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Ownership and Control Affidavit Template
DECLARATION RE : CANADIAN TELECOMMUNICATIONS COMMON CARRIER OWNERSHIP AND CONTROL REGULATIONS
CANADA IN THE MATTER OF ___________________ , [Entity Name]
Re : Canadian Telecommunications Common Carrier
Ownership and Control Regulations, s. 16
Telecommunications Act R.S.C., c.38
I,____________________ [Name] the duly appointed _________________________ [Title]
of ___________________________________________ [Entity Name] do SOLEMNLY
DECLARE that ___________________________________[Entity Name] is eligible to operate as a telecommunications common carrier pursuant to s.16 of the Telecommunications Act R.S.C. 2012, c. 38 as [check one of the following]
( ) a Canadian owned and controlled entity continued under the laws of Canada or a province eligible under section 2(a);
( ) an entity which owns and/or operates only transmission facility or facilities referred to in subsection (5);
( ) a common carrier whose annual revenues from the provision of telecommunications services in Canada, together with that of its affiliates, represent less than 10% of total Canadian telecommunications revenues, eligible under section 2(c);
AND I DECLARE that ___________________________________[Entity Name] is a
( ) a corporation, with or without share capital;
( ) a partnership;
( ) a trust; or
( ) a joint venture
as defined in s.16(1) of the Telecommunications Act R.S.C. 2012, c. 38
AND I also DECLARE that the following are my affiliates, as defined in s.35(3) of the Telecommunications Act R.S.C. 2012, c. 38,:
________________________________________________________________
________________________________________________________________
________________________________________________________________;
AND I also DECLARE, pursuant to the Canadian Telecommunications Common Carrier Ownership and Control Regulations, that:
- the following measures were taken since the last annual general meeting or annual financial statement in order to ensure or confirm compliance ________________________________________________________________;
- as of today, ___________________________________________ [Entity Name] has ______% of its voting shares beneficially owned, and controlled, by Canadians;
- ______% of the directors of __________________________________________ [Entity Name] are Canadians;
- I am ready to provide any other information that the Commission could requests in order to determine whether _________________________________________ [Entity Name] is eligible to operate pursuant to section 16 of the Act;
AND I make this solemn Declaration conscientiously believing it to be true, and knowing that it is of the same force and effect as if made under oath.
DECLARED before me at _________ [City]
Province of __________
This ____ [Day] of _____ [Month], ______ [Year]
___________________________[Signatory]
_________________________________
[A COMMISSIONER OF OATHS]
