52-109FT1 - Certification of Annual Filings during Transition Period [F - Rescinded]

Concurrently Published:

• BCN 2005/44 - Notice of  Multilateral Instrument 52-109 Certification of Disclosure in Issuers’ Annual and Interim Filings; Revocation and replacement of BCI 51-801 Implementing NI 51-102 Continuous Disclosure Obligations and NI 52-107 Acceptable Accounting Principles, Auditing Standards, and Reporting Currency; BCI 52-510 Transitional Variation of and Exemption from MI 52-109 Certification of Disclosure in Issuers’ Annual and Interim Filings; BCI 44-502 Variation of BCI 44-801 Implementing NI 44-101 Short Form Prospectus Distributions, BCI 44-802 Implementing NI 44-102 Shelf Prospectus and BCI 44-803 Implementing NI 44-103 Post-Receipt Pricing [BCN - Lapsed]

Form 52-109FT1 Certification of Annual Filings during Transition Period

I, ‹identify the certifying officer, the issuer, and his or her position at the issuer›, certify that:

1.         I have reviewed the annual filings (as this term is defined in Multilateral Instrument 52-109 Certification of Disclosure in Issuers’ Annual and Interim Filings) of ‹identify issuer› (the issuer) for the period ending ‹state the relevant date›;

2.         Based on my knowledge, the annual filings do not contain any untrue statement of a material fact or omit to state a material fact required to be stated or that is necessary to make a statement not misleading in light of the circumstances under which it was made, with respect to the period covered by the annual filings; and

3.         Based on my knowledge, the annual financial statements together with the other financial information included in the annual filings fairly present in all material respects the financial condition, results of operations and cash flows of the issuer, as of the date and for the periods presented in the annual filings. 

Date: ...............

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[Signature]
[Title]