Common use of Successor to Escrow Agent Clause in Contracts

Successor to Escrow Agent. Any corporation with which the Escrow Agent may be amalgamated, merged or consolidated, or any corporation succeeding to the business of the Escrow Agent will be the successor of the Escrow Agent under this Agreement without any further act on its part or on the part or any of the Parties, provided that the successor is recognized by the Exchange. The Parties have executed and delivered this Agreement as of the date set out above. NATIONAL BANK TRUST INC. ----------------------------------------- Authorized signatory --------------------------------------------- Authorized signatory -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 19 (AS AT AUGUST 2002) LMS MEDICAL SYSTEMS INC. -------------------------------------------- Authorized signatory --------------------------------------------- Authorized signatory -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 20 (AS AT AUGUST 2002) If the Securityholder is an individual: Signed, sealed and delivered by ) o in the presence of: ) ) ------------------------------------------) Name ) ) ------------------------------------------) ------------------------ Address ) ) ------------------------------------------) ) ) ------------------------------------------) Occupation ) -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 21 (AS AT AUGUST 2002) If the Securityholder is not an individual: o Per: -------------------------------------- Authorized signatory -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 22 (AS AT AUGUST 2002) SCHEDULE "A" TO ESCROW AGREEMENT SECURITYHOLDER NAME:

Appears in 1 contract

Samples: Escrow Agreement (LMS Medical Systems Inc)

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Successor to Escrow Agent. Any corporation with which the Escrow Agent may be amalgamated, merged or consolidated, or any corporation succeeding to the business of the Escrow Agent will be the successor of the Escrow Agent under this Agreement without any further act on its part or on the part or any of the Parties, provided that the successor is recognized by the Exchange. The Parties have executed and delivered this Agreement as of the date set out above. NATIONAL BANK TRUST INC. ----------------------------------------- Authorized signatory --------------------------------------------- Authorized signatory -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 19 (AS AT AUGUST 2002) LMS MEDICAL SYSTEMS INC. -------------------------------------------- Authorized signatory --------------------------------------------- Authorized signatory -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 20 (AS AT AUGUST 2002) Comptershare Investors Services Inc. /s/ XXXX XXXXXXXX Xxxx Xxxxxxxx /s/ XXXX XXXXXXX Xxxx Xxxxxxx Corporation Capital SEP /s/ XXXXXXXX XXXXXXXX Xxxxxxxx Xxxxxxxx /s/ MTRE XXXXXX XXXXXXX Mtre Xxxxxx Xxxxxxx If the Securityholder is an individual: Signed, sealed and delivered by ) o Xxxxxxxx Xxxxxxxx in the presence of: ) ) ------------------------------------------) Xxxxxxxx Xxxxxxxxx ) Name ) ) ------------------------------------------000 Xxx Xxx Xxxxx ) ------------------------ /s/ XXXXXXXX XXXXXXXX Address ) ) ------------------------------------------Xxxxxxxx Xxxxxxxx Xxx Xxxxxx, XX X0X-0XX ) Adjointe ) ) ) ------------------------------------------Occupation ) FORM 2F (as at December 15, 2008) CPC ESCROW AGREEMENT Page 21 Signed, sealed and delivered by ) Xxxxxx Xxxxxxxxx in the presence of: ) ) Xxxxxxxx Xxxxxx ) Name ) ) 101 Monsadel ) /S/ XXXXXX XXXXXXXXX Address ) ) Xxxxxx Xxxxxxxxx Xxxxxxxx, XX X0X 0X0 ) ) ) Infirmiere ) Occupation ) -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 21 (AS AT AUGUST 2002Signed, sealed and delivered by ) Me Xxxxxx Xxxxxxx in the presence of: ) ) Xxxx Xxxxxxxxx ) Name ) ) 00 Xxx Xxxxxxx-Xxxxxx ) /S/ MTRE XXXXXX XXXXXXX Address ) ) Me Xxxxxx Xxxxxxx Xxxxx-Xxxxxxxx, XX X0X 0X0 ) ) ) Secretaire ) Occupation ) If the Securityholder is not an individual: o Per: -------------------------------------- Authorized signatory -------------------------------------------------------------------------------- Gestion X. Xxxxxxx Inc. /S/ XXXXXX XXXXXXX Xxxxx Xxxxxxx Daleco Inc. /S/ XXXXXX XXXXXXX Xxxxxx Xxxxxxx 3188302 Canada Inc. /S/ XXXX XXXXXXX Xxxx Xxxxxxx 9082-4418 Québec Inc. /S/ XXXXX XXXXXXXXX Xxxxx Xxxxxxxxx FORM 5D 2F (as at December 15, 2008) CPC ESCROW AGREEMENT PAGE 22 Page 23 Signed, sealed and delivered by Xxxxx Xxxxxx Xxxxxxx in the presence of: ) ) ) Xxxxxxxx Xxxxxxxxx ) Name ) ) 000 Xxx Xxx Xxxxx ) /S/ XXXXX XXXXXX XXXXXXX Address ) ) Xxxxx Xxxxxx Xxxxxxx Xxx Xxxxxx, XX X0X-0XX ) Adjointe ) ) ) Occupation ) Signed, sealed and delivered by Madame Esperance Nazi in the presence of: ) ) Xxxxxxxx Xxxxxxxxx ) ) Name ) ) 105 Xxxxxx-Oimet ) /S/ ESPERANCE NAZI Address ) ) Esperance Nazi Xxxxxxxxxx, XX X0X 1O8 ) Technicienne en Administration ) ) ) Occupation ) FORM 2F (AS AT AUGUST 2002as at December 15, 2008) SCHEDULE "A" TO CPC ESCROW AGREEMENT SECURITYHOLDER NAME:Page 24 Signed, sealed and delivered by ) Monsieur Xxxxxx Xxxxxxx, in trust for Xxxxxxx Xxxxxxx in the presence of: ) ) ) Xxxxxxxx Xxxxxxxxx ) Name ) ) 105 Xxxxxx-Oimet ) /s/ XXXXXX XXXXXXX Address ) ) ) Xxxxxx Xxxxxxx, in trust for Xxxxxxx Xxxxxxx Xxxxxxxxxx, QC J6Y 1O8 ) ) ) Technicienne en Administration ) Occupation ) FORM 2F (as at December 15, 2008) CPC ESCROW AGREEMENT Page 25 Schedule “A” to Escrow Agreement Securityholder Name: Xxxxxxxx Xxxxxxxx SIGNATURE: /S/ XXXXXXXX XXXXXXXX Address for Notice: 0000, xxx Xxxxxxxx-Xxxxxx Xxxxxx Xxxx (Xxxxxx) X0X 0X0 Securities: Class or description Number Certificate(s) (if applicable) Common Shares 515 000 FORM 2F (as at December 15, 2008) CPC ESCROW AGREEMENT Page 26 Schedule “A” to Escrow Agreement Securityholder Name: Xxxxxx Xxxxxxxxx Signature: /S/ XXXXXX XXXXXXXXX Address for Notice: 000, Xxxxxxxx Xxxxxxxx (Québec) H9J 3Y9 Securities: Class or description Number Certificate(s) (if applicable) Common shares 500 000 FORM 2F (as at December 15, 2008) CPC ESCROW AGREEMENT Page 27 Schedule “A” to Escrow Agreement Securityholder Name: Mtre Xxxxxx Xxxxxxx Signature: /S/ MTRE XXXXXX XXXXXXX Address for Notice: 000, xx xx Xxxxxx Xxxxx-Xxxxxxxx (Xxxxxx) X0X 0X0 Securities: Class or description Number Certificate(s) (if applicable) Common Shares 500 000 FORM 2F (as at December 15, 2008) CPC ESCROW AGREEMENT Page 28 Schedule “A” to Escrow Agreement Securityholder Name: Gestion X. Xxxxxxx Inc. Signature: /S/ XXXXX XXXXXXX Address for Notice: 000, xxx xxx Xxxxxxx Xx-Xxxx-Chrysostome (Québec) G6Z 2L1 Securities: Class or description Number Certificate(s) (if applicable) Common Shares 250 000 FORM 2F (as at December 15, 2008) CPC ESCROW AGREEMENT Page 29 Schedule “A” to Escrow Agreement Securityholder Name: Daleco Inc. Signature: /S/ XXXXXX XXXXXXX Address for Notice: 0000, xxxx. Xx-Xxxxxx Xxxx Laval (Québec) H7T 1C3 Securities: Class or description Number Certificate(s) (if applicable) Common Shares 1 250 000 FORM 2F (as at December 15, 2008) CPC ESCROW AGREEMENT Page 30 Schedule “A” to Escrow Agreement Securityholder Name: 3188302 Canada Inc. Signature: /S/ XXXX XXXXXXX Address for Notice: 3925, Bel-Air Sherbrooke (Québec) J1L 1A9 Securities: Class or description Number Certificate(s) (if applicable) Common Shares 250 000 FORM 2F (as at December 15, 2008) CPC ESCROW AGREEMENT Page 31 Schedule “A” to Escrow Agreement Securityholder Name: 9082-4418 Québec Inc. Signature: /S/ XXXXX XXXXXXXXX Address for Notice: 0000, Xxxx-Xxxxx Xx-Xxxxxxx (Xxxxxx) X0X 0X0 Securities: Class or description Number Certificate(s) (if applicable) Common Shares 1 000 000 FORM 2F (as at December 15, 2008) CPC ESCROW AGREEMENT Page 32 Schedule “A” to Escrow Agreement Securityholder Name: Xxxxx-Xxxxxx Xxxxxxx Signature: /S/ XXXXX-XXXXXX XXXXXXX Address for Notice: 0000, xxx Xxxxxxx-Xxxxxx Xxxxxx, XX X0X 0X0 Securities: Class or description Number Certificate(s) (if applicable) Common Shares 15 000 FORM 2F (as at December 15, 2008) CPC ESCROW AGREEMENT Page 33 Schedule “A” to Escrow Agreement Securityholder Name: Esperance Nazi Signature: /S/ ESPERANCE NAZI Address for Notice: 00, Xxx xxx Xxxxxxx Xxxxx (Xxxxxx) X0X 0X0 Securities: Class or description Number Certificate(s) (if applicable) Common Shares 40 000 FORM 2F (as at December 15, 2008) CPC ESCROW AGREEMENT Page 34 Schedule “A” to Escrow Agreement Securityholder Name: Monsieur Xxxxxx Xxxxxxx, in trust for Xxxxxxx Xxxxxxx Signature: /S/ XXXXXX XXXXXXX Address for Notice: 00, Xxx xxx Xxxxxxx Xxxxx (Xxxxxx) X0X 0X0 Securities: Class or description Number Certificate(s) (if applicable) Common Shares 15 000 FORM 2F (as at December 15, 2008) CPC ESCROW AGREEMENT Page 35 SCHEDULE B(1) – CPC ESCROW SECURITIES RELEASE SCHEDULE Timed Release Release Dates Percentage of Total Escrowed Securities to be Released Total Number of Escrowed Securities to be Released [Insert date of Final Exchange Bulletin] 10% 1/10 of your remaining Escrowed Securities 425 000 [Insert date 6 months following Final Exchange Bulletin] 1/6 of your remaining Escrowed Securities 637 500 [Insert date 12 months following Final Exchange Bulletin] 1/5 of your remaining Escrowed Securities 637 500 [Insert date 18 months following Final Exchange Bulletin] 1/4 of your remaining Escrowed Securities 637 500 [Insert date 24 months following Final Exchange Bulletin] 1/3 of your remaining Escrowed Securities 637 500 [Insert date 30 months following Final Exchange Bulletin] 1/2 of your remaining Escrowed Securities 637 500 [Insert date 36 months following Final Exchange Bulletin] All your remaining Escrowed Securities 637 500 TOTAL 100% 4 250 000 * In the simplest case, where there are no changes to the escrow securities initially deposited and no additional escrow securities, the release schedule outlined above results in the escrow securities being released in equal tranches of 15% after completion of the release on the date of the Final Exchange Bulletin. FORM 2F (as at December 15, 2008) CPC ESCROW AGREEMENT Page 36 SCHEDULE B(2) – TIER 1 ISSUER - ESCROW SECURITIES RELEASE SCHEDULE Timed Release Release Dates Percentage of Total Escrowed Securities to be Released Total Number of Escrowed Securities to be Released [Insert date of Final Exchange Bulletin] 1/4 of your remaining Escrowed Securities 1 062 500 [Insert date 6 months following Final Exchange Bulletin] 1/3 of your remaining Escrowed Securities 1 062 500 [Insert date 12 months following Final Exchange Bulletin] 1/2 of your remaining Escrowed Securities 1 062 500 [Insert date 18 months following Final Exchange Bulletin] All your remaining Escrowed Securities 1 062 500 TOTAL 100% 4 250 000 * In the simplest case, where there are no changes to the escrow securities initially deposited and no additional escrow securities, then the release schedule outlined above results in the escrow securities being released in equal tranches of 25%. ASSIGNMENT AGREEMENT This Assignment Agreement (this “Agreement”) is being executed and delivered as of September 11, 2009 by SEP Capital Corporation, a corporation existing under the laws of Canada (“Assignor”), Med BioGene Inc., a corporation existing under the laws of the Province of British Columbia (“Assignee”), Computershare Investor Services Inc. (“Escrow Agent”) and those individuals (“Escrow Holders”) holding escrowed securities of the Assignor (the “Assignor Securities”), in connection with the closing of the Assignor’s Alternative Transaction to its Qualifying Transaction (as that term is defined in Policy 2.4 of the TSX Venture Exchange (the “TSXV”) Corporate Finance Manual (the “Manual”)). Assignor, Assignee, Escrow Agent and Escrow Holders are sometimes referred to hereafter as the “Parties”.

Appears in 1 contract

Samples: Assignment Agreement (Med BioGene Inc.)

Successor to Escrow Agent. Any corporation with which the Escrow Agent may be amalgamated, merged or consolidated, or any corporation succeeding to the business of the Escrow Agent will be the successor of the Escrow Agent under this Agreement without any further act on its part or on the part or any of the Parties, provided that the successor is recognized by the Exchange. The Parties have executed and delivered this Agreement as of the date set out above. NATIONAL BANK ODYSSEY TRUST INC. ----------------------------------------- COMPANY “Signed” Authorized signatory --------------------------------------------- “Signed” Authorized signatory -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 19 (AS AT AUGUST 2002) LMS MEDICAL SYSTEMS INCTURMALINA METALS CORP. -------------------------------------------- “Signed” Authorized signatory --------------------------------------------- “Signed” Authorized signatory -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 20 (AS AT AUGUST 2002) If the Securityholder is an individual: Signed, sealed and delivered by ) o Xxxxx Xxxxx in the presence of: ) ) ------------------------------------------) Name ) ) ------------------------------------------) ------------------------ “Signed” Address ) ) ------------------------------------------XXXXX XXXXX ) ) ) ------------------------------------------) ) Occupation ) -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 21 (AS AT AUGUST 2002Signed, sealed and delivered by ) If Xxxxx Xxxxxxxxxx in the Securityholder is not an individualpresence of: o Per) ) ) Name ) ) ) “Signed” Address ) XXXXX XXXXXXXXXX ) ) ) ) ) Occupation ) Signed, sealed and delivered by ) Xxxxxxxxx Xxxxxxx in the presence of: -------------------------------------- Authorized signatory -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 22 (AS AT AUGUST 2002) SCHEDULE "A" TO ESCROW AGREEMENT SECURITYHOLDER NAME:) ) Name ) ) ) “Signed” Address ) XXXXXXXXX XXXXXXX ) ) ) ) ) Occupation ) Signed, sealed and delivered by ) Xxxxxxx Xxxxxx in the presence of: ) ) ) Name ) ) ) “Signed” Address ) XXXXXXX XXXXXX ) ) ) ) ) Occupation ) DINAPIQUE HOLDINGS

Appears in 1 contract

Samples: Escrow Agreement

Successor to Escrow Agent. Any corporation with which the Escrow Agent may be amalgamated, merged or consolidated, or any corporation succeeding to the business of the Escrow Agent will be the successor of the Escrow Agent under this Agreement without any further act on its part or on the part or any of the Parties, provided that the successor is recognized by the Exchange. The Parties have executed and delivered this Agreement as of the date set out above. NATIONAL BANK TRUST INCComputershare Investor Services Inc. “Xxx Xxxx” . ----------------------------------------- Authorized signatory --------------------------------------------- Xxx Xxxx . Print name of authorized signatory “Xxxxxxxx Au . Authorized signatory -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 19 (AS AT AUGUST 2002) LMS MEDICAL SYSTEMS INCXxxxxxxx Au . -------------------------------------------- Print name of authorized signatory Response Biomedical Corp. ”Xxxxx Xxxxxxxx” . Authorized signatory --------------------------------------------- Authorized signatory -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 20 (AS AT AUGUST 2002) If the Securityholder is an individual: Signed, sealed and delivered by Xxxxxxx X. Xxxxxx ) o in the presence of: ) ) ------------------------------------------”Xxxxxx Xxxxxx ) Name ) #1003 – 0000 Xxxxxxxx Xx. ) ------------------------------------------) ------------------------ ”Xxxxxxx X. Xxxxxx” Address ) XXXXXXX X. XXXXXX ) ------------------------------------------Xxxxxxxxx XX X0X 0X0 ) ) ) ------------------------------------------Office Administration ) Occupation ) -------------------------------------------------------------------------------- (as at August 2002) Signed, sealed and delivered by Xxxxx Xxxxxxxx ) in the presence of: ) ) ”Xxxxxx Xxxxxx ) Name ) #1003 – 0000 Xxxxxxxx Xx. ) ”Xxxxx Xxxxxxxx” Address ) XXXXX XXXXXXXX ) Xxxxxxxxx XX X0X 0X0 ) ) Office Administration ) Occupation ) Xxxxxx Engineering Ltd. ”Xxxxxx Xxxxxx” Authorized signatory (as at August 2002) Schedule “A” to Escrow Agreement Securityholder Name: Xxxxxxx X. Xxxxxx Signature: ”Xxxxxxx X. Xxxxxx” Address for Notice: 0000 Xxxxxxx Xxxxx Xxxxx Xxxxxxxxx, XX X0X 0X0 Securities: Class and Type (i.e. Value Securities or Surplus Securities Number Certificate(s) (if applicable) Surplus Securities Common Shares 275,000 FORM 5D ESCROW AGREEMENT PAGE 21 Page 24 (AS AT AUGUST as at August 2002) If the Schedule “A” to Escrow Agreement Securityholder is not an individualName: o PerXxxxx Xxxxxxxx Signature: -------------------------------------- Authorized signatory -------------------------------------------------------------------------------- ”Xxxxx Xxxxxxxx” Address for Notice: 0000 Xxxxxxx Xxxxx Xxxxx Xxxxxxxxx, XX X0X 0X0 Securities: Class and Type (i.e. Value Securities or Surplus Securities Number Certificate(s) (if applicable) Surplus Securities Common Shares 275,000 FORM 5D ESCROW AGREEMENT PAGE 22 Page 25 (AS AT AUGUST as at August 2002) Schedule “A” to Escrow Agreement Securityholder Name: Xxxxxx Engineering Ltd. Signature: ”Xxxxxx Xxxxxx” Address for Notice: Xxxxx 0000, 000 Xxxx Xxxxxxxx Xxxxxx Xxxxxxxxx, XX X0X 0X0 Securities: Class and Type (i.e. Value Securities or Surplus Securities Number Certificate(s) (if applicable) Surplus Securities Common Shares 275,000 FORM 5D ESCROW AGREEMENT Page 26 (as at August 2002) SCHEDULE "A" TO B(3) – TIER 1 SURPLUS SECURITY ESCROW AGREEMENT SECURITYHOLDER NAME:RELEASE OF SECURITIES Timed Release Release Dates Percentage of Total Escrowed Securities to be Released Total Number of Escrowed Securities to be Released [Insert date of Exchange Bulletin] 1/10 of your escrow securities 82,500 Common shares [Insert date 6 months following Exchange Bulletin] 1/6 of your remaining escrow securities 123,750 Common shares [Insert date 12 months following Exchange Bulletin] 1/5 of your remaining escrow securities 123,750 Common shares [Insert date 18 months following Exchange Bulletin] 1/4 of your remaining escrow securities 123,750 Common shares [Insert date 24 months following Exchange Bulletin] 1/3 of your remaining escrow securities 123,750 Common shares [Insert date 30 months following Exchange Bulletin] 1/2 of your remaining escrow securities 123,750 Common shares [Insert date 36 months following Exchange Bulletin] all of your remaining escrow securities 123,750 Common shares TOTAL 100% 825,000 Common shares *In the simplest case where there are no changes to the escrow securities initially deposited and no additional escrow securities, the release schedule outlined above results in the escrow securities being released in equal tranches of 15% after completion of the release on the date of the Exchange Bulletin. FORM 5D ESCROW AGREEMENT Page 27 (as at August 2002) SCHEDULE B(4) – TIER 2 SURPLUS SECURITY ESCROW AGREEMENT RELEASE OF SECURITIES Timed Release Release Dates Percentage of Total Escrowed Securities to be Released Total Number of Escrowed Securities to be Released [Insert date of Exchange Bulletin] no release nil [Insert date 6 months following Exchange Bulletin] 1/20 of your escrow securities 41,250 Common shares [Insert date 12 months following Exchange Bulletin] 1/19 of your remaining escrow securities 41,250 Common shares [Insert date 18 months following Exchange Bulletin] 1/18 of your remaining escrow securities 41,250 Common shares [Insert date 24 months following Exchange Bulletin] 1/17 of your remaining escrow securities 41,250 Common shares [Insert date 30 months following Exchange Bulletin] 1/8 of your remaining escrow securities 82,500 Common shares [Insert date 36 months following Exchange Bulletin] 1/7 of your remaining escrow securities 82,500 Common shares [Insert date 42 months following Exchange Bulletin] 1/6 of your remaining escrow securities 82,500 Common shares [Insert date 48 months following Exchange Bulletin] 1/5 of your remaining escrow securities 82,500 Common shares [Insert date 54 months following Exchange Bulletin] 1/4 of your remaining escrow securities 82,500 Common shares [Insert date 60 months following Exchange Bulletin] 1/3 of your remaining escrow securities 82,500 Common shares Insert date 66 months following Exchange Bulletin] 1/2 of your remaining escrow securities 82,500 Common shares [Insert date 72 months following Exchange Bulletin] all of your remaining escrow securities 82,500 Common shares TOTAL 100% 825,000 Common shares FORM 5D ESCROW AGREEMENT Page 28

Appears in 1 contract

Samples: Escrow Agreement (Response Biomedical Corp)

Successor to Escrow Agent. Any corporation with which the Escrow Agent may be amalgamated, merged or consolidated, or any corporation succeeding to the business of the Escrow Agent will be the successor of the Escrow Agent under this Agreement without any further act on its part or on the part or any of the Parties, provided that the successor is recognized by the Exchange. The Parties have executed and delivered this Agreement as of the date set out above. NATIONAL BANK TRUST COMPUTERSHARE INVESTOR SERVICES INC. ----------------------------------------- “Xxxxx Xxxxxxxx” Authorized signatory --------------------------------------------- “Xxxxx Xxxxxx” Authorized signatory -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 19 (AS AT AUGUST 2002) LMS MEDICAL SYSTEMS INCCRYPTOGLOBAL CORP. -------------------------------------------- “Xxx Xxxxx” Authorized signatory --------------------------------------------- “Xxxxx Xxxxxxxxxx” Authorized signatory -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 20 (AS AT AUGUST 2002) If the Securityholder is an individual: Signed, sealed and delivered by ) o Roozbeh Ebbadi in the presence of: ) ) ------------------------------------------“Xxxxx Xxxxxxx” ) Name ) ) ------------------------------------------[Redacted] ) ------------------------ “Roozbeh Ebbadi” Address ) ) ------------------------------------------Roozbeh Ebbadi ) ) ) ------------------------------------------) Chief Technology Officer, CryptoGlobal Corp. ) Occupation ) -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 21 (AS AT AUGUST 2002Signed, sealed and delivered by ) If Xxxxx Xxxxxxx in the Securityholder is not an individualpresence of: o Per) ) “Roozbeh Ebbadi” ) Name ) ) [Redacted] ) “Xxxxx Xxxxxxx” Address ) Xxxxx Xxxxxxx ) ) ) ) Chief Operating Officer, CryptoGlobal Corp. ) Occupation ) Signed, sealed and delivered by ) Xxxxx Xxxxx in the presence of: -------------------------------------- Authorized signatory -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 22 (AS AT AUGUST 2002) SCHEDULE "A" TO ESCROW AGREEMENT SECURITYHOLDER NAME:) “Xxxxxx Xxxxxx” ) Name ) ) [Redacted] ) “Xxxxx Xxxxx” Address ) Xxxxx Xxxxx ) ) ) ) Executive Assistant ) Occupation ) 1109382 Ontario Inc.

