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ISED-ISDE 3604E - Annual Return - Special Act...

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1 - Corporate Name 6 - The following are the members of the board of directors (continue on next page if necessary) 2 - Corporation number Canada Not-for-profit Corporations Act (NFP Act) Form 4033 Annual Return - Special Act Corporation As of March 31st of the year of filing ISED-ISDE 3604E (2016-11) 5 - Complete address of the registered office (cannot be a post office box ) 4 - Date of last annual meeting (YYYY-MM-DD) Number and street name Postal code City Province or territory Page 1 of 2 3 - Year of filing FIRST NAME ADDRESS (a P.O. Box is not acceptable) LAST NAME -
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Page 1: ISED-ISDE 3604E - Annual Return - Special Act Corporationcorporationscanada.ic.gc.ca/eic/site/cd-dgc.nsf/vwapj/... · 2017. 4. 24. · ISED-ISDE 3604E (2016-11) 5 - Complete address

1 - Corporate Name

6 - The following are the members of the board of directors (continue on next page if necessary)

2 - Corporation number

Canada Not-for-profit Corporations Act (NFP Act) Form 4033

Annual Return - Special Act Corporation As of March 31st of the year of filing

ISED-ISDE 3604E (2016-11)

5 - Complete address of the registered office (cannot be a post office box )

4 - Date of last annual meeting (YYYY-MM-DD)

Number and street name

Postal code City Province or territory

Page 1 of 2

3 - Year of filing

FIRST NAME ADDRESS (a P.O. Box is not acceptable)LAST NAME

-

Page 2: ISED-ISDE 3604E - Annual Return - Special Act Corporationcorporationscanada.ic.gc.ca/eic/site/cd-dgc.nsf/vwapj/... · 2017. 4. 24. · ISED-ISDE 3604E (2016-11) 5 - Complete address

6 - The following are the members of the board of directors (continued)

Canada Not-for-profit Corporations Act (NFP Act) Form 4033

Annual Return - Special Act Corporation As of March 31st of the year of filing

7 - DeclarationI hereby certify that I am a director or an authorized officer of the corporation.

Note: A person who makes, or assists in making, a false or misleading statement is guilty of an offence and liable on summary conviction to a fine of not more than $5,000 or to imprisonment for a term of not more than six months or to both (subsection 262(2) of the NFP Act).

Page 2 of 2

Signature:

Telephone number:Print name:

FIRST NAME ADDRESS (a P.O. Box is not acceptable)LAST NAME

ISED-ISDE 3604E (2016-11)


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