KODIAK ENERGY, INC. – COMMON SHARES SUBSCRIPTION AGREEMENT
Exhibit
10.3
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
(“Common Shares”) set forth below for the aggregate
subscription price set forth below (the “Subscription Amount”),
representing a subscription price of US$2.50 per Common Share, upon and subject
to the terms and conditions set forth in the attached “Terms and Conditions
of Subscription For COMMON SHARES of KODIAK ENERGY, INC.”
(the “Terms and
Conditions”) (together with this page and the
attached Schedule, 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
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 Common 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
Tax
Account Number
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Register
the Common 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 Common 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 14 pages (not including Schedules
A,
B and C).
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TERMS
AND CONDITIONS OF SUBSCRIPTION FOR COMMON 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 Common Shares subscribed for by it hereunder
form
part of a larger issuance and sale by the Corporation of up to
2,700,000
Common Shares at a subscription price of US$2.50 per Common Share
and up
to 2,250,000 common shares in the capital of the Corporation to
be issued
on a “flow-through basis” at a subscription price of US$3.00 per share
(the “Flow-Through Shares”, 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 October 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 1,400,000 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);
and
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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 15, 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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“Closing”
means the completion of the issue and sale by the Corporation and
the
purchase by the Subscribers of the Common Shares pursuant to the
subscription agreements, in the form of this Subscription Agreement
or the
subscription agreement for Flow-Through Shares, completed by
Subscribers;
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(d)
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“Closing
Date” means October 15, 2007 or such other date as the
Corporation and Agent may
determine;
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(e)
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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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(f)
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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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(g)
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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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(h)
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“material”
means material in relation to the Corporation and its subsidiaries
considered on a consolidated basis;
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(i)
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“Offering”
has the meaning given thereto in section
1;
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(j)
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“NI 45-106”
means National Instrument 45-106 Prospectus and Registration
Exemptions;
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(k)
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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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(l)
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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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(m)
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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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(n)
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“Shares”
means Common Shares and Flow-Through Shares issued pursuant to
the
Offering;
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(o)
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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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(p)
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“Subscribers”
means all subscribers for the Shares pursuant to the Offering,
including
the Subscriber; and
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(q)
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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 Common 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 Common Shares as a close friend or
business
associate pursuant to section 6(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 Common 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 Common 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 Common
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 Common 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 Common
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 Common 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 Common
Shares. By accepting this Subscription Agreement, the
Corporation represents, warrants and covenants to the Subscriber
that the
Common Shares do not constitute “United States real property interests”
within the meaning of the Internal Revenue Code of the United
States.
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6.
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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:
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(a)
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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 Common 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;
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(b)
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Residence. The
Subscriber is a resident of the jurisdiction referred to under
“Subscriber’s Particulars” on page 1
hereof;
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(c)
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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 Common Shares;
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(d)
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Purchasing
as Principal. Except as provided in
subsection 6(f) hereof, the Subscriber is purchasing the Common
Shares as principal (as defined in all applicable Securities Laws)
for its
own account, and not for the benefit of any other
person;
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(e)
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Purchasing
for Investment Only. Except as provided in
subsection 6(f) hereof, the Subscriber is purchasing the Subscriber’s
Common 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 Common Shares, and
it is
purchasing the Common 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;
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(f)
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Purchasing
as Agent or Trustee. In the case of the purchase
hereunder by the Subscriber of Common 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 Common Shares
hereunder is purchasing the Common 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:
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(i)
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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
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(ii)
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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 Common Shares, and each of which
principals complies with subsection 6(g)
below;
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(g)
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Subscriber
Has Benefit of Statutory Exemptions. Unless the
Subscriber complies with the provisions of subsection 6(f) hereof,
the Subscriber fully complies with one of the criteria set forth
below:
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[XXXX
BELOW THE CATEGORY WHICH DESCRIBES YOU]
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(i)
r
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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 Common 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
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(ii)
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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:
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[CIRCLE
THE APPROPRIATE SUBCLAUSE A - I]
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A.
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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
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B.
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a
spouse, parent, grandparent, brother, sister or child of any person
referred to in subclause A above;
or
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C.
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a
parent, grandparent, brother, sister or child of the spouse of
any person
referred to in subclause A above;
or
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D.