Appears in 1 contract

Samples: Escrow Agreement Surplus Security

Successor to Escrow Agent. Any corporation with which the Escrow Agent may be amalgamated, merged or consolidated, or any corporation succeeding to the business of the Escrow Agent will be the successor of the Escrow Agent under this Agreement without any further act on its part or on the part or any of the Parties, provided that the successor is recognized by the Exchange. The Parties have executed and delivered this Agreement as of the date set out above. NATIONAL BANK TRUST COMPUTERSHARE INVESTOR SERVICES INC. ----------------------------------------- “xx” Authorized signatory --------------------------------------------- “xxx” Authorized signatory -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 19 (AS AT AUGUST 2002) LMS MEDICAL SYSTEMS INCSYMBIO CAPITAL CORP. -------------------------------------------- “Xxx Xxxxx” Authorized signatory --------------------------------------------- “Xxxx Xxx” Authorized signatory -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 20 (AS AT AUGUST 2002If the Securityholder is an individual: Signed, sealed and delivered by ) Xxx Xxxxx in the presence of: ) ) Xxxxx X. Xxxxxxx ”Xxxxx Xxxxxxx” ) Name ) ) “Xxx Xxxxx” Suite 618 – 000 Xxxx Xxxxxxxx Xxxxxx ) Address ) Xxx Xxxxx ) Xxxxxxxxx, XX X0X 0X0 ) ) ) Lawyer ) Occupation ) If the Securityholder is an individual: Signed, sealed and delivered by ) o Xxxxxxx Xxxxxxxxx in the presence of: ) ) ------------------------------------------Xxxxx X. Xxxxxxx ”Xxxxx Xxxxxxx” ) Name ) ) ------------------------------------------“Xxxxxxx Xxxxxxxxx” Suite 618 – 000 Xxxx Xxxxxxxx Xxxxxx ) ------------------------ Address ) Xxxxxxx Xxxxxxxxx ) ------------------------------------------Xxxxxxxxx, XX X0X 0X0 ) ) ) ------------------------------------------Lawyer ) Occupation ) -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 21 (AS AT AUGUST 2002) If the Securityholder is not an individual: o PerSigned, sealed and delivered by ) Xxxx Xxx in the presence of: -------------------------------------- Authorized signatory -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 22 (AS AT AUGUST 2002) SCHEDULE "A" TO ESCROW AGREEMENT SECURITYHOLDER NAME:) Xxxxx X. Xxxxxxx ”Xxxxx Xxxxxxx” ) Name ) ) “Xxxx Xxx” Suite 618 – 000 Xxxx Xxxxxxxx Xxxxxx ) Address ) Xxxx Xxx ) Xxxxxxxxx, XX X0X 0X0 ) ) ) Lawyer ) Occupation ) If the Securityholder is an individual: Signed, sealed and delivered by ) Xxxxx Xxxxxxxx in the presence of: ) ) _Xxxxxxx Xxxxxxx ) Name )

Appears in 1 contract

Samples: CPC Escrow Agreement

Successor to Escrow Agent. Any corporation with which the Escrow Agent may be amalgamated, merged or consolidated, or any corporation succeeding to the business of the Escrow Agent will be the successor of the Escrow Agent under this Agreement without any further act on its part or on the part or any of the Parties, provided that the successor is recognized by the Exchange. The Parties have executed and delivered this Agreement as of the date set out above. NATIONAL BANK TRUST INC. ----------------------------------------- ComputerShare Trust Company of Canada /s/ Xxxxxxx Xxxxx Authorized signatory --------------------------------------------- /s/ Simon Law Authorized signatory -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 19 (AS AT AUGUST 2002) LMS MEDICAL SYSTEMS INC. -------------------------------------------- Distinct Infrastructure Group Inc. /s/ Xxx Xxxxx Authorized signatory --------------------------------------------- Authorized signatory -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 20 (AS AT AUGUST 2002) If the Securityholder is an individual: Signed, sealed and delivered by ) o Xxx Xxxxx in the presence of: ) /s/ Xxx Xxxxxx ) Name ) [redacted] ) /s/ Xxx Xxxxx Address ) Xxx Xxxxx Lawyer ) Occupation ) Signed, sealed and delivered by ) Xxxx Xxxxx in the presence of: ) /s/ Xxx Xxxxxx ) Name ) [redacted] ) /s/ Xxxx Xxxxx Address ) Xxxx Xxxxx Lawyer ) Occupation ) Signed, sealed and delivered by ) Xxxxxxxxxx Xxxxx in the presence of: ) /s/ Xxx Xxxxxx ) Name ) [redacted] ) /s/ Xxxxxxxxxx Xxxxx Address ) Xxxxxxxxxx Xxxxx Lawyer ) Occupation ) ) ) ) Signed, sealed and delivered by ) Xxxxxxx Road in the presence of: ) ) ------------------------------------------/s/ Xxx Xxxxxx ) Name ) [redacted] ) ------------------------------------------) ------------------------ /s/ Xxxxxxx Road Address ) ) ------------------------------------------) ) ) ------------------------------------------Xxxxxxx Road ) Occupation ) -------------------------------------------------------------------------------- FORM 5D Signed, sealed and delivered by ) Xxxxx Xxxxxxxxxxx in the presence of: ) ) /s/ Xxx Xxxxxx ) Name ) [redacted] ) /s/ Xxxxx Xxxxxxxxxxx Address ) Xxxxx Xxxxxxxxxxx Occupation ) Signed, sealed and delivered by ) Xxxxx Xxxxxx in the presence of: ) ) /s/ Xxxxxx Xxxxxxx ) Name ) [redacted] ) /s/ Xxxxx Xxxxxx Address ) Xxxxx Xxxxxx Engineer ) Occupation ) Signed, sealed and delivered by ) Xxxxxxx Xxxxxx in the presence of: ) ) /s/ Xxxxxx Xxxxxxx ) Name ) [redacted] ) /s/ Xxxxxxx Xxxxxx Address ) Xxxxxxx Xxxxxx Engineer ) Occupation ) Signed, sealed and delivered by ) Xxxx Xxxxxx Xxxxxx in the presence of: ) ) /s/ Xxxxxxxx X. Xxxxxxx ) Name ) [redacted] ) /s/ Xxxxx Xxxxxx Address ) Xxxxx Xxxxxx Xxxxxx Paralegal ) Occupation ) Ettrick Advisory Services Ltd. /s/ Xxx Xxxx Authorized signatory Schedule “A” to Escrow Agreement Securityholders Name: Xxx Xxxxx Signature: /s/ Xxx Xxxxx Address for Notice: [redacted] Securities: Class and Type Number Certificate(s) (if applicable) Common Shares 68,000,000 Name: Xxxx Xxxxx Signature: /s/ Xxxx Xxxxx Address for Notice: [redacted] Securities: Class and Type Number Certificate(s) (if applicable) Common Shares 68,000,000 Name: Xxxxx Xxxxxxxxxxx Signature: /s/ Xxxxx Xxxxxxxxxxx Address for Notice: [redacted] Securities: Class and Type Number Certificate(s) (if applicable) Common Shares 350,000 Warrants 175,000 Name: Xxxxxxx Xxxxxx Signature: /s/ Xxxxxxx Xxxxxx Address for Notice: [redacted] Securities: Class and Type Number Certificate(s) (if applicable) Common Shares 250,000 Warrants 125,000 Name: Xxxxx Xxxxxxx Signature: /s/ Xxxxx Xxxxxx Address for Notice: [redacted] Securities: Class and Type Number Certificate(s) (if applicable) Common Shares 10,000 Warrants 5,000 Name: Xxxxx Xxxxxx Signature: /s/ Xxxxx Xxxxxx Address for Notice: [redacted] Securities: Class and Type Number Certificate(s) (if applicable) Common Shares 200,000 Warrants 100,000 Name: Ettrick Advisory Services Ltd. Signature: /s/ Xxx Xxxx Address for Notice: [redacted] Securities: Class and Type Number Certificate(s) (if applicable) Common Shares 1,000,000 Warrants 500,000 Name: Xxxxxxxxxx Xxxxx Signature: /s/ Xxxxxxxxxx Xxxxx Address for Notice: [redacted] Securities: Class and Type Number Certificate(s) (if applicable) Common Shares 7,500,000 Name: Xxxxxxx Road Signature: /s/ Xxxxxxx Road Address for Notice: [redacted] Securities: Class and Type (i.e. Value Securities or Surplus Securities) Number Certificate(s) (if applicable) Common Shares 7,500,000 SCHEDULE B(1) – TIER 1 VALUE SECURITY ESCROW AGREEMENT PAGE 21 RELEASE OF SECURITIES Timed Release Release Dates Percentage of Total Escrowed Securities to be Released Total Number of Escrowed Securities to be Released Total Number of Escrowed Warrants to be Released [Insert date of Exchange Bulletin] 25% 38,202,500 226,250 [Insert date 6 months following Exchange Bulletin] 25% 38,202,500 226,250 [Insert date 12 months following Exchange Bulletin] 25% 38,202,500 226,250 [Insert date 18 months following Exchange Bulletin] 25% 38,202,500 226,250 TOTAL 100% 152,810,000 905,000 *In the simplest case where there are no changes to the escrow securities initially deposited and no additional escrow securities, then the release schedule outlined above results in the escrow securities being released in equal tranches of 25%. SCHEDULE B(5) UNDERTAKING OF HOLDING COMPANY TO: THE TSX VENTURE EXCHANGE Ettrick Advisory Services Ltd. (AS AT AUGUST 2002the "Securityholder") If has subscribed for and agreed to purchase, as principal, 1,000,000 Common Shares and 500,000 common share purchase warrants of DistinctTech Infrastructure Group Inc. (the "Escrowed Securities"). The Escrowed Securities will be held in escrow as detailed in the escrow agreement entered into between DistinctTech Infrastructure Group Inc. (the “Issuer”), ComputerShare Trust Company of Canada and the Securityholder. The undersigned Securityholder is undertakes that, to the extent reasonably possible, it will not an individual: o Per: -------------------------------------- permit or authorize its securities to be issued or transferred, nor will it otherwise authorize any transaction involving any of its securities that could reasonably result in a change of its control without the prior consent of the TSX Venture Exchange, as long as any Escrowed Securities remain held or are required to be held in escrow. DATED this 13th day of August, 2015. Ettrick Advisory Services Ltd. (Name of Securityholder - please print) /s/ Xxx Xxxx (Authorized signatory -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 22 Signature) President (AS AT AUGUST 2002) SCHEDULE "A" TO ESCROW AGREEMENT SECURITYHOLDER NAME:Official Capacity - please print)

Appears in 1 contract

Samples: Escrow Agreement Value Security

Successor to Escrow Agent. Any corporation with which the Escrow Agent may be amalgamated, merged or consolidated, or any corporation succeeding to the business of the Escrow Agent will be the successor of the Escrow Agent under this Agreement without any further act on its part or on the part or any of the Parties, provided that the successor is recognized by the Exchange. The Parties have executed and delivered this Agreement as of the date set out above. NATIONAL BANK TRUST COMPUTERSHARE INVESTOR SERVICES INC. ----------------------------------------- “Xxxx Xxxxxx” Authorized signatory --------------------------------------------- “Xxxx Xxxxxx” Authorized signatory -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 19 (AS AT AUGUST 2002) LMS MEDICAL SYSTEMS INCEXCELSIOR MINING CORP. -------------------------------------------- “Xxxx Xxxxxxxx” Authorized signatory --------------------------------------------- “Xxxxx Xxxxxx” Authorized signatory -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 20 (AS AT AUGUST 2002) If the Securityholder is an individual: Signed, sealed and delivered by ) o Xxxx Xxxxxxxx in the presence of: ) “Xxxxxx Xxxxx” ) ) Name ) #202 – 1690 Augusta Ave. ) “Xxxx Xxxxxxxx” ) Address ) Xxxx Xxxxxxxx Burnaby, BC V5A 2V6 ) ) ) Executive Assistant ) ) Occupation ) Signed, sealed and delivered by ) Xxx X. Xxxxx in the presence of: ) “Xxxxxx Xxxxx” ) ) Name ) #202 – 1690 Augusta Ave. ) “Xxx X. Xxxxx” ) Address ) Xxx X. Xxxxx Burnaby, BC V5A 2V6 ) ) ) Executive Assistant ) ) Occupation ) Signed, sealed and delivered by ) Xxxxxx Xxxxxxx in the presence of: ) “Xxxxxxx X. Xxxxxx” ) ) Name ) 0000 Xxxxxxx Xxxxx ) “Xxxxxx Xxxxxxx” ) Address ) Xxxxxx Xxxxxxx Delta, BC V9K 4J4 ) ) ) Investor Relations ) ) Occupation ) Signed, sealed and delivered by ) Xxxxxxx Xxxxxx in the presence of: ) “Xxxx Xxxxxx” ) ) Name ) #000 – 000 X. 00xx Xxxxxx ) “Xxxxxxx Xxxxxx” ) Address ) Xxxxxxx Xxxxxx North Vancouver, BC ) ) ) Housewife ) ) Occupation ) Signed, sealed and delivered by ) Xxxxx Xxxxxx in the presence of: ) “Xxxxxx Xxxxx” ) ) Name ) #209 – 1690 Augusta Ave. ) “Xxxxx Xxxxxx” ) Address ) Xxxxx Xxxxxx Burnaby, BC V5A 2V6 ) ) ) Executive Assistant ) ) Occupation ) Signed, sealed and delivered by ) Xxxxx Xxxxxx in the presence of: ) “Xxxxxx Xxxxx” ) ) Name ) #209 – 1690 Augusta Ave. ) “Xxxxx Xxxxxx” ) Address ) Xxxxx Xxxxxx Burnaby, BC V5A 2V6 ) ) ) Executive Assistant ) ) Occupation ) Signed, sealed and delivered by ) Xxx Xxxxxxxx in the presence of: ) ) ------------------------------------------) Name ) ) ------------------------------------------“Xxx Xxxxxxxx” ) ------------------------ Address ) ) ------------------------------------------Xxx Xxxxxxxx ) ) ) ------------------------------------------) ) Occupation ) -------------------------------------------------------------------------------- FORM 5D Signed, sealed and delivered by ) Xxxxxx Xxxxxxx in the presence of: ) “G.S. Dowbeta” ) ) Name ) 000 Xxxxx Xxxx Xxx. ) “Xxxxxx Xxxxxxx” ) Address ) Xxxxxx Shodine Winnipeg, MB ) ) ) Insurance Broker ) ) Occupation ) Schedule “A” to Escrow Agreement Securityholder Name: Xxxx Xxxxxxxx Signature: “Xxxx Xxxxxxxx” Address for Notice: Suite 0000, 0000 Xxxx Xxxxxx Xxxxxx Vancouver, BC V6E 4G1 Securities: Class or description Number Certificate(s) (if applicable) Common Shares 1,400,000 Securityholder Name: Xxx Xxxxx Signature: “Xxx Xxxxx” Address for Notice: Suite 0000, 0000 Xxxx Xxxxxx Xxxxxx Vancouver, BC V6E 4G1 Securities: Class or description Number Certificate(s) (if applicable) Common Shares 400,000 Schedule “A” to Escrow Agreement (cont’d) Securityholder Name: Xxxxxx Xxxxxxx Signature: “Xxxxxx Xxxxxxx” Address for Notice: Suite 0000, 0000 Xxxx Xxxxxx Xxxxxx Vancouver, BC V6E 4G1 Securities: Class or description Number Certificate(s) (if applicable) Common Shares 100,000 Securityholder Name: Xxxxxxx X. Xxxxxx Signature: “Xxxxxxx Xxxxxx” Address for Notice: Suite 0000, 0000 Xxxx Xxxxxx Xxxxxx Vancouver, BC V6E 4G1 Securities: Class or description Number Certificate(s) (if applicable) Common Shares 500,000 Schedule “A” to Escrow Agreement (cont’d) Securityholder Name: Xxxxx Xxxxxx Signature: “Xxxxx Xxxxxx” Address for Notice: Suite 0000, 0000 Xxxx Xxxxxx Xxxxxx Vancouver, BC V6E 4G1 Securities: Class or description Number Certificate(s) (if applicable) Common Shares 100,000 Securityholder Name: Xxxxx Xxxxxx Signature: “Xxxxx Xxxxxx” Address for Notice: Suite 0000, 0000 Xxxx Xxxxxx Xxxxxx Vancouver, BC V6E 4G1 Securities: Class or description Number Certificate(s) (if applicable) Common Shares 100,000 Schedule “A” to Escrow Agreement (cont’d) Securityholder Name: Xxx Xxxxxxxx Signature: “Xxx Xxxxxxxx” Address for Notice: Suite 0000, 0000 Xxxx Xxxxxx Xxxxxx Vancouver, BC V6E 4G1 Securities: Class or description Number Certificate(s) (if applicable) Common Shares 100,000 Securityholder Name: Xxxxxx Xxxxxxx Signature: “Xxxxxx Xxxxxxx” Address for Notice: Suite 0000, 0000 Xxxx Xxxxxx Xxxxxx Vancouver, BC V6E 4G1 Securities: Class or description Number Certificate(s) (if applicable) Common Shares 100,000 SCHEDULE B(1) – CPC ESCROW AGREEMENT PAGE 21 (AS AT AUGUST 2002SECURITIES RELEASE SCHEDULE Timed Release Release Dates Percentage of Total Escrowed Securities to be Released Total Number of Escrowed Securities to be Released [Insert date of Final Exchange Bulletin] 10% 1/10 of your escrow securities 280,000 [Insert date 6 months following Final Exchange Bulletin] 1/6 of your remaining escrow securities 420,000 [Insert date 12 months following Final Exchange Bulletin] 1/5 of your remaining escrow securities 420,000 [Insert date 18 months following Final Exchange Bulletin] 1/4 of your remaining escrow securities 420,000 [Insert date 24 months following Final Exchange Bulletin] 1/3 of your remaining escrow securities 420,000 [Insert date 30 months following Final Exchange Bulletin] 1/2 of your remaining escrow securities 420,000 [Insert date 36 months following Final Exchange Bulletin] all of your remaining escrowed securities 420,000 TOTAL 100% 2,800,000 * In the simplest case, where there are no changes to the escrow securities initially deposited and no additional escrow securities, the release schedule outlined above results in the escrow securities being released in equal tranches of 15% after completion of the release on the date of the Final Exchange Bulletin. SCHEDULE B(2) If the Securityholder is not an individual: o Per: -------------------------------------- Authorized signatory -------------------------------------------------------------------------------- FORM 5D – TIER 1 ISSUER - ESCROW AGREEMENT PAGE 22 (AS AT AUGUST 2002) SECURITIES RELEASE SCHEDULE "A" TO ESCROW AGREEMENT SECURITYHOLDER NAME:Timed Release Release Dates Percentage of Total Escrowed Securities to be Released Total Number of Escrowed Securities to be Released [Insert date of Final Exchange Bulletin] 1/4 of your escrow securities [Insert date 6 months following Final Exchange Bulletin] 25% 1/3 of your remaining escrow securities [Insert date 12 months following Final Exchange Bulletin] 1/2 of your remaining escrow securities [Insert date 18 months following Final Exchange Bulletin] all of your remaining escrowed securities TOTAL 100%

