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Securities Forms

This section contains the forms necessary to comply with Manitoba Securities Commission policy and legislation concerning securities.

Registration

31-103F1 - revised July 11, 2011 Calculation of Excess Working Capital
31-103F2 - revised July 11, 2011 Submission to Jurisdiction and Appointment of Agent for Service
31_103F3 - revised July 11, 2011 Use of Mobility Exemption

33-109F1 - revised July 11, 2011

Notice of Termination of Registered Individuals and Permitted Individuals
33-109F2 - revised July 11, 2011 Change or Surrender of Individual Categories
33-109F3 - revised July 11, 2011
Business Locations Other Than Head Office
33-109F4 - revised July 11, 2011 Registration of Individuals and Review of Permitted Individuals
33-109F5 - revised July 11, 2011
Change of Registration Information
33-109F6 - revised July 11, 2011
Firm Registration - Instructions and forms
33-109F7 - revised July 11, 2011 Reinstatement of Registered Individuals and Permitted Individuals
35-101F1 Form of Submission to Jurisdiction and Appointment of Agent for Service of Process by Broker-Dealer
35-102F2 Form of Submission to Jurisdiction and Appointment of Agent for Service of Process by Agents of the Broker-Dealer
Non-Resident Dealers Form of Submission to Jurisdiction and Appointment of Agent for Service of Process by Non-Resident Dealer
Criminal Record Form

Criminal Record Form

Suppression of Terrorism Monthly Suppression of Terrorism and UN Sanctions Report - Updated July 30, 2010

Legal and Enforcement

Form 6

Application for Recognition as an Exempt Purchaser under Clause 19(1)(c) of the Act

Form 8

Report of a Trade made under Clause 19(1)(c) or subsection 19(3) of the Act or under section 90 of the Regulation

Form 8A

Report or Resale of Securities Purchased under clause 19(1)(c) or subsection 19(3) of the Act or under section 90 of the Regulation

Form 23

Notice of Intention to Trade in a Security under clause 91 (a) or 91(b) of the Securities Regulation

Form 24

Declaration Respecting a Trade in a Security under clause 91(a) of the Securities Regulation

Form 25

Declaration Respecting a Trade in a Security under clause 91(b) of the Securities Regulation

Form 26

Requirements for an Offering Memorandum to be used in Conjunction with the Exemption Contained in clause 91(b) of the Securities Regulation

Form 27

Report of Termination of Trades made Pursuant to Exemptions Contained in clause 91(a) or 91(b) of the Securities Regulation
11-101F1 Notice of principal regulator under Multilateral Instrument 11-101

21-101F1 - revised (unofficial consolidated)

Information Statement - Exchange or Quotation and Trade Reporting System

21-101F2 - revised (unofficial consolidated)

Initial Operation Report - Alternative Trading System
21-101F3 - revised (unofficial consolidated) Quarterly Report of Alternative Trading System Activities
21-101F4 Cessation of Operations Report for Alternative Trading System
21-101F5 - revised (unofficial consolidated) Initial Operation Report for Information Processor
21-101F6 Cessation of Operations Report for Information Processor
45-102F1 Notice of Intention to Distribute Securities under Section 2.8 of NI 45-102
45-106F1 Report of Exempt Distribution
45-106F2 Offering Memorandum for Non-Qualifying Issuers
45-106F3 Offering Memorandum for Qualifying Issuers
45-106F4 Risk Acknowledgement
45-106F5 Risk Acknowledgement Saskatchewan Close Personal Friends and Close Business Associates
62-104F1

Take-Over Bid Circular

Corporate Finance

Prospectus

41-101F1

Information Requirement in a Prospectus

41-101F2 Information Required in an Investment Fund Prospectus

Short Form Prospectus

44-101F1

Short Form Prospectus Distributions - Short Form Prospectus

Rights Offering Circular

45-101F1 Rights Offering Circular

Simplified Prospectus

81-101F1 Contents of Simplified Prospectus
81-101F2 Contents of Annual Information Form
81-101F1 and 81-101F2 Amendments - May 2, 2001
81-101F1 and 81-101F2 Amendments - December 31, 2003
81-101F1 Amendments - March 17, 2008
81-101F2 Amendments - March 17, 2008

Issuers Quoted in the U.S. Over-the-Counter Markets

51-105F1 Notice – OTC Issuer Ceases to be an OTC Reporting Issuer
51-105F2 Notice of Promotional Activities
51-105F3A Personal Information Form and Authorization of Indirect Collection, Use and Disclosure of Personal Information
51-105F3B Personal Information Form and Authorization of Indirect Collection, Use and Disclosure of Personal Information
51-101F4 Notice – Issuer Ceases to be an OTC Reporting Issuer

 

Continuous Disclosure

51-102F1 - 51-102F6 Amendments to Forms 51-102F1 - 51-102F6

51-102F1

Management's Discussion & Analysis (MD&A)
51-102F2 Annual Information Form (AIF)
51-102F3 Material Change Report
51-102F4 Business Acquisition Report
51-102F5 Information Circular
51-102F6 Statement of Executive Compensation
52-109F1 Certification of annual filings – full certificate
52-109FV1 Certification of annual filings – venture issuer basic certificate
52-109F1 - IPO/RTO Certification of annual filings following an initial public offering, reverse takeover or becoming a non-venture issuer
52-109F1R Certification of refiled annual filings
52-109F1 - AIF Certification of annual filings in connection with voluntarily filed AIF
52-109F2 Certification of interim filings – full certificate
52-109FV2 Certification of interim filings – venture issuer basic certificate
52-109F2 - IPO/RTO Certification of interim filings following an initial public offering, reverse
takeover or becoming a non-venture issuer
52-109F2R Certification of refiled interim filings
52-109FT2 Certification of refiled annual filings
52-110F1 Audit Committee Information Required in an AIF
52-110F2 Audit Committee Disclosure by Venture Issuers
81-106F1 Management Report of Fund Performance (MRFP)

 

Securities Communications

54-101F1 Explanation to Clients and Client Response Form
54-101F2 Request for Beneficial Ownership Information
54-101F3 Omnibus Proxy (Depositories)
54-101F4 Omnibus Proxy (Proximate Intermediaries)
54-101F5 Electronic Format for NOBO List
54-101F6 Request for Voting Instructions Made by Reporting Issuer
54-101F7 Request for Voting Instructions Made by Intermediary
54-101F8 Legal Proxy
54-101F9 Undertaking

Insider Reporting

55-102F1 Insider Profile
55-102F2 Insider Report
55-102F3 Issuer Profile Settlement
55-102F4 Issuer Event Report
55-102F5 SEDI User Registration Form
55-102F6 - Amended

Insider Report (paper format for special circumstances)

Amendments Amendments to
Form 55-102F1 Insider Profile
Form 55-102F2 Insider Report
Form 55-102F3 Issuer Profile Supplement
and Form 55-102F6 Insider Report

Mining, Oil and Gas Filing

43-101F1 Technical Report
51-101F1 Statement of Reserves Data and Other Oil and gas Information
51-101F2 Report on Reserves Data by Independent Qualified Reserves Evaluator or Auditor
51-101F3 Report of Management and Directors on Oil and Gas Disclosure

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