Alberta Gazette, Part I — Tuesday, August 31, 2021

Tuesday, August 31, 2021

Alberta — Gazette

Alberta Gazette, Part I — Tuesday, August 31, 2021

Tuesday, August 31, 2021

Alberta — Gazette

The Alberta Gazette

Part I

Vol. 117 Edmonton, Tuesday, August 31, 2021 No. 16

APPOINTMENTS

Appointment of Supernumerary Provincial Court Judge

(Provincial Court Act)

July 19, 2021

Honourable Judge Norman Russell Hess

For a term to expire July 18, 2023.

Reappointment of Ad Hoc Justice of the Peace

(Justice of the Peace Act)

July 21, 2021

Leslie Glynne Morris

For a term to expire July 20, 2022.

August 1, 2021

Ronald David Price

For a term to expire July 31, 2022.

August 11, 2021

Angeline Verenka

For a term to expire August 10, 2022.

Reappointment of Full-time Provincial Court Judge

(Provincial Court Act)

July 22, 2021

Honourable Judge James Bryce Mitchell

For a term to expire July 21, 2022.

Reappointment of Part-time Provincial Court Judge

(Provincial Court Act)

July 11, 2021

Honourable Judge Donna Rae Valgardson

For a term to expire July 10, 2022.

July 21, 2021

Honourable Judge James Joseph Ogle

For a term to expire July 20, 2022.

Reappointment of Supernumerary Provincial Court Judge

(Provincial Court Act)

July 12, 2021

Honourable Judge Gordon John Burrell

For a term to expire July 11, 2023.

August 3, 2021

Honourable Judge Michael George Allen

For a term to expire August 2, 2023.

GOVERNMENT NOTICES

Culture and Status of Women

Order Partially Rescinding a Provincial Historic Resource

(Historical Resources Act)

File: Des. 2332

MO 07/21

I, Ronald Orr, Minister of Culture, pursuant to

Section 20(15) of the Historical

Resources Act, R.S.A. 2000 C. H-9, HEREBY RESCIND that portion of the

Drumheller Courthouse Provincial Historic Resource designation signed by the

Honourable Ricardo Miranda on February 16, 2017 and registered in Alberta Land

Titles as instrument 171 147 805, with respect to the lands legally described as:

Plan 1912243

Block 47

Lot 21

Excepting thereout all mines and minerals

Dated at Edmonton, Alberta, July 27, 2021.

Ronald Orr, Minister.

Order Partially Rescinding a Provincial Historic Resource

(Historical Resources Act)

File: Des. 0892

MO 08/21

I, Ronald Orr, Minister of Culture, pursuant to

Section 20(15) of the Historical

Resources Act, R.S.A. 2000 C. H-9, HEREBY RESCIND that portion of the Taber

Courthouse Provincial Historic Resource designation signed by the Honourable

Heather Klimchuk on January 18, 2013 and registered in Alberta Land Titles as

instrument 131 031 402, with respect to the lands legally described as:

Plan 1712398

Block 15

Lot 15

Excepting thereout all mines and minerals

Dated at Edmonton, Alberta, July 27, 2021.

Ronald Orr, Minister.

Order Partially Rescinding a Provincial Historic Resource

(Historical Resources Act)

File: Des. 0768

MO 09/21

I, Ronald Orr, Minister of Culture, pursuant to

Section 20(15) of the Historical

Resources Act, R.S.A. 2000 C. H-9, HEREBY RESCIND that portion of the Fletcher

Archaeological Site Provincial Historic Resource designation signed by the

Honourable Mary J. LeMessurier on February 21, 1980 and registered in Alberta

Land Titles as instrument 801 036 937, with respect to the lands legally described as:

Meridian 4 Range 14 Township 7

Section 27

Quarter North East

Excepting thereout all mines and minerals

Dated at Edmonton, Alberta, July 27, 2021.

Ronald Orr, Minister.

Order Rescinding Provincial Historic Resource

(Historical Resources Act)

File: Des. 0432

MO 15/21

I, Ronald Orr, Minister of Culture, pursuant to

Section 20(15) of the Historical

Resources Act, R.S.A. 2000 C. H-9, HEREBY RESCIND the McDougall Memorial

United Church Provincial Historic Resource designation signed by the Honourable

Mary J. LeMessurier on October 20, 1979 and registered in Alberta Land Titles as

instrument 801 016 518, with respect to the lands legally described as:

Plan 8411089

Block A

Excepting thereout all mines and minerals

and

Descriptive Plan 9310835

Block M

Excepting thereout all mines and minerals

Dated at Edmonton, Alberta, July 28, 2021.

[Signed by Lora Pillipow, Deputy Minister]

Ronald Orr, Minister.

Education

Ministerial Order No. 018/2021

(Education Act)

I, Adriana LaGrange, Minister of Education, pursuant to Sections 107 and 108 of

the Education Act, make the Order in the attached Appendix, being The Garrington

Roman Catholic Separate School District No. 771 Establishment Order.

Dated at Edmonton, Alberta, August 5, 2021.

Adriana LaGrange, Minister.

APPENDIX

The Garrington Roman Catholic Separate School District No. 771

Establishment Order

1 Pursuant to Sections 107 and 108 of the Education Act, The Garrington Roman

Catholic Separate School District No. 771 is established.

2 The Garrington Roman Catholic Separate School District No. 771, and the said

school districts, shall be comprised of the following lands, which are included in

The Garrington School District No. 3029 and the following said school districts,

which are properly assessable for separate school purposes under the provision of

Sections 153 to 160 of the Education Act:

Cottonwood School District No. 2074

Rich Hill School District No. 2817

Vale View School District No. 1756

White Creek School District No. 1503

Township 33, Range 3, West of the 5th Meridian

Sections 31 and 32; West half of

Section 33.

Township 33, Range 4, West of the 5th Meridian

Sections 35 and 36; North halves of Sections 25 and 26.

Township 34, Range 2, West of the 5th Meridian

Sections 17 to 19 inclusive; Sections 30 and 31; Those portions of Sections 20,

29, 32, and 33 lying North and West of The Little Red Deer River.

Township 34, Range 3, West of the 5th Meridian

Sections 5 to 8 inclusive; Sections 13 to 36 inclusive; West halves of Sections 4

and 9.