Appears in 1 contract

Samples: CPC Escrow Agreement

Successor to Escrow Agent. Any corporation with which the Escrow Agent may be amalgamated, merged or consolidated, or any corporation succeeding to the business of the Escrow Agent will be the successor of the Escrow Agent under this Agreement without any further act on its part or on the part or any of the Parties, provided that the successor is recognized by the Exchange. The Parties have executed and delivered this Agreement as of the date set out above. NATIONAL BANK COMPUTERSHARE TRUST INC. ----------------------------------------- COMPANY OF CANADA Per: (Signed) Xxxx Sasiniuk Authorized signatory --------------------------------------------- Per: (Signed) Xxxxxxxxx Xxxxxxxx Authorized signatory -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 19 ADDED CAPITAL CORP. Per: (AS AT AUGUST 2002Signed) LMS MEDICAL SYSTEMS INC. -------------------------------------------- Xxxxx X. Xxxxx Authorized signatory --------------------------------------------- Per: (Signed0 Xxxxxx X. Xxxxx Authorized signatory -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 20 (AS AT AUGUST 2002) If the Securityholder is an individual: Signed, sealed and delivered by ) o Xxxxxxxxxxx Xxxxxxx in the presence of: ) ) ------------------------------------------_(Signed) Xxxxxx X. XxXxxxx ) Name ) ) ------------------------------------------Xxxxxx X. XxXxxxx ) ------------------------ (Signed) Xxxxxxxxxxx Xxxxxxx Address ) Xxxxxxxxxxx Xxxxxxx ) ------------------------------------------Xxxxx 000, 000 – 00xx Xxx. X. X., Xxxxxxx, Xxxxxxx X0X 0X0 ) ) ) ------------------------------------------Barrister and Solicitor ) Occupation ) -------------------------------------------------------------------------------- FORM 5D Signed, sealed and delivered by ) Xxxxxx X. Xxxxx in the presence of: ) ) (Signed) Xxxxxx X. XxXxxxx ) Name ) ) Xxxxxx X. XxXxxxx ) (Signed) Xxxxxx X. Xxxxx Address ) Xxxxxx X. Xxxxx ) Xxxxx 000, 000 – 00xx Xxx. X. X., Xxxxxxx, Xxxxxxx X0X 0X0 ) ) ) Barrister and Solicitor ) Occupation ) Signed, sealed and delivered by ) Xxxxx X. Xxxxx in the presence of: ) ) (Signed) Xxxxxx X. XxXxxxx ) Name ) ) Xxxxxx X. XxXxxxx ) (Signed) Xxxxx X. Xxxxx Address ) Xxxxx X. Xxxxx ) Xxxxx 000, 000 – 00xx Xxx. X. X., Xxxxxxx, Xxxxxxx X0X 0X0 ) ) ) Barrister and Solicitor ) Occupation ) Schedule “A” to Escrow Agreement Securityholder Name: Xxxxxxxxxxx X. Xxxxxxx Signature: (Signed) Xxxxxxxxxxx X. Xxxxxxx Address for Notice: 000 Xxxxxxxxx Xxxxx X. X. Xxxxxxx, Xxxxxxx X0X 0X0 Securities: Class or description Number Certificate(s) (if applicable) Common Shares 900,000 1-C Securityholder Name: Xxxxxx X. Xxxxx Signature: (Signed) Xxxxxx X. Xxxxx Address for Notice: 000 Xxxxxx Xxxxx Dr. S. W. Calgary, Alberta T3H 2Z1 Securities: Class or description Number Certificate(s) (if applicable) Common Shares 50,000 2-C Securityholder Name: Xxxxx X. Xxxxx Signature: (Signed) Xxxxx X. Xxxxx Address for Notice: 0000 – 0xx Xxxxxx X. X. Xxxxxxx, Xxxxxxx X0X 0X0 Securities: Class or description Number Certificate(s) (if applicable) Common Shares 50,000 3-C SCHEDULE B(1) – CPC ESCROW AGREEMENT PAGE 21 (AS AT AUGUST 2002SECURITIES RELEASE SCHEDULE Timed Release Release Dates Percentage of Total Escrowed Securities to be Released Total Number of Escrowed Securities to be Released [Insert date of Final Exchange Bulletin] 10% 1/10 of your escrow securities 100,000 [Insert date 6 months following Final Exchange Bulletin] 1/6 of your remaining escrow securities 150,000 [Insert date 12 months following Final Exchange Bulletin] 1/5 of your remaining escrow securities 150,000 [Insert date 18 months following Final Exchange Bulletin] 1/4 of your remaining escrow securities 150,000 [Insert date 24 months following Final Exchange Bulletin] 1/3 of your remaining escrow securities 150,000 [Insert date 30 months following Final Exchange Bulletin] 1/2 of your remaining escrow securities 150,000 [Insert date 36 months following Final Exchange Bulletin] all of your remaining escrowed securities 150,000 TOTAL 100% 1,000,000 * In the simplest case, where there are no changes to the escrow securities initially deposited and no additional escrow securities, the release schedule outlined above results in the escrow securities being released in equal tranches of 15% after completion of the release on the date of the Final Exchange Bulletin. SCHEDULE B(2) If the Securityholder is not an individual: o Per: -------------------------------------- Authorized signatory -------------------------------------------------------------------------------- FORM 5D – TIER 1 ISSUER - ESCROW AGREEMENT PAGE 22 (AS AT AUGUST 2002) SECURITIES RELEASE SCHEDULE "A" TO ESCROW AGREEMENT SECURITYHOLDER NAME:Timed Release Release Dates Percentage of Total Escrowed Securities to be Released Total Number of Escrowed Securities to be Released [Insert date of Final Exchange Bulletin] 1/4 of your escrow securities [Insert date 6 months following Final Exchange Bulletin] 25% 1/3 of your remaining escrow securities [Insert date 12 months following Final Exchange Bulletin] 1/2 of your remaining escrow securities [Insert date 18 months following Final Exchange Bulletin] all of your remaining escrowed securities TOTAL 100%

Appears in 1 contract

Samples: CPC Escrow Agreement

Successor to Escrow Agent. Any corporation with which the Escrow Agent may be amalgamated, merged or consolidated, or any corporation succeeding to the business of the Escrow Agent will be the successor of the Escrow Agent under this Agreement without any further act on its part or on the part or any of the Parties, provided that the successor is recognized by the Exchange. The Parties have executed and delivered this Agreement as of the date set out above. NATIONAL BANK TRUST COMPUTERSHARE INVESTOR SERVICES INC. ----------------------------------------- signed “Xxxxxxx Xxxxxxx” Authorized signatory --------------------------------------------- signed “Xxxxx Xxxx” Authorized signatory -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 19 (AS AT AUGUST 2002) LMS MEDICAL SYSTEMS INCXXXXXX RESOURCES CORP. -------------------------------------------- signed “Xxxxx Xxxxxxxxxx” Authorized signatory --------------------------------------------- signed “Xxxxxxx Xxxxxxx” Authorized signatory -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 20 (AS AT AUGUST 2002) If the Securityholder is an individual: Signed, sealed and delivered by ) o Xxxxxxx Xxxxxxx in the presence of: ) ) ------------------------------------------) Name ) ) ------------------------------------------) ------------------------ signed “Xxxxxxx Xxxxxxx” Address ) ) ------------------------------------------Xxxxxxx Xxxxxxx ) ) ) ------------------------------------------) ) Occupation ) -------------------------------------------------------------------------------- FORM 5D Signed, sealed and delivered by ) Xxxx Xx Xxxxxxx in the presence of: ) ) ) Name ) ) ) signed “Xxxx Xx Xxxxxxx” Address ) Xxxx Xx Xxxxxxx ) ) ) ) ) Occupation ) Signed, sealed and delivered by ) Xxxxxxx Xxxxxxx in the presence of: ) ) ) Name ) ) ) signed “Xxxxxxx Xxxxxxx” Address ) Xxxxxxx Xxxxxxx ) ) ) ) ) Occupation ) Signed, sealed and delivered by ) Xxxxx Xxxxxxxxxx in the presence of: ) ) ) Name ) ) ) signed “Xxxxx Xxxxxxxxxx” Address ) Xxxxx Xxxxxxxxxx ) ) ) ) ) Occupation ) Signed, sealed and delivered by ) Xxxxxx Xxxxx in the presence of: ) ) ) Name ) ) ) signed “Xxxxxx Xxxxx” Address ) Xxxxxx Xxxxx ) ) ) ) ) Occupation ) Signed, sealed and delivered by ) Xxxxxx Xxxxxxxx in the presence of: ) ) ) Name ) ) ) signed “Xxxxxx Xxxxxxxxx” Address ) Xxxxxx Xxxxxxxxx ) ) ) ) ) Occupation ) Schedule “A” to Escrow Agreement Securityholder Name: Xxxxxxx Xxxxxxx Signature: signed “Xxxxxxx Xxxxxxx” Address for Notice: [redacted due to privacy] Securities: Class and Type (i.e. Value Securities or Surplus Securities) Number Certificate(s) (if applicable) Common Shares 2,583,333 Schedule “A” to Escrow Agreement Securityholder Name: Xxxx Xx Xxxxxxx Signature: signed “Xxxx Xx Xxxxxxx” Address for Notice: [redacted due to privacy] Securities: Class and Type (i.e. Value Securities or Surplus Securities) Number Certificate(s) (if applicable) Common Shares 3,583,334 Schedule “A” to Escrow Agreement Securityholder Name: Xxxxxxx Xxxxxxx Signature: signed “Xxxxxxx Xxxxxxx” Address for Notice: [redacted due to privacy] Securities: Class and Type (i.e. Value Securities or Surplus Securities) Number Certificate(s) (if applicable) Common Shares 3,583,334 Schedule “A” to Escrow Agreement Securityholder Name: Xxxxx Xxxxxxxxxx Signature: signed “Xxxxx Xxxxxxxxxx” Address for Notice: [redacted due to privacy] Securities: Class and Type (i.e. Value Securities or Surplus Securities) Number Certificate(s) (if applicable) Common Shares 283,333 Schedule “A” to Escrow Agreement Securityholder Name: Xxxxxx Xxxxx Signature: signed “Xxxxxx Xxxxx” Address for Notice: [redacted due to privacy] Securities: Class and Type (i.e. Value Securities or Surplus Securities) Number Certificate(s) (if applicable) Common Shares 83,333 Schedule “A” to Escrow Agreement Securityholder Name: Xxxxxx Xxxxxxxxx Signature: signed “Xxxxxx Xxxxxxxxx” Address for Notice: [redacted due to privacy] Securities: Class and Type (i.e. Value Securities or Surplus Securities) Number Certificate(s) (if applicable) Common Shares 83,333 SCHEDULE B(1) – TIER 1 VALUE SECURITY ESCROW AGREEMENT PAGE 21 (AS AT AUGUST 2002RELEASE OF SECURITIES Timed Release Release Dates Percentage of Total Escrowed Securities to be Released Total Number of Escrowed Securities to be Released [Insert date of Exchange Bulletin] 25% 2,550,000 [Insert date 6 months following Exchange Bulletin] 25% 2,550,000 [Insert date 12 months following Exchange Bulletin] 25% 2,550,000 [Insert date 18 months following Exchange Bulletin] 25% 2,550,000 TOTAL 100% 10,200,000 *In the simplest case where there are no changes to the escrow securities initially deposited and no additional escrow securities, then the release schedule outlined above results in the escrow securities being released in equal tranches of 25%. SCHEDULE B(2) If the Securityholder is not an individual: o Per: -------------------------------------- Authorized signatory -------------------------------------------------------------------------------- FORM 5D – TIER 2 VALUE SECURITY ESCROW AGREEMENT PAGE 22 (AS AT AUGUST 2002RELEASE OF SECURITIES Timed Release Release Dates Percentage of Total Escrowed Securities to be Released Total Number of Escrowed Securities to be Released [Insert date of Exchange Bulletin] 10% 1,020,000 [Insert date 6 months following Exchange Bulletin] 15% 1,530,000 [Insert date 12 months following Exchange Bulletin] 15% 1,530,000 [Insert date 18 months following Exchange Bulletin] 15% 1,530,000 [Insert date 24 months following Exchange Bulletin] 15% 1,530,000 [Insert date 30 months following Exchange Bulletin] 15% 1,530,000 [Insert date 36 months following Exchange Bulletin] 15% 1,530,000 TOTAL 100% 10,200,000 *In the simplest case where there are no changes to the escrow securities initially deposited and no additional escrow securities, the release schedule outlined above results in the escrow securities being released in equal tranches of 15% after completion of the release on the date of the Exchange Bulletin. SCHEDULE B(3) SCHEDULE "A" TO – TIER 1 SURPLUS SECURITY ESCROW AGREEMENT SECURITYHOLDER NAME:RELEASE OF SECURITIES Timed Release Release Dates Percentage of Total Escrowed Securities to be Released Total Number of Escrowed Securities to be Released [Insert date of Exchange Bulletin] 10% [Insert date 6 months following Exchange Bulletin] 20% [Insert date 12 months following Exchange Bulletin] 30% [Insert date 18 months following Exchange Bulletin] 40% TOTAL 100% SCHEDULE B(4) – TIER 2 SURPLUS SECURITY ESCROW AGREEMENT RELEASE OF SECURITIES Timed Release Release Dates Percentage of Total Escrowed Securities to be Released Total Number of Escrowed Securities to be Released [Insert date of Exchange Bulletin] 5% [Insert date 6 months following Exchange Bulletin] 5% [Insert date 12 months following Exchange Bulletin] 10% [Insert date 18 months following Exchange Bulletin] 10% [Insert date 24 months following Exchange Bulletin] 15% [Insert date 30 months following Exchange Bulletin] 15% [Insert date 36 months following Exchange Bulletin] 40%

Appears in 1 contract

Samples: Escrow Agreement

Successor to Escrow Agent. Any corporation with which the Escrow Agent may be amalgamated, merged or consolidated, or any corporation succeeding to the business of the Escrow Agent will be the successor of the Escrow Agent under this Agreement without any further act on its part or on the part or any of the Parties, provided that the successor is recognized by the Exchange. The Parties have executed and delivered this Agreement as of the date set out above. NATIONAL BANK TRUST INC. ----------------------------------------- Authorized signatory --------------------------------------------- Authorized signatory -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE Page 19 (AS AT AUGUST 2002as at June 14, 2010) LMS MEDICAL SYSTEMS COMPUTERSHARE INVESTOR SERVICES INC. -------------------------------------------- (signed) "Mxxx Xxxxxx" Authorized signatory --------------------------------------------- (signed) "Axxxx Xxxx" Authorized signatory -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 20 PREMIUM NICKEL RESOURCES LTD. (AS AT AUGUST 2002signed) If the Securityholder is an individual: Signed, sealed and delivered by ) o in the presence of: ) ) ------------------------------------------) Name ) ) ------------------------------------------) ------------------------ Address ) ) ------------------------------------------) ) ) ------------------------------------------) Occupation ) -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 21 (AS AT AUGUST 2002) If the Securityholder is not an individual: o Per: -------------------------------------- "Kxxxx Xxxxxxxx" Authorized signatory -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 22 (AS AT AUGUST 2002signed) SCHEDULE "ASxxxx Xxxxxx Xxx" TO ESCROW AGREEMENT SECURITYHOLDER NAME:Authorized signatory DXXXXX XXXXX (signed) "Dxxxxx Xxxxx" Authorized Signatory ARNOLDUS BRAND (signed) "Arnoldus Brand" Authorized Signatory GXXXX XXXXXXX BXXXX (signed) "Gxxxx Xxxxxxx Bxxxx" Authorized Signatory NXXXXXX XXXXXXXXX (signed) "Nxxxxxx Xxxxxxxxx" Authorized Signatory (as at June 14, 2010) RXXXXX XXXX WXXXXX XXXXXXXXX (signed) "Rxxxxx Xxxx Wxxxxx Xxxxxxxxx" Authorized Signatory LXXX XXXXXXX (signed) "Lxxx Xxxxxxx" Authorized Signatory

Appears in 1 contract

Samples: Escrow Agreement (Premium Nickel Resources Ltd.)

Successor to Escrow Agent. Any corporation with which the Escrow Agent may be amalgamated, merged or consolidated, or any corporation succeeding to the business of the Escrow Agent will be the successor of the Escrow Agent under this Agreement without any further act on its part or on the part or any of the Parties, provided that the successor is recognized by the Exchange. The Parties have executed and delivered this Agreement as of the date set out above. NATIONAL BANK EQUITY FINANCIAL TRUST COMPANY “Xxxxxxxx Xxxxxx” Authorized signatory “Xxxx Xxxxxx” Authorized signatory WAY VENTURES INC. ----------------------------------------- “Xxxxxxx Xxxxxx” Authorized signatory --------------------------------------------- Authorized signatory -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 19 (AS AT AUGUST 2002If the Securityholder is an individual: Signed, sealed and delivered by ) LMS MEDICAL SYSTEMS INC. -------------------------------------------- Authorized signatory --------------------------------------------- Authorized signatory -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 20 (AS AT AUGUST 2002Art Xxxxxxxxxx in the presence of: ) ) ) Name ) ) ) “Art Xxxxxxxxxx” Address ) Art Xxxxxxxxxx ) ) ) ) ) Occupation ) If the Securityholder is an individual: Signed, sealed and delivered by ) o Xxxxxxx Xxxxxx in the presence of: ) ) ------------------------------------------) Name ) ) ------------------------------------------) ------------------------ “Xxxxxxx Xxxxxx” Address ) ) ------------------------------------------Xxxxxxx Xxxxxx ) ) ) ------------------------------------------) ) Occupation ) -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 21 (AS AT AUGUST 2002) If the Securityholder is not an individual: o PerXXXX XXXXXXXX PROFESSIONAL CORPORATION “Xxxx Xxxxxxxx” Xxxx Xxxxxxxx, President Schedule “A” to Escrow Agreement Securityholder Name: -------------------------------------- Authorized signatory -------------------------------------------------------------------------------- FORM 5D Art Xxxxxxxxxx Signature: “Art Xxxxxxxxxx” Address for Notice: 0000 Xxxxxx Xxxx Xxxxxxxx, Xxxxxxx XxxxxxxxX0X 0X0 Securities: Class or description Number Certificate(s) (if applicable) Common Shares 1,000,000 C-3 Options 218,400 N/A Schedule “A” to Escrow Agreement Securityholder Name: Xxxxxxx Xxxxxx Signature: “Xxxxxxx Xxxxxx” Address for Notice: 0000 Xxxxxx Xxxxx Victoria, British Columbia V8N 6E2 Securities: Class or description Number Certificate(s) (if applicable) Common Shares 1,000,000 C-4 Options 218,400 N/A Schedule “A” to Escrow Agreement Securityholder Name: XXXX XXXXXXXX PROFESSIONAL CORPORATION Signature: “Xxxx Xxxxxxxx” Address for Notice: 000 Xxx Xxxxxx, Xxxxx 0000 Xxxxxxx, Xxxxxxx, X0X 0X0 Securities: Class or description Number Certificate(s) (if applicable) Common Shares 600,000 C-2 Options 123,200 N/A SCHEDULE B(1) – CPC ESCROW AGREEMENT PAGE 22 (AS AT AUGUST 2002SECURITIES RELEASE SCHEDULE Timed Release Release Dates Percentage of Total Escrowed Securities to be Released Total Number of Escrowed Securities to be Released [Insert date of Final Exchange Bulletin] 10% 167,500 [Insert date 6 months following Final Exchange Bulletin] 15% 251,250 [Insert date 12 months following Final Exchange Bulletin] 15% 251,250 [Insert date 18 months following Final Exchange Bulletin] 15% 251,250 [Insert date 24 months following Final Exchange Bulletin] 15% 251,250 [Insert date 30 months following Final Exchange Bulletin] 15% 251,250 [Insert date 36 months following Final Exchange Bulletin] 15% 251,250 TOTAL 100% 1,675,000 * In the simplest case, where there are no changes to the escrow securities initially deposited and no additional escrow securities, the release schedule outlined above results in the escrow securities being released in equal tranches of 15% after completion of the release on the date of the Final Exchange Bulletin. SCHEDULE B(2) – TIER 1 ISSUER - ESCROW SECURITIES RELEASE SCHEDULE "A" TO ESCROW AGREEMENT SECURITYHOLDER NAME:Timed Release Release Dates Percentage of Total Escrowed Securities to be Released Total Number of Escrowed Securities to be Released [Insert date of Final Exchange Bulletin] 25% [Insert date 6 months following Final Exchange Bulletin] 25% [Insert date 12 months following Final Exchange Bulletin] 25% [Insert date 18 months following Final Exchange Bulletin] 25% TOTAL 100%

Appears in 1 contract

Samples: CPC Escrow Agreement

Successor to Escrow Agent. Any corporation with which the Escrow Agent may be amalgamated, merged or consolidated, or any corporation succeeding to the business of the Escrow Agent will be the successor of the Escrow Agent under this Agreement without any further act on its part or on the part or any of the Parties, provided that the successor is recognized by the Exchange. The Parties have executed and delivered this Agreement as of the date set out above. NATIONAL BANK TRUST COMPUTERSHARE INVESTOR SERVICES INC. ----------------------------------------- /s/ Xx Xxxxx Authorized signatory --------------------------------------------- /s/ Xxxxxxx Xxxx Authorized signatory -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 19 (AS AT AUGUST 2002) LMS MEDICAL SYSTEMS INCALEXANDRA CAPITAL CORP. -------------------------------------------- Per: /s/ Xxxxxxx Xxxx Authorized signatory --------------------------------------------- Authorized signatory -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 20 (AS AT AUGUST 2002) If the Securityholder is an individual: Signed, sealed and delivered by ) o Xxxxxxx X. Xxxx in the presence of: ) ) ------------------------------------------Xxxxx Xxxxxxxx ) Name ) ) ------------------------------------------#403 – 0000 Xxxxxx Xxxxxx ) ------------------------ /s/ Xxxxxxx X. Xxxx Address ) XXXXXXX X. XXXX ) ------------------------------------------Xxxxxxx, XX X0X 0X0 ) ) ) ------------------------------------------Executive Assistant ) Occupation ) -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 21 (AS AT AUGUST 2002Signed, sealed and delivered by ) If Xxxxx Xxxxxx Xxxxxxx in the Securityholder is not an individualpresence of: o ) ) ) Name ) ) ) /s/ Xxxxx Xxxxxx Xxxxxxx Address ) XXXXX XXXXXX XXXXXXX ) ) ) ) ) Occupation ) Signed, sealed and delivered by ) Xxxxxxx Xxxx Xxxxxxxxx in the presence of: ) ) Xxxxxxx Xxxxxxx ) Name ) 000 X. 00xx Xxx. ) /s/ Xxxxxxx Xxxx Xxxxxxxxx Address ) XXXXXXX XXXX XXXXXXXXX ) Xxxxxxxxx, XX X0X 0X0 ) ) ) Student Support Worker ) Occupation ) LINKSON HOLDINGS LIMITED Per: -------------------------------------- /s/ Xxxxx Xxxxxx Xxxxxxx Authorized signatory -------------------------------------------------------------------------------- FORM 5D Schedule “A” to Escrow Agreement Securityholder Name: Xxxxxxx X. Xxxx Signature: /s/ Xxxxxxx X. Xxxx Address for Notice: 000-000 Xxxxxxxxx Xxxx Xxxxxxxxx, X.X. X0X 0X0 Securities: Class or description Number Certificate(s) (if applicable) Common Shares 1,500,000 Schedule “A” to Escrow Agreement Securityholder Name: Xxxxx Xxxxxx Xxxxxxx Signature: /s/ Xxxxx Xxxxxx Xxxxxxx Address for Notice: 00 Xxxxxxxxx Xxxxxx Xxxxxxxxx 000000 Xxxxxxxxx Securities: Class or description Number Certificate(s) (if applicable) Common Shares 4,000,000 Schedule “A” to Escrow Agreement Securityholder Name: Xxxxxxx Xxxx Xxxxxxxxx Signature: /s/ Xxxxxxx Xxxx Xxxxxxxxx Address for Notice: 000 Xxxx 00xx Xxxxxx Xxxxxxxxx, X.X. X0X 0X0 Securities: Class or description Number Certificate(s) (if applicable) Common Shares 500,000 Schedule “A” to Escrow Agreement Securityholder Name: Linkson Holdings Limited Signature: /s/ Xxxxx Xxxxxx Xxxxxxx Address for Notice: 00 Xxxxxxxxx Xxxxxx Xxxxxxxxx 000000 Xxxxxxxxx Securities: Class or description Number Certificate(s) (if applicable) Common Shares 2,000,000 SCHEDULE B(1) – CPC ESCROW AGREEMENT PAGE 22 (AS AT AUGUST 2002) SECURITIES RELEASE SCHEDULE "A" TO ESCROW AGREEMENT SECURITYHOLDER NAME:Timed Release Release Dates Percentage of Total Escrowed Securities to be Released Total Number of Escrowed Securities to be Released [Insert date of Final Exchange Bulletin] 10% [Insert date 6 months following Final Exchange Bulletin] 15% [Insert date 12 months following Final Exchange Bulletin] 15% [Insert date 18 months following Final Exchange Bulletin] 15% [Insert date 24 months following Final Exchange Bulletin] 15% [Insert date 30 months following Final Exchange Bulletin] 15% [Insert date 36 months following Final Exchange Bulletin] 15% TOTAL 100%

