Reporting and Consent. 5.1 The Subscriber expressly consents and agrees to: (a) the Issuer collecting personal information regarding the Subscriber for the purpose of completing the transactions contemplated by this Agreement; and (b) the Issuer releasing personal information regarding the Subscriber and this Subscription, including the Subscriber’s name, residential address, telephone number, email address and registration and delivery instructions, the number of Securities purchased, the number of securities of the Issuer held by the Subscriber, the status of the Subscriber as an insider or registrant, or as otherwise represented herein, and, if applicable, information regarding the beneficial ownership of the principals of the Subscriber, to securities regulatory authorities in compliance with Applicable Securities Laws, to other authorities as required by law and to the registrar and transfer agent of the Issuer for the purpose of arranging for the preparation of the certificates representing the Securities in connection with the Offering. The purpose of the collection of the information is to ensure the Issuer and its advisers will be able to issue Securities to the Subscriber in accordance with the instructions of the Subscriber and in compliance with applicable Canadian corporate and securities laws and Canadian Securities Exchange policies, and to obtain the information required to be provided in documents required to be filed with securities regulatory authorities under Applicable Securities Laws and with other authorities as required by law. The Subscriber further expressly consents and agrees to the collection, use and disclosure of all such personal information by securities regulatory authorities and other authorities in accordance with their requirements, including the provision of all such personal information to third party service providers from time to time. The contact information for the officer of the Issuer who can answer questions about the collection of information by the Issuer is as follows: Name & Title: J. Oxxx Xxxxxxxxx, CEO Issuer Name: Grown Rogue International Inc. Address: 300 Xxxxxxxx Xxxxxx Xxxx, Xxxxxxx, XX X0X 0X0 Xxxxxx Telephone No: 500-000-0000 5.2 The Subscriber expressly acknowledges and agrees that: (a) the Issuer may be required to provide applicable securities regulators, or otherwise under the Proceeds of Crime (Money Laundering) and Terrorist Financing Act of Canada, a list setting forth the identities of the purchasers of the Securities and any personal information provided by the Subscriber, and the Subscriber hereby represents and warrants that to the best of the Subscriber’s knowledge, none of the funds representing the subscription proceeds to be provided by the Subscriber (i) have been or will be derived from or related to any activity that is deemed criminal under the law of Canada, the United States of America, or any other jurisdiction, or (ii) are being tendered on behalf of a person or entity who has not been identified to the Subscriber; the Subscriber hereby further covenants that it shall promptly notify the Issuer if the Subscriber discovers that any of such representations ceases to be true, and shall provide the Issuer with appropriate information in connection therewith; (b) the Subscriber is not a person or entity identified in the Regulations Implementing the United Nations Resolutions on the Suppression of Terrorism (“RIUNRST”), the United Nations Al-Qaida and Taliban Regulations (“UNAQTR”), the Regulations Implementing the United Nations Resolution on the Democratic People’s Republic of Korea (“UNRDPRK”), the Regulations Implementing the United Nations Resolution on Iran (“RIUNRI”), the Special Economic Measures (Zimbabwe) Regulations (the “Zimbabwe Regulations”), the Special Economic Measures (Burma) Regulations (the “Burma Regulations”) or any other similar statute; (c) the Subscriber acknowledges that the Issuer may in the future be required by law to disclose the Subscriber’s name and other information relating to this Agreement and the Subscriber’s subscription hereunder pursuant to the PCMLA, the Criminal Code (Canada), RIUNRST, UNAQTR, UNRDPRK, RIUNRI, the Zimbabwe Regulations, the Burma Regulations or any other similar statute; and (d) the Subscriber shall complete, sign and return such additional documentation as may be required from time to time under Applicable Securities Laws or any other applicable laws in connection with the Offering and this subscription. 5.3 The Subscriber authorizes the indirect collection of Personal Information (as hereinafter defined) by the securities regulatory authority or regulator (each as defined in National Instrument 14-101 Definitions) and confirms that the Subscriber has been notified by the Issuer: (a) that the Issuer will be delivering Personal Information to the securities regulatory authority or regulator; (b) that the Personal Information is being collected indirectly by the securities regulatory authority or regulator under the authority granted to it in Applicable Securities Laws; (c) that such Personal Information is being collected for the purpose of the administration and enforcement of Applicable Securities Laws; and (d) that the title, business address and business telephone number of the public official who can answer questions about the securities regulatory authority’s or regulator’s indirect collection of the Personal Information is as follows: (i) British Columbia Securities Commission, P.O. Box 10142, Pacific Centre, 700 Xxxx Xxxxxxx Xxxxxx, Xxxxxxxxx, Xxxxxxx Xxxxxxxx X0X 0X0, Inquiries: (000) 000-0000, Toll free in Canada: 1-000-000-0000, Facsimile: (000) 000-0000, Email: ixxxxxxxx@xxxx.xx.xx; (ii) Alberta Securities Commission, Suite 600, 200 – 0xx Xxxxxx, XX Xxxxxxx, Xxxxxxx X0X 0X0, Telephone: (000) 000-0000, Toll free in Canada: 1-000-000-0000, Facsimile: (000) 000-0000; (iii) Financial and Consumer Affairs Authority of Saskatchewan, Suite 600 - 0000 Xxxxxxxxxxxx Xxxxx, Xxxxxx, Xxxxxxxxxxxx X0X 0X0, Telephone: (000) 000-0000, Facsimile: (000) 000-0000; (iv) The Manitoba Securities Commission, 500 – 000 Xx. Xxxx Xxxxxx, Winnipeg, Manitoba R3C 4K5, Telephone: (000) 000-0000, Toll free in Manitoba 1-000-000-0000, Facsimile: (000) 000-0000; (v) Ontario Securities Commission, 20 Xxxxx Xxxxxx Xxxx, 00xx Xxxxx Xxxxxxx, Xxxxxxx X0X 0X0, Telephone: (000) 000-0000, Toll free in Canada: 1-000-000-0000, Facsimile: (000) 000-0000, Email: exxxxxxxxxxxxxxxxxx@xxx.xxx.xx.xx, Public official contact regarding indirect collection of information: Inquiries Officer; (vi) Autorité des marchés financiers, 800, Xxxxxx Xxxxxxxx, 00x xxxxx, X.X. 246, Tour de la Bourse, Montréal, Québec H4Z 1G3, Telephone: (000) 000-0000 or 1-000-000-0000, Facsimile: (000) 000-0000 (For filing purposes only), Facsimile: (000) 000-0000 (For privacy requests only), Email: fxxxxxxxxxxxxxxxxxxxxx@xxxxxxxxx.xx.xx (For corporate finance issuers); fxxxx_xxxxxxxxxxxxxxx@xxxxxxxxx.xx.xx (For investment fund issuers); (vii) Financial and Consumer Services Commission (New Brunswick), 80 Xxxxxxxxx Xxxxxx,, Xxxxx 000 Xxxxx Xxxx, Xxx Brunswick E2L 2J2, Telephone: (000) 000-0000, Toll free in Canada: 1-000-000-0000, Facsimile: (000) 000-0000, Email: ixxx@xxxx.xx; (viii) Nova Scotia Securities Commission, Suite 400, 5000 Xxxx Xxxxxx, Xxxx Xxxxx, X.X. Box 458 Halifax, Nova Scotia B3J 2P8, Telephone: (000) 000-0000, Facsimile: (000) 000-0000; (ix) Pxxxxx Xxxxxx Island Securities Office, 90 Xxxxxxxx Xxxxxx, 4th Floor Sxxx Building, P.O. Box 2000 Charlottetown, Pxxxxx Xxxxxx Island C1A 7N8, Telephone: (000) 000-0000, Facsimile: (000) 000-0000; and (x) Government of Newfoundland and Labrador, Financial Services Regulation Division, P.O. Box 8700, Confederation Building 2nd Floor, West Block, Pxxxxx Xxxxxx Drive, St. John’s, Newfoundland and Labrador A1B 4J6, Attention: Director of Securities, Telephone: (000) 000-0000, Facsimile: (000) 000-0000.

Appears in 2 contracts

Samples: Private Placement Subscription Agreement (Grown Rogue International Inc.), Private Placement Subscription Agreement (Grown Rogue International Inc.)

Reporting and Consent. 5.1 The Subscriber expressly consents and agrees to: (a) the Issuer collecting personal information regarding the Subscriber for the purpose of completing the transactions contemplated by this Agreement; and (b) the Issuer releasing personal information regarding the Subscriber and this ~~Subscription~~subscription, including the Subscriber’s name, residential address, telephone number, email address and registration and delivery instructions, the number of Purchased Securities purchased, the number of securities of the Issuer held by the Subscriber, the status of the Subscriber as an insider or registrant, or as otherwise represented herein, and, if applicable, information regarding the beneficial ownership of the principals of the Subscriber, to securities regulatory authorities in compliance with Applicable Securities Laws, to other authorities as required by law and to the registrar and transfer agent of the Issuer for the purpose of arranging for the preparation of the certificates representing the Purchased Securities in connection with the Offering. The purpose of the collection of the information is to ensure the Issuer and its advisers will be able to issue Purchased Securities to the Subscriber in accordance with the instructions of the Subscriber and in compliance with applicable Canadian corporate and securities laws and Canadian Securities Exchange policies, and to obtain the information required to be provided in documents required to be filed with securities regulatory authorities under Applicable Securities Laws and with other authorities as required by law. The Subscriber further expressly consents and agrees to the collection, use and disclosure of all such personal information by securities regulatory authorities and other authorities in accordance with their requirements, including the provision of all such personal information to third party service providers from time to time. The contact information for the officer of the Issuer who can answer questions about the collection of information by the Issuer is as follows: Name & Title: J. Oxxx Xxxxxxxxx, President & CEO Issuer Name: Grown Rogue International Inc. Address: ~~300 Xxxxxxxx Xxxxxx~~ 500 Xxxxxxx Xxxx, Xxxxxxx, ~~XX X0X 0X0~~ Xxxxxx, 00000, Xxxxxx ~~Telephone No~~Xxxxxx Email: ~~500-000-0000~~oxxx@xxxxxxxxxx.xxx 5.2 The Subscriber expressly acknowledges and agrees that: (a) the Issuer may be required to provide applicable securities regulators, or otherwise under the Proceeds of Crime (Money Laundering) and Terrorist Financing Act of Canada, a list setting forth the identities of the purchasers of the Securities and any personal information provided by the Subscriber, and the Subscriber hereby represents and warrants that to the best of the Subscriber’s knowledge, none of the funds representing the subscription proceeds to be provided by the Subscriber (i) have been or will be derived from or related to any activity that is deemed criminal under the law of Canada, the United States of America, or any other jurisdiction, or (ii) are being tendered on behalf of a person or entity who has not been identified to the Subscriber; the Subscriber hereby further covenants that it shall promptly notify the Issuer if the Subscriber discovers that any of such representations ceases to be true, and shall provide the Issuer with appropriate information in connection therewith; (b) the Subscriber is not a person or entity identified in the Regulations Implementing the United Nations Resolutions on the Suppression of Terrorism (“RIUNRST”), the United Nations Al-Qaida and Taliban Regulations (“UNAQTR”), the Regulations Implementing the United Nations Resolution on the Democratic People’s Republic of Korea (“UNRDPRK”), the Regulations Implementing the United Nations Resolution on Iran (“RIUNRI”), the Special Economic Measures (Zimbabwe) Regulations (the “Zimbabwe Regulations”), the Special Economic Measures (Burma) Regulations (the “Burma Regulations”) or any other similar statute; (c) the Subscriber acknowledges that the Issuer may in the future be required by law to disclose the Subscriber’s name and other information relating to this Agreement and the Subscriber’s subscription hereunder pursuant to the PCMLA, the Criminal Code (Canada), RIUNRST, UNAQTR, UNRDPRK, RIUNRI, the Zimbabwe Regulations, the Burma Regulations or any other similar statute; and (d) the Subscriber shall complete, sign and return such additional documentation as may be required from time to time under Applicable Securities Laws or any other applicable laws in connection with the Offering and this subscription. 5.3 The Subscriber authorizes the indirect collection of Personal Information (as hereinafter defined) by the securities regulatory authority or regulator (each as defined in National Instrument 14-101 Definitions) and confirms that the Subscriber has been notified by the Issuer: (a) that the Issuer will be delivering Personal Information to the securities regulatory authority or regulator; (b) that the Personal Information is being collected indirectly by the securities regulatory authority or regulator under the authority granted to it in Applicable Securities Laws; (c) that such Personal Information is being collected for the purpose of the administration and enforcement of Applicable Securities Laws; and (d) that the title, business address and business telephone number of the public official who can answer questions about the securities regulatory authority’s or regulator’s indirect collection of the Personal Information is as follows: (i) British Columbia Securities Commission, P.O. Box 10142, Pacific Centre, 700 Xxxx Xxxxxxx Xxxxxx, Xxxxxxxxx, Xxxxxxx Xxxxxxxx X0X 0X0, Inquiries: (000) 000-0000, Toll free in Canada: 1-000-000-0000, Facsimile: (000) 000-0000, Email: ixxxxxxxx@xxxx.xx.xx; (ii) Alberta Securities Commission, Suite 600, 200 – 0xx Xxxxxx, XX Xxxxxxx, Xxxxxxx X0X 0X0, Telephone: (000) 000-0000, Toll free in Canada: 1-000-000-0000, Facsimile: (000) 000-0000; (iii) Financial and Consumer Affairs Authority of Saskatchewan, Suite 600 - 0000 Xxxxxxxxxxxx Xxxxx, Xxxxxx, Xxxxxxxxxxxx X0X 0X0, Telephone: (000) 000-0000, Facsimile: (000) 000-0000; (iv) The Manitoba Securities Commission, 500 – 000 Xx. Xxxx Xxxxxx, Winnipeg, Manitoba R3C 4K5, Telephone: (000) 000-0000, Toll free in Manitoba 1-000-000-0000, Facsimile: (000) 000-0000; (v) Ontario Securities Commission, 20 Xxxxx Xxxxxx Xxxx, 00xx Xxxxx Xxxxxxx, Xxxxxxx X0X 0X0, Telephone: (000) 000-0000, Toll free in Canada: 1-000-000-0000, Facsimile: (000) 000-0000, Email: exxxxxxxxxxxxxxxxxx@xxx.xxx.xx.xx, Public official contact regarding indirect collection of information: Inquiries Officer; (vi) Autorité des marchés financiers, 800, Xxxxxx Xxxxxxxx, 00x xxxxx, X.X. 246, Tour de la Bourse, Montréal, Québec H4Z 1G3, Telephone: (000) 000-0000 or 1-000-000-0000, Facsimile: (000) 000-0000 (For filing purposes only), Facsimile: (000) 000-0000 (For privacy requests only), Email: fxxxxxxxxxxxxxxxxxxxxx@xxxxxxxxx.xx.xx (For corporate finance issuers); fxxxx_xxxxxxxxxxxxxxx@xxxxxxxxx.xx.xx (For investment fund issuers); (vii) Financial and Consumer Services Commission (New Brunswick), 80 Xxxxxxxxx Xxxxxx,, Xxxxx 000 Xxxxx Xxxx, Xxx Brunswick E2L 2J2, Telephone: (000) 000-0000, Toll free in Canada: 1-000-000-0000, Facsimile: (000) 000-0000, Email: ixxx@xxxx.xx; (viii) Nova Scotia Securities Commission, Suite 400, 5000 Xxxx Xxxxxx, Xxxx Xxxxx, X.X. Box 458 Halifax, Nova Scotia B3J 2P8, Telephone: (000) 000-0000, Facsimile: (000) 000-0000; (ix) Pxxxxx Xxxxxx Island Securities Office, 90 Xxxxxxxx Xxxxxx, 4th Floor Sxxx Building, P.O. Box 2000 Charlottetown, Pxxxxx Xxxxxx Island C1A 7N8, Telephone: (000) 000-0000, Facsimile: (000) 000-0000; and (x) Government of Newfoundland and Labrador, Financial Services Regulation Division, P.O. Box 8700, Confederation Building 2nd Floor, West Block, Pxxxxx Xxxxxx Drive, St. John’s, Newfoundland and Labrador A1B 4J6, Attention: Director of Securities, Telephone: (000) 000-0000, Facsimile: (000) 000-0000.

Appears in 2 contracts

Samples: Convertible Debenture Subscription Agreement (Grown Rogue International Inc.), Convertible Debenture Subscription Agreement (Grown Rogue International Inc.)

