Unofficial Consolidation: Form 45-108F4 Notice of Specified Key Events

Unofficial Consolidation: Form 45-108F4 Notice of Specified Key Events

Forms

Ontario Securities Commission

Form 45-108F4

Unofficial consolidation current to 2016-10-31

This document is not an official statement of law or policy and should be used for reference purposes only.

Form 45-108F4
Notice of Specified Key Events

Instructions: This is the form of notice required under section 18 of Multilateral Instrument 45-108 Crowdfunding in New Brunswick, Nova Scotia and Ontario to be made available to holders of securities acquired under the crowdfunding prospectus exemption.

1. Issuer Name and Address

 

Full legal name:

Street address:

Province/State:

Municipality:

Postal code/Zip code:

Website:

Country:

2. Specified Key Event

 

 

The event, as described in section 3, is (checkmark all that apply):

  • a discontinuation of the issuer’s business
  • a change in the issuers industry
  • a change of control of the issuer

Date on which the event occurred (yyyy/mm/dd):

3. Event Description

 

 

Provide a brief description of the event identified in section 2.

 

4. Contact Person

 

 

Provide the following information for a person at the issuer who can be contacted regarding the event described in section 3.

Name:

Title:

Email address:

Telephone number:

Date of notice (yyyy/mm/dd):