Appears in 1 contract

Samples: CPC Escrow Agreement

Successor to Escrow Agent. Any corporation with which the Escrow Agent may be amalgamated, merged or consolidated, or any corporation succeeding to the business of the Escrow Agent will be the successor of the Escrow Agent under this Agreement without any further act on its part or on the part or any of the Parties, provided that the successor is recognized by the Exchange. The Parties have executed and delivered this Agreement as of the date set out above. NATIONAL BANK [signature pages follows] EQUITY FINANCIAL TRUST INC. ----------------------------------------- COMPANY “Xxxxxxx Xxx” Authorized signatory --------------------------------------------- “Xxxx X. Xxxxxxx” Authorized signatory -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 19 (AS AT AUGUST 2002) LMS MEDICAL SYSTEMS INCUGE INTERNATIONAL LTD. -------------------------------------------- “Nicolas Blitterswyk” Authorized signatory --------------------------------------------- Authorized signatory -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 20 (AS AT AUGUST 2002) If the Securityholder is an individual: Signed, sealed and delivered by ) o Nicolas Blitterswyk in the presence of: ) ) ------------------------------------------) Name ) ) ------------------------------------------“Nicolas Blitterswyk” ) ------------------------ Address ) ) ------------------------------------------Nicolas Blitterswyk ) ) ) ------------------------------------------) ) Occupation ) -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 21 (AS AT AUGUST 2002Signed, sealed and delivered by ) If Xxx Xxx in the Securityholder is not an individualpresence of: o ) ) ) Name ) ) “Xxx Xxx” ) Address ) Xxx Xxx ) ) ) ) ) Occupation ) Signed, sealed and delivered by ) Xxxxxxxxx Xxx in the presence of: ) ) ) Name ) ) “Xxxxxxxxx Xxx” ) Address ) Xxxxxxxxx Xxx ) ) ) ) ) Occupation ) Signed, sealed and delivered by ) Xxxxx Xxxxxxx in the presence of: ) ) ) Name ) ) “Xxxxx Xxxxxxx” ) Address ) Xxxxx Xxxxxxx ) ) ) ) ) Occupation ) Signed, sealed and delivered by ) Xxxx Xxxxxxxxx in the presence of: ) ) ) Name ) ) “Xxxx Xxxxxxxxx” ) Address ) Xxxx Xxxxxxxxx ) ) ) ) ) Occupation ) Signed, sealed and delivered by ) Xxxxxxxx Xxxxxxx in the presence of: ) ) ) Name ) ) “Xxxxxxxx Xxxxxxx” ) Address ) Xxxxxxxx Xxxxxxx ) ) ) ) ) Occupation ) Signed, sealed and delivered by ) Xxxxx Xxx Xxxx in the presence of: ) ) ) Name ) ) “Xxxxx Xxx Xxxx” ) Address ) Xxxxx Xxx Xxxx ) ) ) ) ) Occupation ) Signed, sealed and delivered by ) Xxxxxxx XxXxxxxx in the presence of: ) ) ) Name ) ) “Xxxxxxx XxXxxxxx” ) Address ) Xxxxxxx XxXxxxxx ) ) ) ) ) Occupation ) Signed, sealed and delivered by ) Xxxxxxx Xxxx in the presence of: ) ) ) Name ) ) “Xxxxxxx Xxxx” ) Address ) Xxxxxxx Xxxx ) ) ) ) ) Occupation ) Signed, sealed and delivered by ) Xx Xxx in the presence of: ) ) ) Name ) ) “Xx Xxx” ) Address ) Xx Xxx ) ) ) ) ) Occupation ) Signed, sealed and delivered by ) Xxxxxxx Blitterswyk in the presence of: ) ) ) Name ) ) “Xxxxxxx Blitterswyk” ) Address ) Xxxxxxx Blitterswyk ) ) ) ) ) Occupation ) Signed, sealed and delivered by ) Xxx Xxxx in the presence of: ) ) ) Name ) ) “Xxx Xxxx” ) Address ) Xxx Xxxx ) ) ) ) ) Occupation ) Signed, sealed and delivered by ) Xxxx Xxxx in the presence of: ) ) ) Name ) ) “Xxxx Xxxx” ) Address ) Xxxx Xxxx ) ) ) ) ) Occupation ) XXXXXX XXXXX HI-TECH INVESTMENTS LIMITED Per: -------------------------------------- Authorized signatory -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 22 (AS AT AUGUST 2002) SCHEDULE "“Yang Baoxin” Name: YANG BAOXIN Title: DIRECTOR Schedule “A" TO ESCROW AGREEMENT SECURITYHOLDER NAME:” to Escrow Agreement Securityholder

Appears in 1 contract

Samples: Escrow Agreement Value Security

Successor to Escrow Agent. Any corporation with which the Escrow Agent may be amalgamated, merged or consolidated, or any corporation succeeding to the business of the Escrow Agent will be the successor of the Escrow Agent under this Agreement without any further act on its part or on the part or any of the Parties, provided that the successor is recognized as a transfer agent by the ExchangeCanadian exchange the Issuer is listed on (or if the Issuer is not listed on a Canadian exchange, by any Canadian exchange) and notice is given to the securities regulators with jurisdiction. The Parties have executed and delivered this Agreement as of the date set out above. NATIONAL BANK TRUST INCGOLDEN OPPORTUNITY RESOURCES CORP. ----------------------------------------- "Xxxxx Xxxxxxxx" Authorized signatory --------------------------------------------- Authorized signatory -------------------------------------------------------------------------------- FORM 5D TSX TRUST COMPANY "Xxxxx Xxx" Authorized signatory "Xxxxxx Xxxxxxxxx" Authorized signatory XXXXX XXXXXXX XXXXXXXXXX SIGNED, SEALED AND DELIVERED by ) in the presence of: ) "Xxxxx Xxxxxx" ) Signature of Witness ) "Xxxxx Xxxxxxx Xxxxxxxxxx" ) XXXXX XXXXXXX XXXXXXXXXX Xxxxx Xxxxxx ) Name of Witness ) XXXXX X. XXXXXXXX SIGNED, SEALED AND DELIVERED by ) in the presence of: ) ) "Xxxxxx Xxxxxxx" ) Signature of Witness ) "Xxxxx X. Xxxxxxxx" ) XXXXX X. XXXXXXXX Xxxxxx Xxxxxxx ) Name of Witness ) XXXXXXX XXXXX SIGNED, SEALED AND DELIVERED by ) in the presence of: ) ) "Xxxxxxx Xxxxxxxx" ) Signature of Witness ) "Xxxxxxx Xxxxx" ) XXXXXXX XXXXX Xxxxxxx Xxxxxxxx ) Name of Witness ) XXXXXXX XXXX SIGNED, SEALED AND DELIVERED by ) in the presence of: ) ) "Xxxxx May Xxxxxxx" ) Signature of Witness ) "Xxxxxxx Xxxx" ) XXXXXXX XXXX Xxxxx May Xxxxxxx ) Name of Witness ) SCHEDULE "A" TO ESCROW AGREEMENT PAGE 19 SECURITYHOLDER Name: XXXXX XXXXXXX XXXXXXXXXX 0000 Xxxxxxx Xxxx Xxxx Xxx, XX X0X 0X0 Securities: Class or description Number Certificate(s) (AS AT AUGUST 2002if applicable) LMS MEDICAL SYSTEMS INC. -------------------------------------------- Authorized signatory --------------------------------------------- Authorized signatory -------------------------------------------------------------------------------- FORM 5D Common Shares 1 Common Shares 500,000 SCHEDULE "A" TO ESCROW AGREEMENT PAGE 20 SECURITYHOLDER Name: XXXXX X. XXXXXXXX 0000 Xxxxxxxxx Xxxx Xxxxxxxxx, XX X0X 0X0 Securities: Class or description Number Certificate(s) (AS AT AUGUST 2002if applicable) If Common Shares 500,000 SCHEDULE "A" TO ESCROW AGREEMENT SECURITYHOLDER Name: XXXXXXX XXXXX 00 Xxx Xxxxxx Toronto, ON M5M 2H7 Securities: Class or description Number Certificate(s) (if applicable) Common Shares 500,000 SCHEDULE "A" TO ESCROW AGREEMENT SECURITYHOLDER Name: XXXXXXX XXXX 0000-0000 Xxxxxxxxxx Xxxxxxxx Xxxxxxxxx, XX X0X 0X0 Securities: Class or description Number Certificate(s) (if applicable) Common Shares 500,000 SCHEDULE "B" TO ESCROW AGREEMENT ACKNOWLEDGMENT AND AGREEMENT TO BE BOUND I acknowledge that the Securityholder securities listed in the attached Schedule "A" (the "escrow securities") have been or will be transferred to me and that the escrow securities are subject to an Escrow Agreement dated (the "Escrow Agreement"). For other good and valuable consideration, I agree to be bound by the Escrow Agreement in respect of the escrow securities, as if I were an original signatory to the Escrow Agreement. Dated at on . Where the transferee is an individual: Signed, sealed and delivered by ) o [Transferee] in the presence of: ) ) ------------------------------------------) Name ) ) ------------------------------------------) ------------------------ Address ) ) ------------------------------------------Signature of Witness ) ) ) ------------------------------------------[Transferee] _ ) Occupation Name of Witness ) -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 21 (AS AT AUGUST 2002) If Where the Securityholder transferee is not an individual: o Per: -------------------------------------- [Transferee] Authorized signatory -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 22 (AS AT AUGUST 2002) SCHEDULE "A" TO ESCROW AGREEMENT SECURITYHOLDER NAME:signatory

Appears in 1 contract

Samples: Escrow Agreement

Successor to Escrow Agent. Any corporation with which the Escrow Agent may be amalgamated, merged or consolidated, or any corporation succeeding to the business of the Escrow Agent will be the successor of the Escrow Agent under this Agreement without any further act on its part or on the part or any of the Parties, provided that the successor is recognized by the Exchange. The Parties have executed and delivered this Agreement as of the date set out above. NATIONAL BANK TRUST COMPUTERSHARE INVESTOR SERVICES INC. ----------------------------------------- ”Xxxxx Xxxxxxx” Authorized signatory --------------------------------------------- ”Xxxx Xxxxxx” Authorized signatory -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 19 (AS AT AUGUST 2002) LMS MEDICAL SYSTEMS CCS CAPITAL INC. -------------------------------------------- ”Xxxxxx Xxxx” Authorized signatory --------------------------------------------- ”Xxxxx Xxxxxx” Authorized signatory -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 20 (AS AT AUGUST 2002) If the Securityholder is an individual: Signed, sealed and delivered by ) o Xxx Xxxxx in the presence of: ) ) ------------------------------------------”Witnessed” ) Name ) ) ------------------------------------------) ------------------------ _”Signed” Address ) ) ------------------------------------------XXX XXXXX ) ) ) ------------------------------------------) ) Occupation ) -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 21 (AS AT AUGUST 2002Signed, sealed and delivered by ) If Xxxxxx Xxxx in the Securityholder is not an individualpresence of: o Per) ) ”Witnessed” ) Name ) ) ) ”Signed” Address ) XXXXXX XXXX ) ) ) ) ) Occupation ) Signed, sealed and delivered by ) Xxxxx Xxxxxx in the presence of: -------------------------------------- ) ) ”Witnessed” ) Name ) ) ) ”Signed” Address ) XXXXX XXXXXX ) ) ) ) ) Occupation ) 0791044 B.C. LTD. _”Signed” Authorized signatory -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 22 Authorized signatory XXXXX HOLDINGS INC. _”Signed” Authorized signatory Authorized signatory CANACCORD CAPITAL CORPORATION on behalf of Xxxxxxxxxx Xxxxxxxxxxx _”Signed” Authorized Signatory Signed, sealed and delivered by ) Xxxx Xxxxx in the presence of: ) ) ”Witnessed” ) Name ) ) ) _”Signed” Address ) XXXX XXXXX ) ) ) ) ) Occupation ) CANACCORD CAPITAL CORPORATION on behalf of Alexander Hockey-Xxxxxxx _”Signed” Authorized Signatory Signed, sealed and delivered by ) Cam Xxxxx in the presence of: ) ) ”Witnessed” ) Name ) ) ) ”Signed” Address ) CAM XXXXX ) ) ) ) ) Occupation ) Signed, sealed and delivered by ) Xxxxxxx Xxxx in the presence of: ) ) ”Witnessed” ) Name ) ) ) _”Signed” Address ) XXXXXXX XXXX ) ) ) ) ) Occupation ) CANACCORD CAPITAL CORPORATION on behalf of Xxx Sheremeto _”Signed” Authorized Signatory CANACCORD CAPITAL CORPORATION on behalf of Xxxxxx Xxxx _”Signed” Authorized Signatory CANACCORD CAPITAL CORPORATION on behalf of Xxxxxxx Gaasenbeek _”Signed” Authorized Signatory Signed, sealed and delivered by ) Xxxxx Xxxxx in the presence of: ) ) ”Witnessed” ) Name ) ) ) _”Signed” Address ) XXXXX XXXXX ) ) ) ) ) Occupation ) CANACCORD CAPITAL CORPORATION on behalf of Xxxxxx Xxxxxxxx _”Signed” Authorized Signatory Schedule “A” to Escrow Agreement Securityholder Name: Xxx Xxxxx Signature: “Signed” Address for Notice: 0 Xxxxxxxxxx Xxxxxx Xxxxxxx, Xxxxxxx X0X 0X0 Securities: Class or description Number Certificate(s) (AS AT AUGUST 2002if applicable) SCHEDULE "Common Shares 100,000 Schedule “A" TO ESCROW AGREEMENT SECURITYHOLDER NAME:” to Escrow Agreement Securityholder Name: Xxxxxx Xxxx Signature: “Signed” Address for Notice: 000 X. 00xx Xxxxxx Xxxxx Xxxxxxxxx, XX X0X 0X0 Securities: Class or description Number Certificate(s) (if applicable) Common Shares 100,000 Schedule “A” to Escrow Agreement Securityholder Name: Xxxxx Xxxxxx Signature: “Signed” Address for Notice: 0000 Xxxxxxxx Xxxxxx Xxxxxxxxx, XX X0X 0X0 Securities: Class or description Number Certificate(s) (if applicable) Common Shares 100,000 Schedule “A” to Escrow Agreement Securityholder Name: 0791044 B.C. Ltd.

Appears in 1 contract

Samples: CPC Escrow Agreement

Successor to Escrow Agent. Any corporation with which the Escrow Agent may be amalgamated, merged or consolidated, or any corporation succeeding to the business of the Escrow Agent will be the successor of the Escrow Agent under this Agreement without any further act on its part or on the part or any of the Parties, provided that the successor is recognized by the Exchange. The Parties have executed and delivered this Agreement as of the date set out above. NATIONAL BANK TRUST INC. ----------------------------------------- [Escrow Agent] __________________________________________ Authorized signatory --------------------------------------------- __________________________________________ Authorized signatory -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 19 (AS AT AUGUST 2002) LMS MEDICAL SYSTEMS INC. -------------------------------------------- [Issuer] __________________________________________ Authorized signatory --------------------------------------------- __________________________________________ Authorized signatory -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 20 (AS AT AUGUST 2002) If the Securityholder is an individual: Signed, sealed and delivered by ) o [Securityholder] in the presence of: ) ) ------------------------------------------__________________________________________) Name ) ) ------------------------------------------_________________________________________ ) ------------------------ ________________________ Address ) [Securityholder] ) ------------------------------------------__________________________________________) ) ) ------------------------------------------__________________________________________) Occupation ) -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 21 (AS AT AUGUST 2002) If the Securityholder is not an individual: o Per: -------------------------------------- [Securityholder] __________________________________________ Authorized signatory -------------------------------------------------------------------------------- __________________________________________ Authorized signatory Schedule “A” to Escrow Agreement Securityholder Name: Signature: Address for Notice: ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Securities: Class or description Number Certificate(s) (if applicable) SCHEDULE B(1) – CPC ESCROW SECURITIES RELEASE SCHEDULE Timed Release Release Dates Percentage of Total Escrowed Securities to be Released Total Number of Escrowed Securities to be Released [Insert date of Final Exchange Bulletin] 10% [Insert date 6 months following Final Exchange Bulletin] 15% [Insert date 12 months following Final Exchange Bulletin] 15% [Insert date 18 months following Final Exchange Bulletin] 15% [Insert date 24 months following Final Exchange Bulletin] 15% [Insert date 30 months following Final Exchange Bulletin] 15% [Insert date 36 months following Final Exchange Bulletin] 15% TOTAL 100% * In the simplest case, where there are no changes to the escrow securities initially deposited and no additional escrow securities, the release schedule outlined above results in the escrow securities being released in equal tranches of 15% after completion of the release on the date of the Final Exchange Bulletin. SCHEDULE B(2) – TIER 1 ISSUER - ESCROW SECURITIES RELEASE SCHEDULE Timed Release Release Dates Percentage of Total Escrowed Securities to be Released Total Number of Escrowed Securities to be Released [Insert date of Final Exchange Bulletin] 25% [Insert date 6 months following Final Exchange Bulletin] 25% [Insert date 12 months following Final Exchange Bulletin] 25% [Insert date 18 months following Final Exchange Bulletin] 25% TOTAL 100% * In the simplest case, where there are no changes to the escrow securities initially deposited and no additional escrow securities, then the release schedule outlined above results in the escrow securities being released in equal tranches of 25%. SCHEDULE B(3) UNDERTAKING OF HOLDING COMPANY TO: THE TSX VENTURE EXCHANGE  (the "Securityholder") has subscribed for and agreed to purchase, as principal,  Common Shares of  (the "Escrowed Securities"). The Escrowed Securities will be held in escrow as detailed in the escrow agreement entered into between  (the “Issuer”),  (the “Escrow Agent”) and the Securityholder (the “Escrow Agreement”). The undersigned undertakes that, to the extent reasonably possible, it will not permit or authorize its securities to be issued or transferred, nor will it otherwise authorize any transaction involving any of its securities that could reasonably result in a change of its control without the prior consent of the TSX Venture Exchange, as long as any Escrowed Securities remain held or are required to be held in escrow. DATED this  day of . (Name of Securityholder - please print) (Authorized Signature) (Official Capacity - please print) (Please print here name of individual whose signature appears above) The Securityholder is directly controlled by the undersigned who undertakes that, to the extent reasonably possible, he will not permit or authorize securities of the Securityholder to be issued or transferred, nor otherwise carry out any transaction that could reasonably result in a change of control of the Securityholder without the prior consent of the TSX Venture Exchange, as long as any Escrowed Securities remain held or are required to be held in escrow. DATED this  day of . (Signature) (Name of Controlling Securityholder – please print) (Signature) (Name of Controlling Securityholder – please print) FORM 5D 2F CPC ESCROW AGREEMENT PAGE 22 (AS AT AUGUST 2002) SCHEDULE "A" TO ESCROW AGREEMENT SECURITYHOLDER NAME:Page 24