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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
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E.
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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
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F.
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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
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G.
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a
parent, grandparent, brother, sister or child of the spouse of
a founder
of the Corporation; or
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H.
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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
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I.
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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
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(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.)
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(iii)
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it
is a resident of Ontario and it has purchased the Common Shares
as
principal and it is:
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[CIRCLE
THE APPROPRIATE SUBCLAUSE A - D]
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A.
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a
founder of the Corporation;
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B.
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an
affiliate of a founder of the
Corporation;
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C.
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a
spouse, parent, brother, sister, grandparent or child of an executive
officer, director or founder of the Corporation;
or
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D.
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a
person that is a control person of the Corporation;
or
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(iv)
r
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it
is purchasing the Common Shares as principal and is purchasing
a
sufficient number of Common 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
Common 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 6(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 Common Shares;
and
|
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Canada
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|
|
(ii)
|
there
is no government or other insurance covering the Common Shares;
and
|
|
(iii)
|
there
are risks associated with the purchase of the Common Shares;
and
|
|
(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 Common 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 Common 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 Common 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 Common
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 Common 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 6(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 Common
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 Common
Shares;
|
|
(ii)
|
there
is no government or other insurance covering the Common
Shares;
|
|
(iii)
|
there
are risks associated with the purchase of the Common
Shares;
|
|
(iv)
|
there
are restrictions on the Subscriber’s ability to resell the Common Shares
and it is the responsibility of the Subscriber to find out what
those
restrictions are and to comply with them before selling the Common
Shares;
|
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|
|
(v)
|
all
certificates representing Common 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 Common
Shares under applicable Securities Laws. The Subscriber further
agrees that acceptance of delivery of certificates for the Common 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 Common Shares and shall continue in full
force
and effect notwithstanding any subsequent disposition by the Subscriber of
the
Common 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.
7.
|
U.S.
Matters. The
Subscriber:
|
|
(a)
|
No
U.S. Registration. The Subscriber is aware that the
Common 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
Common Shares have not been offered to the Subscriber in the United
States, and the individuals making the order to purchase the Common
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 Common 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 Common 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 Common Shares except in accordance
with the
provisions of applicable securities
laws;
|
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|
|
(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
Common
Shares;
|
|
(f)
|
Offshore
Transaction. The Subscriber agrees that it is
acquiring the Common 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 Common 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
Common 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 Common
Shares; provided, however, that the Subscriber may sell or otherwise
dispose of the Common Shares pursuant to registration of the Common
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 Common
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 Common Shares prior
to the
expiration of a period of two years after the date of transfer
of the
Common 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 Common
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 Common Shares upon which
it
is stamped, if (a) such Common 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 Common Shares is being
made
pursuant to an exemption from such registration.
8.
|
Covenants
of the Subscriber. The Subscriber
will:
|
|
(a)
|
not
resell any of the Common 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
Common 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.
|
9.
|
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 Common Shares, that any
person
will refund the Subscription Amount of the Common Shares, or to
the future
price or value of the Common 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.
|
10.
|
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 Common Shares shall be borne by the
Subscriber.
|
11.
|
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.
|
12.
|
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.
|
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|
13.
|
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.
|
14.
|
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 Common Shares, which includes, without limitation, determining
the
Subscriber’s eligibility to purchase the Common Shares under applicable
Securities Laws, preparing and registering certificates representing
Common 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, and (c) any of the other
parties involved in this offering of Common 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.
|
15.
|
Survival. All
representations, warranties, agreements and covenants made or deemed
to be
made by the Subscriber herein will survive Closing of the
Offering.
|
16.
|
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.
|
17.
|
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.
|
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.
|
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Canada
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|
19.
|
Headings. The
headings contained herein are for convenience only and shall not
affect
the meanings or interpretation
hereof.
|
20.
|
Language. The
Subscriber acknowledges its consent and requests that all documents
evidencing or relating in any way to its purchase of Common 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.
|
21.
|
Time
of Essence. Time is of the essence of this
Subscription Agreement.
|
22.
|
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.
|
23.
|
Currency. Except
if specifically stated otherwise, all dollar amounts herein (including
the
Schedule hereto) are in Canadian
dollars.
|
24.
|
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
|
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 6(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