer Purchaser respecting itself (and any beneficial purchaser). The Purchaser represents and warrants that it has the authority to provide the consents and acknowledgements set out in order to comply with the foregoingthis paragraph on behalf of all beneficial purchasers. 10.2 b. Furthermore, the Subscriber Purchaser is hereby notified that that: A. the Issuer may deliver to any government authority having jurisdiction over the Issuer, the Subscriber or this Subscription, including the SEC and/or any state securities commissions, Commissions certain personal information pertaining to the SubscriberPurchaser, including the Subscribersuch Purchaser’s full name, residential address and telephone number, the number of Shares or other securities of the Issuer owned by the Subscriber, the principal amount of Note purchased by the SubscriberPurchaser and the total purchase price paid for such Shares, the total Subscription Amount paid for prospectus exemption relied on by the Note Issuer and the date of distribution of the NoteShares, B. such information is being collected indirectly by the Commissions under the authority granted to it in securities legislation, C. such information is being collected for the purposes of the administration and enforcement of the securities legislation of the applicable province, and the Purchaser may contact the appropriate Information Officer or other designated public official at each Commission with respect to questions about such Commission’s indirect collection of such information.

Collection of Personal Information. 10.1 9.1 The Subscriber acknowledges and consents to the fact that the Issuer Company is collecting the Subscriber’s 's personal information for the purpose of fulfilling this Subscription Agreement and completing the Offering. The Subscriber acknowledges that its Subscriber's personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: Company to (a) stock exchanges or securities regulatory authorities, (b) the IssuerCompany's registrar and transfer agent, (c) tax authorities, (d) law enforcement authorities, (e) authorities pursuant to the PATRIOT Proceeds of Crime (Money Laundering) and Terrorist Financing Act (U.S.A.Canada) and (ef) any of the other parties involved in the Offering, including legal counsel, and may be included in record books in connection with the Issuer’s CounselOffering. By executing this Subscription Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and to the retention of such personal information for as long as permitted or required by applicable lawslaw or business practice. Notwithstanding that the Subscriber may be purchasing the Note Securities as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the Issuer, all as may be required by the Issuer Company in order to comply with the foregoing. 10.2 . Furthermore, the Subscriber is hereby notified that that: (a) the Issuer Corporation may deliver to any government authority having jurisdiction over the Issuer, the Subscriber or this Subscription, including Ontario Securities Commission and/or the SEC and/or any state securities commissions, certain personal information pertaining to the Subscriber, including the such Subscriber’s full name, residential address and telephone number, the number of Shares shares or other securities of the Issuer Corporation owned by the Subscriber, the principal amount number of Note Securities purchased by the SubscriberSubscriber and the total purchase price paid for such Securities, the total Subscription Amount paid for prospectus exemption relied on by the Note Corporation and the date of distribution of the NoteSecurities. (b) such information is being collected indirectly by the Ontario Securities Commission under the authority granted to it in securities legislation, (c) such information is being collected for the purposes of the administration and enforcement of the securities legislation of Ontario, and (d) the Subscriber may contact the following public official in Ontario with respect to questions about the Ontario Securities Commission’s indirect collection of such information at the following address and telephone number: Administrative Assistant to the Director of Corporate Finance Ontario Securities Commission Xxxxx 0000, Xxx 00, 00 Xxxxx Xxxxxx Xxxx Xxxxxxx, Xxxxxxx, X0X 0X0 Telephone: (000) 000-0000

Collection of Personal Information. 10.1 11.1 The Subscriber acknowledges and consents to the fact that the Issuer Company is collecting the Subscriber’s personal information for the purpose of fulfilling this Subscription Agreement and completing the Offering. The Subscriber acknowledges that its Subscriber’s personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: Company to (a) stock exchanges or securities regulatory authorities, (b) the Issuer's Company’s registrar and transfer agent, (c) Canadian tax authorities, (d) authorities pursuant to the PATRIOT Proceeds of Crime (Money Laundering) and Terrorist Financing Act (U.S.A.Canada) and (e) any of the other parties involved in the Offering, including legal counsel, and may be included in record books in connection with the Issuer’s CounselOffering. By executing this Subscription Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's ’s personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and to the retention of such personal information for as long as permitted or required by applicable lawslaw or business practice. Notwithstanding that the Subscriber may be purchasing the Note Shares as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the Issuer, all as may be required by the Issuer Company in order to comply with the foregoing. 10.2 11.2 Furthermore, the Subscriber is hereby notified that that: (a) the Issuer Company may deliver to any government authority having jurisdiction over the Issuer, the Subscriber or this Subscription, including a provincial securities commission and/or the SEC and/or any state securities commissions, certain personal information pertaining to the Subscriber, including the such Subscriber’s full name, residential address and telephone number, the number of Shares shares or other securities of the Issuer Company owned by the Subscriber, the principal amount number of Note Shares purchased by the Subscriber, Subscriber and the total Subscription Amount purchase price paid for the Note Shares, the prospectus exemption relied on by the Company and the date of distribution of the NoteShares, (b) such information is being collected indirectly by the provincial securities commission under the authority granted to it in securities legislation, and (c) such information is being collected for the purposes of the administration and enforcement of the securities legislation of Canada.

Collection of Personal Information. 10.1 7.1 The Subscriber acknowledges and consents to the fact that the Issuer Corporation is collecting the Subscriber’s personal information for the purpose of fulfilling this Subscription Agreement and completing the Offeringoffering. The Subscriber acknowledges that its Subscriber’s personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: Corporation to (a) stock exchanges or securities regulatory authorities, (b) the Issuer's Corporation’s registrar and transfer agent, (c) Canadian tax authorities, (d) authorities pursuant to the PATRIOT Act (U.S.A.) PCMLTFA and (e) any of the other parties involved in the Offeringoffering, including legal counsel, and may be included in record books in connection with the Issuer’s Counseloffering. By executing this Subscription Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's ’s personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and to the retention of such personal information for as long as permitted or required by applicable lawslaw or business practice. Notwithstanding that the Subscriber may be purchasing the Note Shares as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the IssuerCorporation, all as may be required by the Issuer Corporation in order to comply with the foregoing. 10.2 . Furthermore, the Subscriber is hereby notified that that: (i) the Issuer Corporation may deliver to any government authority securities commission having jurisdiction over the IssuerCorporation, the Subscriber or this Subscriptionsubscription, including any Canadian provincial securities commissions (collectively, the SEC and/or any state securities commissions, “Commissions”) certain personal information pertaining to the Subscriber, including the such Subscriber’s full name, residential address and telephone number, the number of Shares shares or other securities of the Issuer Corporation owned by the Subscriber, the principal amount number of Note Shares purchased by the SubscriberSubscriber and the total purchase price paid for such Shares, the total Subscription Amount paid for prospectus exemption relied on by the Note Corporation and the date of distribution of the Note.Shares, (ii) such information is being collected indirectly by the Commissions under the authority granted to them in securities legislation, (iii) such information is being collected for the purposes of the administration and enforcement of the securities laws, and

Collection of Personal Information. 10.1 9.1 The Subscriber acknowledges and consents to the fact that the Issuer is collecting the Subscriber’s personal information for the purpose of fulfilling this Agreement and completing the Offering. The Subscriber acknowledges that its personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: (a) stock exchanges or securities regulatory authorities, ; (b) the Issuer's ’s registrar and transfer agent, ; (c) any tax authorities, ; (d) authorities pursuant to the PATRIOT Act (U.S.A.) any money laundering or terrorist financing legislation; and (e) any of the other parties involved in the Offering, including the Issuer’s Counsel. By executing this Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's ’s personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and to the retention of such personal information for as long as permitted or required by applicable laws. Notwithstanding that the Subscriber may be purchasing the Note Shares as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the Issuer, all as may be required by the Issuer in order to comply with the foregoing. 10.2 Furthermore, the 9.2 The Subscriber is hereby notified that and agrees that: (a) the Issuer may deliver to any government authority securities commission having jurisdiction over the Issuer, the Subscriber or this Subscription, including any Canadian provincial securities commissions, the SEC and/or any state securities commissionscommissions (collectively, the “Commissions”), certain personal information pertaining to the Subscriber, including the Subscriber’s full name, residential address and telephone number, the number of Shares or other securities of the Issuer owned by the Subscriber, the principal amount number of Note Shares purchased by the Subscriber, the total Subscription Amount paid for the Note Shares, the prospectus exemption relied on by the Issuer and the date of distribution of the NoteShares; (b) such information is being collected indirectly by the Commissions under the authority granted to them in applicable securities laws; (c) such information is being collected for the purposes of the administration and enforcement of applicable securities laws; and (d) the Subscriber may contact the following public official in Ontario with respect to questions about the Ontario Securities Commission’s indirect collection of such information at the following address and telephone number: Administrative Assistant to the Director of Corporate Finance Ontario Securities Commission Sxxxx 0000, Xxx 00 20 Xxxxx Xxxxxx Xxxx Xxxxxxx, XX X0X 0X0 Telephone: (000) 000-0000.

Collection of Personal Information. 10.1 The Subscriber acknowledges and consents to the fact that the Issuer is collecting the Subscriber’s 's personal information for the purpose of fulfilling this Agreement and completing the Offering. The Subscriber acknowledges that its Subscriber's personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: to (a) stock exchanges or securities regulatory authorities, (b) the Issuer's registrar and transfer agent, (c) Canadian tax authorities, (d) authorities pursuant to the PATRIOT Proceeds of Crime (Money Laundering) and Terrorist Financing Act (U.S.A.Canada) and (e) any of the other parties involved in the Offering, including legal counsel, and may be included in record books in connection with the Issuer’s CounselOffering. By executing this Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and to the retention of such personal information for as long as permitted or required by applicable lawslaw or business practice. Notwithstanding that the Subscriber may be purchasing the Note Shares as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the Issuer, all as may be required by the Issuer in order to comply with the foregoing. 10.2 . Furthermore, the Subscriber is hereby notified that that: (a) the Issuer may deliver to any government authority securities commission having jurisdiction over the Issuer, the Subscriber or this Subscriptionsubscription, including any Canadian provincial securities commissions and/or the SEC and/or any state securities commissions(collectively, the "Commissions") certain personal information pertaining to the Subscriber, including the such Subscriber’s 's full name, residential address and telephone number, the number of Shares shares or other securities of the Issuer owned by the Subscriber, the principal amount number of Note Shares purchased by the SubscriberSubscriber and the total purchase price paid for such Shares, the total Subscription Amount paid for prospectus exemption relied on by the Note Issuer and the date of distribution of the Note.Shares, (b) such information is being collected indirectly by the Commissions under the authority granted to them in securities legislation, (c) such information is being collected for the purposes of the administration and enforcement of the securities laws, and (d) the Subscriber may contact the following public official in British Columbia with respect to questions about the British Columbia Securities Commission's indirect collection of such information at the following address and telephone number: British Columbia Securities Commission 000 Xxxx Xxxxxxx Xxxxxx P.O. Box 10142, Pacific Centre Vancouver, B.C. V7Y 1L2 Telephone: 000-000-0000 or 0-000-000-0000 (toll free across Canada)

Collection of Personal Information. 10.1 The Subscriber acknowledges and consents to the fact that the Issuer is collecting the Subscriber’s personal information for the purpose of fulfilling this Agreement and completing the Offering. The Subscriber acknowledges that its personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: (a) stock exchanges or securities regulatory authorities, (b) the Issuer's registrar and transfer agent, (c) Canadian tax authorities, (d) authorities pursuant to the PATRIOT Proceeds of Crime (Money Laundering) and Terrorist Financing Act (U.S.A.Canada) and (e) any of the other parties involved in the Offering, including the Issuer’s Counsel. By executing this Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and to the retention of such personal information for as long as permitted or required by applicable laws. Notwithstanding that the Subscriber may be purchasing the Note Shares as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the Issuer, all as may be required by the Issuer in order to comply with the foregoing. 10.2 . Furthermore, the Subscriber is hereby notified that that: (a) the Issuer may deliver to any government authority securities commission having jurisdiction over the Issuer, the Subscriber or this Subscription, including any Canadian provincial securities commissions, the SEC United States Securities and Exchange Commission and/or any state securities commissionscommissions (collectively, the “Commissions”), certain personal information pertaining to the Subscriber, including the Subscriber’s full name, residential address and telephone number, the number of Shares or other securities of the Issuer owned by the Subscriber, the principal amount number of Note Shares purchased by the Subscriber, the total Subscription Amount paid for the Note Shares, the prospectus exemption relied on by the Issuer and the date of distribution of the NoteShares; (b) such information is being collected indirectly by the Commissions under the authority granted to them in applicable securities laws; (c) such information is being collected for the purposes of the administration and enforcement of applicable securities laws; and (d) the Subscriber may contact the following public official in Ontario with respect to questions about the Ontario Securities Commission’s indirect collection of such information at the following address and telephone number: Administrative Assistant to the Director of Corporate Finance Ontario Securities Commission Xxxxx 0000, Xxx 00 00 Xxxxx Xxxxxx Xxxx Xxxxxxx, XX X0X 0X0 Telephone: (000) 000-0000.

Collection of Personal Information. 10.1 11.1 The Subscriber acknowledges and consents to the fact that the Issuer Company is collecting the Subscriber’s 's personal information for the purpose of fulfilling this Agreement and completing the Offeringallotment of Shares. The Subscriber acknowledges that its Subscriber's personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: Company to (a) stock exchanges or securities regulatory authorities, (b) the IssuerCompany's registrar and transfer agent, (c) tax authorities, (d) law enforcement authorities, (e) authorities pursuant to the PATRIOT Proceeds of Crime (Money Laundering) and Terrorist Financing Act (U.S.A.Canada) and (ef) any of the other parties involved in the Offeringallotment and issuance, including legal counsel, and may be included in the IssuerCompany’s Counselrecord books. By executing this Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and to the retention of such personal information for as long as permitted or required by applicable lawslaw or business practice. Notwithstanding that the Subscriber may be purchasing the Note acquiring Shares as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the Issuer, all as may be required by the Issuer Company in order to comply with the foregoing. 10.2 . Furthermore, the Subscriber is hereby notified that that: (a) the Issuer Corporation may deliver to any government authority having jurisdiction over the Issuer, the Subscriber or this Subscription, including Alberta Securities Commission and/or the SEC and/or any state securities commissions, certain personal information pertaining to the Subscriber, including the such Subscriber’s full name, residential address and telephone number, the number of Shares shares or other securities of the Issuer Corporation owned by the Subscriber, the principal amount number of Note Shares purchased by the SubscriberSubscriber and the total purchase price paid for such Shares, the total Subscription Amount paid for prospectus exemption relied on by the Note Corporation and the date of distribution of the NoteShares, (b) such information is being collected indirectly by the Alberta Securities Commission under the authority granted to it in securities legislation, such information is being collected for the purposes of the administration and enforcement of the securities legislation of Alberta.

Collection of Personal Information. 10.1 9.1 The Subscriber acknowledges and consents to the fact that the Issuer is collecting the Subscriber’s personal information for the purpose of fulfilling this Agreement and completing the Offering. The Subscriber acknowledges that its Subscriber's personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: to (a) stock exchanges or securities regulatory authorities, (b) the Issuer's ’s registrar and transfer agent, (c) Canadian tax authorities, (d) authorities pursuant to the PATRIOT Proceeds of Crime (Money Laundering) and Terrorist Financing Act (U.S.A.Canada) and (e) any of the other parties involved in the Offering, including legal counsel, and may be included in record books in connection with the Issuer’s CounselOffering. By executing this Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and to the retention of such personal information for as long as permitted or required by applicable lawslaw or business practice. Notwithstanding that the Subscriber may be purchasing the Note acquiring Securities as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the Issuer, all as may be required by the Issuer in order to comply with the foregoing. 10.2 . Furthermore, the Subscriber is hereby notified that that: (a) the Issuer may deliver to any government authority securities commission having jurisdiction over the Issuer, the Subscriber or this Subscriptionsubscription, including any Canadian provincial securities commissions and/or the SEC and/or any state securities commissions(collectively, the “Commissions”) certain personal information pertaining to the Subscriber, including the such Subscriber’s full name, residential address and telephone number, the number of Shares shares or other securities of the Issuer owned by the Subscriber, the principal amount number of Note Securities purchased by the SubscriberSubscriber and the total purchase price paid for such Securities, the total Subscription Amount paid for prospectus exemption relied on by the Note Issuer and the date of distribution of the Note.Securities, (b) such information is being collected indirectly by the Commissions under the authority granted to them in securities legislation, (c) such information is being collected for the purposes of the administration and enforcement of the securities laws, and (d) the Subscriber may contact the following public official in Ontario with respect to questions about the Ontario Securities Commission’s indirect collection of such information at the following address and telephone number: Administrative Assistant to the Director of Corporate Finance Ontario Securities Commission Xxxxx 0000, Xxx 00 00 Xxxxx Xxxxxx Xxxx Xxxxxxx, XX X0X 0X0 Telephone: (000) 000-0000

Collection of Personal Information. 10.1 The Subscriber acknowledges and consents to the fact that the Issuer is collecting the Subscriber’s personal information for the purpose of fulfilling this Agreement and completing the Offering. The Subscriber acknowledges that its personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: (a) stock exchanges or securities regulatory authorities, (b) the Issuer's ’s registrar and transfer agent, (c) tax authorities, (d) authorities pursuant to the PATRIOT Act (U.S.A.) and (e) any of the other parties involved in the Offering, including the Issuer’s Counsellegal counsel. By executing this Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's ’s personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and to the retention of such personal information for as long as permitted or required by applicable laws. Notwithstanding that the Subscriber may be purchasing the Note Common Stock as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the Issuer, all as may be required by the Issuer in order to comply with the foregoing. 10.2 Furthermore, the Subscriber is hereby notified that the Issuer may deliver to any government authority having jurisdiction over the Issuer, the Subscriber or this Subscription, including the SEC and/or any state securities commissions, certain personal information pertaining to the Subscriber, including the Subscriber’s full name, residential address and telephone number, the number of Shares or other securities of the Issuer owned by the Subscriber, the principal amount of Note Common Stock purchased by the Subscriber, the total Subscription Amount paid for the Note Common Stock and the date of distribution of the NoteCommon Stock.

Collection of Personal Information. 10.1 The Subscriber acknowledges and consents to the fact that the Issuer is collecting the Subscriber’s personal information for the purpose of fulfilling this Agreement and completing the Offering. The Subscriber acknowledges that its personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: to (a) stock exchanges or securities regulatory authorities, (b) the Issuer's ’s registrar and transfer agent, (c) tax authorities, (d) authorities pursuant to the PATRIOT Proceeds of Crime (Money Laundering) and Terrorist Financing Act (U.S.A.Canada) and (e) any of the other parties involved in the Offering, including legal counsel, and may be included in record books in connection with the Issuer’s CounselOffering. By executing this Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's ’s personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and for the purposes described in Exhibit D to this Agreement, and to the retention of such personal information for as long as permitted or required by applicable lawslaws or business practice. Notwithstanding that the Subscriber may be purchasing the Note Shares as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the Issuer, all as may be required by the Issuer in order to comply with the foregoing. 10.2 . By completing this Agreement, the Subscriber authorizes the indirect collection of the information described in this Section 10.1 by all applicable regulators and consents to the disclosure of such information to the public through (i) the filing of a report of trade with all applicable regulators and (ii) the filing of this Agreement on SEDAR. Furthermore, the Subscriber is hereby notified that that: (a) the Issuer may deliver to any government authority securities commission having jurisdiction over the Issuer, the Subscriber or this Subscription, including any Canadian provincial securities commissions, the SEC United States Securities and Exchange Commission and/or any state securities commissionscommissions (collectively, the “Commissions”), certain personal information pertaining to the Subscriber, including the Subscriber’s full name, residential address and telephone number, the number of Shares or other securities of the Issuer owned by the Subscriber, the principal amount number of Note Shares purchased by the Subscriber, the total Subscription Amount paid for the Note Shares, the prospectus exemption relied on by the Issuer and the date of distribution of the Note.Shares; (b) such information is being collected indirectly by the Commissions under the authority granted to them in applicable securities laws; (c) such information is being collected for the purposes of the administration and enforcement of applicable securities laws; and (d) the Subscriber may contact the public official in the local jurisdiction with respect to questions about the indirect collection of such information at the following address and telephone number: Attention: FOIP Coordinator Alberta Securities Commission Sxxxx 000 000 – 0xx Xxxxxx XX Xxxxxxx, XX X0X 0X0 Telephone: 400-000-0000 Attention: FOI Inquiries British Columbia Securities Commission P.X. Xxx 00000, Xxxxxxx Xxxxxx 700 Xxxx Xxxxxxx Xxxxxx Xxxxxxxxx, XX X0X 0X0 Telephone: 600-000-0000 Attention: Inquiries Officer Ontario Securities Commission 20 Xxxxx Xxxxxx Xxxx, 00xx Xxxxx Xxxxxxx, XX X0X 0X0 Telephone: 400-000-0000

Collection of Personal Information. 10.1 9.1 The Subscriber acknowledges and consents to the fact that the Issuer is collecting the Subscriber’s personal information for the purpose of fulfilling this Agreement and completing the Offering. The Subscriber acknowledges that its personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: (a) stock exchanges or securities regulatory authorities, (b) the Issuer's ’s registrar and transfer agent, (c) tax authorities, (d) authorities pursuant to the PATRIOT Proceeds of Crime (Money Laundering) and Terrorist Financing Act (U.S.A.Canada) and (e) any of the other parties involved in the Offering, including the Issuer’s Counsel. By executing this Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's ’s personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and to the retention of such personal information for as long as permitted or required by applicable laws. Notwithstanding that the Subscriber may be purchasing the Note Securities as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the Issuer, all as may be required by the Issuer in order to comply with the foregoing. 10.2 . Furthermore, the Subscriber is hereby notified that that: (a) the Issuer may deliver to any government authority securities commission having jurisdiction over the Issuer, the Subscriber or this Subscription, including any Canadian provincial securities commissions, the SEC United States Securities and Exchange Commission and/or any state securities commissionscommissions (collectively, the “Commissions”), certain personal information pertaining to the Subscriber, including the Subscriber’s full name, residential address and telephone number, the number of Shares Securities or other securities of the Issuer owned by the Subscriber, the principal amount number of Note Securities purchased by the Subscriber, the total Subscription Amount paid for the Note Securities, the prospectus exemption relied on by the Issuer and the date of distribution of the Note.Securities; (b) such information is being collected indirectly by the Commissions under the authority granted to them in securities legislation, (c) such information is being collected for the purposes of the administration and enforcement of the securities laws, and (d) the Subscriber may contact the following public official in Ontario with respect to questions about the Ontario Securities Commission’s indirect collection of such information at the following address and telephone number: Administrative Support Clerk Ontario Securities Commission Xxxxx 0000, Xxx 00 00 Xxxxx Xxxxxx Xxxx Xxxxxxx, XX X0X 0X0 Telephone: (000) 000-0000

Collection of Personal Information. 10.1 The Subscriber acknowledges and consents to the fact that the Issuer is collecting the Subscriber’s personal information for the purpose of fulfilling this Agreement and completing the Offering. The Subscriber acknowledges that its personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: (a) stock exchanges or securities regulatory authorities, (b) the Issuer's ’s registrar and transfer agent, (c) Canadian tax authorities, (d) authorities pursuant to the PATRIOT Proceeds of Crime (Money Laundering) and Terrorist Financing Act (U.S.A.Canada) and (e) any of the other parties involved in the Offering, including the Issuer’s Counsel. By executing this Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's ’s personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and to the retention of such personal information for as long as permitted or required by applicable laws. Notwithstanding that the Subscriber may be purchasing the Note Securities as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the Issuer, all as may be required by the Issuer in order to comply with the foregoing. 10.2 . Furthermore, the Subscriber is hereby notified that that: (a) the Issuer may deliver to any government authority securities commission having jurisdiction over the Issuer, the Subscriber or this Subscription, including any Canadian provincial securities commissions, the SEC United States Securities and Exchange Commission and/or any state securities commissionscommissions (collectively, the “Commissions”), certain personal information pertaining to the Subscriber, including the Subscriber’s full name, residential address and telephone number, the number of Shares or other securities of the Issuer owned by the Subscriber, the principal amount number of Note Securities purchased by the Subscriber, the total Subscription Amount paid for paid, the Note prospectus exemption relied on by the Issuer and the date of distribution of the Note.Notes; (b) such information is being collected indirectly by the Commissions under the authority granted to them in applicable securities laws; (c) such information is being collected for the purposes of the administration and enforcement of applicable securities laws; and (d) the Subscriber may contact the following public official in Ontario with respect to questions about the Ontario Securities Commission’s indirect collection of such information at the following address and telephone number: (e) Administrative Assistant to the Director of Corporate Finance Ontario Securities Commission Sxxxx 0000, Xxx 00 20 Xxxxx Xxxxxx Xxxx Xxxxxxx, XX X0X 0X0 Telephone: (000) 000-0000

Collection of Personal Information. 10.1 9.1 The Subscriber acknowledges and consents to the fact that the Issuer Company is collecting the Subscriber’s 's personal information for the purpose of fulfilling this Subscription Agreement and completing the Offering. The Subscriber acknowledges that its Subscriber's personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: Company to (a) stock exchanges or securities regulatory authorities, (b) the IssuerCompany's registrar and transfer agent, (c) tax authorities, (d) law enforcement authorities, (e) authorities pursuant to the PATRIOT Proceeds of Crime (Money Laundering) and Terrorist Financing Act (U.S.A.Canada) and (ef) any of the other parties involved in the Offering, including legal counsel, and may be included in record books in connection with the Issuer’s CounselOffering. By executing this Subscription Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and to the retention of such personal information for as long as permitted or required by applicable lawslaw or business practice. Notwithstanding that the Subscriber may be purchasing the Note Units as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the Issuer, all as may be required by the Issuer Company in order to comply with the foregoing. 10.2 . Furthermore, the Subscriber is hereby notified that that: (a) the Issuer Corporation may deliver to any government authority having jurisdiction over the Issuer, the Subscriber or this Subscription, including Ontario Securities Commission and/or the SEC and/or any state securities commissions, certain personal information pertaining to the Subscriber, including the such Subscriber’s full name, residential address and telephone number, the number of Shares shares or other securities of the Issuer Corporation owned by the Subscriber, the principal amount number of Note Units purchased by the SubscriberSubscriber and the total purchase price paid for such Units, the total Subscription Amount paid for prospectus exemption relied on by the Note Corporation and the date of distribution of the Note.Units, (b) such information is being collected indirectly by the Ontario Securities Commission under the authority granted to it in securities legislation, (c) such information is being collected for the purposes of the administration and enforcement of the securities legislation of Ontario, and (d) the Subscriber may contact the following public official in Ontario with respect to questions about the Ontario Securities Commission’s indirect collection of such information at the following address and telephone number: Administrative Assistant to the Director of Corporate Finance Ontario Securities Commission Xxxxx 0000, Xxx 00, 00 Xxxxx Xxxxxx Xxxx Xxxxxxx, Xxxxxxx, X0X 0X0 Telephone: (000) 000-0000

Collection of Personal Information. 10.1 11.1 The Subscriber acknowledges and consents to the fact that the Issuer is collecting the Subscriber’s 's personal information for the purpose of fulfilling this Agreement and completing the Offering. The Subscriber acknowledges that its personal information (and, if applicable, the personal information of those any person on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: (ai) stock exchanges or securities regulatory authorities, ; (bii) the Issuer's registrar and transfer agent, ; (ciii) Canadian tax authorities, ; (div) authorities pursuant pursuant, among other legislation, to the PATRIOT Proceeds of Crime (Money Laundering) and Terrorist Financing Act (U.S.A.) Canada); and (ev) any of the other parties involved in the Offering, including the Issuer’s 's Counsel. By executing this Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's personal information (and, if applicable, the personal information of those any other person on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and to the retention of such personal information for as long as permitted or required by applicable laws. Notwithstanding that the Subscriber may be purchasing the Note Common Shares as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the Issuer, all as may be required by the Issuer in order to comply with the foregoing. 10.2 . Furthermore, the Subscriber is hereby notified that that: (a) the Issuer may deliver to any government authority securities commission having jurisdiction over the Issuer, the Subscriber or this Subscription, including any Canadian provincial securities commissions, the SEC United States Securities and Exchange Commission and/or any state securities commissionscommissions (collectively, the "Commissions"), certain personal information pertaining to the Subscriber, including the Subscriber’s 's full name, residential address and telephone number, the number of Shares or other securities of the Issuer owned by the Subscriber, the principal amount number of Note Common Shares purchased by the Subscriber, the total Subscription Amount paid for paid, the Note prospectus exemption relied on by the Issuer and the date of distribution of the NoteCommon Shares; (b) such information is being collected indirectly by the Commissions under the authority granted to them in applicable securities laws; (c) such information is being collected for the purposes of the administration and enforcement of applicable securities laws; and (d) in Ontario, the Administrative Support Clerk, Suite 1903, Box 55, 20 Xxxxx Xxxxxx Xxxx, Xxxxxxx XX, X0X 0X0, Telephone: (000) 000-0000 in the public official who can answer questions about the collection of personal information.