Appears in 1 contract

Samples: CPC Escrow Agreement

Successor to Escrow Agent. Any corporation with which the Escrow Agent may be amalgamated, merged or consolidated, or any corporation succeeding to the business of the Escrow Agent will be the successor of the Escrow Agent under this Agreement without any further act on its part or on the part or any of the Parties, provided that the successor is recognized by the Exchange. The Parties have executed and delivered this Agreement as of the date set out above. NATIONAL BANK TRUST COMPUTERSHARE INVESTOR SERVICES (signed "Xxxxxxxxx Xxxxxxxxxxx") Professional Corporate Trust Authorized signatory (signed "Xxxxxxxxx XxxXxxxxx") Administrator, Client Services Authorized signatory GOGOLD RESOURCES INC. ----------------------------------------- (signed "Xxxxxxx X. Xxxxxxxx") Authorized signatory --------------------------------------------- (signed "Xxxxxx Xxxxxx Xxxxxxxxx") Authorized signatory -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 19 If the Securityholder is not an individual: 3213897 NOVA SCOTIA LIMITED (AS AT AUGUST 2002signed "Xxxxxxx X. Xxxxxxxx") LMS MEDICAL SYSTEMS INC. -------------------------------------------- Authorized signatory --------------------------------------------- Authorized signatory -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 20 (AS AT AUGUST 2002) Xxxxxxx X. Xxxxxxxx If the Securityholder is an individual: Signed, sealed and delivered by ) o (Securityholder) in the presence of: ) (signed "Xxxxx Xxxxxxx") ------------------------------------------) ) Name ) ) ------------------------------------------(signed "Xxxxxx Xxxxxx Xxxxxxxxx") ------------------------ XXXXXXXXXX, Xxxxx'x Wharf ) Address ) XXXXXX XXXXXX XXXXXXXXX ) ------------------------------------------Suite 2108, Halifax, NS ) ) ) ------------------------------------------Lawyer ) Occupation ) -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 21 (AS AT AUGUST 2002) If the Securityholder is not an individual: o Per3040020 NOVA SCOTIA LIMITED (signed "Xxxxx Xxxxxxx") Xxxxx Xxxxxxx If the Securityholder is not an individual: -------------------------------------- GRUPO PAN AMERICA LTD. (signed "Xxxxxxx Xxxxxxxx") Xxxxxxx Xxxxxxxx If the Securityholder is not an individual: XXXXXXXX X. XXXXXX, INC. (signed "Xxxxx Xxxxxx") Xxxxx Xxxxxx If the Securityholder is an individual: Signed, sealed and delivered by ) (Securityholder) in the presence of: ) (signed "Xxxxx Xxxxxxx") ) ) Name ) ) (signed " Xxxxxx Xxxxxx") XXXXXXXXXX, Xxxxx'x Wharf ) Address ) XXXXXXX XXXXXX ) Suite 2108, Halifax, NS B3J 3R7 ) ) Lawyer ) Occupation ) If the Securityholder is not an individual: VOTIX CORPORATION LIMITED (signed " Xxxxxxx Xxxxxxx Xxxxxxxxx") Xxxxxxx Xxxxxxx Xxxxxxxxx Schedule “A” to Escrow Agreement Securityholder Name: 3213897 NOVA SCOTIA LIMITED (signed "Xxxxxxx X. Xxxxxxxx") Signature: Address for Notice: 000 Xxxxxxxx Xxxx, Xxxxxxxxx, XX X0X 0X0 Securities: Class or description Number Certificate(s) (if applicable) Common Shares 2,400,000 Securityholder Name: Xxxxxx Xxxxxx Xxxxxxxxx (signed "Xxxxxx Xxxxxx Xxxxxxxxx") Signature: Address for Notice: 0000 Xxxxxxxxx Xxxxxx, Xxxxxxx, XX X0X 0X0 Securities: Class or description Number Certificate(s) (if applicable) Common Shares 2,400,000 Securityholder Name: 3040020 NOVA SCOTIA LIMITED (signed "Xxxxx Xxxxxxx") Signature: Address for Notice: 000 Xxxxxxxxx Xxxxxx, Xxxxxxx, XX X0X 0X0 Securities: Class or description Number Certificate(s) (if applicable) Common Shares 1,450,000 Securityholder Name: GRUPO PAN AMERICA LTD. (signed "Xxxxxxx Xxxxxxxx") Signature: Address for Notice: 0000 Xxxxxxxxx Xxxxx, Xxxxxxx, XX X0X 0X0 Securities: Class or description Number Certificate(s) (if applicable) Common Shares 1,125,000 Securityholder Name: XXXXXXXX X. XXXXXX, INC. (signed "Xxxxx Xxxxxx") Signature: Address for Notice: 000 Xxxxx Xxx, Xxxxxxxx Plains, NS B4B 1X9 Securities: Class or description Number Certificate(s) (if applicable) Common Shares 1,125,000 Securityholder Name: XXXXXXX XXXXXX (signed "Xxxxxxx Xxxxxx") Signature: Address for Notice: 0000 Xxxxxxxxx Xxxxxx, Xxxxxxx, XX X0X 0X0 Securities: Class or description Number Certificate(s) (if applicable) Common Shares 1,000,000 Securityholder Name: VOTIX CORPORATION LIMITED (signed " Xxxxxxx Xxxxxxx Xxxxxxxxx") Signature: Address for Notice: 000 Xxxxx Xxxxxx, Xxxxxxx, XX X0X 0X0 Securities: Class or description Number Certificate(s) (if applicable) Common Shares 500,000 SCHEDULE B(1) – CPC ESCROW SECURITIES RELEASE SCHEDULE Timed Release Release Dates Percentage of Total Escrowed Securities to be Released Total Number of Escrowed Securities to be Released [Insert date of Final Exchange Bulletin] 10% 1/10 of your escrow securities [Insert date 6 months following Final Exchange Bulletin] 1/6 of your remaining escrow securities [Insert date 12 months following Final Exchange Bulletin] 1/5 of your remaining escrow securities [Insert date 18 months following Final Exchange Bulletin] 1/4 of your remaining escrow securities [Insert date 24 months following Final Exchange Bulletin] 1/3 of your remaining escrow securities [Insert date 30 months following Final Exchange Bulletin] 1/2 of your remaining escrow securities [Insert date 36 months following Final Exchange Bulletin] all of your remaining escrowed securities TOTAL 100% * In the simplest case, where there are no changes to the escrow securities initially deposited and no additional escrow securities, the release schedule outlined above results in the escrow securities being released in equal tranches of 15% after completion of the release on the date of the Final Exchange Bulletin. SCHEDULE B(2) – TIER 1 ISSUER - ESCROW SECURITIES RELEASE SCHEDULE Timed Release Release Dates Percentage of Total Escrowed Securities to be Released Total Number of Escrowed Securities to be Released [Insert date of Final Exchange Bulletin] 1/4 of your escrow securities [Insert date 6 months following Final Exchange Bulletin] 25% 1/3 of your remaining escrow securities [Insert date 12 months following Final Exchange Bulletin] 1/2 of your remaining escrow securities [Insert date 18 months following Final Exchange Bulletin] all of your remaining escrowed securities TOTAL 100% * In the simplest case, where there are no changes to the escrow securities initially deposited and no additional escrow securities, then the release schedule outlined above results in the escrow securities being released in equal tranches of 25%. SCHEDULE B(3) UNDERTAKING OF HOLDING COMPANY TO: THE TSX VENTURE EXCHANGE 3040020 NOVA SCOTIA LIMITED (the "Securityholder") has subscribed for and agreed to purchase, as principal, 1,450,000 Common Shares of GOGOLD RESOURCES INC. (the "Escrowed Securities"). The Escrowed Securities will be held in escrow as detailed in the escrow agreement entered into between GOGOLD RESOURCES INC. (the “Issuer”), COMPUTERSHARE INVESTOR SERVICES (the “Escrow Agent”) and the Securityholder (the “Escrow Agreement”). The undersigned undertakes that, to the extent reasonably possible, it will not permit or authorize its securities to be issued or transferred, nor will it otherwise authorize any transaction involving any of its securities that could reasonably result in a change of its control without the prior consent of the TSX Venture Exchange, as long as the Issuer remains listed on the Exchange. DATED this 4th day of January, 2010. 3040020 NOVA SCOTIA LIMITED (Name of Securityholder - please print) (signed "Xxxxx Xxxxxxx") (Authorized signatory -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 22 Signature) President and Secretary (AS AT AUGUST 2002Official Capacity - please print) Xxxxx Xxxxxxx (Please print here name of individual whose signature appears above) The Securityholder is directly controlled by the undersigned who undertakes that, to the extent reasonably possible, he will not permit or authorize securities of the Securityholder to be issued or transferred, nor otherwise carry out any transaction that could reasonably result in a change of control of the Securityholder without the prior consent of the TSX Venture Exchange, as long as the Issuer remains listed on the Exchange. DATED this 4th day of January, 2010. (signed "Xxxxx Xxxxxxx") (Signature) Xxxxx Xxxxxxx (Name of Controlling Securityholder – please print) (Signature) (Name of Controlling Securityholder – please print) SCHEDULE B(3) UNDERTAKING OF HOLDING COMPANY TO: THE TSX VENTURE EXCHANGE 3213897 NOVA SCOTIA LIMITED (the "A" TO ESCROW AGREEMENT SECURITYHOLDER NAME:Securityholder") has subscribed for and agreed to purchase, as principal, 2,400,000 Common Shares of GOGOLD RESOURCES INC. (the "Escrowed Securities"). The Escrowed Securities will be held in escrow as detailed in the escrow agreement entered into between GOGOLD RESOURCES INC. (the “Issuer”), COMPUTERSHARE INVESTOR SERVICES (the “Escrow Agent”) and the Securityholder (the “Escrow Agreement”). The undersigned undertakes that, to the extent reasonably possible, it will not permit or authorize its securities to be issued or transferred, nor will it otherwise authorize any transaction involving any of its securities that could reasonably result in a change of its control without the prior consent of the TSX Venture Exchange, as long as the Issuer remains listed on the Exchange. DATED this 4th day of January, 2010. 3213897 NOVA SCOTIA LIMITED (Name of Securityholder - please print) (signed "Xxxxxxx X. Xxxxxxxx") (Authorized Signature) President (Official Capacity - please print) Xxxxxxx X. Xxxxxxxxx (Please print here name of individual whose signature appears above) The Securityholder is directly controlled by the undersigned who undertakes that, to the extent reasonably possible, he will not permit or authorize securities of the Securityholder to be issued or transferred, nor otherwise carry out any transaction that could reasonably result in a change of control of the Securityholder without the prior consent of the TSX Venture Exchange, as long as the Issuer remains listed on the Exchange. DATED this 4th day of January, 2010. (signed "Xxxxxxx X. Xxxxxxxx") (Signature) Xxxxxxx X. Xxxxxxxx (Name of Controlling Securityholder – please print) (Signature) (Name of Controlling Securityholder – please print) SCHEDULE B(3) UNDERTAKING OF HOLDING COMPANY TO: THE TSX VENTURE EXCHANGE XXXXXXXX X. XXXXXX, INC. (the "Securityholder") has subscribed for and agreed to purchase, as principal, 1,125,000 Common Shares of GOGOLD RESOURCES INC. (the "Escrowed Securities"). The Escrowed Securities will be held in escrow as detailed in the escrow agreement entered into between GOGOLD RESOURCES INC. (the “Issuer”), COMPUTERSHARE INVESTOR SERVICES (the “Escrow Agent”) and the Securityholder (the “Escrow Agreement”). The undersigned undertakes that, to the extent reasonably possible, it will not permit or authorize its securities to be issued or transferred, nor will it otherwise authorize any transaction involving any of its securities that could reasonably result in a change of its control without the prior consent of the TSX Venture Exchange, as long as the Issuer remains listed on the Exchange. DATED this 4th day of January, 2010. XXXXXXXX X. XXXXXX, INC. (Name of Securityholder - please print) (signed "R. Xxxxx Xxxxxx") (Authorized Signature) Director (Official Capacity - please print)

Appears in 1 contract

Samples: Agreement

Successor to Escrow Agent. Any corporation with which the Escrow Agent may be amalgamated, merged or consolidated, or any corporation succeeding to the business of the Escrow Agent will be the successor of the Escrow Agent under this Agreement without any further act on its part or on the part or any of the Parties, provided that the successor is recognized by the Exchange. The Parties have executed and delivered this Agreement as of the date set out above. NATIONAL BANK TRUST COMPUTERSHARE INVESTOR SERVICES INC. ----------------------------------------- “Xxxxxxxxx Xxxxxxxx” Authorized signatory --------------------------------------------- “Xxxxx Xxxxxxx” Authorized signatory -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 19 (AS AT AUGUST 2002) LMS MEDICAL SYSTEMS NY85 CAPITAL INC. -------------------------------------------- “Xxxxxxxxxxx Xxxx” Authorized signatory --------------------------------------------- Authorized signatory -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 20 (AS AT AUGUST 2002) If the Securityholder is an individual: Signed, sealed and delivered by ) o Xxxxxxxxxxx Xxxx in the presence of: ) ) ------------------------------------------Xxxx Xxxxxxx ) Name ) ) ------------------------------------------) ------------------------ “Xxxxxxxxxxx Xxxx” Address ) ) ------------------------------------------Xxxxxxxxxxx Xxxx ) ) ) ------------------------------------------) ) Occupation ) -------------------------------------------------------------------------------- FORM 5D Signed, sealed and delivered by ) Xxxx (Xxxx) Xxxxxxxxx in the presence of: ) ) Xxxxx Xxxxxx ) Name ) ) ) “Xxxx (Xxxx) Xxxxxxxxx” Address ) Xxxx (Xxxx) Xxxxxxxxx ) ) ) ) ) Occupation ) Signed, sealed and delivered by ) Xxxx Xxxxxxxxx in the presence of: ) ) Xxxxx Xxxxxx ) Name ) ) ) “Xxxx Xxxxxxxxx” Address ) Xxxx Xxxxxxxxx ) ) ) ) ) Occupation ) Signed, sealed and delivered by ) Xxxxxxx Xxxxxxx in the presence of: ) ) Xxxxxx Xxxxxxx ) Name ) ) ) “Xxxxxxx Xxxxxxx” Address ) Xxxxxxx Xxxxxxx ) ) ) ) ) Occupation ) Schedule “A” to Escrow Agreement Securityholder Name: Xxxxxxxxxxx Xxxx Signature: “Xxxxxxxxxxx Xxxx” Address for Notice: Securities: Class or description Number Certificate(s) (if applicable) Common Shares 600,000 Securityholder Name: Xxxx (Xxxx) Xxxxxxxxx Signature: “Xxxx (Xxxx) Xxxxxxxxx” Address for Notice: Securities: Class or description Number Certificate(s) (if applicable) Common Shares 600,000 Securityholder Name: Xxxx Xxxxxxxxx Signature: “Xxxx Xxxxxxxxx” Address for Notice: Securities: Class or description Number Certificate(s) (if applicable) Common Shares 600,000 Securityholder Name: Xxxxxxx Xxxxxxx Signature: “Xxxxxxx Xxxxxxx” Address for Notice: Securities: Class or description Number Certificate(s) (if applicable) Common Shares 200,000 SCHEDULE B(1) – CPC ESCROW AGREEMENT PAGE 21 SECURITIES RELEASE SCHEDULE Timed Release Release Dates Percentage of Total Escrowed Securities to be Released Total Number of Escrowed Securities to be Released [Insert date of Final Exchange Bulletin] 10% [Insert date 6 months following Final Exchange Bulletin] 15% [Insert date 12 months following Final Exchange Bulletin] 15% [Insert date 18 months following Final Exchange Bulletin] 15% [Insert date 24 months following Final Exchange Bulletin] 15% [Insert date 30 months following Final Exchange Bulletin] 15% [Insert date 36 months following Final Exchange Bulletin] 15% TOTAL 100% * In the simplest case, where there are no changes to the escrow securities initially deposited and no additional escrow securities, the release schedule outlined above results in the escrow securities being released in equal tranches of 15% after completion of the release on the date of the Final Exchange Bulletin. SCHEDULE B(2) – TIER 1 ISSUER - ESCROW SECURITIES RELEASE SCHEDULE Timed Release Release Dates Percentage of Total Escrowed Securities to be Released Total Number of Escrowed Securities to be Released [Insert date of Final Exchange Bulletin] 25% [Insert date 6 months following Final Exchange Bulletin] 25% [Insert date 12 months following Final Exchange Bulletin] 25% [Insert date 18 months following Final Exchange Bulletin] 25% TOTAL 100% * In the simplest case, where there are no changes to the escrow securities initially deposited and no additional escrow securities, then the release schedule outlined above results in the escrow securities being released in equal tranches of 25%. SCHEDULE B(3) UNDERTAKING OF HOLDING COMPANY TO: THE TSX VENTURE EXCHANGE ⚫ (AS AT AUGUST 2002the "Securityholder") If has subscribed for and agreed to purchase, as principal, ⚫ Common Shares of ⚫ (the "Escrowed Securities"). The Escrowed Securities will be held in escrow as detailed in the escrow agreement entered into between ⚫ (the “Issuer”), ⚫ (the “Escrow Agent”) and the Securityholder (the “Escrow Agreement”). The undersigned undertakes that, to the extent reasonably possible, it will not permit or authorize its securities to be issued or transferred, nor will it otherwise authorize any transaction involving any of its securities that could reasonably result in a change of its control without the prior consent of the TSX Venture Exchange, as long as any Escrowed Securities remain held or are required to be held in escrow. DATED this ⚫ day of ⚫. (Name of Securityholder - please print) (Authorized Signature) (Official Capacity - please print) (Please print here name of individual whose signature appears above) The Securityholder is directly controlled by the undersigned who undertakes that, to the extent reasonably possible, he will not an individual: o Per: -------------------------------------- Authorized signatory -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 22 permit or authorize securities of the Securityholder to be issued or transferred, nor otherwise carry out any transaction that could reasonably result in a change of control of the Securityholder without the prior consent of the TSX Venture Exchange, as long as any Escrowed Securities remain held or are required to be held in escrow. DATED this ⚫ day of ⚫. (AS AT AUGUST 2002Signature) SCHEDULE "A" TO ESCROW AGREEMENT SECURITYHOLDER NAME:(Name of Controlling Securityholder – please print) (Signature)

Appears in 1 contract

Samples: CPC Escrow Agreement

Successor to Escrow Agent. Any corporation with which the Escrow Agent may be amalgamated, merged or consolidated, or any corporation succeeding to the business of the Escrow Agent will be the successor of the Escrow Agent under this Agreement without any further act on its part or on the part or any of the Parties, provided that the successor is recognized by the Exchange. The Parties have executed and delivered this Agreement as of the date set out above. NATIONAL BANK EQUITY FINANCIAL TRUST INC. ----------------------------------------- COMPANY /s/ Xxxxx Xxxxxx Authorized signatory --------------------------------------------- /s/ Jayden Ashbee Authorized signatory -------------------------------------------------------------------------------- XXXXX PETROLEUM CORPORATION /s/ Xxxxx-Xxxx Xxxxx Xxxxx-Xxxx Xxxxx, CEO Authorized signatory /s/ Xxx Xxxxxxx Xxx Xxxxxxx, CFO Authorized signatory FORM 5D ESCROW AGREEMENT PAGE 19 Page 21 (AS AT AUGUST 2002as at June 14, 2010) LMS MEDICAL SYSTEMS INCRESOURCES & TECHNOLOGY CORP. -------------------------------------------- /s/ Xxxxxxx Xxxxxxxx Xxxxxxx Xxxxxxxx Authorized signatory --------------------------------------------- Authorized signatory -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 20 (AS AT AUGUST 2002) If the Securityholder Security holder is an individual: Signed, sealed and delivered by ) o Xxxxx Xxxxxx in the presence of: ) ) ------------------------------------------Xxx Xxxxxxx ) Name ) /s/ Xxx Xxxxxxx ) ------------------------------------------) ------------------------ /s/ Xxxxx Xxxxxx Address ) XXXXX XXXXXX ) ------------------------------------------Xxxxxxxxxxxxxxxxx 00, 0000 Xxxxxx, Xxxxxxxxxxx ) ) ) ------------------------------------------CFO ) Occupation ) -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 21 (AS AT AUGUST 2002as at June 14, 2010) If Signed, sealed and delivered by ) Xxxxxxx X. Xxxxxxxx in the presence of: ) ) Xxx Xxxxxxx, CFO ) Name ) /s/ Xxx Xxxxxxx ) /s/ Xxxxxxx X. Xxxxxxxx Address ) XXXXXXX X. XXXXXXXX ) Xxxxxxxxxxxxxxxxx 00, 0000 Xxxxxx, Xxxxxxxxxxx ) ) ) CFO ) Occupation ) Signed, sealed and delivered by ) Xxxxxxx Xxxxxx in the presence of: ) ) Xxx Xxxxxxx ) Name ) /s/ Xxx Xxxxxxx ) /s/ Xxxxxxx Xxxxxx Address ) XXXXXXX XXXXXX ) Xxxxxxxxxxxxxxxxx 00, 0000 Xxxxxx, Xxxxxxxxxxx ) ) ) CFO ) Occupation ) (as at June 14, 2010) Signed, sealed and delivered by ) Xxxxxx Xxxxxxx in the presence of: ) ) Xxx Xxxxxxx ) Name ) /s/ Xxx Xxxxxxx ) /s/ Xxxxxx Xxxxxxx Address ) XXXXXX XXXXXXX ) Xxxxxxxxxxxxxxxxx 00, 0000 Xxxxxx, Xxxxxxxxxxx ) ) ) CFO ) Occupation ) Signed, sealed and delivered by ) Xxxxx-Xxxx Xxxxx in the presence of: ) ) Xxx Xxxxxxx, CFO ) Name ) /s/ Xxx Xxxxxxx ) /s/ Xxxxx-Xxxx Xxxxx Address ) XXXXX-XXXX XXXXX ) Xxxxxxxxxxxxxxxxx 00, 0000 Xxxxxx, Xxxxxxxxxxx ) ) ) CFO ) (as at June 14, 2010) Occupation ) Signed, sealed and delivered by ) Xxx Xxxxxxx in the presence of: ) ) Xxxxx Jenni, Corporate Secretary ) Name ) /s/ Xxxxx Xxxxx ) /s/ Xxx Xxxxxxx Address ) XXX XXXXXXX ) Alte Xxxxxxxxxx 00, 0000 Xxxxxxxxx, Xxxxxxxxxxx ) ) ) Senior Finance Manager ) Occupation ) Signed, sealed and delivered by ) Xxxxx Xxxxx in the presence of: ) ) Xxx Xxxxxxx, CFO ) Name ) /s/ Xxx Xxxxxxx ) /s/ Xxxxx Xxxxx Address ) XXXXX JENNI ) Xxxxxxxxxxxxxxxxx 00, 0000 Xxxxxx, Xxxxxxxxxxx ) ) ) CFO ) Occupation ) (as at June 14, 2010) Schedule “A” to Escrow Agreement Securityholder is not an individualName: o PerXxxxx Xxxxxx Signature: -------------------------------------- Authorized signatory -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 22 (AS AT AUGUST 2002) SCHEDULE "A" TO ESCROW AGREEMENT SECURITYHOLDER NAME/s/ Xxxxx Xxxxxx Address for Notice: Xxxxxxxxxxxxxxxx 00, 0000 Xxxxxx, Switzerland Email.: xxx@xxxxxxxxxxxxxx.xxx Securities:

Appears in 1 contract

Samples: Escrow Agreement (MANAS PETROLEUM Corp)

