AND TO. The registrar and transfer agent for the securities of Response Biomedical Corp. The undersigned (A) acknowledges that the sale of the securities of Response Biomedical Corp. (the “Company”) [represented by certificate number/described in the direct registration system advice with holder account number] ___________________, to which this declaration relates was made in reliance on Rule 904 of Regulation S under the United States Securities Act of 1933, as the same has been, and hereafter from time to time, may be amended (the “U.S. Securities Act”) and (B) certifies that (1) the undersigned is not an “affiliate” of the Company as that term is defined in Rule 405 under the U.S. Securities Act, a “distributor” or an affiliate of “distributor”, (2) the offer of such securities was not made to a person in the United States and either (a) at the time the buy order was originated, the buyer was outside the United States, or the seller and any person acting on its behalf reasonably believed that the buyer was outside the United States or (b) the transaction was executed on or through the facilities of a “designated offshore securities market” (as defined in Rule 902 of Regulation S under the U.S. Securities Act) and neither the seller nor any person acting on its behalf knows that the transaction has been prearranged with a buyer in the United States, (3) neither the seller nor any affiliate of the seller nor any person acting on their behalf has engaged or will engage in any “directed selling efforts” in the United States in connection with the offer and sale of such securities, (4) the sale is bona fide and not for the purpose of “washing-off” the resale restrictions imposed because the securities are “restricted securities” as that term is described in Rule 144(a)(3) under the U.S. Securities Act, (5) the seller does not intend to replace such securities sold in reliance on Rule 904 of the U.S. Securities Act with fungible unrestricted securities, and (6) the contemplated sale is not a transaction, or part of a series of transactions, which, although in technical compliance with Regulation S under the U.S. Securities Act, is part of a plan or scheme to evade the registration provisions of the U.S. Securities Act. Unless otherwise specified, terms set forth above in quotation marks have the meanings given to them by Regulation S under the U.S. Securities Act. DATED at __________ this ___ day of __________, 20__. By: Name: Title: AFFIRMATION BY SELLER’S BROKER-D...
AND TO. Romspen Investment Corporation (the “Agent”) I have read and understand this “Consent to Electronic Delivery of Documents” and consent to the electronic delivery of the documents listed below that the Issuer elects to deliver to me electronically, all in accordance with my instructions below.
AND TO. Romspen Investment Corporation (the “Agent”) In connection with the purchase by the undersigned purchaser (the “Subscriber”) of units of Issuer, the Subscriber (or the signatory on behalf of the Subscriber) certifies for the benefit of the Issuer and the Agent that the Subscriber is a permitted client within the meaning of National Instrument 31-103 - Registration Requirements and Exemptions (“NI 31-103”), and hereby waives (i) the Agent’s obligation to determine suitability of the purchaser’s investment in the Partnership in accordance with section 13.3 of NI 31-103 and (ii) except as specifically requested by the purchaser from time to time, the Agent’s obligation to deliver all of the information required by section 14.2 of NI 31-103. Specifically, the Subscriber is: PLEASE INDICATE THE APPLICABLE CATEGORY OF “PERMITTED CLIENT” BY MARKING YOUR INITIAL IN THE SPACE PROVIDED:
