KODIAK ENERGY, INC. – FLOW-THROUGH SUBSCRIPTION AGREEMENT
Exhibit 10.2
A
completed and originally executed copy of this Subscription Agreement and
Schedules A. B and C, if applicable, duly completed and signed, must be
delivered to the Agent.
Kodiak
Energy, Inc. (the
“Corporation”)
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AND
TO:
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Research
Capital Corporation (the
“Agent”)
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The
undersigned (the “Subscriber”) hereby irrevocably subscribes
for and agrees to purchase the number of common shares of the Corporation
to be
issued on a “flow-through” basis pursuant to the Income Tax Act
(Canada) (“Flow-Through Shares”) set forth below for the
aggregate subscription price set forth below (the “Subscription
Amount”), representing a subscription price of US$3.00 per Flow-Through
Share, upon and subject to the terms and conditions set forth in the attached
“Terms and Conditions of Subscription For FLOW-THROUGH SHARES
of KODIAK ENERGY, INC.”
(the “Terms and
Conditions”) (together with this page and the
attached Schedules, the “Subscription
Agreement”).
Subscriber’s
Particulars:
________________________________________________________
Name
of Subscriber - please print
By:
__________________________________________________
Authorized Signature
________________________________________________________
Name
and Official Capacity or Title of signatory if not Subscriber
(please
print)
________________________________________________________
Subscriber’s
Residential Address
________________________________________________________
City/Town Province
Postal
Code
_________________________ ___________________________
Telephone
Number
Fax
Number
________________________________________________________
e-mail
address
________________________________________________________
SIN/Federal
Corporate Tax Account number
The
Subscriber owns, directly or indirectly, the following securities
(including
options)
of
the Corporation: ________________________
The
Subscriber isr
or is not
r
an
insider of the Corporation; or
The
Subscriber isr
or is not
r
a
member of the pro group of the Corporation
[Please
check the applicable box(s)]
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Number
of Flow-Through Shares :____________________
Aggregate
Subscription
Price: $_______________________
If
the Subscriber is signing as agent for a principal, unless it is
deemed to
be purchasing as principal under NI 45-106, complete the following
and ensure that the applicable Schedule(s) are completed on behalf
of such
principal:
________________________________________________________
Name
of Principal
________________________________________________________
Principal’s
Residential Address
________________________________________________________
City/Town Province
Postal
Code
________________________________________________________
Principal’s
Telephone Number
________________________________________________________
Principal’s
e-mail address
________________________________________________________
Principal’s
SIN/Federal Corporate Tax Account Number
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Register
the Flow-Through Shares as above o ,
or as set forth below:
________________________________________________________
Name
________________________________________________________
Account
reference, if applicable
________________________________________________________
Address
________________________________________________________
City/Town Province
Postal Code
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Certificates
for Flow-Through Shares will be delivered to the registered shareholder
unless delivery is otherwise specified as set forth
below:
________________________________________________________
Account
reference, if applicable
________________________________________________________
Contact
Name and Telephone Number
________________________________________________________
Address
________________________________________________________
City/Town Province
Postal
Code
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ACCEPTANCE: The
Corporation hereby accepts the subscription as set forth above on the terms
and
conditions contained in this Subscription Agreement and the Corporation
represents and warrants to the Subscriber that the representations and
warranties made by the Corporation to the Agent in the Agency
Agreement (as defined herein) are true and correct in all material respects
as
of the Closing Date (as defined herein) (save and except as may be waived
by the
Agent) and that the Subscriber is entitled to rely thereon and on the terms,
conditions and covenants contained in the Agency Agreement as if the Subscriber
were a party thereto.
DATED
this _____ day of ___________________, 2007
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Subscription
No:
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Per:
__________________________________________
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This
is
the first page of an agreement comprised of 18 pages (not including Schedules
A,
B and C).
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TERMS
AND CONDITIONS OF SUBSCRIPTION FOR FLOW-THROUGH SHARES OF
1.
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Terms
of the Offering. The Subscriber (on its own behalf
and, if applicable, on behalf of each person on whose behalf
the
Subscriber is contracting) acknowledges
that:
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(a)
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this
subscription is subject to rejection or allotment by the Corporation
in
whole or in part at any time and in accordance with applicable
Securities
Laws (as defined herein);
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(b)
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the
Flow-Through Shares subscribed for by it hereunder form part
of a larger
issuance and sale by the Corporation of up to US$9,000,000
of common
shares of the Corporation consisting of Flow-Through Shares
at a
subscription price of US$3.00 per Flow-Through Share and regular
common
shares in the capital of the Corporation (the “Common
Shares”) at a subscription price of US$2.50 per Common Share
(together the
“Offering”);
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(c)
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the
Offering is not subject to any minimum subscription level, and
therefore,
any funds invested under this Subscription Agreement are available
to the
Corporation and will be paid on the Closing Date to the Corporation,
and
need not be refunded to the Subscriber unless the Closing Date
does not
occur by such date as may be agreed to by the Corporation and
the
Agent;
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(d)
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if
the Closing Date does not occur on or before November 30, 2007,
or such
other date as may be agreed to by the Corporation and the Agent,
or in the
event that the Corporation rejects the Subscription Agreement,
the
subscription proceeds will be promptly returned to the Subscriber,
without
interest or deduction;
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(e)
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the
Corporation has also granted the Agent an option (the
“Over-Allotment Option”), exercisable at any time up to
and including the closing of the Offering to increase the size
of the
Offering by up to 1,200,000 Common Shares at a
subscription price of US$2.50 per Common
Share;
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(f)
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the
Corporation and Agent have entered into, or will enter into prior
to the
Closing Date, an agreement (the “Agency Agreement”)
whereby the Agent, in connection with the Offering will receive
from the
Corporation a commission equal to 8% of the gross proceeds of
the
Offering, (including any gross proceeds of the Over-Allotment
Option) and options exercisable at any time up to 18 months following
the
closing of the Offering to purchase Common Shares in an amount
equal to 8%
of the Offering (including the Over-Allotment Option) at the
same prices
and in the same proportions as the Common Shares and Flow-Through
Shares
issued pursuant to the Offering (including the Over-Allotment
Option);
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(g)
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in
the event that the Offering closes but the Common Shares are
not listed
for trading on the Toronto Stock Exchange or the TSX Venture
Exchange by
December 29, 2007, the Corporation shall pay an interest penalty
to the
Subscriber in the amount of 2% of the Subscription Amount per
month
thereafter on a pro rata basis, pursuant to the terms to be agreed
upon in
the Agency Agreement; and
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(h)
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the
Corporation is a company incorporated under the laws of the State
of
Delaware, and because the Corporation is located outside of Canada,
it may
not be possible for you to effect service of process on them
within Canada
or to enforce against them, in Canada, judgements obtained in
Canadian
courts; further, it may not be possible to enforce judgments
of Canadian
courts against the Corporation in the United
States.
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2.
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Definitions. In
this Subscription Agreement, unless the context otherwise
requires:
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(a)
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“Accredited
Investor Status Certificate” means the Accredited Investor Status
Certificate in the form attached hereto as Schedule A which is
required to be completed by a Subscriber who is purchasing securities
as
an “accredited investor” pursuant to
NI 45-106;
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(b)
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“affiliate”,
“distribution” and “insider” have the
respective meanings ascribed to them in the Securities Act
(Alberta);
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(c)
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“Canadian
Development Expense(s)” or “CDE” means Canadian
development expenses described in paragraph (a) or (b) of the
definition
of “Canadian development expense” in subsection 66.2(5)
of the Tax Act or would be described in paragraph (f) of such
definition
if the words “any of paragraphs (a) to (e)” in that
paragraph were read as “paragraphs (a) and (b)”,
excluding amounts which are prescribed to constitute “Canadian
exploration and development overhead expense” under the Tax Act
and the amount of any assistance described in paragraphs 66(12.62)(a)
and
66(12.601)(c) of the Tax Act;
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(d)
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“Canadian
Exploration Expense(s)” or “CEE” means expenses
described in paragraphs (a) or (d) of the definition of “Canadian
exploration expense” in subsection 66.1(6) of the Tax Act,
or would be described in paragraph (h) of such definition if the
words “paragraphs (a) to (d) and (f) to (g.1)” were read
as “paragraphs (a) and (d)”, excluding amounts which are
prescribed to constitute “Canadian exploration and development
overhead expense” under the Tax Act, the amount of any assistance
described in paragraph 66(12.6)(a) of the Tax Act and the cost of any
seismic data which constitutes a “specified expense”
within the meaning of paragraph 66(12.6)(b.1) of the Tax
Act;
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(e)
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“Closing”
means the completion of the issue and sale by the Corporation
and the
purchase by the Subscribers of the Flow-Through Shares pursuant
to the
subscription agreements, in the form of this Subscription Agreement
or the
subscription agreement for Common Shares, completed by
Subscribers;
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(f)
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“Closing
Date” means October 29, 2007 or such other date as the
Corporation and Agent may
determine;
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(g)
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“Closing
Time” means 8:00 a.m. (Calgary time) on the Closing Date
or such
other time as the Corporation and Agent may
determine;
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(h)
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“CRA”
means Canada Revenue Agency;
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(i)
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“Designated
Provinces” means British Columbia, Alberta, Ontario and Quebec
and such other provinces that may be designated by the Corporation
and
Agent prior to the Closing Date;
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(j)
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“Expenditure
Period” means the period commencing on the date of acceptance
by
the Corporation of this Subscription Agreement and ending on
the earlier
of:
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(i)
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the
date on which the Subscription Amount has been fully expended
in
accordance with the terms hereof;
and
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(ii)
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December
31, 2008;
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(k)
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“founder”
means, in respect of the Corporation, a person
who:
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(i)
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acting
alone, in conjunction, or in concert with one or more persons,
directly or
indirectly, takes the initiative in founding, organizing or
substantially
reorganizing the business of the Corporation;
and
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(ii)
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at
the time of the trade is actively involved in the business
of the
Corporation;
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(l)
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“material”
means material in relation to the Corporation and its subsidiaries
considered on a consolidated basis;
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(m)
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“Offering”
has the meaning given thereto in section
1;
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(n)
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“NI 45-106”
means National Instrument 45-106 Prospectus and Registration
Exemptions;
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(o)
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“person”
includes:
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(i)
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an
individual;
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(ii)
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a
corporation;
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(iii)
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a
partnership, trust, fund and an association, syndicate, organization
or
other organized group of persons, whether incorporated or not;
and
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(iv)
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an
individual or other person in that person’s capacity as a trustee,
executor, administrator or personal or other legal
representative;
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(p)
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“Principal-Business
Corporation” means a “principal-business corporation” as defined
in subsection 66(15) of the Tax
Act;
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(q)
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“Qualifying
CDE” means an amount of CDE incurred by the Corporation
which is
eligible for renunciation as CEE under subsection 66(12.601)
of the Tax
Act;
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(r)
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“Qualifying
Expenditures” means expenses that are Qualifying CDE or CEE
incurred by the Corporation during the Expenditure
Period;
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(s)
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“Regulation”
means a regulation promulgated pursuant to the Tax
Act;
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(t)
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“Securities
Commissions” means, collectively, the securities commission or
other securities regulatory authority in each of the Designated
Provinces;
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(u)
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“Securities
Laws” means collectively, the applicable securities laws of
each of the Designated Provinces and the respective instruments,
regulations and rules made and forms prescribed thereunder
together with
all applicable published policy statements, blanket orders,
rulings and
notices of the Securities
Commissions;
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(v)
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“Shares”
means Flow-Through Shares and Common Shares issued pursuant
to the
Offering;
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(w)
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“spouse”
means an individual who:
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(i)
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is
married to another individual and is not living separate and
apart within
the meaning of the Divorce Act (Canada), from the other
individual;
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(ii)
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is
living with another individual in a marriage-like relationship,
including
a marriage-like relationship between individuals of the same
gender;
or
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(iii)
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(x)
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“Subscribers”
means all subscribers for the Shares pursuant to the Offering,
including
the Subscriber;
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(y)
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“Tax
Act” means the Income Tax Act (Canada), together with
any and all Regulations, as amended from time to time;
and
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(z)
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“U.S.