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Successor to Escrow Agent. Any corporation with which the Escrow Agent may be amalgamated, merged or consolidated, or any corporation succeeding to the business of the Escrow Agent will be the successor of the Escrow Agent under this Agreement without any further act on its part or on the part or any of the Parties, provided that the successor is recognized by the Exchange. The Parties have executed and delivered this Agreement as of the date set out above. NATIONAL BANK TRUST COMPUTERSHARE INVESTOR SERVICES INC. ----------------------------------------- signed “Xxxxxxx Xxxxxxx” Authorized signatory --------------------------------------------- signed “Xxxx Xxxxxx” Authorized signatory -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 19 (AS AT AUGUST 2002) LMS MEDICAL SYSTEMS INCPROSPECT PARK CAPITAL CORP. -------------------------------------------- signed “Xxxxxx Xxxxxxxxxxxx” Authorized signatory --------------------------------------------- signed “Xxxxxx Xxxxxxxx ” Authorized signatory -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 20 (AS AT AUGUST 2002) If the Securityholder is an individual: Signed, sealed and delivered by ) o Xxxxxx Xxxxxxxxxxxx in the presence of: ) ) ------------------------------------------) Name ) ) ------------------------------------------) ------------------------ signed “Xxxxxx Xxxxxxxxxxxx” Address ) ) ------------------------------------------Xxxxxx Xxxxxxxxxxxx ) ) ) ------------------------------------------) ) Occupation ) -------------------------------------------------------------------------------- FORM 5D Signed, sealed and delivered by ) Xxxxx Xxxxxxx Xx. in the presence of: ) ) ) Name ) ) ) signed “Xxxxx Xxxxxxx Xx.” Address ) Xxxxx Xxxxxxx Xx. ) ) ) ) ) Occupation ) Signed, sealed and delivered by ) Xxxxxx Xxxxxxxx in the presence of: ) ) ) Name ) ) ) signed “Xxxxxx Xxxxxxxx” Address ) Xxxxxx Xxxxxxxx ) ) ) ) ) Occupation ) Signed, sealed and delivered by ) Xxxxxxx X. Xxxxxxx in the presence of: ) ) ) Name ) ) ) signed “Xxxxxxx X. Xxxxxxx” Address ) Xxxxxxx X. Xxxxxxx ) ) ) ) ) Occupation ) Signed, sealed and delivered by ) Xxxxxxx Xxxxx in the presence of: ) ) ) Name ) ) ) signed “Xxxxxxx Xxxxx” Address ) Xxxxxxx Xxxxx ) ) ) ) ) Occupation ) Signed, sealed and delivered by ) Xxxxx Xxxxx Xxxxxxx in the presence of: ) ) ) Name ) ) ) signed “Xxxxx Xxxxx Xxxxxxx” Address ) Xxxxx Xxxxx Xxxxxxx ) ) ) ) ) Occupation ) Signed, sealed and delivered by ) Xxxxxx X. Xxxxxxxx in the presence of: ) ) ) Name ) ) ) signed “Xxxxxx X. Xxxxxxxx” Address ) Xxxxxx X. Xxxxxxxx ) ) ) ) ) Occupation ) Signed, sealed and delivered by ) Xxxxxxx X. Xxxxxx in the presence of: ) ) ) Name ) ) ) signed “Xxxxxxx X. Xxxxxx” Address ) Xxxxxxx X. Xxxxxx ) ) ) ) ) Occupation ) Signed, sealed and delivered by ) Xxxxxxx Xxxx in the presence of: ) ) ) Name ) ) ) signed “Xxxxxxx Xxxx” Address ) Xxxxxxx Xxxx ) ) ) ) ) Occupation ) Signed, sealed and delivered by ) Xxxxxxx X. Xxxxxx in the presence of: ) ) ) Name ) ) ) signed “Xxxxxxx X. Xxxxxx” Address ) Xxxxxxx X. Xxxxxx ) ) ) ) ) Occupation ) Schedule “A” to Escrow Agreement Securityholder Name: Xxxxxx Xxxxxxxxxxxx Signature: signed “Xxxxxx Xxxxxxxxxxxx” Address for Notice: [redacted due to privacy] Securities: Class or description Number Certificate(s) (if applicable) common shares 910,749 Schedule “A” to Escrow Agreement Securityholder Name: Xxxxx Xxxxxxx Xx. Signature: signed “Xxxxx Xxxxxxx Xx.” Address for Notice: [redacted due to privacy] Securities: Class or description Number Certificate(s) (if applicable) common shares 666,566 Schedule “A” to Escrow Agreement Securityholder Name: Xxxxxxx X. Xxxxxx Signature: signed “Xxxxxxx X. Xxxxxx” Address for Notice: [redacted due to privacy] Securities: Class or description Number Certificate(s) (if applicable) common shares 333,333 Schedule “A” to Escrow Agreement Securityholder Name: Xxxxxx Xxxxxxxx Signature: signed “Xxxxxx Xxxxxxxx” Address for Notice: [redacted due to privacy] Securities: Class or description Number Certificate(s) (if applicable) common shares 100,000 Schedule “A” to Escrow Agreement Securityholder Name: Xxxxxxx Xxxx Signature: signed “Xxxxxxx Xxxx” Address for Notice: [redacted due to privacy] Securities: Class or description Number Certificate(s) (if applicable) common shares 366,666 Schedule “A” to Escrow Agreement Securityholder Name: Xxxxxxx X. Xxxxxxx Signature: signed “Xxxxxxx X. Xxxxxxx” Address for Notice: [redacted due to privacy] Securities: Class or description Number Certificate(s) (if applicable) common shares 33,333 Schedule “A” to Escrow Agreement Securityholder Name: Xxxxxxx Xxxxx Signature: signed “Xxxxxxx Xxxxx” Address for Notice: [redacted due to privacy] Securities: Class or description Number Certificate(s) (if applicable) common shares 333,333 Schedule “A” to Escrow Agreement Securityholder Name: Xxxxx Xxxxx Xxxxxxx Signature: signed “Xxxxx Xxxxx Xxxxxxx” Address for Notice: [redacted due to privacy] Securities: Class or description Number Certificate(s) (if applicable) common shares 167,903 Schedule “A” to Escrow Agreement Securityholder Name: Xxxxxx X. Xxxxxxxx Signature: signed “Xxxxxx X. Xxxxxxxx” Address for Notice: [redacted due to privacy] Securities: Class or description Number Certificate(s) (if applicable) common shares 163,268 Schedule “A” to Escrow Agreement Securityholder Name: Xxxxxxx X. Xxxxxx Signature: signed “Xxxxxxx X. Xxxxxx” Address for Notice: [redacted due to privacy] Securities: Class or description Number Certificate(s) (if applicable) common shares 661,762 SCHEDULE B(1) – CPC ESCROW AGREEMENT PAGE 21 SECURITIES RELEASE SCHEDULE Timed Release Release Dates Percentage of Total Escrowed Securities to be Released Total Number of Escrowed Securities to be Released [Insert date of Final Exchange Bulletin] 10% 373,691 [Insert date 6 months following Final Exchange Bulletin] 15% 560,537 [Insert date 12 months following Final Exchange Bulletin] 15% 560,537 [Insert date 18 months following Final Exchange Bulletin] 15% 560,537 [Insert date 24 months following Final Exchange Bulletin] 15% 560,537 [Insert date 30 months following Final Exchange Bulletin] 15% 560,537 [Insert date 36 months following Final Exchange Bulletin] 15% 560,537 TOTAL 100% 3,736,913 * In the simplest case, where there are no changes to the escrow securities initially deposited and no additional escrow securities, the release schedule outlined above results in the escrow securities being released in equal tranches of 15% after completion of the release on the date of the Final Exchange Bulletin. SCHEDULE B(2) – TIER 1 ISSUER - ESCROW SECURITIES RELEASE SCHEDULE Timed Release Release Dates Percentage of Total Escrowed Securities to be Released Total Number of Escrowed Securities to be Released [Insert date of Final Exchange Bulletin] 25% 934,228 [Insert date 6 months following Final Exchange Bulletin] 25% 934,228 [Insert date 12 months following Final Exchange Bulletin] 25% 934,228 [Insert date 18 months following Final Exchange Bulletin] 25% 934,229 TOTAL 100% 3,736,913 * In the simplest case, where there are no changes to the escrow securities initially deposited and no additional escrow securities, then the release schedule outlined above results in the escrow securities being released in equal tranches of 25%. SCHEDULE B(3) UNDERTAKING OF HOLDING COMPANY TO: THE TSX VENTURE EXCHANGE  (AS AT AUGUST 2002the "Securityholder") If has subscribed for and agreed to purchase, as principal,  Common Shares of  (the "Escrowed Securities"). The Escrowed Securities will be held in escrow as detailed in the escrow agreement entered into between  (the “Issuer”),  (the “Escrow Agent”) and the Securityholder (the “Escrow Agreement”). The undersigned undertakes that, to the extent reasonably possible, it will not permit or authorize its securities to be issued or transferred, nor will it otherwise authorize any transaction involving any of its securities that could reasonably result in a change of its control without the prior consent of the TSX Venture Exchange, as long as any Escrowed Securities remain held or are required to be held in escrow. DATED this  day of . (Name of Securityholder - please print) (Authorized Signature) (Official Capacity - please print) (Please print here name of individual whose signature appears above) The Securityholder is directly controlled by the undersigned who undertakes that, to the extent reasonably possible, he will not an individual: o Per: -------------------------------------- Authorized signatory -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 22 permit or authorize securities of the Securityholder to be issued or transferred, nor otherwise carry out any transaction that could reasonably result in a change of control of the Securityholder without the prior consent of the TSX Venture Exchange, as long as any Escrowed Securities remain held or are required to be held in escrow. DATED this  day of . (AS AT AUGUST 2002Signature) SCHEDULE "A" TO ESCROW AGREEMENT SECURITYHOLDER NAME:(Name of Controlling Securityholder – please print) (Signature)

Appears in 1 contract

Samples: CPC Escrow Agreement

Successor to Escrow Agent. Any corporation with which the Escrow Agent may be amalgamated, merged or consolidated, or any corporation succeeding to the business of the Escrow Agent will be the successor of the Escrow Agent under this Agreement without any further act on its part or on the part or any of the Parties, provided that the successor is recognized as a transfer agent by the ExchangeCanadian exchange the Issuer is listed on (or if the Issuer is not listed on a Canadian exchange, by any Canadian exchange) and notice is given to the securities regulators with jurisdiction. The Parties have executed and delivered this Agreement as of the date set out above. NATIONAL BANK TRUST COMPUTERSHARE INVESTOR SERVICES INC. ----------------------------------------- “Xxxxx Xxxx” Authorized signatory --------------------------------------------- “Xxxxx Xx” Authorized signatory -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 19 (AS AT AUGUST 2002) LMS MEDICAL SYSTEMS BRIGHT MINDS BIOSCIENCES INC. -------------------------------------------- “Xxx XxXxxxxx” Authorized signatory --------------------------------------------- “Xxxx Xxxxxx” Authorized signatory -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 20 Signed, sealed and delivered by ) XXXX XXXXXXXXXX in the presence of: ) ) “Xxxxxxxx X. Xxxxxxxx” ) Signature of Witness ) “Xxxx Xxxxxxxxxx” ) XXXX XXXXXXXXXX Xxxxxxxx X. Xxxxxxxx ) Name of Witness ) ) Signed, sealed and delivered by ) XXXXXX XXXXXXX in the presence of: ) ) “Xxxxxx Xxxxxxx” ) Signature of Witness ) “Xxxxxx Xxxxxxx” ) XXXXXX XXXXXXX Xxxxxx Xxxxxxx ) Name of Witness ) Signed, sealed and delivered by ) XXXXXX XXXXXXXXXX in the presence of: ) ) ) Signature of Witness ) “Xxxxxx Xxxxxxxxxx” ) XXXXXX XXXXXXXXXX ) Name of Witness ) ) Signed, sealed and delivered by ) XXX XXXXXXXX in the presence of: ) “Xxxxxx X. Xxxxx” ) Signature of Witness ) “Xxx XxXxxxxx” ) XXX XXXXXXXX Xxxxxx X. Xxxxx ) Name of Witness ) ) Signed, sealed and delivered by ) XXXXXX FRZYUK in the presence of: ) ) ) Signature of Witness ) “Xxxxxx Xxxxxx” ) XXXXXX FRZYUK ) Name of Witness ) ) Sea to Sky UG “Xxxx Xxxxxxxxx Bottler” Authorized signatory Schedule “A” to Escrow Agreement Securityholder Name: Xxxx Xxxxxxxxxx [Address Redacted] Securities: Class or description Number Certificate(s) (AS AT AUGUST 2002if applicable) If Common Shares 1,000,000 Warrants 1,000,000 Securityholder Name: Xxxxxx Xxxxxxx [Address Redacted] Securities: Class or description Number Certificate(s) (if applicable) Common 748,000 Warrants 748,000 Securityholder Name: Xxxxxx Xxxxxxxxxx [Address Redacted] Securities: Class or description Number Certificate(s) (if applicable) Common 200,000 Warrants 200,000 Securityholder Name: Xxx XxXxxxxx [Address Redacted] Securities: Class or description Number Certificate(s) (if applicable) Common 844,800 Securityholder Name: Xxxxxx Frzyuk [Address Redacted] Securities: Class or description Number Certificate(s) (if applicable) Common 40,000 Securityholder Name: Sea to Sky UG [Address Redacted] Securities: Class or description Number Certificate(s) (if applicable) Common 20,000 Schedule “B” to Escrow Agreement Acknowledgment and Agreement to be Bound I acknowledge that the Securityholder securities listed in the attached Schedule “A” (the “escrow securities”) have been or will be transferred to me and that the escrow securities are subject to an Escrow Agreement dated (the “Escrow Agreement”). For other good and valuable consideration, I agree to be bound by the Escrow Agreement in respect of the escrow securities, as if I were an original signatory to the Escrow Agreement. Dated at on . Where the transferee is an individual: Signed, sealed and delivered by ) o [Transferee] in the presence of: ) ) ------------------------------------------) Name ) ) ------------------------------------------) ------------------------ Address ) ) ------------------------------------------Signature of Witness ) ) ) ------------------------------------------[Transferee] ___ ) Occupation Name of Witness ) -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 21 (AS AT AUGUST 2002) If Where the Securityholder transferee is not an individual: o Per: -------------------------------------- [Transferee] Authorized signatory -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 22 (AS AT AUGUST 2002) SCHEDULE "A" TO ESCROW AGREEMENT SECURITYHOLDER NAME:signatory

Appears in 1 contract

Samples: Escrow Agreement

Successor to Escrow Agent. Any corporation with which the Escrow Agent may be amalgamated, merged or consolidated, or any corporation succeeding to the business of the Escrow Agent will be the successor of the Escrow Agent under this Agreement without any further act on its part or on the part or any of the Parties, provided that the successor is recognized by the Exchange. The Parties have executed and delivered this Agreement as of the date set out above. NATIONAL BANK TRUST COMPUTERSHARE INVESTOR SERVICES INC. ----------------------------------------- Redacted Authorized signatory --------------------------------------------- Redacted Authorized signatory -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 19 (AS AT AUGUST 2002) LMS MEDICAL SYSTEMS INCLIBERTY DEFENSE HOLDINGS, LTD. -------------------------------------------- Redacted Authorized signatory --------------------------------------------- Redacted Authorized signatory -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 20 (AS AT AUGUST 2002) If the Securityholder is an individual: Signed, sealed and delivered by ) o XXXXXXX XXXXX in the presence of: ) Redacted ) ) Name ) Redacted ) Redacted ) Address ) XXXXXXX XXXXX ) Redacted ) Occupation Signed, sealed and delivered by ) XXXXX XXXXXX in the presence of: ) ) ------------------------------------------Redacted ) Name ) Redacted ) ------------------------------------------) ------------------------ Redacted Address ) XXXXX XXXXXX ) ------------------------------------------Redacted ) Occupation Signed, sealed and delivered by ) XXX XXXXXXX in the presence of: ) ) Redacted ) ------------------------------------------Name ) Redacted ) Redacted Address ) XXX XXXXXXX ) Redacted ) Occupation Signed, sealed and delivered by ) -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 21 (AS AT AUGUST 2002XXXX XXXXXX in the presence of: ) If the Securityholder is not an individual: o Per: -------------------------------------- Authorized signatory -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 22 (AS AT AUGUST 2002) SCHEDULE "A" TO ESCROW AGREEMENT SECURITYHOLDER NAME:Redacted ) Name ) Redacted ) Redacted Address ) XXXX XXXXXX Redacted ) )

Appears in 1 contract

Samples: Escrow Agreement

Successor to Escrow Agent. Any corporation with which the Escrow Agent may be amalgamated, merged or consolidated, or any corporation succeeding to the business of the Escrow Agent will be the successor of the Escrow Agent under this Agreement without any further act on its part or on the part or any of the Parties, provided that the successor is recognized by the Exchange. The Parties have executed and delivered this Agreement as of the date set out above. NATIONAL BANK COMPUTERSHARE TRUST INC. ----------------------------------------- COMPANY OF CANADA signed “Xxxxxxxx Xxxxxx” Authorized signatory --------------------------------------------- signed “Xxxxx Xxxxxx” Authorized signatory -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 19 (AS AT AUGUST 2002) LMS MEDICAL RESIN SYSTEMS INC. -------------------------------------------- signed “Xxxx Pendura” Authorized signatory --------------------------------------------- signed “Xxxxx Xxxxxxxxx” Authorized signatory -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 20 (AS AT AUGUST 2002) If the Securityholder is an individual: Signed, sealed and delivered by ) o Xxxxx Xxxxxxxxx in the presence of: ) ) ------------------------------------------Xxxxx Xxxxxxx ) Name ) ) ------------------------------------------14604 – 115A Avenue ) ------------------------ signed “Xxxxx Xxxxxxxxx” Address ) Xxxxx Xxxxxxxxx ) ------------------------------------------Edmonton, Alberta ) ) ) ------------------------------------------Accountant ) Occupation ) -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 21 (AS AT AUGUST 2002Signed, sealed and delivered by ) If Xxxx Pendura in the Securityholder is not an individualpresence of: o Per: -------------------------------------- ) ) Xxxxx Xxxxxxx ) Name ) ) 14604 – 115A Avenue ) signed “Xxxx Pendura” Address ) Xxxx Pendura ) Edmonton, Alberta ) ) ) Accountant ) Occupation ) USCC HOLDING COMPANY signed “Authorized Officer” Authorized signatory -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 22 (AS AT AUGUST 2002) SCHEDULE "_______________________ Authorized signatory Schedule “A" TO ESCROW AGREEMENT SECURITYHOLDER NAME” to Escrow Agreement Securityholder Name: Xxxxx Xxxxxxxxx Signature: signed “Xxxxx Xxxxxxxxx” Address for Notice: 0-00000 XXX 00 Xxxxxx Xxxxx, Xxxxxxx X0X 0X0 Securities:

Appears in 1 contract

Samples: Escrow Agreement (Resin Systems Inc)

Successor to Escrow Agent. Any corporation with which the Escrow Agent may be amalgamated, merged or consolidated, or any corporation succeeding to the business of the Escrow Agent will be the successor of the Escrow Agent under this Agreement without any further act on its part or on the part or any of the Parties, provided that the successor is recognized by the Exchange. The Parties have executed and delivered this Agreement as of the date set out above. NATIONAL BANK TRUST COMPUTERSHARE INVESTOR SERVICES INC. ----------------------------------------- "Xxxxx Xxx" Authorized signatory --------------------------------------------- "Xxxxx Xxxxxxx" Authorized signatory -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 19 (AS AT AUGUST 2002) LMS MEDICAL SYSTEMS XXXXX K INDUSTRIES INC. -------------------------------------------- "Xxxxxx Xxxxxxx" Authorized signatory --------------------------------------------- "Xxxxxx Low" Authorized signatory -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 20 (AS AT AUGUST 2002) If the Securityholder is an individual: Signed, sealed and delivered by ) o Xxxxxx Xxxxxxx in the presence of: ) ) ------------------------------------------Xxxxxx Low ) Name ) ) ------------------------------------------[address redacted] ) ------------------------ "Xxxxxx Xxxxxxx" Address ) ) ------------------------------------------Xxxxxx Xxxxxxx ) ) ) ------------------------------------------) ) Occupation ) -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 21 (AS AT AUGUST 2002Signed, sealed and delivered by ) If Xxxx Xxxxxxx in the Securityholder is not an individualpresence of: o Per) ) Xxxxxx Low ) Name ) ) [address redacted] ) "Xxxx Xxxxxxx" Address ) Xxxx Xxxxxxx ) ) ) ) ) Occupation ) Signed, sealed and delivered by ) Xxxxxx Low in the presence of: -------------------------------------- ) ) Xxxx Xxxxxxx ) Name ) ) [address redacted] ) "Xxxxxx Low" Address ) Xxxxxx Low ) ) ) ) ) Occupation ) Signed, sealed and delivered by ) Xxxx Xxxxxxxx in the presence of: ) ) Xxxxxx Xxxxxxxxx ) Name ) ) [address redacted] ) "Xxxx Xxxxxxxx" Address ) Xxxx Xxxxxxxx ) ) ) ) ) Occupation ) Signed, sealed and delivered by ) Xxxxxxx XxXxxxx in the presence of: ) ) Xxxx Xxxxxxxx ) Name ) ) [address redacted] ) "Xxxxxxx XxXxxxx" Address ) Xxxxxxx XxXxxxx ) ) ) ) ) Occupation ) Signed, sealed and delivered by ) Xxxxxx Xxxxxxxxx in the presence of: ) ) Xxxx Xxxxxxxx ) Name ) ) [address redacted] ) "Xxxxxx Xxxxxxxxx" Address ) Xxxxxx Xxxxxxxxx ) ) ) ) ) Occupation ) Signed, sealed and delivered by ) Xxxx Xxxxx in the presence of: ) ) Xxxxxx Xxxx ) Name ) ) [address redacted] ) "Xxxx Xxxxx" Address ) Xxxx Xxxxx ) ) ) ) ) Occupation ) Signed, sealed and delivered by ) Xxxx Xxxxxx in the presence of: ) ) Xxxxxx Xxxxxxxxxxx ) Name ) ) [address redacted] ) "Xxxx Xxxxxx" Address ) Xxxx Xxxxxx ) ) ) ) ) Occupation ) Signed, sealed and delivered by ) Xxxxx Xxxxxxx in the presence of: ) ) Xxxxxx Low ) Name ) ) [address redacted] ) "Xxxxx Xxxxxxx" Address ) Xxxxx Xxxxxxx ) ) ) ) ) Occupation ) Signed, sealed and delivered by ) Xxxxxxx Xxxxxxxx in the presence of: ) ) Xxxx Xxxxxxx ) Name ) ) [address redacted] ) "Xxxxxxx Xxxxxxxx" Address ) Xxxxxxx Xxxxxxxx ) ) ) ) ) Occupation ) Signed, sealed and delivered by ) Xxxxx Xxxxxxxx in the presence of: ) ) Nadjina Dib ) Name ) ) [address redacted] ) "Xxxxx Xxxxxxxx" Address ) Xxxxx Xxxxxxxx ) ) ) ) ) Occupation ) Signed, sealed and delivered by ) Xxxxxx Xxxxxxxx in the presence of: ) ) Xxxx Xxxxxxxx ) Name ) ) [address redacted] ) "Xxxxxx Xxxxxxxx" Address ) Xxxxxx Xxxxxxxx ) ) ) ) ) Occupation ) Signed, sealed and delivered by ) Xxxxx Xxxx in the presence of: ) ) Xxxxxx Low ) Name ) ) [address redacted] ) "Xxxxx Xxxx" Address ) Xxxxx Xxxx ) ) ) ) ) Occupation ) Signed, sealed and delivered by ) Xxxx Xxxxx in the presence of: ) ) Xxxxxx Xxxxxx ) Name ) ) [address redacted] ) "Xxxx Xxxxx" Address ) Xxxx Xxxxx ) ) ) ) ) Occupation ) Signed, sealed and delivered by ) Xxxx Xxxxxx in the presence of: ) ) Xxxxx Xxxxxx ) Name ) ) [address redacted] ) "Xxxx Xxxxxx" Address ) Xxxx Xxxxxx ) ) ) ) ) Occupation ) Signed, sealed and delivered by ) Xxxxxxx Xxxxxxxx in the presence of: ) ) Xxxxxx Low ) Name ) ) [address redacted] ) "Xxxxxxx Xxxxxxxx" Address ) Xxxxxxx Xxxxxxxx ) ) ) ) ) Occupation ) Signed, sealed and delivered by ) Xxxxx Xxxx in the presence of: ) ) Xxxxxxxx Xxxx ) Name ) ) [address redacted] ) "Xxxxx Xxxx" Address ) Xxxxx Xxxx ) ) ) ) ) Occupation ) Signed, sealed and delivered by ) Xxxxxxx Xxxxxxxx in the presence of: ) ) Xxxx Xxxxxxxx ) Name ) ) [address redacted] ) "Xxxxxxx Xxxxxxxx" Address ) Xxxxxxx Xxxxxxxx ) ) ) ) ) Occupation ) Signed, sealed and delivered by ) Xxxxxxxxx Xxxxxxx in the presence of: ) ) Xxxxxx Low ) Name ) ) [address redacted] ) "Xxxxxxxxx Xxxxxxx" Address ) Xxxxxxxxx Xxxxxxx ) ) ) ) ) Occupation ) Signed, sealed and delivered by ) Xxxx Xxxxxx in the presence of: ) ) Xxxxxxx Xxxxxx ) Name ) ) [address redacted] ) "Xxxx Xxxxxx" Address ) Xxxx Xxxxxx ) ) ) ) ) Occupation ) Xxxxxx Investments Corp. "signed" Authorized signatory -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 22 NEX Industries Corp. "signed" Authorized signatory Noordin X X Xxxxx Law Corporation "signed" Authorized signatory Impactreneur Capital Corp. "signed" Authorized signatory Schedule “A” to Escrow Agreement Securityholder Name: Xxxxxx Xxxxxxx Signature: "Xxxxxx Xxxxxxx" Address for Notice: Securities: Class or description Number Certificate(s) (AS AT AUGUST 2002if applicable) SCHEDULE Common Shares 600,000 N/A Securityholder Name: Xxxx Xxxxxxx Signature: "AXxxx Xxxxxxx" TO ESCROW AGREEMENT SECURITYHOLDER NAME:Address for Notice: Securities: Class or description Number Certificate(s) (if applicable) Common Shares 700,000 N/A Securityholder Name: Xxxxxx Low Signature: "Xxxxxx Low" Address for Notice: Securities: Class or description Number Certificate(s) (if applicable) Common Shares 100,000 N/A Securityholder Name: Xxxx Xxxxxxxx Signature: "Xxxx Xxxxxxxx" Address for Notice: Securities: Class or description Number Certificate(s) (if applicable) Common Shares 200,000 N/A Securityholder Name: Xxxxxxx XxXxxxx Signature: "Xxxxxxx XxXxxxx" Address for Notice: Securities: Class or description Number Certificate(s) (if applicable) Common Shares 200,000 N/A Securityholder Name: Xxxxxx Xxxxxxxxx Signature: "Xxxxxx Xxxxxxxxx" Address for Notice: Securities: Class or description Number Certificate(s) (if applicable) Common Shares 100,000 N/A Securityholder Name: Xxxx Xxxxx Signature: "Xxxx Xxxxx" Address for Notice: Securities: Class or description Number Certificate(s) (if applicable) Common Shares 200,000 N/A Securityholder Name: Xxxx Xxxxxx Signature: "Xxxx Xxxxxx" Address for Notice: Securities: Class or description Number Certificate(s) (if applicable) Common Shares 300,000 N/A Securityholder Name: Xxxxx Xxxxxxx