Township 34, Range 4, West of the 5th Meridian

Sections 1 and 2; Sections 11 to 14 inclusive; Sections 23 and 24; Sections 34

and 35; Those portions of Sections 25, 26, 27, and 36 lying outside of The Red

Deer River.

Township 35, Range 2, West of the 5th Meridian

Sections 6 and 7;

Section 18;

Section 20; West halves of Sections 17 and 21;

Northwest quarter of

Section 16; That portion of

Section 5 and the West half of

Section 8 lying North and West of The Little Red Deer River; That portion of

Section 19 lying South of The Red Deer River.

Township 35, Range 3, West of the 5th Meridian

Sections 1 to 4 inclusive; Sections 9 to 12 inclusive; South half of

Section 7;

Those portions of Sections 5 and 6 lying outside of The Red Deer River; South

half of

Section 8 lying North and West of The Red Deer River; Those portions of

Sections 8, 13, 14, 15, 16, 17, 21, 22, 24, 27, and 28 lying South and East of

The Red Deer River.

Township 35, Range 4, West of the 5th Meridian

Sections 1 to 3 inclusive; Sections 10 to 12 inclusive; South halves of Sections

14 and 15.

3 This Order shall be effective September 1, 2022.

Ministerial Order No. 019/2021

(Education Act)

I, Adriana LaGrange, Minister of Education, pursuant to

Section 114 of the

Education Act, make the Order in the attached Appendix, being The Red Deer

Catholic Separate School Division Boundary Adjustment Order.

Dated at Edmonton, Alberta, August 5, 2021.

Adriana LaGrange, Minister.

APPENDIX

The Red Deer Catholic Separate School Division

Boundary Adjustment Order

1 Pursuant to

Section 114 of the Education Act, all of the lands are taken from the

following school district and are added to The Red Deer Catholic Separate

School Division:

The Garrington Roman Catholic Separate School District No. 771

2 Pursuant to

Section 114 of the Education Act, the following school district is

dissolved:

The Garrington Roman Catholic Separate School District No. 771

3 The Red Deer Catholic Separate School Division shall be comprised of the

following lands:

Township 31, Range 28, West of the 4th Meridian

Sections 18 and 19; Sections 30 and 31; North half of

Section 7.

Township 31, Range 29, West of the 4th Meridian

Sections 13, 24, 25, and 36; Those portions of Sections 14, 23, 26, and 35; North

half of

Section 12; That portion of the North half of

Section 11.

Township 32, Range 28, West of the 4th Meridian

Sections 1 to 12 inclusive; Sections 14 to 22 inclusive; Sections 26 to 34

inclusive; South halves and Northwest quarters of Sections 23 and 35.

Township 32, Range 29, West of the 4th Meridian

Sections 1, 12, 13, 24, 25, and 36; Those portions of Sections 2, 11, 14, 23, 26,

and 35.

Township 33, Range 27, West of the 4th Meridian

Southwest quarter of

Section 31.

Township 33, Range 28, West of the 4th Meridian

Sections 3 to 11 inclusive; Sections 13 to 36 inclusive; North half and Southwest

quarter of

Section 2.

Township 33, Range 29, West of the 4th Meridian

Sections 1, 12, 13, 24, 25, and 36; Those portions of Sections 2, 11, 14, 23, 26,

and 35.

Township 34, Range 26, West of the 4th Meridian

Sections 7 and 8; Sections 17 to 20 inclusive; Sections 29 to 35 inclusive.

Township 34, Range 27, West of the 4th Meridian

Sections 11 to 14 inclusive; Sections 23 to 26 inclusive; Sections 30 and 31;

Sections 34 to 36 inclusive; North half of

Section 27.

Township 34, Range 28, West of the 4th Meridian

Sections 5 to 8 inclusive; Sections 17 to 20 inclusive; Sections 25 to 36

inclusive; West halves of Sections 16 and 21.

Township 34, Range 29, West of the 4th Meridian

Sections 1, 12, 13, 24, 25, and 36; Those portions of Sections 2, 11, 14, 23, 26,

and 35.

Township 35, Range 25, West of the 4th Meridian

Sections 27 to 33 inclusive; North half of

Section 34.

Township 35, Range 26, West of the 4th Meridian

Sections 1 to 36 inclusive.

Township 35, Range 27, West of the 4th Meridian

Sections 1 to 36 inclusive.

Township 35, Range 28, West of the 4th Meridian

Sections 1 to 36 inclusive.

Township 36, Range 25, West of the 4th Meridian

Sections 2 to 10 inclusive; Sections 17 to 20 inclusive; Sections 29 to 33

inclusive; West halves of Sections 16, 21, and 28.

Township 36, Range 26, West of the 4th Meridian

Sections 1 to 36 inclusive.

Township 36, Range 27, West of the 4th Meridian

Sections 1 to 36 inclusive.

Township 36, Range 28, West of the 4th Meridian

Sections 1 to 36 inclusive.

Township 37, Range 25, West of the 4th Meridian

Sections 4 to 9 inclusive; Sections 14 to 23 inclusive; Sections 26 to 35

inclusive; West halves of Sections 13, 24, 25, and 26.

Township 37, Range 26, West of the 4th Meridian

Sections 1 to 36 inclusive.

Township 37, Range 27, West of the 4th Meridian

Sections 1 to 36 inclusive.

Township 37, Range 28, West of the 4th Meridian

Sections 1 to 36 inclusive lying outside of The Red Deer River.

Township 38, Range 25, West of the 4th Meridian

Sections 5 to 7 inclusive; Those portions of Sections 2, 3, 4, 8, 9, and 18 and that

portion of the West half of

Section 1 lying South of The Red Deer River.

Township 38, Range 26, West of the 4th Meridian

Sections 1 to 12 inclusive; Sections 14 to 20 inclusive; Sections 30 and 31;

Those portions of Sections 13, 21, 22, 23, 24, 29, and 32 lying South and West of

The Red Deer River.

Township 38, Range 27, West of the 4th Meridian

Sections 1 to 4 inclusive;

Section 6; Sections 8 to 17 inclusive; Sections 20 to 36

inclusive; Sections 5, 7, and 18, excluding The Queen Elizabeth II Highway;

Those portions of

Section 19 lying East of The Queen Elizabeth II Highway.