Securities Act” means the United States Securities Act of
1933.
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3.
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Delivery
and Payment. The Subscriber agrees that the following
documents shall be delivered to Research Capital Corporation,
000 Xxx
Xxxxxx, Xxxxx 0000, Xxxxxxxx Court West, Box 368, Toronto,
Ontario M5L
1G2, Attention: X. Xxxx Jull, not later than 5:00 p.m. (Toronto
time) on the day that is 2 business days prior to the Closing
Date or such
other date or place as the Corporation may
advise:
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(a)
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a
completed and duly signed copy of this Subscription
Agreement;
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(b)
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if
the Subscriber is purchasing Flow-Through Shares as an “accredited
investor” (as such term is defined in NI 45-106), a completed and
duly signed copy of the NI 45-106 Accredited Investor Status
Certificate attached hereto as Schedule
A;
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(c)
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if
the Subscriber is purchasing Flow-Through Shares as a close
friend or
business associate pursuant to section 7(g)(ii), a completed
and duly
signed copy of the close personal friend/close business associate
questionnaire attached hereto as Schedule
B;
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(d)
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if
the Subscriber is a corporation, a completed and duly signed
copy of Form
4C, Corporate Placee Registration Form attached hereto as Schedule
C;
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(e)
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any
other documents required by applicable Securities Laws which
the
Corporation or Agent requests; and
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(f)
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a
certified cheque or bank draft made payable in same day freely
transferable Canadian funds at par in Calgary, Alberta to “Research
Capital Corporation” representing the aggregate Subscription Amount
payable by the Subscriber for the Flow-Through Shares, or such
other
method of payment as the Agent may
accept.
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The
Subscriber acknowledges and agrees that documents referred to in subsections
3(b), (c), (d) and (e), when executed and delivered by the Subscriber,
will form
part of and will be incorporated into this Subscription Agreement with
the same
effect as if each constituted a representation and warranty or covenant
of the
Subscriber hereunder in favour of the Corporation. The Subscriber
consents to the filing of such documents as may be required to be filed
with the
applicable securities regulatory authorities in connection with the transactions
contemplated hereby. The Subscriber acknowledges and agrees that this
subscription, the Subscription Amount and any other documents delivered
in
connection herewith will be held by the Agent until Closing.
4.
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Closing. The
transactions contemplated hereby will be completed at the Closing
Time at
the offices of Xxxxxx Xxxxxx Gervais LLP in Calgary, Alberta
and the
Subscriber agrees and acknowledges as
follows:
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(a)
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at
the Closing Time, subject to the terms and conditions of the
Agency
Agreement, the Agent shall deliver to the Corporation all completed
subscription agreements, including this Subscription Agreement,
and the
aggregate Subscription Amount against delivery by the Corporation
of the
certificates representing the Flow-Through Shares and such
other
documentation as may be required,
and
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(b)
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the
Agent is hereby irrevocably appointed to act in its sole and
absolute
discretion as the Subscriber’s agent to represent the Subscriber at the
Closing for the purpose of all closing matters and deliveries
of documents
and receipt of certificates representing the Flow-Through
Shares. Without limiting the generality of the foregoing, the
Agent is irrevocably authorized, in its sole and absolute discretion:
(i)
to complete or correct manifest errors or omissions in the
information
provided by the Subscriber in this Subscription Agreement and
any other
forms or documents delivered by the Subscriber in connection
with the
transactions contemplated hereby, if any; (ii) to receive on
its behalf
certificates representing the Flow-Through Shares purchased
under this
Subscription Agreement (iii) to act as its representative at
the closing and to execute in its name and on its behalf all
closing
receipts and documents required; (iv) to approve any opinions,
certificates or other documents addressed to the Subscriber;
(v) to
waive, in whole or in part, any representations, warranties,
covenants or
conditions for the benefit of the Subscriber and contained
in the Agency
Agreement; (vi) to register or permit the registration of the
Flow-Through Shares purchased hereunder by way of one or more
certificates
registered in the name of the Agent and/or in the name of each
subscriber
to the offering of Flow-Through Shares and/or in the name of
such other
nominee or nominees as the Corporation and the Agent may agree;
and (vii)
to exercise any rights of termination contained in the Agency
Agreement.
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5.
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Representations,
Warranties and Covenants of the Corporation Regarding the Flow-Through
Shares. By accepting this Subscription Agreement, the
Corporation represents, warrants and covenants to the Subscriber
as
follows:
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(a)
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the
Corporation and each of its subsidiaries have been duly incorporated
and
are validly subsisting and in good standing under the laws
of their
incorporation and the Corporation has all requisite corporate
power and
capacity to enter into, and has all requisite corporate power
and
capability to carry out its obligations under, this Subscription
Agreement;
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(b)
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on
the Closing Date, the Corporation will have taken all corporate
steps and
proceedings necessary to approve the transactions contemplated
hereby,
including the execution and delivery of this Subscription
Agreement;
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(c)
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no
order ceasing or suspending trading in the securities of the
Corporation
nor prohibiting the sale of such securities has been issued
to the
Corporation or its directors, officers or promoters and, to
the best of
the knowledge of the Corporation, no investigations or proceedings
for
such purposes are pending or
threatened;
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(d)
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the
Corporation has full corporate power and authority to undertake
the
Offering of Flow-Through Shares contemplated hereby and to
issue the
Flow-Through Shares;
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(e)
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as
of the date hereof, the taxable capital amount of the Corporation,
as that
expression is defined under subsection 66(12.6011) of the Tax
Act, does
not exceed $15,000,000 for the purpose of determining the Corporation’s
right to renounce Qualifying CDE to the Subscriber pursuant
to subsection
66(12.601) of the Tax Act;
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(f)
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at
the Closing Time, the Flow-Through Shares will be duly and
validly
created, authorized and issued as fully paid and non-assessable
Common
Shares;
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(g)
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the
Corporation has complied and will comply with all applicable
corporate and
securities laws in connection with the offer, sale and issuance
of the
Flow-Through Shares;
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(h)
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the
issuance and sale of the Flow-Through Shares and the incurring
and
renouncing of Qualifying Expenditures to the Subscriber pursuant
hereto
does not and will not conflict with and does not and will not
result in a
breach of any of the terms, conditions or provisions of its
constating
documents or any law, regulation, order or ruling applicable
to the
Corporation, or any agreement or instrument to which the Corporation
is a
party or by which it is bound;
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(i)
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the
Corporation has not received notice from any applicable regulatory
authority that it is in material default of any applicable
securities
laws;
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(j)
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the
Corporation acknowledges that it is not now entitled to receive
any
assistance, as defined in the Tax Act, in respect of Qualifying
Expenditures and in the event that the Corporation has received,
is
entitled to receive, or may reasonably be expected to receive,
assistance
at any time that may be reasonably be related to the Qualifying
Expenditures, the Corporation will incur additional Qualifying
Expenditures during the Expenditure Period in an amount sufficient
