45-505F1 - Notice Of Intention To Rely On BC Instrument 45-505 [F - Rescinded]
Published Date: | 2000-12-22 |
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Effective Date: | 2001-01-01 |
Rescinded Date: | 2016-06-30 |
Document(s): |
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This is the form required under section 3(a) of BC Instrument 45-505
BC Form 45-505F1
NOTICE OF INTENTION TO RELY ON BC INSTRUMENT 45-505
1. Name, address and telephone number of each eligible pooled fund that intends to rely on BC Instrument 45-505.
______________________________________
Name(s) of eligible pooled fund(s)
______________________________________
Address
( )__________________________________
Telephone Number
2. Name, address and telephone number of the eligible portfolio manager of the eligible pooled fund(s).Name(s) of eligible pooled fund(s)
______________________________________
Address
( )__________________________________
Telephone Number
_______________________________________
Name of eligible portfolio manager
_______________________________________
Address
( )___________________________________
Telephone Number
3. The eligible pooled fund(s):Name of eligible portfolio manager
_______________________________________
Address
( )___________________________________
Telephone Number
Please check
or
(i) 0.01% of the total dollar value of additional assets under management invested in the fund(s) under those distributions by purchasers resident in British Columbia;
or
(ii) 0.01% of [(the total proceeds realized by the fund(s) under those distributions) x (the current percentage of the assets of the fund(s) held to the benefit of residents of British Columbia)].
4. The eligible pooled fund(s) is (are) eligible to file reports under BC Instrument 45-505. The undersigned hereby certifies, to the best of his/her knowledge, information and belief, that the statements made in this report are true and correct.DATED at Vancouver, British Columbia this day of , 200.
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Name of eligible portfolio manager
on behalf of the
________________________________________________
Name(s) of eligible pooled fund(s)
(please print)
on behalf of the
________________________________________________
Name(s) of eligible pooled fund(s)
(please print)
Per:
Per:
____________________________________
Signature of authorized signatory
____________________________________
Name and office of authorized signatory
Signature of authorized signatory
____________________________________
Name and office of authorized signatory
(please print)
IT IS AN OFFENCE FOR A PERSON TO MAKE A STATEMENT IN A RECORD REQUIRED TO BE FILED OR PROVIDED UNDER THE SECURITIES ACT OR SECURITIES RULES THAT, AT THE TIME AND IN LIGHT OF THE CIRCUMSTANCES UNDER WHICH IT IS MADE, IS A MISREPRESENTATION.