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["SCHEDULE 1 TO FORM 45-106F1 (CONFIDENTIAL PURCHASER INFORMATION)"]
[]
["The information in this schedule will not be placed on the public file of any securities regulatory authority or regulator. However, freedom of information legislation may require the securities regulatory authority or regulator to make this information available if requested."]
[]
["1. General Instructions"]
["a)","Schedule 1 information must be provided as an Excel spreadsheet (.xlsx) in this prescribed template and format. "]
["b)","Provide the information listed below for each purchaser that participated in the distribution."]
["c)","For each purchaser, create separate entries for each distribution date, security type and exemption relied on for the distribution."]
["d)","List a purchaser multiple times on Schedule 1 as required.  For example, list a purchaser multiple times if the issuer has distributed different types of securites to a purchaser or the issuer has distributed securities to a purchaser on different dates during the reported distribution period.  "]
["e)","Leave blank any section that does not apply, unless otherwise indicated."]
["f)","Do not manipulate, rename or delete the tabs in the template and do not modify the content, formatting or columns of the templates.  Do not include sub-totals or totals.  "]
[]
["2. Information Requirements"]
[]
[null,"Issuer information (provide only once)",null,"Example","   Instructions"]
[null,"General Information","Name of issuer","ABC Mining Co.","Provide the full legal name of the issuer."]
[null,null,"Certification date of the report\n(YYYY-MM-DD)","2016-08-30","Provide the date the report was certified (see Item 10 of the report)."]
[]
[null,"Purchaser information",null,"Example","   Instructions"]
[null,"Legal name of purchaser","Family name","Smith","If the purchaser is an individual, provide the legal family name of the individual."]
[{"$nulls":3},"Jones & Smith","If two or more individuals have purchased a security as joint purchasers, provide the legal family names for each purchaser, separated with an ampersand (&).  "]
[null,null,"First given name","John","If the purchaser is an individual, provide the legal first given name of the individual."]
[{"$nulls":3},"Jane & John","If two or more individuals have purchased a security as joint purchasers, provide the legal first given names for each purchaser, separated with an ampersand (&).  "]
[null,null,"Secondary given names"," Jacob Jr.","If the purchaser is an individual, provide any additional given names of the individual, if applicable."]
[null,null,"Full legal name of non-individual","XYZ Corporation","If the purchaser is not an individual, provide the full legal name of the entity (e.g. company, firm, trust or organization). Do not include other extraneous information, such as account numbers or \"In Trust For\" as part of the name.  "]
[null,"Contact information of purchaser","Residential street address line 1","123 Wicker Drive","If the purchaser is an individual, provide the full residential street address. If the purchaser is not an individual, provide a business address. Provide the PO Box number and/or street address on line 1 and any additional address information such as suite, apartment or building number in line 2.  "]
[null,null,"Residential street address line 2","Suite 5"]
[null,null,"Municipality","Toronto","Provide the full name of municipality (town/city) where purchaser resides."]
[null,null,"Province/State","ON","Provide the province or state where the individual resides, if applicable. For a Canadian province or US state, select from the drop-down list provided in the template. "]
[{"$nulls":3},"Other","For a province or state outside of Canada and the US, select \"Other\" from the drop-down list provided in the template."]
[null,null,"Postal code/Zip code\n(A1A1A1 or 12345)","M5A4L1","Provide the postal code or zip code where purchaser resides.\n\nFor Canadian addresses provide the 6-character postal code where individual resides. Do not include spaces or dashes. For US addresses provide the 5-digit zip code. For addresses outside of Canada and the US, leave blank."]
[null,null,"Country","Canada","Provide the full name of the country where the purchaser resides. Select the country from the drop-down list provided in the template."]
[{"$nulls":3},"Azerbijan","If the country name is not on the list, enter the full name of the country."]
[null,null,"Telephone number\n(9999999999)",4165555555,"Provide the telephone number of the purchaser, including the area code. If the purchaser resides outside of Canada, also include the country code. Do not include spaces or dashes."]
[null,null,"Email address","jsmith@mail.com","Provide the email address of the purchaser, if provided by the purchaser."]
[null,"Details of securities purchased","Date of distribution\n(YYYY-MM-DD)","2016-08-28","Provide the date the distribution was made to the purchaser."]
[null,null,"Number of securities",100.5,"Provide the number of securities purchased. If not a whole number, provide as a decimal and not a fraction."]