Appears in 1 contract

Samples: Subscription Agreement

Reporting and Consent. 5.1 The ~~Subscriber~~ Subscriber, on its own behalf and on behalf of any other person for whom it is contracting hereunder, expressly consents and agrees to: (a) the Issuer collecting personal information regarding the Subscriber for the purpose of completing the transactions contemplated by this ~~Agreement~~Subscription; and (b) the Issuer releasing personal information regarding the ~~Subscriber~~ Subscriber, and this Subscription, including the Subscriber’s name, residential address, telephone number, email address and registration and delivery instructions, the number of Securities purchased, the number of securities of the Issuer held by the Subscriber, the status of the Subscriber as an ~~insider or registrant,~~ Insider or as otherwise represented herein, and, if applicable, information regarding the beneficial ownership of or the principals of the Subscriber, to securities regulatory authorities in compliance with Applicable Securities Laws, to other authorities as required by law and to the registrar and transfer agent of the Issuer for the ~~purpose~~ purposes of arranging for the preparation of the certificates representing the Securities in connection with the Offering. The purpose of the collection of the information is to ensure the Issuer and its ~~advisers~~ advisors will be able to issue Securities to the Subscriber in accordance with the instructions of the Subscriber and in compliance with applicable ~~Canadian corporate~~ corporate, securities and ~~securities laws and Canadian Securities~~ other laws, as well as Exchange ~~policies~~requirements, and to obtain the information required to be provided in documents required to be filed with securities regulatory authorities under Applicable Securities Laws and with other authorities (including an Exchange) as ~~required by law~~required, which may include their public disclosure of such information. The ~~Subscriber~~ Subscriber, on its own behalf and on behalf of any other person for whom it is contracting hereunder, further expressly consents and agrees to the collection, use and disclosure of all such personal information by securities regulatory authorities and other authorities in accordance with their requirements, ~~including~~ including, but not limited to, the publishing or making available to the public of such information and the provision of ~~all~~ such ~~personal~~ information to ~~third~~ third-party service providers for their collection, use and disclosure from time to time. The contact information for the officer of the Issuer who can answer questions about the collection of information by the Issuer is as follows: Name & Title: ~~J. Oxxx Xxxxxxxxx~~Xxxx Xxxxxx, ~~CEO~~ President Issuer Name: ~~Grown Rogue International Inc.~~ CHEMESIS INTERNATIONAL INC. Address: ~~300 Xxxxxxxx Xxxxxx Xxxx~~Xxxxx 0000, ~~Xxxxxxx~~000 Xxxxxxxxx Xxxxxx, XX Xxxxxxxxx, Xxxxxxx Xxxxxxxx, X0X 0X0 ~~Xxxxxx Telephone No~~Email Address: ~~500-000-0000~~xxxxxxxxxx@xxxxxxxx.xxx 5.2 The ~~Subscriber~~ Subscriber, on its own behalf and on behalf of any other person for whom it is contracting hereunder, expressly acknowledges and agrees that: (a) the Issuer may be required to provide applicable securities regulators, or otherwise under the Proceeds of Crime (Money Laundering) and Terrorist Financing Act of Canada, a list setting forth the identities of the purchasers of the Securities and any personal information provided by the Subscriber, and the Subscriber hereby represents and warrants that to the best of the Subscriber’s knowledge, none of the funds representing the ~~subscription~~ Subscription proceeds to be provided by the Subscriber (i) have been or will be derived from or related to any activity that is deemed criminal under the ~~law~~ laws of Canada, the United States of America, or any other jurisdiction, or (ii) are being tendered on behalf of a person or entity who has not been identified to the Subscriber; the Subscriber hereby further covenants that it shall promptly notify the Issuer if the Subscriber discovers that any of such representations ~~ceases~~ cease to be true, and shall provide the Issuer with appropriate information in connection ~~therewith;~~herewith; and (b) the Subscriber is not a person or entity identified in the Regulations Implementing the United Nations Resolutions on the Suppression of Terrorism (“RIUNRST”), the United Nations Al-Qaida and Taliban Regulations (“UNAQTR”), the Regulations Implementing the United Nations Resolution on the Democratic People’s Republic of Korea (“UNRDPRK”), the Regulations Implementing the United Nations Resolution on Iran (“RIUNRI”), the Special Economic Measures (Zimbabwe) Regulations (the “Zimbabwe Regulations”), the Special Economic Measures (Burma) Regulations (the “Burma Regulations”) or any other similar statute; (c) the Subscriber acknowledges that the Issuer may in the future be required by law to disclose the Subscriber’s name and other information relating to this Agreement and the Subscriber’s subscription hereunder pursuant to the PCMLA, the Criminal Code (Canada), RIUNRST, UNAQTR, UNRDPRK, RIUNRI, the Zimbabwe Regulations, the Burma Regulations or any other similar statute; and (d) the Subscriber it shall complete, sign and return such additional documentation as may be required from time to time under Applicable Securities Laws or any other applicable laws in connection with the Offering and this ~~subscription~~Subscription. 5.3 The Subscriber authorizes the indirect collection of Personal Information (as hereinafter defined) by the securities regulatory authority or regulator (each as defined in National Instrument 14-101 Definitions) and confirms that Furthermore, the Subscriber ~~has been~~ is hereby notified ~~by the Issuer~~and acknowledges that: (a) ~~that~~ the Issuer ~~will be delivering Personal Information~~ may deliver to the ~~securities regulatory authority or regulator~~applicable Canadian Securities Commission certain personal information pertaining to the Subscriber, including such Subscriber’s full name, residential address, telephone number and email address, the number of Securities purchased by the Subscriber and the total purchase price paid for such Securities, the prospectus exemption relied on by the Issuer and the date of distribution of the Securities; (b) ~~that the Personal Information~~ such information is being collected indirectly by the ~~securities regulatory authority or regulator~~ applicable Canadian Securities Commission under the authority granted to it in ~~Applicable Securities Laws~~securities legislation; (c) ~~that~~ such ~~Personal Information~~ information is being collected for the ~~purpose~~ purposes of the administration and enforcement of ~~Applicable Securities Laws~~the securities legislation of the applicable Canadian jurisdictions; and (d) ~~that~~ the ~~title, business address and business telephone number of~~ Subscriber may contact the following public official ~~who can answer~~ in each jurisdiction with respect to questions about the ~~securities regulatory authority’s or regulator~~applicable Canadian Securities Commission’s indirect collection of such information at the ~~Personal Information is as follows: (i)~~ following address and telephone number: Alberta Securities Commission Xxxxx 000, 000 – 0xx Xxxxxx XX Xxxxxxx, Xxxxxxx X0X 0X0 Telephone: 000-000-0000 Toll free in Canada: 0-000-000-0000 Facsimile: 000-000-0000 Public official contact regarding indirect collection of information: FOIP Coordinator British Columbia Securities ~~Commission~~Commission X.X. Xxx 00000, ~~P.O. Box 10142, Pacific Centre, 700~~ Xxxxxxx Xxxxxx 000 Xxxx Xxxxxxx ~~Xxxxxx,~~ Xxxxxx Xxxxxxxxx, Xxxxxxx Xxxxxxxx X0X ~~0X0,~~ 0X0 Inquiries: ~~(000)~~ 000-~~0000,~~ 000-0000 Toll free in Canada: 1-800-373-6393 Facsimile: 000-000-~~0000~~0000 Email: XXX-xxxxxxx@xxxx.xx.xx Public official contact regarding indirect collection of information: FOI Inquiries The Manitoba Securities Commission 500 – 000 Xx. Xxxx Xxxxxx Winnipeg, Manitoba R3C 4K5 Telephone: 000-000-0000 Toll free in Manitoba 0-000-000-0000 Facsimile: ~~(000)~~ 000-~~0000, Email~~000-0000 Public official contact regarding indirect collection of information: ~~ixxxxxxxx@xxxx.xx.xx;~~ Director Financial and Consumer Services Commission (iiNew Brunswick) ~~Alberta Securities Commission, Suite 600, 200 – 0xx~~ 00 Xxxxxxxxx Xxxxxx, ~~XX Xxxxxxx~~Xxxxx 000 Xxxxx Xxxx, ~~Xxxxxxx X0X 0X0,~~ New Brunswick E2L 2J2 Telephone: ~~(000)~~ 000-~~0000,~~ 000-0000 Toll free in Canada: 1-866-933-2222 Facsimile: 000-000-~~0000, Facsimile~~0000 Email: ~~(000) 000-0000; (iii)~~ xxxx@xxxx.xx Public official contact regarding indirect collection of information: Chief Executive Officer and Privacy Officer Government of Newfoundland and Labrador Financial ~~and Consumer Affairs Authority of Saskatchewan, Suite 600 -~~ Services Regulation Division X.X. Xxx 0000 ~~Xxxxxxxxxxxx~~ Xxxxxxxxxxxxx Xxxxxxxx 0xx Xxxxx, ~~Xxxxxx~~Xxxx Xxxxx Xxxxxx Xxxxxx Drive St. John’s, ~~Xxxxxxxxxxxx X0X 0X0,~~ Newfoundland and Labrador A1B 4J6 Attention: Director of Securities Telephone: ~~(000) 000-0000, Facsimile: (000) 000-0000; (iv) The Manitoba Securities Commission, 500 – 000 Xx. Xxxx Xxxxxx, Winnipeg, Manitoba R3C 4K5, Telephone: (000) 000-0000, Toll free in Manitoba 1-~~000-000-~~0000,~~ 0000 Facsimile: ~~(000)~~ 000-~~0000; (v)~~ 000-0000 Public official contact regarding indirect collection of information: Superintendent of Securities Government of the Northwest Territories Office of the Superintendent of Securities X.X. Xxx 0000 Xxxxxxxxxxx, Xxxxxxxxx Xxxxxxxxxxx X0X 0X0 Telephone: 000-000-0000 Facsimile: 000-000-0000 Public official contact regarding indirect collection of information: Superintendent of Securities Nova Scotia Securities Commission Xxxxx 000, 0000 Xxxx Xxxxxx Xxxx Tower X.X. Xxx 000 Xxxxxxx, Xxxx Xxxxxx X0X 0X0 Telephone: 000-000-0000 Facsimile: 000-000-0000 Public official contact regarding indirect collection of information: Executive Director Government of Nunavut Department of Justice Legal Registries Division P.O. Box 1000, Station 000 0xx Xxxxx, Xxxxx Xxxxxxxx Iqaluit, Nunavut X0A 0H0 Telephone: 000-000-0000 Facsimile: 000-000-0000 Public official contact regarding indirect collection of information: Superintendent of Securities Ontario Securities ~~Commission, 20~~ Commission 00 Xxxxx Xxxxxx Xxxx, 00xx Xxxxx Xxxxxxx, Xxxxxxx X0X ~~0X0,~~ 0X0 Telephone: ~~(000) 000~~416-~~0000,~~ 593- 8314 Toll free in Canada: 1-877-785-1555 Facsimile: 000-000-~~0000, Facsimile: (000) 000-0000,~~ 0000 Email: ~~exxxxxxxxxxxxxxxxxx@xxx.xxx.xx.xx,~~ xxxxxxxxxxxxxxxxxxx@xxx.xxx.xx.xx Public official contact regarding indirect collection of information: Inquiries ~~Officer; (vi)~~ Officer Xxxxxx Xxxxxx Island Securities Office 00 Xxxxxxxx Xxxxxx, 4th Floor Xxxx Building X.X. Xxx 0000 Xxxxxxxxxxxxx, Xxxxxx Xxxxxx Xxxxxx C1A 7N8 Telephone: 000-000-0000 Facsimile: 000-000-0000 Public official contact regarding indirect collection of information: Superintendent of Securities Autorité des marchés ~~financiers, 800~~financiers 000, Xxxxxx Xxxxxxxx, 00x ~~xxxxx~~étage C.P. 000, ~~X.X. 246~~Xxxx xx xx Xxxxxx Xxxxxxxx, ~~Tour de la Bourse, Montréal, Québec H4Z 1G3, Telephone~~Xxxxxx X0X 0X0 Téléphone: (000) -000-0000 or 1-877-525-0337 Facsimile: 000-000-~~0000, Facsimile: (000) 000-~~0000 ~~(For filing purposes only), Facsimile: (000) 000-0000 (For privacy requests only),~~ Email: ~~fxxxxxxxxxxxxxxxxxxxxx@xxxxxxxxx.xx.xx (For corporate finance issuers); fxxxx_xxxxxxxxxxxxxxx@xxxxxxxxx.xx.xx (For investment fund issuers); (vii)~~ xxxxxxxxxxxxxxxxxxxxxx@xxxxxxxxx.xx.xx Public official contact regarding indirect collection of information: Secrétaire générale Financial and Consumer ~~Services Commission (New Brunswick)~~Affairs Authority of Saskatchewan Suite 601 – 0000 Xxxxxxxxxxxx Xxxxx Xxxxxx, ~~80 Xxxxxxxxx Xxxxxx,, Xxxxx 000 Xxxxx Xxxx, Xxx Brunswick E2L 2J2,~~ Saskatchewan S4P 4H2 Telephone: ~~(000) 000-0000, Toll free in Canada: 1-~~000-000-~~0000,~~ 0000 Facsimile: ~~(000)~~ 000-~~0000~~000-0000 Public official contact regarding indirect collection of information: Director Government of Yukon Department of Community Services Office of the Superintendent of Securities 000 Xxxxx Xxxxxx Xxxxxxxxxx, Xxxxx X0X 0X0 Telephone: 000-000-0000 Facsimile: 000-000-0000 Email: ~~ixxx@xxxx.xx; (viii) Nova Scotia Securities Commission, Suite 400, 5000 Xxxx Xxxxxx, Xxxx Xxxxx, X.X. Box 458 Halifax, Nova Scotia B3J 2P8, Telephone~~xxxxxxxxxx@xxx.xx.xx Public official contact regarding indirect collection of information: (000) 000-0000, Facsimile: (000) 000-0000; (ix) Pxxxxx Xxxxxx Island Securities Office, 90 Xxxxxxxx Xxxxxx, 4th Floor Sxxx Building, P.O. Box 2000 Charlottetown, Pxxxxx Xxxxxx Island C1A 7N8, Telephone: (000) 000-0000, Facsimile: (000) 000-0000; and (x) Government of Newfoundland and Labrador, Financial Services Regulation Division, P.O. Box 8700, Confederation Building 2nd Floor, West Block, Pxxxxx Xxxxxx Drive, St. John’s, Newfoundland and Labrador A1B 4J6, Attention: Director Superintendent of Securities~~, Telephone: (000) 000-0000, Facsimile: (000) 000-0000.~~

Appears in 1 contract

Samples: Subscription Agreement (Chemesis International Inc.)

Reporting and Consent. 5.1 The ~~Subscriber~~ Subscriber, on its own behalf and on behalf of any Disclosed Principal, expressly consents and agrees to: (a) the Issuer collecting personal information regarding the Subscriber and any Disclosed Principal for the purpose of completing the transactions contemplated by this ~~Agreement~~subscription; and (b) the Issuer releasing personal information regarding the ~~Subscriber~~ Subscriber, any Disclosed Principal and this Subscription, including the Subscriber's and any Disclosed Principal’s name, residential address, telephone number, email address and registration and delivery instructions, the number of Securities purchased, the number of securities of the Issuer held by the ~~Subscriber~~Subscriber and any Disclosed Principal, the status of the Subscriber and any Disclosed Principal as an ~~insider or registrant~~insider, as a Pro Group member or as otherwise represented herein, and, if applicable, information regarding the beneficial ownership of or the principals of the ~~Subscriber~~Subscriber and any Disclosed Principal, to securities regulatory authorities in compliance with Applicable Securities Laws, to other authorities as required by law and to the registrar and transfer agent of the Issuer for the purpose of arranging for the preparation of the certificates representing the Securities in connection with the Offering. The purpose of the collection of the information is to ensure the Issuer and its ~~advisers~~ advisors will be able to issue Securities to the Subscriber in accordance with the instructions of the Subscriber and in compliance with applicable ~~Canadian~~ corporate and securities ~~laws and Canadian Securities Exchange policies~~laws, and to obtain the information required to be provided in documents required to be filed with securities regulatory authorities under Applicable Securities Laws and with other authorities as required by law. The ~~Subscriber~~ Subscriber, on its own behalf and on behalf of any Disclosed Principal, further expressly consents and agrees to the collection, use and disclosure of all such personal information by securities regulatory authorities and other authorities in accordance with their requirements, including the provision of all such personal information to third party service providers from time to time. The contact information for the officer of the Issuer who can answer questions about the collection of information by the Issuer is as follows: Name & Title: ~~J. Oxxx Xxxxxxxxx~~Xxx Xxxxxxx, ~~CEO~~ Chief Financial Officer and Director Issuer Name: ~~Grown Rogue International Inc.~~ LEXARIA CORP. Address: ~~300 Xxxxxxxx~~ Suite 950 – 0000 Xxxx Xxxxxx ~~Xxxx~~Xxxxxx, ~~Xxxxxxx~~Vancouver, ~~XX X0X 0X0 Xxxxxx~~ BC V6E 4A4 Telephone No: ~~500-~~(000) 000-0000 5.2 The ~~Subscriber~~ Subscriber, on its own behalf and on behalf of any Disclosed Principal, expressly acknowledges and agrees that: (a) the Issuer may be required to provide applicable securities regulators, or otherwise under the Proceeds of Crime (Money Laundering) and Terrorist Financing Act of Canada, a list setting forth the identities of the purchasers of the Securities and any personal information provided by the Subscriber, and the Subscriber hereby represents and warrants that to the best of the Subscriber’s knowledge, none of the funds representing the subscription proceeds to be provided by the Subscriber (i) have been or will be derived from or related to any activity that is deemed criminal under the law of Canada, the United States of America, or any other jurisdiction, or (ii) are being tendered on behalf of a person or entity who has not been identified to the Subscriber; the Subscriber hereby further covenants that it shall promptly notify the Issuer if the Subscriber discovers that any of such representations ceases to be true, and shall provide the Issuer with appropriate information in connection therewith; (b) the Subscriber is not a person or entity identified in the Regulations Implementing the United Nations Resolutions on the Suppression of Terrorism (“RIUNRST”), the United Nations Al-Qaida and Taliban Regulations (“UNAQTR”), the Regulations Implementing the United Nations Resolution on the Democratic People’s Republic of Korea (“UNRDPRK”), the Regulations Implementing the United Nations Resolution on Iran (“RIUNRI”), the Special Economic Measures (Zimbabwe) Regulations (the “Zimbabwe Regulations”), the Special Economic Measures (Burma) Regulations (the “Burma Regulations”) or any other similar statute; (c) the Subscriber acknowledges that the Issuer may in the future be required by law to disclose the Subscriber’s name and other information relating to this Agreement and the Subscriber’s subscription hereunder pursuant to the PCMLA, the Criminal Code (Canada), RIUNRST, UNAQTR, UNRDPRK, RIUNRI, the Zimbabwe Regulations, the Burma Regulations or any other similar statute; and (d) the Subscriber shall complete, sign and return such additional documentation as may be required from time to time under Applicable Securities Laws or any other applicable laws in connection with the Offering and this subscription. 5.3 The Subscriber authorizes the indirect collection of Personal Information (as hereinafter defined) by the securities regulatory authority or regulator (each as defined in National Instrument 14-101 Definitions) and confirms that the Subscriber has been notified by the Issuer: (a) that the Issuer will be delivering Personal Information to the securities regulatory authority or regulator; (b) that the Personal Information is being collected indirectly by the securities regulatory authority or regulator under the authority granted to it in Applicable Securities Laws; (c) that such Personal Information is being collected for the purpose of the administration and enforcement of Applicable Securities Laws; and (d) that the title, business address and business telephone number of the public official who can answer questions about the securities regulatory authority’s or regulator’s indirect collection of the Personal Information is as follows: (i) British Columbia Securities Commission, P.O. Box 10142, Pacific Centre, 700 Xxxx Xxxxxxx Xxxxxx, Xxxxxxxxx, Xxxxxxx Xxxxxxxx X0X 0X0, Inquiries: (000) 000-0000, Toll free in Canada: 1-000-000-0000, Facsimile: (000) 000-0000, Email: ixxxxxxxx@xxxx.xx.xx; (ii) Alberta Securities Commission, Suite 600, 200 – 0xx Xxxxxx, XX Xxxxxxx, Xxxxxxx X0X 0X0, Telephone: (000) 000-0000, Toll free in Canada: 1-000-000-0000, Facsimile: (000) 000-0000; (iii) Financial and Consumer Affairs Authority of Saskatchewan, Suite 600 - 0000 Xxxxxxxxxxxx Xxxxx, Xxxxxx, Xxxxxxxxxxxx X0X 0X0, Telephone: (000) 000-0000, Facsimile: (000) 000-0000; (iv) The Manitoba Securities Commission, 500 – 000 Xx. Xxxx Xxxxxx, Winnipeg, Manitoba R3C 4K5, Telephone: (000) 000-0000, Toll free in Manitoba 1-000-000-0000, Facsimile: (000) 000-0000; (v) Ontario Securities Commission, 20 Xxxxx Xxxxxx Xxxx, 00xx Xxxxx Xxxxxxx, Xxxxxxx X0X 0X0, Telephone: (000) 000-0000, Toll free in Canada: 1-000-000-0000, Facsimile: (000) 000-0000, Email: exxxxxxxxxxxxxxxxxx@xxx.xxx.xx.xx, Public official contact regarding indirect collection of information: Inquiries Officer; (vi) Autorité des marchés financiers, 800, Xxxxxx Xxxxxxxx, 00x xxxxx, X.X. 246, Tour de la Bourse, Montréal, Québec H4Z 1G3, Telephone: (000) 000-0000 or 1-000-000-0000, Facsimile: (000) 000-0000 (For filing purposes only), Facsimile: (000) 000-0000 (For privacy requests only), Email: fxxxxxxxxxxxxxxxxxxxxx@xxxxxxxxx.xx.xx (For corporate finance issuers); fxxxx_xxxxxxxxxxxxxxx@xxxxxxxxx.xx.xx (For investment fund issuers); (vii) Financial and Consumer Services Commission (New Brunswick), 80 Xxxxxxxxx Xxxxxx,, Xxxxx 000 Xxxxx Xxxx, Xxx Brunswick E2L 2J2, Telephone: (000) 000-0000, Toll free in Canada: 1-000-000-0000, Facsimile: (000) 000-0000, Email: ixxx@xxxx.xx; (viii) Nova Scotia Securities Commission, Suite 400, 5000 Xxxx Xxxxxx, Xxxx Xxxxx, X.X. Box 458 Halifax, Nova Scotia B3J 2P8, Telephone: (000) 000-0000, Facsimile: (000) 000-0000; (ix) Pxxxxx Xxxxxx Island Securities Office, 90 Xxxxxxxx Xxxxxx, 4th Floor Sxxx Building, P.O. Box 2000 Charlottetown, Pxxxxx Xxxxxx Island C1A 7N8, Telephone: (000) 000-0000, Facsimile: (000) 000-0000; and (x) Government of Newfoundland and Labrador, Financial Services Regulation Division, P.O. Box 8700, Confederation Building 2nd Floor, West Block, Pxxxxx Xxxxxx Drive, St. John’s, Newfoundland and Labrador A1B 4J6, Attention: Director of Securities, Telephone: (000) 000-0000, Facsimile: (000) 000-0000.the