Township 38, Range 28, West of the 4th Meridian

Sections 1 to 12 inclusive; Sections 14 to 18 inclusive; Sections 21 to 23

inclusive; Sections 25 to 36 inclusive; That portion of

Section 13 lying West of

the East limit of Road Plan 2082 L.Z. and North of The Red Deer River; Those

portions of Sections 19 and 20 not covered by the waters of The Cygnet Lake;

That portion of

Section 24 lying West of the East limit of Road Plan 2082 L.Z.

Township 39, Range 26, West of the 4th Meridian

Sections 5 to 8 inclusive; Sections 19, 30, and 31; Those portions of Sections 4

and 9 lying West of The Red Deer River; Those portions of

Section 17 lying

South of The Red Deer River; Those portions of

Section 18 lying outside of

The Red Deer River.

Township 39, Range 27, West of the 4th Meridian

Sections 1 to 36 inclusive lying outside of The Queen Elizabeth II Highway,

The Red Deer River and The Blindman River.

Township 39, Range 28, West of the 4th Meridian

Sections 1 to 4 inclusive; Sections 9 to 11 inclusive; Sections 15 and 16; Sections

21 to 28 inclusive;

Section 34; Those portions of Sections 12 to 14 inclusive

lying outside of The Blindman River; West half and Southeast quarter of

Section

35; South half of

Section 33; South half and Northeast quarter of

Section 36;

Those portions of Sections 5, 8, 17, 20, and 29; That portion of the South half of

Section 32.

Township 40, Range 27, West of the 4th Meridian

Southwest quarter of

Section 6.

Township 30, Range 2, West of the 5th Meridian

Northeast quarter of

Section 31; North half and Southeast quarter of

Section 32;

West half of

Section 33.

Township 31, Range 1, West of the 5th Meridian

Sections 6 and 7; Sections 13 to 36 inclusive; West half and Northeast quarter of

Section 8; East half of

Section 11; North half of

Section 12.

Township 31, Range 2, West of the 5th Meridian

Sections 1, 2, 4, and 5; Sections 7 to 36 inclusive; West half of

Section 3; North

half and Southeast quarter of

Section 6.

Township 31, Range 3, West of the 5th Meridian

Section 13; Sections 15 and 16; Sections 21 to 28 inclusive; Sections 33 to 36

inclusive; North half and Southwest quarter of

Section 14; Northeast quarter of

Section 12.

Township 32, Range 1, West of the 5th Meridian

Sections 1 to 36 inclusive.

Township 32, Range 2, West of the 5th Meridian

Sections 1 to 36 inclusive.

Township 32, Range 3, West of the 5th Meridian

Sections 1 to 4 inclusive; Sections 9 to 16 inclusive; Sections 21 to 28 inclusive;

Sections 33 to 36 inclusive.

Township 32, Range 4, West of the 5th Meridian

Sections 15 to 22 inclusive; Sections 27 to 34 inclusive.

Township 32, Range 5, West of the 5th Meridian

Sections 35 and 36.

Township 33, Range 1, West of the 5th Meridian

Sections 1 to 36 inclusive.

Township 33, Range 2, West of the 5th Meridian

Sections 1 to 36 inclusive.

Township 33, Range 3, West of the 5th Meridian

Sections 1 to 4 inclusive;

Section 7; Sections 9 to 36 inclusive; North half of

Section 8.

Township 33, Range 4, West of the 5th Meridian

Sections 1 to 16 inclusive,

Section 18; Sections 22 to 26 inclusive; Sections 35

and 36; South half and Northwest quarter of

Section 17; Southwest quarter of

Section 19.

Township 33, Range 5, West of the 5th Meridian

Sections 1 and 2; Sections 11 to 13 inclusive; Sections 23 to 25 inclusive; Those

portions of Sections 10, 14, 15, and 26 lying East of The Red Deer River.

Township 34, Range 1, West of the 5th Meridian

Sections 1 to 3 inclusive; Sections 10 to 15 inclusive; Sections 22 to 27

inclusive; Sections 31 to 36 inclusive; South half of

Section 21; Northeast quarter

Section 16.

Township 34, Range 2, West of the 5th Meridian

Sections 2 to 10 inclusive; Sections 17 to 19 inclusive; Sections 30 and 31;

Those portions of Sections 20, 29, 32, and 33 lying North and West of The Little

Red Deer River.

Township 34, Range 3, West of the 5th Meridian

Sections 1 to 36 inclusive.

Township 34, Range 4, West of the 5th Meridian

Sections 1 and 2; Sections 11 to 14 inclusive; Sections 23 and 24; Sections 34

and 35; Those portions of Sections 25, 26, 27, and 36 lying outside of The Red

Deer River.

Township 35, Range 1, West of the 5th Meridian

Sections 1 to 6 inclusive; Sections 8 to 17 inclusive; Sections 20 to 29 inclusive;

Sections 32 to 36 inclusive.

Township 35, Range 2, West of the 5th Meridian

Sections 6, 7, 18, 20, and 32; West halves of Sections 17 and 21; Northwest

quarter of

Section 16; That portion of

Section 5 and the West half of

Section 8

lying North and West of The Little Red River; That portion of

Section 19 lying

South of The Red Deer River; Those portions of Sections 28 and 33 lying North

of The Red Deer River.

Township 35, Range 3, West of the 5th Meridian

Sections 1 to 4 inclusive; Sections 9 to 12 inclusive; South half of

Section 7;

Those portions of Sections 5 and 6 lying outside of The Red Deer River; South

half of

Section 8 lying North and West of The Red Deer River; Those portions of

Sections 8, 13, 14, 15, 16, 17, 21, 22, 24, 27, and 28 lying South and East of

The Red Deer River.

Township 35, Range 4, West of the 5th Meridian

Sections 1 to 3 inclusive; Sections 10 to 12 inclusive; South halves of Sections

14 and 15.

Township 35, Range 5, West of the 5th Meridian

North half of

Section 31.