[null,null,"Security code"," CMS (Common shares)","Select the security code from drop-down list provided in the template. The security code must be consistent with the security code provided in Item 7(d) of the report. If selecting the security code as \"OTH (Other)\", ensure that Item 7(d) of the report provides a description of the security."]
[null,null,"Amount paid (Canadian $)",199999.99,"Provide the total amount paid in Canadian dollars.  If not a whole number, provide as a decimal and not a fraction.\n\nIf the purchase price for the securities was not paid in cash, such as securities issued in consideration for a non-cash asset or to settle debt, provide the deemed value of the securities. \n\nIf securities were issued without any cash payment and were not issued as consideration for non-cash assets, enter 0, do not leave blank."]
[null,"Details of exemption relied on","Rule, section and subsection number","NI 45-106 2.3 [Accredited Investor]","Provide the rule, section and subsection of the exemption relied on.\n\nSelect from drop-down list provided in the template. If relying on a local rule, order or blanket order that is not listed, select \"Other\" and complete the next column in the template."]
[null,null,"If \"Other\", specify exemption relied on","BC Instrument 45-529","If the exemption relied on is not listed in the previous column in the template, provide the number of the local rule, order or blanket order of the exemption relied on."]
[null,"If relying on section 2.3 of NI 45-106","Paragraph number in the definition of \"accredited investor\" that applies to the purchaser \n(select only one)","p","If relying on section 2.3 [Accredited investor] of NI 45-106, provide the paragraph number in the definition of \"accredited investor\" in section 1.1 of NI 45-106 that applies to the purchaser. \n\nSelect only one from drop-down list provided in the template. If the purchaser is a permitted client that is not an individual, select “NIPC” instead of the paragraph number.\nSee CSA Staff Notice 45-308 for additional guidance."]
[null,"If relying on section 2.5 of NI 45-106","Paragraph number in subsection 2.5(1) that applies to the purchaser\n(select only one)","b","If relying on section 2.5 [Friends, family and business associates] of NI 45-106, provide the paragraph number in subsection 2.5(1) that applies to the purchaser.\n\nSelect only one from drop-down list provided in the template."]
[null,null,"Name of individual at issuer or affiliate of issuer claiming a relationship to the purchaser","Doe, John Eric","If relying on paragraphs 2.5(1)(b) to (i) [Family, friends and business associates] of NI 45-106, provide:\ni) Full legal name (family name, first given name, secondary given names) and \nii) Position of director (D), executive officer (O), control person (C), or founder (F) of the individual at the issuer or affiliate of the issuer claiming a relationship to the purchaser. \n\nNames and positions of directors, executive officers and control persons must be consistent with the name and position indicated in Item 9 and Schedule 2 of the report if provided."]
[null,null,"Position of individual at issuer or affiliate of issuer claiming a relationship to the purchaser","D"]
[null,"If relying on subsection 2.9(2) or 2.9(2.1) of NI 45-106 and purchaser is an eligible investor","Paragraph number in the definition of \"eligible investor\" that applies to the purchaser (select only one)","a","If relying on subsection 2.9(2) or, in Alberta, New Brunswick, Nova Scotia, Ontario, Québec, or Saskatchewan, subsection 2.9(2.1) [Offering memorandum] of NI 45-106 and the purchaser is an \"eligible investor\", provide the paragraph number in the definition of \"eligible investor\" in section 1.1 of NI 45-106 that applies to the purchaser.\n\nSelect only one from drop-down list provided in the template."]
[null,"Other information","Is the purchaser a registrant?","N","Select \"Y\" for yes or \"N\" for no in the drop-down list provided in the template. \n\nThis section does not apply if one or more of the following apply:\n    (a) the issuer is a foreign public issuer;\n    (b) the issuer is a wholly owned subsidiary of a foreign public issuer;\n    (c) the issuer is distributing eligible foreign securities only to permitted clients."]
[null,null,"Is the purchaser an insider of the issuer?","N","Select \"Y\" for yes or \"N\" for no in the drop-down list provided in the template.  \n\nThis section does not apply if one or more of the following apply:\n    (a) the issuer is an investment fund;\n    (b) the issuer is a foreign public issuer;\n    (c) the issuer is a wholly owned subsidiary of a foreign public issuer;\n    (d) the issuer is distributing eligible foreign securities only to permitted clients."]
