Canada Corporations Regulations (C.R.C., c. 424)

Regulations are current to 2014-07-22 and last amended on 2010-03-11. Previous Versions

SCHEDULE I(ss. 4, 4.1, 15, 29, 30, 31 and 33)

FORMS 1 AND 2

[Repealed, SOR/2010-61, s. 4]

FORM 3

GRAPHIC IS NOT DISPLAYED, SEE C.R.C., C. 424, PP. 3034 AND 3035

FORM 4

[Repealed, SOR/2010-61, s. 5]

FORM 5

GRAPHIC IS NOT DISPLAYED, SEE C.R.C., C. 424, PP. 3038 AND 3039

CANADA CORPORATIONS ACTFORM 6

STATUTORY DECLARATION(Section 111.1)

CANADA

Province of

In re

(name of Company)

(List of shareholders under section 111.1 of the Canada Corporations Act.)

I,
(name)(resident address)(occupation)

having been duly sworn make oath and say that:

(If the applicant is a body corporate, indicate the office and authority of the deponent, the name and address for service of the body corporate and word the declaration accordingly.)

  • 1. I hereby apply for a list of the shareholders of the above named company.

  • 2. The list of shareholders and the information contained therein will not be used for any purpose prohibited by section 111.1 of the Canada Corporations Act.

  • 3. The list of shareholders and the information contained therein will not be used except in connection with

    • (a) an effort to influence the voting of shareholders of the corporation;

    • (b) an offer to acquire shares of the company; or

    • (c) any other matter relating to the affairs of the company.

Declared, etc.

  • SOR/78-46, s. 8;
  • SOR/2010-61, ss. 4, 5.