to
allow it to renounce to the Subscriber, the Subscription
Amount;
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(k)
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the
Corporation is, and, at all material times will be, a Principal-Business
Corporation;
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(l)
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except
as a result of any agreement to which the Corporation is not
a party and
of which the Corporation has no knowledge, the Flow-Through
Shares will,
at the time of issuance, be “flow-through shares” as defined in
subsection 66(15) of the Tax Act, and will not constitute “prescribed
shares” for the purpose of Regulation 6202.1 of the Tax
Act;
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(m)
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the
Corporation will not be subject to the provisions of
subsection 66(12.67) of the Tax Act in a manner which impairs the
ability to renounce Qualifying Expenditures to the Subscriber
in an amount
equal to the Subscription Amount;
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(n)
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all
Qualifying Expenditures renounced to the Subscriber pursuant
to this
Subscription Agreement will be Qualifying Expenditures incurred
by the
Corporation that, but for the renunciation to the Subscriber,
the
Corporation would be entitled to deduct in computing its income
for the
purposes of Part I of the Tax Act;
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(o)
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the
Corporation will keep proper books, records and accounts of
all Qualifying
Expenditures and all transactions affecting the Subscription
Amount and
the Qualifying Expenditures and upon reasonable notice, to
make such
books, records and accounts available for inspection and audit
by or on
behalf of the Subscriber during normal business hours at the
Subscriber’s
expense and to provide such other assistance to the Subscriber
as may be
reasonably required should a dispute arise between the Subscriber
and CRA
with respect to the Qualifying
Expenditures;
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(p)
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the
Corporation will or will cause its wholly owned subsidiaries
to incur,
during the Expenditure Period, Qualifying Expenditures in such
amount as
enables the Corporation to renounce to the Subscriber, Qualifying
Expenditures in an amount equal to the Subscription
Amount;
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(q)
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the
Corporation will renounce (in accordance with the Tax Act and
this
Subscription Agreement) to the Subscriber, effective on or
before December
31, 2007, Qualifying Expenditures incurred during the Expenditure
Period
in an amount equal to Subscription
Amount;
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(r)
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the
Corporation will renounce the Qualifying CDE incurred hereunder
only in
accordance with subsection 66(12.601) of the Tax
Act;
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(s)
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the
Corporation will file with CRA, the form prescribed by
subsection 66(12.68) of the Tax Act together with a copy of the form
of this Subscription Agreement, within the time period prescribed
by the
Tax Act;
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(t)
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the
Corporation will file with CRA, the form prescribed by
subsection 66(12.7) of the Tax Act on or before the last day of the
first month following each month in which any renunciation
is made
pursuant to the terms of this Subscription
Agreement;
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(u)
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if
the Corporation does not incur during the Expenditure Period
and renounce
to the Subscriber, effective on or before December 31, 2007,
Qualifying Expenditures in an amount equal to the Subscription
Amount, the
Corporation shall indemnify the Subscriber as to, and pay to
the
Subscriber, an amount equal to the amount of any tax payable
or that may
become payable under the Tax Act (and under any corresponding
provincial
legislation) by the Subscriber as a consequence of such failure,
such
payment to be made on a timely basis once the amount is definitively
determined;
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(v)
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the
Corporation will deliver to the Subscriber at the Subscriber’s address set
forth above, not later than March 31, 2008, Form T101 Supplementary
setting forth the aggregate amount of Qualifying Expenditures
renounced to
the Subscriber pursuant hereto for filing with the Subscriber’s tax
return;
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(w)
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that
the Corporation will not reduce the amount renounced to the
Subscriber
hereunder and, in the event the Minister responsible for CRA
reduces the
amount renounced to the Subscriber pursuant to subsection 66(12.73)
of the Tax Act, the Corporation will indemnify the Subscriber
as to, and
pay to the Subscriber, an amount equal to the amount of any
tax payable
under the Tax Act (and under any corresponding provincial legislation)
by
the Subscriber as a consequence of such reduction, such payment
to be made
on a timely basis once the amount is definitively
determined;
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(x)
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the
Corporation will maintain its status as a Principal-Business
Corporation
until the earlier of January 1, 2009 and the date the Corporation
has
fulfilled its obligations to incur and renounce to the Subscriber
Qualifying Expenditures or an amount equal to the Subscriber
Amount;
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(y)
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that
the Corporation has not and will not enter into transactions
or take
deductions which would otherwise reduce its cumulative CEE
or cumulative
CDE to an extent which would preclude a renunciation of Qualifying
Expenditures hereunder in an amount equal to the Subscription
Amount as
contemplated herein;
|
|
(z)
|
that
none of the Qualifying Expenditures will be renounced pursuant
to a
“prohibited relationship” as defined in subsection 66(12.671) of the
Tax Act;
|
|
(aa)
|
the
Corporation will file, within the time(s) prescribed by the
Tax Act or the
Regulations, as applicable, all forms required under the Tax
Act or the
Regulations necessary to effectively renounce Qualifying Expenditures
equal to the Subscription Amount to the Subscriber effective
on or before
December 31, 2007 and to provide the Subscriber with a copy of all
such forms as required to be provided thereto, all on a timely
basis;
|
|
(bb)
|
the
Corporation will renounce Qualifying Expenditures pursuant
to this
Subscription Agreement and other subscription agreements entered
into
pursuant to the Offering pro rata based on the number of Flow-Through
Shares issued or to be issued pursuant hereto and thereto before
or
concurrent with the renouncing of Qualifying Expenditures pursuant
to any
other agreement (a “Subsequent Agreement”) which the
Corporation shall, after the Closing Date, enter into and if
the
Corporation is required by the Tax Act or the Regulations or
the Minister
of National Revenue to reduce Qualifying Expenditures previously
renounced
to Subscribers pursuant to this Subscription Agreement and
all other
subscription agreements entered into in connection with the
Offering in
respect of Flow-Through Shares, such reduction shall, to the
extent
possible, be made pro rata based on the number of Flow-Through
Shares
issued pursuant to the Offering only after it has first reduced
to the
extent possible all Qualifying Expenditures renounced to persons
under
Subsequent Agreements;
|
|
(cc)
|
the
Corporation has no reason to believe that it will be unable
to incur
Qualifying Expenditures during the Expenditure Period in an
amount equal
to the Subscription Amount or that it will be unable to renounce
to the
Subscriber effective on or before December 31, 2007, Qualifying
Expenditures in an amount equal to the Subscription
Amount;
|
|
(dd)
|
that
the Corporation is carrying on business in Canada for the purposes
of the
Tax Act; and
|
|
(ee)
|
that
the Flow-Through Shares do not constitute “United States real property
interests” within the meaning of the Internal Revenue Code of the United
States.
|
9
|
Canada
- BC, AB, ON, QB
|
6.
|
Covenants,
Representations and Warranties of the Subscriber Regarding
the
Flow-Through Shares. The Subscriber covenants, agrees
and represents and warrants to the Corporation
that:
|
|
(a)
|
the
Subscriber or beneficial purchaser, as the case may be, deals
and will
continue to deal at arm’s length with the Corporation, for purposes of the
Tax Act, at all times which are relevant for this Subscription
Agreement;
|
|
(b)
|
if
the Subscriber or beneficial purchaser, as the case may be,
is a
corporation, trust or partnership, it does not have and will
not have in
respect of a renunciation of Qualified Expenditures hereunder
a
“prohibited relationship” with the Corporation within the
meaning of subsection 66(12.671) of the
Act;
|
|
(c)
|
neither
the Subscriber, nor the beneficial purchaser, as the case may
be, will
enter into any agreement or arrangement which will cause the
Flow-Through
Shares to become “prescribed shares” for purposes of the
Tax Act; and
|
|
(d)
|
the
Subscriber is not a non-resident of Canada for purposes of
the Tax
Act.
|
7.