Township 35, Range 6, West of the 5th Meridian

Sections 17 to 20 inclusive; Sections 29 to 32 inclusive;

Section 36; North halves

of Sections 33, 34, and 35.

Township 35, Range 7, West of the 5th Meridian

Sections 24, 25, and 36.

Township 36, Range 1, West of the 5th Meridian

Sections 1 to 5 inclusive; Sections 7 to 36 inclusive.

Township 36, Range 2, West of the 5th Meridian

Sections 4 and 5; Sections 8 and 9; Sections 13 to 17 inclusive; Sections 20 to 29

inclusive; Sections 32 to 36 inclusive; Those portions of Sections 2, 10, 11, and

12 lying North of The Red Deer River; Those portions of

Section 3 lying North

and West of The Red Deer River.

Township 36, Range 3, West of the 5th Meridian

Sections 5 to 8 inclusive; Sections 17 to 20 inclusive; Sections 29 and 30.

Township 36, Range 4, West of the 5th Meridian

Sections 1 to 3 inclusive; Sections 11 to 14 inclusive; Sections 23 to 26

inclusive; East halves of Sections 10, 15, and 22.

Township 36, Range 5, West of the 5th Meridian

Section 3; Sections 6 to 35 inclusive.

Township 36, Range 6, West of the 5th Meridian

Sections 1 to 36 inclusive.

Township 36, Range 7, West of the 5th Meridian

Section 1; Sections 12 to 16 inclusive; Sections 21 to 28 inclusive; Sections 33 to

36 inclusive; Those portions of Sections 9, 10, and 11 lying North of

The Clearwater River.

Township 37, Range 1, West of the 5th Meridian

Sections 1 to 36 inclusive.

Township 37, Range 2, West of the 5th Meridian

Sections 1 to 5 inclusive; Sections 8 to 36 inclusive.

Township 37, Range 3, West of the 5th Meridian

Sections 13 to 36 inclusive.

Township 37, Range 5, West of the 5th Meridian

Sections 3 to 9 inclusive; Sections 16 to 21 inclusive; Sections 28 to 33 inclusive.

Township 37, Range 6, West of the 5th Meridian

Sections 1 to 36 inclusive.

Township 37, Range 7, West of the 5th Meridian

Sections 1 to 5 inclusive; Sections 8 to 36 inclusive.

Township 37, Range 8, West of the 5th Meridian

Section 13; Sections 22 to 27 inclusive; Sections 31 to 36 inclusive; East halves

of Sections 21 and 28.

Township 37, Range 9, West of the 5th Meridian

Section 36; East half of

Section 35.

Township 38, Range 1, West of the 5th Meridian

Sections 1 to 31 inclusive; Sections 34 to 36 inclusive; Those portions of

Sections 32 and 33 lying South of The Sylvan Lake.

Township 38, Range 2, West of the 5th Meridian

Sections 1 to 36 inclusive.

Township 38, Range 3, West of the 5th Meridian

Sections 1 to 18 inclusive; Sections 24, 25, and 36; South half and Northeast

quarter of

Section 23; That portion of the North half of

Section 26 lying North of

The Medicine River; That portion of the Northeast quarter of

Section 34 lying

North of The Medicine River; That portion of

Section 35 lying North and East of

The Medicine River.

Township 38, Range 5, West of the 5th Meridian

Sections 3 to 10 inclusive; Sections 16 to 22 inclusive; Sections 27 to 34

inclusive; South half and Northwest quarter of

Section 15.

Township 38, Range 6, West of the 5th Meridian

Sections 1 to 36 inclusive.

Township 38, Range 7, West of the 5th Meridian

Sections 1 to 36 inclusive.

Township 38, Range 8, West of the 5th Meridian

Sections 1 to 36 inclusive.

Township 38, Range 9, West of the 5th Meridian

Sections 1, 12, and 13; East halves of Sections 2, 11, and 14.

Township 39, Range 1, West of the 5th Meridian

Sections 1 to 3 inclusive; Sections 10 to 16 inclusive; Sections 20 to 36

inclusive; That portion of

Section 4 lying South and East of The Sylvan Lake;

Those portions of Sections 5 and 6 lying West of The Sylvan Lake; Those

portions of Sections 8, 9, 17, 18, and 19 lying North and East of The Sylvan

Lake.

Township 39, Range 2, West of the 5th Meridian

Sections 1 to 10 inclusive; Sections 16 to 20 inclusive;

Section 25; Sections 30 to

32 inclusive; Sections 35 and 36; Those portions of Sections 11, 12, 13, 14, 15,

21, 24, 26, 27, 29, 33, and 34 lying outside of The Sylvan Lake.

Township 39, Range 3, West of the 5th Meridian

Sections 1 and 2; Sections 10 to 29 inclusive; Sections 33 and 36; South halves

and Northeast quarters of Sections 30, 32, and 35; South half and Northwest

quarter of

Section 34; East half of

Section 3; Northeast quarter of

Section 9.

Township 39, Range 5, West of the 5th Meridian

Sections 3 to 10 inclusive; Sections 15 to 20 inclusive; Sections 29 to 32

inclusive; West half of

Section 2; Southwest quarter of

Section 11; South half of

Section 21.

Township 39, Range 6, West of the 5th Meridian

Sections 1 to 36 inclusive.

Township 39, Range 7, West of the 5th Meridian

Sections 1 to 36 inclusive.

Township 39, Range 8, West of the 5th Meridian

Sections 1 to 36 inclusive.

Township 40, Range 1, West of the 5th Meridian

Sections 2 to 6 inclusive; Southeast quarter of

Section 8.

Township 40, Range 2, West of the 5th Meridian

Sections 1 to 5 inclusive; Sections 8 to 11 inclusive; South half of

Section 6;

Southwest quarter of

Section 12.

Township 40, Range 5, West of the 5th Meridian

Sections 5 to 8 inclusive.

Township 40, Range 6, West of the 5th Meridian

Sections 1 to 8 inclusive; Sections 11 and 12; Sections 17 to 20 inclusive;

Sections 29 to 32 inclusive; West halves of Sections 9, 16, 21, 28, and 33.

Township 40, Range 7, West of the 5th Meridian

Sections 1 to 36 inclusive.

Township 40, Range 8, West of the 5th Meridian

Sections 1 to 36 inclusive.