Appears in 1 contract

Samples: Private Placement Subscription Agreement (Lexaria Corp.)

Appears in 1 contract

Samples: Subscription Agreement

Appears in 1 contract

Samples: Private Placement Subscription Agreement (Lexaria Corp.)

Appears in 1 contract

Samples: Subscription Agreement (Siyata Mobile Inc.)

Reporting and Consent. ~~5.1 The Subscriber~~ ‌ 8.1 Each of the Vendors expressly consents and agrees to: (a) the ~~Issuer~~ Purchaser collecting personal information regarding ~~the Subscriber~~ such Vendor for the purpose of completing the transactions contemplated by this Agreement; ~~and~~and‌ (b) the ~~Issuer~~ Purchaser releasing personal information regarding ~~the Subscriber~~ such Vendor and this ~~Subscription~~Agreement, including ~~the Subscriber~~such Vendor’s name, residential address, telephone number, email ~~address and~~ address, registration and delivery instructions, and the number of Securities purchased, the number of securities of the Issuer held by the Subscriber, the status of the Subscriber as an insider or registrant, or as otherwise represented herein, and, if applicable, information regarding the beneficial ownership of the principals of the SubscriberConsideration Shares received, to securities regulatory authorities in compliance with Applicable ~~Securities~~ Laws, to other authorities as required by law and to the registrar and transfer agent of the ~~Issuer~~ Purchaser for the purpose of arranging for the preparation of the certificates representing the ~~Securities~~ Consideration Shares in connection with the ~~Offering~~transaction contemplated in this Agreement. The purpose of the collection of the information is to ensure the ~~Issuer~~ Purchaser and its ~~advisers~~ advisors will be able to issue ~~Securities~~ the Consideration Shares to the ~~Subscriber~~ Vendors in accordance with the instructions of the ~~Subscriber~~ applicable Vendor and in compliance with applicable ~~Canadian corporate~~ corporate, securities, and ~~securities laws and Canadian Securities Exchange policies~~other laws, and to obtain the information required to be provided in documents required to be filed with securities regulatory authorities under Applicable ~~Securities~~ Laws and with other authorities as ~~required by law~~required, which may include their public disclosure of such information. The ~~Subscriber~~ Vendors further expressly ~~consents~~ consent and ~~agrees~~ agree to the collection, ~~use~~ use, and disclosure of all such personal information by securities regulatory authorities and other authorities in accordance with their requirements, including but not limited to the publishing or making available to the public of such information and the provision of ~~all~~ such ~~personal~~ information to third party service providers for their collection, use, and disclosure from time to time. The contact information for the officer of the ~~Issuer~~ Purchaser who can answer questions about the collection of information by the ~~Issuer~~ Purchaser is as follows: Name & and Title: ~~J. Oxxx Xxxxxxxxx~~Xxxx Xxxxxx, CEO ~~Issuer~~ Purchaser Name: ~~Grown Rogue International~~ Modern Meat Inc. Address: ~~300 Xxxxxxxx~~ 0000 Xxxxxx ~~Xxxx~~Xxxxx, ~~Xxxxxxx~~Vancouver, ~~XX X0X 0X0 Xxxxxx Telephone No~~B.C. V6A 0B9 9.‌ Email Address: ~~500~~Notices [REDACTED: Email address] 9.1 Any notice, communication, instrument, or document required or permitted to be given under this Agreement shall be in writing and may be given by personal delivery, pre-~~000-0000 5.2 The Subscriber expressly acknowledges and agrees that~~paid, certified, or registered mail, or by telecommunication, email or other similar form of communication (in each case with electronic confirmed receipt), addressed as follows: (a) the Issuer may be required to provide applicable securities regulators, or otherwise under the Proceeds of Crime (Money Laundering) and Terrorist Financing Act of Canada, a list setting forth the identities of the purchasers of the Securities and any personal information provided by the Subscriber, and the Subscriber hereby represents and warrants that If to the ~~best of~~ Company or the ~~Subscriber’s knowledge~~Vendors at: 1257189 B.C. Ltd. Xxxxx 0000, ~~none of~~ 000 Xxxx Xxxxxxx Xxxxxx Xxxxxxxxx, XX, X0X 0X0 Attention: Xxxxxxxx Xxxxxxxx Email: [REDACTED: Email address] with a copy to: Xxxxxxx Xxxxx & Xxxxxxxxx LLP Suite 0000, 000 Xxxx Xxxxxxx Xxxxxx Xxxxxxxxx, XX, X0X 0X0 Attent ion: Xxxx Xxxxx Email: [REDACTED: Email address] If to the ~~funds representing the subscription proceeds~~ Purchaser at: Modern Meat Inc. 0000 Xxxxxx Xxxxx Xxxxxxxxx, XX, X0X 0X0 Attention: Xxxx Xxxxxx, CEO Email: [REDACTED: Email address] and such shall be deemed to ~~be provided by the Subscriber~~ have been given (i) if effected by personal delivery, or telecommunication, email, or other similar form of communication (with electronic confirmed receipt), at the time of delivery or electronic confirmed receipt unless such occurs after the recipient’s customary business hours in which case it shall be deemed to have been ~~or will be derived from or related to any activity that is deemed criminal under~~ given on the ~~law of Canada, the United States of America, or any other jurisdiction, or~~ next business day; and (ii) ~~are being tendered~~ if effected by mail, on ~~behalf of a person or entity who has not been identified~~ the fourth business day after mailing excluding all days on which postal service is disrupted. 9.2 A party may at any time in the above manner give notice to the ~~Subscriber;~~ other parties of any change of address and after the ~~Subscriber hereby further covenants that it shall promptly notify the Issuer if the Subscriber discovers that any~~ giving of such ~~representations ceases to be true, and shall provide~~ notice the ~~Issuer with appropriate information in connection therewith; (b) the Subscriber is not a person~~ address or entity identified in the Regulations Implementing the United Nations Resolutions on the Suppression of Terrorism (“RIUNRST”), the United Nations Al-Qaida and Taliban Regulations (“UNAQTR”), the Regulations Implementing the United Nations Resolution on the Democratic People’s Republic of Korea (“UNRDPRK”), the Regulations Implementing the United Nations Resolution on Iran (“RIUNRI”), the Special Economic Measures (Zimbabwe) Regulations (the “Zimbabwe Regulations”), the Special Economic Measures (Burma) Regulations (the “Burma Regulations”) or any other similar statute; (c) the Subscriber acknowledges that the Issuer may in the future be required by law to disclose the Subscriber’s name and other information relating to this Agreement and the Subscriber’s subscription hereunder pursuant to the PCMLA, the Criminal Code (Canada), RIUNRST, UNAQTR, UNRDPRK, RIUNRI, the Zimbabwe Regulations, the Burma Regulations or any other similar statute; and (d) the Subscriber shall complete, sign and return such additional documentation as may be required from time to time under Applicable Securities Laws or any other applicable laws in connection with the Offering and this subscription. 5.3 The Subscriber authorizes the indirect collection of Personal Information (as hereinafter defined) by the securities regulatory authority or regulator (each as defined in National Instrument 14-101 Definitions) and confirms that the Subscriber has been notified by the Issuer: (a) that the Issuer addresses specified will be ~~delivering Personal Information to~~ the securities regulatory authority or regulator; (b) that the Personal Information is being collected indirectly by the securities regulatory authority or regulator under the authority granted to it in Applicable Securities Laws; (c) that address of such ~~Personal Information is being collected~~ party for the purpose of the administration and enforcement of Applicable Securities Laws; and (d) that the title, business address and business telephone number of the public official who can answer questions about the securities regulatory authority’s or regulator’s indirect collection of the Personal Information is as follows: (i) British Columbia Securities Commission, P.O. Box 10142, Pacific Centre, 700 Xxxx Xxxxxxx Xxxxxx, Xxxxxxxxx, Xxxxxxx Xxxxxxxx X0X 0X0, Inquiries: (000) 000-0000, Toll free in Canada: 1-000-000-0000, Facsimile: (000) 000-0000, Email: ixxxxxxxx@xxxx.xx.xx; (ii) Alberta Securities Commission, Suite 600, 200 – 0xx Xxxxxx, XX Xxxxxxx, Xxxxxxx X0X 0X0, Telephone: (000) 000-0000, Toll free in Canada: 1-000-000-0000, Facsimile: (000) 000-0000; (iii) Financial and Consumer Affairs Authority of Saskatchewan, Suite 600 - 0000 Xxxxxxxxxxxx Xxxxx, Xxxxxx, Xxxxxxxxxxxx X0X 0X0, Telephone: (000) 000-0000, Facsimile: (000) 000-0000; (iv) The Manitoba Securities Commission, 500 – 000 Xx. Xxxx Xxxxxx, Winnipeg, Manitoba R3C 4K5, Telephone: (000) 000-0000, Toll free in Manitoba 1-000-000-0000, Facsimile: (000) 000-0000; (v) Ontario Securities Commission, 20 Xxxxx Xxxxxx Xxxx, 00xx Xxxxx Xxxxxxx, Xxxxxxx X0X 0X0, Telephone: (000) 000-0000, Toll free in Canada: 1-000-000-0000, Facsimile: (000) 000-0000, Email: exxxxxxxxxxxxxxxxxx@xxx.xxx.xx.xx, Public official contact regarding indirect collection of information: Inquiries Officer; (vi) Autorité des marchés financiers, 800, Xxxxxx Xxxxxxxx, 00x xxxxx, X.X. 246, Tour de la Bourse, Montréal, Québec H4Z 1G3, Telephone: (000) 000-0000 or 1-000-000-0000, Facsimile: (000) 000-0000 (For filing purposes only), Facsimile: (000) 000-0000 (For privacy requests only), Email: fxxxxxxxxxxxxxxxxxxxxx@xxxxxxxxx.xx.xx (For corporate finance issuers); fxxxx_xxxxxxxxxxxxxxx@xxxxxxxxx.xx.xx (For investment fund issuers); (vii) Financial and Consumer Services Commission (New Brunswick), 80 Xxxxxxxxx Xxxxxx,, Xxxxx 000 Xxxxx Xxxx, Xxx Brunswick E2L 2J2, Telephone: (000) 000-0000, Toll free in Canada: 1-000-000-0000, Facsimile: (000) 000-0000, Email: ixxx@xxxx.xx; (viii) Nova Scotia Securities Commission, Suite 400, 5000 Xxxx Xxxxxx, Xxxx Xxxxx, X.X. Box 458 Halifax, Nova Scotia B3J 2P8, Telephone: (000) 000-0000, Facsimile: (000) 000-0000; (ix) Pxxxxx Xxxxxx Island Securities Office, 90 Xxxxxxxx Xxxxxx, 4th Floor Sxxx Building, P.O. Box 2000 Charlottetown, Pxxxxx Xxxxxx Island C1A 7N8, Telephone: (000) 000-0000, Facsimile: (000) 000-0000; and (x) Government of Newfoundland and Labrador, Financial Services Regulation Division, P.O. Box 8700, Confederation Building 2nd Floor, West Block, Pxxxxx Xxxxxx Drive, St. John’s, Newfoundland and Labrador A1B 4J6, Attention: Director of Securities, Telephone: (000) 000-0000, Facsimile: (000) 000-0000giving notice hereunder.

