SCHEDULE 2(Subsections 10(1) and 11(1) and (3) to (5))Listed Person or Entity Property Report
PART A
Information With Respect to Reporting Person or Entity and Place of Business Where Transaction Is Conducted or Proposed To Be Conducted
1*
Person’s or entity’s name
2*
Type of person or entity, as described in any of paragraphs 5(a) to (h.1) and (k) of the Act, or, if person or entity is referred to in paragraph 5(i), (j) or (l) of the Act, type of prescribed business, profession or activity referred to in that paragraph
3
Identification number assigned to person or entity by Centre
4*
Number that identifies place of business
5*
Address of place of business
6*
Contact person’s name
7
Contact person’s email address
8*
Contact person’s telephone number
PART B
Reason for Filing Report
1*
Reason for filing report
2*
Indication of how reporting person or entity came to know that property in question is owned, held or controlled by or on behalf of listed person or entity
3*
Indication of how reporting person or entity identified listed person or entity
4
[Repealed, SOR/2024-267, s. 4]
5
[Repealed, SOR/2024-267, s. 4]
6
[Repealed, SOR/2024-267, s. 4]
7
[Repealed, SOR/2024-267, s. 4]
8
[Repealed, SOR/2024-267, s. 4]
9
[Repealed, SOR/2024-267, s. 4]
10
[Repealed, SOR/2024-267, s. 4]
11
[Repealed, SOR/2024-267, s. 4]
PART C
Information with Respect to Property
1*
Type of property
2*
Means used to identify property and every number of, or associated with, that property
3
[Repealed, SOR/2019-240, s. 20]
4*
Approximate or actual value of property
5
Description of property
6*
Name of any person or entity that owns, holds or controls property on behalf of listed person or entity
7
Name of any person or entity that has an interest or right in or is authorized to deal with property
8
Description of transactions involving property within previous six months
9
Identifying number of any report made under section 7 of the Act respecting property
10
Description of any measures taken by reporting person or entity with respect to property
PART C.1
Information with Respect to Listed Person or Entity That Owns, Holds or Controls Property
1*
Name of listed person or entity
2*
Address of listed person or entity
3
Email address of listed person or entity
4
Telephone number of listed person or entity
5
URL of listed person or entity
6
Nature of principal business of listed person or entity or their occupation
7
Identification number assigned to listed person or entity by reporting person or entity
Jurisdiction and country of issue of identification document or information
10
In the case of a person,
(a)
their alias
(b)
their date of birth
(c)
their country of residence
(d)
their country of citizenship
(e)
their employer’s name
11
In the case of an entity, its registration or incorporation number and jurisdiction and country of issue of that number
12
With respect to a person or entity that owns, holds or controls property on behalf of listed person or entity,
(a)
their name
(b)
their address
(c)
their email address
(d)
their telephone number
(e)
their URL
PART D
Information with Respect to Transaction or Proposed Transaction
1*
Date of transaction or proposed transaction or night deposit indicator
2*
Time of transaction or proposed transaction
3
Posting date, if different from date of transaction or proposed transaction
4*
Type and amount or value of funds or other assets involved, other than virtual currency
5*
Type and amount of each fiat currency or virtual currency involved
6*
Method by which transaction conducted or proposed to be conducted
7
Exchange rates used
8*
In the case of a transaction or proposed transaction involving virtual currency, transaction identifiers, including sending and receiving addresses
9
Purpose of transaction or proposed transaction
10
Source of funds or virtual currency involved
11*
Name of every person or entity that is source of funds or virtual currency involved and their account number or policy number and name of the person or entity with which the account or policy is held or, if no account number or policy number, identifying number and name of the person or entity that issued it
12*
Following details of remittance of, or in exchange for, funds, virtual currency or other assets received:
(a)
method of remittance
(b)
if remittance is in funds, type and amount of each type of funds involved
(c)
if remittance is in virtual currency, type and amount of each virtual currency involved
(d)
if remittance is not in funds or virtual currency, type of remittance and its value, if different from amount of funds, virtual currency or other assets received
(e)
name of every person or entity involved and their account number or policy number and name of the person or entity with which the account or policy is held or, if no account number or policy number, identifying number and name of the person or entity that issued it
PART E
Account and Reference Number Information
1*
Every account number or other equivalent reference number connected to transaction or proposed transaction
1.1*
Name of person or entity with which the account is held or of person or entity that issued the reference number
2*
Type of account
3*
Branch number, institution number and similar numbers connected to account or reference number
4*
Name of each account holder
5*
Type of fiat currency or virtual currency of account
6
Date account opened
7
Date account closed
8*
Status of account
PART F
Information with Respect to Person or Entity That Conducts or Proposes To Conduct Transaction
1
Person’s or entity’s name
2
Person’s or entity’s address
3
Person’s or entity’s email address
4
Person’s or entity’s telephone number
5
Person’s or entity’s URL
6
Nature of person’s or entity’s principal business or their occupation
7
Identification number assigned to person or entity by reporting person or entity