Township 41, Range 5, West of the 5th Meridian

West halves of Sections 6, 7, and 18.

Township 41, Range 6, West of the 5th Meridian

Sections 1 to 23 inclusive; West half of

Section 24.

Township 41, Range 7, West of the 5th Meridian

Sections 1 to 24 inclusive; That portion of

Section 30 lying West of The North

Saskatchewan River.

Township 41, Range 8, West of the 5th Meridian

Sections 1 to 3 inclusive; Sections 10 to 15 inclusive; Sections 22 to 24

inclusive; Sections 26 and 27; East halves of Sections 4, 9, 16, 21, and 28; That

portion of

Section 25 lying West of The North Saskatchewan River.

4 This Order shall be effective September 1, 2022.

Ministerial Order No. 020/2021

(Education Act)

I, Adriana LaGrange, Minister of Education, pursuant to

Section 114 of the

Education Act, make the Order in the attached Appendix, being The Penhold School

District No. 214 (The Chinook's Edge School Division) Boundary Adjustment Order.

Dated at Edmonton, Alberta, August 5, 2021.

Adriana LaGrange, Minister.

APPENDIX

The Penhold School District No. 214 (The Chinook's Edge School Division)

Boundary Adjustment Order

1 Pursuant to

Section 114 of the Education Act, all of the lands are taken from the

following school districts and added to The Penhold School District No. 214:

The Garrington School District No. 3029

The Cottonwood School District No. 2074

The Rich Hill School District No. 2817

The White Creek School District No. 1503

2 Pursuant to

Section 114 of the Education Act, the following school districts are

dissolved:

The Garrington School District No. 3029

The Cottonwood School District No. 2074

The Rich Hill School District No. 2817

The White Creek School District No. 1503

3 The Penhold School District No. 214 shall be comprised of the following lands:

Township 34, Range 26, West of the 4th Meridian

Sections 7 and 8; Sections 17 to 20 inclusive; Sections 29 to 35 inclusive.

Township 34, Range 27, West of the 4th Meridian

Sections 11 to 14 inclusive; Sections 23 to 26 inclusive; Sections 30 and 31;

Sections 34 to 36 inclusive; North half of

Section 27.

Township 34, Range 28, West of the 4th Meridian

Sections 5 to 8 inclusive; Sections 17 to 20 inclusive; Sections 25 to 36

inclusive; West halves of Sections 16 and 21.

Township 34, Range 29, West of the 4th Meridian

Sections 1, 12, 13, 24, 25, and 36; Those portions of Sections 2, 11, 14, 23, 26,

and 35.

Township 35, Range 25, West of the 4th Meridian

Sections 27 to 33 inclusive; North half of

Section 34.

Township 35, Range 26, West of the 4th Meridian

Sections 1 to 36 inclusive.

Township 35, Range 27, West of the 4th Meridian

Sections 1 to 36 inclusive.

Township 35, Range 28, West of the 4th Meridian

Sections 1 to 36 inclusive.

Township 36, Range 25, West of the 4th Meridian

Sections 2 to 10 inclusive; Sections 17 to 20 inclusive; Sections 29 to 33

inclusive; West halves of Sections 16, 21, and 28.

Township 36, Range 26, West of the 4th Meridian

Sections 1 to 36 inclusive.

Township 36, Range 27, West of the 4th Meridian

Sections 1 to 36 inclusive.

Township 36, Range 28, West of the 4th Meridian

Sections 1 to 36 inclusive.

Township 37, Range 25, West of the 4th Meridian

Sections 4 to 9 inclusive; Sections 14 to 23 inclusive; Sections 26 to 35

inclusive; West halves of Sections 13, 24, 25, and 36.

Township 37, Range 26, West of the 4th Meridian

Sections 1 to 36 inclusive.

Township 37, Range 27, West of the 4th Meridian

Sections 1 to 32 inclusive; Sections 35 and 36; South half of

Section 33.

Township 37, Range 28, West of the 4th Meridian

Sections 1 to 36 inclusive lying outside of The Red Deer River.

Township 38, Range 25, West of the 4th Meridian

Sections 5 to 7 inclusive; Those portions of Sections 2, 3, 4, 8, 9, and 18 and that

portion of the West half of

Section 1 lying South of The Red Deer River.

Township 38, Range 26, West of the 4th Meridian

Sections 1 to 12 inclusive; Sections 14 to 20 inclusive; Sections 30 and 31;

Those portions of Sections 13, 21, 22, 23, 24, 29, and 32 lying South and West of

The Red Deer River.

Township 38, Range 27, West of the 4th Meridian

Sections 6 and 36; East halves of Sections 24 and 25; All those portions of

Sections 5, 7, and 18 lying South and West of The Queen Elizabeth II Highway.

Township 38, Range 28, West of the 4th Meridian

Sections 1 to 12 inclusive; Sections 14 to 18 inclusive; Sections 21 to 23

inclusive; Sections 26 to 34 inclusive; South half of

Section 25; West half of

Section 35; That portion of

Section 13 lying West of the East limit of Road Plan

2082 L.Z. and North of The Red Deer River; Those portions of Sections 19 and

20 not covered by the waters of The Cygnet Lake; That portion of

Section 24

lying West of the East limit of Road Plan 2082 L.Z.

Township 39, Range 26, West of the 4th Meridian

Sections 5 to 8 inclusive; Those portions of Sections 4 and 9 lying West of The

Red Deer River; Those portions of Sections 17 and 18 lying South of The Red

Deer River.

Township 39, Range 27, West of the 4th Meridian

Sections 6 and 12; Those portions of

Section 1 lying East of The Red Deer River;

Those portions of

Section 5 lying West of The Queen Elizabeth II Highway;

West half and all those portions of the East half of

Section 8 lying North of

The Canadian National Railway; That portion of the East half of

Section 8 lying

West of The Queen Elizabeth II Highway and South of The Canadian National

Railway; Those portions of

Section 9 lying North of The Canadian National

Railway; North halves of Sections 10 and 11; Those portions of Sections 7, 13,

14, 15, 16, 17, and 18 lying South of The Blindman River.