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AND TO. Sprott Asset Management LP (the “Manager”), as the manager of the Trust RE: Bullion Redemption Notice under Section Error! Reference source not found. of the Trust Agreement of the Trust The undersigned (the “Unitholder”), the holder of _ units of the Trust (the “Units”) designated above by its Toronto Stock Exchange or NYSE Arca ticker symbol and CUSIP number, requests the redemption for physical gold and silver bullion of the aforementioned Units in accordance with, and subject to the terms and conditions set forth in, a trust agreement of the Trust dated as of October 26, 2017, as the same may be further amended, restated or supplemented from time to time, and directs the Transfer Agent to cancel such Units on _ _. The Unitholder represents and warrants that it is not (i) an undertaking for collective investment in transferable securities (UCITS) or (ii) prohibited by its investment policies, guidelines or restrictions from receiving physical gold and silver bullion. All physical gold and silver bullion shall be delivered to the following address by armoured transportation service carrier, which the undersigned hereby authorizes the Manager or its agent to retain on the undersigned’s behalf. Delivery Instructions: Please see attached for detailed delivery instructions. Signature of Unitholder Signature Guarantee Print Name Print Address NOTE: The name and address of the Unitholder set forth in this Bullion Redemption Notice must correspond with the name and address as recorded on the register of the Trust maintained by the Transfer Agent. The signature of the person executing this Bullion Redemption Notice must be guaranteed by a Canadian chartered bank, or by a medallion signature guarantee from a member of a recognized Signature Medallion Guarantee Program. Sprott Physical Gold and Silver Trust Physical Redemption Request form Delivery Instructions for Gold: Delivery Instructions for Bullion Broker acting as the buyer for the Gold Broker Name Contact Person Delivery Instructions for transportation outside the RCM Armoured Transportation Carrier Contact of the Carrier Address to be delivered Delivery Instructions for accounts with the Royal Canadian Mint Account Number Contact at the RCM Delivery Instructions for Silver: Delivery Instructions for Bullion Broker acting as the buyer for the Silver Broker Name Contact Person Delivery Instructions for transportation outside the RCM Armoured Transportation Carrier Contact of the Carrier Address to be delive...
AND TO. O'Melveny & Xxxxx 000 X. 00xx Xxxxxx Xxx Xxxx, Xxx Xxxx 00000 Telephone: (000) 000-0000 Telecopy No.: (000) 000-0000 Attention: C. Xxxxxxx Xxxxxxxxxx, Esq. Xxxxxxx X. Xxxxx, Esq.
AND TO. Government of Canada, Export Development Canada and their respective agents and/or consultants (collectively, the “GOC”) The undersigned hereby certifies to, and agrees with, the Lender and the GOC for and on behalf of the Borrower that:
AND TO. THE DIRECTORS THEREOF
AND TO. MFC MERCHANT BANK S.A. The undersigned accepts the foregoing and offers to purchase the Purchased Shares set forth below, on the terms and conditions of the foregoing, from the Corporation. All references to dollar amounts herein are in United States dollars.
AND TO. Standard & Poor's Ratings Services 55 Water Street New York, New York 10000 Xxxxxxxxx: Xxxxxxxxxx Xxxxxxx Xxxxxillance Group Telephone: (212) 438-2482 Facsimile: (212) 438-0000 If to the New York Stock Exchxxxx, xx: New York Stock Exchange, Inc. 20 Broad Street New York, New York 10000 Xxxxxxxxx: Xxxxxxx Xxxxxx Telephone: (212) 656-0000 Facsimile: (212) 656-0000 Copies of all directions, demaxxx xxx xxxxxxs required to be given to the Certificateholders hereunder or under the Standard Terms will also be given to the Warrant Holders in writing as set forth in this Section 9, and copies of all directions, demands and notices required to be given to the Trustee hereunder or under the Standard Terms will also be given to the Warrant Agent in writing as set forth in this Section 9(p).
AND TO. Sprott Asset Management LP (the “Manager”), as the manager of the Trust RE: Cash Redemption Notice under Section 6.3 of the Trust Agreement of the Trust The undersigned (the “Unitholder”), the holder of ______________ units of the Trust (the “Units”) designated above by its Toronto Stock Exchange or New York Stock Exchange Arca ticker symbol and CUSIP number, requests the redemption for cash of the aforementioned Units in accordance with, and subject to the terms and conditions set forth in, an amended and restated trust agreement of the Trust dated as of February 27, 2015, as the same may be further amended, restated or supplemented from time to time, and directs Equity Transfer to cancel such Units on __________________________. Wiring Instructions: Signature of Unitholder Signature Guarantee Print Name Print Address