REASON FOR TRANSFER. For US Residents only (where the individual(s) or corporation receiving the securities is a US resident). Please select only one (see instructions below). Gift Estate Private Sale Other (or no change in ownership) Date of Event (Date of gift, death or sale): Value per Warrant on the date of event: CERTAIN REQUIREMENTS RELATING TO TRANSFERS – READ CAREFULLY
REASON FOR TRANSFER. For US Residents only (where the individual(s) or corporation receiving the securities is a US resident). Please select only one (see instructions below).
REASON FOR TRANSFER. Upon written request, reasons for involuntary reassignment shall be given to the teacher in writing, as soon as determined.
REASON FOR TRANSFER. FOR US RESIDENTS ONLY
REASON FOR TRANSFER. For US Residents only (where the individual(s) or corporation receiving the securities is a US resident). Please select only one (see instructions below). Gift Estate Private Sale Other (or no change in ownership) Date of Event (Date of gift, death or sale): Value per Warrant on the date of event: CAD OR USD CERTAIN REQUIREMENTS RELATING TO TRANSFERS – READ CAREFULLY The signature(s) of the transferor(s) must correspond with the name(s) as written upon the face of this certificate(s), in every particular, without alteration or enlargement, or any change whatsoever. All securityholders or a legally authorized representative must sign this form. The signature(s) on this form must be guaranteed in accordance with the transfer agent’s then current guidelines and requirements at the time of transfer. Notarized or witnessed signatures are not acceptable as guaranteed signatures. As at the time of closing, you may choose one of the following methods (although subject to change in accordance with industry practice and standards): Canada and the USA: A Medallion Signature Guarantee obtained from a member of an acceptable Medallion Signature Guarantee Program (STAMP, SEMP, NYSE, MSP). Many commercial banks, savings banks, credit unions, and all broker dealers participate in a Medallion Signature Guarantee Program. The Guarantor must affix a stamp bearing the actual words “Medallion Guaranteed”, with the correct prefix covering the face value of the certificate. Canada: A Signature Guarantee obtained from an authorized officer of the Royal Bank of Canada, Scotia Bank or TD Canada Trust. The Guarantor must affix a stamp bearing the actual words “Signature Guaranteed”, sign and print their full name and alpha numeric signing number. Signature Guarantees are not accepted from Treasury Branches, Credit Unions or Caisse Populaires unless they are members of a Medallion Signature Guarantee Program. For corporate holders, corporate signing resolutions, including certificate of incumbency, are also required to accompany the transfer, unless there is a “Signature & Authority to Sign Guarantee” Stamp affixed to the transfer (as opposed to a “Signature Guaranteed” Stamp) obtained from an authorized officer of the Royal Bank of Canada, Scotia Bank or TD Canada Trust or a Medallion Signature Guarantee with the correct prefix covering the face value of the certificate.
REASON FOR TRANSFER. FOR US CITIZENS OR RESIDENTS ONLY AND TO: AST Trust Company (Canada) Any capitalized term in this Warrant Certificate that is not otherwise defined herein, shall have the meaning ascribed thereto in the Warrant Indenture.
REASON FOR TRANSFER. (YOU MUST DESCRIBE the general underlying nature of the transaction, [e.g. sale, merger, court order or spin-off] etc. – no financial details or confidential information need be disclosed). [RE: 40CFR§152.135(b)(6)]
REASON FOR TRANSFER. FOR US RESIDENTS ONLY (WHERE THE INDIVIDUAL(S) OR CORPORATION RECEIVING THE SECURITIES IS A US RESIDENT). PLEASE SELECT ONLY ONE (SEE INSTRUCTIONS BELOW). IN OWNERSHIP) DATE OF EVENT (DATE OF GIFT, DEATH OR SALE): VALUE PER WARRANT ON THE DATE OF EVENT:
REASON FOR TRANSFER. For US Residents only (where the individual(s) or corporation receiving the securities is a US resident). Please select only one (see instructions below). ☐ Gift ☐ Estate ☐ Private Sale ☐ Other (or no change in ownership) CERTAIN REQUIREMENTS RELATING TO TRANSFERS – READ CAREFULLY The signature(s) of the transferor(s) must correspond with the name(s) as written upon the face of this certificate(s), in every particular, without alteration or enlargement, or any change whatsoever. All securityholders or a legally authorized representative must sign this form. The signature(s) on this form must be guaranteed in accordance with the transfer agent’s then current guidelines and requirements at the time of transfer. Notarized or witnessed signatures are not acceptable as guaranteed signatures. As at the time of closing, you may choose one of the following methods (although subject to change in accordance with industry practice and standards):
REASON FOR TRANSFER. FOR US CITIZENS OR RESIDENTS ONLY AND TO: Olympia Trust Company Any capitalized term in this Exercise Form that is not otherwise defined herein, shall have the meaning ascribed thereto in the Warrant Indenture between the Corporation and Olympia dated February 18, 2021.
