Form 23 - Notice of intention to sell and declaration pursuant to section 117 (c) and (d) of the securities regulation [F - Rescinded]
| Published Date: | 1997-06-27 |
|---|---|
| Effective Date: | 1997-07-31 |
| Rescinded Date: | 2001-11-30 |
This is the form required under Section 129 of the Securities Regulation.
Form 23
Securities Act
Notice of Intention to Sell and Declaration Pursuant to
Section 117 (c) and (d) of the Securities Regulation
- Name and address of issuer
__________________________________________ - Name and address of selling control person
__________________________________________ - Number and description of securities of the issuer beneficially owned, directly or indirectly, by the control person
_________________________________________
_________________________________________ - Number and description of securities proposed to be distributed by the control person
_________________________________________ - Date the issuer became a reporting issuer
__________________________________________ - Proposed method of distribution
__________________________________________ - Proposed commencement date and places of the distribution
__________________________________________ - If the securities are not to be distributed on or through the facilities of a stock exchange, provide the name and address of the purchaser(s) and the number of securities to be purchased, if known.
__________________________________________
__________________________________________ - Where this form is a renewal of a previously filed Form 23 and is therefore being filed pursuant to Section 129 (2) of the Securities Regulation, provide the following information:
(a) date of filing of original Form 23 _____________________________
(b) date of most recent filing of a
renewal Form 23 ___________________________________________
(c) number of securities listed in
item 4 of original Form 23 ____________________________________
(d) number of securities sold from
date of original Form 23 to date
of this Form 23 _____________________________________________
(e) where all or a portion of the
securities specified in item 4
of the original Form 23 have
not been sold and are no longer
for sale, state the number of
securities that are no longer
for sale _______________________________________________
(f) number of securities remaining
for sale _______________________________________________
Declaration, Certificate and Undertaking
The undersigned control person hereby represents that:
(a) any applicable hold periods relating to the securities referred to in item 4 of this Form will be satisfied on or before the date of the commencement of the distribution; and
(b) that he has no knowledge of any material change that has occurred in the affairs of the issuer of the securities which has not been generally disclosed and reported to the Commission, nor has he any knowledge of any other material adverse information in regard to the current and prospective operations of the issuer which have not been generally disclosed.
The undersigned hereby certifies that the statements made in this notice are true and correct.
DATED at _______________________ this __________________ day of ____________________, 19 ___.
_______________________________________________
Signature of the control person or, if the control
person is a company, signature of authorized
signatory
_______________________________________________
_______________________________________________
If the control person is a company, name and
office of authorized signatory
IT IS AN OFFENCE FOR A PERSON TO MAKE A STATEMENT IN A DOCUMENT REQUIRED TO BE FILED OR FURNISHED UNDER THE SECURITIES ACT THAT, AT THE TIME AND IN THE LIGHT OF CIRCUMSTANCES UNDER WHICH IT IS MADE, IS A MISREPRESENTATION.
Instructions:
- If the space provided for any answer is insufficient, additional sheets may be used. Each sheet must be cross referenced to the relevant item, properly identified and signed by the person whose signature appears in the notice.
- In item 7, if the place of the distribution is to be through the facilities of a stock exchange, a statement to that effect, with the name of the stock exchange, is sufficient.
- File this Form with the required fee and completed Fee Checklist. In order to determine the fee payable, consult section 183 of the Regulation. Cheques should be made payable to the "Minister of Finance".
- A Form must be filed with the British Columbia Securities Commission (the "Commission") and with each stock exchange in Canada on which the securities referred to in item 4 are listed at least seven days and not more than fourteen days before the initial trade of the securities referred to in item 4.
- The Declaration, Certificate and Undertaking must be signed by the control person not more than 24 hours prior to the filing of this Form.
- A Form 36 must be filed within 3 days after the completion of any trade in the securities proposed to be distributed.
- A Form 23 must be renewed and filed not later than 60 days after the date of filing of the original Form 23 and thereafter not later than 28 days after the latest filing until a Form 23 has been filed with the Commission and with each stock exchange in Canada on which the security is listed stating the number of securities specified in the original Form 23 that have been sold and, if any of the securities specified in the original Form 23 have not been sold, that those securities are no longer for sale.
September 1, 1988