National instrument 52109 certification of disclosure in. Dc standard form 52 request for personnel action, office of personnel, revised 9212003. Form 52109f2 certification of interim filings full certificate i, samantha shorter, chief financial officer of lion one metals limited, certify the following. Form 52109f1 certification of annual filings full certificate i, unofficial consolidated versions 52109f1 iporto unofficial consolidated version.
If you choose to provide a reference, it will be used whenever the ipo intellectual property office contact you. Form 52109f1r certification of refiled annual filings author. There shall also be included the information concerning such securities of such other issuer which would be called for by item 9 if such securities were being r egistered. Regulation 52109 pdf 153 kb this link will open in a new window updated on 16 november 2015 certification of disclosure in issuers annual and interim filings last amendment in force on november 17, 2015. If, however, nonresident payee uses a broker or real estate reporting person, part v should be completed and the nonresident payee should mail form r 5 or r 5e to the address given at the bottom of the form. National instrument 52109 certification of disclosure in issuers. I, form 52109f1 ipo rto certification of annual filings following an initial public offering, reverse takeover or becoming a nonventure issuer is amended by replacing results of operations with financial performance. If the originally filed annual certificates were in form 52109fv1 or form 52109f1 iporto, include the note to reader contained in form 52. Request for electronic uncertified copy form 23 step 1 of 4 your reference. Form 52109f2 iporto certification of interim filings following an initial public offering, reverse takeover or becoming a nonventure issuer for periods relating to. Form md10 r ao may be used for operator changes only involving multiple wells. Urn move, which ends 52 years of private partnershfo, is aimed at raising 3200m. In the event that the action sought is a change of operator, the blank for former operator representative must show the signature of the typed name and the phone number of the person representing such operator along with the signature of said party. Everything you need to know about the sailpoint technologies ipo including offer price, filed date, ipo date, offer shares, dealsize and underwriters.
Wilson, chief financial officer, treasurer, and corporate secretary of globex mining enterprises inc. Form 52109f1 certification of annual filings full certificate i, john kim, chief financial officer of cargojet inc. Corporation r has a july 1 through june 30 taxable year. Form 1 spouses consent to transfer to a registered retirement income fund contract this consent must be completed by the spouse of a member or former member hereinafter called the owner of a pension plan that is subject to the provisions of the pension benefits act, 1992 the act. A termination followup report is a listing of individuals in your firm who have been identified as suspended but have not yet filed the required submission types.
Form 52109f2r certification of refiled interim filings full. A person who is applying for registration as an ib should also. Full text of financial times, 1985, uk, english internet archive. In that case, this is not the last form you will file.
Form 52109f1 aif certification of annual filings in connection with. Intellectual property office is an operating name of the patent office. I, the undersigned, louis vachon, president and chief executive officer of national b ank of canada, certify. If your gsd doesnt have the drive or ability to title ipo then thats what it is. Form 161 authorization for use or disclosure of health information 3 california hospital association page 1 of 3 completion of this document authorizes the disclosure and use of health information about. A party may file in the court of appeals a motion for leave to proceed on appeal in forma pauperis with an affidavit prescribed by rule 24a1. If you need an accommodation as a job applicant, please contact the hiring agency directly. Form r1 business registraion application instructions. Lesser titles are not equally important because there are very few dogs that cannot achieve them.
This certificate is being filed on the same date that the issuer has voluntarily filed an aif. Regulation 52109 respecting certification of disclosure in issuers annual and interim filings c. This report may be used as a tool for followup with these individuals to ensure that the correct. Please print or type, and provide the information requested on all lines that apply to your business.
Form 52109f1 aif for financial years beginning before january. I would say a gsd that cannot go ipo 1 is a very poor example of the breed considering how watered down the sport already is. Companion policy 52109 certification of disclosure in issuers. Virginia form r1 business registration application instructions. Intellectual property office patents online form 1. I, form 52109f1 ipo rto certification of annual filings following an initial public offering, reverse takeover or becoming a nonventure issuer i, form 52109f2 ipo rto. Shah, chief financial officer of niocorp developments ltd. Form 52109f1 certification of annual filings identify. The event authorization form must be presented to the judge prior to the start of the trial. Medical technologies company inmode ltd revealed on friday that it has filed a registration statement on form f1 with the us and exchange commission sec relating to a planned initial public offering of its ordinary shares.
This registration form must be signed by an officer of the corporation, limited liability company or unincorporated association, who virginia department of taxation. Instructions for completing form r1 business registration application general information read instructions carefully before completing this form. Shannon, chief executive officer of corriente resources inc. Form 33109f1 notice of termination of registered individuals and permitted individuals section 4.
Winnipeg, manitoba canada r3c 4k5 call us 204 9452548. Form 1f covers january 1, 2018, through your last day of office or employment. This form is being provided to you for your convenience in html only. Form r1 report of repair in accordance with provisions of. Form r1a is available to download or print on our website. Instructions for completing form r1 business registration application please read instructions carefully before completing this form. The commission has published a separate set of instructions which contains similar instructions to be followed by futures commission merchants in completing form 1frfcm. Form 52109f1 aif certification of annual filings 1. Subject to the limitations, if any, described in paragraphs 5.