[null,null,"Full legal name of person compensated for distribution to this purchaser","Smith; Robert Adam","Provide the full legal name of person compensated. If a person compensated is a registered firm, provide the firm NRD number only. \n\nWhere the person compensated is an individual, provide the full legal name of the individual by: ‘family name’, ‘first given name’ and ‘secondary given names’. A semi-colon should be used to separate the ‘family name’ from the ‘first given name’.\n\nThe names provided must be consistent with the names of the persons compensated as provided in Item 8 of the report."]

{"sheet":"Schedule 1 - Example","index":1,"n_rows":15,"n_cols":26,"rows_kept":15}
["EXAMPLE of SCHEDULE 1 TO FORM 45-106F1 (CONFIDENTIAL PURCHASER INFORMATION) "]
["The information in this schedule will not be placed on the public file of any securities regulatory authority or regulator. However, freedom of information legislation may require the securities regulatory authority or regulator to make this information available if requested."]
["Do not alter the order of columns or the column titles. If you add totals to assist you in completing this form, please remove them before filing. See instructions tab for more details."]
["Name of issuer","Certification date of the report\n(YYYY-MM-DD)"]
["ABC Example Inc.","2016-08-30"]
[]
["Legal name of purchaser",{"$nulls":3},"Contact information of purchaser",{"$nulls":7},"Details of securities purchased",{"$nulls":3},"Details of exemption relied on",null,"If relying on section 2.3 of NI 45-106","If relying on section 2.5 of NI 45-106",null,null,"If relying on subsection 2.9(2) or 2.9(2.1) of NI 45-106 and purchaser is an eligible investor","Other Information"]
["Family name","First given name","Secondary given names","Full name of non-individual","Street address line 1","Street address line 2","Municipality (town or city)","Province/State","Postal code/Zip code\n(A1A1A1 or 12345)","Country","Telephone number\n(9999999999)","Email address","Date of distribution\n(YYYY-MM-DD)","Number of securities","Security code","Amount paid (Canadian $)","Rule, section and subsection number","If \"Other\", specify exemption relied on (provide number of local rule, order or blanket order)","Paragraph number in the definition of accredited investor that applies to the purchaser \n(select only one)","Paragraph number in subsection 2.5(1) that applies to the purchaser\n(select only one)","Name of individual at issuer claiming a relationship to the purchaser","Position at issuer (D/O/C/F) of individual claiming a relationship to the purchaser","Paragraph number in the definition of eligible investor that applies to the purchaser (select only one)","Is the purchaser a registrant?","Is the purchaser an insider of the issuer?","Full legal name of person compensated for distribution to this purchaser "]
["Smith","Diane","Mary-Ann",null,"100 Main Street NW","Apt 100","Calgary","AB","T2P0R4","Canada",4035555555,"dsmith@mail.com","2016-08-28",5,"NOT (Notes)",{"v":5000,"d":"5,000"},"NI 45-106 2.5 [Family, friends and business associates]",null,null,"d","Wan, Linda","Executive officer (O)",null,"N","Y",99990]
["Don","John","Lee",null,"200 Main Street East",null,"Paterson","NJ","07501","United States",2015555555,"jdoe@mail.com","2016-08-28",{"v":1000,"d":"1,000"},"NOT (Notes)",{"v":2000000,"d":"2,000,000"},"NI 45-106 2.3 [Accredited investor]",null,"k",{"$nulls":4},"N","N","XYZ Capital Inc."]