|
Subscriber’s
Representations, Warranties, Covenants &
Acknowledgments. The Subscriber (on its own behalf
and, if applicable, on behalf of each person on whose behalf
the
Subscriber is contracting) represents, warrants, covenants
and
acknowledges to the Corporation and the Agent (and acknowledges
that the
Corporation and the Agent and respective counsel are relying
thereon),
that both at the date hereof and at the Closing
Time:
|
|
(a)
|
Authorization
and Effectiveness. If the Subscriber is an
individual, it is of the full age of majority and has all requisite
legal
capacity and competence to execute and deliver this Subscription
Agreement
and to observe and perform its covenants and obligations hereunder,
or if
the Subscriber is a corporation, the Subscriber is a valid
and subsisting
corporation, has the necessary corporate capacity and authority
to execute
and deliver this Subscription Agreement and to observe and
perform its
covenants and obligations hereunder and has taken all necessary
corporate
action in respect thereof or, if the Subscriber is a partnership,
syndicate or other form of unincorporated organization, the
Subscriber has
the necessary legal capacity and authority to execute and deliver
this
Subscription Agreement and to observe and perform its covenants
and
obligations hereunder and has obtained all necessary approvals
in respect
thereof, and, if the Subscriber is subscribing for Flow-Through
Shares
hereunder as agent for a principal, it is duly authorized to
execute and
deliver this Subscription Agreement and all other necessary
documentation
in connection with such subscription on behalf of such principal
and, in
any case, upon acceptance by the Corporation, this Subscription
Agreement
has been duly and validly authorized, executed and delivered
by the
Subscriber and constitutes a legal, valid and binding contract
of the
Subscriber (and any beneficial purchaser whom the Subscriber
is
subscribing on behalf of) enforceable against the Subscriber
(and any
beneficial purchaser whom the Subscriber is subscribing on
behalf of) in
accordance with its terms and will not result in a violation
of any of the
Subscriber’s applicable constating documents, any of the terms or
provisions of any law applicable to the Subscriber or any agreement
to
which the Subscriber is a party or by which it is
bound;
|
|
(b)
|
Residence. The
Subscriber is a resident of the jurisdiction referred to under
“Subscriber’s Particulars” on page 1
hereof;
|
|
(c)
|
No
Offering Memorandum. The Subscriber has not
received, nor has it requested, nor does it have any need to
receive, any
offering memorandum, or any other document (other than financial
statements, interim financial statements or any other document,
the
content of which is prescribed by statute or regulation) describing
the
business and affairs of the Corporation which has been prepared
for
delivery to, and review by, prospective subscribers in order
to assist it
in making an investment decision in connection with this Offering
and it
has not become aware of any advertisement in printed media
of general and
regular paid circulation (or other printed public media) or
on radio,
television or telecommunications or other form of advertisement
(including
electronic display such as the Internet) with respect to the
distribution
of the Flow-Through Shares;
|
10
|
Canada
- BC, AB, ON, QB
|
|
(d)
|
Purchasing
as Principal. Except as provided in
subsection 7(f) hereof, the Subscriber is purchasing the Flow-Through
Shares as principal (as defined in all applicable Securities
Laws) for its
own account, and not for the benefit of any other
person;
|
|
(e)
|
Purchasing
for Investment Only. Except as provided in
subsection 7(f) hereof, the Subscriber is purchasing the Subscriber’s
Flow-Through Shares for investment only and not with a view
to resale or
distribution. The Subscriber is aware that no prospectus has
been filed with any of the Securities Commissions or similar
regulatory
authority in connection with the sale of the Flow-Through Shares,
and it
is purchasing the Flow-Through Shares pursuant to an exemption
from the
prospectus requirement or similar requirement under applicable
Securities
Laws and, as a consequence: (i) it is restricted from using most of
the civil remedies available under Securities Laws; (ii) it may not
receive information that would otherwise be required to be
provided to it
under Securities Laws; and (iii) the Corporation is relieved of
certain obligations that would otherwise apply under Securities
Laws;
|
|
(f)
|
Purchasing
as Agent or Trustee. In the case of the purchase
hereunder by the Subscriber of Flow-Through Shares as agent
or trustee for
any principal whose identity is disclosed or undisclosed or
identified by
account number only, each beneficial purchaser of the Flow-Through
Shares
hereunder is purchasing the Flow-Through Shares as principal
for its own
account, and not for the benefit of any other person, for investment
only
and not with a view to resale or distribution, is a resident
of the
jurisdiction as set out under “Subscriber’s Particulars” on page 1
hereof, and the Subscriber has due and proper authority to
act as agent or
trustee for and on behalf of such beneficial purchaser in connection
with
the transactions contemplated hereby, and this Subscription
Agreement has
been duly authorized, executed and delivered by or on behalf
of, and
constitutes a legal, valid and binding agreement of, such beneficial
purchaser, and:
|
|
(i)
|
it
is an “accredited investor” as defined in paragraph (p) or (q) of the
definition of “accredited investor” in NI 45-106 provided, however
that it is not a trust company or trust corporation registered
under the
laws of Xxxxxx Xxxxxx Island that is not registered under the
Trust
and Loan Companies Act (Canada) or under comparable legislation in
another jurisdiction of Canada and has concurrently executed
and delivered
the Accredited Investor Status Certificate in the form attached
hereto as
Schedule A and has initialled indicating that the Subscriber
satisfies the category of “accredited investor” set forth in
paragraph (p) or (q) thereof;
or
|
|
(ii)
|
the
Subscriber is acting as agent for one or more disclosed principals,
each
of which principal is purchasing as a principal for its own
account, not
for the benefit of any other person, and not with a view to
the resale or
distribution of all or any of the Flow-Through Shares, and
each of which
principals complies with subsection 7(g)
below;
|
|
(g)
|
Subscriber
Has Benefit of Statutory Exemptions. Unless the
Subscriber complies with the provisions of subsection 7(f) hereof,
the Subscriber fully complies with one of the criteria set
forth
below:
|
[XXXX
BELOW THE CATEGORY WHICH DESCRIBES YOU]
|
(i)
r
|
it
is a resident of a Designated Province and is an “accredited investor” as
such term is defined in NI 45-106 and specifically represents and
warrants that one or more of the categories set forth in the
Accredited
Investor Status Certificate correctly, and in all respects,
describes the
Subscriber and the Subscriber has so indicated by marking the
box next to
the category which so describes it and executing and delivering
a copy of
the Accredited Investor Status Certificate attached hereto
as
Schedule A with this Subscription Agreement and if the Subscriber is
purchasing Flow-Through Shares as an “accredited investor” as defined in
paragraph (m) of the definition of “accredited investor” in
NI 45-106 it is not a person created or used solely to purchase
or
hold securities as an “accredited investor”;
or
|
11
|
Canada
- BC, AB, ON, QB
|
|
(ii) r
|
it
is a resident of British Columbia or Alberta and in the case
of subclauses
D, E and F, and if applicable H or I, it has completed and
duly executed
Schedule B, and it is:
|
[CIRCLE
THE APPROPRIATE SUBCLAUSE A - I]
|
A.
|
a
“director”, “executive officer” or “control person” (as such terms are
defined in NI 45-106 and reproduced in Schedule A to this
Subscription Agreement) of the Corporation or of an affiliate
of the
Corporation; or
|
|
B.
|
a
spouse, parent, grandparent, brother, sister or child of any
person
referred to in subclause A above;
or
|
|
C.
|
a
parent, grandparent, brother, sister or child of the spouse
of any person
referred to in subclause A above;
or
|
|
D.
|
a
“close personal friend” (within the meaning thereof as set out in
Companion Policy 45-106CP to NI 45-106) of any person referred to in
subclause A above and; or
|
|
E.
|
a
“close business associate” (within the meaning thereof as set out in
Companion Policy 45-106CP to NI 45-106) of any person referred to in
subclause A above; or
|
|
F.
|
a
“founder” (as such term is defined in NI 45-106 and reproduced in Schedule
A to this Subscription Agreement) of the Corporation or a spouse,
parent,
grandparent, brother, sister, child, close personal friend
or close
business associate of a founder of the Corporation;
or
|
|
G.
|
a
parent, grandparent, brother, sister or child of the spouse
of a founder
of the Corporation; or
|
|
H.
|
a
person or company of which a majority of the voting securities
are
beneficially owned by, or a majority of the directors are,
persons
referred to in subclauses A to G above;
or
|
|
I.
|
a
trust or estate of which all of the beneficiaries or a majority
of the
trustees are persons described in subclauses A to G above;
or
|
(Note: for
the purposes of subparagraphs (D) and (F) above, a person is not a” close
personal friend” solely because the individual is a relative or a member of the
same organization, association or religious group or because the individual
is a
client, customer or former client or customer, nor is an individual a
close
personal friend as a result of being a close personal friend of a close
personal
friend of one of the listed individuals above, rather the relationship
must be
direct. A close personal friend is one who knows the director,
executive officer, founder or control person well enough and has known
them for
a sufficient period of time to be in a position to assess their capabilities
and
trustworthiness. Further, for the purposes of subparagraphs (E)
and (F) above, a person is not a "close business associate" if the person
is a
casual business associate or a person introduced or solicited for purposes
of
purchasing securities nor is the individual a close business associate
solely
because the individual is a client, customer, former client or customer,
nor is
the individual a close business associate if they are a close business
associate
of a close business associate of one of the listed individuals above,
rather the
relationship must be direct. A close business associate is an
individual who had sufficient prior dealings with the director, executive
officer, founder or control person to be in a position to assess their
capabilities and trustworthiness.)
12
|
Canada
- BC, AB, ON, QB
|
|
(iii)
r
|
it
is a resident of Ontario and it has purchased the Flow-Through
Shares as
principal and it is:
|
[CIRCLE
THE APPROPRIATE SUBCLAUSE A - D]
|
A.
|
a
founder of the Corporation;
|
|
B.
|
an
affiliate of a founder of the
Corporation;
|
|
C.
|
a
spouse, parent, brother, sister, grandparent or child of an
executive
officer, director or founder of the Corporation;
or
|
|
D.