Township 39, Range 28, West of the 4th Meridian

Sections 1 to 4 inclusive; Sections 9 to 11 inclusive; Those portions of Sections

12 to 14 inclusive lying South of The Blindman River; Those portions of

Sections 5 and 8.

Township 34, Range 1, West of the 5th Meridian

Sections 1 to 3 inclusive; Sections 10 to 15 inclusive; Sections 22 to 27

inclusive; Sections 31 to 36 inclusive; South half of

Section 21; Northeast quarter

Section 16.

Township 34, Range 2, West of the 5th Meridian

Sections 17 to 19 inclusive; Sections 30 and 31; Those portions of Sections 20,

29, 32, and 33 lying North and West of The Little Red Deer River.

Township 34, Range 3, West of the 5th Meridian

Sections 13 to 36 inclusive.

Township 34, Range 4, West of the 5th Meridian

Sections 13 and 24; Sections 34 and 35; Those portions of Sections 25, 26, 27,

and 36 lying outside of The Red Deer River.

Township 35, Range 1, West of the 5th Meridian

Sections 1 to 6 inclusive; Sections 8 to 17 inclusive; Sections 20 to 29 inclusive;

Sections 32 to 36 inclusive.

Township 35, Range 2, West of the 5th Meridian

Sections 6, 7, 18, 20, and 32; West halves of Sections 17 and 21; Northwest

quarter of

Section 16; That portion of

Section 5 and the West half of

Section 8

lying North and West of The Little Red River; That portion of

Section 19 lying

South of The Red Deer River; Those portions of Sections 28 and 33 lying North

of The Red Deer River.

Township 35, Range 3, West of the 5th Meridian

Sections 1 to 4 inclusive; Sections 9 to 12 inclusive; South half of

Section 7;

Those portions of Sections 5 and 6 lying outside of The Red Deer River; South

half of

Section 8 lying North and West of The Red Deer River; Those portions of

Sections 8, 13, 14, 15, 16, 17, 21, 22, 24, 27, and 28 lying South and East of

The Red Deer River.

Township 35, Range 4, West of the 5th Meridian

Sections 1 to 3 inclusive; Sections 10 to 12 inclusive; South halves of Sections

14 and 15.

Township 36, Range 1, West of the 5th Meridian

Sections 1 to 5 inclusive; Sections 7 to 36 inclusive.

Township 36, Range 2, West of the 5th Meridian

Sections 4 and 5; Sections 8 and 9; Sections 13 to 17 inclusive; Sections 20 to 29

inclusive; Sections 32 to 36 inclusive; Those portions of Sections 2, 10, 11, and

12 lying North of The Red Deer River; Those portions of

Section 3 lying North

and West of The Red Deer River.

Township 36, Range 3, West of the 5th Meridian

Sections 5 to 8 inclusive; Sections 17 to 20 inclusive; Sections 29 and 30.

Township 36, Range 4, West of the 5th Meridian

Sections 1 to 3 inclusive; Sections 11 to 14 inclusive; Sections 23 to 26

inclusive; East halves of Sections 10, 15, and 22.

Township 37, Range 1, West of the 5th Meridian

Sections 1 to 36 inclusive.

Township 37, Range 2, West of the 5th Meridian

Sections 1 to 5 inclusive; Sections 8 to 36 inclusive.

Township 37, Range 3, West of the 5th Meridian

Sections 13 to 36 inclusive.

Township 38, Range 1, West of the 5th Meridian

Sections 1 to 31 inclusive; Sections 34 to 36 inclusive; Those portions of

Sections 32 and 33 lying South of The Sylvan Lake.

Township 38, Range 2, West of the 5th Meridian

Sections 1 to 36 inclusive.

Township 38, Range 3, West of the 5th Meridian

Sections 1 to 18 inclusive; Sections 24, 25, and 36; South half and Northeast

quarter of

Section 23; That portion of the North half of

Section 26 lying North of

The Medicine River; That portion of the Northeast quarter of

Section 34 lying

North of The Medicine River; That portion of

Section 35 lying North and East of

The Medicine River.

Township 39, Range 1, West of the 5th Meridian

Sections 1 to 3 inclusive; Sections 10 to 12 inclusive; That portion of

Section 4

lying South and East of The Sylvan Lake; Those portions of Sections 5 and 6

lying West of The Sylvan Lake; That portion of

Section 9 lying North and East

of The Sylvan Lake.

Township 39, Range 2, West of the 5th Meridian

Section 1; South halves of Sections 2 to 5 inclusive; Southeast quarter of

Section

6; Those portions of Sections 12 and 13 lying outside of The Sylvan Lake.

4 This Order shall be effective September 1, 2022.

Ministerial Order No. 021/2021

(Education Act)

I, Adriana LaGrange, Minister of Education, pursuant to

Section 114 of the

Education Act, make the Order in the attached Appendix, being The Olds School

District No. 235 (The Chinook's Edge School Division) Boundary Adjustment Order.

Dated at Edmonton, Alberta, August 5, 2021.

Adriana LaGrange, Minister.

APPENDIX

The Olds School District No. 235 (The Chinook's Edge School Division)

Boundary Adjustment Order

1 Pursuant to

Section 114 of the Education Act, all of the lands are taken from the

following school district and added to The Olds School District No. 235:

The Vale View School District No. 1756

2 Pursuant to

Section 114 of the Education Act, the following school districts are

dissolved:

The Vale View School District No. 1756

3 The Olds School District No. 235 shall be comprised of the following lands:

Township 31, Range 28, West of the 4th Meridian

Sections 18 and 19; Sections 30 and 31; North half of

Section 7.

Township 31, Range 29, West of the 4th Meridian

Sections 13, 24, 25, and 36; Those portions of Sections 14, 23, 26, and 35; North

half of

Section 12; That portion of the North half of

Section 11.

Township 32, Range 28, West of the 4th Meridian

Sections 1 to 12 inclusive; Sections 14 to 22 inclusive; Sections 26 to 34

inclusive; South halves and Northwest quarters of Sections 23 and 35.

Township 32, Range 29, West of the 4th Meridian

Sections 1, 12, 13, 24, 25, and 36; Those portions of Sections 2, 11, 14, 23, 26,

and 35.