["Jones & Smith","Jane & John",null,null,"50 King Street West",null,"Lindsay","ON","L0K1G8","Canada",7059999999,"jsmith@mail.com","2016-08-28",1,"PRS (Preferred Shares)",{"v":1000,"d":"1,000"},"NI 45-106 2.9(2.1) [Offering memorandum] (AB, SK, ON, QC, NB, NS)",{"$nulls":5},"f","N","N"]
[{"$nulls":3},"ABC Private Markets","PO Box 100","Commercial Ave.","Vancouver","BC","V6E1N2","Canada",4165555555,"ABCprivatemarkets@mail.com","2016-08-28",{"v":1000,"d":"1,000"},"WNT (Warrants incl. special warrants)",0,"Other [describe in next column]","BC Instrument 45-529",{"$nulls":5},"Y","N"]
[{"$nulls":3},"XYZ Investment Corporation","#55-55, 100 Battery Road",{"$nulls":3}," ","Singapore",6565555555,"XYZInvestmentcorp@mail.com","2016-08-28",{"v":5000,"d":"5,000"},"CMS (Common shares)",{"v":5000000,"d":"5,000,000"},"NI 45-106 2.9(2.1) [Offering memorandum] (AB, SK, ON, QC, NB, NS)",{"$nulls":5},"f","N","N"]
[{"$nulls":3},"Investment Co","1 York St.",null,"Toronto","ON","M3N7A1","Canada",6475555555,"investmentco@mail.com","2016-08-28",{"v":10000,"d":"10,000"},"CMS (Common shares)",{"$f":"N14*1000","v":{"v":10000000,"d":"10,000,000"}},"NI 45-106 2.3 [Accredited investor]",null,"d and/or q",{"$nulls":4},"N","N","Smith; John Allen"]
[{"$nulls":3},"GHI Capital Corp. ","1001 Eat Hill Street",null,"Nassau",null," ","Bahamas",2423023116,"jjohnston@gmail.com","2016-08-28",{"v":1000,"d":"1,000"},"OTH (Other)",{"v":10000000,"d":"10,000,000"},"NI 45-106 2.3 [Accredited investor]",null,"NIPC",{"$nulls":4},"N","N"]

{"sheet":"Schedule 1 - Template","index":2,"n_rows":8,"n_cols":26,"rows_kept":8}
["SCHEDULE 1 TO FORM 45-106F1 (CONFIDENTIAL PURCHASER INFORMATION)"]
["The information in this schedule will not be placed on the public file of any securities regulatory authority or regulator. However, freedom of information legislation may require the securities regulatory authority or regulator to make this information available if requested."]
["Do not alter the order of columns or the column titles. If you add totals to assist you in completing this form, please remove them before filing. See instructions tab for more details."]
["Name of issuer","Certification date of the report\n(YYYY-MM-DD)"]
[]
[]
["Legal name of purchaser",{"$nulls":3},"Contact information of purchaser",{"$nulls":7},"Details of securities purchased",{"$nulls":3},"Details of exemption relied on",null,"If relying on section 2.3 of NI 45-106","If relying on section 2.5 of NI 45-106",null,null,"If relying on subsection 2.9(2) or 2.9(2.1) of NI 45-106 and purchaser is an eligible investor","Other Information"]
["Family name","First given name","Secondary given names","Full name of non-individual","Street address line 1","Street address line 2","Municipality (town or city)","Province/State","Postal code/Zip code\n(A1A1A1 or 12345)","Country","Telephone number (9999999999)","Email address","Date of distribution\n(YYYY-MM-DD)","Number of securities","Security code","Amount paid (Canadian $)","Rule, section and subsection number","If \"Other\", specify exemption relied on (provide number of local rule, order or blanket order)","Paragraph number in the definition of accredited investor that applies to the purchaser \n(select only one)","Paragraph number in subsection 2.5(1) that applies to the purchaser\n(select only one)","Name of individual at issuer claiming a relationship to the purchaser","Position at issuer (D/O/C/F) of individual claiming a relationship to the purchaser","Paragraph number in the definition of eligible investor that applies to the purchaser (select only one)","Is the purchaser a registrant?","Is the purchaser an insider of the issuer?","Full legal name of person compensated for distribution to this purchaser "]

{"sheet":"List (Hidden or Read only)","index":3,"n_rows":150,"n_cols":13,"rows_kept":150,"hidden":true}