|
a
person that is a control person of the Corporation;
or
|
|
(iv) r
|
it
is purchasing the Flow-Through Shares as principal and is purchasing
a
sufficient number of Flow-Through Shares such that the aggregate
acquisition cost to the Subscriber is not less than $150,000,
paid in cash
at the time of the trade; provided however that the Subscriber
has not
been created or used solely to purchase or hold securities
in reliance on
this exemption; or
|
|
(v)
r
|
it
is an “employee”, “executive officer”, “director” or “consultant” (as such
terms (other than employee) are defined in NI 45-106 and reproduced
in Appendix A to this Subscription Agreement) of the Corporation
or a
related entity of the Corporation or a permitted assign (as
defined in Ni
45-106) of such person and its participation in the trade is
voluntary,
meaning it is not induced to participate in the trade by expectation
of
employment or continued employment with the Corporation or
a related
entity of the Corporation; or
|
|
(vi) r
|
it
is a resident of a jurisdiction referred to in the preceding
paragraphs
but it is not purchasing thereunder, and instead is purchasing
pursuant to
a statutory exemption or an exemption order permitting such
purchase,
which exemption or order has the effect of eliminating any
requirement for
a prospectus or similar disclosure document in respect of the
purchase of
Flow-Through Shares by the Subscriber, the details of which
are disclosed
to the Corporation to its
satisfaction;
|
|
(h)
|
Residents
of Other Jurisdictions. If the Subscriber is a
resident of any jurisdiction not referred to in subsection 7(g) it
complies with all requirements under applicable securities
legislation and
shall deliver to the Corporation such particulars of the exemption(s)
and
the Subscriber’s qualifications thereunder as the Corporation may
reasonably request and it acknowledges
that:
|
|
(i)
|
no
securities commission or similar regulatory authority has reviewed
or
passed on the merits of the Flow-Through Shares;
and
|
|
(ii)
|
there
is no government or other insurance covering the Flow-Through
Shares;
and
|
|
(iii)
|
there
are risks associated with the purchase of the Flow-Through
Shares;
and
|
13
|
Canada
- BC, AB, ON, QB
|
|
(iv)
|
there
are restrictions on the Subscriber’s (and if applicable, each beneficial
purchaser for whom the Subscriber is contracting hereunder)
ability to
resell the Flow-Through Shares and it is the responsibility
of the
Subscriber (and if applicable, each beneficial purchaser for
whom the
Subscriber is contracting hereunder) to find out what those
restrictions
are and to comply with them before selling the Flow-Through
Shares;
and
|
|
(v)
|
the
Corporation has advised the Subscriber that the Corporation
is relying on
exemptions from the requirements to provide the Subscriber
with a
prospectus under the applicable securities legislation of the
province or
territory in which the Subscriber is resident, and, as a consequence
of
acquiring Flow-Through Shares pursuant to these exemptions,
certain
protections, rights and remedies provided by the applicable
securities
legislation of the province or territory in which the Subscriber
is
resident, including statutory or contractual rights of rescission
or
damages, will not be available to the Subscriber;
and
|
|
(i)
|
No
Undisclosed Information. The Subscriber’s
Flow-Through Shares are not being purchased by the Subscriber
as a result
of any material information concerning the Corporation that
has not been
publicly disclosed and the Subscriber’s decision to enter into this
Subscription Agreement and acquire the Subscriber’s Flow-Through Shares
has not been made as a result of any oral or written representation
as to
fact or otherwise made by or on behalf of the Corporation or
any other
person and is based entirely upon currently available public
information
concerning the Corporation;
|
|
(j)
|
Investment
Suitability. The Subscriber and any beneficial
purchaser referred to in subsection 7(f) hereof has such knowledge
and experience in financial and business affairs as to be capable
of
evaluating the merits and risks of the investment hereunder
in the
Flow-Through Shares and is able to bear the economic risk of
loss of such
investment;
|
|
(k)
|
Subscription
Funds. The Subscriber represents and warrants that
the funds representing the Subscription Amount which will be
advanced by
the Subscriber to the Corporation hereunder will not represent
proceeds of
crime for the purposes of the Proceeds of Crime (Money Laundering) and
Terrorist Financing Act (Canada) (the “PCMLTFA”) and
the Subscriber acknowledges that the Corporation may in the
future be
required by law to disclose the Subscriber’s name and other information
relating to this Subscription Agreement and the Subscriber’s subscription
hereunder, on a confidential basis, pursuant to the PCMLTFA. To
the best of its knowledge: (a) none of the subscription funds to be
provided by the Subscriber (i) have been or will be derived from or
related to any activity that is deemed criminal under the laws
of Canada,
the United States of America, or any other jurisdiction or
(ii) are
being tendered on behalf of a person or entity who has not
been identified
to the Subscriber; and (b) it shall promptly notify the Corporation
if the Subscriber discovers that any of such representations
ceases to be
true and provide the Corporation with appropriate information
in
connection therewith; and
|
|
(l)
|
Further
Acknowledgments. The Subscriber acknowledges
that:
|
|
(i)
|
no
securities commission or similar regulatory authority has reviewed
or
passed on the merits of the Flow-Through
Shares;
|
|
(ii)
|
there
is no government or other insurance covering the Flow-Through
Shares;
|
|
(iii)
|
there
are risks associated with the purchase of the Flow-Through
Shares;
|
|
(iv)
|
there
are restrictions on the Subscriber’s ability to resell the Flow-Through
Shares and it is the responsibility of the Subscriber to find
out what
those restrictions are and to comply with them before selling
the
Flow-Through Shares;
|
14
|
Canada
- BC, AB, ON, QB
|
|
(v)
|
all
certificates representing Flow-Through Shares held by the Subscriber
will
have a legend affixed thereto which describes certain resale
restrictions
applicable under Securities Laws applicable in the Designated
Provinces
and, if applicable, the United
States;
|
|
(vi)
|
except
for this Subscription Agreement and the Agency Agreement including
the
representations and warranties made by the Corporation therein,
it has
relied solely upon publicly available information relating
to the
Corporation and not upon any verbal or written representation
as to fact
or otherwise made by or on behalf of the Corporation or the
Agent, such
publicly available information having been delivered to the
Subscriber
without independent investigation or verification by the Agent,
and agrees
that the Agent and Agent’s counsel assume no responsibility or liability
of any nature whatsoever for the accuracy, adequacy or completeness
of the
publicly available information or as to whether all information
concerning
the Corporation required to be disclosed by the Corporation
has been
generally disclosed and acknowledges that the Corporation’s counsel and
the Agent’s counsel are acting as counsel to the Corporation and the
Agent, respectively, and not as counsel to the
Subscriber.
|
The
Subscriber acknowledges and agrees that the foregoing representations,
warranties and acknowledgments are made by it with the intention that
they may
be relied upon in determining its eligibility or (if applicable) the
eligibility
of others on whose behalf it is contracting hereunder to purchase the
Flow-Through Shares under applicable Securities Laws. The Subscriber
further agrees that acceptance of delivery of certificates for the Flow-Through
Shares by or on behalf of the Subscriber on the Closing Date, it shall
be
representing and warranting that the foregoing representations and warranties
are true and correct as at the Closing Time with the same force and effect
as if
they had been made by the Subscriber at the Closing Time and that they
shall
survive the purchase by the Subscriber of the Flow-Through Shares and
shall
continue in full force and effect notwithstanding any subsequent disposition
by
the Subscriber of the Flow-Through Shares. The Subscriber undertakes
to notify
the Agent immediately of any change in any representation, warranty or
other
information relating to the Subscriber set forth herein which takes place
prior
to the Closing Time.
8.
|
U.S.
Matters. The
Subscriber:
|
|
(a)
|
No
U.S. Registration. The Subscriber is aware that the
Flow-Through Shares have not been registered and will not be
registered
under the U.S. Securities Act or the securities laws of any
state and that
these securities may not be offered or sold in the United States
without
registration under the U.S. Securities Act or compliance with
requirements
of an exemption from registration;
|
|
(b)
|
No
Sale in the U.S. The Subscriber acknowledges the
Flow-Through Shares have not been offered to the Subscriber
in the United
States, and the individuals making the order to purchase the
Flow-Through
Shares or executing and delivering this Subscription Agreement
on behalf
of the Subscriber were not in the United States when the order
was placed
and this Subscription Agreement was executed and
delivered;
|
|
(c)
|
Not
a U.S. Person. The Subscriber is not a “U.S. Person”
(as defined in Regulation S under the U.S. Securities Act, which
definition includes, but is not limited to, an individual resident
in the
United States, an estate or trust of which any executor or
administrator
or trustee, respectively, is a U.S. Person and any partnership
or
corporation organized or incorporated under the laws of the
United States)
and is not purchasing the Flow-Through Shares on behalf of,
or for the
account or benefit of, a person in the United States or a U.S.
Person;
|
|
(d)
|
Will
Not Sell in U.S. The Subscriber undertakes and agrees
that it will not offer or sell the Flow-Through Shares in the
United
States unless such securities are registered under the U.S.
Securities Act
and the securities laws of all applicable states of the United
States or
an exemption from such registration requirements is available,
and further
that it will not resell the Flow-Through Shares except in accordance
with
the provisions of applicable securities
laws;
|
15
|
Canada
- BC, AB, ON, QB
|
|
(e)
|
Reliance
on Exemptions. The Subscriber acknowledges that the
Offering has not been reviewed by the United States Securities
and
Exchange Commission (the “SEC”) or any state agency
because it is intended to be an offshore transaction pursuant
to
Regulation S (“Regulation S”) as promulgated by the SEC
under the U.S. Securities Act, as amended. The Subscriber
understands that the Corporation is relying in part upon the
truth and
accuracy of, and the Subscriber’s compliance with the representations,
warranties, agreements, acknowledgments and understandings
of the
Subscriber set forth herein in order to determine the availability
of such
exemptions and the eligibility of the Subscriber to acquire
the
Flow-Through Shares;
|
|
(f)
|
Offshore
Transaction. The Subscriber agrees that it is
acquiring the Flow-Through Shares in an offshore transaction
pursuant to
Regulation S, promulgated under the U.S. Securities Act, and
hereby
represents to the Corporation as
follows:
|
|
(i)
|
the
Subscriber is outside the United States when receiving and
executing this
Subscription Agreement; and
|
|
(ii)
|
the
Subscriber has not acquired the Flow-Through Shares as a result
of, and
will not itself engage in, any “directed selling efforts” (as defined in
Regulation S under the U.S. Securities Act) in the United States
in
respect of the Flow-Through Shares which would include any
activities
undertaken for the purpose of, or that could reasonably be
expected to
have the effect of, conditioning the market in the United States
for the
resale of the Flow-Through Shares; provided, however, that
the Subscriber
may sell or otherwise dispose of the Flow-Through Shares pursuant
to
registration of the Flow-Through Shares under the U.S. Securities
Act and
any applicable state and provincial securities laws or under
an exemption
from such registration requirements and as otherwise provided
herein;
|
|
(g)
|
Compliance
with U.S. Securities Laws. The Subscriber agrees that
the Corporation will refuse to register any transfer of the
Flow-Through
Shares not made in accordance with the provisions of Regulation
S,
pursuant to an effective registration statement under the U.S.
Securities
Act, or pursuant to an available exemption from the registration
requirements of the U.S. Securities Act and in accordance with
applicable
state and provincial securities
laws;
|
|
(h)
|
Distribution
Compliance Period. The Subscriber understands and
agrees that offers and sales of any of the Flow-Through Shares
prior to
the expiration of a period of two years after the date of transfer
of the
Flow-Through Shares under this Subscription Agreement (the
“Distribution Compliance Period”), shall only be made in
compliance with the safe harbor provisions set forth in Regulation
S,
pursuant to the registration provisions of the U.S. Securities
Act or an
exemption therefrom, and that all offers and sales after the
Distribution
Compliance Period shall be made only in compliance with the
registration
provisions of the U.S. Securities Act or an exemption therefrom,
and in
each case only in accordance with all applicable securities
laws;
and
|
|
(i)
|
Legends. The
Subscriber understands that the certificates representing the
Flow-Through
Shares, until such time as they have been registered under
the U.S.
Securities Act may have a distinct CUSIP number from other
Common Shares
of the Corporation and shall bear a restrictive legend in substantially
the following form (and a stop-transfer order may be placed
against
transfer of such certificates or other
instruments):
|
THESE
SECURITIES WERE ISSUED IN AN OFFSHORE TRANSACTION TO PERSONS WHO ARE
NOT U.S.