Collection of Personal Information. 10.1 The Subscriber acknowledges and consents to the fact that the Issuer is collecting the Subscriber’s personal information for the purpose of fulfilling this Agreement and completing the Offering. The Subscriber acknowledges that its personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: (a) stock exchanges or securities regulatory authorities, (b) the Issuer's registrar and transfer agent, (c) tax authorities, (d) authorities pursuant to the PATRIOT Act (U.S.A.) and (e) any of the other parties involved in the Offering, including the Issuer’s Counsel. By executing this Subscription Agreement, the Subscriber is deemed to be consenting hereby consents to the foregoing collection, use and disclosure of the personal information provided herein and other personal information provided by the Subscriber or collected by the Corporation or its agents as reasonably necessary in connection with the Subscriber's subscription for the Subscribed Shares (collectively, "personal information") as follows: (a) the Corporation may use personal information and disclose personal information to intermediaries such as the Corporation's legal counsel and withholding and/or transfer agents for the purposes of determining the Subscriber's eligibility to invest in the Subscribed Shares and for managing and administering the Subscriber's investment in the Subscribed Shares; (andb) if the Subscriber purchased securities through a registered dealer, the Corporation may disclose and collect such personal information relating to the Subscriber's holding of the Subscribed Shares to and from the dealer; (c) the Corporation and its agents may use the Subscriber's social insurance number for income reporting purposes in accordance with applicable law; (d) the Corporation, its agents and advisors, may each collect, use and disclose personal information for the purposes of meeting legal, regulatory, self-regulatory, security and audit requirements (including any applicable tax, securities, money laundering or anti-terrorism legislation, rules or regulations) and as otherwise permitted or required by law, which disclosures may include disclosures to tax, securities or other regulatory or self-regulatory authorities in Canada and/or in foreign jurisdictions, if applicable, in connection with the regulatory oversight mandate of such authorities; (e) the Corporation and its agents and advisors may use personal information and disclose personal information to parties connected with the proposed or actual transfer, sale, assignment, merger or amalgamation of the Corporation or its business or assets or similar transactions, for the purpose of permitting such parties to evaluate and/or proceed with and complete such transaction. Purchasers, assignees and successors of the Corporation or its business or assets may collect, use and disclose personal information as described in this Subscription Agreement. The Subscriber acknowledges that the Corporation's agents or intermediaries may be located outside of Canada, and personal information may be transferred and/or processed outside of Canada for the purposes described above, and that measures the Issuer may use to protect personal information while handled by agents, intermediaries or other third parties on its behalf, and personal information otherwise disclosed or transferred outside of Canada for the purposes described above, are subject to legal requirements in foreign countries applicable to Issuer or such third parties, for example lawful requirements to disclose personal information to government authorities in those on whose behalf countries. If the Subscriber is contracting hereunder) for the foregoing purposes and resident in, or otherwise subject to the retention applicable securities legislation of such personal information for as long as permitted or required by applicable laws. Notwithstanding that the Subscriber may be purchasing the Note as agent on behalf of an undisclosed principalOntario, the Subscriber agrees to provide, on request, particulars as acknowledges (i) the delivery to the nature and identity Ontario Securities Commission of such undisclosed principal, and any interest that such undisclosed principal has in the Issuer, all as may be required by the Issuer in order to comply with the foregoing. 10.2 Furthermore, the Subscriber is hereby notified that the Issuer may deliver to any government authority having jurisdiction over the Issuer, the Subscriber or this Subscription, including the SEC and/or any state securities commissions, certain personal information pertaining to the Subscriber, including the Subscriber’s 's full name, residential address and telephone number, the number and type of Shares or other securities of the Issuer owned by the Subscriber, the principal amount of Note purchased by the Subscriber, the total Subscription Amount paid for purchase price, the Note exemption relied on, and the date of distribution distribution, (ii) that such information is being collected indirectly by the Ontario Securities Commission under the authority granted to it in securities legislation, (iii) that such information is being collected for the purposes of the Noteadministration and enforcement of the securities legislation of Ontario, and (iv) that the Administrative Assistant to the Director of Corporate Finance at the Ontario Securities Commission, Sxxxx 0000, Xxx 00, 20 Xxxxx Xxxxxx Xxxx, Xxxxxxx, Xxxxxxx X0X 0X0, telephone (000) 000-0000, can be contacted to answer questions about the Ontario Securities Commission's indirect collection of such information. The Subscriber hereby authorizes the indirect collection of such information by the Ontario Securities Commission.

Collection of Personal Information. 10.1 11.1 The Subscriber acknowledges and consents to the fact that the Issuer is collecting the Subscriber’s 's personal information for the purpose of fulfilling this Agreement and completing the Offering. The Subscriber acknowledges that its personal information (and, if applicable, the personal information of those any person on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: (ai) stock exchanges or securities regulatory authorities, ; (bii) the Issuer's registrar and transfer agent, ; (ciii) Canadian or U.S. tax authorities; (iv) the U.S. Financial Crimes Enforcement Network and authorities pursuant, (d) authorities pursuant among other legislation, to the PATRIOT Proceeds of Crime (Money Laundering) and Terrorist Financing Act (U.S.A.Canada) ; and (ev) any of the other parties involved in the Offering, including the Issuer’s 's Counsel. By executing this Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's personal information (and, if applicable, the personal information of those any other person on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and to the retention of such personal information for as long as permitted or required by applicable laws. Notwithstanding that the Subscriber may be purchasing the Note Common Shares as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the Issuer, all as may be required by the Issuer in order to comply with the foregoing. 10.2 . Furthermore, the Subscriber is hereby notified that that: (a) the Issuer may deliver to any government authority securities commission having jurisdiction over the Issuer, the Subscriber or this Subscription, including any Canadian provincial securities commissions, the SEC United States Securities and Exchange Commission and/or any state securities commissionscommissions (collectively, the "Commissions"), certain personal information pertaining to the Subscriber, including the Subscriber’s 's full name, residential address and telephone number, the number of Shares or other securities of the Issuer owned by the Subscriber, the principal amount number of Note Common Shares purchased by the Subscriber, the total Subscription Amount paid for paid, the Note prospectus exemption relied on by the Issuer and the date of distribution of the NoteCommon Shares; (b) such information is being collected indirectly by the Commissions under the authority granted to them in applicable securities laws; and (c) such information is being collected for the purposes of the administration and enforcement of applicable securities laws.

Collection of Personal Information. 10.1 12.1 The Subscriber acknowledges and consents to the fact that the Issuer is collecting the Subscriber’s personal information for the purpose of fulfilling this Agreement and completing the Offering. The Subscriber acknowledges that its personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: (a) stock exchanges exchanges, quotation systems, securities commissions or other securities regulatory authorities, ; (b) the Issuer's ’s registrar and transfer agent, ; (c) any applicable tax authorities, ; (d) authorities pursuant to the PATRIOT Act (U.S.A.) any money laundering or terrorist financing legislation; and (e) any of the other parties involved in the Offering, including the Issuer’s Counsel. By executing this Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's ’s personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and to the retention of such personal information for as long as permitted or required by applicable laws. Notwithstanding that the Subscriber may be purchasing the Note Shares as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the Issuer, all as may be required by the Issuer in order to comply with the foregoing. 10.2 Furthermore, the 12.2 The Subscriber is hereby notified that and agrees that: (i) the Issuer may deliver to any government authority securities commission having jurisdiction over the Issuer, the Subscriber or this Subscription, including the SEC and/or any state securities commissionscommissions (collectively, the “Commissions”), certain personal information pertaining to the Subscriber, including the Subscriber’s full name, residential address and telephone number, the number of Shares or other securities of the Issuer owned by the Subscriber, the principal amount number of Note Shares purchased by the Subscriber, the total Subscription Amount paid for the Note Shares, the exemption relied on by the Issuer and the date of distribution of the NoteShares; (ii) such information is being collected indirectly by the Commissions under the authority granted to them in applicable securities laws; and (iii) such information is being collected for the purposes of the administration and enforcement of applicable securities laws.

Collection of Personal Information. 10.1 The Subscriber acknowledges and consents to the fact that the Issuer is Issuers are collecting the Subscriber’s personal information for the purpose of fulfilling this Agreement and completing the Offering. The Subscriber acknowledges that its Subscriber's personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: Issuers to (a) stock exchanges or securities regulatory authorities, (b) the Issuer's Issuers’ registrar and transfer agent, (c) Canadian tax authorities, (d) authorities pursuant to the PATRIOT Proceeds of Crime (Money Laundering) and Terrorist Financing Act (U.S.A.Canada) and (e) any of the other parties involved in the Offering, including legal counsel, and may be included in record books in connection with the Issuer’s CounselOffering. By executing this Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and to the retention of such personal information for as long as permitted or required by applicable lawslaw or business practice. Notwithstanding that the Subscriber may be purchasing the Note Securities as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the IssuerIssuers, all as may be required by the Issuer Issuers in order to comply with the foregoing. 10.2 . Furthermore, the Subscriber is hereby notified that that: (a) the Issuer Issuers may deliver to any government authority securities commission having jurisdiction over the IssuerIssuers, the Subscriber or this Subscriptionsubscription, including any Canadian provincial securities commissions and/or the SEC and/or any state securities commissions(collectively, the “Commissions”) certain personal information pertaining to the Subscriber, including the such Subscriber’s full name, residential address and telephone number, the number of Shares shares or other securities of the Issuer Issuers owned by the Subscriber, the principal amount number of Note Securities purchased by the SubscriberSubscriber and the total purchase price paid for such Securities, the total Subscription Amount paid for prospectus exemption relied on by the Note Issuers and the date of distribution of the Note.Securities, (b) such information is being collected indirectly by the Commissions under the authority granted to them in securities legislation, (c) such information is being collected for the purposes of the administration and enforcement of the securities laws, and (d) the Subscriber may contact the following public official in Ontario with respect to questions about the Ontario Securities Commission’s indirect collection of such information at the following address and telephone number: Administrative Assistant to the Director of Corporate Finance Ontario Securities Commission Xxxxx 0000, Xxx 00 00 Xxxxx Xxxxxx Xxxx Xxxxxxx, XX X0X 0X0 Telephone: (000) 000-0000

Collection of Personal Information. 10.1 5.1 The Subscriber acknowledges and consents to the fact that the Issuer is collecting the Subscriber’s 's personal information for the purpose of fulfilling this Subscription Agreement and completing the Offeringoffering. The Subscriber acknowledges that its Subscriber's personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: to (a) stock exchanges or securities regulatory authorities, (b) the Issuer's registrar and transfer agent, (c) Canadian tax authorities, (d) authorities pursuant to the PATRIOT Act PROCEEDS OF CRIME (U.S.A.MONEY LAUNDERING) AND TERRORIST FINANCING ACT (Canada) and (e) any of the other parties involved in the US Offering, including legal counsel, and may be included in record books in connection with the Issuer’s Counseloffering. By executing this Subscription Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and to the retention of such personal information for as long as permitted or required by applicable lawslaw or business practice. Notwithstanding that the Subscriber may be purchasing the Note Shares as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the Issuer, all as may be required by the Issuer in order to comply with the foregoing. 10.2 5.2 Furthermore, the Subscriber is hereby notified that that: (a) the Issuer may deliver to any government authority having jurisdiction over the Issuer, the Subscriber or this Subscription, including a provincial securities commission in Canada and/or the SEC and/or any state securities commissions, certain personal information pertaining to the Subscriber, including the such Subscriber’s 's full name, residential address and telephone number, the number of Shares shares or other securities of the Issuer owned by the Subscriber, the principal amount number of Note Shares purchased by the SubscriberSubscriber and the total purchase price paid for such Shares, the total Subscription Amount paid for prospectus exemption relied on by the Note Issuer and the date of distribution of the NoteShares, (b) such information is being collected indirectly by a provincial securities commission in Canada under the authority granted to it in securities legislation, and (c) such information is being collected for the purposes of the administration and enforcement of the securities legislation of Canada.

Collection of Personal Information. 10.1 9.1 The Subscriber acknowledges and consents to the fact that the Issuer Company is collecting the Subscriber’s 's personal information for the purpose of fulfilling this Subscription Agreement and completing the Offering. The Subscriber acknowledges that its Subscriber's personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: Company to (a) stock exchanges or securities regulatory authorities, (b) the IssuerCompany's registrar and transfer agent, (c) Canadian tax authorities, (d) authorities pursuant to the PATRIOT Proceeds of Crime (Money Laundering) and Terrorist Financing Act (U.S.A.Canada) and (e) any of the other parties involved in the Offering, including legal counsel, and may be included in record books in connection with the Issuer’s CounselOffering. By executing this Subscription Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and to the retention of such personal information for as long as permitted or required by applicable lawslaw or business practice. Notwithstanding that the Subscriber may be purchasing the Note Shares as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the Issuer, all as may be required by the Issuer Company in order to comply with the foregoing. 10.2 . Furthermore, the Subscriber is hereby notified that that: (a) the Issuer Corporation may deliver to any government authority having jurisdiction over the Issuer, the Subscriber or this Subscription, including Ontario Securities Commission and/or the SEC and/or any state securities commissions, certain personal information pertaining to the Subscriber, including the such Subscriber’s full name, residential address and telephone number, the number of Shares shares or other securities of the Issuer Corporation owned by the Subscriber, the principal amount number of Note Units purchased by the SubscriberSubscriber and the total purchase price paid for such Units, the total Subscription Amount paid for prospectus exemption relied on by the Note Corporation and the date of distribution of the Note.Units, (b) such information is being collected indirectly by the Ontario Securities Commission under the authority granted to it in securities legislation, (c) such information is being collected for the purposes of the administration and enforcement of the securities legislation of Ontario, and (d) the Subscriber may contact the following public official in Ontario with respect to questions about the Ontario Securities Commission’s indirect collection of such information at the following address and telephone number: Administrative Assistant to the Director of Corporate Finance Ontario Securities Commission Xxxxx 0000, Xxx 00, 00 Xxxxx Xxxxxx Xxxx Xxxxxxx, Xxxxxxx, X0X 0X0 Telephone: (000) 000-0000

Collection of Personal Information. 10.1 The Subscriber acknowledges and consents to the fact that the Issuer is collecting the Subscriber’s personal information for the purpose of fulfilling this Agreement and completing the Offering. The Subscriber acknowledges that its personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: (a) stock exchanges or securities regulatory authorities, ; (b) the Issuer's ’s registrar and transfer agent, ; (c) any tax authorities, ; (d) authorities pursuant to the PATRIOT Act (U.S.A.) any money laundering or terrorist financing legislation; and (e) any of the other parties involved in the Offering, including the Issuer’s Counsel. By executing this Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's ’s personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and to the retention of such personal information for as long as permitted or required by applicable laws. Notwithstanding that the Subscriber may be purchasing the Note Securities as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the Issuer, all as may be required by the Issuer in order to comply with the foregoing. 10.2 Furthermore, the The Subscriber is hereby notified that and agrees that: (a) the Issuer may deliver to any government authority securities commission having jurisdiction over the Issuer, the Subscriber or this Subscription, including the SEC and/or any state or international securities commissionscommissions or similar regulatory authorities (collectively, the “Commissions”), certain personal information pertaining to the Subscriber, including the Subscriber’s full name, residential address and telephone number, the number of Shares or other securities of the Issuer owned by the Subscriber, the principal amount number of Note Units purchased by the Subscriber, the total Subscription Amount paid for the Note Units, the prospectus exemption relied on by the Issuer and the date of distribution of the NoteUnits; (b) such information is being collected indirectly by the Commissions under the authority granted to them in applicable securities laws; and (c) such information is being collected for the purposes of the administration and enforcement of applicable securities laws.

Collection of Personal Information. 10.1 11.1 The Subscriber acknowledges and consents to the fact that the Issuer Company is collecting the Subscriber’s personal information for the purpose of fulfilling this Agreement and completing the Offeringtransactions contemplated herein. The Subscriber acknowledges that its Subscriber’s personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: Company to (a) stock exchanges or securities regulatory authorities, (b) the Issuer's Company’s registrar and transfer agent, (c) Canadian tax authorities, (d) authorities pursuant to the PATRIOT Proceeds of Crime (Money Laundering) and Terrorist Financing Act (U.S.A.Canada) and (e) any of the other parties involved in the Offeringtransactions contemplated herein, including legal counsel, and may be included in record books in connection with the Issuer’s Counseltransactions contemplated herein. By executing this Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's ’s personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and to the retention of such personal information for as long as permitted or required by applicable lawslaw or business practice. Notwithstanding that the Subscriber may be purchasing the Note Shares as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the Issuer, all as may be required by the Issuer Company in order to comply with the foregoing. 10.2 11.2 Furthermore, the Subscriber is hereby notified that that: (a) the Issuer Company may deliver to any government authority having jurisdiction over the Issuer, the Subscriber or this Subscription, including a provincial securities commission and/or the SEC and/or any state securities commissions, certain personal information pertaining to the Subscriber, including the such Subscriber’s full name, residential address and telephone number, the number of Shares shares or other securities of the Issuer Company owned by the Subscriber, the principal amount number of Note Shares purchased by the SubscriberSubscriber and the total purchase price paid for such Shares, the total Subscription Amount paid for prospectus exemption relied on by the Note Company and the date of distribution of the NoteShares, (b) such information is being collected indirectly by the provincial securities commission under the authority granted to it in securities legislation, and (c) such information is being collected for the purposes of the administration and enforcement of the securities legislation of Canada.

Collection of Personal Information. 10.1 The Subscriber acknowledges and consents to the fact that the Issuer is collecting the Subscriber’s 's personal information for the purpose of fulfilling this Agreement and completing the Offering. The Subscriber acknowledges that its Subscriber's personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: to (a) stock exchanges or securities regulatory authorities, (b) the Issuer's registrar and transfer agent, (c) Canadian tax authorities, (d) authorities pursuant to the PATRIOT Proceeds of Crime (Money Laundering) and Terrorist Financing Act (U.S.A.Canada) and (e) any of the other parties involved in the Offering, including legal counsel, and may be included in record books in connection with the Issuer’s CounselOffering. By executing this Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and to the retention of such personal information for as long as permitted or required by applicable lawslaw or business practice. Notwithstanding that the Subscriber may be purchasing the Note Shares as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the Issuer, all as may be required by the Issuer in order to comply with the foregoing. 10.2 . Furthermore, the Subscriber is hereby notified that that: (a) the Issuer may deliver to any government authority securities commission having jurisdiction over the Issuer, the Subscriber or this Subscriptionsubscription, including any Canadian provincial securities commissions and/or the SEC and/or any state securities commissions(collectively, the "Commissions") certain personal information pertaining to the Subscriber, including the such Subscriber’s 's full name, residential address and telephone number, the number of Shares shares or other securities of the Issuer owned by the Subscriber, the principal amount number of Note Shares purchased by the SubscriberSubscriber and the total purchase price paid for such Shares, the total Subscription Amount paid for prospectus exemption relied on by the Note Issuer and the date of distribution of the Note.Shares, (b) such information is being collected indirectly by the Commissions under the authority granted to them in securities legislation, (c) such information is being collected for the purposes of the administration and enforcement of the securities laws, and (d) the Subscriber may contact the following public official in British Columbia with respect to questions about the British Columbia Securities Commission's indirect collection of such information at the following address and telephone number: British Columbia Securities Commission 000 Xxxx Xxxxxxx Xxxxxx X.X. Xxx 00000, Xxxxxxx Xxxxxx Xxxxxxxxx, X.X. X0X 0X0 Telephone: 000-000-0000 or 0-000-000-0000 (toll free across Canada)

Collection of Personal Information. 10.1 11.1 The Subscriber acknowledges and consents to the fact that the Issuer is collecting the Subscriber’s 's personal information for the purpose of fulfilling this Agreement and completing the Offering. The Subscriber acknowledges that its personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: to (a) stock exchanges or securities regulatory authorities, (b) the Issuer's registrar and transfer agent, (c) tax authorities, (d) authorities pursuant to the PATRIOT Proceeds of Crime (Money Laundering) and Terrorist Financing Act (U.S.A.Canada) and (e) any of the other parties involved in the Offering, including legal counsel, and may be included in record books in connection with the Issuer’s CounselOffering. By executing this Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and for the purposes described in Exhibit D to this Agreement, and to the retention of such personal information for as long as permitted or required by applicable lawslaws or business practice. Notwithstanding that the Subscriber may be purchasing the Note Units as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the Issuer, all as may be required by the Issuer in order to comply with the foregoing. 10.2 . By completing this Agreement, the Subscriber authorizes the indirect collection of the information described in this Section 11.1 by all applicable regulators and consents to the disclosure of such information to the public through (i) the filing of a report of trade with all applicable regulators and (ii) the filing of this Agreement on SEDAR. Furthermore, the Subscriber is hereby notified that that: (a) the Issuer may deliver to any government authority securities commission having jurisdiction over the Issuer, the Subscriber or this Subscription, including any Canadian provincial securities commissions, the SEC United States Securities and Exchange Commission and/or any state securities commissionscommissions (collectively, the "Commissions"), certain personal information pertaining to the Subscriber, including the Subscriber’s 's full name, residential address and telephone number, the number of Shares or other securities of the Issuer owned by the Subscriber, the principal amount number of Note Units purchased by the Subscriber, the total Subscription Amount paid for the Note Units, the prospectus exemption relied on by the Issuer and the date of distribution of the Note.Units; (b) such information is being collected indirectly by the Commissions under the authority granted to them in applicable securities laws; (c) such information is being collected for the purposes of the administration and enforcement of applicable securities laws; and (d) the Subscriber may contact the public official in the local jurisdiction with respect to questions about the indirect collection of such information at the following address and telephone number: Attention: FOIP Coordinator Alberta Securities Commission Xxxxx 000 000 - 0xx Xxxxxx XX Xxxxxxx, XX X0X 0X0 Telephone: 000-000-0000 Attention: FOI Inquiries British Columbia Securities Commission X.X. Xxx 00000, Xxxxxxx Xxxxxx 000 Xxxx Xxxxxxx Xxxxxx Xxxxxxxxx, XX X0X 0X0 Telephone: 000-000-0000 Attention: Inquiries Officer Ontario Securities Commission 00 Xxxxx Xxxxxx Xxxx, 00xx Xxxxx Xxxxxxx, XX X0X 0X0 Telephone: 000-000-0000

Collection of Personal Information. 10.1 The Subscriber acknowledges and consents to the fact that the Issuer is collecting the Subscriber’s personal information for the purpose of fulfilling this Agreement and completing the Offering. The Subscriber acknowledges that its Subscriber’s personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: to (a) stock exchanges or securities regulatory authorities, (b) the Issuer's ’s registrar and transfer agent, (c) Canadian or U.S. tax authorities, (d) authorities pursuant to the PATRIOT Proceeds of Crime (Money Laundering) and Terrorist Financing Act (U.S.A.Canada) and (e) any of the other parties involved in the Offering, including legal counsel, and may be included in record books in connection with the Issuer’s CounselOffering. By executing this Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's ’s personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and to the retention of such personal information for as long as permitted or required by applicable lawslaw or business practice. Notwithstanding that the Subscriber may be purchasing the Note Shares as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the Issuer, all as may be required by the Issuer in order to comply with the foregoing. 10.2 . Furthermore, the Subscriber is hereby notified that that: (a) the Issuer may deliver to any government authority securities commission having jurisdiction over the Issuer, the Subscriber or this Subscriptionsubscription, including any Canadian provincial securities commissions and/or the SEC and/or any state securities commissions(collectively, the “Commissions”) certain personal information pertaining to the Subscriber, including the such Subscriber’s full name, residential address and telephone number, the number of Shares shares or other securities of the Issuer owned by the Subscriber, the principal amount number of Note Shares purchased by the SubscriberSubscriber and the total purchase price paid for such Shares, the total Subscription Amount paid for prospectus exemption relied on by the Note Issuer, if applicable, and the date of distribution of the NoteShares, (b) such information is being collected indirectly by the Commissions under the authority granted to them in securities legislation, and (c) such information is being collected for the purposes of the administration and enforcement of the securities laws.

