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Securities Law

44-901F - Notice by Canadian Reporting Issuer to Become a Public Issuer/Mutual Fund [Proposed F - Lapsed]

Published Date: 2004-06-25
Rescinded Date: 2006-05-31
Document(s):

June 25, 2004Proposed

 
Form 44-901F/81-904F
Notice by Canadian Reporting Issuer to Become a
Public Issuer/Mutual Fund
This is the form of notice required under section 19 of the Securities Act.

1. Name of issuer: __________________________________________________

2. Issuer contact information:
Contact person (name and title): ______________________________________

Head and registered office(s):

________________________________________________________________

________________________________________________________________

Telephone: ______________________________________________________
Fax: ____________________________________________________________


E-mail: __________________________________________________________

3. Canadian reporting jurisdiction(s): _____________________________________

4. Principal regulator under the mutual reliance and review system (MRRS):

________________________________________________________________

5. SEDAR Filer Profile No.: ____________________________________________

6. Principal market for issuer's securities: _________________________________

7. SEC issuer [Yes/No]: _______________________________________________





Instructions

· In item 4, you must identify your Canadian principal regulator for MRRS filings, in accordance with section 3.2 of National Policy 43-201 Mutual Reliance Review System for Prospectuses and AIFs.
· An SEC issuer (item 7) is an issuer that has a class of securities registered with the SEC, and includes issuers listed on the NYSE, NASDAQ, AMEX, and OTC BB marketplaces.