PERSONS (AS DEFINED HEREIN) PURSUANT TO REGULATION S UNDER THE UNITED
STATES
SECURITIES ACT OF 1933, AS AMENDED (THE “1933 ACT”). ACCORDINGLY, NONE OF THE
SECURITIES TO WHICH THIS CERTIFICATE RELATES HAVE BEEN REGISTERED UNDER
THE 1933
ACT, OR ANY U.S. STATE SECURITIES LAWS, AND, UNLESS SO REGISTERED, NONE
MAY BE
OFFERED OR SOLD IN THE UNITED STATES OR, DIRECTLY OR INDIRECTLY, TO U.S.
PERSONS
(AS DEFINED HEREIN) EXCEPT PURSUANT TO AN EFFECTIVE REGISTRATION STATEMENT
OR
PURSUANT TO AN EXEMPTION FROM, OR IN A TRANSACTION NOT SUBJECT TO, THE
REGISTRATION REQUIREMENTS OF THE 1933 ACT AND IN EACH CASE ONLY IN ACCORDANCE
WITH APPLICABLE STATE SECURITIES LAWS. IN ADDITION, HEDGING TRANSACTIONS
INVOLVING THE SECURITIES MAY NOT BE CONDUCTED UNLESS IN ACCORDANCE WITH
THE 1933
ACT.
00
|
Xxxxxx
- XX, XX, XX, XX
|
The
legend set forth above shall be removed and the Corporation shall issue
a
certificate without such legend to the holder of the Flow-Through Shares
upon
which it is stamped, if (a) such Flow-Through Shares are being sold
pursuant to a registration statement under the U.S. Securities Act, or
(b) such holder delivers to the Corporation an opinion of counsel, in a
reasonably acceptable form, to the Corporation that a disposition of
the
Flow-Through Shares is being made pursuant to an exemption from such
registration.
9.
|
Covenants
of the Subscriber. The Subscriber
will:
|
|
(a)
|
not
resell any of the Flow-Through Shares acquired (directly or
indirectly)
hereunder, in whole or in part, directly or indirectly, except
in
accordance with the provisions of applicable Securities
Laws;
|
|
(b)
|
execute,
deliver, file and otherwise assist the Corporation in filing
such further
reports, undertakings, agreements, documents and writings,
do all acts and
things, and provide such further assurances as may be required
to give
effect to this Subscription Agreement as required, and, without
limiting
the generality of the foregoing, will execute and deliver all
documents,
agreements and writings and provide such assurances, undertakings,
information and investment letters as may be required from
time to time by
the Securities Commissions or other regulatory authorities
having
jurisdiction over the Corporation’s affairs or as may be required under
the applicable Securities Laws with respect to the issue and
resale of the
Flow-Through Shares; and
|
|
(c)
|
provide
the Corporation and applicable securities regulatory authorities,
on
request, particulars as to the identity of any undisclosed
principals as
may be required by the Corporation.
|
10.
|
No
Representations. The Subscriber acknowledges that no
person has made to the Subscriber any written or oral representations
that
any person will resell or repurchase the Flow-Through Shares,
that any
person will refund the Subscription Amount of the Flow-Through
Shares, or
to the future price or value of the Flow-Through Shares. In
addition, except as provided in this Subscription Agreement,
the
Subscriber has relied solely upon publicly available information
relating
to the Corporation and not upon any verbal or written representation
as to
fact or otherwise made by or on behalf of the
Corporation.
|
11.
|
Subscriber’s
Expenses. The Subscriber acknowledges and agrees that
all costs and expenses incurred by the Subscriber (including
any fees and
disbursements of special counsel retained by the Subscriber)
relating to
the purchase of the Flow-Through Shares shall be borne by the
Subscriber.
|
12.
|
Legal
and Tax Advice. The Subscriber acknowledges and agrees
that it is solely responsible for obtaining such legal advice
and tax
advice as it considers appropriate in connection with the execution,
delivery and performance by it of this Subscription Agreement
and the
completion of the transactions contemplated hereby. The
Subscriber further acknowledges and agrees that the Corporation’s legal
counsel is acting exclusively on the Corporation’s behalf and not as
counsel to the Subscriber.
|
13.
|
Indemnity. The
Subscriber agrees to indemnify and hold harmless the Corporation,
the
Agent and their respective directors, officers, employees,
agents,
partners, advisers, affiliates and shareholders from and against
any and
all loss, liability, claim, damage and expense (including,
but not limited
to, any and all fees, costs and expenses reasonably incurred
in
investigating, preparing or defending against any claim, law
suit,
administrative proceeding or investigation whether commenced
or
threatened) arising out of or based upon any representation
or warranty of
the Subscriber contained herein or in any document furnished
by the
Subscriber to the Corporation in connection herewith being
untrue in any
material respect or any breach or failure by the Subscriber
to comply with
any covenant or agreement made by the Subscriber herein or
in any document
furnished by the Subscriber to the Corporation in connection
herewith.
|
17
|
Canada
- BC, AB, ON, QB
|
14.
|
Assignment. The
terms and provisions of this Subscription Agreement shall be
binding upon
and enure to the benefit of the Subscriber, the Corporation
and their
respective successors and assigns; provided that this Subscription
Agreement shall not be assignable by the Subscriber without
the prior
written consent of the Corporation.
|
15.
|
Personal
Information. This Subscription Agreement and the
schedules hereto require the Subscriber to provide certain
personal
information to the Corporation. Such information is being
collected by the Corporation for the purposes of completing
this offering
of Flow-Through Shares, which includes, without limitation,
determining
the Subscriber’s eligibility to purchase the Flow-Through Shares under
applicable Securities Laws, preparing and registering certificates
representing Flow-Through Shares to be issued to the Subscriber
and
completing filings required by any securities regulatory authority.
The
Subscriber’s personal information may be disclosed by the Corporation
to:
(a) stock exchanges and securities regulatory authorities,
(b) the Corporation’s registrar and transfer agent, (c) CRA, and
(d) any of the other parties involved in this offering of
Flow-Through Shares, including the Corporation’s legal
counsel. By executing this Subscription Agreement, the
Subscriber is deemed to be consenting to the foregoing collection,
use and
disclosure of the Subscriber’s personal information. The
Subscriber also consents to the filing of copies or originals
of any of
the Subscriber’s documents described in this Subscription Agreement as may
be required to be filed with any securities regulatory authority
in
connection with the transactions contemplated by this Subscription
Agreement and the inclusion of them in the closing books prepared
in
connection with the transactions contemplated by this Subscription
Agreement. The Subscriber hereby acknowledges that it has been
notified by the Corporation: (i) of the delivery to the Ontario
Securities Commission (the “OSC”) of the Subscriber’s
personal information; (ii) that the Subscriber’s personal information
is being collected indirectly by the OSC under the authority
granted to it
in the securities legislation; (iii) the Subscriber’s personal
information is being collected for the purposes of the administration
and
enforcement of the securities legislation of Ontario; and (iv) the
contact information of the public official in Ontario who can
answer
questions about the OSC’s indirect collection of personal information is,
Administrative Assistant to the Director of Corporate Finance,
the Ontario
Securities Commission, Xxxxx 0000, Xxx 0000, Xxxxx Xxxxxx Xxxx,
Xxxxxxx,
Xxxxxxx, X0X 0X0, telephone (000) 000-0000, facsimile
(000) 000-0000.
|
16.
|
Survival. All
representations, warranties, agreements and covenants made
or deemed to be
made by the Subscriber herein will survive Closing of the
Offering.
|
17.
|
Governing
Law. This Subscription Agreement shall be governed by
and construed in accordance with the laws of the Province of
Alberta and
the federal laws of Canada applicable therein. The Subscriber,
on its own behalf and, if applicable, on behalf of others for
whom it is
contracting hereunder, and the Corporation hereby irrevocably
attorn to
the jurisdiction of the courts of the Province of Alberta with
respect to
any matters arising out of this Subscription Agreement and
agree to be
bound by any suit, action or proceeding commenced in such courts
and by
any order or judgment resulting from such suit, action or
proceeding. Each of the parties hereto irrevocably waives, to
the fullest extent it may effectively do so, the defense of
an
inconvenient forum to the maintenance of such action or
proceeding.
|
18.
|
Facsimile
Subscriptions and Counterparts. The Corporation shall
be entitled to rely on delivery by facsimile machine of an
executed copy
of this Subscription Agreement, including the completed schedule
hereto,
and acceptance by the Corporation of such facsimile copy shall
be legally
effective to create a valid and binding agreement between the
Subscriber
and the Corporation in accordance with the terms hereof. This
Subscription Agreement may be executed in any number of counterparts,
each
of which when delivered, either in original or facsimile form,
shall be
deemed to be an original and all of which together shall constitute
one
and the same document.
|
18
|
Canada
- BC, AB, ON, QB
|
19.
|
Entire
Agreement and Modification. This Subscription
Agreement (including the schedules hereto) contains the entire
agreement
of the parties hereto relating to the subject matter hereof
and there are
no representations, covenants or other agreements relating
to the subject
matter hereof except as stated or referred to herein. Subject
to the terms hereof, neither this Subscription Agreement nor
any provision
hereof shall be modified, changed, discharged or terminated
except by an
instrument in writing signed by the party against whom any
waiver, change,
discharge or termination is sought.
|
20.
|
Headings. The
headings contained herein are for convenience only and shall
not affect
the meanings or interpretation
hereof.
|
21.
|
Language. The
Subscriber acknowledges its consent and requests that all documents
evidencing or relating in any way to its purchase of Flow-Through
Shares
be drawn up in the English language only. Nous reconnaissons
par les présentes avoir consenti et demandé que tous les documents faisant
foi ou se rapportant de quelque manière à notre achat des actions
accréditives soient rédigés en anglais
seulement.
|
22.
|
Time
of Essence. Time is of the essence of this
Subscription Agreement.
|
23.
|
Effective
Date. This Subscription Agreement is intended to and
shall take effect on the Closing Date, notwithstanding its
actual date of
execution or delivery by any of the
parties.
|
24.
|
Currency. Except
if specifically stated otherwise, all dollar amounts herein
(including the
Schedule hereto) are in Canadian
dollars.
|
25.
|
Severability. If
any one or more of the provisions contained in this Subscription
Agreement
should be invalid, illegal or unenforceable in any respect
in any
jurisdiction, the validity, legality and enforceability of
such provision
or provisions shall not in any way be affected or impaired
thereby in any
other jurisdiction and the validity, legality and enforceability
of the
remaining provisions contained herein shall not in any way
be affected or
impaired thereby, unless in either case as a result of such
determination
this Subscription Agreement would fail of its essential
purpose.
|
A-1
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Canada
- BC, AB, ON, QB
|
SCHEDULE
A
ACCREDITED
INVESTOR STATUS CERTIFICATE
The
undersigned Subscriber hereby represents and warrants to the Corporation,
as an
integral part of the attached Subscription Agreement, that he, she or it
is
correctly and in all respects described by the category or categories set
forth
directly next to which the Subscriber has marked below.