Township 33, Range 27, West of the 4th Meridian

Southwest quarter of

Section 31.

Township 33, Range 28, West of the 4th Meridian

Sections 3 to 11 inclusive; Sections 13 to 36 inclusive; North half and Southwest

quarter of

Section 2.

Township 33, Range 29, West of the 4th Meridian

Sections 1, 12, 13, 24, 25, and 36; Those portions of Sections 2, 11, 14, 23, 26,

and 35.

Township 30, Range 2, West of the 5th Meridian

North half and Southeast quarter of

Section 32; West half of

Section 33;

Northeast quarter of

Section 31.

Township 31, Range 1, West of the 5th Meridian

Sections 6 and 7; Sections 13 to 36 inclusive; West half and Northeast quarter of

Section 8; East half of

Section 11; North half of

Section 12.

Township 31, Range 2, West of the 5th Meridian

Sections 1, 2, 4, and 5; Sections 7 to 36 inclusive; West half of

Section 3; North

half and Southeast quarter of

Section 6.

Township 31, Range 3, West of the 5th Meridian

Section 13; Sections 15 and 16; Sections 21 to 28 inclusive; Sections 33 to 36

inclusive; Northeast quarter of

Section 12; North half and Southwest quarter of

Section 14.

Township 32, Range 1, West of the 5th Meridian

Sections 1 to 36 inclusive.

Township 32, Range 2, West of the 5th Meridian

Sections 1 to 36 inclusive.

Township 32, Range 3, West of the 5th Meridian

Sections 1 to 4 inclusive; Sections 9 to 16 inclusive; Sections 21 to 28 inclusive;

Sections 33 to 36 inclusive.

Township 32, Range 4, West of the 5th Meridian

Sections 15 to 22 inclusive; Sections 27 to 34 inclusive.

Township 32, Range 5, West of the 5th Meridian

Sections 35 and 36.

Township 33, Range 1, West of the 5th Meridian

Sections 1 to 36 inclusive.

Township 33, Range 2, West of the 5th Meridian

Sections 1 to 36 inclusive.

Township 33, Range 3, West of the 5th Meridian

Sections 1 to 4 inclusive;

Section 7; Sections 9 to 36 inclusive; North half of

Section 8.

Township 33, Range 4, West of the 5th Meridian

Sections 1 to 16 inclusive,

Section 18; Sections 22 to 26 inclusive; Sections 35

and 36; South half and Northwest quarter of

Section 17; Southwest quarter of

Section 19.

Township 33, Range 5, West of the 5th Meridian

Sections 1 and 2; Sections 11 to 13 inclusive; Sections 23 to 25 inclusive; Those

portions of Sections 10, 14, 15, and 26 lying East of The Red Deer River.

Township 34, Range 2, West of the 5th Meridian

Sections 2 to 10 inclusive.

Township 34, Range 3, West of the 5th Meridian

Sections 1 to 12 inclusive.

Township 34, Range 4, West of the 5th Meridian

Sections 1, 2, 11, 12, 14, and 23.

4 This Order shall be effective September 1, 2022.

Justice and Solicitor General

Designation of Qualified Technician Appointment

(Intox EC/IR II)

Alberta Sheriffs

Bremer, Sean Michael

Bude, Barrie Lyle

Eberman, Tyler Matthew

Hoult, Rebecca Jean

Lamb, Tyler Earl

Patton, Cody Joel

Shuya, Logan Jonathan Ted

Skoog, Lance Nyal

Topping, Jeffrey Michael

Wagner, Blake Edward

(Date of Designation August 4, 2021)

Davies, Travis John

Erickson, Cody Daniel

Ford, Kyle Allan

Hourahine, Thomas James

Lokseth, Patricia Lynn

Maier, Scott Matthew

Rudzcki, Logan James

Smith, Tanner Ward

Wand, Rodney Edward

Wiseman, Claire Louise

(Date of Designation August 9, 2021)

Office of the Public Trustee

Property being held by the Public Trustee for a period of Ten

(10) Years

(Public Trustee Act)

Section 11(2)(

b) Name of Person Entitled

to Property

Description of

Property held

and its value or

estimated value

Property part of

deceased person's

Estate or held under

Court Order:

Deceased's Name

Judicial District

Court file number

Public Trustee

Office

Additional

Information

Hans C. Hansen

C/O Administrator, Lester

C. Camp

$0.00 - funds

held in cash by

Public Trustee;

Active Pooling

Order Number

Alberta Energy

Regulator

Pooling Order Number

OPGT Calgary

(File # 045580)

Legal Description:

4;23;32;31;SE

Kneehill County

Jennie Mccraig

$18.45 - funds

held in cash by

Public Trustee

Alberta Energy

Regulator

Pooling Order Number

205, 205A

Calgary File #

C-037675

Legal Description:

Plan 1223J; Block

3; The South West

25 feet of Lot 16

Town of Stavely

George Boulter

$1,792.47 -

funds held in

cash by Public

Trustee

Alberta Energy

Regulator

Pooling Order Number

205, 205A

Calgary File #

C-037676

Legal Description:

Plan 1223J; Block

4; Lots 3, 4 and 6

Town of Stavely

Wah Lee

$701.61 - funds

held in cash by

Public Trustee

Alberta Energy

Regulator

Pooling Order Number

205, 205A

Calgary File #

C-037677

Legal Description:

Plan 1223J; Block

4; the West Half of

Lot 11

Town of Stavely

Olaf J Granlien

$701.65 - funds

held in cash by

Public Trustee

Alberta Energy

Regulator

Pooling Order Number

205, 205A

Calgary File #

C-037678

Legal Description:

Plan 1223J; Block

4: Lot 13

Town of Stavely

Canadian Credit Mens

Trust Association LTD.