Collection of Personal Information. 10.1 11.1 The Subscriber acknowledges and consents to the fact that the Issuer Company is collecting the Subscriber’s personal information for the purpose of fulfilling this Subscription Agreement and completing the Offering. The Subscriber acknowledges that its Subscriber’s personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: Company to (a) stock exchanges or securities regulatory authorities, (b) the Issuer's Company’s registrar and transfer agent, (c) Canadian tax authorities, (d) authorities pursuant to the PATRIOT Proceeds of Crime (Money Laundering) and Terrorist Financing Act (U.S.A.Canada) and (e) any of the other parties involved in the Offering, including legal counsel, and may be included in record books in connection with the Issuer’s CounselOffering. By executing this Subscription Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's ’s personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and to the retention of such personal information for as long as permitted or required by applicable lawslaw or business practice. Notwithstanding that the Subscriber may be purchasing the Note Shares as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the Issuer, all as may be required by the Issuer Company in order to comply with the foregoing. 10.2 11.2 Furthermore, the Subscriber is hereby notified that that: (a) the Issuer Company may deliver to any government authority having jurisdiction over the Issuer, the Subscriber or this Subscription, including a provincial securities commission and/or the SEC and/or any state securities commissions, certain personal information pertaining to the Subscriber, including the such Subscriber’s full name, residential address and telephone number, the number of Shares shares or other securities of the Issuer Company owned by the Subscriber, the principal amount number of Note Shares purchased by the SubscriberSubscriber and the total purchase price paid for such Shares, the total Subscription Amount paid for prospectus exemption relied on by the Note Company and the date of distribution of the NoteShares, (b) such information is being collected indirectly by the provincial securities commission under the authority granted to it in securities legislation, and (c) such information is being collected for the purposes of the administration and enforcement of the securities legislation of Canada.

Collection of Personal Information. 10.1 11.1 The Subscriber acknowledges and consents to the fact that the Issuer is collecting the Subscriber’s personal information for the purpose of fulfilling this Agreement and completing the Offering. The Subscriber acknowledges that its personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: to (a) stock exchanges or securities regulatory authorities, (b) the Issuer's ’s registrar and transfer agent, (c) tax authorities, (d) authorities pursuant to the PATRIOT Proceeds of Crime (Money Laundering) and Terrorist Financing Act (U.S.A.Canada) and (e) any of the other parties involved in the Offering, including legal counsel, and may be included in record books in connection with the Issuer’s CounselOffering. By executing this Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's ’s personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and for the purposes described in Exhibit E to this Agreement, and to the retention of such personal information for as long as permitted or required by applicable lawslaws or business practice. Notwithstanding that the Subscriber may be purchasing the Note Units as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the Issuer, all as may be required by the Issuer in order to comply with the foregoing. 10.2 . By completing this Agreement, the Subscriber authorizes the indirect collection of the information described in this Section 11.1 by all applicable regulators and consents to the disclosure of such information to the public through (i) the filing of a report of trade with all applicable regulators and (ii) the filing of this Agreement on SEDAR. Furthermore, the Subscriber is hereby notified that that: (a) the Issuer may deliver to any government authority securities commission having jurisdiction over the Issuer, the Subscriber or this Subscription, including any Canadian provincial securities commissions, the SEC United States Securities and Exchange Commission and/or any state securities commissionscommissions (collectively, the “Commissions”), certain personal information pertaining to the Subscriber, including the Subscriber’s full name, residential address and telephone number, the number of Shares or other securities of the Issuer owned by the Subscriber, the principal amount number of Note Units purchased by the Subscriber, the total Subscription Amount paid for the Note Units, the prospectus exemption relied on by the Issuer and the date of distribution of the NoteUnits; (b) such information is being collected indirectly by the Commissions under the authority granted to them in applicable securities laws; (c) such information is being collected for the purposes of the administration and enforcement of applicable securities laws; and (d) the Subscriber may contact the following public official in Ontario with respect to questions about the Ontario Securities Commission’s indirect collection of such information at the following address and telephone number: Administrative Assistant to the Director of Corporate Finance Ontario Securities Commission Xxxxx 0000, Xxx 00 00 Xxxxx Xxxxxx Xxxx Xxxxxxx, XX X0X 0X0 Telephone: (000) 000-0000.

Collection of Personal Information. 10.1 The Subscriber acknowledges and consents to the fact that the Issuer Corporation is collecting the Subscriber’s 's personal information for the purpose of fulfilling this Subscription Agreement and completing the Offering. The Subscriber acknowledges that its Subscriber's personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: Corporation to (a) stock exchanges exchanges, including the Exchange, or securities regulatory authoritiesauthorities (including the Ontario Securities Commission as referred to below), (b) the IssuerCorporation's registrar and transfer agent registrar and transfer agent, (c) Canadian tax authorities, (d) authorities pursuant to the PATRIOT Proceeds of Crime (Money Laundering) and Terrorist Financing Act (U.S.A.Canada) and (e) any of the other parties involved in the Offering, including legal counsel, and may be included in record books in connection with the Issuer’s CounselOffering. By executing this Subscription Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and to the retention of such personal information for as long as permitted or required by applicable lawslaw or business practice. Notwithstanding that the Subscriber may be purchasing the Note Shares as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the Issuer, Corporation all as may be required by the Issuer Corporation in order to comply with the foregoing. 10.2 . Furthermore, the Subscriber is hereby notified that that: (a) the Issuer Corporation may deliver to any government authority securities commission having jurisdiction over the IssuerCorporation, the Subscriber or this Subscriptionsubscription, including the SEC and/or any state securities commissionsBritish Columbia Securities Commission, the Alberta Securities Commission and the Ontario Securities Commission (collectively, the "Commissions") certain personal information pertaining to the Subscriber, including the such Subscriber’s 's full name, residential address and telephone number, the number of Shares shares or other securities of the Issuer Corporation owned by the Subscriber, the principal amount number of Note Shares purchased by the SubscriberSubscriber and the total purchase price paid for such Shares, the total Subscription Amount paid for prospectus exemption relied on by the Note Corporation and the date of distribution of the Note.Shares, (b) such information is being collected indirectly by the Commissions under the authority granted to them in securities legislation, (c) such information is being collected for the purposes of the administration and enforcement of the securities laws, and (d) the Subscriber may contact the following public official in Ontario with respect to questions about the Ontario Securities Commission's indirect collection of such information at the following address and telephone number: Administrative Assistant to the Director of Corporate Finance Ontario Securities Commission Xxxxx 0000, Xxx 00, 00 Xxxxx Xxxxxx Xxxx Xxxxxxx, Xxxxxxx, X0X 0X0 Telephone: (000) 000-0000

Collection of Personal Information. 10.1 11.1 The Subscriber acknowledges and consents to the fact that the Issuer is collecting the Subscriber’s 's personal information for the purpose of fulfilling this Agreement and completing the Offering. The Subscriber acknowledges that its personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: (a) stock exchanges or securities regulatory authorities, (b) the Issuer's registrar and transfer agent, (c) Canadian tax authorities, (d) authorities pursuant to the PATRIOT Proceeds of Crime (Money Laundering) and Terrorist Financing Act (U.S.A.Canada) and (e) any of the other parties involved in the Offering, including the Issuer’s 's Counsel. By executing this Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and to the retention of such personal information for as long as permitted or required by applicable laws. Notwithstanding that the Subscriber may be purchasing the Note Shares as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the Issuer, all as may be required by the Issuer in order to comply with the foregoing. 10.2 . Furthermore, the Subscriber is hereby notified that that: (a) the Issuer may deliver to any government authority securities commission having jurisdiction over the Issuer, the Subscriber or this Subscription, including any Canadian provincial securities commissions, the SEC United States Securities and Exchange Commission and/or any state securities commissionscommissions (collectively, the "Commissions"), certain personal information pertaining to the Subscriber, including the Subscriber’s 's full name, residential address and telephone number, the number of Shares or other securities of the Issuer owned by the Subscriber, the principal amount number of Note Shares purchased by the Subscriber, the total Subscription Amount paid for the Note Shares, the prospectus exemption relied on by the Issuer and the date of distribution of the NoteShares; (b) such information is being collected indirectly by the Commissions under the authority granted to them in applicable securities laws; (c) such information is being collected for the purposes of the administration and enforcement of applicable securities laws; and (d) the Subscriber may contact the following public official in Ontario with respect to questions about the Ontario Securities Commission's indirect collection of such information at the following address and telephone number: Administrative Assistant to the Director of Corporate Finance Ontario Securities Commission Xxxxx 0000, Xxx 00 00 Xxxxx Xxxxxx Xxxx Xxxxxxx, XX X0X 0X0 Telephone: (000) 000-0000.

Collection of Personal Information. 10.1 The Subscriber acknowledges and consents to the fact that the Issuer is collecting the Subscriber’s personal information for the purpose of fulfilling this Agreement and completing the Offering. The Subscriber acknowledges that its this Subscription Agreement and Schedules hereto require the Subscriber to provide certain personal information to the Corporation. Such information is being collected by the Corporation for the purposes of completing the Offering, which includes, without limitation, determining the Subscriber’s eligibility (or, if applicable, the eligibility of the disclosed beneficial purchaser) to purchase the Units under applicable Securities Laws, preparing and registering certificates representing the Securities to be issued hereunder and completing filings required by any stock exchange or securities regulatory authority. The Subscriber’s personal information (and, if applicable, the disclosed beneficial purchaser’s personal information of those on whose behalf the Subscriber is contracting hereunderinformation) may be included in record books in connection with the Offering and may be disclosed by the Issuer Corporation to: (a) stock exchanges or securities regulatory authorities, (b) the Issuer's Corporation’s registrar and transfer agent, (c) tax authoritiesany government agency, board or other entity; and (d) authorities pursuant to the PATRIOT Act (U.S.A.) and (e) any of the other parties involved in the Offering, including the Issuer’s CounselCorporation, the Agents and their respective legal counsel, and may be included in record books in connection with the Offering. By executing this Subscription Agreement, the Subscriber (and, if applicable, the disclosed beneficial purchaser) is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's ’s personal information (and, if applicable, the disclosed beneficial purchaser’s personal information of those on whose behalf information). The Subscriber (and, if applicable, the Subscriber is contracting hereunderdisclosed beneficial purchaser) for the foregoing purposes and also consents to the retention filing of such personal information for as long as permitted copies or required by applicable laws. Notwithstanding that originals of any of the Subscriber may be purchasing the Note as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has documents described in the Issuer, all this Subscription Agreement as may be required to be filed with any stock exchange or securities regulatory authority in connection with the transactions contemplated hereby and consents to the disclosure of such information to the public through the filing of a report of trade with applicable Securities Regulators. The Subscriber (and, if applicable, the disclosed beneficial purchaser) further acknowledges that it has been notified by the Issuer in order to comply with Corporation of and authorizes (a) the foregoing. 10.2 Furthermore, the Subscriber is hereby notified that the Issuer may deliver to any government authority having jurisdiction over the Issuer, the Subscriber or this Subscription, including the SEC and/or any state securities commissions, certain personal information pertaining delivery to the Subscriber, including OSC of the Subscriber’s full name, residential address and telephone numbernumber of the Subscriber (and, if applicable, the disclosed beneficial purchaser), the number and type of Shares or other securities of the Issuer owned by the Subscriber, the principal amount of Note purchased by the Subscriberpurchased, the total Subscription Amount paid for purchase price, the Note exemption relied upon and the date of distribution distribution; (b) that this information is being collected indirectly by the OSC under the authority granted to it in securities legislation; (c) that this information is being collected for the purposes of the Noteadministration and enforcement of the securities legislation of Ontario; and (d) that the Administrative Assistant to the Director of Corporate Finance can be contacted at Ontario Securities Commission, Xxxxx 0000, Xxx 00, 00 Xxxxx Xxxxxx Xxxx, Xxxxxxx, Xxxxxxx X0X 0X0, or at (000) 000-0000, regarding any questions about the OSC’s indirect collection of this information.

Collection of Personal Information. 10.1 The Subscriber acknowledges and consents to the fact that the Issuer is collecting the Subscriber’s personal information for the purpose of fulfilling this Agreement and completing the Offering. The Subscriber acknowledges that its personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: (a) stock exchanges or securities regulatory authorities, (b) the Issuer's registrar and transfer agent, (c) Canadian tax authorities, (d) authorities pursuant to the PATRIOT Proceeds of Crime (Money Laundering) and Terrorist Financing Act (U.S.A.Canada) and (e) any of the other parties involved in the Offering, including the Issuer’s Counsel. By executing this Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and to the retention of such personal information for as long as permitted or required by applicable laws. Notwithstanding that the Subscriber may be purchasing the Note Units as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the Issuer, all as may be required by the Issuer in order to comply with the foregoing. 10.2 . Furthermore, the Subscriber is hereby notified that that: (a) the Issuer may deliver to any government authority securities commission having jurisdiction over the Issuer, the Subscriber or this Subscription, including any Canadian provincial securities commissions, the SEC United States Securities and Exchange Commission and/or any state securities commissionscommissions (collectively, the “Commissions”), certain personal information pertaining to the Subscriber, including the Subscriber’s full name, residential address and telephone number, the number of Shares or other securities of the Issuer owned by the Subscriber, the principal amount number of Note Units purchased by the Subscriber, the total Subscription Amount paid for the Note Units, the prospectus exemption relied on by the Issuer and the date of distribution of the NoteUnits; (b) such information is being collected indirectly by the Commissions under the authority granted to them in applicable securities laws; (c) such information is being collected for the purposes of the administration and enforcement of applicable securities laws; and (d) the Subscriber may contact the following public official in Ontario with respect to questions about the Ontario Securities Commission’s indirect collection of such information at the following address and telephone number: Administrative Assistant to the Director of Corporate Finance Ontario Securities Commission Xxxxx 0000, Xxx 00 00 Xxxxx Xxxxxx Xxxx Xxxxxxx, XX X0X 0X0 Telephone: (000) 000-0000.

Collection of Personal Information. 10.1 11.1 The Subscriber acknowledges and consents to the fact that the Issuer Company is collecting the Subscriber’s personal information for the purpose of fulfilling this Subscription Agreement and completing the Offering. The Subscriber acknowledges that its Subscriber’s personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: Company to (a) stock exchanges or securities regulatory authorities, (b) the Issuer's Company’s registrar and transfer agent, (c) Canadian tax authorities, (d) authorities pursuant to the PATRIOT Proceeds of Crime (Money Laundering) and Terrorist Financing Act (U.S.A.Canada) and (e) any of the other parties involved in the Offering, including legal counsel, and may be included in record books in connection with the Issuer’s CounselOffering. By executing this Subscription Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's ’s personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and to the retention of such personal information for as long as permitted or required by applicable lawslaw or business practice. Notwithstanding that the Subscriber may be purchasing the Note Securities as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the Issuer, all as may be required by the Issuer Company in order to comply with the foregoing. 10.2 11.2 Furthermore, the Subscriber is hereby notified that that: (a) the Issuer Company may deliver to any government authority having jurisdiction over the Issuer, the Subscriber or this Subscription, including a provincial securities commission and/or the SEC and/or any state securities commissions, certain personal information pertaining to the Subscriber, including the such Subscriber’s full name, residential address and telephone number, the number of Shares shares or other securities of the Issuer Company owned by the Subscriber, the principal amount number of Note Units and other Securities purchased by the Subscriber, Subscriber and the total Subscription Amount purchase price paid for the Note Units, the prospectus exemption relied on by the Company and the date of distribution of the NoteSecurities, (b) such information is being collected indirectly by the provincial securities commission under the authority granted to it in securities legislation, and (c) such information is being collected for the purposes of the administration and enforcement of the securities legislation of Canada.

Collection of Personal Information. 10.1 12.1 The Subscriber acknowledges and consents to the fact that the Issuer Company is collecting the Subscriber’s personal information for the purpose of fulfilling this Agreement and completing the Offeringtransactions contemplated herein. The Subscriber acknowledges that its Subscriber’s personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: Company to (a) stock exchanges or securities regulatory authorities, (b) the Issuer's Company’s registrar and transfer agent, (c) Canadian tax authorities, (d) authorities pursuant to the PATRIOT Proceeds of Crime (Money Laundering) and Terrorist Financing Act (U.S.A.Canada) and (e) any of the other parties involved in the Offeringtransactions contemplated herein, including legal counsel, and may be included in record books in connection with the Issuer’s Counseltransactions contemplated herein. By executing this Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's ’s personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and to the retention of such personal information for as long as permitted or required by applicable lawslaw or business practice. Notwithstanding that the Subscriber may be purchasing the Note Securities as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the Issuer, all as may be required by the Issuer Company in order to comply with the foregoing. 10.2 12.2 Furthermore, the Subscriber is hereby notified that that: (a) the Issuer Company may deliver to any government authority having jurisdiction over the Issuer, the Subscriber or this Subscription, including a provincial securities commission and/or the SEC and/or any state securities commissions, certain personal information pertaining to the Subscriber, including the such Subscriber’s full name, residential address and telephone number, the number of Shares shares or other securities of the Issuer Company owned by the Subscriber, the principal amount number of Note Securities purchased by the SubscriberSubscriber and the total purchase price paid for such Securities, the total Subscription Amount paid for prospectus exemption relied on by the Note Company and the date of distribution of the NoteSecurities, (b) such information is being collected indirectly by the provincial securities commission under the authority granted to it in securities legislation, and (c) such information is being collected for the purposes of the administration and enforcement of the securities legislation of Canada.

Collection of Personal Information. 10.1 The Subscriber acknowledges and consents to the fact that the Issuer is collecting the Subscriber’s personal information for the purpose of fulfilling this Agreement and completing the Offering. The Subscriber acknowledges that its personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: (a) stock exchanges or securities regulatory authorities, (b) the Issuer's registrar and transfer agent, (c) Canadian tax authorities, (d) authorities pursuant to the PATRIOT Proceeds of Crime (Money Laundering) and Terrorist Financing Act (U.S.A.Canada) and (e) any of the other parties involved in the Offering, including the Issuer’s Counsel. By executing this Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and to the retention of such personal information for as long as permitted or required by applicable laws. Notwithstanding that the Subscriber may be purchasing the Note Securities as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the Issuer, all as may be required by the Issuer in order to comply with the foregoing. 10.2 . Furthermore, the Subscriber is hereby notified that that: (a) the Issuer may deliver to any government authority securities commission having jurisdiction over the Issuer, the Subscriber or this Subscription, including any Canadian provincial securities commissions, the SEC United States Securities and Exchange Commission and/or any state securities commissionscommissions (collectively, the “Commissions”), certain personal information pertaining to the Subscriber, including the Subscriber’s full name, residential address and telephone number, the number of Shares or other securities of the Issuer owned by the Subscriber, the principal amount number of Note Securities purchased by the Subscriber, the total Subscription Amount paid for paid, the Note prospectus exemption relied on by the Issuer and the date of distribution of the Note.Notes; (b) such information is being collected indirectly by the Commissions under the authority granted to them in applicable securities laws; (c) such information is being collected for the purposes of the administration and enforcement of applicable securities laws; and (d) the Subscriber may contact the following public official in Ontario with respect to questions about the Ontario Securities Commission’s indirect collection of such information at the following address and telephone number: (e) Administrative Assistant to the Director of Corporate Finance Ontario Securities Commission Xxxxx 0000, Xxx 00 00 Xxxxx Xxxxxx Xxxx Xxxxxxx, XX X0X 0X0 Telephone: (000) 000-0000

Collection of Personal Information. 10.1 9.1 The Subscriber acknowledges and consents to the fact that the Issuer Company is collecting the Subscriber’s personal information for the purpose of fulfilling this Subscription Agreement and completing the Offering. The Subscriber acknowledges that its Subscriber’s personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: Company to (a) stock exchanges or securities regulatory authorities, (b) the Issuer's Company’s registrar and transfer agent, (c) Canadian tax authorities, (d) authorities pursuant to the PATRIOT Proceeds of Crime (Money Laundering) and Terrorist Financing Act (U.S.A.Canada) and (e) any of the other parties involved in the Offering, including legal counsel, and may be included in record books in connection with the Issuer’s CounselOffering. By executing this Subscription Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's ’s personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and to the retention of such personal information for as long as permitted or required by applicable lawslaw or business practice. Notwithstanding that the Subscriber may be purchasing the Note Securities as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the Issuer, all as may be required by the Issuer Company in order to comply with the foregoing. 10.2 9.2 Furthermore, the Subscriber is hereby notified that that: (a) the Issuer Company may deliver to any government authority having jurisdiction over the Issuer, the Subscriber or this Subscription, including a provincial securities commission and/or the SEC and/or any state securities commissions, certain personal information pertaining to the Subscriber, including the such Subscriber’s full name, residential address and telephone number, the number of Shares shares or other securities of the Issuer Company owned by the Subscriber, the principal amount number of Note Securities purchased by the SubscriberSubscriber and the total purchase price paid for such Securities, the total Subscription Amount paid for prospectus exemption relied on by the Note Company and the date of distribution of the NoteSecurities, (b) such information is being collected indirectly by the provincial securities commission under the authority granted to it in securities legislation, and (c) such information is being collected for the purposes of the administration and enforcement of the securities legislation of Canada.

Collection of Personal Information. 10.1 The Subscriber acknowledges and consents to the fact that the Issuer is collecting the Subscriber’s 's personal information for the purpose of fulfilling this Agreement and completing the Offering. The Subscriber acknowledges that its personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: (a) stock exchanges or securities regulatory authorities, (b) the Issuer's registrar and transfer agent, (c) the Internal Revenue Agency or any other tax authorities, and (d) authorities pursuant to the PATRIOT Act (U.S.A.) and (e) any of the other parties involved in the Offering, including the Issuer’s 's Counsel. By executing this Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and to the retention of such personal information for as long as permitted or required by applicable laws. Notwithstanding that the Subscriber may be purchasing the Note Securities as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the Issuer, all as may be required by the Issuer in order to comply with the foregoing. 10.2 . Furthermore, the Subscriber is hereby notified that that: (a) the Issuer may deliver to any government authority securities commission having jurisdiction over the Issuer, the Subscriber or this Subscription, including the SEC and/or any state state, provincial, federal or other securities commissionscommissions (collectively, the "Commissions"), certain personal information pertaining to the Subscriber, including the Subscriber’s 's full name, residential address and telephone number, the number of Shares or information with respect to other securities of the Issuer owned by the Subscriber, the principal amount of Note purchased by the Subscriber, the total Subscription Amount paid for the Note Securities, and the prospectus or registration exemption relied on by the Issuer and the date of distribution of the NoteSecurities; (b) such information is being collected indirectly by the Commissions under the authority granted to them in applicable securities laws; and (c) such information is being collected for the purposes of the administration and enforcement of applicable securities laws.

Collection of Personal Information. 10.1 14.1 The Subscriber acknowledges and consents to the fact that the Issuer is collecting the Subscriber’s personal information for the purpose of fulfilling this Agreement and completing the Offering. The Subscriber acknowledges that its personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: (a) stock exchanges or securities regulatory authorities, (b) the Issuer's ’s registrar and transfer agent, (c) tax authorities, (d) authorities pursuant to the PATRIOT Proceeds of Crime (Money Laundering) and Terrorist Financing Act (U.S.A.Canada) and (e) any of the other parties involved in the Offering, including the Issuer’s Counsel. By executing this Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's ’s personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and to the retention of such personal information for as long as permitted or required by applicable laws. Notwithstanding that the Subscriber may be purchasing the Note Shares as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the Issuer, all as may be required by the Issuer in order to comply with the foregoing. 10.2 . Furthermore, the Subscriber is hereby notified that that: (a) the Issuer may deliver to any government authority securities commission having jurisdiction over the Issuer, the Subscriber or this Subscription, including any Canadian provincial securities commissions, the SEC United States Securities and Exchange Commission and/or any state securities commissionscommissions (collectively, the “Commissions”), certain personal information pertaining to the Subscriber, including the Subscriber’s full name, residential address and telephone number, the number of Shares or other securities of the Issuer owned by the Subscriber, the principal amount number of Note Shares purchased by the Subscriber, the total Subscription Amount paid for the Note Shares, the prospectus exemption relied on by the Issuer and the date of distribution of the NoteShares; (b) such information is being collected indirectly by the Commissions under the authority granted to them in applicable securities laws; and (c) such information is being collected for the purposes of the administration and enforcement of applicable securities laws.

