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Securities Law

81-509F - Report of Exempt Offering of Pooled Fund(s) [Proposed F - Lapsed]

Published Date: 2004-06-25
Rescinded Date: 2006-05-31
June 25, 2004Proposed
 
FORM 81-509F
Report of Exempt Offering of Pooled Fund(s)

This is the form required under section 3ofBCI 81-509 for a report of exempt offering of pooled fund(s).

1. Mutual fund(s):

Name: _____________________________________________________

2. Adviser contact information:
Name: _____________________________________
Contact person (name and title): ______________________________________

Address:

________________________________________________________________

________________________________________________________________

Telephone: ______________________________

Fax: ____________________________________

E-mail: __________________________________

3. Describe the type of securities offered

__________________________________________________________

4. Provide
(a) the total dollar value of securities distributed during the calendar year to purchasers in British Columbia by each fund excluding assets transferred into the fund from another fund that trades its securities under section 3 of the instrument and has the same adviser, OR
$______________

(b) the total dollar value of securities distributed during the calendar year to purchasers in British Columbia by each fund.
$______________


__________________________________________________________
Instruction

The filing fee must accompany this report.