[XXXX
BELOW THE CATEGORY OR CATEGORIES WHICH DESCRIBES YOU]
r |
(a)
|
A
Canadian financial institution, or a Schedule III bank.
|
|
r |
(b)
|
The
Business Development Bank of Canada incorporated under the Business
Development Bank of Canada Act (Canada).
|
|
r |
(c)
|
A
subsidiary of any person referred to in paragraphs (a) or (b), if
the person owns all of the voting securities of the subsidiary,
except the
voting securities required by law to be owned by directors of
that
subsidiary.
|
|
r |
(d)
|
A
person registered under the securities legislation of a jurisdiction
of
Canada as an adviser or dealer, other than a person registered
solely as a
limited market dealer under one or both of the Securities Act
(Ontario) or the Securities Act (Newfoundland and
Labrador).
|
|
r |
(e)
|
An
individual registered or formerly registered under the securities
legislation of a jurisdiction of Canada as a representative of
a person
referred to in paragraph (d).
|
|
r |
(f)
|
The
Government of Canada or a jurisdiction of Canada, or any crown
corporation, agency or wholly owned entity of the Government
of Canada or
a jurisdiction of Canada.
|
|
r |
(g)
|
A
municipality, public board or commission in Canada and a metropolitan
community, school board, the Comité de gestion de la taxe scolaire de
l’île de Montréal or an intermunicipal management board in
Québec.
|
|
r |
(h)
|
Any
national, federal, state, provincial, territorial or municipal
government
of or in any foreign jurisdiction, or any agency of that
government.
|
|
r |
(i)
|
A
pension fund that is regulated by either the Office of the Superintendent
of Financial Institutions (Canada) or a pension commission or
similar
regulatory authority of a jurisdiction of Canada.
|
|
r |
(j)
|
An
individual who, either alone or with a spouse, beneficially owns,
directly
or indirectly, financial assets having an aggregate realizable
value that
before taxes, but net of any related liabilities, exceeds
$1,000,000.
|
|
r |
(k)
|
An
individual whose net income before taxes exceeded $200,000 in
each of the
2 most recent calendar years or whose net income before taxes
combined
with that of a spouse exceeded $300,000 in each of the 2 most
recent
calendar years and who, in either case, reasonably expects to
exceed the
net income level in the current calendar year.
|
|
r |
(l)
|
An
individual who, either alone or with a spouse, has net assets
of at least
$5,000,000.
|
|
r |
(m)
|
A
person, other than an individual or investment fund, that has
net assets
of at least $5,000,000 as shown on its most recently prepared
financial
statements.
|
|
r |
(n)
|
An
investment fund that distributes or has distributed its securities
only
to:
|
|
(A)
|
a
person that is or was an accredited investor at the time of the
distribution,
|
||
(B)
|
a
person that acquires or acquired securities in the circumstances
referred
to in sections 2.10 and 2.19 of NI 45-106, or
|
||
(C)
|
a
person described in paragraph (A) or (B) that acquires or acquired
securities under section 2.18 of NI 45-106.
|
||
r |
(o)
|
An
investment fund that distributes or has distributed securities
under a
prospectus in a jurisdiction of Canada for which the regulator
or, in
Québec, the securities regulatory authority, has issued a
receipt.
|
|
r |
(p)
|
A
trust company or trust corporation registered or authorized to
carry on
business under the Trust and Loan Companies Act (Canada) or under
comparable legislation in a jurisdiction of Canada or a foreign
jurisdiction, acting on behalf of a fully managed account managed
by the
trust company or trust corporation, as the case may
be.
|
X-0
|
Xxxxxx
- XX, XX, XX, XX
|
r |
(q)
|
A
person acting on behalf of a fully managed account managed by
that person,
if that person:
|
|
(A)
|
is
registered or authorized to carry on business as an adviser or
the
equivalent under the securities legislation of a jurisdiction
of Canada or
a foreign jurisdiction, and
|
||
(B)
|
in
Ontario, is purchasing a security that is not a security of an
investment
fund.
|
||
r |
(r)
|
A
registered charity under the Income Tax Act (Canada) that, in
regard to the trade, has obtained advice from an eligibility
adviser or an
adviser registered under the securities legislation of the jurisdiction
of
the registered charity to give advice on the securities being
traded.
|
|
r |
(s)
|
An
entity organized in a foreign jurisdiction that is analogous
to any of the
entities referred to in paragraphs (a) to (d) or paragraph (i)
in form and function.
|
|
r |
(t)
|
A
person in respect of which all of the owners of interests, direct,
indirect or beneficial, except the voting securities required
by law to be
owned by directors, are persons that are accredited
investors.
|
|
r |
(u)
|
An
investment fund that is advised by a person registered as an
adviser or a
person that is exempt from registration as an adviser.
|
|
r |
(v)
|
A
person that is recognized or designated by the securities regulatory
authority or, except in Ontario and Québec, the regulator
as:
|
|
(A)
|
an
accredited investor, or
|
||
(B)
|
an
exempt purchaser in Alberta or British
Columbia.
|
Note: A
summary of the meanings of certain of the terms used in this Accredited
Investor
Status Certificate follows the signature block below.
DATED ________________________________________,
2007
_______________________________________________
Name
of
Subscriber (please print)
By: ________________________________________
_______________________________________________
Official
Capacity or Title, if any (please print)
_______________________________________________
Name
of
Authorized Signing Authority (please print)
A-3
|
Canada
- BC, AB, ON, QB
|
For
the
purposes of this Accredited Investor Status Certificate the following
definitions are included for convenience:
|
(a)
|
“affiliate”
means an issuer connected with another issuer
because
|
|
(i)
|
one
of them is the subsidiary of the
other;
|
|
(ii)
|
each
of them is controlled by the same person;
or
|
|
(iii)
|
for
the purposes of Saskatchewan securities law, both are subsidiaries
of the
same issuer;
|
|
(b)
|
“bank”
means a bank named in Schedule I or II of the Bank Act
(Canada);
|
|
(c)
|
“Canadian
financial institution”
means:
|
|
(i)
|
an
association governed by the Cooperative Credit Associations Act
(Canada) or a central cooperative credit society for which an
order has
been made under section 473(1) of that Act;
or
|
|
(ii)
|
a
bank, loan corporation, trust company, trust corporation, insurance
company, treasury branch, credit union, caisse populaire, financial
services cooperative, or league that, in each case, is authorized
by an
enactment of Canada or a jurisdiction of Canada to carry on business
in
Canada or a jurisdiction of Canada;
|
|
(d)
|
“consultant”
means, for an issuer, a person, other than an employee, executive
officer,
or director of the issuer or of a related entity of the issuer,
that:
|
|
(i)
|
is
engaged to provide services to the issuer or a related entity
of the
issuer, other than services provided in relation to a
distribution;
|
|
(ii)
|
provides
the services under a written contract with the issuer or a related
entity
of the issuer; and
|
|
(iii)
|
spends
or will spend a significant amount of time and attention on the
affairs
and business of the issuer or a related entity of the
issuer,
|
and
includes, for an individual consultant, a corporation of which the individual
consultant is an employee or shareholder, and a partnership of which the
individual consultant is an employee or partner;
|
(e)
|
“control
person” has the same meaning as in securities legislation except
in Manitoba, Newfoundland and Labrador, Northwest Territories,
Nova
Scotia, Nunavut, Ontario, Xxxxxx Xxxxxx Island and Québec, where control
person means any person that holds or is one of a combination
of persons
that holds:
|
|
(i)
|
a
sufficient number of any securities of an issuer so as to affect
materially the control of the issuer;
or
|
|
(ii)
|
more
than 20% of the outstanding voting securities of an issuer except
where
there is evidence showing that the holding of those securities
does not
affect materially the control of that
issuer;
|
|
(f)
|
“debt
security” means any bond, debenture, note or similar instrument
representing indebtedness, whether secured or
unsecured;
|
X-0
|
Xxxxxx
- XX, XX, XX, XX
|
|
(g)
|
“director”
means:
|
|
(i)
|
a
member of the board of directors of a company or an individual
who
performs similar functions for a company;
and
|
|
(ii)
|
with
respect to a person that is not a company, an individual who
performs
functions similar to those of a director of a
company;
|
|
(h)
|
“eligibility
adviser” means:
|
|
(i)
|
a
person that is registered as an investment dealer or in an equivalent
category of registration under the securities legislation of
the
jurisdiction of a purchaser and authorized to give advice with
respect to
the type of security being distributed;
and
|
|
(ii)
|
in
Saskatchewan or Manitoba, also means a lawyer who is a practicing
member
in good standing with a law society of a jurisdiction of Canada
or a
public accountant who is a member in good standing of an institute
or
association of chartered accountants, certified general accountants
or
certified management accountants in a jurisdiction of Canada
provided that
the lawyer or public accountant must
not:
|
|
(A)
|
have
a professional, business or personal relationship with the issuer,
or any
of its directors, executive officers, founders, or control persons,
and
|
|
(B)
|
have
acted for or been retained personally or otherwise as an employee,
executive officer, director, associate or partner of a person
that has
acted for or been retained by the issuer or any of its directors,