Collection of Personal Information. 10.1 (a) XxXxxx-Xxxx Center for Digital Innovation enters into this Subscriber Agreement on the understanding that the Subscriber is familiar with and agrees to be responsible for compliance with the Children's Online Privacy Protection Act of 1998 ("COPPA"), the Family Educational Rights and Privacy Act and the US Department of Education’s implementing regulations at 34 CFR Part 99 (collectively, “FERPA”); and all other laws rules or regulations (all collectively, “Applicable Law”) concerning the collection, use, and disclosure of Personal Information about End Users accessing the Services that are the subject of this Agreement. Specifically, it is understood that the Subscriber assumes sole responsibility for: (i) providing notice to the extent required under COPPA or other Applicable Law in connection with the collection, use and/or disclosure of Personal Information from End Users; (ii) obtaining verifiable prior parental consent as required under COPPA or other Applicable Law in connection with the collection, use, and/or disclosure of Personal Information obtained from End Users; (iii) providing a reasonable means for parents to review Personal Information provided by End Users to the extent required by COPPA or other Applicable Law; and (iv) establishing and maintaining reasonable procedures to protect the confidentiality, security, and integrity of the Personal Information. (b) XxXxxx-Xxxx Center for Digital Innovation, as vendor for the Subscriber, will also establish and maintain reasonable procedures in accordance with its policies and practices and Applicable Law to protect the confidentiality, security, and integrity of Personal Information and Subscriber Information received by XxXxxx-Xxxx Center for Digital Innovation under this Subscriber Agreement. (c) The Subscriber acknowledges and consents agrees that XxXxxx-Xxxx Center for Digital Innovation has the right to use the fact that the Issuer is collecting the Subscriber’s personal information for the purpose of fulfilling this Agreement Personal Information and completing the Offering. The Subscriber acknowledges that its personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books Information collected in connection with the Offering and may be disclosed by the Issuer to: Services for (ai) stock exchanges or securities regulatory authoritiespurposes of performing its obligations under this Subscriber Agreement, (b) the Issuer's registrar and transfer agent, (c) tax authorities, (d) authorities pursuant to the PATRIOT Act (U.S.A.) and (eii) any for research purposes in connection with quality control and the development of revised or new products or services (“Research Purposes”), provided that such Personal Information and Subscriber Information will be used by XxXxxx-Xxxx Center for Digital Innovation for Research Purposes only in the aggregate and so that the privacy of the other parties involved in the Offering, including the Issuer’s Counsel. By executing this Agreement, the Subscriber is deemed to individual's Personal Information will be consenting to the foregoing collection, use and disclosure of the Subscriber's personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and to the retention of such personal information for as long as permitted or required by applicable laws. Notwithstanding that the Subscriber may be purchasing the Note as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the Issuer, all as may be required by the Issuer in order to comply with the foregoingmaintained. 10.2 Furthermore, the Subscriber is hereby notified that the Issuer may deliver to any government authority having jurisdiction over the Issuer, the Subscriber or this Subscription, including the SEC and/or any state securities commissions, certain personal information pertaining to the Subscriber, including the Subscriber’s full name, residential address and telephone number, the number of Shares or other securities of the Issuer owned by the Subscriber, the principal amount of Note purchased by the Subscriber, the total Subscription Amount paid for the Note and the date of distribution of the Note.

Collection of Personal Information. 10.1 11.1 The Subscriber acknowledges and consents to the fact that the Issuer Company is collecting the Subscriber’s personal information for the purpose of fulfilling this Agreement and completing the Offering. The Subscriber acknowledges that its Subscriber's personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: Company to (a) stock exchanges or securities regulatory authorities, (b) the Issuer's Company’s registrar and transfer agent, (c) Canadian tax authorities, (d) authorities pursuant to the PATRIOT Proceeds of Crime (Money Laundering) and Terrorist Financing Act (U.S.A.Canada) and (e) any of the other parties involved in the Offering, including legal counsel, and may be included in record books in connection with the Issuer’s CounselOffering. By executing this Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's ’s personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and to the retention of such personal information for as long as permitted or required by applicable lawslaw or business practice. Notwithstanding that the Subscriber may be purchasing the Note Securities as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the IssuerCompany, all as may be required by the Issuer Company in order to comply with the foregoing. 10.2 . Furthermore, the Subscriber is hereby notified that that: (a) the Issuer Company may deliver to any government authority securities commission having jurisdiction over the IssuerCompany, the Subscriber or this Subscriptionsubscription, including any Canadian provincial securities commissions and/or the SEC and/or any state securities commissions(collectively, the “Commissions”) certain personal information pertaining to the Subscriber, including the such Subscriber’s full name, residential address and telephone number, the number of Shares shares or other securities of the Issuer Company owned by the Subscriber, the principal amount number of Note Securities purchased by the SubscriberSubscriber and the total purchase price paid for such Securities, the total Subscription Amount paid for prospectus exemption relied on by the Note Company and the date of distribution of the Note.Securities, (b) such information is being collected indirectly by the Commissions under the authority granted to them in securities legislation, (c) such information is being collected for the purposes of the administration and enforcement of the securities laws, and (d) the Subscriber may contact the following public official in Ontario with respect to questions about the Ontario Securities Commission’s indirect collection of such information at the following address and telephone number: Administrative Assistant to the Director of Corporate Finance Ontario Securities Commission Xxxxx 0000, Xxx 00 00 Xxxxx Xxxxxx Xxxx Xxxxxxx, XX X0X 0X0 Telephone: (000) 000-0000

Collection of Personal Information. 10.1 11.1 The Subscriber acknowledges and consents to the fact that the Issuer is collecting the Subscriber’s 's personal information for the purpose of fulfilling this Agreement and completing the Offering. The Subscriber acknowledges that its personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: to (a) stock exchanges or securities regulatory authorities, (b) the Issuer's registrar and transfer agent, (c) tax authorities, (d) authorities pursuant to the PATRIOT Proceeds of Crime (Money Laundering) and Terrorist Financing Act (U.S.A.Canada) and (e) any of the other parties involved in the Offering, including legal counsel, and may be included in record books in connection with the Issuer’s CounselOffering. By executing this Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and for the purposes described in Exhibit E to this Agreement, and to the retention of such personal information for as long as permitted or required by applicable lawslaws or business practice. Notwithstanding that the Subscriber may be purchasing the Note Subscription Receipts as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the Issuer, all as may be required by the Issuer in order to comply with the foregoing. 10.2 . By completing this Agreement, the Subscriber authorizes the indirect collection of the information described in this Section 11.1 by all applicable regulators and consents to the disclosure of such information to the public through (i) the filing of a report of trade with all applicable regulators and (ii) the filing of this Agreement on SEDAR. Furthermore, the Subscriber is hereby notified that that: (a) the Issuer may deliver to any government authority securities commission having jurisdiction over the Issuer, the Subscriber or this Subscription, including any Canadian provincial securities commissions, the SEC United States Securities and Exchange Commission and/or any state securities commissionscommissions (collectively, the "Commissions"), certain personal information pertaining to the Subscriber, including the Subscriber’s 's full name, residential address and telephone number, the number of Shares or other securities of the Issuer owned by the Subscriber, the principal amount number of Note Subscription Receipts purchased by the Subscriber, the total Subscription Amount paid for the Note Subscription Receipts, the prospectus exemption relied on by the Issuer and the date of distribution of the Note.Subscription Receipts; (b) such information is being collected indirectly by the Commissions under the authority granted to them in applicable securities laws; (c) such information is being collected for the purposes of the administration and enforcement of applicable securities laws; and (d) the Subscriber may contact the public official in the local jurisdiction with respect to questions about the indirect collection of such information at the following address and telephone number: Attention: FOIP Coordinator Alberta Securities Commission Xxxxx 000 000 - 0xx Xxxxxx XX Xxxxxxx, XX X0X 0X0 Telephone: 000-000-0000 Attention: FOI Inquiries British Columbia Securities Commission X.X. Xxx 00000, Xxxxxxx Xxxxxx 000 Xxxx Xxxxxxx Xxxxxx Xxxxxxxxx, XX X0X 0X0 Telephone: 000-000-0000 Attention: Inquiries Officer Ontario Securities Commission 00 Xxxxx Xxxxxx Xxxx, 00xx Xxxxx Xxxxxxx, XX X0X 0X0 Telephone: 000-000-0000

Collection of Personal Information. 10.1 9.1 The Subscriber acknowledges and consents to the fact that the Issuer is collecting the Subscriber’s personal information for the purpose of fulfilling this Agreement and completing the Offering. The Subscriber acknowledges that its personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: (a) stock exchanges or securities regulatory authorities, ; (b) the Issuer's ’s registrar and transfer agent, ; (c) any tax authorities, ; (d) authorities pursuant to the PATRIOT Act (U.S.A.) any money laundering or terrorist financing legislation; and (e) any of the other parties involved in the Offering, including the Issuer’s Counsel. By executing this Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's ’s personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and to the retention of such personal information for as long as permitted or required by applicable laws. Notwithstanding that the Subscriber may be purchasing the Note Shares as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the Issuer, all as may be required by the Issuer in order to comply with the foregoing. 10.2 Furthermore, the 9.2 The Subscriber is hereby notified that and agrees that: (a) the Issuer may deliver to any government authority securities commission having jurisdiction over the Issuer, the Subscriber or this Subscription, including any Canadian provincial securities commissions, the SEC and/or any state securities commissionscommissions (collectively, the “Commissions”), certain personal information pertaining to the Subscriber, including the Subscriber’s full name, residential address and telephone number, the number of Shares or other securities of the Issuer owned by the Subscriber, the principal amount number of Note Shares purchased by the Subscriber, the total Subscription Amount paid for the Note Shares, the prospectus exemption relied on by the Issuer and the date of distribution of the Note.Shares; (b) such information is being collected indirectly by the Commissions under the authority granted to them in applicable securities laws; (c) such information is being collected for the purposes of the administration and enforcement of applicable securities laws; and

Collection of Personal Information. 10.1 11.1 The Subscriber acknowledges and consents to the fact that the Issuer Company is collecting the Subscriber’s personal information for the purpose of fulfilling this Agreement and completing the Offering. The Subscriber acknowledges that its Subscriber's personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: Company to (a) stock exchanges or securities regulatory authorities, (b) the Issuer's Company’s registrar and transfer agent, (c) Canadian tax authorities, (d) authorities pursuant to the PATRIOT Proceeds of Crime (Money Laundering) and Terrorist Financing Act (U.S.A.Canada) and (e) any of the other parties involved in the Offering, including legal counsel, and may be included in record books in connection with the Issuer’s CounselOffering. By executing this Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's ’s personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and to the retention of such personal information for as long as permitted or required by applicable lawslaw or business practice. Notwithstanding that the Subscriber may be purchasing the Note Securities as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the IssuerCompany, all as may be required by the Issuer Company in order to comply with the foregoing. 10.2 . Furthermore, the Subscriber is hereby notified that that: (a) the Issuer Company may deliver to any government authority securities commission having jurisdiction over the IssuerCompany, the Subscriber or this Subscriptionsubscription, including any Canadian provincial securities commissions and/or the SEC and/or any state securities commissions(collectively, the “Commissions”) certain personal information pertaining to the Subscriber, including the such Subscriber’s full name, residential address and telephone number, the number of Shares shares or other securities of the Issuer Company owned by the Subscriber, the principal amount number of Note Securities purchased by the SubscriberSubscriber and the total purchase price paid for such Securities, the total Subscription Amount paid for prospectus exemption relied on by the Note Company and the date of distribution of the Note.Securities, (a) such information is being collected indirectly by the Commissions under the authority granted to them in securities legislation, (b) such information is being collected for the purposes of the administration and enforcement of the securities laws, and (c) the Subscriber may contact the following public official in Ontario with respect to questions about the Ontario Securities Commission’s indirect collection of such information at the following address and telephone number: Administrative Assistant to the Director of Corporate Finance Ontario Securities Commission Xxxxx 0000, Xxx 00 00 Xxxxx Xxxxxx Xxxx Xxxxxxx, XX X0X 0X0 Telephone: (000) 000-0000

Collection of Personal Information. 10.1 The Subscriber acknowledges and consents to the fact that the Issuer Company is collecting the Subscriber’s 's personal information for the purpose of fulfilling this Subscription Agreement and completing the Offering. The Subscriber acknowledges that its Subscriber's personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: Company to (a) stock exchanges or securities regulatory authorities, (b) the IssuerCompany's registrar and transfer agent, (c) tax authorities, (d) law enforcement authorities, (e) authorities pursuant to the PATRIOT Act (U.S.A.) applicable law and (ef) any of the other parties involved in the Offering, including legal counsel, and may be included in record books in connection with the Issuer’s CounselOffering. By executing this Subscription Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and to the retention of such personal information for as long as permitted or required by applicable lawslaw or business practice. Notwithstanding that the Subscriber may be purchasing the Note Units as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the Issuer, all as may be required by the Issuer Company in order to comply with the foregoing. 10.2 . Furthermore, the Subscriber is hereby notified that the Issuer Corporation may deliver to any government authority having jurisdiction over the Issuer, the Subscriber or this Subscription, including the SEC and/or any state securities commissions, certain personal information pertaining to the Subscriber, including the such Subscriber’s full name, residential address and telephone number, the number of Shares shares or other securities of the Issuer Corporation owned by the Subscriber, the principal amount number of Note Units purchased by the SubscriberSubscriber and the total purchase price paid for such Units, the total Subscription Amount paid for prospectus exemption relied on by the Note Corporation and the date of distribution of the Note.Xxxxx,

Collection of Personal Information. 10.1 11.1 The Subscriber acknowledges and consents to the fact that the Issuer is collecting the Subscriber’s personal information for the purpose of fulfilling this Agreement and completing the Offering. The Subscriber acknowledges that its personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: (a) stock exchanges or securities regulatory authorities, (b) the Issuer's ’s registrar and transfer agent, (c) Canadian or international tax authorities, (d) authorities pursuant to the PATRIOT Proceeds of Crime (Money Laundering) and Terrorist Financing Act (U.S.A.Canada) or similar legislation of other countries, and (e) any of the other parties involved in the Offering, including the Issuer’s CounselEscrow Agent. By executing this Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's ’s personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes, and such other purposes as may be determined by the Issuer in order to comply with applicable laws, and to the retention of such personal information for as long as permitted or required by applicable laws. Notwithstanding that the Subscriber may be purchasing the Note Securities as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the Issuer, all as may be required by the Issuer in order to comply with the foregoing. 10.2 Furthermore, the 11.2 The Subscriber is hereby notified that that: (a) the Issuer may deliver to any government securities commission or other governmental authority having jurisdiction over the Issuer, the Subscriber or this Subscription, including any Canadian securities commissions, the SEC and/or any state securities commissionscommissions (collectively, the “Commissions”), certain personal information pertaining to the Subscriber, including the Subscriber’s full name, residential address and telephone number, the number of Shares or other securities of the Issuer owned by the Subscriber, the principal amount number of Note Subscription Receipts purchased by the Subscriber, the total Subscription Amount paid for Amount, the Note prospectus exemption relied on by the Issuer and the date of distribution of the NoteSubscription Receipts; (b) such information is being collected indirectly by the Commissions under the authority granted to them by applicable securities laws; and (c) such information is being collected for the purposes of the administration and enforcement of applicable securities laws.

Collection of Personal Information. 10.1 The Subscriber Purchaser acknowledges and consents to the fact that the Issuer is and/or its counsel are collecting the SubscriberPurchaser’s personal information for the purpose of fulfilling the terms of this Agreement and completing the OfferingAgreement. The Subscriber Purchaser further acknowledges and consents to the fact that its personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: (a) stock exchanges or securities regulatory authorities, (b) the Issuer's registrar and transfer agent, (c) tax authorities, (d) authorities pursuant to the PATRIOT Act (U.S.A.) and (e) any of the other parties involved in the Offering, including the Issuer’s Counsel. By executing this Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and to the retention of such personal information for as long as permitted or required by applicable laws. Notwithstanding that the Subscriber may be purchasing the Note as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the Issuer, all as and/or its counsel may be required by applicable securities laws to provide securities regulatory authorities with any personal information provided by the Purchaser, according to the requirements of the applicable securities laws. TO: VISCOUNT SYSTEMS, INC. (the “Issuer”) The Purchaser understands and agrees that the Shares, the Warrants and the Warrant Shares (collectively, the “Securities”) have not been and will not be registered under the United States Securities Act of 1933, as amended (the “1933 Act”), or applicable state securities laws, and the Securities are being offered and sold on behalf of the Issuer to the Purchaser in order reliance upon Rule 506 of Regulation D under the 1933 Act. The undersigned represents, warrants and covenants (which representations, warranties and covenants shall survive the Closing) to comply with the foregoing. 10.2 Furthermore, the Subscriber is hereby notified Issuer (and acknowledges that the Issuer is relying thereon) that: (a) it is purchasing the Securities for its own account or for the account of one or more persons for investment purposes only and not with a view to resale or distribution and, in particular, it has no intention to distribute either directly or indirectly any of the Securities in the United States; provided, however, that the Purchaser may deliver sell or otherwise dispose of any of the Securities pursuant to registration thereof pursuant to the 1933 Act and any applicable state securities laws or under an exemption from such registration requirements; (b) it satisfies one or more of the categories of “accredited investor” indicated below (the Purchaser must initial the appropriate line(s)): Category 1. A bank, as defined in Section 3(a)(2) of the 1933 Act, whether acting in its individual or fiduciary capacity; or Category 2. A savings and loan association or other institution as defined in Section 3(a)(5)(A) of the 1933 Act, whether acting in its individual or fiduciary capacity; or Category 3. A broker or dealer registered pursuant to Section 15 of the United States Securities Exchange Act of 1934; or Category 4. An insurance company as defined in Section 2(13) of the 1933 Act; or Category 5. An investment company registered under the United States Investment Company Act of 1940; or Category 6. A business development company as defined in Section 2(a)(48) of the United States Investment Company Act of 1940; or Category 7. A small business investment company licensed by the U.S. Small Business Administration under Section 301 (c) or (d) of the United States Small Business Investment Act of 1958; or Category 8. A plan established and maintained by a state, its political subdivisions or any agency or instrumentality of a state or its political subdivisions, for the benefit of its employees, with total assets in excess of U.S. $5,000,000; or Category 9. An employee benefit plan within the meaning of the United States Employee Retirement Income Security Act of 1974 in which the investment decision is made by a plan fiduciary, as defined in Section 3(21) of such Act, which is either a bank, savings and loan association, insurance company or registered investment adviser, or an employee benefit plan with total assets in excess of U.S. $5,000,000 or, if a self-directed plan, with investment decisions made solely by persons who are accredited investors; or Category 10. A private business development company as defined in Section 202(a)(22) of the United States Investment Advisers Act of 1940; or Category 11. An organization described in Section 501(c)(3) of the United States Internal Revenue Code, a corporation, a Massachusetts or similar business trust, or a partnership, not formed for the specific purpose of acquiring the securities offered, with total assets in excess of U.S. $5,000,000; or Category 12. Any director, executive officer, or general partner of the Issuer; or Category 13. A natural person whose individual net worth, or joint net worth with that person’s spouse, at the date hereof exceeds U.S.$1,000,000 Note: (i) the person’s primary residence shall not be included as an asset, (ii) any indebtedness that is secured by the person’s primary residence, up to the estimated fair market value of the primary residence at the time of the sale of securities, shall not be included as a liability (except that if the amount of such indebtedness outstanding at the time of the sale of securities exceeds the amount outstanding 60 days before such time, other than as a result of the acquisition of the primary residence, the amount of such excess shall be included as a liability), and (iii) any indebtedness that is secured by the person’s primary residence in excess of the estimated fair market value of the primary residence at the time of the sale of securities shall be included as a liability; or Category 14. A natural person who had an individual income in excess of U.S.$200,000 in each of the two most recent years or joint income with that person’s spouse in excess of U.S.$300,000 in each of those years and has a reasonable expectation of reaching the same income level in the current year; or Category 15. A trust, with total assets in excess of U.S.$5,000,000, not formed for the specific purpose of acquiring the securities offered, whose purchase is directed by a sophisticated person as described in Rule 506(b)(2)(ii) under the 1933 Act; or Category 16. Any entity in which all of the equity owners meet the requirements of at least one of the above categories; If a Corporation, Partnership or Other Entity: Name of Entity Type of Entity Signature of Person Signing Print or Type Name and Title of Person Signing If an Individual: Signature Print or Type Name Date: _____________, 20_____. TO: VISCOUNT SYSTEMS, INC. (the “Issuer”) The undersigned represents, warrants and covenants (which representations, warranties and covenants shall survive the Closing) to the Issuer (and acknowledges that the Issuer is relying thereon) that it satisfies one or more of the categories of “accredited investor” indicated below (the Purchaser must initial the appropriate line(s)): (a) omitted (b) omitted (c) omitted (d) a person registered under the securities legislation of a jurisdiction of Canada as an adviser or dealer, other than a person registered solely as a limited market dealer under one or both of the Securities Act (Ontario) or the Securities Act (Newfoundland and Labrador); (e) an individual registered or formerly registered under the securities legislation of a jurisdiction of Canada as a representative of a person referred to in paragraph (d); (f) omitted (g) omitted (h) omitted (i) omitted (j) an individual who, either alone or with a spouse, beneficially owns, directly or indirectly, financial assets having an aggregate realizable value that before taxes, but net of any related liabilities, exceeds $1,000,000; (k) an individual whose net income before taxes exceeded $200,000 in each of the 2 most recent calendar years or whose net income before taxes combined with that of a spouse exceeded $300 000 in each of the 2 most recent calendar years and who, in either case, reasonably expects to exceed that net income level in the current calendar year; (l) an individual who, either alone or with a spouse, has net assets of at least $5,000,000; (m) a person, other than an individual or investment fund, that has net assets of at least $5,000,000 as shown on its most recently prepared financial statements; (n) omitted (o) omitted (p) a trust company or trust corporation registered or authorized to carry on business under the Trust and Loan Companies Act (Canada) or under comparable legislation in a jurisdiction of Canada or a foreign jurisdiction, acting on behalf of a fully managed account managed by the trust company or trust corporation, as the case may be; (q) a person acting on behalf of a fully managed account managed by that person, if that person is registered or authorized to carry on business as an adviser or the equivalent under the securities legislation of a jurisdiction of Canada or a foreign jurisdiction, and (r) omitted (s) an entity organized in a foreign jurisdiction that is analogous to any government authority having jurisdiction over the Issuer, the Subscriber or this Subscription, including the SEC and/or any state securities commissions, certain personal information pertaining to the Subscriber, including the Subscriber’s full name, residential address and telephone number, the number of Shares or other securities of the Issuer owned by the Subscriber, the principal amount of Note purchased by the Subscriber, the total Subscription Amount paid for the Note entities referred to in paragraphs (a) to (d) or paragraph (i) in form and the date of distribution of the Note.function

Collection of Personal Information. 10.1 9.1 The Subscriber acknowledges and consents to the fact that the Issuer is Issuers are collecting the Subscriber’s personal information for the purpose of fulfilling this Agreement and completing the Offering. The Subscriber acknowledges that its Subscriber's personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: Issuers to (a) stock exchanges or securities regulatory authorities, (b) the Issuer's Issuers’ registrar and transfer agent, (c) Canadian tax authorities, (d) authorities pursuant to the PATRIOT Proceeds of Crime (Money Laundering) and Terrorist Financing Act (U.S.A.Canada) and (e) any of the other parties involved in the Offering, including the Issuer’s Counsellegal counsel, and may be included in record books in connection with the 9.2 Offering. By executing this Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and to the retention of such personal information for as long as permitted or required by applicable lawslaw or business practice. Notwithstanding that the Subscriber may be purchasing the Note Securities as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the IssuerIssuers, all as may be required by the Issuer Issuers in order to comply with the foregoing. 10.2 . Furthermore, the Subscriber is hereby notified that that: (a) the Issuer Issuers may deliver to any government authority securities commission having jurisdiction over the IssuerIssuers, the Subscriber or this Subscriptionsubscription, including any Canadian provincial securities commissions and/or the SEC and/or any state securities commissions(collectively, the “Commissions”) certain personal information pertaining to the Subscriber, including the such Subscriber’s full name, residential address and telephone number, the number of Shares shares or other securities of the Issuer Issuers owned by the Subscriber, the principal amount number of Note Securities purchased by the SubscriberSubscriber and the total purchase price paid for such Securities, the total Subscription Amount paid for prospectus exemption relied on by the Note Issuers and the date of distribution of the Note.Securities, (b) such information is being collected indirectly by the Commissions under the authority granted to them in securities legislation, (c) such information is being collected for the purposes of the administration and enforcement of the securities laws, and (d) the Subscriber may contact the following public official in Ontario with respect to questions about the Ontario Securities Commission’s indirect collection of such information at the following address and telephone number: Administrative Assistant to the Director of Corporate Finance Ontario Securities Commission Sxxxx 0000, Xxx 00 20 Xxxxx Xxxxxx Xxxx Xxxxxxx, XX X0X 0X0 Telephone: (000) 000-0000

Collection of Personal Information. 10.1 4.1 The Subscriber acknowledges and consents to the fact that the Issuer is collecting the Subscriber’s personal information for the purpose of fulfilling this Subscription Agreement and completing the Offeringoffering. The Subscriber acknowledges that its Subscriber’s personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: to (a) stock exchanges or securities regulatory authorities, (b) the Issuer's ’s registrar and transfer agent, and (c) tax authorities, (d) authorities pursuant to the PATRIOT Act (U.S.A.) and (e) any of the other parties involved in the Offering, including legal counsel, and may be included in record books in connection with the Issuer’s Counseloffering. By executing this Subscription Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's ’s personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and to the retention of such personal information for as long as permitted or required by applicable lawslaw or business practice. Notwithstanding that the Subscriber may be purchasing the Note Securities as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the Issuer, all as may be required by the Issuer in order to comply with the foregoing. 10.2 4.2 Furthermore, the Subscriber is hereby notified that the Issuer may deliver to any government authority having jurisdiction over the Issuer, the Subscriber or this Subscription, including the SEC and/or any state securities commissions, Securities and Exchange Commission certain personal information pertaining to the Subscriber, including the such Subscriber’s full name, residential address and telephone number, the number of Shares shares or other securities of the Issuer owned by the Subscriber, the principal amount number of Note Securities purchased by the SubscriberSubscriber and the total purchase price paid for such Securities, the total Subscription Amount paid for prospectus exemption relied on by the Note Issuer and the date of distribution of the NoteSecurities.