Appears in 1 contract

Samples: CPC Escrow Agreement

Successor to Escrow Agent. Any corporation with which the Escrow Agent may be amalgamated, merged or consolidated, or any corporation succeeding to the business of the Escrow Agent will be the successor of the Escrow Agent under this Agreement without any further act on its part or on the part or any of the Parties, provided that the successor is recognized as a transfer agent by the ExchangeCanadian exchange the Issuer is listed on (or if the Issuer is not listed on a Canadian exchange, by any Canadian exchange) and notice is given to the securities regulators with jurisdiction. The Parties have executed and delivered this Agreement as of the date set out above. NATIONAL BANK ENDEAVOR TRUST INC. ----------------------------------------- CORPORATION "Xxxxx Xxxxxx" Authorized signatory --------------------------------------------- "Xxxxxxxxx Xxxx" Authorized signatory -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 19 (AS AT AUGUST 2002) LMS MEDICAL SYSTEMS INCWESTMOUNT MINERALS CORP. -------------------------------------------- "Xxxxx Xxxxx" Authorized signatory --------------------------------------------- " Xxxxxx Xxxxxx " Authorized signatory -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 20 (AS AT AUGUST 2002) If the Securityholder is an individual: Signed, sealed and delivered by ) o XXXXX XXXXXXXX in the presence of: ) ) ------------------------------------------"Xxx Xxxxxx" __ ) Signature of Witness ) "Xxxxx Xxxxxxxx" ) XXXXX XXXXXXXX ) Xxx Xxxxxx __ ) Name of Witness ) ) ------------------------------------------Signed, sealed and delivered by ) ------------------------ Address ) ) ------------------------------------------XXXXX XXXXX in the presence of: ) ) ) ------------------------------------------"Xxx Xxxxxx" __ ) Occupation Signature of Witness ) -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 21 "Xxxxx Xxxxx" ) XXXXX XXXXX ) Xxx Xxxxxx __ ) Name of Witness ) ) Signed, sealed and delivered by ) XXXXXX XXXXXX in the presence of: ) ) "Xxx Xxxxxx" __ ) Signature of Witness ) "Xxxxxx Xxxxxx" ) XXXXXX XXXXXX ) Xxx Xxxxxx __ ) Name of Witness ) ) Signed, sealed and delivered by ) XXXXXXX XXXXXXX in the presence of: ) ) "Xxx Xxxxxx" __ ) Signature of Witness ) "Xxxxxxx Xxxxxxx" ) ) Xxx Xxxxxx __ ) Name of Witness ) XXXXXXX XXXXXXX Signed, sealed and delivered by ) XXXXXXXX XXXXX in the presence of: ) ) ) "Xxx Xxxxxx" __ ) Signature of Witness ) "Xxxxxxxx Xxxxx" ) XXXXXXXX XXXXX ) Xxx Xxxxxx __ ) Name of Witness ) ) CMI CORNERSTONE MANAGEMENT CORPORATION "Xxxxxxx Xxxxxxx" Authorized signatory SEATREND STRATEGY GROUP "Xxxxxx Xxxxxx" Authorized signatory Schedule “A” to Escrow Agreement Securityholder Name: XXXXX XXXXXXXX Securities: Class or description Number Certificate(s) (AS AT AUGUST 2002if applicable) If Common Shares 1,350,000 Stock options to acquire Common Shares 175,000 Securityholder Name: CMI CORNERSTONE MANAGEMENT CORPORATION Securities: Class or description Number Certificate(s) (if applicable) Common Shares 1,000,000 Securityholder Name: XXXXX XXXXX Securities: Class or description Number Certificate(s) (if applicable) Common Shares 1,550,001 Stock options to acquire Common Shares 375,000 Securityholder Name: XXXXXX XXXXXX Securities: Class or description Number Certificate(s) (if applicable) Stock options to acquire Common Shares 300,000 Securityholder Name: XXXXXXX XXXXXXX Securities: Class or description Number Certificate(s) (if applicable) Stock options to acquire Common Shares 150,000 Securityholder Name: XXXXXXXX XXXXX Securities: Class or description Number Certificate(s) (if applicable) Common Shares 150,000 Securityholder Name: SEATREND STRATEGY GROUP Securities: Class or description Number Certificate(s) (if applicable) Common Shares 1,450,000 Schedule “B” to Escrow Agreement Acknowledgment and Agreement to be Bound I acknowledge that the Securityholder securities listed in the attached Schedule “A” (the “escrow securities”) have been or will be transferred to me and that the escrow securities are subject to an Escrow Agreement dated _ (the “Escrow Agreement”). For other good and valuable consideration, I agree to be bound by the Escrow Agreement in respect of the escrow securities, as if I were an original signatory to the Escrow Agreement. Dated at on _ __. Where the transferee is an individual: Signed, sealed and delivered by ) [Transferee] in the presence of: ) ) _ __ ) Signature of Witness ) ) _ ) [Transferee] _ __ ) Name of Witness ) ) Where the transferee is not an individual: o Per: -------------------------------------- [Transferee] _ _ Authorized signatory -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 22 (AS AT AUGUST 2002) SCHEDULE "A" TO ESCROW AGREEMENT SECURITYHOLDER NAME:_ _

Appears in 1 contract

Samples: Escrow Agreement

Successor to Escrow Agent. Any corporation with which the Escrow Agent may be amalgamated, merged or consolidated, or any corporation succeeding to the business of the Escrow Agent will be the successor of the Escrow Agent under this Agreement without any further act on its part or on the part or any of the Parties, provided that the successor is recognized by the Exchange. The Parties have executed and delivered this Agreement as of the date set out above. NATIONAL BANK OLYMPIA TRUST COMPANY /s/ Xxxxx Xxxxxxxx Authorized signatory /s/ Xxxxx Xxxx Authorized signatory RESPECT YOUR UNIVERSE, INC. ----------------------------------------- /s/ Xxxxxxxx Xxxxxxxx Authorized signatory --------------------------------------------- Authorized signatory -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 19 (AS AT AUGUST 2002) LMS MEDICAL SYSTEMS INC. -------------------------------------------- Authorized signatory --------------------------------------------- Authorized signatory -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 20 (AS AT AUGUST 2002as at June 14, 2010) If the Securityholder is an individual: Signed, sealed and delivered by ) o Xxxxx Xxxxxxx in the presence of: ) ) ------------------------------------------) Name ) ) ------------------------------------------) ------------------------ /s/ Xxxxx Xxxxxxx Address ) ) ------------------------------------------Xxxxx Xxxxxxx ) ) ) ------------------------------------------) ) Occupation ) -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 21 (AS AT AUGUST 2002as at June 14, 2010) If the Securityholder is an individual: Signed, sealed and delivered by ) Xxxxx Xxxxxx in the presence of: ) ) ) Name ) ) ) /s/ Xxxxx Xxxxxx Address ) Xxxxx Xxxxxx ) ) ) ) ) Occupation ) FORM 5D ESCROW AGREEMENT (as at June 14, 2010) If the Securityholder is not an individual: o Per: -------------------------------------- Boucheron Investments, Inc. /s/ Xxxx xx Xxxxxxx Authorized signatory -------------------------------------------------------------------------------- /s/ Xxxxxxx Xxxxxxxx Authorized signatory FORM 5D ESCROW AGREEMENT PAGE 22 (AS AT AUGUST 2002as at June 14, 2010) SCHEDULE "A" TO If the Securityholder is not an individual: Stenfanus Internacional, Inc. /s/ Xxxx xx Xxxxxxx Authorized signatory /s/ Xxxxxxx Xxxxxxxx Authorized signatory FORM 5D ESCROW AGREEMENT SECURITYHOLDER NAME:(as at June 14, 2010) If the Securityholder is not an individual: Ryalight Capital Corporation /s/ Clima X. Xxxx Authorized signatory /s/ Xxxxx Xxxxx Authorized signatory FORM 5D ESCROW AGREEMENT (as at June 14, 2010) If the Securityholder is not an individual: Isaiah Capital Trust /s/ Clima X. Xxxx Authorized signatory /s/ Xxxxx Xxxxx Authorized signatory FORM 5D ESCROW AGREEMENT (as at June 14, 2010) If the Securityholder is an individual: Signed, sealed and delivered by ) Xxxxx Xxxxx in the presence of: ) ) ) Name ) ) ) /s/ Xxxxx Xxxxx Address ) Xxxxx Xxxxx ) ) ) ) ) Occupation ) FORM 5D ESCROW AGREEMENT (as at June 14, 2010) If the Securityholder is an individual: Signed, sealed and delivered by ) Xxx Xxxxxxx in the presence of: ) ) ) Name ) ) /s/ Xxx Xxxxxxx Address ) Xxx Xxxxxxx ) ) ) ) ) Occupation ) FORM 5D ESCROW AGREEMENT (as at June 14, 2010) Schedule “A” to Escrow Agreement Securityholder Name: Xxx Xxxxxxx Signature: /s/ Xxx Xxxxxxx Address for Notice: 000 Xxxxx Xx Xxxxx, XX, XX 00000

Appears in 1 contract

Samples: Escrow Agreement (Respect Your Universe, Inc.)

Successor to Escrow Agent. Any corporation with which the Escrow Agent may be amalgamated, merged or consolidated, or any corporation succeeding to the business of the Escrow Agent will be the successor of the Escrow Agent under this Agreement without any further act on its part or on the part or any of the Parties, provided that the successor is recognized by the Exchange. The Parties have executed and delivered this Agreement as of the date set out above. NATIONAL BANK OLYMPIA TRUST INC. ----------------------------------------- COMPANY "Xxxx Xxxxxxx" Authorized signatory --------------------------------------------- "Xxxxx Xxxxxxx" Authorized signatory -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 19 (AS AT AUGUST 2002) LMS MEDICAL SYSTEMS INCPETRO OCCIDENTE CAPITAL CORP. -------------------------------------------- "Xxxxxxx Xxxxxx" Authorized signatory --------------------------------------------- "Xxxxx Xxxxxxxxx" Authorized signatory -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 20 (AS AT AUGUST 2002) If the Securityholder is an individual: Signed, sealed and delivered by ) o Xxxxxxx Xxxxxx in the presence of: ) ) ------------------------------------------) Name ) ) ------------------------------------------) ------------------------ "Xxxxxxx Xxxxxx" Address ) ) ------------------------------------------XXXXXXX XXXXXX ) ) ) ------------------------------------------) ) Occupation ) -------------------------------------------------------------------------------- FORM 5D Signed, sealed and delivered by ) Xxxxxxx Xxxxxxx in the presence of: ) ) ) Name ) ) ) "Xxxxxxx Xxxxxxx" Address ) XXXXXXX XXXXXXX ) ) ) ) ) Occupation ) Signed, sealed and delivered by ) Xxxxx Xxxxxxxxx in the presence of: ) ) ) Name ) ) ) "Xxxxx Xxxxxxxxx" Address ) XXXXX XXXXXXXXX ) ) ) ) ) Occupation ) Signed, sealed and delivered by ) Xxxxxx Xxxxxxx in the presence of: ) ) ) Name ) ) ) "Xxxxxx Xxxxxxx" Address ) XXXXXX XXXXXXX ) ) ) ) ) Occupation ) Signed, sealed and delivered by ) Xxxxxxxx X’Xxxxxx in the presence of: ) ) ) Name ) ) ) "Xxxxxxxx X'Xxxxxx" Address ) XXXXXXXX X’XXXXXX ) ) ) ) ) Occupation ) Signed, sealed and delivered by ) Xxxxxxxxxxx X. Xxxxxxxxxxx in the presence of: ) ) ) Name ) ) ) "Xxxxxxxxxxx X. Xxxxxxxxxxx" Address ) XXXXXXXXXXX X. XXXXXXXXXXX ) ) ) ) ) Occupation ) Signed, sealed and delivered by ) Xxxx Xx (Xxxxxx) Xxxxx in the presence of: ) ) ) Name ) ) "Xxxx Xx (Xxxxxx) Xxxxx" Address ) XXXX XX (CHERRY) XXXXX ) ) ) ) ) Occupation ) Signed, sealed and delivered by ) Xxxx Xxxxxxx in the presence of: ) ) ) Name ) ) ) "Xxxx Xxxxxxx" Address ) XXXX XXXXXXX ) ) ) ) ) Occupation ) Signed, sealed and delivered by ) Xxxxx Xxxxxxxx in the presence of: ) ) ) Name ) ) ) "Xxxxx Xxxxxxxx" Address ) XXXXX XXXXXXXX ) ) ) ) ) Occupation ) Signed, sealed and delivered by ) Xxxx Xxxxxxxx in the presence of: ) ) ) Name ) ) ) "Xxxx Xxxxxxxx" Address ) XXXX XXXXXXXX ) ) ) ) ) Occupation ) Schedule “A” to Escrow Agreement Securityholder Name: Xxxxxxx Xxxxxx Signature: Address for Notice: Securities: Name Class or Description Number Certificate(s) (if applicable) Xxxxxxx Xxxxxx Common Shares 500,000 C-2 Name: Xxxxx Xxxxxxxxx Signature: Address for Notice: Securities: Name Class or Description Number Certificate(s) (if applicable) Xxxxx Xxxxxxxxx Common Shares 500,000 C-1 Name: Xxxxxxx Xxxxxxx Signature: Address for Notice: Securities: Name Class or Description Number Certificate(s) (if applicable) Xxxxxxx Xxxxxxx Common Shares 500,000 C-3 Name: Xxxxx Xxxxxxx Signature: Address for Notice: Securities: Name Class or Description Number Certificate(s) (if applicable) Xxxxx Xxxxxxx Common Shares 500,000 C-4 Name: Xxxxxxxx X’Xxxxxx Signature: Address for Notice: Securities: Name Class or Description Number Certificate(s) (if applicable) Xxxxxxxx X’Xxxxxx Xxxxxx Shares 500,000 C-5 Name: Xxxx Xx (Cherry) Xxxxx Signature: Address for Notice: Securities: Name Class or Description Number Certificate(s) (if applicable) Xxxx Xx (Cherry) Xxxxx Xxxxxx Shares 300,000 C-7 Name: Xxxxxxxxxxx Xxxxxxxxxxx Signature: Address for Notice: Securities: Name Class or Description Number Certificate(s) (if applicable) Xxxxxxxxxxx Xxxxxxxxxxx Common Shares 200,000 C-6 Name: Xxxx Xxxxxxx Signature: Address for Notice: Securities: Name Class or Description Number Certificate(s) (if applicable) Xxxx Xxxxxxx Common Shares 50,000 C-21 Name: Xxxxx Xxxxxxxx Signature: Address for Notice: Securities: Name Class or Description Number Certificate(s) (if applicable) Xxxxx Xxxxxxxx Common Shares 100,000 C-18 Name: Xxxx Xxxxxxxx Signature: Address for Notice: Securities: Name Class or Description Number Certificate(s) (if applicable) Xxxx Xxxxxxxx Common Shares 200,000 C-12 SCHEDULE B(1) – CPC ESCROW AGREEMENT PAGE 21 (AS AT AUGUST 2002SECURITIES RELEASE SCHEDULE Timed Release Release Dates Percentage of Total Escrowed Securities to be Released Total Number of Escrowed Securities to be Released [Insert date of Final Exchange Bulletin] 10% 335,000 [Insert date 6 months following Final Exchange Bulletin] 15% 502,500 [Insert date 12 months following Final Exchange Bulletin] 15% 502,500 [Insert date 18 months following Final Exchange Bulletin] 15% 502,500 [Insert date 24 months following Final Exchange Bulletin] 15% 502,500 [Insert date 30 months following Final Exchange Bulletin] 15% 502,500 [Insert date 36 months following Final Exchange Bulletin] 15% 502,500 TOTAL 100% 3,350,000 * In the simplest case, where there are no changes to the escrow securities initially deposited and no additional escrow securities, the release schedule outlined above results in the escrow securities being released in equal tranches of 15% after completion of the release on the date of the Final Exchange Bulletin. SCHEDULE B(2) If – TIER 1 ISSUER - ESCROW SECURITIES RELEASE SCHEDULE Timed Release Release Dates Percentage of Total Escrowed Securities to be Released Total Number of Escrowed Securities to be Released [Insert date of Final Exchange Bulletin] 25% 837,500 [Insert date 6 months following Final Exchange Bulletin] 25% 837,500 [Insert date 12 months following Final Exchange Bulletin] 25% 837,500 [Insert date 18 months following Final Exchange Bulletin] 25% 837,500 TOTAL 100% 3,350,000 * In the Securityholder is not an individual: o Per: -------------------------------------- Authorized signatory -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 22 (AS AT AUGUST 2002) SCHEDULE "A" TO ESCROW AGREEMENT SECURITYHOLDER NAME:simplest case, where there are no changes to the escrow securities initially deposited and no additional escrow securities, then the release schedule outlined above results in the escrow securities being released in equal tranches of 25%.

