11-101F1 - Notice of principal regulator under Multilateral Instrument 11-101 [F - Rescinded]

Concurrently Published:

• BCN 2005/43 - Notice of Multilateral Instrument 11-101 Principal Regulator System, Form 11-101F1 Notice of Principal Regulator, and 11-101CP Principal Regulator System, and Consequential Amendments to NP 12-201 Mutual Reliance Review System for Exemptive Relief Applications, NP 43-201 Mutual Reliance Review System for Prospectuses, NI 51-101 Standards of Disclosure for Oil and Gas Activities and MI 81-104 Commodity Pools [BCN - Lapsed]

Form 11-101F1

Notice of principal regulator under Multilateral Instrument 11-101

1.         Date:                                                

2.         Information about person or company

SEDAR profile number (if applicable):                                 

NRD # (if applicable):                                                           

Name:                                                                                     

Instructions:

(i)        For a non-investment fund issuer, indicate the SEDAR profile number. For an investment fund issuer, indicate the SEDAR investment fund group profile number.

(ii)       For a non-investment fund issuer, indicate the issuer’s name. For an investment fund issuer, indicate the investment fund group name.

3.         Principal regulator

The securities regulatory authority or regulator in the following jurisdiction is the principal regulator for the person or company:                                                               

4.         Previous notice filed

If the person or company has previously filed a Form 11-101F1, indicate the principal regulator noted in the previous notice:                                                                            

5.         Reasons for principal regulator

The principal regulator for the person or company is its principal regulator

(a)      based on the location of its head office (for a non-investment fund issuer, dealer or unrestricted adviser), investment fund manager’s head office (for an investment fund), or working office (for an individual) (check box), or                 

(b)      on the following basis [provide details]:

                                                                                                                                        

                                                                                                                                        

If this notice is being filed for a change in the person or company’s principal regulator, provide the details of the basis for the change in principal regulator.