Appears in 1 contract

Samples: Share Purchase Agreement

Reporting and Consent. ~~5.1~~ 11.1 The ~~Subscriber~~ Vendors expressly ~~consents~~ consent and ~~agrees~~ agree to: (a) the ~~Issuer~~ Purchaser collecting personal information regarding ~~the Subscriber~~ such Vendors for the purpose of completing the transactions contemplated by this Agreement; and (b) the ~~Issuer~~ Purchaser releasing personal information regarding ~~the Subscriber~~ such Vendors and this ~~Subscription~~Agreement, including ~~the Subscriber’s~~ such Vendors' name, residential address, telephone number, email ~~address and~~ address, registration and delivery instructions, and the number of Securities purchased, the number of securities of the Issuer held by the Subscriber, the status of the Subscriber as an insider or registrant, or as otherwise represented herein, and, if applicable, information regarding the beneficial ownership of the principals of the SubscriberConsideration Shares and Consideration Warrants received, to securities regulatory authorities in compliance with Applicable ~~Securities~~ Laws, to other authorities as required by law and to the registrar and transfer agent of the ~~Issuer~~ Purchaser for the purpose of arranging for the preparation of the certificates representing the ~~Securities~~ Consideration Shares and Consideration Warrants in connection with the ~~Offering~~transactions contemplated in this Agreement. The purpose of the collection of the information is to ensure the ~~Issuer~~ Purchaser and its ~~advisers~~ advisors will be able to issue ~~Securities~~ the Consideration Shares and the Consideration Warrants to the ~~Subscriber~~ Vendors in accordance with the instructions of the ~~Subscriber~~ applicable Vendors and in compliance with applicable ~~Canadian corporate~~ corporate, securities, and ~~securities laws and Canadian Securities Exchange policies~~other laws, and to obtain the information required to be provided in documents required to be filed with securities regulatory authorities under Applicable ~~Securities~~ Laws and with other authorities as ~~required by law~~required, which may include their public disclosure of such information. The ~~Subscriber~~ Vendors further expressly ~~consents~~ consent and ~~agrees~~ agree to the collection, ~~use~~ use, and disclosure of all such personal information by securities regulatory authorities and other authorities in accordance with their requirements, including but not limited to the publishing or making available to the public of such information and the provision of ~~all~~ such ~~personal~~ information to third party service providers for their collection, use, and disclosure from time to time. The contact information for the officer of the ~~Issuer~~ Purchaser who can answer questions about the collection of information by the ~~Issuer~~ Purchaser is as follows: Name & and Title: ~~J. Oxxx Xxxxxxxxx~~Xxxx Xxxxxxx, ~~CEO Issuer~~ Chief Executive Officer Purchaser Name: ~~Grown Rogue International Inc.~~ Balsam Technologies Corp. Address: 300 Xxxxxxxx Xxxxxx Xxxx, Xxxxxxx, XX X0X 0X0 Xxxxxx Telephone No: 500-000-0000 5.2 The Subscriber expressly acknowledges and agrees that: (a) the Issuer may be required to provide applicable securities regulators, or otherwise under the Proceeds of Crime (Money Laundering) and Terrorist Financing Act of Canada, a list setting forth the identities of the purchasers of the Securities and any personal information provided by the Subscriber, and the Subscriber hereby represents and warrants that to the best of the Subscriber’s knowledge, none of the funds representing the subscription proceeds to be provided by the Subscriber (i) have been or will be derived from or related to any activity that is deemed criminal under the law of Canada, the United States of America, or any other jurisdiction, or (ii) are being tendered on behalf of a person or entity who has not been identified to the Subscriber; the Subscriber hereby further covenants that it shall promptly notify the Issuer if the Subscriber discovers that any of such representations ceases to be true, and shall provide the Issuer with appropriate information in connection therewith; (b) the Subscriber is not a person or entity identified in the Regulations Implementing the United Nations Resolutions on the Suppression of Terrorism (“RIUNRST”), the United Nations Al-Qaida and Taliban Regulations (“UNAQTR”), the Regulations Implementing the United Nations Resolution on the Democratic People’s Republic of Korea (“UNRDPRK”), the Regulations Implementing the United Nations Resolution on Iran (“RIUNRI”), the Special Economic Measures (Zimbabwe) Regulations (the “Zimbabwe Regulations”), the Special Economic Measures (Burma) Regulations (the “Burma Regulations”) or any other similar statute; (c) the Subscriber acknowledges that the Issuer may in the future be required by law to disclose the Subscriber’s name and other information relating to this Agreement and the Subscriber’s subscription hereunder pursuant to the PCMLA, the Criminal Code (Canada), RIUNRST, UNAQTR, UNRDPRK, RIUNRI, the Zimbabwe Regulations, the Burma Regulations or any other similar statute; and (d) the Subscriber shall complete, sign and return such additional documentation as may be required from time to time under Applicable Securities Laws or any other applicable laws in connection with the Offering and this subscription. 5.3 The Subscriber authorizes the indirect collection of Personal Information (as hereinafter defined) by the securities regulatory authority or regulator (each as defined in National Instrument 14-101 Definitions) and confirms that the Subscriber has been notified by the Issuer: (a) that the Issuer will be delivering Personal Information to the securities regulatory authority or regulator; (b) that the Personal Information is being collected indirectly by the securities regulatory authority or regulator under the authority granted to it in Applicable Securities Laws; (c) that such Personal Information is being collected for the purpose of the administration and enforcement of Applicable Securities Laws; and (d) that the title, business address and business telephone number of the public official who can answer questions about the securities regulatory authority’s or regulator’s indirect collection of the Personal Information is as follows: (i) British Columbia Securities Commission, P.O. Box 10142, Pacific Centre, 700 Xxxx Xxxxxxx Xxxxxx, Xxxxxxxxx, Xxxxxxx Xxxxxxxx X0X 0X0, Inquiries: (000) 000-Suite 0000, ~~Toll free in Canada~~000 Xxxxxxxxx Xxxxxx Vancouver, British Columbia, V6C 1T2 Email Address: 1-000-000-0000, Facsimile: (000) 000-0000, Email: ixxxxxxxx@xxxx.xx.xx; (ii) Alberta Securities Commission, Suite 600, 200 – 0xx Xxxxxx, XX Xxxxxxx, Xxxxxxx X0X 0X0, Telephone: (000) 000-0000, Toll free in Canada: 1-000-000-0000, Facsimile: (000) 000-0000; (iii) Financial and Consumer Affairs Authority of Saskatchewan, Suite 600 - 0000 Xxxxxxxxxxxx Xxxxx, Xxxxxx, Xxxxxxxxxxxx X0X 0X0, Telephone: (000) 000-0000, Facsimile: (000) 000-0000; (iv) The Manitoba Securities Commission, 500 – 000 Xx. Xxxx Xxxxxx, Winnipeg, Manitoba R3C 4K5, Telephone: (000) 000-0000, Toll free in Manitoba 1-000-000-0000, Facsimile: (000) 000-0000; (v) Ontario Securities Commission, 20 Xxxxx Xxxxxx Xxxx, 00xx Xxxxx Xxxxxxx, Xxxxxxx X0X 0X0, Telephone: (000) 000-0000, Toll free in Canada: 1-000-000-0000, Facsimile: (000) 000-0000, Email: exxxxxxxxxxxxxxxxxx@xxx.xxx.xx.xx, Public official contact regarding indirect collection of information: Inquiries Officer; (vi) Autorité des marchés financiers, 800, Xxxxxx Xxxxxxxx, 00x xxxxx, X.X. 246, Tour de la Bourse, Montréal, Québec H4Z 1G3, Telephone: (000) 000-0000 or 1-000-000-0000, Facsimile: (000) 000-0000 (For filing purposes only), Facsimile: (000) 000-0000 (For privacy requests only), Email: fxxxxxxxxxxxxxxxxxxxxx@xxxxxxxxx.xx.xx (For corporate finance issuers); fxxxx_xxxxxxxxxxxxxxx@xxxxxxxxx.xx.xx (For investment fund issuers); (vii) Financial and Consumer Services Commission (New Brunswick), 80 Xxxxxxxxx Xxxxxx,, Xxxxx 000 Xxxxx Xxxx, Xxx Brunswick E2L 2J2, Telephone: (000) 000-0000, Toll free in Canada: 1-000-000-0000, Facsimile: (000) 000-0000, Email: ixxx@xxxx.xx; (viii) Nova Scotia Securities Commission, Suite 400, 5000 Xxxx Xxxxxx, Xxxx Xxxxx, X.X. Box 458 Halifax, Nova Scotia B3J 2P8, Telephone: (000) 000-0000, Facsimile: (000) 000-0000; (ix) Pxxxxx Xxxxxx Island Securities Office, 90 Xxxxxxxx Xxxxxx, 4th Floor Sxxx Building, P.O. Box 2000 Charlottetown, Pxxxxx Xxxxxx Island C1A 7N8, Telephone: (000) 000-0000, Facsimile: (000) 000-0000; and (x) Government of Newfoundland and Labrador, Financial Services Regulation Division, P.O. Box 8700, Confederation Building 2nd Floor, West Block, Pxxxxx Xxxxxx Drive, St. John’s, Newfoundland and Labrador A1B 4J6, Attention: Director of Securities, Telephone: (000) 000-0000, Facsimile: (000) 000-0000.xxxxxxxx@xxxxxxxxxxxxxxxxxxxx.xxx

Appears in 1 contract

Samples: Share Purchase Agreement (RewardStream Solutions Inc.)

Reporting and Consent. 5.1 The Subscriber expressly consents and agrees to: (a) the Issuer collecting personal information regarding the Subscriber for the purpose of completing the transactions contemplated by this Agreement; and (b) the Issuer releasing personal information regarding the Subscriber and this ~~Subscription~~subscription, including the Subscriber’s name, residential address, telephone number, email address and registration and delivery instructions, the number of Purchased Securities purchased, the number of securities of the Issuer held by the Subscriber, the status of the Subscriber as an insider or registrant, or as otherwise represented herein, and, if applicable, information regarding the beneficial ownership of the principals of the Subscriber, to securities regulatory authorities in compliance with Applicable Securities Laws, to other authorities as required by law and to the registrar and transfer agent of the Issuer for the purpose of arranging for the preparation of the certificates representing the Purchased Securities in connection with the Offering. The purpose of the collection of the information is to ensure the Issuer and its advisers will be able to issue Purchased Securities to the Subscriber in accordance with the instructions of the Subscriber and in compliance with applicable Canadian corporate and securities laws and Canadian Securities Exchange policies, and to obtain the information required to be provided in documents required to be filed with securities regulatory authorities under Applicable Securities Laws and with other authorities as required by law. The Subscriber further expressly consents and agrees to the collection, use and disclosure of all such personal information by securities regulatory authorities and other authorities in accordance with their requirements, including the provision of all such personal information to third party service providers from time to time. The contact information for the officer of the Issuer who can answer questions about the collection of information by the Issuer is as follows: Name & Title: J. Oxxx Xxxxxxxxx, President & CEO Issuer Name: Grown Rogue International Inc. Address: ~~300 Xxxxxxxx Xxxxxx~~ 500 Xxxxxxx Xxxx, Xxxxxxx, ~~XX X0X 0X0~~ Xxxxxx, 00000, Xxxxxx ~~Telephone No~~Xxxxxx Email: ~~500-000-0000~~oxxx@xxxxxxxxxx.xxx 5.2 The Subscriber expressly acknowledges and agrees that: (a) the Issuer may be required to provide applicable securities regulators, or otherwise under the Proceeds of Crime (Money Laundering) and Terrorist Financing Act of Canada, a list setting forth the identities of the purchasers of the Securities and any personal information provided by the Subscriber, and the Subscriber hereby represents and warrants that to the best of the Subscriber’s knowledge, none of the funds representing the subscription proceeds to be provided by the Subscriber (i) have been or will be derived from or related to any activity that is deemed criminal under the law of Canada, the United States of America, or any other jurisdiction, or (ii) are being tendered on behalf of a person or entity who has not been identified to the Subscriber; the Subscriber hereby further covenants that it shall promptly notify the Issuer if the Subscriber discovers that any of such representations ceases to be true, and shall provide the Issuer with appropriate information in connection therewith; (b) the Subscriber is not a person or entity identified in the Regulations Implementing the United Nations Resolutions on the Suppression of Terrorism (“RIUNRST”), the United Nations Al-Qaida and Taliban Regulations (“UNAQTR”), the Regulations Implementing the United Nations Resolution on the Democratic People’s Republic of Korea (“UNRDPRK”), the Regulations Implementing the United Nations Resolution on Iran (“RIUNRI”), the Special Economic Measures (Zimbabwe) Regulations (the “Zimbabwe Regulations”), the Special Economic Measures (Burma) Regulations (the “Burma Regulations”) or any other similar statute; (c) the Subscriber acknowledges that the Issuer may in the future be required by law to disclose the Subscriber’s name and other information relating to this Agreement and the Subscriber’s subscription hereunder pursuant to the PCMLA, the Criminal Code (Canada), RIUNRST, UNAQTR, UNRDPRK, RIUNRI, the Zimbabwe Regulations, the Burma Regulations or any other similar statute; and (d) the Subscriber shall complete, sign and return such additional documentation as may be required from time to time under Applicable Securities Laws or any other applicable laws in connection with the Offering and this subscription. 5.3 The Subscriber authorizes the indirect collection of Personal Information (as hereinafter defined) by the securities regulatory authority or regulator (each as defined in National Instrument 14-101 Definitions) and confirms that the Subscriber has been notified by the Issuer: (a) that the Issuer will be delivering Personal Information to the securities regulatory authority or regulator; (b) that the Personal Information is being collected indirectly by the securities regulatory authority or regulator under the authority granted to it in Applicable Securities Laws; (c) that such Personal Information is being collected for the purpose of the administration and enforcement of Applicable Securities Laws; and (d) that the title, business address and business telephone number of the public official who can answer questions about the securities regulatory authority’s or regulator’s indirect collection of the Personal Information is as follows: (i) British Columbia Securities Commission, P.O. Box 10142, Pacific Centre, 700 Xxxx Xxxxxxx Xxxxxx, Xxxxxxxxx, Xxxxxxx Xxxxxxxx X0X 0X0, Inquiries: (000) 000-0000, Toll free in Canada: 1-000-000-0000, Facsimile: (000) 000-0000, Email: ixxxxxxxx@xxxx.xx.xx; (ii) Alberta Securities Commission, Suite 600, 200 – 0xx Xxxxxx, XX Xxxxxxx, Xxxxxxx X0X 0X0, Telephone: (000) 000-0000, Toll free in Canada: 1-000-000-0000, Facsimile: (000) 000-0000; (iii) Financial and Consumer Affairs Authority of Saskatchewan, Suite 600 - 0000 Xxxxxxxxxxxx Xxxxx, Xxxxxx, Xxxxxxxxxxxx X0X 0X0, Telephone: (000) 000-0000, Facsimile: (000) 000-0000; (iv) The Manitoba Securities Commission, 500 – 000 Xx. Xxxx Xxxxxx, Winnipeg, Manitoba R3C 4K5, Telephone: (000) 000-0000, Toll free in Manitoba 1-000-000-0000, Facsimile: (000) 000-0000; (v) Ontario Securities Commission, 20 Xxxxx Xxxxxx Xxxx, 00xx Xxxxx Xxxxxxx, Xxxxxxx X0X 0X0, Telephone: (000) 000-0000, Toll free in Canada: 1-000-000-0000, Facsimile: (000) 000-0000, Email: exxxxxxxxxxxxxxxxxx@xxx.xxx.xx.xx, Public official contact regarding indirect collection of information: Inquiries Officer; (vi) Autorité des marchés financiers, 800, Xxxxxx Xxxxxxxx, 00x xxxxx, X.X. 246, Tour de la Bourse, Montréal, Québec H4Z 1G3, Telephone: (000) 000-0000 or 1-000-000-0000, Facsimile: (000) 000-0000 (For filing purposes only), Facsimile: (000) 000-0000 (For privacy requests only), Email: fxxxxxxxxxxxxxxxxxxxxx@xxxxxxxxx.xx.xx (For corporate finance issuers); fxxxx_xxxxxxxxxxxxxxx@xxxxxxxxx.xx.xx (For investment fund issuers); (vii) Financial and Consumer Services Commission (New Brunswick), 80 Xxxxxxxxx Xxxxxx,, Xxxxx 000 Xxxxx Xxxx, Xxx Brunswick E2L 2J2, Telephone: (000) 000-0000, Toll free in Canada: 1-000-000-0000, Facsimile: (000) 000-0000, Email: ixxx@xxxx.xx; (viii) Nova Scotia Securities Commission, Suite 400, 5000 Xxxx Xxxxxx, Xxxx Xxxxx, X.X. Box 458 Halifax, Nova Scotia B3J 2P8, Telephone: (000) 000-0000, Facsimile: (000) 000-0000; (ix) Pxxxxx Xxxxxx Island Securities Office, 90 Xxxxxxxx Xxxxxx, 4th Floor Sxxx Building, P.O. Box 2000 Charlottetown, Pxxxxx Xxxxxx Island C1A 7N8, Telephone: (000) 000-0000, Facsimile: (000) 000-0000; and (x) Government of Newfoundland and Labrador, Financial Services Regulation Division, P.O. Box 8700, Confederation Building 2nd Floor, West Block, Pxxxxx Xxxxxx Drive, St. John’s, Newfoundland and Labrador A1B 4J6, Attention: Director of Securities, Telephone: (000) 000-0000, Facsimile: (000) 000-0000.Money

Appears in 1 contract

Samples: Convertible Debenture Subscription Agreement (Grown Rogue International Inc.)