executive officers, founders or control persons within the previous
12
months;
|
|
(i)
|
“executive
officer” means, for the Corporation, an individual who
is:
|
|
(i)
|
a
chair, vice-chair or president;
|
|
(ii)
|
a
vice-president in charge of a principal business unit, division
or
function including sales, finance or
production;
|
|
(iii)
|
an
officer of the Corporation or any of its subsidiaries and who
performs a
policy-making function in respect of the Corporation;
or
|
|
(iv)
|
performing
a policy-making function in respect of the
Corporation;
|
|
(j)
|
“financial
assets” means:
|
|
(i)
|
cash;
|
|
(ii)
|
securities;
or
|
|
(iii)
|
a
contract of insurance, a deposit or an evidence of a deposit
that is not a
security for the purposes of securities
legislation;
|
|
(k)
|
“foreign
jurisdiction” means a country other than Canada or a political
subdivision of a country other than
Canada;
|
A-5
|
Canada
- BC, AB, ON, QB
|
|
(l)
|
“founder”
means, in respect of an issuer, a person
who,
|
|
(i)
|
acting
alone, in conjunction, or in concert with one or more persons,
directly or
indirectly, takes the initiative in founding, organizing or substantially
reorganizing the business of the issuer,
and
|
|
(ii)
|
at
the time of the trade is actively involved in the business of
the
issuer;
|
|
(m)
|
“fully
managed account” means an account of a client for which a person
makes the investment decisions if that person has full discretion
to trade
in securities for the account without requiring the client’s express
consent to a transaction;
|
|
(n)
|
“individual”
means a natural person, but does not
include
|
|
(i)
|
a
partnership, unincorporated association, unincorporated syndicate,
unincorporated organization or a trust,
or
|
|
(ii)
|
a
natural person in the person’s capacity as trustee, executor,
administrator or other legal
representative;
|
|
(o)
|
“investment
fund” means a mutual fund or a non-redeemable investment fund,
and, for greater certainty in British Columbia, includes an EVCC
and a
VCC, both as defined in National Instrument 81-106 Investment Fund
Continuous Disclosure;
|
|
(p)
|
“jurisdiction”
means a province or territory of Canada except when used in the
term
foreign jurisdiction;
|
|
(q)
|
“mutual
fund” includes an issuer of securities that entitles the holder
to receive on demand or within a specified period after demand,
an amount
computed by reference to the value of a proportionate interest
in the
whole or in part of the net assets, including a separate fund
or trust
account, of the issuer of the
securities;
|
|
(r)
|
“NI 45-106”
means National Instrument 45-106 Prospectus and Registration
Exemptions;
|
|
(s)
|
“non-redeemable
investment fund” means an
issuer,
|
|
(i)
|
whose
primary purpose is to invest money provided by its
securityholders;
|
|
(ii)
|
that
does not invest for the purpose of exercising or seeking to exercise
effective control of an issuer, other than an issuer that is
a mutual fund
or a non-redeemable investment fund or for the purpose of being
actively
involved in the management of any issuer in which it invests,
other than
an issuer that is a mutual fund or a non-redeemable investment
fund;
and
|
|
(iii)
|
that
is not a mutual fund;
|
|
(t)
|
“person”
includes:
|
|
(i)
|
an
individual;
|
|
(ii)
|
a
corporation;
|
|
(iii)
|
a
partnership, trust, fund and an association, syndicate, organization
or
other organized group of persons, whether incorporated or not;
and
|
A-6
|
Canada
- BC, AB, ON, QB
|
|
(iv)
|
an
individual or other person in that person’s capacity as a trustee,
executor, administrator or personal or other legal
representative;
|
|
(u)
|
“related
liabilities” means:
|
|
(i)
|
liabilities
incurred or assumed for the purpose of financing the acquisition
or
ownership of financial assets; or
|
|
(ii)
|
liabilities
that are secured by financial
assets;
|
|
(v)
|
“Schedule
III bank” means an authorized foreign bank named in
Schedule III of the Bank Act
(Canada);
|
|
(w)
|
“spouse”
means, an individual who:
|
|
(i)
|
is
married to another individual and is not living separate and
apart within
the meaning of the Divorce Act (Canada), from the other
individual;
|
|
(ii)
|
is
living with another individual in a marriage-like relationship,
including
a marriage-like relationship between individuals of the same
gender;
or
|
|
(iii)
|
in
Alberta, is an individual referred to in paragraph (i) or (ii), or is
an adult interdependent partner within the meaning of the Adult
Interdependent Relationships Act (Alberta);
and
|
|
(x)
|
“subsidiary”
means an issuer that is controlled directly or indirectly by
another
issuer and includes a subsidiary of that
subsidiary.
|
All
monetary references in this Schedule A are in Canadian
dollars.
X-0
|
Xxxxxx
- XX, XX, XX, XX
|
SCHEDULE
B
CLOSE
PERSONAL FRIEND / CLOSE BUSINESS ASSOCIATE QUESTIONNAIRE
To
be
completed by Subscribers to whom section 7(g)(ii)(D), (E) or (F) of the
Subscription Agreement applies.
Name
of
director, executive officer, control person or founder
Length
of
relationship
Details of relationship or prior business dealings
The
undersigned understands that the Corporation is relying on this information
in
determining to sell securities to the undersigned in a manner exempt from
the
registration and prospectus requirements of applicable securities
laws.
Dated: _________________________,
2007
Print
name of Subscriber
|
||
By:
|
Signature |
|
Print
name of Signatory (if different from
Subscriber)
|
||
Title
|
C-1
|
Canada
- BC, AB, ON, QB
|
SCHEDULE
C
NOTE: IF
YOU HAVE ALREADY COMPLETED THIS FORM FOR ANOTHER TRANSACTION
PLEASE
INDICATE
IN THE FIRST QUESTION THAT IT IS ALREADY ON FILE WITH THE
EXCHANGE.
FORM
4C
CORPORATE
PLACEE REGISTRATION FORM
|
Where
subscribers to a Private
Placement are not individuals, the following information about the placee
must
be provided. This Form will remain on file with the
Exchange. The corporation, trust, portfolio manager or other entity
(the “Placee”) need only file it on one time basis, and it will be referenced
for all subsequent Private Placements in which it participates. If
any of the information provided in this Form changes, the Placee must notify
the
Exchange prior to participating in further placements with Exchange listed
companies. If as a result of the Private Placement, the Placee
becomes an Insider of the Issuer, Insiders of the Placee are reminded that
they
must file a Personal Information Form (2A) or, if applicable, Declarations,
with
the Exchange.
1.
|
Placee
Information:
|
(a)
|
Name: __________________________________________________________________
|
(b)
|
Complete
Address:
________________________________________________________
|
|
________________________________________________________________________
|
(c)
|
Jurisdiction
of Incorporation or Creation:
_________________________________________
|
2.
(a)
|
Is
the Placee purchasing securities as a portfolio manager (Yes/No)?
__________
|
|
(b)
|
Is
the Placee carrying on business as a portfolio manager outside
of Canada
(Yes/No)? __________
|
3.
|
If
the answer to 2(b) above was “Yes”, the undersigned certifies
that:
|
|
(a)
|
It
is purchasing securities of an Issuer on behalf of managed accounts
for
which it is making the investment decision to purchase the securities
and
has full discretion to purchase or sell securities for such accounts
without requiring the client’s express consent to a
transaction;
|
|
(b)
|
it
carries on the business of managing the investment portfolios
of clients
through discretionary authority granted by those clients (a “portfolio
manager” business) in ________________ [jurisdiction], and it is permitted
by law to carry on a portfolio manager business in that
jurisdiction;
|
|
(c)
|
it
was not created solely or primarily for the purpose of purchasing
securities of the Issuer;
|
|
(d)
|
the
total asset value of the investment portfolios it manages on
behalf of
clients is not less than $20,000,000;
and
|
|
(e)
|
it
has no reasonable grounds to believe, that any of the directors,
senior
officers and other insiders of the Issuer, and the persons that
carry on
investor relations activities for the Issuer has a beneficial
interest in
any of the managed accounts for which it is
purchasing.
|
C-2
|
Canada
- BC, AB, ON, QB
|
4.
|
If
the answer to 2(a). above was “No”, please provide the names and addresses
of control persons of the Placee:
|
Name
|
City
|
Province
or State
|
Country
|
|
|||
|
|||
|
The
undersigned acknowledges that it is bound by the provisions of applicable
Securities Law, including provisions concerning the filing of insider reports
and reports of acquisitions (See for example, sections 87 and 111 of the
Securities Act (British Columbia) and sections 176 and 182 of the
Securities Act (Alberta).
Acknowledgement
- Personal Information
“Personal
Information” means any information about an identifiable individual, and
includes information contained in sections 1, 2 and 4, as applicable, of
this Form.
The
undersigned hereby acknowledges and agrees that it has obtained the express
written consent of each individual to:
(a)
|
the
disclosure of Personal Information by the undersigned to the
Exchange (as
defined in Appendix 6B) pursuant to this Form;
and
|
(b)
|
the
collection, use and disclosure of Personal Information by the
Exchange for
the purposes described in Appendix 6B or as otherwise identified by
the Exchange, from time to time.
|
Dated
at
_________________________ on
______________________________________.
(Name
of Purchaser - please print)
|
|
(Authorized Signature) |
|
(Official Capacity - please print) |
|
(please print name of individual whose signature appears above) |
THIS
IS
NOT A PUBLIC DOCUMENT