45-908F - Risk Acknowledgement - Non Public Issuers [Proposed F - Lapsed]
| Published Date: | 2004-06-25 |
|---|---|
| Rescinded Date: | 2006-05-31 |
| Document(s): |
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June 25, 2004Proposed
Risk Acknowledgement — Non Public Issuers
Multilateral Instrument 45-103 Capital Raising Exemptions.
WARNING
I acknowledge that this is a risky investment:
- I am investing entirely at my own risk.
- I could lose all the money I invest.
- I may never be able to sell these securities, or if so, only in very limited circumstances.
- The person selling me these securities is not registered with a securities commission and has no duty to tell me whether this investment is suitable for me. [Instruction: Delete if sold by registrant.]
- No securities commission has evaluated or endorsed the merits of these securities or the disclosure in the offering memorandum.
I am investing $ [total consideration] in total; this includes any amount I am obliged to pay in the future. [name of issuer] will pay $ [amount of fee or commission] of this to [name of person selling the securities] as a fee or commission.
I acknowledge that this is a risky investment and that I could lose all the money I invest. I read both sides of this form before signing it.
| _______________ Date | ______________________________________________ Signature of purchaser |
 | ______________________________________________ Print name of purchaser |
You have two business days to cancel your purchase[Instruction: The issuer must complete this section before giving the form to the purchaser.]
To do so, send a notice to [name of issuer] stating that you want to cancel your purchase. You must send the notice before midnight on the 2nd business day after you sign the agreement to purchase the securities. You can send the notice by fax or email or deliver it in person to [name of issuer] at its business address. Keep a copy of the notice for your records.
| Issuer Name and Address: ______________________________________________ ______________________________________________________________________ |
| Fax: ____________________ |
| E-mail: ____________________ |
You are buyingexempt market securities
They are called exempt market securities because the securities do not have to be sold by a dealer registered with a securities commission and the issuer is not a public issuer.
There are restrictions on your ability to resell exempt market securities. Exempt market securities are more risky than other securities.
You will receive an offering memorandum
Read the offering memorandum carefully because it has important information about the issuer and its securities. Keep the offering memorandum because you have rights based on it.
You will not receive advice[Instruction: Delete if sold by registrant.]
The person selling you these securities is not registered with a securities commission and will not give you independent or professional advice about whether the investment is suitable for you. You can still seek that advice from a registered dealer or adviser.
The securities you are buying are not listed[Instruction: If securities are listed or quoted, then use Form 45-103F3.]
The securities you are buying are not traded on any marketplace, and they may never be listed. You may never be able to sell these securities.
The issuer of your securities is not a public issuer or a reporting issuer in another province.
The issuer does not have to make all material information about its business available at all times. It does not have to publish financial information or notify the public of changes in its business. The issuer may not provide you with ongoing information about its affairs.
For more information on the exempt market, call the British Columbia Securities Commission at (604) 899-6500 or 1-800-373-6393 (BC only), or send an email to: inquiries@bcsc.bc.ca.
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Instruction
The purchaser and the issuer must each receive an originally signed copy of this form.