Reporting and Consent. ~~5.1 The Subscriber~~ 8.1 Each Vendor, on its own behalf and on behalf of any other person for whom it is contracting hereunder, expressly consents and agrees to: (a) the ~~Issuer~~ Purchaser collecting personal information regarding the ~~Subscriber~~ Vendor for the purpose of completing the transactions contemplated by this Agreement; and (b) the ~~Issuer~~ Purchaser releasing personal information regarding the ~~Subscriber~~ Vendor and this ~~Subscription~~Agreement, including the ~~Subscriber~~Vendor’s name, residential address, telephone number, email address and registration and delivery instructions, the number of ~~Securities purchased, the number of securities of the Issuer held by the Subscriber, the status of the Subscriber as an insider or registrant, or as otherwise represented herein~~Consideration Shares received, and, if applicable, information regarding the beneficial ownership of or the principals of the ~~Subscriber~~Vendor, to securities regulatory authorities in compliance with Applicable ~~Securities~~ Laws, to other authorities as required by law and to the registrar and transfer agent of the ~~Issuer~~ Purchaser for the purpose of arranging for the preparation of the certificates representing the ~~Securities~~ Consideration Shares in connection with the ~~Offering~~transaction contemplated in this Agreement. The purpose of the collection of the information is to ensure the ~~Issuer~~ Purchaser and its ~~advisers~~ advisors will be able to issue ~~Securities~~ the Consideration Shares to the ~~Subscriber~~ Vendor in accordance with the instructions of the ~~Subscriber~~ Vendor and in compliance with applicable ~~Canadian corporate~~ corporate, securities and ~~securities laws and Canadian Securities~~ other laws, as well as Exchange ~~policies~~requirements, and to obtain the information required to be provided in documents required to be filed with securities regulatory authorities under Applicable ~~Securities~~ Laws and with other authorities (including the Exchange) as ~~required by law~~required, which may include their public disclosure of such information. The ~~Subscriber~~ Vendor, on its own behalf and on behalf of any other person for whom it is contracting hereunder, further expressly consents and agrees to the collection, use and disclosure of all such personal information by securities regulatory authorities and other authorities in accordance with their requirements, including but not limited to the publishing or making available to the public of such information and the provision of ~~all~~ such ~~personal~~ information to third party service providers for their collection, use and disclosure from time to time. The contact information for the officer of the ~~Issuer~~ Purchaser who can answer questions about the collection of information by the ~~Issuer~~ Purchaser is as follows: Name & and Title: ~~J. Oxxx Xxxxxxxxx, CEO Issuer~~ Purchaser Name: ~~Grown Rogue International Inc.~~ Address: ~~300 Xxxxxxxx Xxxxxx Xxxx, Xxxxxxx, XX X0X 0X0 Xxxxxx Telephone No: 500-000-0000 5.2 The Subscriber expressly acknowledges and agrees that~~Email Address: (a) the Issuer may be required to provide applicable securities regulators, or otherwise under the Proceeds of Crime (Money Laundering) and Terrorist Financing Act of Canada, a list setting forth the identities of the purchasers of the Securities and any personal information provided by the Subscriber, and the Subscriber hereby represents and warrants that to the best of the Subscriber’s knowledge, none of the funds representing the subscription proceeds to be provided by the Subscriber (i) have been or will be derived from or related to any activity that is deemed criminal under the law of Canada, the United States of America, or any other jurisdiction, or (ii) are being tendered on behalf of a person or entity who has not been identified to the Subscriber; the Subscriber hereby further covenants that it shall promptly notify the Issuer if the Subscriber discovers that any of such representations ceases to be true, and shall provide the Issuer with appropriate information in connection therewith; (b) the Subscriber is not a person or entity identified in the Regulations Implementing the United Nations Resolutions on the Suppression of Terrorism (“RIUNRST”), the United Nations Al-Qaida and Taliban Regulations (“UNAQTR”), the Regulations Implementing the United Nations Resolution on the Democratic People’s Republic of Korea (“UNRDPRK”), the Regulations Implementing the United Nations Resolution on Iran (“RIUNRI”), the Special Economic Measures (Zimbabwe) Regulations (the “Zimbabwe Regulations”), the Special Economic Measures (Burma) Regulations (the “Burma Regulations”) or any other similar statute; (c) the Subscriber acknowledges that the Issuer may in the future be required by law to disclose the Subscriber’s name and other information relating to this Agreement and the Subscriber’s subscription hereunder pursuant to the PCMLA, the Criminal Code (Canada), RIUNRST, UNAQTR, UNRDPRK, RIUNRI, the Zimbabwe Regulations, the Burma Regulations or any other similar statute; and (d) the Subscriber shall complete, sign and return such additional documentation as may be required from time to time under Applicable Securities Laws or any other applicable laws in connection with the Offering and this subscription. 5.3 The Subscriber authorizes the indirect collection of Personal Information (as hereinafter defined) by the securities regulatory authority or regulator (each as defined in National Instrument 14-101 Definitions) and confirms that the Subscriber has been notified by the Issuer: (a) that the Issuer will be delivering Personal Information to the securities regulatory authority or regulator; (b) that the Personal Information is being collected indirectly by the securities regulatory authority or regulator under the authority granted to it in Applicable Securities Laws; (c) that such Personal Information is being collected for the purpose of the administration and enforcement of Applicable Securities Laws; and (d) that the title, business address and business telephone number of the public official who can answer questions about the securities regulatory authority’s or regulator’s indirect collection of the Personal Information is as follows: (i) British Columbia Securities Commission, P.O. Box 10142, Pacific Centre, 700 Xxxx Xxxxxxx Xxxxxx, Xxxxxxxxx, Xxxxxxx Xxxxxxxx X0X 0X0, Inquiries: (000) 000-0000, Toll free in Canada: 1-000-000-0000, Facsimile: (000) 000-0000, Email: ixxxxxxxx@xxxx.xx.xx; (ii) Alberta Securities Commission, Suite 600, 200 – 0xx Xxxxxx, XX Xxxxxxx, Xxxxxxx X0X 0X0, Telephone: (000) 000-0000, Toll free in Canada: 1-000-000-0000, Facsimile: (000) 000-0000; (iii) Financial and Consumer Affairs Authority of Saskatchewan, Suite 600 - 0000 Xxxxxxxxxxxx Xxxxx, Xxxxxx, Xxxxxxxxxxxx X0X 0X0, Telephone: (000) 000-0000, Facsimile: (000) 000-0000; (iv) The Manitoba Securities Commission, 500 – 000 Xx. Xxxx Xxxxxx, Winnipeg, Manitoba R3C 4K5, Telephone: (000) 000-0000, Toll free in Manitoba 1-000-000-0000, Facsimile: (000) 000-0000; (v) Ontario Securities Commission, 20 Xxxxx Xxxxxx Xxxx, 00xx Xxxxx Xxxxxxx, Xxxxxxx X0X 0X0, Telephone: (000) 000-0000, Toll free in Canada: 1-000-000-0000, Facsimile: (000) 000-0000, Email: exxxxxxxxxxxxxxxxxx@xxx.xxx.xx.xx, Public official contact regarding indirect collection of information: Inquiries Officer; (vi) Autorité des marchés financiers, 800, Xxxxxx Xxxxxxxx, 00x xxxxx, X.X. 246, Tour de la Bourse, Montréal, Québec H4Z 1G3, Telephone: (000) 000-0000 or 1-000-000-0000, Facsimile: (000) 000-0000 (For filing purposes only), Facsimile: (000) 000-0000 (For privacy requests only), Email: fxxxxxxxxxxxxxxxxxxxxx@xxxxxxxxx.xx.xx (For corporate finance issuers); fxxxx_xxxxxxxxxxxxxxx@xxxxxxxxx.xx.xx (For investment fund issuers); (vii) Financial and Consumer Services Commission (New Brunswick), 80 Xxxxxxxxx Xxxxxx,, Xxxxx 000 Xxxxx Xxxx, Xxx Brunswick E2L 2J2, Telephone: (000) 000-0000, Toll free in Canada: 1-000-000-0000, Facsimile: (000) 000-0000, Email: ixxx@xxxx.xx; (viii) Nova Scotia Securities Commission, Suite 400, 5000 Xxxx Xxxxxx, Xxxx Xxxxx, X.X. Box 458 Halifax, Nova Scotia B3J 2P8, Telephone: (000) 000-0000, Facsimile: (000) 000-0000; (ix) Pxxxxx Xxxxxx Island Securities Office, 90 Xxxxxxxx Xxxxxx, 4th Floor Sxxx Building, P.O. Box 2000 Charlottetown, Pxxxxx Xxxxxx Island C1A 7N8, Telephone: (000) 000-0000, Facsimile: (000) 000-0000; and (x) Government of Newfoundland and Labrador, Financial Services Regulation Division, P.O. Box 8700, Confederation Building 2nd Floor, West Block, Pxxxxx Xxxxxx Drive, St. John’s, Newfoundland and Labrador A1B 4J6, Attention: Director of Securities, Telephone: (000) 000-0000, Facsimile: (000) 000-0000.

Appears in 1 contract

Samples: Joint Venture and Share Purchase Agreement

Reporting and Consent. ~~5.1~~ The Subscriber expressly consents and agrees to~~: (a)~~ : the Issuer collecting personal information (as that term is defined under applicable privacy legislation, including the Personal Information Protection and Electronic Documents Act (Canada) and any other applicable similar, replacement or supplemental provincial or federal legislation or laws in effect from time to time), regarding the Subscriber for the purpose of completing the transactions contemplated by this ~~Agreement~~subscription; ~~and (b)~~ and the Issuer (i) retaining such personal information for as long as permitted or required by law and (ii) releasing such personal information regarding the Subscriber and this ~~Subscription~~subscription, including but not limited to the Subscriber’s 's name, residential address, telephone number, email address and registration and delivery instructions, the number of Securities purchased, the number of securities of the Issuer held by the Subscriber, the status of the Subscriber as an ~~insider or registrant~~insider, as a registrant or as otherwise represented herein, and, if applicable, information regarding the beneficial ownership of or the principals of the Subscriber, to securities and other regulatory authorities in compliance with ~~Applicable Securities Laws~~applicable securities and other laws, ~~to other authorities as required by law~~ and to the registrar and transfer agent of the Issuer for the purpose of arranging for the preparation and delivery of the certificates representing the Securities in connection with the Offering. The purpose of the collection of the information is to ensure the Issuer and its ~~advisers~~ advisors will be able to issue the Securities to the Subscriber in accordance with the instructions of the Subscriber and in compliance with applicable ~~Canadian corporate~~ corporate, securities and ~~securities laws and Canadian Securities Exchange policies~~other laws, and to obtain the information required to be provided in documents required to be filed with securities regulatory authorities under ~~Applicable Securities Laws~~ applicable securities laws and with other authorities as required by ~~law~~law from time to time. The Subscriber further expressly represents and warrants that it has the authority to provide the consents and acknowledgments set out in this paragraph on its own behalf and, if applicable, on behalf of the Disclosed Principal and further consents and agrees to that the ~~collection~~Issuer may collect, use and disclose its personal information, or that of the Disclosed Principal, as follows: for internal use with respect to managing the relationships between, and contractual obligations of the Issuer and the Subscriber or the Disclosed Principal; for use and disclosure ~~of all such personal information~~ for income tax related purposes, including without limitation, where required by law, disclosure to Canada Revenue Agency; disclosure to securities regulatory authorities and other regulatory bodies with jurisdiction with respect to reports of trades and similar regulatory filings; disclosure to a governmental or other authorities to which the disclosure is required by court order or subpoena compelling such disclosure and where there is no reasonable alternative to such disclosure; disclosure to professional advisors of the Issuer so that they may perform their professional services in ~~accordance~~ connection with ~~their requirements, including~~ the ~~provision~~ Offering; disclosure to any person where such disclosure is necessary for legitimate business reasons and is made with the Subscriber’s prior written consent; disclosure to a court determining the rights of ~~all such personal information~~ the parties under this subscription agreement; for use to ~~third party service providers from time to time~~verify the eligibility of the Subscriber under applicable securities laws; or for use and disclosure as otherwise required by law. The contact information for the officer of the Issuer who can answer questions about the collection of information by the Issuer is as follows: Name & Title: ~~J. Oxxx~~ Xxx Xxxxxxxxx, CEO Issuer Name: ~~Grown Rogue International~~ Pacific Frontier Investments Inc. Address: ~~300 Xxxxxxxx Xxxxxx Xxxx~~c/o #1120 – 000 Xxxx Xxxxxx, ~~Xxxxxxx~~Vancouver, ~~XX X0X 0X0 Xxxxxx~~ BC, V6C 2T6 Telephone No: ~~500-000-0000 5.2~~ 000.000.0000 Email: xxx@xxxxxxxxxxxxxxx.xx The Subscriber further expressly acknowledges and agrees that~~: (a)~~ : the Issuer may be required to provide applicable securities regulators, or otherwise under the Proceeds of Crime (Money Laundering) and Terrorist Financing Act of Canada, a list setting forth the identities of the purchasers of the Securities and any personal information provided by the Subscriber, ; and the Subscriber hereby represents and warrants that to the best of the Subscriber’s knowledge, none of the funds representing the subscription proceeds to be provided by the Subscriber (i) have been or will be derived from or related to any activity that is deemed criminal under the law of Canada, the United States of America, or any other jurisdiction, or (ii) are being tendered on behalf of a person or entity who has not been identified to the Subscriber; the Subscriber hereby further covenants that it shall promptly notify the Issuer if the Subscriber discovers that any of such representations ceases to be true, and shall provide the Issuer with appropriate information in connection therewith; (b) the Subscriber is not a person or entity identified in the Regulations Implementing the United Nations Resolutions on the Suppression of Terrorism (“RIUNRST”), the United Nations Al-Qaida and Taliban Regulations (“UNAQTR”), the Regulations Implementing the United Nations Resolution on the Democratic People’s Republic of Korea (“UNRDPRK”), the Regulations Implementing the United Nations Resolution on Iran (“RIUNRI”), the Special Economic Measures (Zimbabwe) Regulations (the “Zimbabwe Regulations”), the Special Economic Measures (Burma) Regulations (the “Burma Regulations”) or any other similar statute; (c) the Subscriber acknowledges that the Issuer may in the future be required by law to disclose the Subscriber’s name and other information relating to this Agreement and the Subscriber’s subscription hereunder pursuant to the PCMLA, the Criminal Code (Canada), RIUNRST, UNAQTR, UNRDPRK, RIUNRI, the Zimbabwe Regulations, the Burma Regulations or any other similar statute; and (d) the Subscriber shall complete, sign and return such additional documentation as may be required from time to time under ~~Applicable Securities Laws~~ applicable securities laws or any other applicable laws in connection with the Offering and this subscription. 5.3 The Subscriber authorizes the indirect collection of Personal Information (as hereinafter defined) by the securities regulatory authority or regulator (each as defined in National Instrument 14-101 Definitions) and confirms that . Furthermore, the Subscriber ~~has been~~ is hereby notified by and acknowledges and agrees that: the ~~Issuer: (a) that the Issuer will~~ Subscriber's personal information may be ~~delivering Personal Information~~ delivered to the ~~securities regulatory authority or regulator; (b) that the Personal Information~~ British Columbia Securities Commission and is thereby being collected indirectly by the ~~securities regulatory authority or regulator under the authority granted to it in Applicable~~ British Columbia Securities ~~Laws; (c) that such Personal Information is being collected~~ Commission for the ~~purpose~~ purposes of ~~the~~ administration and enforcement of ~~Applicable Securities Laws; and (d) that the title, business address and business telephone number of the public official who can answer questions about~~ the securities ~~regulatory authority’s~~ legislation of British Columbia. Information may be publicly disclosed or ~~regulator’s indirect collection of~~ made available by the ~~Personal Information is as follows: (i)~~ British Columbia Securities Commission, including the name of the Subscriber, whether such person is an insider or registrant, the number of securities purchased and, in the case of certain non-individual Subscribers, their addresses, telephone numbers and prospectus exemptions relied upon. Questions about British Columbia Securities Commission's indirect collection of personal information may be directed to: British Columbia Securities Commission P.O. Box 10142, Pacific Centre, ~~700~~ 000 Xxxx Xxxxxxx ~~Xxxxxx,~~ Xxxxxx Xxxxxxxxx, Xxxxxxx ~~Xxxxxxxx~~ Xxxxxxxx, X0X ~~0X0, Inquiries:~~ 0X0 Telephone (000) 000-0000, Toll free ~~in Canada:~~ across Canada 1-~~000~~800-~~000~~373-~~0000, Facsimile:~~ 6393 Facsimile (000) 000-~~0000~~0000 the Issuer may deliver to the Ontario Securities Commission certain personal information pertaining to the Subscriber, ~~Email: ixxxxxxxx@xxxx.xx.xx; (ii) Alberta~~ including such Subscriber’s full name, residential address, telephone number and email address, the number of Securities ~~Commission~~purchased by the Subscriber and the total purchase price paid for such Securities, ~~Suite 600~~the prospectus exemption relied on by the Issuer and the date of distribution of the Securities, ~~200 – 0xx Xxxxxx~~such information is being collected indirectly by the Ontario Securities Commission under the authority granted to it in securities legislation, ~~XX Xxxxxxx~~such information is being collected for the purposes of the administration and enforcement of the securities legislation of Ontario, ~~Xxxxxxx X0X 0X0, Telephone: (000) 000-0000, Toll free~~ and the Subscriber may contact the following public official in Canada: 1-000-000-0000, Facsimile: (000) 000-0000; (iii) Financial and Consumer Affairs Authority of Saskatchewan, Suite 600 - 0000 Xxxxxxxxxxxx Xxxxx, Xxxxxx, Xxxxxxxxxxxx X0X 0X0, Telephone: (000) 000-0000, Facsimile: (000) 000-0000; (iv) The Manitoba Securities Commission, 500 – 000 Xx. Xxxx Xxxxxx, Winnipeg, Manitoba R3C 4K5, Telephone: (000) 000-0000, Toll free in Manitoba 1-000-000-0000, Facsimile: (000) 000-0000; (v) Ontario with respect to questions about the Ontario Securities Commission, 20 Xxxxx Xxxxxx Xxxx, 00xx Xxxxx Xxxxxxx, Xxxxxxx X0X 0X0, Telephone: (000) 000-0000, Toll free in Canada: 1-000-000-0000, Facsimile: (000) 000-0000, Email: exxxxxxxxxxxxxxxxxx@xxx.xxx.xx.xx, Public official contact regarding ’s indirect collection of ~~information~~such information at the following address and telephone number: ~~Inquiries Officer; (vi) Autorité des marchés financiers~~Administrative Support Clerk Ontario Securities Commission Xxxxx 0000, ~~800~~Xxx 00, 00 Xxxxx Xxxxxx ~~Xxxxxxxx~~Xxxx Xxxxxxx, ~~00x xxxxx~~Xxxxxxx, ~~X.X. 246, Tour de la Bourse, Montréal, Québec H4Z 1G3,~~ X0X 0X0 Telephone: (000) 000-0000 Resale Restrictions and Legending of Securities The Subscriber hereby acknowledges and agrees that the Offering is being made pursuant to Exemptions and, as a result, the Securities will be subject to a number of statutory restrictions on resale and trading. Until the restrictions on resale and trading expire, the Subscriber will not be able to sell or ~~1-000-000-0000~~trade the Securities unless the Subscriber complies with an exemption from the prospectus and registration requirements under applicable securities laws. Without limiting the foregoing, ~~Facsimile~~the Subscriber hereby acknowledges and agrees that: the Issuer is not a reporting issuer or equivalent in any jurisdiction and, as a result, the restrictions on resale and trading are indefinite until such time as the Issuer becomes a reporting issuer. The Issuer has no present intention and is not obligated under any circumstances to file a prospectus in connection with the Securities, or otherwise to become a reporting issuer; and the constating documents of the Issuer further restrict the transfer of the common shares without the prior approval of the board of directors of the Issuer, which approval may be withheld in their sole and unfettered discretion. In addition to the foregoing, the Subscriber acknowledges and agrees that the Securities will be, upon the Issuer’s completion of a going public transactions, subject to a pooling arrangement with the Issuer pursuant to which the Securities cannot be sold or traded until the date that is four months and a day after the completion of the going public transaction. See also Section 8.1. The Subscriber acknowledges and agrees that: the Securities have not been and will not be registered under the United States Securities Act of 1933, as amended (~~000) 000-0000 (For filing purposes only~~the "1933 Act"), ~~Facsimile:~~ or any State securities laws, and may not be offered and sold, directly or indirectly, in the United States or by or to or for the account or benefit of a U.S. Person (~~000~~as defined in Regulation S ("Regulation S") ~~000-~~promulgated under the 0000 ~~(For privacy requests only)~~Xxx) without registration under the 1933 Act and any applicable State securities laws, ~~Email: fxxxxxxxxxxxxxxxxxxxxx@xxxxxxxxx.xx.xx (For corporate finance issuers)~~unless an exemption from registration is available; ~~fxxxx_xxxxxxxxxxxxxxx@xxxxxxxxx.xx.xx (For investment fund issuers); (vii) Financial~~ and Consumer Services Commission (New Brunswick), 80 Xxxxxxxxx Xxxxxx,, Xxxxx 000 Xxxxx Xxxx, Xxx Brunswick E2L 2J2, Telephone: (000) 000-0000, Toll free in Canada: 1-000-000-0000, Facsimile: (000) 000-0000, Email: ixxx@xxxx.xx; (viii) Nova Scotia Securities Commission, Suite 400, 5000 Xxxx Xxxxxx, Xxxx Xxxxx, X.X. Box 458 Halifax, Nova Scotia B3J 2P8, Telephone: (000) 000-0000, Facsimile: (000) 000-0000; (ix) Pxxxxx Xxxxxx Island Securities Office, 90 Xxxxxxxx Xxxxxx, 4th Floor Sxxx Building, P.O. Box 2000 Charlottetown, Pxxxxx Xxxxxx Island C1A 7N8, Telephone: (000) 000-0000, Facsimile: (000) 000-0000; and (x) Government of Newfoundland the Issuer has no present intention and Labrador, Financial Services Regulation Division, P.O. Box 8700, Confederation Building 2nd Floor, West Block, Pxxxxx Xxxxxx Drive, St. John’s, Newfoundland and Labrador A1B 4J6, Attention: Director of is not obligated under any circumstances to register the Securities, ~~Telephone: (000) 000~~or to take any other actions to facilitate or permit any proposed resale or transfer thereof in the United States or otherwise by or to or for the account or benefit of a U.S. Person, and in particular, the Subscriber and the Issuer further acknowledge and agree that the Issuer is hereby required to refuse to register any transfer of the Securities not made in accordance with the provisions of Regulation S, pursuant to registration under the 1933 Act, or pursuant to an available exemption from registration, and in accordance with all applicable state securities laws; and any warrants may not be exercised in the United States or otherwise by, or for the account or benefit of, a U.S. Person without registration under the 1933 Act and any applicable state securities laws, unless an exemption from registration is available and the holder of such warrant furnishes the Issuer with a legal opinion of counsel satisfactory to the Issuer to that effect. The foregoing discussion on hold periods and resale restrictions is a general summary only and is not intended to be comprehensive or exhaustive, or to apply in all circumstances. Subscribers are advised to consult with their own advisors concerning their particular circumstances and the particular nature of the restrictions on transfer, the extent of the applicable hold period and the possibilities of utilizing any further Exemptions or the obtaining of a discretionary order to transfer any Securities. Subscribers are further advised against attempting to resell or transfer any Securities until they have determined that any such resale or transfer is in compliance with the requirements of all applicable securities laws, including but not limited to compliance with restrictions on certain pre-~~0000~~trade activities and the filing with the appropriate regulatory authority of reports required upon any resale of the Securities. In the event that any of the Securities are subject to a hold period or any other restrictions on resale and transferability, ~~Facsimile: (000) 000~~the Issuer will place a legend on the certificates representing the Securities as are required under applicable securities laws or as it may otherwise deem necessary or advisable. Finder's Fee Subject to compliance with applicable laws, the Issuer may pay a finder's fee or commission to persons who assist in the introduction of investors to the Issuer. No finder's fee will be payable in respect of Shares sold pursuant to Rule 506 of Regulation D under the 1933 Act to a finder who is not registered as a broker-~~0000~~dealer under the United States Securities Exchange Act of 1934, as amended, and applicable state securities laws, or unless such finder is exempt from such registration requirements.

