Common Contracts

PROVIDUS MORTGAGE INVESTMENT CORPORATION

Subscription Agreement • May 5th, 2015 • British Columbia

• Contract Type
  Subscription Agreement
• Filed
  May 5th, 2015
• Jurisdiction
  British Columbia

ITEM 1A. SUBSCRIBER INFORMATION INDIVIDUAL SUBSCRIBERS: Mr. Last Name Given Name(s) Mrs. Address City Province Postal Code Miss Ms. Telephone Email Address Dr. SIN Joint Subscribers Joint tenants with rights of survivorship; or Tenants in common Mr. Last Name Given Name(s) Mrs. Joint Subscriber’s address same as above in Item 1A If different from 1A: Miss Ms. Address City Province Postal Code Dr. SIN ENTITY SUBSCRIBERS: Corporation Name of Entity Partnership Address City Province Postal Code Trust Telephone Email Address Other: Incorporation/Registration Number CRA Business or Trust Number Authorized Representative: Name Position/Title Address City Province Postal Code Telephone Email Address Identification:• For individuals, please include a photocopy of government issued picture ID.• For entities, please include a copy of incorporation documents, a Directors’ Resolution authorizing the Authorized Representative to purchase shares, and a photocopy of government issued picture ID f

PROVIDUS MORTGAGE INVESTMENT CORPORATION SUBSCRIPTION AGREEMENT

Subscription Agreement • May 7th, 2014 • British Columbia

• Contract Type
  Subscription Agreement
• Filed
  May 7th, 2014
• Jurisdiction
  British Columbia

ITEM 1A. SUBSCRIBER INFORMATION INDIVIDUAL SUBSCRIBERS: Mr. Mrs. Miss Ms.Dr. Last Name Given Name(s) Address City Province Postal Code Telephone Email Address SIN Joint Subscribers Joint tenants with rights of survivorship; or Tenants in common Mr. Mrs. Miss Ms.Dr. Last Name Given Name(s) Joint Subscriber’s address same as above in Item 1A If different from 1A: Address City Province Postal Code SIN ENTITY SUBSCRIBERS: Corporation Partnership Trust Other: Name of Entity Address City Province Postal Code Telephone Email Address Incorporation/Registration Number CRA Business or Trust Number Authorized Representative: Name Position/Title Address City Province Postal Code Telephone Email Address Identification: For individuals, please include a photocopy of government issued picture ID. For entities, please include a copy of incorporation documents, a Directors’ Resolution authorizing the Authorized Representative to purchase shares, and a photocopy of government issued picture ID for the