Collection of Personal Information. 10.1 The Subscriber acknowledges and consents to the fact that the Issuer is Corporation and/or the Agent are collecting the Subscriber’s personal information for the purpose of fulfilling this Subscription Agreement and completing the Offering. The Subscriber acknowledges that its Subscriber's personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: Corporation and the Agent to (a) stock exchanges or securities regulatory authoritiesauthorities (including the Ontario Securities Commission as referred to below), (b) the IssuerCorporation's registrar and transfer agent, (c) Canadian tax authorities, (d) authorities pursuant to the PATRIOT Proceeds of Crime (Money Laundering) and Terrorist Financing Act (U.S.A.Canada) and (e) any of the other parties involved in the Offering, including legal counsel, and may be included in record books in connection with the Issuer’s CounselOffering. By executing this Subscription Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and to the retention of such personal information for as long as permitted or required by applicable lawslaw or business practice. Notwithstanding that the Subscriber may be purchasing the Note Units as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the IssuerCorporation, all as may be required by the Issuer Agent and/or the Corporation in order to comply with the foregoing. 10.2 . Furthermore, the Subscriber is hereby notified that that: (a) the Issuer Corporation may deliver to any government authority securities commission having jurisdiction over the IssuerCorporation, the Subscriber or this Subscriptionsubscription, including the British Columbia Securities Commission, the Alberta Securities Commission and the Ontario Securities Commission and/or the SEC and/or any state securities commissions(collectively, the “Commissions”) certain personal information pertaining to the Subscriber, including the such Subscriber’s full name, residential address and telephone number, the number of Shares shares or other securities of the Issuer Corporation owned by the Subscriber, the principal amount number of Note Units purchased by the SubscriberSubscriber and the total purchase price paid for such Units, the total Subscription Amount paid for prospectus exemption relied on by the Note Corporation and the date of distribution of the Note.Units, (b) such information is being collected indirectly by the Commissions under the authority granted to them in securities legislation, (c) such information is being collected for the purposes of the administration and enforcement of the securities laws, and (d) the Subscriber may contact the following public official in Ontario with respect to questions about the Ontario Securities Commission’s indirect collection of such information at the following address and telephone number: Administrative Assistant to the Director of Corporate Finance Ontario Securities Commission Sxxxx 0000, Xxx 00, 20 Xxxxx Xxxxxx Xxxx Xxxxxxx, Xxxxxxx, X0X 0X0 Telephone: (000) 000-0000

Collection of Personal Information. 10.1 The Subscriber acknowledges and consents to the fact that the Issuer is collecting the Subscriber’s personal information for the purpose of fulfilling this Agreement and completing the Offering. The Subscriber acknowledges that its Subscriber’s personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: to (a) stock exchanges or securities regulatory authoritiesSecurities Regulatory Authorities, (b) the Issuer's ’s registrar and transfer agent, (c) Canadian tax authorities, (d) authorities pursuant to the PATRIOT Proceeds of Crime (Money Laundering) and Terrorist Financing Act (U.S.A.Canada) and (e) any of the other parties involved in the Offering, including the Issuer’s Counsel, and may be included in record books in connection with the Offering. By executing this Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's ’s personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and to the retention of such personal information for as long as permitted or required by applicable lawslaw or business practice. Notwithstanding that the Subscriber may be purchasing the Note Securities as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the Issuer, all as may be required by the Issuer in order to comply with the foregoing. 10.2 FurthermoreThe Issuer hereby notifies the Subscriber, and the Subscriber is hereby notified that agrees, that: (a) the Issuer may deliver to any government authority securities commission having jurisdiction over the Issuer, the Subscriber or this Subscription, including any Canadian provincial securities commissions and/or the SEC and/or any state securities commissions(collectively, the “Commissions”) certain personal information pertaining to the Subscriber, including the such Subscriber’s full name, residential address and telephone number, the number of Shares shares or other securities of the Issuer owned by the Subscriber, the principal amount number of Note Securities purchased by the SubscriberSubscriber and the total purchase price paid for such Securities, the total Subscription Amount paid for prospectus exemption relied on by the Note Issuer and the date of distribution of the Note.Securities; (b) such information is being collected indirectly by the Commissions under the authority granted to them in securities legislation; (c) such information is being collected for the purposes of the administration and enforcement of the securities laws; and (d) in the event the Subscriber has any questions with respect to the indirect collection of such information, the Subscriber should contact the applicable securities regulatory authority at the contact details provided in Exhibit G.

Collection of Personal Information. 10.1 (a) XxXxxx-Xxxx School Education Group enters into this Subscriber Agreement on the understanding that the Subscriber is familiar with and agrees to be responsible for compliance with the Children's Online Privacy Protection Act of 1998 ("COPPA"), the Family Educational Rights and Privacy Act and the US Department of Education’s implementing regulations at 34 CFR Part 99 (collectively, “FERPA”) ; and all other laws rules or regulations (all collectively, “Applicable Law”) concerning the collection, use, and disclosure of Personal Information about End Users accessing the Services that are the subject of this Agreement. Specifically, it is understood that the Subscriber assumes sole responsibility for: (i) providing notice to the extent required under COPPA or other Applicable Law in connection with the collection, use and/or disclosure of Personal Information from End Users; (ii) obtaining verifiable prior parental consent as required under COPPA or other Applicable Law in connection with the collection, use, and/or disclosure of Personal Information obtained from End Users; (iii) providing a reasonable means for parents to review Personal Information provided by End Users to the extent required by COPPA or other Applicable Law; and (iv) establishing and maintaining reasonable procedures to protect the confidentiality, security, and integrity of the Personal Information. (b) XxXxxx-Xxxx School Education Group, as vendor for the Subscriber, will also establish and maintain reasonable procedures in accordance with its policies and practices and Applicable Law to protect the confidentiality, security, and integrity of Personal Information and Subscriber Information received by XxXxxx-Xxxx School Education Group under this Subscriber Agreement. (c) The Subscriber acknowledges and consents agrees that XxXxxx-Xxxx School Education Group has the right to use the fact that the Issuer is collecting the Subscriber’s personal information for the purpose of fulfilling this Agreement Personal Information and completing the Offering. The Subscriber acknowledges that its personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books Information collected in connection with the Offering and may be disclosed by the Issuer to: Services for (ai) stock exchanges or securities regulatory authoritiespurposes of performing its obligations under this Subscriber Agreement, (b) the Issuer's registrar and transfer agent, (c) tax authorities, (d) authorities pursuant to the PATRIOT Act (U.S.A.) and (eii) any for research purposes in connection with quality control and the development of revised or new products or services (“Research Purposes”), provided that such Personal Information and Subscriber Information will be used by XxXxxx-Xxxx School Education Group for Research Purposes only in the aggregate and so that the privacy of the other parties involved in the Offering, including the Issuer’s Counsel. By executing this Agreement, the Subscriber is deemed to individual's Personal Information will be consenting to the foregoing collection, use and disclosure of the Subscriber's personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and to the retention of such personal information for as long as permitted or required by applicable laws. Notwithstanding that the Subscriber may be purchasing the Note as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the Issuer, all as may be required by the Issuer in order to comply with the foregoingmaintained. 10.2 Furthermore, the Subscriber is hereby notified that the Issuer may deliver to any government authority having jurisdiction over the Issuer, the Subscriber or this Subscription, including the SEC and/or any state securities commissions, certain personal information pertaining to the Subscriber, including the Subscriber’s full name, residential address and telephone number, the number of Shares or other securities of the Issuer owned by the Subscriber, the principal amount of Note purchased by the Subscriber, the total Subscription Amount paid for the Note and the date of distribution of the Note.

Collection of Personal Information. 10.1 9.1 The Subscriber acknowledges and consents to the fact that the Issuer is collecting the Subscriber’s personal information for the purpose of fulfilling this Agreement and completing the Offering. The Subscriber acknowledges that its personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: (a) stock exchanges or securities regulatory authorities, ; (b) the Issuer's registrar and transfer agent;, (c) any tax authorities, ; (d) authorities pursuant to the PATRIOT Act (U.S.A.) any money laundering or terrorist financing legislation; and (e) any of the other parties involved in the Offering, including the Issuer’s CounselEscrow Agent. By executing this Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and to the retention of such personal information for as long as permitted or required by applicable laws. Notwithstanding that the Subscriber may be purchasing the Note Subscription Receipts as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the Issuer, all as may be required by the Issuer in order to comply with the foregoing. 10.2 Furthermore, the 9.2 The Subscriber is hereby notified that that: (a) the Issuer may deliver to any government authority securities commission having jurisdiction over the Issuer, the Subscriber or this Subscription, including any Canadian provincial securities commissions, the SEC and/or any state securities commissionscommissions (collectively, the “Commissions”), certain personal information pertaining to the Subscriber, including the Subscriber’s full name, residential address and telephone number, the number of Shares or other securities of the Issuer owned by the Subscriber, the principal amount of Note Subscription Receipts purchased by the Subscriber, the total Subscription Amount paid for the Note Subscription Receipts, the prospectus exemption relied on by the Issuer and the date of distribution of the NoteSubscription Receipts, and the number of other securities of the Issuer owned by the Subscriber; (b) such information is being collected indirectly by the Commissions under the authority granted to them in applicable securities laws; and (c) such information is being collected for the purposes of the administration and enforcement of applicable securities laws.

Collection of Personal Information. 10.1 The Subscriber acknowledges and consents to the fact that the Issuer is collecting the Subscriber’s personal information for the purpose of fulfilling this Agreement and completing the Offering. The Subscriber acknowledges that its personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: (a) stock exchanges or securities regulatory authorities, (b) the Issuer's registrar and transfer agent, (c) Canadian tax authorities, (d) authorities pursuant to the PATRIOT Proceeds of Crime (Money Laundering) and Terrorist Financing Act (U.S.A.Canada) and (e) any of the other parties involved in the Offering, including the Issuer’s Counsel. By executing this Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and to the retention of such personal information for as long as permitted or required by applicable laws. Notwithstanding that the Subscriber may be purchasing the Note Debenture as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the Issuer, all as may be required by the Issuer in order to comply with the foregoing. 10.2 . Furthermore, the Subscriber is hereby notified that that: (a) the Issuer may deliver to any government authority securities commission having jurisdiction over the Issuer, the Subscriber or this Subscription, including any Canadian provincial securities commissions, the SEC and/or any state securities commissionscommissions (collectively, the “Commissions”), certain personal information pertaining to the Subscriber, including the Subscriber’s full name, residential address and telephone number, the number of Shares or other securities of the Issuer owned by the Subscriber, the principal amount of Note Debenture purchased by the Subscriber, the total Subscription Principal Amount paid for the Note Debenture, the prospectus exemption relied on by the Issuer and the date of distribution of the NoteDebenture; (b) such information is being collected indirectly by the Commissions under the authority granted to them in applicable securities laws; (c) such information is being collected for the purposes of the administration and enforcement of applicable securities laws; and (d) the Subscriber may contact the following public official in Ontario with respect to questions about the Ontario Securities Commission’s indirect collection of such information at the following address and telephone number: Administrative Assistant to the Director of Corporate Finance Ontario Securities Commission Xxxxx 0000, Xxx 00 00 Xxxxx Xxxxxx Xxxx Xxxxxxx, XX X0X 0X0 Telephone: (000) 000-0000.

Collection of Personal Information. 10.1 11.1 The Subscriber acknowledges and consents to the fact that the Issuer Company is collecting the Subscriber’s personal information for the purpose of fulfilling this Agreement and completing the Offering. The Subscriber acknowledges that its Subscriber’s personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: Company to (a) stock exchanges or securities regulatory authorities, (b) the Issuer's Company’s registrar and transfer agent, (c) Canadian tax authorities, (d) authorities pursuant to the PATRIOT Proceeds of Crime (Money Laundering) and Terrorist Financing Act (U.S.A.Canada) and (e) any of the other parties involved in the Offering, including legal counsel, and may be included in record books in connection with the Issuer’s CounselOffering. By executing this Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's ’s personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and to the retention of such personal information for as long as permitted or required by applicable lawslaw or business practice and for the purposes described in Exhibit “F” to this Agreement. Notwithstanding that the Subscriber may be purchasing the Note Units as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the IssuerCompany, all as may be required by the Issuer Company in order to comply with the foregoing. 10.2 11.2 Furthermore, the Subscriber is hereby notified that that: (a) the Issuer Company may deliver to any government authority securities commission having jurisdiction over the IssuerCompany, the Subscriber or this Subscriptionsubscription, including any Canadian provincial securities commissions and/or the SEC and/or any state securities commissions(collectively, the “Commissions”) certain personal information pertaining to the Subscriber, including the such Subscriber’s full name, residential address and telephone number, the number of Shares shares or other securities of the Issuer Company owned by the Subscriber, the principal amount number of Note Units purchased by the SubscriberSubscriber and the total purchase price paid for such Units, the total Subscription Amount paid for prospectus exemption relied on by the Note Company and the date of distribution of the NoteUnits, (b) such information is being collected indirectly by the Commissions under the authority granted to them in securities legislation, and (c) such information is being collected for the purposes of the administration and enforcement of the securities laws.

Collection of Personal Information. 10.1 12.1 The Subscriber acknowledges and consents to the fact that the Issuer is collecting the Subscriber’s personal information for the purpose of fulfilling this Agreement and completing the Offering. The Subscriber acknowledges that its personal information (and, if applicable, the personal information of those any person on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: (ai) stock exchanges or securities regulatory authorities, ; (bii) the Issuer's ’s registrar and transfer agent, ; (ciii) tax authorities, Canadian Tax Authorities; (div) authorities pursuant pursuant, among other legislation, to the PATRIOT Proceeds of Crime (Money Laundering) and Terrorist Financing Act (U.S.A.) Canada); and (ev) any of the other parties involved in the Offering, including the Issuer’s Counselcounsel. By executing this Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's ’s personal information (and, if applicable, the personal information of those any other person on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and to the retention of such personal information for as long as permitted or required by applicable lawsApplicable Laws. Notwithstanding that the Subscriber may be purchasing the Note Common Shares as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the Issuer, all as may be required by the Issuer in order to comply with the foregoing. 10.2 . Furthermore, the Subscriber is hereby notified that that: (a) the Issuer may deliver to any government authority securities commission having jurisdiction over the Issuer, the Subscriber or this Subscription, including any Canadian provincial securities commissions, the SEC United States Securities and Exchange Commission and/or any state securities commissionscommissions (collectively, the “Commissions”), certain personal information pertaining to the Subscriber, including the Subscriber’s full name, residential address and telephone number, the number of Shares or other securities of the Issuer owned by the Subscriber, the principal amount number of Note Common Shares purchased by the Subscriber, the total Subscription Amount paid for paid, the Note prospectus exemption relied on by the Issuer and the date of distribution of the NoteCommon Shares; (b) such information is being collected indirectly by the Commissions under the authority granted to them in applicable securities laws; (c) such information is being collected for the purposes of the administration and enforcement of applicable securities laws; and (d) in Ontario, the Administrative Support Clerk, Suite 1903, Box 50, 00 Xxxxx Xxxxxx Xxxx, Xxxxxxx XX, X0X 0X0, Telephone: (000) 000-0000 is the public official who can answer questions about the collection of personal information.

Collection of Personal Information. 10.1 12.1 The Subscriber acknowledges and consents to the fact that the Issuer Company is collecting the Subscriber’s personal information for the purpose of fulfilling this Agreement and completing the Offering. The Subscriber acknowledges that its Subscriber’s personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: Company to (a) stock exchanges or securities regulatory authorities, (b) the Issuer's Company’s registrar and transfer agent, (c) tax authorities, (d) authorities pursuant to the PATRIOT Act (U.S.A.) any money laundering or terrorist financing legislations; and (e) any of the other parties involved in the Offering, including legal counsel, and may be included in record books in connection with the Issuer’s CounselOffering. By executing this Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's ’s personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and to the retention of such personal information for as long as permitted or required by applicable lawslaw or business practice. Notwithstanding that the Subscriber may be purchasing the Note Units as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the Issuer, all as may be required by the Issuer Company in order to comply with the foregoing. 10.2 12.2 Furthermore, the Subscriber is hereby notified that that: (a) the Issuer Company may deliver to any government authority having jurisdiction over the Issuer, the Subscriber or this Subscription, including a provincial securities commission and/or the SEC and/or any state securities commissions, certain personal information pertaining to the Subscriber, including the such Subscriber’s full name, residential address and telephone number, the number of Shares shares or other securities of the Issuer Company owned by the Subscriber, the principal amount number of Note Units purchased by the Subscriber, Subscriber and the total Subscription Amount purchase price paid for the Note Units, the prospectus exemption relied on by the Company and the date of distribution of the NoteUnits, (b) such information is being collected indirectly by the provincial securities commission under the authority granted to it in securities legislation, and (c) such information is being collected for the purposes of the administration and enforcement of the securities legislation of any federal, state or provincial securities laws.

Collection of Personal Information. 10.1 The Subscriber acknowledges and consents to the fact that the Issuer Company is collecting the Subscriber’s 's personal information for the purpose of fulfilling this Agreement and completing the Offeringallotment of Notes. The Subscriber acknowledges that its Subscriber's personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: Company to (a) stock exchanges or securities regulatory authorities, (b) the IssuerCompany's registrar and transfer agent, (c) tax authorities, (d) law enforcement authorities, (e) authorities pursuant to the PATRIOT Proceeds of Crime (Money Laundering) and Terrorist Financing Act (U.S.A.Canada) and (ef) any of the other parties involved in the Offeringallotment and issuance, including legal counsel, and may be included in the IssuerCompany’s Counselrecord books. By executing this Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and to the retention of such personal information for as long as permitted or required by applicable lawslaw or business practice. Notwithstanding that the Subscriber may be purchasing the Note acquiring Notes as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the Issuer, all as may be required by the Issuer Company in order to comply with the foregoing. 10.2 . Furthermore, the Subscriber is hereby notified that that: (a) the Issuer Corporation may deliver to any government authority having jurisdiction over the Issuer, the Subscriber or this Subscription, including Alberta Securities Commission and/or the SEC and/or any state securities commissions, certain personal information pertaining to the Subscriber, including the such Subscriber’s full name, residential address and telephone number, the number of Shares Notes or other securities of the Issuer Corporation owned by the Subscriber, the principal amount number of Note Notes purchased by the SubscriberSubscriber and the total purchase price paid for such Notes, the total Subscription Amount paid for prospectus exemption relied on by the Note Corporation and the date of distribution of the NoteNotes, (b) such information is being collected indirectly by the Alberta Securities Commission under the authority granted to it in securities legislation, such information is being collected for the purposes of the administration and enforcement of the securities legislation of Alberta.

Collection of Personal Information. 10.1 The Subscriber acknowledges and consents to the fact that the Issuer Corporation is collecting the Subscriber’s personal information for the purpose of fulfilling this Subscription Agreement and completing the Offering. The Subscriber acknowledges that its Subscriber's personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: Corporation to (a) stock exchanges or securities regulatory authorities, (b) the IssuerCorporation's registrar and transfer agent, (c) Canadian tax authorities, (d) authorities pursuant to the PATRIOT Act (U.S.A.) PCMLTFA and (e) any of the other parties involved in the Offering, including legal counsel, and may be included in record books in connection with the Issuer’s CounselOffering. By executing this Subscription Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and for the purposes described in Schedule “D” to this Subscription Agreement and to the retention of such personal information for as long as permitted or required by applicable lawslaw or business practice. Notwithstanding that the Subscriber may be purchasing the Note Units as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the IssuerCorporation, all as may be required by the Issuer Corporation in order to comply with the foregoing. 10.2 . Furthermore, the Subscriber is hereby notified that that: (a) the Issuer Corporation may deliver to any government authority securities commission having jurisdiction over the IssuerCorporation, the Subscriber or this Subscriptionsubscription, including the British Columbia Securities Commission, the Alberta Securities Commission and the Ontario Securities Commission and/or the SEC and/or any state securities commissions(collectively, the “Commissions”) certain personal information pertaining to the Subscriber, including the such Subscriber’s full name, residential address and telephone number, the number of Shares shares or other securities of the Issuer Corporation owned by the Subscriber, the principal amount number of Note Units purchased by the SubscriberSubscriber and the total purchase price paid for such Units, the total Subscription Amount paid for prospectus exemption relied on by the Note Corporation and the date of distribution of the Note.Units, (b) such information is being collected indirectly by the Commissions under the authority granted to them in securities legislation, (c) such information is being collected for the purposes of the administration and enforcement of the securities laws, and (d) the Subscriber may contact the following public official in Ontario with respect to questions about the Ontario Securities Commission’s indirect collection of such information at the following address and telephone number: Administrative Assistant to the Director of Corporate Finance Ontario Securities Commission Suite 1903, Box 55 00 Xxxxx Xxxxxx Xxxx Toronto, ON M5H 3S8 Telephone: (000) 000-0000

Collection of Personal Information. 10.1 11.1 The Subscriber acknowledges and consents to the fact that the Issuer Company is collecting the Subscriber’s personal information for the purpose of fulfilling this Agreement and completing the Offering. The Subscriber acknowledges that its Subscriber's personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: Company to (a) stock exchanges or securities regulatory authorities, (b) the IssuerCompany's registrar and transfer agent, (c) Canadian tax authorities, (d) authorities pursuant to the PATRIOT Proceeds of Crime (Money Laundering) and Terrorist Financing Act (U.S.A.Canada) and (e) any of the other parties involved in the Offering, including legal counsel, and may be included in record books in connection with the Issuer’s CounselOffering. By executing this Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and to the retention of such personal information for as long as permitted or required by applicable lawslaw or business practice. Notwithstanding that the Subscriber may be purchasing the Note Units as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the IssuerCompany, all as may be required by the Issuer Company in order to comply with the foregoing. 10.2 11.2 Furthermore, the Subscriber is hereby notified that that: (a) the Issuer Company may deliver to any government authority securities commission having jurisdiction over the IssuerCompany, the Subscriber or this Subscriptionsubscription, including any Canadian provincial securities commissions and/or the SEC and/or any state securities commissions(collectively, the “Commissions”) certain personal information pertaining to the Subscriber, including the such Subscriber’s full name, residential address and telephone number, the number of Shares shares or other securities of the Issuer Company owned by the Subscriber, the principal amount number of Note Units purchased by the SubscriberSubscriber and the total purchase price paid for such Units, the total Subscription Amount paid for prospectus exemption relied on by the Note Company and the date of distribution of the Note.Units, (b) such information is being collected indirectly by the Commissions under the authority granted to them in securities legislation, (c) such information is being collected for the purposes of the administration and enforcement of the securities laws, and (d) the Subscriber may contact the following public official in Ontario with respect to questions about the Ontario Securities Commission’s indirect collection of such information at the following address and telephone number: Administrative Assistant to the Director of Corporate Finance Ontario Securities Commission Xxxxx 0000, Xxx 00 00 Xxxxx Xxxxxx Xxxx Xxxxxxx, XX X0X 0X0 Telephone: (000) 000-0000

Collection of Personal Information. 10.1 11.1 The Subscriber acknowledges and consents to the fact that the Issuer is collecting the Subscriber’s 's personal information for the purpose of fulfilling this Agreement and completing the Offering. The Subscriber acknowledges that its personal information (and, if applicable, the personal information of those any person on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: (ai) stock exchanges or securities regulatory authorities, ; (bii) the Issuer's registrar and transfer agent, ; (ciii) Canadian tax authorities, ; (div) authorities pursuant pursuant, among other legislation, to the PATRIOT Proceeds of Crime (Money Laundering) and Terrorist Financing Act (U.S.A.) Canada); and (ev) any of the other parties involved in the Offering, including the Issuer’s 's Counsel. By executing this Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's personal information (and, if applicable, the personal information of those any other person on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and to the retention of such personal information for as long as permitted or required by applicable laws. Notwithstanding that the Subscriber may be purchasing the Note Common Shares as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the Issuer, all as may be required by the Issuer in order to comply with the foregoing. 10.2 . Furthermore, the Subscriber is hereby notified that that: (a) the Issuer may deliver to any government authority securities commission having jurisdiction over the Issuer, the Subscriber or this Subscription, including any Canadian provincial securities commissions, the SEC United States Securities and Exchange Commission and/or any state securities commissionscommissions (collectively, the "Commissions"), certain personal information pertaining to the Subscriber, including the Subscriber’s 's full name, residential address and telephone number, the number of Shares or other securities of the Issuer owned by the Subscriber, the principal amount number of Note Common Shares purchased by the Subscriber, the total Subscription Amount paid for paid, the Note prospectus exemption relied on by the Issuer and the date of distribution of the NoteCommon Shares; (b) such information is being collected indirectly by the Commissions under the authority granted to them in applicable securities laws; (c) such information is being collected for the purposes of the administration and enforcement of applicable securities laws; and (d) in Ontario, the Administrative Support Clerk, Suite 1903, Box 50, 00 Xxxxx Xxxxxx Xxxx, Xxxxxxx XX, X0X 0X0, Telephone: (000) 000-0000 in the public official who can answer questions about the collection of personal information.

