Unofficial Consolidation: Form 51-101F5 Notice of Ceasing to Engage in Oil and Gas Activities

Unofficial Consolidation: Form 51-101F5 Notice of Ceasing to Engage in Oil and Gas Activities

Unofficial Consolidation Forms

Ontario Securities Commission

Form 51-101F5

Unofficial consolidation current to 2015-07-01

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

FORM 51-101F5
Notice of Ceasing to Engage in OIL AND GAS Activities

This is the form referred to in section 6.2 of National Instrument 51-101 Standards of Disclosure for Oil and Gas Activities ("NI 51-101").

  1. Terms to which a meaning is ascribed in NI 51-101 have the same meaning in this form.
  2. The notice referred to in section 6.2 of NI 51-101 must in all material respects be in the following form:

Notice of Ceasing to Engage in Oil and Gas Activities

Management and the board of directors of [name of reporting issuer] (the "Company") have determined that as of [date] the Company is no longer engaged, directly or indirectly, in oil and gas activities.

___________________________________

[signature, name and title of chief executive officer]

___________________________________

[signature, name and title of an officer other than the chief executive officer]

___________________________________

[signature, name of a director]

___________________________________

[signature, name of a director]

[Date]