PRIVATE PLACEMENT SUBSCRIPTION AGREEMENT INSTRUCTIONS TO PURCHASERPrivate Placement Subscription Agreement • February 3rd, 2021 • Ontario
Contract Type FiledFebruary 3rd, 2021 JurisdictionSubscriber Information (Name of Subscriber) Account Reference (if applicable): X (Signature of Subscriber – if the Subscriber is an Individual) X (Signature of Authorized Signatory – if the Subscriber is not an Individual) (Name and Title of Authorized Signatory – if the Subscriber is not an Individual) (SIN, SSN, or other Tax Identification Number of the Subscriber) (Subscriber's Address, including city and Postal Code) (Telephone Number) (Email Address) Register the Shares and Warrants as set forth below: (Name to Appear on Share and Warrant Certificate) (Account Reference, if applicable) (Address, including Postal Code)
PRIVATE PLACEMENT SUBSCRIPTION AGREEMENT INSTRUCTIONS TO PURCHASERPrivate Placement Subscription Agreement • May 3rd, 2018
Contract Type FiledMay 3rd, 2018SubscriberInformation (Name of Subscriber)Account Reference (if applicable): X (Signature of Subscriber – if the Subscriber is an Individual) X (Signature of Authorized Signatory – if the Subscriber is not an Individual) (Name and Title of Authorized Signatory – if the Subscriber is not an Individual) (SIN, SSN, or other Tax Identification Number of the Subscriber) (Subscriber's Address, including city and Postal Code) (Telephone Number) (Email Address) RegistertheSharesandWarrantsassetforthbelow: (Name to Appear on Share and Warrant Certificate) (Account Reference, if applicable) (Address, including Postal Code)