["Rule and Section of Exemption Relied on",null,null,"If relying on section 2.3 [Accredited investor] of NI 45-106, provide the paragraph number in the definition of accredited investor that is applicable to the purchaser.",null,"If relying on section 2.5 [Friends, family and business associates] of NI 45-106, provide the paragraph under section 2.5 that is applicable to the purchaser\n",null,"If relying on section 2.5 [Family, friends and business associates] of NI 45-106,and relying on paragraphs b to i, provide position of individual at issuer claiming a relationship to the purchaser",null,"If relying on section 2.9 [Offering memorandum] of NI 45-106 and the purchaser is an eligible investor, provide the paragraph number in the definition of eligible investor that is applicable to the purchaser. \n","Director","Executive Officer","Control Person"]
["NI 45-106 2.3 [Accredited investor]",null,null,"a",null,"a",null,"Director (D)",null,"a","Y","Y","Y"]
["NI 45-106 2.5 [Family, friends and business associates]",null,null,"b",null,"b",null,"Executive officer (O)",null,"b","N","N","N"]
["NI 45-106 2.9(1) [Offering memorandum] (BC, NL)",null,null,"c",null,"c",null,"Control person (C)",null,"c"]
["NI 45-106 2.9(2) [Offering memorandum] (MB, PE, YT, NT, NU)",null,null,"d",null,"d",null,"Founder (F)",null,"d"]
["NI 45-106 2.9(2.1) [Offering memorandum] (AB, SK, ON, QC, NB, NS)",null,null,"e",null,"e",{"$nulls":3},"e"]
["NI 45-106 2.10 [Minimum amount investment]",null,null,"e.1",null,"f",{"$nulls":3},"f"]
["NI 45-106 2.12 [Asset acquisition]",null,null,"f",null,"g",{"$nulls":3},"g"]
["NI 45-106 2.13 [Petroleum, natural gas and mining properties]",null,null,"g",null,"h",{"$nulls":3},"h"]
["NI 45-106 2.14 [Securities for debt]",null,null,"h",null,"i"]
["NI 45-106 2.19 [Additional investment in investment funds]",null,null,"i"]
["NI 45-106 2.30 [Isolated distribution by issuer]",null,null,"j"]
["NI 45-106 5A.2 [Listed issuer financing exemption]",null,null,"j.1"]
["Existing security holder exemption ",null,null,"k"]
["Investment dealer exemption (BC, AB, SK, MB, NB)",null,null,"l"]
["MI 45-108 [Crowdfunding] (AB, SK, MB, ON, QC, NB, NS)",null,null,"m"]
["NI 45-110 5(1) [Start-up Crowdfunding Registration and Prospectus Exemptions]",null,null,"n"]
["Distributions to purchasers outside of local jurisdiction (BC, AB, NB)",null,null,"o"]
["NI 45-106 5.2 [TSX Venture Exchange offering]",null,null,"p"]
["Small business financing exemption (AB, SK)",null,null,"q"]
["Other [describe in next column]",null,null,"r"]
[{"$nulls":3},"s"]
[{"$nulls":3},"t"]
["Security Code",null,null,"u"]
["BND (Bonds)",null,null,"v"]
["CER (Certificates)",null,null,"w"]
["CMS (Common shares)",null,null,"a and/or p"]
["CVD (Convertible debentures)",null,null,"d and/or q"]
["CVN (Convertible notes)",null,null,"NIPC"]
["CVP (Convertible preferred shares)"]
["DCT (Digital coins or tokens)"]
["DEB (Debentures)"]
["DRS (Depository receipts e.g. ADRs)"]
["FTS (Flow-Through Shares)"]
["FTU (Flow-Through Units)"]
["LPU (LP units and interests incl. capital commitments)"]
["MTG (Mortgages excl. syndicated mortgages)"]
["NOT (Notes)"]
["OPT (Options)"]
["PRS (Preferred Shares)"]
["RTS (Rights)"]
["SMG (Syndicated mortgages)"]
["SUB (Subscription receipts)"]
["UBS (Units of bundled securities)"]
["UNT (Units)"]
["WNT (Warrants incl. special warrants)"]
["OTH (Other)"]
[]
[]
["Province or State"]
["AB"]
["BC"]
["MB"]
["NB"]
["NL"]
["NS"]
["NT"]
["NU"]
["ON"]
["PE"]
["QC"]
["SK"]
["YT"]
["AL"]
["AK"]
["AZ"]
["AR"]
["CA"]
["CO"]
["CT"]
["DE"]
["DC"]
["FL"]
["GA"]
["HI"]
["ID"]
["IL"]
["IN"]
["IA"]
["KS"]
["KY"]
["LA"]
["ME"]
["MD"]
["MA"]
["MI"]
["MN"]
["MS"]
["MO"]
["MT"]
["NE"]
["NV"]
["NH"]
["NJ"]
["NM"]
["NY"]
["NC"]
["ND"]
["OH"]
["OK"]
["OR"]
["PA"]
["RI"]
["SC"]
["SD"]
["TN"]
["TX"]
["UT"]
["VT"]
["VA"]
["WA"]
["WV"]
["WI"]
["WY"]
["Other"]
[]
["Country"]
["Canada"]
["United States"]
["Australia"]
["Barbados"]
["Bermuda"]
["Brazil"]
["Cayman Islands"]
["Chile"]
["China"]
["Colombia"]
["France"]
["Germany"]
["Hong Kong"]
["Ireland"]
["Israel"]
["Italy"]
["Japan"]
["Jersey"]
["Luxembourg"]
["Mexico"]
["Netherlands"]
["Norway"]
["Russian Federation"]
["Singapore"]
["Spain"]
["Sweden"]
["Switzerland"]
["United Kingdom"]
["Virgin Islands, British"]
["Virgin Islands, U.S."]
[]
["Y"]
["N"]