Appears in 1 contract

Samples: CPC Escrow Agreement

Successor to Escrow Agent. Any corporation with which the Escrow Agent may be amalgamated, merged or consolidated, or any corporation succeeding to the business of the Escrow Agent will be the successor of the Escrow Agent under this Agreement without any further act on its part or on the part or any of the Parties, provided that the successor is recognized by the Exchange. (The rest of this page is intentionally left blank) The Parties have executed and delivered this Agreement as of the date set out above. NATIONAL BANK EQUITY TRANSFER & TRUST INC. ----------------------------------------- COMPANY /S/ XXXXXXX XXXXXX Authorized signatory --------------------------------------------- /S/ XXXXXXXX X. XXXXXXXX Authorized signatory -------------------------------------------------------------------------------- BERKELEY CAPITAL CORP. II /S/ XXXXXXX XXXXXXXX Authorized signatory Authorized signatory FORM 5D 2F (as at April 13, 2005) CPC ESCROW AGREEMENT PAGE 19 (AS AT AUGUST 2002) LMS MEDICAL SYSTEMS INC. -------------------------------------------- Authorized signatory --------------------------------------------- Authorized signatory -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 20 (AS AT AUGUST 2002) If the Securityholder is an individual: Page 22 Signed, sealed and delivered by ) o Xxxxxxx Xxxxxxxx in the presence of: ) ) ------------------------------------------Xxxxx Xxxxxx ) Name ) ) ------------------------------------------000 Xxxxxxxx Xxxxxx ) ------------------------ /S/ XXXXXXX XXXXXXXX Address ) Xxxxxxx Xxxxxxxx ) ------------------------------------------Xxxxxxx, XX X0X0X0 ) ) ) ------------------------------------------Lawyer ) Occupation ) -------------------------------------------------------------------------------- FORM 5D 2F (as at April 13, 2005) CPC ESCROW AGREEMENT PAGE 21 Page 23 Signed, sealed and delivered by ) Xxxxxxx Xxxxx in the presence of: ) ) Xxxxx X. Xxxxxx ) Name ) 00 Xxxxxx Xxxxxx ) /S/ XXXXXXX XXXXX Address ) Xxxxxxx Xxxxx ) Xxxxxxx, XX X0X 0X0 ) ) ) Investment Banking ) Occupation ) FORM 2F (AS AT AUGUST 2002as at April 13, 2005) If the Securityholder is not an individual: o Per: -------------------------------------- Authorized signatory -------------------------------------------------------------------------------- FORM 5D CPC ESCROW AGREEMENT PAGE 22 Page 24 Signed, sealed and delivered by ) Xxxxx X. Xxxxxx in the presence of: ) ) Xxxxxxx Xxxxxxx ) Name ) ) 000 Xxxx Xxxxxx, Xxxxx 000 ) /S/ XXXXX X. XXXXXX Address ) Xxxxx X. Xxxxxx ) Xxx Xxxxxxxxx, XX 00000 ) ) ) Attorney ) Occupation ) FORM 2F (AS AT AUGUST 2002as at April 13, 2005) CPC ESCROW AGREEMENT Page 25 Signed, sealed and delivered by ) Xxxx Xxxxx in the presence of: ) ) Xxxxx Xxxxx ) Name ) 000 Xxxxxxxx Xxxxxx ) /S/ XXXX XXXXX Address ) Xxxx Xxxxx London, ON ) ) ) Accountant ) Occupation ) FORM 2F (as at April 13, 2005) CPC ESCROW AGREEMENT Page 26 Signed, sealed and delivered by ) Xxxxx Xxxxxxxxx in the presence of: ) ) Xxxxx Xxxxxx ) Name ) 000 Xxxxxxxx Xxxxxx ) /S/ XXXXX XXXXXXXXX Address ) Xxxxx Xxxxxxxxx ) Xxxxxxx, XX X0X0X0 ) ) ) Lawyer ) Occupation ) FORM 2F (as at April 13, 2005) CPC ESCROW AGREEMENT Page 27 Signed, sealed and delivered by ) Xxxxx Xxxxxx in the presence of: ) ) Xxxxx Xxxxxxxxx ) Name ) ) 000 Xxxxxx Xxxxx Xxx ) /S/ XXXXX XXXXXX Address ) Xxxxx Xxxxxx ) Xxxxxxx, XX X0X 0X0 ) ) ) CFO / Chartered Accountant ) Occupation ) FORM 2F (as at April 13, 2005) CPC ESCROW AGREEMENT Page 28 Signed, sealed and delivered by ) Xxxxx Xxxx in the presence of: ) ) Xxxxx Xxxxxx ) Name ) 000 Xxxxxxxx Xxxxxx ) /S/ XXXXX XXXX Address ) Xxxxx Xxxx ) Xxxxxxx, XX X0X0X0 ) ) ) Lawyer ) Occupation ) FORM 2F (as at April 13, 2005) CPC ESCROW AGREEMENT Page 29 Signed, sealed and delivered by ) Xxxx Xxxxxx in the presence of: ) ) Xxxx Calendar ) Name ) ) Providenciales ) /S/ XXXX XXXXXX Address ) Xxxx Xxxxxx ) Turks and Caicos Islands ) ) ) Chartered Accountant ) Occupation ) FORM 2F (as at April 13, 2005) CPC ESCROW AGREEMENT Page 30 SCHEDULE "A" TO ESCROW AGREEMENT SECURITYHOLDER NAME:Securityholder Name: Xxxxxxx Xxxxxxxx Signature: /S/ XXXXXXX XXXXXXXX Address for Notice: 00 Xxxxx Xxxxxx, Xxxxx 0000 Xxxxxxx, Xxxxxxx X0X 0X0 Securities: Class or description Number Certificate(s) (if applicable) Common 1,333,333 C-2 FORM 2F (as at April 13, 2005) CPC ESCROW AGREEMENT Page 31 Securityholder Name: Xxxxxxx Xxxxx Signature: /S/ XXXXXXX XXXXX Address for Notice: 00 Xxxxx Xxxxxx, Xxxxx 0000 Xxxxxxx, Xxxxxxx X0X 0X0 Securities: Class or description Number Certificate(s) (if applicable) Common 1,333,333 C-3 FORM 2F (as at April 13, 2005) CPC ESCROW AGREEMENT Page 32 Securityholder Name: Xxxxx X. Xxxxxx Signature: /S/ XXXXX X. XXXXXX Address for Notice: 00 Xxxxx Xxxxxx, Xxxxx 0000 Xxxxxxx, Xxxxxxx X0X 0X0 Securities: Class or description Number Certificate(s) (if applicable) Common 1,333,333 C-1 FORM 2F (as at April 13, 2005) CPC ESCROW AGREEMENT Page 33 Securityholder Name: Xxxx Xxxxx Signature: /s/ XXXX XXXXX Address for Notice: 0000 Xxxxxxxxxx Xxx. Xxxxxx, Xxxxxxx X0X 0X0 Securities: Class or description Number Certificate(s) (if applicable) Common 450,000 C-8 FORM 2F (as at April 13, 2005) CPC ESCROW AGREEMENT Page 34 Securityholder Name: Xxxxx Xxxxxxxxx Signature: /S/ XXXXX XXXXXXXXX Address for Notice: 000 Xxxxxx Xxxxx Xxx. Xxxxxxx, Xxxxxxx X0X 0X0 Securities: Class or description Number Certificate(s) (if applicable) Common 450,000 C-5 FORM 2F (as at April 13, 2005) CPC ESCROW AGREEMENT Page 35 Securityholder Name: Xxxxx Xxxxxx Signature: /s/ XXXXX XXXXXX Address for Notice: 000 Xxxxxxxx Xxxxxx Xxxxxxx, Xxxxxxx X0X 0X0 Securities: Class or description Number Certificate(s) (if applicable) Common 200,000 C-7 FORM 2F (as at April 13, 2005) CPC ESCROW AGREEMENT Page 36 Securityholder Name: Xxxxx Xxxx Signature: /S/ XXXXX XXXX Address for Notice: 00 Xxxxx Xxxxxx, Xxxxx 0000 Xxxxxxx, Xxxxxxx X0X 0X0 Securities: Class or description Number Certificate(s) (if applicable) Common 450,000 C-4 FORM 2F (as at April 13, 2005) CPC ESCROW AGREEMENT Page 37 Securityholder Name: Xxxx Xxxxxx Signature: /S/ XXXX XXXXXX Address for Notice: 00 Xxxxx Xxxxxx, Xxxxx 0000 Xxxxxxx, Xxxxxxx X0X 0X0 Securities: Class or description Number Certificate(s) (if applicable) Common 450,000 C-6 FORM 2F (as at April 13, 2005) CPC ESCROW AGREEMENT Page 38 SCHEDULE B(1) – CPC ESCROW SECURITIES RELEASE SCHEDULE Timed Release Release Dates Percentage of Total Escrowed Securities to be Released Total Number of Escrowed Securities to be Released [Insert date of Final Exchange Bulletin] 10% 1/10 of your escrow securities 599,999 [Insert date 6 months following Final Exchange Bulletin] 1/6 of your remaining escrow securities 900,000 [Insert date 12 months following Final Exchange Bulletin] 1/5 of your remaining escrow securities 900,000 [Insert date 18 months following Final Exchange Bulletin] 1/4 of your remaining escrow securities 900,000 [Insert date 24 months following Final Exchange Bulletin] 1/3 of your remaining escrow securities 900,000 [Insert date 30 months following Final Exchange Bulletin] 1/2 of your remaining escrow securities 900,000 [Insert date 36 months following Final Exchange Bulletin] all of your remaining escrowed securities 900,000 TOTAL 100% 5,999,999 * In the simplest case, where there are no changes to the escrow securities initially deposited and no additional escrow securities, the release schedule outlined above results in the escrow securities being released in equal tranches of 15% after completion of the release on the date of the Final Exchange Bulletin. FORM 2F (as at April 13, 2005) CPC ESCROW AGREEMENT Page 39 SCHEDULE B(2) – TIER 1 ISSUER - ESCROW SECURITIES RELEASE SCHEDULE Timed Release Release Dates Percentage of Total Escrowed Securities to be Released Total Number of Escrowed Securities to be Released [Insert date of Final Exchange Bulletin] 1/4 of your escrow securities 1,499,999 [Insert date 6 months following Final Exchange Bulletin] 25% 1/3 of your remaining escrow securities 1,500,000 [Insert date 12 months following Final Exchange Bulletin] 1/2 of your remaining escrow securities 1,500,000 [Insert date 18 months following Final Exchange Bulletin] all of your remaining escrowed securities 1,500,000 TOTAL 100% 5,999,999 * In the simplest case, where there are no changes to the escrow securities initially deposited and no additional escrow securities, then the release schedule outlined above results in the escrow securities being released in equal tranches of 25%. FORM 2F (as at April 13, 2005) CPC ESCROW AGREEMENT Page 40 ASSIGNMENT AGREEMENT This Assignment Agreement (this “Agreement”) is being executed and delivered as of June 5, 2009 by Berkeley Capital Corp. II, a corporation existing under the laws of the Province of Ontario (“Assignor”), Med BioGene Inc., a corporation existing under the laws of the Province of British Columbia (“Assignee”), Equity Transfer & Trust Company (“Escrow Agent”) and those individuals (“Shareholders”) holding escrowed securities of the Assignor (the “Assignor Securities”), in connection with the closing of the Assignor’s Qualifying Transaction (as that term is defined in Policy 2.4 of the TSX Venture Exchange (the “TSXV”) Corporate Finance Manual (the “Manual”)). Assignor, Assignee, Escrow Agent and Shareholders are sometimes referred to hereafter as the “Parties”.

Appears in 1 contract

Samples: Assignment Agreement (Med BioGene Inc.)

Successor to Escrow Agent. Any corporation with which the Escrow Agent may be amalgamated, merged or consolidated, or any corporation succeeding to the business of the Escrow Agent will be the successor of the Escrow Agent under this Agreement without any further act on its part or on the part or any of the Parties, provided that the successor is recognized by the Exchange. The Parties have executed and delivered this Agreement as of the date set out above. NATIONAL BANK TRUST COMPUTERSHARE INVESTOR SERVICES INC. ----------------------------------------- Authorized signatory --------------------------------------------- Authorized signatory -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 19 (AS AT AUGUST 2002) LMS MEDICAL SYSTEMS INC. -------------------------------------------- 14 VUZIX CORPORATION Authorized signatory --------------------------------------------- Authorized signatory -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 20 (AS AT AUGUST 2002) If the Securityholder is an individual: Signed, sealed and delivered by ) o Pxxx Xxxxxxx in the presence of: ) ) ------------------------------------------Signature of Witness ) ) ) Name ) Pxxx Xxxxxxx Signed, sealed and delivered by ) ------------------------------------------) ------------------------ Address Gxxxx Xxxxxxx in the presence of: ) ) ------------------------------------------Signature of Witness ) ) ) ------------------------------------------Name ) Occupation Gxxxx Xxxxxxx Signed, sealed and delivered by ) -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 21 (AS AT AUGUST 2002Pxxx Xxxxxxxxxx in the presence of: ) If ) Signature of Witness ) ) ) Name ) Pxxx Xxxxxxxxxx Signed, sealed and delivered by ) Sxxxxx Xxxx in the Securityholder is not an individualpresence of: o Per) ) Signature of Witness ) ) ) Name ) Sxxxxx Xxxx Signed, sealed and delivered by ) Axxx Xxxxxxx in the presence of: -------------------------------------- ) ) Signature of Witness ) ) ) Name ) Axxx Xxxxxxx XXXXXXX FAMILY LLC Pxxx Xxxxxxx Authorized signatory -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 22 (AS AT AUGUST 2002) Signatory SCHEDULE "A" TO ESCROW AGREEMENT SECURITYHOLDER NAME:Securityholder Name: Pxxx Xxxxxxx Signature: Address for Notice: • Securities: Class and Type (i.e. Value Securities or Surplus Securities) Number Certificate(s) (if Applicable) Shares of Common Stock 70,239,611 Stock Options 1,673,808 17 SCHEDULE “A” TO ESCROW AGREEMENT Securityholder Name: Gxxxx Xxxxxxx Signature: Address for Notice: • Securities: Class and Type (i.e. Value Securities or Surplus Securities) Number Certificate(s) (if Applicable) Shares of Common Stock 11,913,777 Stock Options 374,256 18 SCHEDULE “A” TO ESCROW AGREEMENT Securityholder Name: Pxxx Xxxxxxxxxx Signature: Address for Notice: • Securities: Class and Type (i.e. Value Securities or Surplus Securities) Number Certificate(s) (if Applicable) Shares of Common Stock 20,278,453 Stock Options 174,256 19 SCHEDULE “A” TO ESCROW AGREEMENT Securityholder Name: Sxxxxx Xxxx Signature: Address for Notice: • Securities: Class and Type (i.e. Value Securities or Surplus Securities) Number Certificate(s) (if Applicable) Shares of Common Stock 3,209,011 Stock Options 268,120 20 SCHEDULE “A” TO ESCROW AGREEMENT Securityholder Name: Axxx Xxxxxxx Signature: Address for Notice: • Securities: Class and Type (i.e. Value Securities or Surplus Securities) Number Certificate(s) (if Applicable) Stock Options 60,000 21 SCHEDULE “A” TO ESCROW AGREEMENT Securityholder Name: Txxxxxx Family LLC Signature: Address for Notice: • Securities: Class and Type (i.e. Value Securities or Surplus Securities) Number Certificate(s) (if Applicable) Shares of Common Stock 834,285 22 SCHEDULE B(1) — TIER 1 VALUE SECURITY ESCROW AGREEMENT RELEASE OF SECURITIES Timed Release Percentage of Total Total Number of Escrowed Securities Escrowed Securities Release Dates to be Released to be Released [Insert date of Exchange Bulletin] 25 % [Insert date 6 months following Exchange Bulletin] 25 % [Insert date 12 months following Exchange Bulletin] 25 % [Insert date 18 months following Exchange Bulletin] 25 % TOTAL 100 % * In the simplest case where there are no changes to the escrow securities initially deposited and no additional escrow securities, then the release schedule outlined above results in the escrow securities being released in equal tranches of 25%. 23 SCHEDULE B(2) — TIER 2 VALUE SECURITY ESCROW AGREEMENT RELEASE OF SECURITIES Timed Release Percentage of Total Total Number of Escrowed Securities Escrowed Securities Release Dates to be Released to be Released [Insert date of Exchange Bulletin] 10 % [Insert date 6 months following Exchange Bulletin] 15 % [Insert date 12 months following Exchange Bulletin] 15 % [Insert date 18 months following Exchange Bulletin] 15 % [Insert date 24 months following Exchange Bulletin] 15 % [Insert date 30 months following Exchange Bulletin] 15 % [Insert date 36 months following Exchange Bulletin] 15 % TOTAL 100 % * In the simplest case where there are no changes to the escrow securities initially deposited and no additional escrow securities, the release schedule outlined above results in the escrow securities being released in equal tranches of 15% after completion of the release on the date of the Exchange Bulletin. 24 SCHEDULE B(3) UNDERTAKING OF HOLDING COMPANY TO: THE TSX VENTURE EXCHANGE • (the “Securityholder”) has subscribed for and agreed to purchase, as principal, • shares of common stock of • (the “Escrowed Securities”). The Escrowed Securities will be held in escrow as detailed in the escrow agreement entered into between Vuzix Corporation (the “Issuer”), Computershare Investor Services Inc. and the Securityholder. The undersigned Securityholder undertakes that, to the extent reasonably possible, it will not permit or authorize its securities to be issued or transferred, nor will it otherwise authorize any transaction involving any of its securities that could reasonably result in a change of its control without the prior consent of the TSX Venture Exchange, as long as the Issuer remains listed on the TSX Venture Exchange. DATED this • day of December, 2009. (Name of Securityholder — please print) (Authorized Signature) (Official Capacity — please print) (Please print here name of individual whose signature appears above) 25 The Securityholder is directly controlled by the undersigned who undertakes that, to the extent reasonably possible, he will not permit or authorize securities of the Securityholder to be issued or transferred, nor otherwise carry out any transaction that could reasonably result in a change of control of the Securityholder without the prior consent of the TSX Venture Exchange, as long as the Issuer remains listed on the TSX Venture Exchange. DATED this • day of December, 2009. (Signature) (Name of Controlling Securityholder — please print) (Signature)

Appears in 1 contract

Samples: Escrow Agreement (Vuzix Corp)

Successor to Escrow Agent. Any corporation with which the Escrow Agent may be amalgamated, merged or consolidated, or any corporation succeeding to the business of the Escrow Agent will be the successor of the Escrow Agent under this Agreement without any further act on its part or on the part or any of the Parties, provided that the successor is recognized as a transfer agent by the ExchangeCanadian exchange the Issuer is listed on (or if the Issuer is not listed on a Canadian exchange, by any Canadian exchange) and notice is given to the securities regulators with jurisdiction. The Parties have executed and delivered this Agreement as of the date set out above. NATIONAL BANK TRUST COMPUTERSHARE INVESTOR SERVICES INC. ----------------------------------------- "Xxxxx Xxxx" Authorized signatory --------------------------------------------- "Xxxxx Xx" Authorized signatory -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 19 (AS AT AUGUST 2002) LMS MEDICAL SYSTEMS BRIGHT MINDS BIOSCIENCES INC. -------------------------------------------- "Xxx XxXxxxxx" Authorized signatory --------------------------------------------- "Xxxx Xxxxxx" Authorized signatory -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 20 Signed, sealed and delivered by ) XXXX XXXXXXXXXX in the presence of: ) "Xxxxxxxx X. Xxxxxxxx" ) Signature of Witness ) "Xxxx Xxxxxxxxxx" ) XXXX XXXXXXXXXX Xxxxxxxx X. Xxxxxxxx ) Name of Witness ) ) Signed, sealed and delivered by ) XXXXXX XXXXXXX in the presence of: ) ) "Xxxxxx Xxxxxxx" ) Signature of Witness ) "Xxxxxx Xxxxxxx" ) XXXXXX XXXXXXX Xxxxxx Xxxxxxx ) Name of Witness ) ) Signed, sealed and delivered by ) XXXXXX XXXXXXXXXX in the presence of: ) ) ) Signature of Witness ) "Xxxxxx Xxxxxxxxxx" ) XXXXXX XXXXXXXXXX ) Name of Witness ) ) Signed, sealed and delivered by ) XXX XXXXXXXX in the presence of: ) "Xxxxxx X. Xxxxx" ) Signature of Witness ) "Xxx XxXxxxxx" ) XXX XXXXXXXX Xxxxxx X. Xxxxx ) Name of Witness ) ) Signed, sealed and delivered by ) XXXXXX FRZYUK in the presence of: ) ) ) Signature of Witness ) "Xxxxxx Xxxxxx" ) XXXXXX FRZYUK ) Name of Witness ) ) Sea to Sky UG "Xxxx Xxxxxxxxx Bottler" Authorized signatory Schedule "A" to Escrow Agreement Securityholder Name: Xxxx Xxxxxxxxxx [Address Redacted] Securities: Class or description Number Certificate(s) (AS AT AUGUST 2002if applicable) If Common Shares 1,000,000 Warrants 1,000,000 Securityholder Name: Xxxxxx Xxxxxxx [Address Redacted] Securities: Class or description Number Certificate(s) (if applicable) Common 748,000 Warrants 748,000 Securityholder Name: Xxxxxx Xxxxxxxxxx [Address Redacted] Securities: Class or description Number Certificate(s) (if applicable) Common 200,000 Warrants 200,000 Securityholder Name: Xxx XxXxxxxx [Address Redacted] Securities: Class or description Number Certificate(s) (if applicable) Common 844,800 Securityholder Name: Xxxxxx Frzyuk [Address Redacted] Securities: Class or description Number Certificate(s) (if applicable) Common 40,000 Securityholder Name: Sea to Sky UG [Address Redacted] Securities: Class or description Number Certificate(s) (if applicable) Common 20,000 Schedule "B" to Escrow Agreement Acknowledgment and Agreement to be Bound I acknowledge that the Securityholder securities listed in the attached Schedule "A" (the "escrow securities") have been or will be transferred to me and that the escrow securities are subject to an Escrow Agreement dated __________________________ (the "Escrow Agreement"). For other good and valuable consideration, I agree to be bound by the Escrow Agreement in respect of the escrow securities, as if I were an original signatory to the Escrow Agreement. Dated at ____________________ on ______________. Where the transferee is an individual: Signed, sealed and delivered by ) o [Transferee] in the presence of: ) ) ------------------------------------------) Name ) ) ------------------------------------------) ------------------------ Address ) ) ------------------------------------------Signature of Witness ) ) ) ------------------------------------------[Transferee] ) Occupation Name of Witness ) -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 21 (AS AT AUGUST 2002) If Where the Securityholder transferee is not an individual: o Per: -------------------------------------- [Transferee] _________________________________________ Authorized signatory -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 22 (AS AT AUGUST 2002) SCHEDULE "A" TO ESCROW AGREEMENT SECURITYHOLDER NAME:_________________________________________

Appears in 1 contract

Samples: Escrow Agreement (Bright Minds Biosciences Inc.)

Successor to Escrow Agent. Any corporation with which the Escrow Agent may be amalgamated, merged or consolidated, or any corporation succeeding to the business of the Escrow Agent will be the successor of the Escrow Agent under this Agreement without any further act on its part or on the part or any of the Parties, provided that the successor is recognized by the Exchange. The Parties have executed and delivered this Agreement as of the date set out above. NATIONAL BANK TRUST INC. ----------------------------------------- Authorized signatory --------------------------------------------- Authorized signatory -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE Page 19 (AS AT AUGUST 2002as at June 14, 2010) LMS MEDICAL SYSTEMS COMPUTERSHARE INVESTOR SERVICES INC. -------------------------------------------- (signed) "Xxxx Xxxxxx" Authorized signatory --------------------------------------------- (signed) "Xxxxx Xxxx" Authorized signatory -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 20 PREMIUM NICKEL RESOURCES LTD. (AS AT AUGUST 2002signed) If the Securityholder is an individual: Signed, sealed and delivered by ) o in the presence of: ) ) ------------------------------------------) Name ) ) ------------------------------------------) ------------------------ Address ) ) ------------------------------------------) ) ) ------------------------------------------) Occupation ) -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 21 (AS AT AUGUST 2002) If the Securityholder is not an individual: o Per: -------------------------------------- "Xxxxx Xxxxxxxx" Authorized signatory -------------------------------------------------------------------------------- FORM 5D ESCROW AGREEMENT PAGE 22 (AS AT AUGUST 2002signed) SCHEDULE "Xxxxx Xxxxxx Xxx" Authorized signatory XXXXX XXXXXXXX (signed) "Xxxxx Xxxxxxxx" Authorized signatory BRENIKLAN LIMITED (signed) "Xxxxx Xxxxxxxx" Authorized signatory LACNIKDON LIMITED (signed) "Xxxxx Xxxxxxxx" Authorized signatory (as at June 14, 2010) XXXXXXX XXXXXX (signed) "Xxxxxxx Xxxxxx" Authorized signatory XXXXXXX XXXXXXXXX (signed) "Xxxxxxx Xxxxxxxxx" Authorized signatory THREED CAPITAL INC. (signed) "Xxxxxxx Xxxxxxxxx" Authorized signatory XXXXXX XXXXXXXX (signed) "Xxxxxx Xxxxxxxx" Authorized signatory 2412503 ONTARIO INC. (signed) "Xxxx Xxxxxxxx" Authorized signatory XXXX XXXXXXXXX (signed) "Xxxx Xxxxxxxxx" Authorized signatory (as at June 14, 2010) XXXX XXXXXXX (signed) "Xxxx Xxxxxxx" Authorized signatory XXXXX XXXXXX XXX (signed) "Xxxxx Xxxxxx Xxx" Authorized signatory XXXX XXXXXX XXXXXXXX (signed) "Xxxx Xxxxxx Xxxxxxxx" Authorized signatory KNEIPE SETLHARE (signed) "Kneipe Setlhare" Authorized signatory MONTWEDI MPHATHI (signed) "Montwedi Mphathi" Authorized signatory XXXXXXX X. XXXXX (signed) "Xxxxxxx X. Xxxxx" Authorized signatory (as at June 14, 2010) Schedule "A" TO ESCROW AGREEMENT SECURITYHOLDER NAMEto Escrow Agreement Securityholder Name: Xxxxx Xxxxxxxx Signature: (signed) "Xxxxx Xxxxxxxx" Address for Notice: [Redacted – Personal Information] Securities:

Appears in 1 contract

Samples: Escrow Agreement (Premium Nickel Resources Ltd.)

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