Multilateral instrument 52109 certification of disclosure in issuers. Form 52109f1 certification of annual filings full certificate. United states securities and exchange commission washington. Form 52109f1 aif certification of annual filings in connection with voluntarily filed aif this certificate is being filed on the same date that the issuer has voluntarily filed an aif. Part b of form 1frib is the guarantee agreement to be used by guaranteed ibs.
Jul 28, 20 decode below abbreviations or short form to proper sentences. Form 52109f1 aif certification of annual filings in. Form 52109f1 certification of annual filings i, identify the certifying officer, the issuer, and his or her position at the issuer, certify that. I, ajay virmani, chief executive officer of cargojet inc. Form r5 virginia department of taxation nonresident real. Form 52109f1 certification of annual filings full certificate i, richard spencer, chief executive officer of u3o8 corp. The particulars of import and of last four returns submitted are given below.
Form 52109fv1 certification of annual filings venture issuer basic certificate i, tawn albinson, president and chief executive officer of prospero silver corp. Print or type, and provide the information requested on all lines that apply to your business. Disclosure in issuers annual and interim filings ni 52 109, this venture issuer basic. Form 52109f1 certification of annual filings for issuers. Busy is the first company in india to launch the all new format of up vat annual return, i. Form 52 and 52a along with their efilling in its latest release of busy 14 release 5. Form 52109fv1 certification of annual filings venture. I, the undersigned, ghislain parent, chief financial officer and executive vicepresident, finance and. Form 52109f1 iporto for financial years beginning before. This certificate is being filed on the same date that the issuer has refiled. R f i ombno 15450047 990 eturn oforganization exempt rom ncometax form 2oo14 undersection 501c, 527, or 4947a1 ofthe internal revenuecodeexcept privatefoundations donotentersocial security numbersonthis formas it maybe madepublic. Form 52109f2 certification of interim filings full certificate i, jacqueline gauthier, chief financial officer of calian group ltd. I, form 52109f1 aif certification of annual filings in connection with voluntarily filed aif.
Form 52109f1 certification of annual filings full certificate i, danielle royston, chief executive officer of optiva inc. Form 52109f2 certification of interim filings full certificate i, kenneth r. I, mike johnston, the chief financial officer of canada house wellness group inc. Form 52109f2r certification of refiled interim filings full certificate this certificate is being filed on the same date that cargojet inc. Form 52109f1 iporto certification of annual filings following an initial public offering, reverse takeover or becoming a nonventure issuer for financial years beginning before january 1, 2011. Form 52109f2 certification of interim filings full. Print page 1 the forms of transfer, charge and other dispositions prescribed by these rules shall be used in all transactions to which they refer or to which they are capable of being applied or adapted, with such alterations and additions as the transactions may require and the authority allows. Bcn 201042 adoption of national instrument 52107 acceptable accounting principles and auditing standards and amendments to various securities rules in connection with canadas changeover to ifrs bcn 52109 52109 certification of disclosure in issuers annual and interim filings ni rescinded. Frc00 52 00 release of information request form r elease of information request form mr 45c november 2016 page 1 of 1 details of patient. I, form 52109f1r certification of refiled annual filings. Form s1 is the standard registration statement filed on the sec edgar system by public companies to register additional securities and by private companies seeking to go public through an ipo initial public offering. The officers of the hosting club are responsible for inviting a judge who is authorized to conduct ipo trials, or the national organization lao can assign a judge.
Intellectual property office patents online form 23. I, form 52109f1 ipo rto certification of annual filings following an initial public offering, reverse takeover or becoming a nonventure issuer. I, initial public offering, reverse takeover or becoming a nonventure issuer i, certify that, iii the name of the issuer and iv if the certifying officers title is. By selecting yes you consent to the ipo transmitting an electronic copy of this application to wipo to be digitally. Section 3 of form 52109f1 iporto certification of annual filings following an initial public offering, reverse takeover or becoming a nonventure issuer is amended by replacing results of operations with financial performance. This form may be obtained from the national board of boiler and pressure vessel inspectors 1055 crupper avenue, columbus, ohio 432291183 form r 1 report of repair in accordance with provisions of the national board inspection code 1. Is a secure digital library of priority documents stored at the world intellectual property organization wipo. Form 52109f2 certification of interim filings full certificate i, irwin simon, chief executive officer, aphria inc. But on past form some sonet titfortat retaliation seemed hkely, the uk. Dec 01, 2010 how to generate a termination followup report what is the purpose of this report type. Form 52109f1r certification of refiled annual filings. Form 52109f1 iporto certification of annual filings following an initial public offering. You will be required to file form 1 for 2017 by july 1, 2018, and risk being fined if you do not file form 1 by the filing deadline, even if you have already filed the ce form 1f. Form 52109f1 aif certification of annual filings in connection.
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