Appears in 1 contract

Samples: Subscription Agreement

Reporting and Consent. 5.1 The ~~Subscriber~~ Subscriber, on its own behalf and on behalf of any Disclosed Principal, expressly consents and agrees to: (a) the Issuer collecting personal information regarding the Subscriber and any Disclosed Principal for the purpose of completing the transactions contemplated by this ~~Agreement~~subscription; and (b) the Issuer releasing personal information regarding the ~~Subscriber~~ Subscriber, any Disclosed Principal and this Subscription, including the Subscriber's and any Disclosed Principal’s name, residential address, telephone number, email address and registration and delivery instructions, the number of Securities purchased, the number of securities of the Issuer held by the ~~Subscriber~~Subscriber and any Disclosed Principal, the status of the Subscriber and any Disclosed Principal as an ~~insider or registrant~~insider, as a Pro Group member or as otherwise represented herein, and, if applicable, information regarding the beneficial ownership of or the principals of the ~~Subscriber~~Subscriber and any Disclosed Principal, to securities regulatory authorities in compliance with Applicable Securities Laws, to other authorities as required by law and to the registrar and transfer agent of the Issuer for the purpose of arranging for the preparation of the certificates representing the Securities in connection with the Offering. The purpose of the collection of the information is to ensure the Issuer and its ~~advisers~~ advisors will be able to issue Securities to the Subscriber in accordance with the instructions of the Subscriber and in compliance with applicable ~~Canadian~~ corporate and securities ~~laws and Canadian Securities Exchange policies~~laws, and to obtain the information required to be provided in documents required to be filed with securities regulatory authorities under Applicable Securities Laws and with other authorities as required by law. The ~~Subscriber~~ Subscriber, on its own behalf and on behalf of any Disclosed Principal, further expressly consents and agrees to the collection, use and disclosure of all such personal information by securities regulatory authorities and other authorities in accordance with their requirements, including the provision of all such personal information to third party service providers from time to time. The contact information for the officer of the Issuer who can answer questions about the collection of information by the Issuer is as follows: Name & Title: ~~J. Oxxx Xxxxxxxxx~~Xxx Xxxxxxx, ~~CEO~~ Chief Financial Officer Issuer Name: ~~Grown Rogue International Inc.~~ ENERTOPIA CORP. Address: ~~300 Xxxxxxxx~~ Suite 950 – 0000 Xxxx Xxxxxx ~~Xxxx~~Xxxxxx, ~~Xxxxxxx~~Vancouver, ~~XX X0X 0X0 Xxxxxx~~ BC V6E 4A4 Telephone No: ~~500-~~(000) 000-0000 5.2 The ~~Subscriber~~ Subscriber, on its own behalf and on behalf of any Disclosed Principal, expressly acknowledges and agrees that: (a) the Issuer may be required to provide applicable securities regulators, or otherwise under the Proceeds of Crime (Money Laundering) and Terrorist Financing Act of Canada, a list setting forth the identities of the purchasers of the Securities and any personal information provided by the Subscriber, and the Subscriber hereby represents and warrants that to the best of the Subscriber’s knowledge, none of the funds representing the subscription proceeds to be provided by the Subscriber (i) have been or will be derived from or related to any activity that is deemed criminal under the law of Canada, the United States of America, or any other jurisdiction, or (ii) are being tendered on behalf of a person or entity who has not been identified to the Subscriber; the Subscriber hereby further covenants that it shall promptly notify the Issuer if the Subscriber discovers that any of such representations ceases to be true, and shall provide the Issuer with appropriate information in connection therewith; (b) the Subscriber is not a person or entity identified in the Regulations Implementing the United Nations Resolutions on the Suppression of Terrorism (“RIUNRST”), the United Nations Al-Qaida and Taliban Regulations (“UNAQTR”), the Regulations Implementing the United Nations Resolution on the Democratic People’s Republic of Korea (“UNRDPRK”), the Regulations Implementing the United Nations Resolution on Iran (“RIUNRI”), the Special Economic Measures (Zimbabwe) Regulations (the “Zimbabwe Regulations”), the Special Economic Measures (Burma) Regulations (the “Burma Regulations”) or any other similar statute; (c) the Subscriber acknowledges that the Issuer may in the future be required by law to disclose the Subscriber’s name and other information relating to this Agreement and the Subscriber’s subscription hereunder pursuant to the PCMLA, the Criminal Code (Canada), RIUNRST, UNAQTR, UNRDPRK, RIUNRI, the Zimbabwe Regulations, the Burma Regulations or any other similar statute; and (d) the Subscriber shall complete, sign and return such additional documentation as may be required from time to time under Applicable Securities Laws or any other applicable laws in connection with the Offering and this subscription. 5.3 The Subscriber authorizes the indirect collection of Personal Information (as hereinafter defined) by the securities regulatory authority or regulator (each as defined in National Instrument 14-101 Definitions) and confirms that the Subscriber has been notified by the Issuer: (a) that the Issuer will be delivering Personal Information to the securities regulatory authority or regulator; (b) that the Personal Information is being collected indirectly by the securities regulatory authority or regulator under the authority granted to it in Applicable Securities Laws; (c) that such Personal Information is being collected for the purpose of the administration and enforcement of Applicable Securities Laws; and (d) that the title, business address and business telephone number of the public official who can answer questions about the securities regulatory authority’s or regulator’s indirect collection of the Personal Information is as follows: (i) British Columbia Securities Commission, P.O. Box 10142, Pacific Centre, 700 Xxxx Xxxxxxx Xxxxxx, Xxxxxxxxx, Xxxxxxx Xxxxxxxx X0X 0X0, Inquiries: (000) 000-0000, Toll free in Canada: 1-000-000-0000, Facsimile: (000) 000-0000, Email: ixxxxxxxx@xxxx.xx.xx; (ii) Alberta Securities Commission, Suite 600, 200 – 0xx Xxxxxx, XX Xxxxxxx, Xxxxxxx X0X 0X0, Telephone: (000) 000-0000, Toll free in Canada: 1-000-000-0000, Facsimile: (000) 000-0000; (iii) Financial and Consumer Affairs Authority of Saskatchewan, Suite 600 - 0000 Xxxxxxxxxxxx Xxxxx, Xxxxxx, Xxxxxxxxxxxx X0X 0X0, Telephone: (000) 000-0000, Facsimile: (000) 000-0000; (iv) The Manitoba Securities Commission, 500 – 000 Xx. Xxxx Xxxxxx, Winnipeg, Manitoba R3C 4K5, Telephone: (000) 000-0000, Toll free in Manitoba 1-000-000-0000, Facsimile: (000) 000-0000; (v) Ontario Securities Commission, 20 Xxxxx Xxxxxx Xxxx, 00xx Xxxxx Xxxxxxx, Xxxxxxx X0X 0X0, Telephone: (000) 000-0000, Toll free in Canada: 1-000-000-0000, Facsimile: (000) 000-0000, Email: exxxxxxxxxxxxxxxxxx@xxx.xxx.xx.xx, Public official contact regarding indirect collection of information: Inquiries Officer; (vi) Autorité des marchés financiers, 800, Xxxxxx Xxxxxxxx, 00x xxxxx, X.X. 246, Tour de la Bourse, Montréal, Québec H4Z 1G3, Telephone: (000) 000-0000 or 1-000-000-0000, Facsimile: (000) 000-0000 (For filing purposes only), Facsimile: (000) 000-0000 (For privacy requests only), Email: fxxxxxxxxxxxxxxxxxxxxx@xxxxxxxxx.xx.xx (For corporate finance issuers); fxxxx_xxxxxxxxxxxxxxx@xxxxxxxxx.xx.xx (For investment fund issuers); (vii) Financial and Consumer Services Commission (New Brunswick), 80 Xxxxxxxxx Xxxxxx,, Xxxxx 000 Xxxxx Xxxx, Xxx Brunswick E2L 2J2, Telephone: (000) 000-0000, Toll free in Canada: 1-000-000-0000, Facsimile: (000) 000-0000, Email: ixxx@xxxx.xx; (viii) Nova Scotia Securities Commission, Suite 400, 5000 Xxxx Xxxxxx, Xxxx Xxxxx, X.X. Box 458 Halifax, Nova Scotia B3J 2P8, Telephone: (000) 000-0000, Facsimile: (000) 000-0000; (ix) Pxxxxx Xxxxxx Island Securities Office, 90 Xxxxxxxx Xxxxxx, 4th Floor Sxxx Building, P.O. Box 2000 Charlottetown, Pxxxxx Xxxxxx Island C1A 7N8, Telephone: (000) 000-0000, Facsimile: (000) 000-0000; and (x) Government of Newfoundland and Labrador, Financial Services Regulation Division, P.O. Box 8700, Confederation Building 2nd Floor, West Block, Pxxxxx Xxxxxx Drive, St. John’s, Newfoundland and Labrador A1B 4J6, Attention: Director of Securities, Telephone: (000) 000-0000, Facsimile: (000) 000-0000.the

Appears in 1 contract

Samples: Private Placement Subscription Agreement (Enertopia Corp.)

Reporting and Consent. 5.1 The ~~Subscriber~~ Subscriber, on its own behalf and on behalf of any Disclosed Principal, expressly consents and agrees to: (a) the Issuer collecting personal information regarding the Subscriber and any Disclosed Principal for the purpose of completing the transactions contemplated by this ~~Agreement~~subscription; and (b) the Issuer releasing personal information regarding the ~~Subscriber~~ Subscriber, any Disclosed Principal and this Subscription, including the Subscriber's and any Disclosed Principal’s name, residential address, telephone number, email address and registration and delivery instructions, the number of Securities purchased, the number of securities of the Issuer held by the ~~Subscriber~~Subscriber and any Disclosed Principal, the status of the Subscriber and any Disclosed Principal as an ~~insider or registrant~~insider, as a Pro Group member or as otherwise represented herein, and, if applicable, information regarding the beneficial ownership of or the principals of the ~~Subscriber~~Subscriber and any Disclosed Principal, to securities regulatory authorities in compliance with Applicable Securities Laws, to other authorities as required by law and to the registrar and transfer agent of the Issuer for the purpose of arranging for the preparation of the certificates representing the Securities in connection with the Offering. The purpose of the collection of the information is to ensure the Issuer and its ~~advisers~~ advisors will be able to issue Securities to the Subscriber in accordance with the instructions of the Subscriber and in compliance with applicable Canadian corporate and securities laws ~~and Canadian Securities~~ (including for the purposes described in Appendix 6A of the TSX Venture Exchange ~~policies~~Corporate Finance Manual), and to obtain the information required to be provided in documents required to be filed with securities regulatory authorities under Applicable Securities Laws and with other authorities as required by law. The ~~Subscriber~~ Subscriber, on its own behalf and on behalf of any Disclosed Principal, further expressly consents and agrees to the collection, use and disclosure of all such personal information by securities regulatory authorities and other authorities in accordance with their requirements, including the provision of all such personal information to third party service providers from time to time. The contact information for the officer of the Issuer who can answer questions about the collection of information by the Issuer is as follows: Name & Title: ~~J. Oxxx Xxxxxxxxx~~Xxxxxxx X’Xxxxxx, ~~CEO~~ President and Chief Executive Officer Issuer Name: ~~Grown Rogue International~~ NaiKun Wind Energy Group Inc. Address: ~~300 Xxxxxxxx~~ 615 – 0000 Xxxx Xxxxxx ~~Xxxx~~Xxxxxx, ~~Xxxxxxx~~Vancouver, ~~XX X0X 0X0 Xxxxxx~~ British Columbia V6E 4G1 Telephone No: ~~500~~000-000-~~0000~~0000 Email Address: XXXxxxxx@xxxxxx.xx 5.2 The ~~Subscriber~~ Subscriber, on its own behalf and on behalf of any Disclosed Principal, expressly acknowledges and agrees that: (a) the Issuer may be required to provide applicable securities regulators, or otherwise under the Proceeds of Crime (Money Laundering) and Terrorist Financing Act of Canada, a list setting forth the identities of the purchasers of the Securities and any personal information provided by the Subscriber, and the Subscriber hereby represents and warrants that to the best of the Subscriber’s knowledge, none of the funds representing the subscription proceeds to be provided by the Subscriber (i) have been or will be derived from or related to any activity that is deemed criminal under the law of Canada, the United States of America, or any other jurisdiction, or (ii) are being tendered on behalf of a person or entity who has not been identified to the Subscriber; the Subscriber hereby further covenants that it shall promptly notify the Issuer if the Subscriber discovers that any of such representations ceases to be true, and shall provide the Issuer with appropriate information in connection therewith; (b) the Subscriber is not a person or entity identified in the Regulations Implementing the United Nations Resolutions on the Suppression of Terrorism (“RIUNRST”), the United Nations Al-Qaida and Taliban Regulations (“UNAQTR”), the Regulations Implementing the United Nations Resolution on the Democratic People’s Republic of Korea (“UNRDPRK”), the Regulations Implementing the United Nations Resolution on Iran (“RIUNRI”), the Special Economic Measures (Zimbabwe) Regulations (the “Zimbabwe Regulations”), the Special Economic Measures (Burma) Regulations (the “Burma Regulations”) or any other similar statute; (c) the Subscriber acknowledges that the Issuer may in the future be required by law to disclose the Subscriber’s name and other information relating to this Agreement and the Subscriber’s subscription hereunder pursuant to the PCMLA, the Criminal Code (Canada), RIUNRST, UNAQTR, UNRDPRK, RIUNRI, the Zimbabwe Regulations, the Burma Regulations or any other similar statute; and (d) the Subscriber shall complete, sign and return such additional documentation as may be required from time to time under Applicable Securities Laws or any other applicable laws in connection with the Offering and this subscription. 5.3 The Subscriber authorizes the indirect collection of Personal Information (as hereinafter defined) by the securities regulatory authority or regulator (each as defined in National Instrument 14-101 Definitions) and confirms that the Subscriber has been notified by the Issuer: (a) that the Issuer will be delivering Personal Information to the securities regulatory authority or regulator; (b) that the Personal Information is being collected indirectly by the securities regulatory authority or regulator under the authority granted to it in Applicable Securities Laws; (c) that such Personal Information is being collected for the purpose of the administration and enforcement of Applicable Securities Laws; and (d) that the title, business address and business telephone number of the public official who can answer questions about the securities regulatory authority’s or regulator’s indirect collection of the Personal Information is as follows: (i) British Columbia Securities Commission, P.O. Box 10142, Pacific Centre, 700 Xxxx Xxxxxxx Xxxxxx, Xxxxxxxxx, Xxxxxxx Xxxxxxxx X0X 0X0, Inquiries: (000) 000-0000, Toll free in Canada: 1-000-000-0000, Facsimile: (000) 000-0000, Email: ixxxxxxxx@xxxx.xx.xx; (ii) Alberta Securities Commission, Suite 600, 200 – 0xx Xxxxxx, XX Xxxxxxx, Xxxxxxx X0X 0X0, Telephone: (000) 000-0000, Toll free in Canada: 1-000-000-0000, Facsimile: (000) 000-0000; (iii) Financial and Consumer Affairs Authority of Saskatchewan, Suite 600 - 0000 Xxxxxxxxxxxx Xxxxx, Xxxxxx, Xxxxxxxxxxxx X0X 0X0, Telephone: (000) 000-0000, Facsimile: (000) 000-0000; (iv) The Manitoba Securities Commission, 500 – 000 Xx. Xxxx Xxxxxx, Winnipeg, Manitoba R3C 4K5, Telephone: (000) 000-0000, Toll free in Manitoba 1-000-000-0000, Facsimile: (000) 000-0000; (v) Ontario Securities Commission, 20 Xxxxx Xxxxxx Xxxx, 00xx Xxxxx Xxxxxxx, Xxxxxxx X0X 0X0, Telephone: (000) 000-0000, Toll free in Canada: 1-000-000-0000, Facsimile: (000) 000-0000, Email: exxxxxxxxxxxxxxxxxx@xxx.xxx.xx.xx, Public official contact regarding indirect collection of information: Inquiries Officer; (vi) Autorité des marchés financiers, 800, Xxxxxx Xxxxxxxx, 00x xxxxx, X.X. 246, Tour de la Bourse, Montréal, Québec H4Z 1G3, Telephone: (000) 000-0000 or 1-000-000-0000, Facsimile: (000) 000-0000 (For filing purposes only), Facsimile: (000) 000-0000 (For privacy requests only), Email: fxxxxxxxxxxxxxxxxxxxxx@xxxxxxxxx.xx.xx (For corporate finance issuers); fxxxx_xxxxxxxxxxxxxxx@xxxxxxxxx.xx.xx (For investment fund issuers); (vii) Financial and Consumer Services Commission (New Brunswick), 80 Xxxxxxxxx Xxxxxx,, Xxxxx 000 Xxxxx Xxxx, Xxx Brunswick E2L 2J2, Telephone: (000) 000-0000, Toll free in Canada: 1-000-000-0000, Facsimile: (000) 000-0000, Email: ixxx@xxxx.xx; (viii) Nova Scotia Securities Commission, Suite 400, 5000 Xxxx Xxxxxx, Xxxx Xxxxx, X.X. Box 458 Halifax, Nova Scotia B3J 2P8, Telephone: (000) 000-0000, Facsimile: (000) 000-0000; (ix) Pxxxxx Xxxxxx Island Securities Office, 90 Xxxxxxxx Xxxxxx, 4th Floor Sxxx Building, P.O. Box 2000 Charlottetown, Pxxxxx Xxxxxx Island C1A 7N8, Telephone: (000) 000-0000, Facsimile: (000) 000-0000; and (x) Government of Newfoundland and Labrador, Financial Services Regulation Division, P.O. Box 8700, Confederation Building 2nd Floor, West Block, Pxxxxx Xxxxxx Drive, St. John’s, Newfoundland and Labrador A1B 4J6, Attention: Director of Securities, Telephone: (000) 000-0000, Facsimile: (000) 000-0000.Money