Collection of Personal Information. 10.1 The 1The Subscriber acknowledges and consents to the fact that the Issuer is collecting the Subscriber’s personal information for the purpose of fulfilling this Agreement and completing the Offering. The Subscriber acknowledges that its personal information (and, if applicable, the personal information of those any person on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: (ai) stock exchanges or securities regulatory authorities, ; (bii) the Issuer's ’s registrar and transfer agent, ; (ciii) Canadian or U.S. tax authorities; (iv) the U.S. Financial Crimes Enforcement Network and authorities pursuant, (d) authorities pursuant among other legislation, to the PATRIOT Proceeds of Crime (Money Laundering) and Terrorist Financing Act (U.S.A.) Canada); and (ev) any of the other parties involved in the Offering, including the Issuer’s Counselcounsel. By executing this Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's ’s personal information (and, if applicable, the personal information of those any other person on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and to the retention of such personal information for as long as permitted or required by applicable lawsApplicable Laws. Notwithstanding that the Subscriber may be purchasing the Note Common Shares as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the Issuer, all as may be required by the Issuer in order to comply with the foregoing. 10.2 . Furthermore, the Subscriber is hereby notified that the Issuer may deliver to any government authority having jurisdiction over the Issuer, the Subscriber or this Subscription, including the SEC and/or any state securities commissions, certain personal information pertaining to the Subscriber, including the Subscriber’s full name, residential address and telephone number, the number of Shares or other securities of the Issuer owned by the Subscriber, the principal amount of Note purchased by the Subscriber, the total Subscription Amount paid for the Note and the date of distribution of the Note.that:

Collection of Personal Information. 10.1 The Subscriber acknowledges and consents to the fact that the Issuer is collecting the Subscriber’s personal information for the purpose of fulfilling this Agreement and completing the Offering. The Subscriber acknowledges that its personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: to (a) stock exchanges or securities regulatory authorities, (b) the Issuer's ’s registrar and transfer agent, (c) tax authorities, (d) authorities pursuant to the PATRIOT Proceeds of Crime (Money Laundering) and Terrorist Financing Act (U.S.A.Canada) and (e) any of the other parties involved in the Offering, including legal counsel, and may be included in record books in connection with the Issuer’s CounselOffering. By executing this Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's ’s personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and for the purposes described in Exhibit D to this Agreement, and to the retention of such personal information for as long as permitted or required by applicable lawslaws or business practice. Notwithstanding that the Subscriber may be purchasing the Note Shares as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the Issuer, all as may be required by the Issuer in order to comply with the foregoing. 10.2 . By completing this Agreement, the Subscriber authorizes the indirect collection of the information described in this Section 10.1 by all applicable regulators and consents to the disclosure of such information to the public through (i) the filing of a report of trade with all applicable regulators and (ii) the filing of this Agreement on SEDAR. Furthermore, the Subscriber is hereby notified that that: (a) the Issuer may deliver to any government authority securities commission having jurisdiction over the Issuer, the Subscriber or this Subscription, including any Canadian provincial securities commissions, the SEC United States Securities and Exchange Commission and/or any state securities commissionscommissions (collectively, the “Commissions”), certain personal information pertaining to the Subscriber, including the Subscriber’s full name, residential address and telephone number, the number of Shares or other securities of the Issuer owned by the Subscriber, the principal amount number of Note Shares purchased by the Subscriber, the total Subscription Amount paid for the Note Shares, the prospectus exemption relied on by the Issuer and the date of distribution of the Note.Shares; (b) such information is being collected indirectly by the Commissions under the authority granted to them in applicable securities laws; (c) such information is being collected for the purposes of the administration and enforcement of applicable securities laws; and (d) the Subscriber may contact the public official in the local jurisdiction with respect to questions about the indirect collection of such information at the following address and telephone number: Attention: FOIP Coordinator Alberta Securities Commission Suite 600 000 – 0xx Xxxxxx XX Xxxxxxx, XX X0X 0X0 Telephone: 000-000-0000 Attention: FOI Inquiries British Columbia Securities Commission P.O. Box 10142, Pacific Centre 000 Xxxx Xxxxxxx Xxxxxx Xxxxxxxxx, XX X0X 0X0 Telephone: 000-000-0000 Attention: Inquiries Officer Ontario Securities Commission 00 Xxxxx Xxxxxx Xxxx, 00xx Floor Toronto, ON M5H 3S8 Telephone: 000-000-0000

Collection of Personal Information. 10.1 11.1 The Subscriber acknowledges and consents to the fact that the Issuer Company is collecting the Subscriber’s personal information for the purpose of fulfilling this Agreement and completing the OfferingSubscription Agreement. The Subscriber acknowledges that its Subscriber’s personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: Company to (a) stock exchanges or securities regulatory authorities, (b) the Issuer's Company’s registrar and transfer agent, (c) Canadian tax authorities, (d) authorities pursuant to the PATRIOT Proceeds of Crime (Money Laundering) and Terrorist Financing Act (U.S.A.Canada) and (e) any of the other parties involved in the Offeringissuance of the Shares, including legal counsel, and may be included in record books in connection with the Issuer’s Counselissuance of the Shares. By executing this Subscription Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's ’s personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and to the retention of such personal information for as long as permitted or required by applicable lawslaw or business practice. Notwithstanding that the Subscriber may be purchasing the Note Shares as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the Issuer, all as may be required by the Issuer Company in order to comply with the foregoing. 10.2 11.2 Furthermore, the Subscriber is hereby notified that that: (a) the Issuer Company may deliver to any government authority having jurisdiction over the Issuer, the Subscriber or this Subscription, including a provincial securities commission and/or the SEC and/or any state securities commissions, certain personal information pertaining to the Subscriber, including the such Subscriber’s full name, residential address and telephone number, the number of Shares shares or other securities of the Issuer Company owned by the Subscriber, the principal amount number of Note Shares purchased by the SubscriberSubscriber and the total purchase price paid for such Shares, the total Subscription Amount paid for prospectus exemption relied on by the Note Company and the date of distribution of the NoteShares, (b) such information is being collected indirectly by the provincial securities commission under the authority granted to it in securities legislation, and (c) such information is being collected for the purposes of the administration and enforcement of the securities legislation of Canada.

Collection of Personal Information. 10.1 4.1 The Subscriber acknowledges and consents to the fact that the Issuer is collecting the Subscriber’s personal information for the purpose of fulfilling this Subscription Agreement and completing the Offeringoffering. The Subscriber acknowledges that its Subscriber’s personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: to (a) stock exchanges or securities regulatory authorities, (b) the Issuer's ’s registrar and transfer agent, and (c) tax authorities, (d) authorities pursuant to the PATRIOT Act (U.S.A.) and (e) any of the other parties involved in the Offering, including legal counsel, and may be included in record books in connection with the Issuer’s Counseloffering. By executing this Subscription Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's ’s personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and to the retention of such personal information for as long as permitted or required by applicable lawslaw or business practice. Notwithstanding that the Subscriber may be purchasing the Note Securities as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the Issuer, all as may be required by the Issuer in order to comply with the foregoing. 10.2 . 4.2 Furthermore, the Subscriber is hereby notified that the Issuer may deliver to any government authority having jurisdiction over the Issuer, the Subscriber or this Subscription, including the SEC and/or any state securities commissions, certain personal information pertaining to the Subscriber, including the such Subscriber’s full name, residential address and telephone number, the number of Shares shares or other securities of the Issuer owned by the Subscriber, the principal amount number of Note Securities purchased by the SubscriberSubscriber and the total purchase price paid for such Securities, the total Subscription Amount paid for prospectus exemption relied on by the Note Issuer and the date of distribution of the NoteSecurities.

Collection of Personal Information. 10.1 11.1 The Subscriber acknowledges and consents to the fact that the Issuer is collecting the Subscriber’s 's personal information for the purpose of fulfilling this Agreement and completing the Offering. The Subscriber acknowledges that its personal information (and, if applicable, the personal information of those any person on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: (ai) stock exchanges or securities regulatory authorities, ; (bii) the Issuer's registrar and transfer agent, ; (ciii) Canadian tax authorities, ; (div) authorities pursuant pursuant, among other legislation, to the PATRIOT Proceeds of Crime (Money Laundering) and Terrorist Financing Act (U.S.A.) Canada); and (ev) any of the other parties involved in the Offering, including the Issuer’s 's Counsel. By executing this Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's personal information (and, if applicable, the personal information of those any other person on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and to the retention of such personal information for as long as permitted or required by applicable laws. Notwithstanding that the Subscriber may be purchasing the Note Common Shares as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the Issuer, all as may be required by the Issuer in order to comply with the foregoing. 10.2 . Furthermore, the Subscriber is hereby notified that that: (a) the Issuer may deliver to any government authority securities commission having jurisdiction over the Issuer, the Subscriber or this Subscription, including any Canadian provincial securities commissions, the SEC United States Securities and Exchange Commission and/or any state securities commissionscommissions (collectively, the "Commissions"), certain personal information pertaining to the Subscriber, including the Subscriber’s 's full name, residential address and telephone number, the number of Shares or other securities of the Issuer owned by the Subscriber, the principal amount number of Note Common Shares purchased by the Subscriber, the total Subscription Amount paid for paid, the Note prospectus exemption relied on by the Issuer and the date of distribution of the NoteCommon Shares; (b) such information is being collected indirectly by the Commissions under the authority granted to them in applicable securities laws; (c) such information is being collected for the purposes of the administration and enforcement of applicable securities laws; and (d) in Ontario, the Administrative Support Clerk, Suite 1903, Box 55, 00 Xxxxx Xxxxxx Xxxx, Xxxxxxx XX, X0X 0X0, Telephone: (000) 000-0000 in the public official who can answer questions about the collection of personal information.

Collection of Personal Information. 10.1 The Subscriber acknowledges and consents to the fact that the Issuer is collecting the Subscriber’s personal information for the purpose of fulfilling this Agreement and completing the Offering. The Subscriber acknowledges that its personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: (a) stock exchanges or securities regulatory authorities, (b) the Issuer's registrar and transfer agent, (c) Canadian tax authorities, (d) authorities pursuant to the PATRIOT Proceeds of Crime (Money Laundering) and Terrorist Financing Act (U.S.A.Canada) and (e) any of the other parties involved in the Offering, including the Issuer’s Counsel. By executing this Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and to the retention of such personal information for as long as permitted or required by applicable laws. Notwithstanding that the Subscriber may be purchasing the Note Units as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the Issuer, all as may be required by the Issuer in order to comply with the foregoing. 10.2 . Furthermore, the Subscriber is hereby notified that that: (a) the Issuer may deliver to any government authority securities commission having jurisdiction over the Issuer, the Subscriber or this Subscription, including any Canadian provincial securities commissions, the SEC and/or any state securities commissionscommissions (collectively, the “Commissions”), certain personal information pertaining to the Subscriber, including the Subscriber’s full name, residential address and telephone number, the number of Shares or other securities of the Issuer owned by the Subscriber, the principal amount number of Note Units purchased by the Subscriber, the total Subscription Amount paid for the Note Units, the prospectus exemption relied on by the Issuer and the date of distribution of the NoteUnits; (b) such information is being collected indirectly by the Commissions under the authority granted to them in applicable securities laws; (c) such information is being collected for the purposes of the administration and enforcement of applicable securities laws; and (d) the Subscriber may contact the following public official in Ontario with respect to questions about the Ontario Securities Commission’s indirect collection of such information at the following address and telephone number: Administrative Assistant to the Director of Corporate Finance Ontario Securities Commission Xxxxx 0000, Xxx 00 00 Xxxxx Xxxxxx Xxxx Xxxxxxx, XX X0X 0X0 Telephone: (000) 000-0000.

Collection of Personal Information. 10.1 The Subscriber acknowledges and consents to the fact that the Issuer is collecting the Subscriber’s personal information for the purpose of fulfilling this Agreement and completing the Offering. The Subscriber acknowledges that its personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: to (a) stock exchanges or securities regulatory authorities, (b) the Issuer's ’s registrar and transfer agent, (c) tax authorities, (d) authorities pursuant to the PATRIOT Proceeds of Crime (Money Laundering) and Terrorist Financing Act (U.S.A.Canada) and (e) any of the other parties involved in the Offering, including legal counsel, and may be included in record books in connection with the Issuer’s CounselOffering. By executing this Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's ’s personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and for the purposes described in Exhibit D to this Agreement, and to the retention of such personal information for as long as permitted or required by applicable lawslaws or business practice. Notwithstanding that the Subscriber may be purchasing the Note Shares as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the Issuer, all as may be required by the Issuer in order to comply with the foregoing. 10.2 . By completing this Agreement, the Subscriber authorizes the indirect collection of the information described in this Section 10.1 by all applicable regulators and consents to the disclosure of such information to the public through (i) the filing of a report of trade with all applicable regulators and (ii) the filing of this Agreement on SEDAR. Furthermore, the Subscriber is hereby notified that that: (a) the Issuer may deliver to any government authority securities commission having jurisdiction over the Issuer, the Subscriber or this Subscription, including any Canadian provincial securities commissions, the SEC United States Securities and Exchange Commission and/or any state securities commissionscommissions (collectively, the “Commissions”), certain personal information pertaining to the Subscriber, including the Subscriber’s full name, residential address and telephone number, the number of Shares or other securities of the Issuer owned by the Subscriber, the principal amount number of Note Shares purchased by the Subscriber, the total Subscription Amount paid for the Note Shares, the prospectus exemption relied on by the Issuer and the date of distribution of the Note.Shares; (b) such information is being collected indirectly by the Commissions under the authority granted to them in applicable securities laws; (c) such information is being collected for the purposes of the administration and enforcement of applicable securities laws; and (d) the Subscriber may contact the public official in the local jurisdiction with respect to questions about the indirect collection of such information at the following address and telephone number: Attention: FOIP Coordinator Attention: FOI Inquiries Attention: Inquiries Officer Alberta Securities Commission British Columbia SecuritiesOntario Securities Commission Suite 600 000 – 0xx Xxxxxx XX Commission P.O. Box 10142, Pacific Centre 00 Xxxxx Xxxxxx Xxxx, 00xx Xxxxx Xxxxxxx, XX X0X 0X0 Calgary, AB T2P 0R4 Telephone: 000-000-0000 000 Xxxx Xxxxxxx Xxxxxx Xxxxxxxxx,Telephone: 000-000-0000 BC V7Y 1L2 Telephone: 000-000-0000

Collection of Personal Information. 10.1 9.1 The Subscriber acknowledges and consents to the fact that the Issuer is collecting the Subscriber’s personal information for the purpose of fulfilling this Agreement and completing the Offering. The Subscriber acknowledges that its personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: (a) stock exchanges or securities regulatory authorities, (b) the Issuer's registrar and transfer agent, (c) Canadian tax authorities, (d) authorities pursuant to the PATRIOT Proceeds of Crime (Money Laundering) and Terrorist Financing Act (U.S.A.Canada) and (e) any of the other parties involved in the Offering, including the Issuer’s Counsel. By executing this Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and for the purposes described in Exhibit E to this Agreement and to the retention of such personal information for as long as permitted or required by applicable laws. Notwithstanding that the Subscriber may be purchasing the Note Shares as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the Issuer, all as may be required by the Issuer in order to comply with the foregoing. 10.2 . Furthermore, the Subscriber is hereby notified that that: (a) the Issuer may deliver to any government authority securities commission having jurisdiction over the Issuer, the Subscriber or this Subscription, including any Canadian provincial securities commissions, the SEC United States Securities and Exchange Commission and/or any state securities commissionscommissions (collectively, the “Commissions”), certain personal information pertaining to the Subscriber, including the Subscriber’s full name, residential address and telephone number, the number of Shares or other securities of the Issuer owned by the Subscriber, the principal amount number of Note Shares purchased by the Subscriber, the total Subscription Amount paid for the Note Shares, the prospectus exemption relied on by the Issuer and the date of distribution of the NoteShares; (b) such information is being collected indirectly by the Commissions under the authority granted to them in applicable securities laws; (c) such information is being collected for the purposes of the administration and enforcement of applicable securities laws; and (d) the Subscriber may contact the following public official in Ontario with respect to questions about the Ontario Securities Commission’s indirect collection of such information at the following address and telephone number: Administrative Assistant to the Director of Corporate Finance Ontario Securities Commission Xxxxx 0000, Xxx 00 00 Xxxxx Xxxxxx Xxxx Xxxxxxx, XX X0X 0X0 Telephone: (000) 000-0000.

Collection of Personal Information. 10.1 11.1 The Subscriber acknowledges and consents to the fact that the Issuer Company is collecting the Subscriber’s personal information for the purpose of fulfilling this Agreement and completing the Offeringtransactions contemplated herein. The Subscriber acknowledges that its Subscriber’s personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: Company to (a) stock exchanges or securities regulatory authorities, (b) the Issuer's Company’s registrar and transfer agent, (c) tax authorities, (d) authorities pursuant to the PATRIOT Act (U.S.A.) and (e) any of the other parties involved in the Offeringtransactions contemplated herein, including legal counsel, and may be included in record books in connection with the Issuer’s Counseltransactions contemplated herein. By executing this Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's ’s personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and to the retention of such personal information for as long as permitted or required by applicable lawslaw or business practice. Notwithstanding that the Subscriber may be purchasing the Note Securities as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the Issuer, all as may be required by the Issuer Company in order to comply with the foregoing. 10.2 11.2 Furthermore, the Subscriber is hereby notified that that: (a) the Issuer Company may deliver to any government authority having jurisdiction over the Issuer, the Subscriber or this Subscription, including a provincial securities commission and/or the SEC and/or any state securities commissions, certain personal information pertaining to the Subscriber, including the such Subscriber’s full name, residential address and telephone number, the number of Shares shares or other securities of the Issuer Company owned by the Subscriber, the principal amount number of Note Securities purchased by the SubscriberSubscriber and the total purchase price paid for such Securities, the total Subscription Amount paid for prospectus exemption relied on by the Note Company and the date of distribution of the NoteSecurities, and (b) such information is being collected indirectly by the provincial securities commission under the authority granted to it in securities legislation.

Collection of Personal Information. 10.1 11.1 The Subscriber acknowledges and consents to the fact that the Issuer is collecting the Subscriber’s 's personal information for the purpose of fulfilling this Agreement and completing the Offering. The Subscriber acknowledges that its personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: to (a) stock exchanges or securities regulatory authorities, (b) the Issuer's registrar and transfer agent, (c) tax authorities, (d) authorities pursuant to the PATRIOT Proceeds of Crime (Money Laundering) and Terrorist Financing Act (U.S.A.Canada) and (e) any of the other parties involved in the Offering, including legal counsel, and may be included in record books in connection with the Issuer’s CounselOffering. By executing this Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and for the purposes described in Exhibit D to this Agreement, and to the retention of such personal information for as long as permitted or required by applicable lawslaws or business practice. Notwithstanding that the Subscriber may be purchasing the Note Securities as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the Issuer, all as may be required by the Issuer in order to comply with the foregoing. 10.2 . By completing this Agreement, the Subscriber authorizes the indirect collection of the information described in this Section 11.1 by all applicable regulators and consents to the disclosure of such information to the public through (i) the filing of a report of trade with all applicable regulators and (ii) the filing of this Agreement on SEDAR. Furthermore, the Subscriber is hereby notified that that: (a) the Issuer may deliver to any government authority securities commission having jurisdiction over the Issuer, the Subscriber or this Subscription, including any Canadian provincial securities commissions, the SEC United States Securities and Exchange Commission and/or any state securities commissionscommissions (collectively, the "Commissions"), certain personal information pertaining to the Subscriber, including the Subscriber’s 's full name, residential address and telephone number, the number of Shares or other securities of the Issuer owned by the Subscriber, the principal amount number of Note Securities purchased by the Subscriber, the total Subscription Amount paid for the Note Securities, the prospectus exemption relied on by the Issuer and the date of distribution of the Note.Securities; (b) such information is being collected indirectly by the Commissions under the authority granted to them in applicable securities laws; (c) such information is being collected for the purposes of the administration and enforcement of applicable securities laws; and (d) the Subscriber may contact the public official in the local jurisdiction with respect to questions about the indirect collection of such information at the following address and telephone number: Attention: FOIP Coordinator Alberta Securities Commission Xxxxx 000 000 - 0xx Xxxxxx XX Xxxxxxx, XX X0X 0X0 Telephone: 000-000-0000 Attention: FOI Inquiries British Columbia Securities Commission X.X. Xxx 00000, Xxxxxxx Xxxxxx 000 Xxxx Xxxxxxx Xxxxxx Xxxxxxxxx, XX X0X 0X0 Telephone: 000-000-0000 Attention: Inquiries Officer Ontario Securities Commission 00 Xxxxx Xxxxxx Xxxx, 00xx Xxxxx Xxxxxxx, XX X0X 0X0 Telephone: 000-000-0000

Collection of Personal Information. 10.1 12.1 The Subscriber acknowledges and consents to the fact that the Issuer Company is collecting the Subscriber’s personal information for the purpose of fulfilling this Agreement and completing the Offering. The Subscriber acknowledges that its Subscriber’s personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: Company to (a) stock exchanges or securities regulatory authorities, (b) the Issuer's Company’s registrar and transfer agent, (c) Canadian tax authorities, (d) authorities pursuant to the PATRIOT Proceeds of Crime (Money Laundering) and Terrorist Financing Act (U.S.A.Canada) and (e) any of the other parties involved in the Offering, including legal counsel, and may be included in record books in connection with the Issuer’s CounselOffering. By executing this Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's ’s personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and to the retention of such personal information for as long as permitted or required by applicable lawslaw or business practice and for the purposes described in Exhibit “F” to this Agreement. Notwithstanding that the Subscriber may be purchasing the Note Units as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the IssuerCompany, all as may be required by the Issuer Company in order to comply with the foregoing. 10.2 12.2 Furthermore, the Subscriber is hereby notified that that: (a) the Issuer Company may deliver to any government authority securities commission having jurisdiction over the IssuerCompany, the Subscriber or this Subscriptionsubscription, including any Canadian provincial securities commissions and/or the SEC and/or any state securities commissions(collectively, the “Commissions”) certain personal information pertaining to the Subscriber, including the such Subscriber’s full name, residential address and telephone number, the number of Shares shares or other securities of the Issuer Company owned by the Subscriber, the principal amount number of Note Units purchased by the SubscriberSubscriber and the total purchase price paid for such Units, the total Subscription Amount paid for prospectus exemption relied on by the Note Company and the date of distribution of the NoteUnits, (b) such information is being collected indirectly by the Commissions under the authority granted to them in securities legislation, and (c) such information is being collected for the purposes of the administration and enforcement of the securities laws.

