Canadian Radio-television and Telecommunications Commission
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Appendix 2A

Section A

Name of the Applicant
___________________________

Definitions

2.1 Authorized Securities

Describe all categories of shares authorized to be issued.

Security Type Number of Votes Per Share Convertible
(y/n)
Participating (6)
(y/n)
Number of Shares Authorized Number Issued and Outstanding
           
           
           
           
           
           

2.2 Shareholding

Supply the details for each shareholder holding 10% or more of the voting shares(5), of the voting rights (if different from the voting shares), and of any other category of shares identified in the common shares(6) definition. For the remaining shareholders, (those holding less than 10%) supply the total shares under "Others Canadian" and "Others Non-Canadian".

Security Type Shareholder Name (1) Complete Home Address or Legal Entity Jurisdiction Canadian(2)
(x)
Number of Shares Held %
Votes
           
           
           
           
           

2.3 Directors and Officers

Supply a list of the current/proposed directors and officers of the corporation (3) (4)

Name of Directors/Officers (1) Complete Home Address Canadian(2)
(x)
Directors Date of Appointment Officer Position
         
         
         
         
         
         

Exemption:

The applicant hereby confirms that :

  • All ownership information for each of the entities that form part of the control chain has been supplied within the last 12 months from the date of this application, and accepted as satisfactory by the Commission; and

  • No changes have occurred since the last filing that would be subject to a notification requirement or prior approval by the Commission pursuant to the Regulations; and

  • No amalgamation has occurred.

date of filing of last complete update: __/__/__
YY/MM/DD




Section B

Name of the Shareholder Corporation
___________________________

Definitions

2.1 Authorized Securities

Describe all categories of shares authorized to be issued. 

Security Type Number of Votes Per Share Convertible
(y/n)
Participating (6)
(y/n)
Number of Shares Authorized Number Issued and Outstanding
           
           
           
           
           
           

2.2 Shareholding

Supply the details for each shareholder holding 10% or more of the voting shares(5), of the voting rights (if different from the voting shares), and of any other category of shares identified in the common shares(6) definition. For the remaining shareholders (those holding less than 10%), supply the total shares under "Others Canadian" and "Others Non-Canadian".

Security Type Shareholder Name (1) Complete Home Address or Legal Entity Jurisdiction Canadian(2)
(x)
Number of Shares Held %
Votes
           
           
           
           
           

2.3 Directors and Officers

Supply a list of the present/proposed directors and officers of the corporation (3) (4)

Name of Directors/Officers (1) Complete Home Address Canadian(2)
(x)
Directors Date of Appointment Officer Position
         
         
         
         
         
         

For an additional Appendix 2A, copy tables 2.1, 2.2 and 2.3 on a new page


Definitions