Appears in 1 contract

Samples: Subscription Agreement

Reporting and Consent. ~~5.1 The Subscriber~~ 8.1 Each Vendor, on its own behalf and on behalf of any other person for whom it is contracting hereunder, expressly consents and agrees to: (a) the ~~Issuer~~ Purchaser collecting personal information regarding the ~~Subscriber~~ Vendor for the purpose of completing the transactions contemplated by this Agreement; and (b) the ~~Issuer~~ Purchaser releasing personal information regarding the ~~Subscriber~~ Vendor and this ~~Subscription~~Agreement, including the ~~Subscriber~~Vendor’s name, residential address, telephone number, email address and registration and delivery instructions, the number of ~~Securities purchased, the number of securities of the Issuer held by the Subscriber, the status of the Subscriber as an insider or registrant, or as otherwise represented herein~~Consideration Shares received, and, if applicable, information regarding the beneficial ownership of or the principals of the ~~Subscriber~~Vendor, to securities regulatory authorities in compliance with Applicable ~~Securities~~ Laws, to other authorities as required by law and to the registrar and transfer agent of the ~~Issuer~~ Purchaser for the purpose of arranging for the preparation of the certificates representing the ~~Securities~~ Consideration Shares in connection with the ~~Offering.~~ transaction contemplated in this Agreement.‌ The purpose of the collection of the information is to ensure the ~~Issuer~~ Purchaser and its ~~advisers~~ advisors will be able to issue ~~Securities~~ the Consideration Shares to the ~~Subscriber~~ Vendor in accordance with the instructions of the ~~Subscriber~~ Vendor and in compliance with applicable ~~Canadian corporate~~ corporate, securities and ~~securities laws and Canadian Securities~~ other laws, as well as Exchange ~~policies~~requirements, and to obtain the information required to be provided in documents required to be filed with securities regulatory authorities under Applicable ~~Securities~~ Laws and with other authorities (including the Exchange) as ~~required by law~~required, which may include their public disclosure of such information. The ~~Subscriber~~ Vendor, on its own behalf and on behalf of any other person for whom it is contracting hereunder, further expressly consents and agrees to the collection, use and disclosure of all such personal information by securities regulatory authorities and other authorities in accordance with their requirements, including but not limited to the publishing or making available to the public of such information and the provision of ~~all~~ such ~~personal~~ information to third party service providers for their collection, use and disclosure from time to time. The contact information for the officer of the ~~Issuer~~ Purchaser who can answer questions about the collection of information by the ~~Issuer~~ Purchaser is as follows: ~~Name & Title: J. Oxxx Xxxxxxxxx, CEO Issuer Name: Grown Rogue International Inc. Address: 300 Xxxxxxxx Xxxxxx Xxxx, Xxxxxxx, XX X0X 0X0 Xxxxxx Telephone No: 500-~~Global Health Clinics Ltd. 000-0000 5.2 The Subscriber expressly acknowledges and agrees that: (a) the Issuer may be required to provide applicable securities regulators, or otherwise under the Proceeds of Crime (Money Laundering) and Terrorist Financing Act of Canada, a list setting forth the identities of the purchasers of the Securities and any personal information provided by the Subscriber, and the Subscriber hereby represents and warrants that to the best of the Subscriber’s knowledge, none of the funds representing the subscription proceeds to be provided by the Subscriber (i) have been or will be derived from or related to any activity that is deemed criminal under the law of Canada, the United States of America, or any other jurisdiction, or (ii) are being tendered on behalf of a person or entity who has not been identified to the Subscriber; the Subscriber hereby further covenants that it shall promptly notify the Issuer if the Subscriber discovers that any of such representations ceases to be true, and shall provide the Issuer with appropriate information in connection therewith; (b) the Subscriber is not a person or entity identified in the Regulations Implementing the United Nations Resolutions on the Suppression of Terrorism (“RIUNRST”), the United Nations Al-Qaida and Taliban Regulations (“UNAQTR”), the Regulations Implementing the United Nations Resolution on the Democratic People’s Republic of Korea (“UNRDPRK”), the Regulations Implementing the United Nations Resolution on Iran (“RIUNRI”), the Special Economic Measures (Zimbabwe) Regulations (the “Zimbabwe Regulations”), the Special Economic Measures (Burma) Regulations (the “Burma Regulations”) or any other similar statute; (c) the Subscriber acknowledges that the Issuer may in the future be required by law to disclose the Subscriber’s name and other information relating to this Agreement and the Subscriber’s subscription hereunder pursuant to the PCMLA, the Criminal Code (Canada), RIUNRST, UNAQTR, UNRDPRK, RIUNRI, the Zimbabwe Regulations, the Burma Regulations or any other similar statute; and (d) the Subscriber shall complete, sign and return such additional documentation as may be required from time to time under Applicable Securities Laws or any other applicable laws in connection with the Offering and this subscription. 5.3 The Subscriber authorizes the indirect collection of Personal Information (as hereinafter defined) by the securities regulatory authority or regulator (each as defined in National Instrument 14-101 Definitions) and confirms that the Subscriber has been notified by the Issuer: (a) that the Issuer will be delivering Personal Information to the securities regulatory authority or regulator; (b) that the Personal Information is being collected indirectly by the securities regulatory authority or regulator under the authority granted to it in Applicable Securities Laws; (c) that such Personal Information is being collected for the purpose of the administration and enforcement of Applicable Securities Laws; and (d) that the title, business address and business telephone number of the public official who can answer questions about the securities regulatory authority’s or regulator’s indirect collection of the Personal Information is as follows: (i) British Columbia Securities Commission, P.O. Box 10142, Pacific Centre, 700 000 Xxxx Xxxxxxx Xxxxxx, Xxxxxxxxx, ~~Xxxxxxx Xxxxxxxx X0X 0X0, Inquiries~~XX V6C3N6 xxxxxxxx.xxx@xxxxx.xxx Name and Title: ~~(000) 000-0000, Toll free in Canada~~Purchaser Name: ~~1-000-000-0000, Facsimile~~Address: (000) 000-0000, Email: ixxxxxxxx@xxxx.xx.xx; (ii) Alberta Securities Commission, Suite 600, 200 – 0xx Xxxxxx, XX Xxxxxxx, Xxxxxxx X0X 0X0, Telephone: (000) 000-0000, Toll free in Canada: 1-000-000-0000, Facsimile: (000) 000-0000; (iii) Financial and Consumer Affairs Authority of Saskatchewan, Suite 600 - 0000 Xxxxxxxxxxxx Xxxxx, Xxxxxx, Xxxxxxxxxxxx X0X 0X0, Telephone: (000) 000-0000, Facsimile: (000) 000-0000; (iv) The Manitoba Securities Commission, 500 – 000 Xx. Xxxx Xxxxxx, Winnipeg, Manitoba R3C 4K5, Telephone: (000) 000-0000, Toll free in Manitoba 1-000-000-0000, Facsimile: (000) 000-0000; (v) Ontario Securities Commission, 20 Xxxxx Xxxxxx Xxxx, 00xx Xxxxx Xxxxxxx, Xxxxxxx X0X 0X0, Telephone: (000) 000-0000, Toll free in Canada: 1-000-000-0000, Facsimile: (000) 000-0000, Email: exxxxxxxxxxxxxxxxxx@xxx.xxx.xx.xx, Public official contact regarding indirect collection of information: Inquiries Officer; (vi) Autorité des marchés financiers, 800, Xxxxxx Xxxxxxxx, 00x xxxxx, X.X. 246, Tour de la Bourse, Montréal, Québec H4Z 1G3, Telephone: (000) 000-0000 or 1-000-000-0000, Facsimile: (000) 000-0000 (For filing purposes only), Facsimile: (000) 000-0000 (For privacy requests only), Email: fxxxxxxxxxxxxxxxxxxxxx@xxxxxxxxx.xx.xx (For corporate finance issuers); fxxxx_xxxxxxxxxxxxxxx@xxxxxxxxx.xx.xx (For investment fund issuers); (vii) Financial and Consumer Services Commission (New Brunswick), 80 Xxxxxxxxx Xxxxxx,, Xxxxx 000 Xxxxx Xxxx, Xxx Brunswick E2L 2J2, Telephone: (000) 000-0000, Toll free in Canada: 1-000-000-0000, Facsimile: (000) 000-0000, Email: ixxx@xxxx.xx; (viii) Nova Scotia Securities Commission, Suite 400, 5000 Xxxx Xxxxxx, Xxxx Xxxxx, X.X. Box 458 Halifax, Nova Scotia B3J 2P8, Telephone: (000) 000-0000, Facsimile: (000) 000-0000; (ix) Pxxxxx Xxxxxx Island Securities Office, 90 Xxxxxxxx Xxxxxx, 4th Floor Sxxx Building, P.O. Box 2000 Charlottetown, Pxxxxx Xxxxxx Island C1A 7N8, Telephone: (000) 000-0000, Facsimile: (000) 000-0000; and (x) Government of Newfoundland and Labrador, Financial Services Regulation Division, P.O. Box 8700, Confederation Building 2nd Floor, West Block, Pxxxxx Xxxxxx Drive, St. John’s, Newfoundland and Labrador A1B 4J6, Attention: Director of Securities, Telephone: (000) 000-0000, Facsimile: (000) 000-0000.Email Address:

Appears in 1 contract

Samples: Share Purchase Agreement

Reporting and Consent. 5.1 The ~~Subscriber~~ Subscriber, on its own behalf and on behalf of any other person for whom it is contracting hereunder, expressly consents and agrees to: (a) the Issuer collecting personal information regarding the Subscriber for the purpose of completing the transactions contemplated by this ~~Agreement~~Subscription; and (b) the Issuer releasing personal information regarding the ~~Subscriber~~ Subscriber, and this Subscription, including the Subscriber’s name, residential address, telephone number, email address and registration and delivery instructions, the number of Securities purchased, the number of securities of the Issuer held by the Subscriber, the status of the Subscriber as an ~~insider or registrant,~~ Insider or as otherwise represented herein, and, if applicable, information regarding the beneficial ownership of or the principals of the Subscriber, to securities regulatory authorities in compliance with Applicable Securities Laws, to other authorities as required by law and to the registrar and transfer agent of the Issuer for the ~~purpose~~ purposes of arranging for the preparation of the certificates representing the Securities in connection with the Offering. The purpose of the collection of the information is to ensure the Issuer and its ~~advisers~~ advisors will be able to issue Securities to the Subscriber in accordance with the instructions of the Subscriber and in compliance with applicable ~~Canadian corporate~~ corporate, securities and ~~securities laws and Canadian Securities~~ other laws, as well as Exchange ~~policies~~requirements, and to obtain the information required to be provided in documents required to be filed with securities regulatory authorities under Applicable Securities Laws and with other authorities (including an Exchange) as ~~required by law~~required, which may include their public disclosure of such information. The ~~Subscriber~~ Subscriber, on its own behalf and on behalf of any other person for whom it is contracting hereunder, further expressly consents and agrees to the collection, use and disclosure of all such personal information by securities regulatory authorities and other authorities in accordance with their requirements, ~~including~~ including, but not limited to, the publishing or making available to the public of such information and the provision of ~~all~~ such ~~personal~~ information to ~~third~~ third-party service providers for their collection, use and disclosure from time to time. The contact information for the officer of the Issuer who can answer questions about the collection of information by the Issuer is as follows: Name & Title: ~~J. Oxxx Xxxxxxxxx~~Amxx Xxxxxx, ~~CEO~~ President Issuer Name: ~~Grown Rogue International Inc.~~ CHEMESIS INTERNATIONAL INC. Address: ~~300 Xxxxxxxx Xxxxxx Xxxx~~Suxxx 0000, ~~Xxxxxxx~~000 Xxxxxxxxx Xxxxxx, XX Xxxxxxxxx, Xxxxxxx Xxxxxxxx, X0X 0X0 ~~Xxxxxx Telephone No~~Xmail Address: ~~500-000-0000~~amxxxxxxxx@xxxxxxxx.xxx 5.2 The ~~Subscriber~~ Subscriber, on its own behalf and on behalf of any other person for whom it is contracting hereunder, expressly acknowledges and agrees that: (a) the Issuer may be required to provide applicable securities regulators, or otherwise under the Proceeds of Crime (Money Laundering) and Terrorist Financing Act of Canada, a list setting forth the identities of the purchasers of the Securities and any personal information provided by the Subscriber, and the Subscriber hereby represents and warrants that to the best of the Subscriber’s knowledge, none of the funds representing the ~~subscription~~ Subscription proceeds to be provided by the Subscriber (i) have been or will be derived from or related to any activity that is deemed criminal under the ~~law~~ laws of Canada, the United States of America, or any other jurisdiction, or (ii) are being tendered on behalf of a person or entity who has not been identified to the Subscriber; the Subscriber hereby further covenants that it shall promptly notify the Issuer if the Subscriber discovers that any of such representations ~~ceases~~ cease to be true, and shall provide the Issuer with appropriate information in connection ~~therewith;~~herewith; and (b) the Subscriber is not a person or entity identified in the Regulations Implementing the United Nations Resolutions on the Suppression of Terrorism (“RIUNRST”), the United Nations Al-Qaida and Taliban Regulations (“UNAQTR”), the Regulations Implementing the United Nations Resolution on the Democratic People’s Republic of Korea (“UNRDPRK”), the Regulations Implementing the United Nations Resolution on Iran (“RIUNRI”), the Special Economic Measures (Zimbabwe) Regulations (the “Zimbabwe Regulations”), the Special Economic Measures (Burma) Regulations (the “Burma Regulations”) or any other similar statute; (c) the Subscriber acknowledges that the Issuer may in the future be required by law to disclose the Subscriber’s name and other information relating to this Agreement and the Subscriber’s subscription hereunder pursuant to the PCMLA, the Criminal Code (Canada), RIUNRST, UNAQTR, UNRDPRK, RIUNRI, the Zimbabwe Regulations, the Burma Regulations or any other similar statute; and (d) the Subscriber it shall complete, sign and return such additional documentation as may be required from time to time under Applicable Securities Laws or any other applicable laws in connection with the Offering and this ~~subscription~~Subscription. 5.3 The Subscriber authorizes the indirect collection of Personal Information (as hereinafter defined) by the securities regulatory authority or regulator (each as defined in National Instrument 14-101 Definitions) and confirms that Furthermore, the Subscriber ~~has been~~ is hereby notified ~~by the Issuer~~and acknowledges that: (a) ~~that~~ the Issuer ~~will be delivering Personal Information~~ may deliver to the ~~securities regulatory authority or regulator~~applicable Canadian Securities Commission certain personal information pertaining to the Subscriber, including such Subscriber’s full name, residential address, telephone number and email address, the number of Securities purchased by the Subscriber and the total purchase price paid for such Securities, the prospectus exemption relied on by the Issuer and the date of distribution of the Securities; (b) ~~that the Personal Information~~ such information is being collected indirectly by the ~~securities regulatory authority or regulator~~ applicable Canadian Securities Commission under the authority granted to it in ~~Applicable Securities Laws~~securities legislation; (c) ~~that~~ such ~~Personal Information~~ information is being collected for the ~~purpose~~ purposes of the administration and enforcement of ~~Applicable Securities Laws~~the securities legislation of the applicable Canadian jurisdictions; and (d) ~~that~~ the ~~title, business address and business telephone number of~~ Subscriber may contact the following public official ~~who can answer~~ in each jurisdiction with respect to questions about the ~~securities regulatory authority’s or regulator~~applicable Canadian Securities Commission’s indirect collection of such information at the ~~Personal Information is as follows: (i) British Columbia~~ following address and telephone number: Alberta Securities ~~Commission~~Commission Suxxx 000, ~~P.O. Box 10142, Pacific Centre, 700 Xxxx Xxxxxxx Xxxxxx, Xxxxxxxxx~~000 – 0xx Xxxxxx XX Xxxxxxx, Xxxxxxx ~~Xxxxxxxx~~ X0X ~~0X0, Inquiries~~0X0 Xelephone: ~~(000)~~ 400-000-~~0000, Toll~~ 0000 Xoll free in Canada: 1-000-000-~~0000, Facsimile~~0000 Xacsimile: ~~(000)~~ 400-000-~~0000, Email~~0000 Xublic official contact regarding indirect collection of information: ~~ixxxxxxxx@xxxx.xx.xx; (ii) Alberta~~ FOIP Coordinator British Columbia Securities ~~Commission, Suite 600, 200 – 0xx Xxxxxx, XX Xxxxxxx~~Commission P.X. Xxx 00000, Xxxxxxx Xxxxxx 000 Xxxx Xxxxxxx Xxxxxx Xxxxxxxxx, Xxxxxxx Xxxxxxxx X0X ~~0X0, Telephone~~0X0 Xnquiries: ~~(000)~~ 600-000-~~0000, Toll~~ 0000 Xoll free in Canada: 1-~~000~~800-373-6393 Facsimile: 600-000-~~0000, Facsimile~~0000 Xmail: ~~(000) 000-0000; (iii) Financial and Consumer Affairs Authority~~ FOX-xxxxxxx@xxxx.xx.xx Xublic official contact regarding indirect collection of ~~Saskatchewan, Suite 600 - 0000 Xxxxxxxxxxxx Xxxxx, Xxxxxx, Xxxxxxxxxxxx X0X 0X0, Telephone~~information: ~~(000) 000-0000, Facsimile: (000) 000-0000; (iv)~~ FOI Inquiries The Manitoba Securities ~~Commission,~~ Commission 500 – ~~000~~ 400 Xx. Xxxx ~~Xxxxxx, Winnipeg~~Xxxxxx Xxxxxxxx, Manitoba R3C ~~4K5,~~ 4K5 Telephone: ~~(000)~~ 200-000-~~0000, Toll~~ 0000 Xoll free in Manitoba 1-000-000-~~0000~~0000 Xacsimile: 200-000-0000 Xublic official contact regarding indirect collection of information: Director Financial and Consumer Services Commission (New Brunswick) 85 Xxxxxxxxx Xxxxxx, Xxxxx 000 Xxxxx Xxxx, Xxx Brunswick E2L 2J2 Telephone: 500-000-0000 Xoll free in Canada: 1-866-933-2222 Facsimile: ~~(000)~~ 500-000-~~0000; (v)~~ 0000 Xmail: inxx@xxxx.xx Xublic official contact regarding indirect collection of information: Chief Executive Officer and Privacy Officer Government of Newfoundland and Labrador Financial Services Regulation Division P.X. Xxx 0000 Xxxxxxxxxxxxx Xxxxxxxx 0xx Xxxxx, Xxxx Xxxxx Xrxxxx Xxxxxx Xrive St. John’s, Newfoundland and Labrador A1B 4J6 Attention: Director of Securities Telephone: 700-000-0000 Xacsimile: 700-000-0000 Xublic official contact regarding indirect collection of information: Superintendent of Securities Government of the Northwest Territories Office of the Superintendent of Securities P.X. Xxx 0000 Xxxxxxxxxxx, Xxxxxxxxx Xxxxxxxxxxx X0X 0X0 Xelephone: 860-000-0000 Xacsimile: 860-000-0000 Xublic official contact regarding indirect collection of information: Superintendent of Securities Nova Scotia Securities Commission Suxxx 000, 0000 Xxxx Xxxxxx Xxxx Xower P.X. Xxx 000 Xxxxxxx, Xxxx Xxxxxx X0X 0X0 Xelephone: 900-000-0000 Xacsimile: 900-000-0000 Xublic official contact regarding indirect collection of information: Executive Director Government of Nunavut Department of Justice Legal Registries Division P.O. Box 1000, Station 570 0xx Xxxxx, Xxxxx Xxxxxxxx Xxxxxxx, Nunavut X0A 0H0 Telephone: 860-000-0000 Xacsimile: 860-000-0000 Xublic official contact regarding indirect collection of information: Superintendent of Securities Ontario Securities ~~Commission,~~ Commission 20 Xxxxx Xxxxxx Xxxx, 00xx Xxxxx Xxxxxxx, Xxxxxxx X0X ~~0X0, Telephone~~0X0 Xelephone: ~~(000) 000~~416-~~0000,~~ 593- 8314 Toll free in Canada: 1-~~000~~877-785-1555 Facsimile: 410-000-~~0000, Facsimile~~0000 Xmail: ~~(000) 000-0000, Email: exxxxxxxxxxxxxxxxxx@xxx.xxx.xx.xx, Public~~ exxxxxxxxxxxxxxxxxx@xxx.xxx.xx.xx Xublic official contact regarding indirect collection of information: Inquiries ~~Officer; (vi)~~ Officer Prxxxx Xxxxxx Xsland Securities Office 95 Xxxxxxxx Xxxxxx, 4th Floor Shxx Xuilding P.X. Xxx 0000 Xxxxxxxxxxxxx, Xxxxxx Xxxxxx Xxxxxx X0X 7N8 Telephone: 900-000-0000 Xacsimile: 900-000-0000 Xublic official contact regarding indirect collection of information: Superintendent of Securities Autorité des marchés ~~financiers,~~ financiers 800, Xxxxxx Xxxxxxxx, 00x ~~xxxxx~~xtage C.P. 240, ~~X.X. 246~~Xxxx xx xx Xxxxxx Xxxxxxxx, ~~Tour de la Bourse, Montréal, Québec H4Z 1G3, Telephone~~Xxxxxx X0X 0X0 Xéléphone: ~~(000)~~ 510-000-0000 or xr 1-877-525-0337 Facsimile: 510-000-~~000~~0000 Xmail: fixxxxxxxxxxxxxxxxxxxx@xxxxxxxxx.xx.xx Xublic official contact regarding indirect collection of information: Secrétaire générale Financial and Consumer Affairs Authority of Saskatchewan Suite 601 – 1900 Xxxxxxxxxxxx Xxxxx Xxxxxx, Xxxxxxxxxxxx X0X 0X0 Xelephone: 300-~~0000, Facsimile: (000)~~ 000-0000 ~~(For filing purposes only), Facsimile~~Xacsimile: ~~(000)~~ 300-000-0000 ~~(For privacy requests only), Email~~Xublic official contact regarding indirect collection of information: ~~fxxxxxxxxxxxxxxxxxxxxx@xxxxxxxxx.xx.xx (For corporate finance issuers); fxxxx_xxxxxxxxxxxxxxx@xxxxxxxxx.xx.xx (For investment fund issuers); (vii) Financial and Consumer~~ Director Government of Yukon Department of Community Services ~~Commission (New Brunswick), 80 Xxxxxxxxx Xxxxxx,~~Office of the Superintendent of Securities 300 Xxxxx Xxxxxx Xxxxxxxxxx, Xxxxx ~~000 Xxxxx Xxxx, Xxx Brunswick E2L 2J2, Telephone~~X0X 0X0 Xelephone: ~~(000) 000-0000, Toll free in Canada: 1~~860-000-0000 Xacsimile: 860-000-~~0000, Facsimile~~0000 Xmail: ~~(000) 000-0000, Email~~sexxxxxxxx@xxx.xx.xx Xublic official contact regarding indirect collection of information: ixxx@xxxx.xx; (viii) Nova Scotia Securities Commission, Suite 400, 5000 Xxxx Xxxxxx, Xxxx Xxxxx, X.X. Box 458 Halifax, Nova Scotia B3J 2P8, Telephone: (000) 000-0000, Facsimile: (000) 000-0000; (ix) Pxxxxx Xxxxxx Island Securities Office, 90 Xxxxxxxx Xxxxxx, 4th Floor Sxxx Building, P.O. Box 2000 Charlottetown, Pxxxxx Xxxxxx Island C1A 7N8, Telephone: (000) 000-0000, Facsimile: (000) 000-0000; and (x) Government of Newfoundland and Labrador, Financial Services Regulation Division, P.O. Box 8700, Confederation Building 2nd Floor, West Block, Pxxxxx Xxxxxx Drive, St. John’s, Newfoundland and Labrador A1B 4J6, Attention: Director Superintendent of Securities~~, Telephone: (000) 000-0000, Facsimile: (000) 000-0000.~~

Appears in 1 contract

Samples: Subscription Agreement (Chemesis International Inc.)

Reporting and Consent. ~~5.1~~ 5.1. The ~~Subscriber~~ Subscriber, on its own behalf and on behalf of any other person for whom it is contracting hereunder, expressly consents and agrees to: (a) the Issuer collecting personal information regarding the Subscriber for the purpose of completing the transactions contemplated by this ~~Agreement~~Subscription; and (b) the Issuer releasing personal information regarding the Subscriber and this Subscription, including the Subscriber’s name, residential address, telephone number, email address and registration and delivery instructions, the number of Securities purchased, the number of securities of the Issuer held by the Subscriber, the status of the Subscriber as an ~~insider or registrant~~insider, as a Pro Group member or as otherwise represented herein, and, if applicable, information regarding the beneficial ownership of or the principals of the Subscriber, to securities regulatory authorities in compliance with Applicable Securities Laws, to other authorities as required by law and ~~to the registrar and transfer agent of the Issuer~~ as required for the purpose of arranging for the preparation of the certificates representing the Securities in connection with the Offering. The purpose of the collection of the information is to ensure the Issuer and its ~~advisers~~ advisors will be able to issue Securities to the Subscriber in accordance with the instructions of the Subscriber and in compliance with applicable ~~Canadian corporate~~ corporate, securities and ~~securities~~ other laws ~~and Canadian Securities Exchange policies,~~ and to obtain the information required to be provided in documents required to be filed with securities regulatory authorities under Applicable Securities Laws and with other authorities as ~~required by law~~required, which may include their public disclosure of such information. The ~~Subscriber~~ Subscriber, on its own behalf and on behalf of any other person for whom it is contracting hereunder, further expressly consents and agrees to the collection, use and disclosure of all such personal information by securities regulatory authorities and other authorities in accordance with their requirements, including but not limited to the publishing or making available to the public of such information and the provision of ~~all~~ such ~~personal~~ information to third party service providers for their collection, use and disclosure from time to time. The Subscriber further acknowledges and agrees that certain aspects of its personal information, namely the Subscriber’s name, residential address and number of Securities purchased, will be available in public record maintained by the British Columbia Securities Commission. The contact information for the officer of the Issuer who can answer questions about the collection of information by the Issuer is as follows: Name & Title: ~~J. Oxxx Xxxxxxxxx~~Xxxxxx Xxxx, CEO and Director Issuer Name: ~~Grown Rogue International Inc.~~ DRNK Beverage Corp. Address: ~~300~~ 000 Xxxx Xxxxxxxx ~~Xxxxxx Xxxx~~Xxxxxx, ~~Xxxxxxx~~Xxxxx 000, XX Xxxxxxxxx, Xxxxxxx Xxxxxxxx, X0X 0X0 ~~Xxxxxx~~ Telephone No: ~~500-000-0000~~______________________ ~~5.2~~ 5.2. The ~~Subscriber~~ Subscriber, on its own behalf and on behalf of any other person for whom it is contracting hereunder, expressly acknowledges and agrees that: (a) the Issuer may be required to provide applicable securities regulators, or otherwise under the Proceeds of Crime (Money Laundering) and Terrorist Financing Act of Canada, a list setting forth the identities of the purchasers of the Securities and any personal information provided by the Subscriber, and the Subscriber hereby represents and warrants that to the best of the Subscriber’s knowledge, none of the funds representing the subscription proceeds to be provided by the Subscriber (i) have been or will be derived from or related to any activity that is deemed criminal under the law of Canada, the United States of America, or any other jurisdiction, or (ii) are being tendered on behalf of a person or entity who has not been identified to the Subscriber; the Subscriber hereby further covenants that it shall promptly notify the Issuer if the Subscriber discovers that any of such representations ceases to be true, and shall provide the Issuer with appropriate information in connection therewith; (b) the Subscriber is not a person or entity identified in the Regulations Implementing the United Nations Resolutions on the Suppression of Terrorism (“RIUNRST”), the United Nations Al-Qaida and Taliban Regulations (“UNAQTR”), the Regulations Implementing the United Nations Resolution on the Democratic People’s Republic of Korea (“UNRDPRK”), the Regulations Implementing the United Nations Resolution on Iran (“RIUNRI”), the Special Economic Measures (Zimbabwe) Regulations (the “Zimbabwe Regulations”), the Special Economic Measures (Burma) Regulations (the “Burma Regulations”) or any other similar statute; (c) the Subscriber acknowledges that the Issuer may in the future be required by law to disclose the Subscriber’s name and other information relating to this Agreement and the Subscriber’s subscription hereunder pursuant to the PCMLA, the Criminal Code (Canada), RIUNRST, UNAQTR, UNRDPRK, RIUNRI, the Zimbabwe Regulations, the Burma Regulations or any other similar statute; and (d) the Subscriber shall complete, sign and return such additional documentation as may be required from time to time under Applicable Securities Laws or any other applicable laws in connection with the Offering and this subscription. 5.3 The Subscriber authorizes the indirect collection of Personal Information (as hereinafter defined) by the securities regulatory authority or regulator (each as defined in National Instrument 14-101 Definitions) and confirms that the Subscriber has been notified by the Issuer: (a) that the Issuer will be delivering Personal Information to the securities regulatory authority or regulator; (b) that the Personal Information is being collected indirectly by the securities regulatory authority or regulator under the authority granted to it in Applicable Securities Laws; (c) that such Personal Information is being collected for the purpose of the administration and enforcement of Applicable Securities Laws; and (d) that the title, business address and business telephone number of the public official who can answer questions about the securities regulatory authority’s or regulator’s indirect collection of the Personal Information is as follows: (i) British Columbia Securities Commission, P.O. Box 10142, Pacific Centre, 700 Xxxx Xxxxxxx Xxxxxx, Xxxxxxxxx, Xxxxxxx Xxxxxxxx X0X 0X0, Inquiries: (000) 000-0000, Toll free in Canada: 1-000-000-0000, Facsimile: (000) 000-0000, Email: ixxxxxxxx@xxxx.xx.xx; (ii) Alberta Securities Commission, Suite 600, 200 – 0xx Xxxxxx, XX Xxxxxxx, Xxxxxxx X0X 0X0, Telephone: (000) 000-0000, Toll free in Canada: 1-000-000-0000, Facsimile: (000) 000-0000; (iii) Financial and Consumer Affairs Authority of Saskatchewan, Suite 600 - 0000 Xxxxxxxxxxxx Xxxxx, Xxxxxx, Xxxxxxxxxxxx X0X 0X0, Telephone: (000) 000-0000, Facsimile: (000) 000-0000; (iv) The Manitoba Securities Commission, 500 – 000 Xx. Xxxx Xxxxxx, Winnipeg, Manitoba R3C 4K5, Telephone: (000) 000-0000, Toll free in Manitoba 1-000-000-0000, Facsimile: (000) 000-0000; (v) Ontario Securities Commission, 20 Xxxxx Xxxxxx Xxxx, 00xx Xxxxx Xxxxxxx, Xxxxxxx X0X 0X0, Telephone: (000) 000-0000, Toll free in Canada: 1-000-000-0000, Facsimile: (000) 000-0000, Email: exxxxxxxxxxxxxxxxxx@xxx.xxx.xx.xx, Public official contact regarding indirect collection of information: Inquiries Officer; (vi) Autorité des marchés financiers, 800, Xxxxxx Xxxxxxxx, 00x xxxxx, X.X. 246, Tour de la Bourse, Montréal, Québec H4Z 1G3, Telephone: (000) 000-0000 or 1-000-000-0000, Facsimile: (000) 000-0000 (For filing purposes only), Facsimile: (000) 000-0000 (For privacy requests only), Email: fxxxxxxxxxxxxxxxxxxxxx@xxxxxxxxx.xx.xx (For corporate finance issuers); fxxxx_xxxxxxxxxxxxxxx@xxxxxxxxx.xx.xx (For investment fund issuers); (vii) Financial and Consumer Services Commission (New Brunswick), 80 Xxxxxxxxx Xxxxxx,, Xxxxx 000 Xxxxx Xxxx, Xxx Brunswick E2L 2J2, Telephone: (000) 000-0000, Toll free in Canada: 1-000-000-0000, Facsimile: (000) 000-0000, Email: ixxx@xxxx.xx; (viii) Nova Scotia Securities Commission, Suite 400, 5000 Xxxx Xxxxxx, Xxxx Xxxxx, X.X. Box 458 Halifax, Nova Scotia B3J 2P8, Telephone: (000) 000-0000, Facsimile: (000) 000-0000; (ix) Pxxxxx Xxxxxx Island Securities Office, 90 Xxxxxxxx Xxxxxx, 4th Floor Sxxx Building, P.O. Box 2000 Charlottetown, Pxxxxx Xxxxxx Island C1A 7N8, Telephone: (000) 000-0000, Facsimile: (000) 000-0000; and (x) Government of Newfoundland and Labrador, Financial Services Regulation Division, P.O. Box 8700, Confederation Building 2nd Floor, West Block, Pxxxxx Xxxxxx Drive, St. John’s, Newfoundland and Labrador A1B 4J6, Attention: Director of Securities, Telephone: (000) 000-0000, Facsimile: (000) 000-0000.

Appears in 1 contract

Samples: Subscription Agreement (LQR House Inc.)

Common use of Reporting and Consent Clause in Contracts