Collection of Personal Information. 10.1 The Subscriber acknowledges and consents to the fact that the Issuer is and/or its counsel are collecting the Subscriber’s personal information for the purpose of fulfilling the terms of this Agreement and completing the OfferingSubscription Agreement. The Subscriber further acknowledges and consents to the fact that the Issuer and/or its counsel may be required by applicable securities laws to provide securities regulatory authorities with any personal information (andprovided by the Subscriber, if applicableaccording to the requirements of the applicable securities laws. In particular, the personal information Subscriber consents to the disclosure of those on whose behalf Personal Information by the Issuer to the Ontario Securities Commission as provided in Schedule “B” hereto. TO: GOLDEN QUEEN MINING CO. LTD. In connection with the purchase by the undersigned subscriber (the “Subscriber”) of Securities of Golden Queen Mining Co. Ltd. (the “Issuer”), the Subscriber hereby represents, warrants, covenants and certifies to the Issuer that: 1. the Subscriber is contracting hereunder) may resident in a Province or Territory of Canada; 2. the Subscriber is purchasing the Securities as principal for its own account; 3. the Subscriber is an “accredited investor” within the meaning of National Instrument 45-106 Prospectus and Registration Exemptions by virtue of satisfying the indicated criterion as set out in Appendix I to this certificate (YOU MUST ALSO INITIAL APPENDIX I ON THE NEXT PAGE); 4. The above representations, warranties and covenants will be included in record books in connection true and correct both as of the execution of this certificate and as of the Closing Time; and 5. The foregoing representations, warranties and covenants are made by the undersigned with the Offering intent that they be relied upon in determining its suitability as a purchaser of the Securities and may be disclosed by the Issuer toundersigned undertakes to immediately notify the Issuer, of any change in any statement or other information relating to the Subscriber set forth herein which takes place prior to the closing time of the purchase and sale of the Securities. Terms in initial capital letters not defined herein have the meaning ascribed to them in the Subscription Agreement to which this Certificate pertains. Dated: , 2010. Name of Subscriber By: Signature (authorized signatory) Title Accredited Investor - (defined in National Instrument 45-106) means: (a) stock exchanges a Canadian financial institution, or securities regulatory authorities, a Schedule III bank; (b) the Issuer's registrar and transfer agent, Business Development Bank of Canada incorporated under the Business Development Bank of Canada Act (Canada); (c) tax authoritiesa subsidiary of any person referred to in paragraphs (a) or (b), if the person owns all of the voting securities of the subsidiary, except the voting securities required by law to be owned by directors of that subsidiary; (d) authorities pursuant to a person registered under the PATRIOT securities legislation of a jurisdiction of Canada as an adviser or dealer, other than a person registered solely as a limited market dealer under one or both of the Securities Act (U.S.A.Ontario) or the Securities Act (Newfoundland and Labrador); (e) an individual registered or formerly registered under the securities legislation of a jurisdiction of Canada as a representative of a person referred to in paragraph (d); (f) the Government of Canada or a jurisdiction of Canada, or any crown corporation, agency or wholly owned entity of the Government of Canada or a jurisdiction of Canada; (g) a municipality, public board or commission in Canada and a metropolitan community, school board, the Comité de gestion de la taxe scolaire de l’île de Montréal or an intermunicipal management board in Québec; (h) any national, federal, state, provincial, territorial or municipal government of or in any foreign jurisdiction, or any agency of that government; (i) a pension fund that is regulated by either the Office of the Superintendent of Financial Institutions (Canada) or a pension commission or similar regulatory authority of a jurisdiction of Canada; (j) an individual who, either alone or with a spouse, beneficially owns, directly or indirectly, financial assets having an aggregate realizable value that before taxes, but net of any related liabilities, exceeds $1,000,000; (k) an individual whose net income before taxes exceeded $200 000 in each of the 2 most recent calendar years or whose net income before taxes combined with that of a spouse exceeded $300 000 in each of the 2 most recent calendar years and who, in either case, reasonably expects to exceed that net income level in the current calendar year; (l) an individual who, either alone or with a spouse, has net assets of at least $5,000,000; (m) a person, other than an individual or investment fund, that has net assets of at least $5,000,000 as shown on its most recently prepared financial statements; (n) an investment fund that distributes or has distributed its securities only to (i) a person that is or was an accredited investor at the time of the distribution, (ii) a person that acquires or acquired securities in the circumstances referred to in sections 2.10 and 2.19 of National Instrument 45-106, or (iii) a person described in paragraph (i) or (ii) that acquires or acquired securities under section 2.18 of National Instrument 45-106; (o) an investment fund that distributes or has distributed securities under a prospectus in a jurisdiction of Canada for which the regulator or, in Québec, the securities regulatory authority, has issued a receipt; (p) a trust company or trust corporation registered or authorized to carry on business under the Trust and Loan Companies Act (Canada) or under comparable legislation in a jurisdiction of Canada or a foreign jurisdiction, acting on behalf of a fully managed account managed by the trust company or trust corporation, as the case may be; (q) a person acting on behalf of a fully managed account managed by that person, if that person (i) is registered or authorized to carry on business as an adviser or the equivalent under the securities legislation of a jurisdiction of Canada or a foreign jurisdiction, and (ii) in Ontario, is purchasing a security that is not a security of an investment fund (r) a registered charity under the Income Tax Act (Canada) that, in regard to the trade, has obtained advice from an eligibility adviser or an adviser registered under the securities legislation of the jurisdiction of the registered charity to give advice on the securities being traded; (s) an entity organized in a foreign jurisdiction that is analogous to any of the other parties involved entities referred to in paragraphs (a) to (d) or paragraph (i) in form and function (t) a person in respect of which all of the Offeringowners of interests, including direct, indirect or beneficial, except the Issuer’s Counsel. By executing this Agreement, the Subscriber is deemed voting securities required by law to be consenting to the foregoing collectionowned by directors, use and disclosure of the Subscriber's personal information are persons that are accredited investors; (and, if applicable, the personal information of those on whose behalf the Subscriber u) an investment fund that is contracting hereunderadvised by a person registered as an adviser or a person that is exempt from registration as an adviser; or (v) for the foregoing purposes and to the retention of such personal information for as long as permitted a person that is recognized or required by applicable laws. Notwithstanding that the Subscriber may be purchasing the Note as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the Issuer, all as may be required designated by the Issuer appropriate securities regulatory authority as (i) an accredited investor, or (ii) an exempt purchaser in order to comply with the foregoing. 10.2 Furthermore, the Subscriber is hereby notified that the Issuer may deliver to any government authority having jurisdiction over the Issuer, the Subscriber Alberta or British Columbia after this Subscription, including the SEC and/or any state securities commissions, certain personal information pertaining to the Subscriber, including the Subscriber’s full name, residential address and telephone number, the number of Shares or other securities of the Issuer owned by the Subscriber, the principal amount of Note purchased by the Subscriber, the total Subscription Amount paid for the Note and the date of distribution of the Note.Instrument comes into force;

Collection of Personal Information. 10.1 The Subscriber acknowledges and consents to the fact that the Issuer is collecting the Subscriber’s personal information for the purpose of fulfilling this Agreement and completing the Offering. The Subscriber acknowledges that its Subscriber’s personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: to (a) stock exchanges or securities regulatory authorities, (b) the Issuer's ’s registrar and transfer agent, (c) tax authorities, (d) authorities pursuant to the PATRIOT Proceeds of Crime (Money Laundering) and Terrorist Financing Act (U.S.A.Canada) and (e) any of the other parties involved in the Offering, including legal counsel, and may be included in record books in connection with the Issuer’s CounselOffering. By executing this Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's ’s personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and for the purposes described in Exhibit E to this Agreement, and to the retention of such personal information for as long as permitted or required by applicable lawslaw or business practice. Notwithstanding that the Subscriber may be purchasing the Note Notes as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the Issuer, all as may be required by the Issuer in order to comply with the foregoing. 10.2 . By completing this Agreement, the Subscriber authorizes the indirect collection of the information described in this Section 10.1 by all applicable regulators and consents to the disclosure of such information to the public through (i) the filing of a report of trade with all applicable regulators and (ii) the filing of this Agreement on SEDAR. Furthermore, the Subscriber is hereby notified that that: (a) the Issuer may deliver to any government authority securities commission having jurisdiction over the Issuer, the Subscriber or this Subscription, including any Canadian provincial securities commissions, the SEC United States Securities and Exchange Commission and/or any state securities commissionscommissions (collectively, the “Commissions”), certain personal information pertaining to the Subscriber, including the Subscriber’s full name, residential address and telephone number, the number of Shares or other securities of the Issuer owned by the Subscriber, the principal amount number of Note Notes purchased by the Subscriber, the total Subscription Amount paid for the Note Notes, the prospectus exemption relied on by the Issuer and the date of distribution of the NoteNotes; (b) such information is being collected indirectly by the Commissions under the authority granted to them in applicable securities laws; (c) such information is being collected for the purposes of the administration and enforcement of applicable securities laws; and (d) the Subscriber may contact the following public official in Ontario with respect to questions about the Ontario Securities Commission’s indirect collection of such information at the following address and telephone number: Administrative Assistant to the Director of Corporate Finance Ontario Securities Commission Sxxxx 0000, Xxx 00 20 Xxxxx Xxxxxx Xxxx Xxxxxxx, XX X0X 0X0 Telephone: (000) 000-0000.

Collection of Personal Information. 10.1 11.1 The Subscriber acknowledges and consents to the fact that the Issuer is collecting the Subscriber’s personal information for the purpose of fulfilling this Agreement and completing the Offering. The Subscriber acknowledges that its personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: (a) stock exchanges or securities regulatory authorities, (b) the Issuer's registrar and transfer agent, (c) Canadian tax authorities, (d) authorities pursuant to the PATRIOT Proceeds of Crime (Money Laundering) and Terrorist Financing Act (U.S.A.Canada) and (e) any of the other parties involved in the Offering, including the Issuer’s Counsel. By executing this Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and for the purposes described in Exhibit E to this Agreement and to the retention of such personal information for as long as permitted or required by applicable laws. Notwithstanding that the Subscriber may be purchasing the Note Units as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the Issuer, all as may be required by the Issuer in order to comply with the foregoing. 10.2 . Furthermore, the Subscriber is hereby notified that that: (a) the Issuer may deliver to any government authority securities commission having jurisdiction over the Issuer, the Subscriber or this Subscription, including any Canadian provincial securities commissions, the SEC United States Securities and Exchange Commission and/or any state securities commissionscommissions (collectively, the “Commissions”), certain personal information pertaining to the Subscriber, including the Subscriber’s full name, residential address and telephone number, the number of Shares or other securities of the Issuer owned by the Subscriber, the principal amount number of Note Units purchased by the Subscriber, the total Subscription Amount paid for the Note Units, the prospectus exemption relied on by the Issuer and the date of distribution of the NoteUnits; (b) such information is being collected indirectly by the Commissions under the authority granted to them in applicable securities laws; (c) such information is being collected for the purposes of the administration and enforcement of applicable securities laws; and (d) the Subscriber may contact the following public official in Ontario with respect to questions about the Ontario Securities Commission’s indirect collection of such information at the following address and telephone number: Administrative Assistant to the Director of Corporate Finance Ontario Securities Commission Xxxxx 0000, Xxx 00 00 Xxxxx Xxxxxx Xxxx Xxxxxxx, XX X0X 0X0 Telephone: (000) 000-0000.

Collection of Personal Information. 10.1 The Subscriber (on its own behalf and, if applicable, on behalf of any person for whose benefit Subscriber is subscribing) acknowledges and consents to the fact that the Issuer Company is collecting the Subscriber’s (and any beneficial purchaser’s) personal information for the purpose of fulfilling pursuant to this Agreement and completing the OfferingAgreement. The Subscriber acknowledges that (on its personal information (own behalf and, if applicable, on behalf of any person for whose benefit Subscriber is subscribing) acknowledges and consents to the Company retaining the personal information for as long as permitted or required by applicable law or business practices. Subscriber (on its own behalf and, if applicable, on behalf of those on any person for whose behalf the benefit Subscriber is contracting hereundersubscribing) further acknowledges and consents to the fact the Company may be included in record books in connection with the Offering required by applicable securities laws and may be disclosed stock exchange rules to provide regulatory authorities any personal information provided by the Issuer to: Subscriber respecting itself (a) stock exchanges or securities regulatory authorities, (b) the Issuer's registrar and transfer agent, (c) tax authorities, (d) authorities pursuant to the PATRIOT Act (U.S.A.) and (e) any of the other parties involved in the Offering, including the Issuer’s Counselbeneficial purchaser). By executing this Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's ’s (and any beneficial purchaser’s) personal information (and, if applicable, the personal information of those on whose behalf the information. Subscriber is contracting hereunder) for the foregoing purposes and also consents to the retention filing of such personal information for as long as permitted copies or required by applicable laws. Notwithstanding that the Subscriber may be purchasing the Note as agent on behalf originals of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity any of such undisclosed principal, and any interest that such undisclosed principal has in the Issuer, all Subscriber’s documents described herein as may be required to be filed with any stock exchange or securities regulatory authority in connection with the transactions contemplated hereby. Subscriber represents and warrants that it has the authority to provide the consents and acknowledgments set out in this paragraph on behalf of all beneficial purchasers. “SUBSCRIBER” Tensile Capital Partners Master Fund LP By: Tensile Capital GP LLC Its: General Partner By: /s/ Dxxxxxx X. Xxxxxx Name: Dxxxxxx X. Xxxxxx Its: Manager Date: “COMPANY” Vertex Energy, Inc. By: /s/ Bxxxxxxx X. Xxxxxx Name: Bxxxxxxx X. Xxxxxx Its: CEO Date: ______ By: Name: Its: Date: As indicated below, the undersigned is an “accredited investor,” as that term is defined in Regulation D of the Securities Act of 1933, as amended (the “Securities Act”). The undersigned has initialed the line below indicating the basis on which he, she or it is representing his, her or its status as an “accredited investor”, at the request of Vertex Energy, Inc., a Nevada corporation (the “Company”). The representation and confirmation below as part of this Certification of Accredited Investor Status And Investor Information shall be effective for all purposes and shall be able to be relied upon by the Issuer in order to comply with Company, its legal counsel and assigns for any and all purposes, until such time, if ever, as the foregoing. 10.2 Furthermore, undersigned has advised the Subscriber is hereby notified Company that the Issuer may deliver to representations below are no longer accurate or correct. By initializing below the undersigned confirms, acknowledges and represents that he, she or it, is an “accredited investor” because he, she or it is: ______ a bank as defined in Section 3(a)(2) of the Securities Act, or any government authority having jurisdiction over the Issuer, the Subscriber or this Subscription, including the SEC and/or any state securities commissions, certain personal information pertaining to the Subscriber, including the Subscriber’s full name, residential address savings and telephone number, the number of Shares loan association or other securities institution as defined in Section 3(a)(5)(A) of the Issuer owned Securities Act whether acting in its individual or fiduciary capacity; a broker or dealer registered pursuant to Section 15 of the Securities Exchange Act of 1934, as amended (the “Securities Exchange Act”); an insurance company as defined in Section 2(13) of the Securities Act; an investment company registered under the Investment Company Act of 1940 or a business development company as defined in Section 2(a)(48) of that Act; a small business investment company licensed by the SubscriberU.S. Small Business Administration under Section 301(c) or (d) of the Small Business Investment Act of 1958; a plan established and maintained by a state, the principal amount its political subdivisions, or any agency or instrumentality of Note purchased by the Subscribera state or its political subdivisions, the total Subscription Amount paid for the Note benefit of its employees, and such plan has total assets in excess of $5,000,000; an employee benefit plan within the date of distribution meaning of the Note.Employee Retirement Income Security Act of 1974, if the investment decision is made by a plan fiduciary, as defined in Section 3(21) of such Act, which is either a bank, savings and loan association, insurance company, or registered investment adviser, or if the employee benefit plan has total assets in excess of $5,000,000 or, if a self-directed plan, with investment decisions made solely by persons that are “accredited investors”; ____ a private business development company as defined in Section 202(a)(22) of the Investment Advisers Act of 1940; ____ an organization described in Section 501(c)(3) of the Internal Revenue Code, corporation, Massachusetts or similar business trust, or partnership, not formed for the specific purpose of acquiring the securities offered, with total assets in excess of $5,000,000;

Collection of Personal Information. 10.1 The Subscriber acknowledges and consents to the fact that the Issuer is collecting the Subscriber’s personal information for the purpose of fulfilling this Agreement and completing the OfferingAgreement. The Subscriber acknowledges that its personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering Agreement and may be disclosed by the Issuer to: (a) stock exchanges or securities regulatory authorities, (b) the Issuer's registrar and transfer agent, (c) tax authorities, (d) authorities pursuant to the PATRIOT Act (U.S.A.) and (e) any of the other parties involved in the OfferingAgreement, including the Issuer’s Counsel. By executing this Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and to the retention of such personal information for as long as permitted or required by applicable laws. Notwithstanding that the Subscriber may be purchasing the Note as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the Issuer, all as may be required by the Issuer in order to comply with the foregoing. 10.2 Furthermore, the Subscriber is hereby notified that the Issuer may deliver to any government authority having jurisdiction over the Issuer, the Subscriber or this Subscription, including the SEC and/or any state securities commissions, certain personal information pertaining to the Subscriber, including the Subscriber’s full name, residential address and telephone number, the number of Shares or other securities of the Issuer owned by the Subscriber, the principal amount of Note purchased by the Subscriber, the total Subscription Amount paid for the Note and the date of distribution of the Note.

Collection of Personal Information. 10.1 The Subscriber acknowledges and consents to the fact that the Issuer Company is collecting the Subscriber’s personal information for the purpose of fulfilling this Agreement and completing the OfferingAgreement. The Subscriber acknowledges that its personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer Company to: (a) stock exchanges or securities regulatory authorities, (b) the Issuer's Company’s registrar and transfer agent, (c) tax authorities, (d) authorities pursuant to the USA PATRIOT Act (U.S.A.) and (e) any of the other parties involved in the Offeringoffering, including the IssuerCompany’s Counsellegal counsel. By executing this Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's ’s personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and to the retention of such personal information for as long as permitted or required by applicable laws. Notwithstanding that the Subscriber may be purchasing the Note Membership Interests as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the IssuerCompany, all as may be required by the Issuer Company in order to comply with the foregoing. 10.2 . Furthermore, the Subscriber is hereby notified that the Issuer Company may deliver to any government authority having jurisdiction over the IssuerCompany, the Subscriber or this SubscriptionSubscription Agreement, including the SEC and/or any state securities commissions, certain personal information pertaining to the Subscriber, including the Subscriber’s full name, residential address and telephone number, the number of Shares Membership Interests or other securities of the Issuer Company owned by the Subscriber, the principal amount of Note purchased by the Subscriber, and the total Subscription Amount amount paid for the Note and the delivery date of distribution of the NoteMembership Interests.

Collection of Personal Information. 10.1 The Subscriber Purchaser acknowledges and consents to the fact that the Issuer is and/or its counsel are collecting the SubscriberPurchaser’s personal information for the purpose of fulfilling the terms of this Agreement and completing the OfferingAgreement. The Subscriber Purchaser further acknowledges and consents to the fact that its personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: (a) stock exchanges or securities regulatory authorities, (b) the Issuer's registrar and transfer agent, (c) tax authorities, (d) authorities pursuant to the PATRIOT Act (U.S.A.) and (e) any of the other parties involved in the Offering, including the Issuer’s Counsel. By executing this Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and to the retention of such personal information for as long as permitted or required by applicable laws. Notwithstanding that the Subscriber may be purchasing the Note as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the Issuer, all as and/or its counsel may be required by applicable securities laws to provide securities regulatory authorities with any personal information provided by the Purchaser, according to the requirements of the applicable securities laws. TO: VISCOUNT SYSTEMS, INC. (the “Issuer”) The Purchaser understands and agrees that the Shares, the Warrants and the Warrant Shares (collectively, the “Securities”) have not been and will not be registered under the United States Securities Act of 1933, as amended (the “1933 Act”), or applicable state securities laws, and the Securities are being offered and sold on behalf of the Issuer to the Purchaser in order reliance upon Rule 506 of Regulation D under the 1933 Act. The undersigned represents, warrants and covenants (which representations, warranties and covenants shall survive the Closing) to comply with the foregoing. 10.2 Furthermore, the Subscriber is hereby notified Issuer (and acknowledges that the Issuer is relying thereon) that: (a) it is purchasing the Securities for its own account or for the account of one or more persons for investment purposes only and not with a view to resale or distribution and, in particular, it has no intention to distribute either directly or indirectly any of the Securities in the United States; provided, however, that the Purchaser may deliver sell or otherwise dispose of any of the Securities pursuant to registration thereof pursuant to the 1933 Act and any government authority having jurisdiction over applicable state securities laws or under an exemption from such registration requirements; (b) it satisfies one or more of the categories of “accredited investor” indicated below (the Purchaser must initial the appropriate line(s)): Category 1. A bank, as defined in Section 3(a)(2) of the 1933 Act, whether acting in its individual or fiduciary capacity; or Category 2. A savings and loan association or other institution as defined in Section 3(a)(5)(A) of the 1933 Act, whether acting in its individual or fiduciary capacity; or Category 3. A broker or dealer registered pursuant to Section 15 of the United States Securities Exchange Act of 1934; or Category 4. An insurance company as defined in Section 2(13) of the 1933 Act; or Category 5. An investment company registered under the United States Investment Company Act of 1940; or Category 6. A business development company as defined in Section 2(a)(48) of the United States Investment Company Act of 1940; or Category 7. A small business investment company licensed by the U.S. Small Business Administration under Section 301 (c) or (d) of the United States Small Business Investment Act of 1958; or Category 8. A plan established and maintained by a state, its political subdivisions or any agency or instrumentality of a state or its political subdivisions, for the benefit of its employees, with total assets in excess of U.S. $5,000,000; or Category 9. An employee benefit plan within the meaning of the United States Employee Retirement Income Security Act of 1974 in which the investment decision is made by a plan fiduciary, as defined in Section 3(21) of such Act, which is either a bank, savings and loan association, insurance company or registered investment adviser, or an employee benefit plan with total assets in excess of U.S. $5,000,000 or, if a self-directed plan, with investment decisions made solely by persons who are accredited investors; or Category 10. A private business development company as defined in Section 202(a)(22) of the United States Investment Advisers Act of 1940; or Category 11. An organization described in Section 501(c)(3) of the United States Internal Revenue Code, a corporation, a Massachusetts or similar business trust, or a partnership, not formed for the specific purpose of acquiring the securities offered, with total assets in excess of U.S. $5,000,000; or Category 12. Any director, executive officer, or general partner of the Issuer; or Category 13. A natural person whose individual net worth, or joint net worth with that person’s spouse, at the date hereof exceeds U.S.$1,000,000 Note: (i) the person’s primary residence shall not be included as an asset, (ii) any indebtedness that is secured by the person’s primary residence, up to the estimated fair market value of the primary residence at the time of the sale of securities, shall not be included as a liability (except that if the amount of such indebtedness outstanding at the time of the sale of securities exceeds the amount outstanding 60 days before such time, other than as a result of the acquisition of the primary residence, the Subscriber amount of such excess shall be included as a liability), and (iii) any indebtedness that is secured by the person’s primary residence in excess of the estimated fair market value of the primary residence at the time of the sale of securities shall be included as a liability; or Category 14. A natural person who had an individual income in excess of U.S.$200,000 in each of the two most recent years or this Subscriptionjoint income with that person’s spouse in excess of U.S.$300,000 in each of those years and has a reasonable expectation of reaching the same income level in the current year; or Category 15. A trust, including with total assets in excess of U.S.$5,000,000, not formed for the SEC and/or any state specific purpose of acquiring the securities commissionsoffered, certain personal information pertaining whose purchase is directed by a sophisticated person as described in Rule 506(b)(2)(ii) under the 1933 Act; or Category 16. Any entity in which all of the equity owners meet the requirements of at least one of the above categories; If a Corporation, Partnership or Other Entity: Name of Entity Type of Entity Signature of Person Signing Print or Type Name and Title of Person Signing If an Individual: Signature Print or Type Name Date: _____________, 20_____. TO: VISCOUNT SYSTEMS, INC. (the “Issuer”) The undersigned represents, warrants and covenants (which representations, warranties and covenants shall survive the Closing) to the Subscriber, including Issuer (and acknowledges that the Subscriber’s full name, residential address and telephone number, the number of Shares Issuer is relying thereon) that it satisfies one or other securities more of the Issuer owned by categories of “accredited investor” indicated below (the SubscriberPurchaser must initial the appropriate line(s)): (a) omitted (b) omitted (c) omitted (d) a person registered under the securities legislation of a jurisdiction of Canada as an adviser or dealer, the principal amount of Note purchased by the Subscriber, the total Subscription Amount paid for the Note and the date of distribution other than a person registered solely as a limited market dealer under one or both of the Note.Securities Act (Ontario) or the Securities Act (Newfoundland and Labrador); (e) an individual registered or formerly registered under the securities legislation of a jurisdiction of Canada as a representative of a person referred to in paragraph (d); (f) omitted (g) omitted

Collection of Personal Information. 10.1 13.1 The Subscriber acknowledges and consents to the fact that the Issuer Company is collecting the Subscriber’s personal information for the purpose of fulfilling this Agreement and completing the Offering. The Subscriber acknowledges that its Subscriber’s personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: Company to (a) stock exchanges or securities regulatory authorities, (b) the Issuer's Company’s registrar and transfer agent, (c) Canadian tax authorities, (d) authorities pursuant to the PATRIOT Proceeds of Crime (Money Laundering) and Terrorist Financing Act (U.S.A.Canada) and (e) any of the other parties involved in the Offering, including legal counsel, and may be included in record books in connection with the Issuer’s CounselOffering. By executing this Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's ’s personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and to the retention of such personal information for as long as permitted or required by applicable lawslaw or business practice. Notwithstanding that the Subscriber may be purchasing the Note Securities as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the Issuer, all as may be required by the Issuer Company in order to comply with the foregoing. 10.2 13.2 Furthermore, the Subscriber is hereby notified that that: (a) the Issuer Company may deliver to any government authority having jurisdiction over the Issuer, the Subscriber or this Subscription, including a provincial securities commission and/or the SEC and/or any state securities commissions, certain personal information pertaining to the Subscriber, including the such Subscriber’s full name, residential address and telephone number, the number of Shares shares or other securities of the Issuer Company owned by the Subscriber, the principal amount number of Note Securities purchased by the SubscriberSubscriber and the total purchase price paid for such Securities, the total Subscription Amount paid for prospectus exemption relied on by the Note Company and the date of distribution of the NoteSecurities, (b) such information is being collected indirectly by the provincial securities commission under the authority granted to it in securities legislation, and (c) such information is being collected for the purposes of the administration and enforcement of the securities legislation of Canada.

Collection of Personal Information. 10.1 The Subscriber acknowledges and consents to the fact that the Issuer is collecting the Subscriber’s personal information for the purpose of fulfilling this Agreement and completing the Offering. The Subscriber acknowledges that its personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: (a) stock exchanges or securities regulatory authorities, (b) the Issuer's registrar and transfer agent, (c) Canadian tax authorities, (d) authorities pursuant to the PATRIOT Proceeds of Crime (Money Laundering) and Terrorist Financing Act (U.S.A.Canada) and (e) any of the other parties involved in the Offering, including the Issuer’s Counsel. By executing this Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and to the retention of such personal information for as long as permitted or required by applicable laws. Notwithstanding that the Subscriber may be purchasing the Note Shares as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the Issuer, all as may be required by the Issuer in order to comply with the foregoing. 10.2 . Furthermore, the Subscriber is hereby notified that that: (a) the Issuer may deliver to any government authority securities commission having jurisdiction over the Issuer, the Subscriber or this Subscription, including any Canadian provincial securities commissions, the SEC United States Securities and Exchange Commission and/or any state securities commissionscommissions (collectively, the “Commissions”), certain personal information pertaining to the Subscriber, including the Subscriber’s full name, residential address and telephone number, the number of Shares or other securities of the Issuer owned by the Subscriber, the principal amount number of Note Shares purchased by the Subscriber, the total Subscription Amount paid for paid, the Note prospectus exemption relied on by the Issuer and the date of distribution of the Note.Shares; (b) such information is being collected indirectly by the Commissions under the authority granted to them in applicable securities laws; (c) such information is being collected for the purposes of the administration and enforcement of applicable securities laws; and (d) the Subscriber may contact the following public official in Ontario with respect to questions about the Ontario Securities Commission’s indirect collection of such information at the following address and telephone number: (e) Administrative Assistant to the Director of Corporate Finance Ontario Securities Commission Xxxxx 0000, Xxx 00 00 Xxxxx Xxxxxx Xxxx Xxxxxxx, XX X0X 0X0 Telephone: (000) 000-0000

Collection of Personal Information. 10.1 The Subscriber acknowledges and consents to the fact that the Issuer is collecting the Subscriber’s 's personal information for the purpose of fulfilling this Agreement and completing the Offering. The Subscriber acknowledges that its Subscriber's personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: to (a) stock exchanges or securities regulatory authorities, (b) the Issuer's registrar and transfer agent, (c) Canadian tax authorities, (d) authorities pursuant to the PATRIOT Act PROCEEDS OF CRIME (U.S.A.MONEY LAUNDERING) AND TERRORIST FINANCING ACT (Canada) and (e) any of the other parties involved in the Offering, including legal counsel, and may be included in record books in connection with the Issuer’s CounselOffering. By executing this Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and to the retention of such personal information for as long as permitted or required by applicable lawslaw or business practice. Notwithstanding that the Subscriber may be purchasing the Note Shares as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the Issuer, all as may be required by the Issuer in order to comply with the foregoing. 10.2 . Furthermore, the Subscriber is hereby notified that that: (a) the Issuer may deliver to any government authority securities commission having jurisdiction over the Issuer, the Subscriber or this Subscriptionsubscription, including any Canadian provincial securities commissions and/or the SEC and/or any state securities commissions(collectively, the "Commissions") certain personal information pertaining to the Subscriber, including the such Subscriber’s 's full name, residential address and telephone number, the number of Shares shares or other securities of the Issuer owned by the Subscriber, the principal amount number of Note Shares purchased by the SubscriberSubscriber and the total purchase price paid for such Shares, the total Subscription Amount paid for prospectus exemption relied on by the Note Issuer and the date of distribution of the Note.Shares, (b) such information is being collected indirectly by the Commissions under the authority granted to them in securities legislation, (c) such information is being collected for the purposes of the administration and enforcement of the securities laws, and (d) the Subscriber may contact the following public official in Ontario with respect to questions about the Ontario Securities Commission's indirect collection of such information at the following address and telephone number: Administrative Assistant to the Director of Corporate Finance Ontario Securities Commission Suite 1903, Box 55 20 Queen Street West Toronto, XX X0X 0X0 Telephxxx: (000) 000-0000

Collection of Personal Information. 10.1 7.1 The Subscriber acknowledges and consents to the fact that the Issuer Trust is collecting the Subscriber’s personal information for the purpose of fulfilling this Subscription Agreement and completing the Offeringoffering. The Subscriber acknowledges that its Subscriber’s personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: Trust to (a) stock exchanges or securities regulatory authorities, (b) the Issuer's Trust’s registrar and transfer agent, (c) Canadian tax authorities, (d) authorities pursuant to the PATRIOT Act (U.S.A.) PCMLTFA and (e) any of the other parties involved in the Offeringoffering, including legal counsel, and may be included in record books in connection with the Issuer’s Counseloffering. By executing this Subscription Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's ’s personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and to the retention of such personal information for as long as permitted or required by applicable lawslaw or business practice. Notwithstanding that the Subscriber may be purchasing the Note Units as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the IssuerTrust, all as may be required by the Issuer Trust in order to comply with the foregoing. 10.2 . Furthermore, the Subscriber is hereby notified that that: (i) the Issuer Trust may deliver to any government authority securities commission having jurisdiction over the IssuerTrust, the Subscriber or this Subscriptionsubscription, including any Canadian provincial securities commissions (collectively, the SEC and/or any state securities commissions, “Commissions”) certain personal information pertaining to the Subscriber, including the such Subscriber’s full name, residential address and telephone number, the number of Shares units or other securities of the Issuer Trust owned by the Subscriber, the principal amount number of Note Units purchased by the SubscriberSubscriber and the total purchase price paid for such Units, the total Subscription Amount paid for prospectus exemption relied on by the Note Trust and the date of distribution of the Note.Units, (ii) such information is being collected indirectly by the Commissions under the authority granted to them in securities legislation, (iii) such information is being collected for the purposes of the administration and enforcement of the securities laws, and

Collection of Personal Information. 10.1 9.1 The Subscriber acknowledges and consents to the fact that the Issuer is collecting the Subscriber’s personal information for the purpose of fulfilling this Agreement and completing the Offering. The Subscriber acknowledges that its personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: (a) stock exchanges or securities regulatory authorities, ; (b) the Issuer's ’s registrar and transfer agent, ; (c) any tax authorities, ; (d) authorities pursuant to the PATRIOT Act (U.S.A.) any money laundering or terrorist financing legislation; and (e) any of the other parties involved in the Offering, including the Issuer’s Counsel. By executing this Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's ’s personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and to the retention of such personal information for as long as permitted or required by applicable laws. Notwithstanding that the Subscriber may be purchasing the Note Shares as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the Issuer, all as may be required by the Issuer in order to comply with the foregoing. 10.2 Furthermore, the 9.2 The Subscriber is hereby notified that and agrees that: (a) the Issuer may deliver to any government authority securities commission having jurisdiction over the Issuer, the Subscriber or this Subscription, including any Canadian provincial securities commissions, the SEC and/or any state securities commissionscommissions (collectively, the “Commissions”), certain personal information pertaining to the Subscriber, including the Subscriber’s full name, residential address and telephone number, the number of Shares or other securities of the Issuer owned by the Subscriber, the principal amount number of Note Shares purchased by the Subscriber, the total Subscription Amount paid for the Note Shares, the prospectus exemption relied on by the Issuer and the date of distribution of the NoteShares; (b) such information is being collected indirectly by the Commissions under the authority granted to them in applicable securities laws; (c) such information is being collected for the purposes of the administration and enforcement of applicable securities laws; and (d) the Subscriber may contact the following public official in Ontario with respect to questions about the Ontario Securities Commission’s indirect collection of such information at the following address and telephone number: Administrative Assistant to the Director of Corporate Finance Ontario Securities Commission Xxxxx 0000, Xxx 00 00 Xxxxx Xxxxxx Xxxx Xxxxxxx, XX X0X 0X0 Telephone: (000) 000-0000.

Collection of Personal Information. 10.1 The Subscriber acknowledges and consents to the fact that the Issuer is collecting the Subscriber’s personal information for the purpose of fulfilling this Agreement and completing the Offering. The Subscriber acknowledges that its Subscriber’s personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: to (a) stock exchanges or securities regulatory authorities, (b) the Issuer's registrar and transfer agent, (c) Canadian tax authorities, (d) authorities pursuant to the PATRIOT Proceeds of Crime (Money Laundering) and Terrorist Financing Act (U.S.A.Canada) and (e) any of the other parties involved in the Offering, including legal counsel, and may be included in record books in connection with the Issuer’s CounselOffering. By executing this Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and to the retention of such personal information for as long as permitted or required by applicable lawslaw or business practice. Notwithstanding that the Subscriber may be purchasing the Note Preferred Shares as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the Issuer, all as may be required by the Issuer in order to comply with the foregoing. 10.2 . Furthermore, the Subscriber is hereby notified that that: (a) the Issuer may deliver to any government authority securities commission having jurisdiction over the Issuer, the Subscriber or this Subscriptionsubscription, including any Canadian provincial securities commissions and/or the SEC and/or any state securities commissions(collectively, the “Commissions”) certain personal information pertaining to the Subscriber, including the such Subscriber’s full name, residential address and telephone number, the number of Shares shares or other securities of the Issuer owned by the Subscriber, the principal amount number of Note Preferred Shares purchased by the SubscriberSubscriber and the total purchase price paid for such Preferred Shares, the total Subscription Amount paid for prospectus exemption relied on by the Note Issuer and the date of distribution of the Note.Preferred Shares, (b) such information is being collected indirectly by the Commissions under the authority granted to them in securities legislation, (c) such information is being collected for the purposes of the administration and enforcement of the securities laws, and (d) the Subscriber may contact the following public official in Ontario with respect to questions about the Ontario Securities Commission’s indirect collection of such information at the following address and telephone number: Administrative Assistant to the Director of Corporate Finance Ontario Securities Commission Xxxxx 0000, Xxx 00 00 Xxxxx Xxxxxx Xxxx Xxxxxxx, XX X0X 0X0 Telephone: (000) 000-0000

Collection of Personal Information. 10.1 11.1 The Subscriber acknowledges and consents to the fact that the Issuer is collecting the Subscriber’s 's personal information for the purpose of fulfilling this Agreement and completing the Offering. The Subscriber acknowledges that its personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: to (a) stock exchanges or securities regulatory authorities, (b) the Issuer's registrar and transfer agent, (c) tax authorities, (d) authorities pursuant to the PATRIOT Proceeds of Crime (Money Laundering) and Terrorist Financing Act (U.S.A.Canada) and (e) any of the other parties involved in the Offering, including legal counsel, and may be included in record books in connection with the Issuer’s CounselOffering. By executing this Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes ), and to the retention of such personal information for as long as permitted or required by applicable lawslaws or business practice. Notwithstanding that the Subscriber may be purchasing the Note Subscription Receipts as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the Issuer, all as may be required by the Issuer in order to comply with the foregoing. 10.2 . By completing this Agreement, the Subscriber authorizes the indirect collection of the information described in this Section 11.1 by all applicable regulators and consents to the disclosure of such information to the public through (i) the filing of a report of trade with all applicable regulators and (ii) the filing of this Agreement on SEDAR. Furthermore, the Subscriber is hereby notified that that: (a) the Issuer may deliver to any government authority securities commission having jurisdiction over the Issuer, the Subscriber or this Subscription, including any Canadian provincial securities commissions, the SEC United States Securities and Exchange Commission and/or any state securities commissionscommissions (collectively, the "Commissions"), certain personal information pertaining to the Subscriber, including the Subscriber’s 's full name, residential address and telephone number, the number of Shares or other securities of the Issuer owned by the Subscriber, the principal amount number of Note Subscription Receipts purchased by the Subscriber, the total Subscription Amount paid for the Note Subscription Receipts, the prospectus exemption relied on by the Issuer and the date of distribution of the Note.Subscription Receipts; (b) such information is being collected indirectly by the Commissions under the authority granted to them in applicable securities laws; (c) such information is being collected for the purposes of the administration and enforcement of applicable securities laws; and (d) the Subscriber may contact the public official in the local jurisdiction with respect to questions about the indirect collection of such information at the following address and telephone number: Attention: FOIP Coordinator Alberta Securities Commission Xxxxx 000 000 - 0xx Xxxxxx XX Xxxxxxx, XX X0X 0X0 Telephone: 000-000-0000 Attention: FOI Inquiries British Columbia Securities Commission X.X. Xxx 00000, Xxxxxxx Xxxxxx 000 Xxxx Xxxxxxx Xxxxxx Xxxxxxxxx, XX X0X 0X0 Telephone: 000-000-0000 Attention: Inquiries Officer Ontario Securities Commission 00 Xxxxx Xxxxxx Xxxx, 00xx Xxxxx Xxxxxxx, XX X0X 0X0 Telephone: 000-000-0000

Collection of Personal Information. 10.1 The 1The Subscriber acknowledges and consents to the fact that the Issuer is collecting the Subscriber’s personal information for the purpose of fulfilling this Agreement and completing the Offering. The Subscriber acknowledges that its personal information (and, if applicable, the personal information of those any person on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: (ai) stock exchanges or securities ​ ​ regulatory authorities, ; (bii) the Issuer's ’s registrar and transfer agent, ; (ciii) tax authorities, Canadian Tax Authorities; (div) authorities pursuant pursuant, among other legislation, to the PATRIOT Proceeds of Crime (Money Laundering) and Terrorist Financing Act (U.S.A.) Canada); and (ev) any of the other parties involved in the Offering, including the Issuer’s Counselcounsel. By executing this Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's ’s personal information (and, if applicable, the personal information of those any other person on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and to the retention of such personal information for as long as permitted or required by applicable lawsApplicable Laws. Notwithstanding that the Subscriber may be purchasing the Note Common Shares as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the Issuer, all as may be required by the Issuer in order to comply with the foregoing. 10.2 . Furthermore, the Subscriber is hereby notified that the Issuer may deliver to any government authority having jurisdiction over the Issuer, the Subscriber or this Subscription, including the SEC and/or any state securities commissions, certain personal information pertaining to the Subscriber, including the Subscriber’s full name, residential address and telephone number, the number of Shares or other securities of the Issuer owned by the Subscriber, the principal amount of Note purchased by the Subscriber, the total Subscription Amount paid for the Note and the date of distribution of the Note.that:

Collection of Personal Information. 10.1 9.1 The Subscriber acknowledges and consents to the fact that the Issuer Company is collecting the Subscriber’s personal information for the purpose of fulfilling this Agreement and completing the Offeringtransactions contemplated herein. The Subscriber acknowledges that its Subscriber’s personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: Company to (a) stock exchanges or securities regulatory authorities, (b) the Issuer's Company’s registrar and transfer agent, (c) Canadian tax authorities, (d) authorities pursuant to the PATRIOT Proceeds of Crime (Money Laundering) and Terrorist Financing Act (U.S.A.Canada) and (e) any of the other parties involved in the Offeringtransactions contemplated herein, including legal counsel, and may be included in record books in connection with the Issuer’s Counseltransactions contemplated herein. By executing this Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's ’s personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and to the retention of such personal information for as long as permitted or required by applicable lawslaw or business practice. Notwithstanding that the Subscriber may be purchasing the Note Securities as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the Issuer, all as may be required by the Issuer Company in order to comply with the foregoing. 10.2 9.2 Furthermore, the Subscriber is hereby notified that that: (a) the Issuer Company may deliver to any government authority having jurisdiction over the Issuer, the Subscriber or this Subscription, including a provincial securities commission and/or the SEC and/or any state securities commissions, certain personal information pertaining to the Subscriber, including the such Subscriber’s full name, residential address and telephone number, the number of Shares shares or other securities of the Issuer Company owned by the Subscriber, the principal amount number of Note Securities purchased by the SubscriberSubscriber and the total purchase price paid for such Securities, the total Subscription Amount paid for prospectus exemption relied on by the Note Company and the date of distribution of the NoteSecurities, (b) such information is being collected indirectly by the provincial securities commission under the authority granted to it in securities legislation, and (c) such information is being collected for the purposes of the administration and enforcement of the securities legislation of Canada.

Collection of Personal Information. 10.1 The Subscriber Purchaser acknowledges and consents to the fact that the Issuer Seller is collecting the SubscriberPurchaser’s personal information for the purpose of fulfilling this Agreement and completing the Offering. The Subscriber acknowledges that its personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: (a) stock exchanges or securities regulatory authorities, (b) the Issuer's registrar and transfer agent, (c) tax authorities, (d) authorities pursuant to the PATRIOT Act (U.S.A.) and (e) any of the other parties involved in the Offering, including the Issuer’s Counsel. By executing this Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the SubscriberPurchaser's personal information (and, if applicable, the personal information of those on whose behalf the Subscriber Purchaser is contracting hereunder) may be disclosed by the Seller to (a) stock exchanges or securities regulatory authorities, (b) the Seller's registrar and transfer agent, (c) Canadian tax authorities, (d) authorities pursuant to the Proceeds of Crime (Money Laundering) and Terrorist Financing Act (Canada) and (e) any of the other parties involved in the Offering, including legal counsel, and may be included in record books in connection with the Offering. By executing this Agreement, the Purchaser is deemed to be consenting to the foregoing collection, use and disclosure of the Purchaser's personal information (and, if applicable, the personal information of those on whose behalf the Purchaser is contracting hereunder) for the foregoing purposes and to the retention of such personal information for as long as permitted or required by applicable lawslaw or business practice. Notwithstanding that the Subscriber Purchaser may be purchasing the Note executing an Agreement as agent on behalf of an undisclosed principal, the Subscriber Purchaser agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the IssuerSeller, all as may be required by the Issuer Seller in order to comply with the foregoing. 10.2 . Furthermore, the Subscriber Purchaser is hereby notified that that: (a) the Issuer Seller may deliver to any government authority securities commission having jurisdiction over the IssuerSeller, the Subscriber Purchaser or this SubscriptionAgreement, including any Canadian provincial securities commissions and/or the SEC and/or any state securities commissions(collectively, the “Commissions”) certain personal information pertaining to the SubscriberPurchaser, including the Subscribersuch Purchaser’s full name, residential address and telephone number, the number of Shares shares or other securities of the Issuer Seller owned by the SubscriberPurchaser, the principal amount number of Note Agreements purchased by the SubscriberPurchaser and the total purchase price paid for such Agreements, the total Subscription Amount paid for prospectus exemption relied on by the Note Seller and the date of distribution execution and closing of the Note.Agreements, (b) such information is being collected indirectly by the Commissions under the authority granted to them in securities legislation, (c) such information is being collected for the purposes of the administration and enforcement of the securities laws, and (d) the Purchaser may contact the following public official in Ontario with respect to questions about the Ontario Securities Commission’s indirect collection of such information at the following address and telephone number: Administrative Assistant to the Director of Corporate Finance Ontario Securities Commission Xxxxx 0000, Xxx 00 00 Xxxxx Xxxxxx Xxxx Xxxxxxx, XX X0X 0X0 Telephone: (000) 000-0000

Collection of Personal Information. 10.1 11.1 The Subscriber acknowledges and consents to the fact that the Issuer is collecting the Subscriber’s personal information for the purpose of fulfilling this Agreement and completing the Offering. The Subscriber acknowledges that its personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: to (a) stock exchanges or securities regulatory authorities, (b) the Issuer's ’s registrar and transfer agent, (c) tax authorities, (d) authorities pursuant to the PATRIOT Proceeds of Crime (Money Laundering) and Terrorist Financing Act (U.S.A.Canada) and (e) any of the other parties involved in the Offering, including legal counsel, and may be included in record books in connection with the Issuer’s CounselOffering. By executing this Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's ’s personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and for the purposes described in Exhibit E to this Agreement, and to the retention of such personal information for as long as permitted or required by applicable lawslaws or business practice. Notwithstanding that the Subscriber may be purchasing the Note Subscription Receipts as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the Issuer, all as may be required by the Issuer in order to comply with the foregoing. 10.2 Furthermore. By completing this Agreement, the Subscriber is hereby notified that authorizes the Issuer may deliver to any government authority having jurisdiction over indirect collection of the Issuer, the Subscriber or information described in this Subscription, including the SEC and/or any state securities commissions, certain personal information pertaining Section 11.1 by all applicable regulators and consents to the Subscriber, including disclosure of such information to the Subscriber’s full name, residential address and telephone number, public through (i) the number filing of Shares or other securities a report of the Issuer owned by the Subscriber, the principal amount of Note purchased by the Subscriber, the total Subscription Amount paid for the Note and the date of distribution of the Note.trade with all applicable regulators and

Collection of Personal Information. 10.1 The Subscriber Purchaser acknowledges and consents to the fact that the Issuer is and/or its counsel are collecting the SubscriberPurchaser’s personal information for the purpose of fulfilling the terms of this Agreement and completing the OfferingAgreement. The Subscriber Purchaser further acknowledges and consents to the fact that its personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: (a) stock exchanges or securities regulatory authorities, (b) the Issuer's registrar and transfer agent, (c) tax authorities, (d) authorities pursuant to the PATRIOT Act (U.S.A.) and (e) any of the other parties involved in the Offering, including the Issuer’s Counsel. By executing this Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and to the retention of such personal information for as long as permitted or required by applicable laws. Notwithstanding that the Subscriber may be purchasing the Note as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the Issuer, all as and/or its counsel may be required by applicable securities laws to provide securities regulatory authorities with any personal information provided by the Purchaser, according to the requirements of the applicable securities laws. TO: HXXXXXXXXXXXXXX.XXX, INC. (the “Issuer”) The Purchaser understands and agrees that the Shares, the Warrants and the Warrant Shares (collectively, the “Securities”) have not been and will not be registered under the United States Securities Act of 1933, as amended (the “1933 Act”), or applicable state securities laws, and the Securities are being offered and sold on behalf of the Issuer to the Purchaser in order reliance upon Rule 506 of Regulation D under the 1933 Act. The undersigned represents, warrants and covenants (which representations, warranties and covenants shall survive the Closing) to comply with the foregoing. 10.2 Furthermore, the Subscriber is hereby notified Issuer (and acknowledges that the Issuer is relying thereon) that: (a) it is purchasing the Securities for its own account or for the account of one or more persons for investment purposes only and not with a view to resale or distribution and, in particular, it has no intention to distribute either directly or indirectly any of the Securities in the United States; provided, however, that the Purchaser may deliver sell or otherwise dispose of any of the Securities pursuant to registration thereof pursuant to the 1933 Act and any government authority having jurisdiction over applicable state securities laws or under an exemption from such registration requirements; (b) it satisfies one or more of the categories of “accredited investor” indicated below (the Purchaser must initial the appropriate line(s)): _____ Category 1. A bank, as defined in Section 3(a)(2) of the 1933 Act, whether acting in its individual or fiduciary capacity; or _____ Category 2. A savings and loan association or other institution as defined in Section 3(a)(5)(A) of the 1933 Act, whether acting in its individual or fiduciary capacity; or _____ Category 3. A broker or dealer registered pursuant to Section 15 of the United States Securities Exchange Act of 1934; or _____ Category 4. An insurance company as defined in Section 2(13) of the 1933 Act; or _____ Category 5. An investment company registered under the United States Investment Company Act of 1940; or _____ Category 6. A business development company as defined in Section 2(a)(48) of the United States Investment Company Act of 1940; or _____ Category 7. A small business investment company licensed by the U.S. Small Business Administration under Section 301 (c) or (d) of the United States Small Business Investment Act of 1958; or _____ Category 8. A plan established and maintained by a state, its political subdivisions or any agency or instrumentality of a state or its political subdivisions, for the benefit of its employees, with total assets in excess of $5,000,000; or _____Category 9. _____ Category 10. _____ Category 11. _____ Category 12. An employee benefit plan within the meaning of the United States Employee Retirement Income Security Act of 1974 in which the investment decision is made by a plan fiduciary, as defined in Section 3(21) of such Act, which is either a bank, savings and loan association, insurance company or registered investment adviser, or an employee benefit plan with total assets in excess of $5,000,000 or, if a self-directed plan, with investment decisions made solely by persons who are accredited investors; or A private business development company as defined in Section 202(a)(22) of the United States Investment Advisers Act of 1940; or An organization described in Section 501(c)(3) of the United States Internal Revenue Code, a corporation, a Massachusetts or similar business trust, or a partnership, not formed for the specific purpose of acquiring the securities offered, with total assets in excess of $5,000,000; or Any director, executive officer, or general partner of the Issuer, the Subscriber or this Subscription, including the SEC and/or any state securities commissions, certain personal information pertaining to the Subscriber, including the Subscriber’s full name, residential address and telephone number, the number of Shares or other securities of the Issuer owned by the Subscriber, the principal amount of Note purchased by the Subscriber, the total Subscription Amount paid for the Note and the date of distribution of the Note.; or

Collection of Personal Information. 10.1 11.1 The Subscriber acknowledges and consents to the fact that the Issuer is collecting the Subscriber’s 's personal information for the purpose of fulfilling this Agreement and completing the Offering. The Subscriber acknowledges that its Subscriber's personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be included in record books in connection with the Offering and may be disclosed by the Issuer to: to (a) stock exchanges or securities regulatory authorities, (b) the Issuer's registrar and transfer agent, (c) Canadian tax authorities, (d) authorities pursuant to the PATRIOT Proceeds of Crime (Money Laundering) and Terrorist Financing Act (U.S.A.Canada) and (e) any of the other parties involved in the Offering, including legal counsel, and may be included in record books in connection with the Issuer’s CounselOffering. By executing this Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes and to the retention of such personal information for as long as permitted or required by applicable lawslaw or business practice. Notwithstanding that the Subscriber may be purchasing the Note Units as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the Issuer, all as may be required by the Issuer in order to comply with the foregoing. 10.2 . Furthermore, the Subscriber is hereby notified that that: (a) the Issuer may deliver to any government authority securities commission having jurisdiction over the Issuer, the Subscriber or this Subscriptionsubscription, including any Canadian provincial securities commissions and/or the SEC and/or any state securities commissions(collectively, the "Commissions") certain personal information pertaining to the Subscriber, including the such Subscriber’s 's full name, residential address and telephone number, the number of Shares shares or other securities of the Issuer owned by the Subscriber, the principal amount number of Note Units purchased by the SubscriberSubscriber and the total purchase price paid for such Units, the total Subscription Amount paid for prospectus exemption relied on by the Note Issuer and the date of distribution of the Note.Units, (b) such information is being collected indirectly by the Commissions under the authority granted to them in securities legislation, (c) such information is being collected for the purposes of the administration and enforcement of the securities laws, and (d) the Subscriber may contact the following public official in Ontario with respect to questions about the Ontario Securities Commission's indirect collection of such information at the following address and telephone number: Ontario Securities Commission 00 Xxxxx Xxxxxx Xxxx 20th Floor Toronto, ON M5H 3S8 Telephone: 000-000-0000 or 0-000-000-0000 (toll free across Canada)