$701.74 - funds

held in cash by

Public Trustee

Alberta Energy

Regulator

Pooling Order Number

205, 205A

Calgary File #

C-037679

Legal Description:

Plan 1223J; Block

4; Lot 14

Town of Stavely

Robert J. Jarvis

$17.85 - funds

held in cash by

Public Trustee

Alberta Energy

Regulator

Pooling Order Number

205, 205A

Calgary File #

C-037680

Legal Description:

Plan 1223J; Block

4; the North

Easterly 25 feet of

Lot 15

Town of Stavely

Lang Pie

$701.47 - funds

held in cash by

Public Trustee

Alberta Energy

Regulator

Pooling Order Number

205, 205A

Calgary File #

C-037681

Legal Description:

Plan 1223J; Block

4; that Portion of

Lot 18 which lies

to the East of the

Westerly 25 feet of

the said lot

Town of Stavely

Amanda Bruhn

$2,640.78 -

funds held in

cash by Public

Trustee

Alberta Energy

Regulator

Pooling Order Number

205, 205A

Calgary File #

Legal Description:

Plan 1223J; Block

4; Lots 21 and 22

Plan 1223J; Block

5; the west half of

Lot 32 and the East

Half of Lot 33

Town of Stavely

Harry Orra Walker

$674.39 - funds

held in cash by

Public Trustee

Alberta Energy

Regulator

Pooling Order Number

205, 205A

Calgary File #

Legal Description:

Plan 1223J; Block

4; Lot 24

Town of Stavely

Daniel D. Flanagan &

George J. Willis

$35.77 - funds

held in cash by

Public Trustee

Alberta Energy

Regulator

Pooling Order Number

205, 205A

Calgary File #

Legal Description:

Plan 1223J; Block

5, Lot 9

Town of Stavely

Wah Lee & Dong Do

$25.17 - funds

held in cash by

Public Trustee

Alberta Energy

Regulator

Pooling Order Number

205, 205A

Calgary File #

Legal Description:

Plan 1223J; Block

5; the South Half

of West Half of

Lot 11

Town of Stavely

William Snider

$701.76 - funds

held in cash by

Public Trustee

Alberta Energy

Regulator

Pooling Order Number

205, 205A

Calgary File #

Legal Description:

Plan 1223J; Block

5, Lot 15

Town of Stavely

Mohamed, Ali & Abrahim

Karout

$1,333.96 -

funds held in

cash by Public

Trustee

Alberta Energy

Regulator

Pooling Order Number

205, 205A

Calgary File #

Legal Description:

Plan 1223J; Block

5; Lot 23 and 24

Town of Stavely

Leonard T Johnson

$698.34 - funds

held in cash by

Public Trustee

Alberta Energy

Regulator

Pooling Order Number

205, 205A

Calgary File #

Legal Description:

Plan 1223J; Block

5; Lot 27

Town of Stavely

Jemima Fuller Matthews

$18.92 - funds

held in cash by

Public Trustee

Alberta Energy

Regulator

Pooling Order Number

205, 205A

Calgary File #

Legal Description:

Plan 1223J; Block

5; the West Half of

Lot 29

Town of Stavely

Arthur C. Turley

$18.81 - funds

held in cash by

Public Trustee

Alberta Energy

Regulator

Pooling Order Number

205, 205A

Calgary File #

Legal Description:

Plan 1223J; Block

5; the East Half of

Lot 29

Town of Stavely

Pearl Mae Dobbie,

Executrix for Mitchell

Hyde Dobbie

$701.58 - funds

held in cash by

Public Trustee

Alberta Energy

Regulator

Pooling Order Number

205, 205A

Calgary File #

Legal Description:

Plan 1223J; Block

5; Lot 31

Town of Stavely

Leong Luke

$36.05 - funds

held in cash by

Public Trustee

Alberta Energy

Regulator

Pooling Order Number

205, 205A

Calgary File #

Legal Description:

Plan 1223J; Block

5; the North 40

Feet of the West

Half of Lot 33

Town of Stavely

Ann Mcnabb c/o

Administrator, Harry

James

$701.60 - funds

held in cash by

Public Trustee

Alberta Energy

Regulator

Pooling Order Number

205, 205A

Calgary File #

Legal Description:

Plan 5744J; Block

6; Lot 12

Town of Stavely

Albert N. Adams

$2,690.18 -

funds held in

cash by Public

Trustee

Alberta Energy

Regulator

Pooling Order Number

205, 205A

Calgary File #

Legal Description:

Plan 5744J; Block

6; Lot 3 to 6

inclusive

Town of Stavely

Leone Ringland

$701.57 - funds

held in cash by

Public Trustee

Alberta Energy

Regulator

Pooling Order Number

205, 205A

Calgary File #

Legal Description:

Plan 5744J; Block

6; Lot 13

Town of Stavely

Reinhold Weiss

$701.79 - funds

held in cash by

Public Trustee

Alberta Energy

Regulator

Pooling Order Number

205, 205A

Calgary File #

Legal Description:

Plan 5744J; Block

6; Lot 32

Town of Stavely

Charles Blaser

$4,130.52 -

funds held in

cash by Public

Trustee

Alberta Energy

Regulator

Pooling Order Number

205, 205A

Calgary File #

Legal Description:

Plan 2270W;

Block 9; Lots 19

and 20

Town of Stavely

Frank A. & Ida M. Hazen

$698.56 - funds

held in cash by

Public Trustee

Alberta Energy

Regulator

Pooling Order Number

205, 205A

Calgary File #

Legal Description:

Plan 2270W;

Block 9; Lot 26

Town of Stavely

Anna E. Walker

$305.43 - funds

held in cash by

Public Trustee

Alberta Energy

Regulator

Pooling Order Number

205, 205A

Calgary File #

Legal Description:

Plan 1223J; Block

5; the East Half

and the North Half

of the West Half of

Lot 11

Town of Stavely

Safety Codes Council

Corporate Accreditation

(Safety Codes Act)

Pursuant to

Section 28 of the Safety Codes Act it is hereby ordered that

ARC Resources Ltd., Accreditation No. C000162, Order No. 0383

provide services under the Safety Codes Act including applicable Alberta amendments

and regulations for the discipline of Electrical

Consisting of all parts of the CSA C22.1-18 Canadian Electrical Code (24th Edition)

as amended from time to time.

Accredited Date: December 2, 1995 Issued Date: August 6, 2021.

Municipal Accreditation

(Safety Codes Act)

Pursuant to

Section 26 of the Safety Codes Act it is hereby ordered that

Town of Nanton, Accreditation No. M000296, Order No. 2779

provide services under the Safety Codes Act including applicable Alberta amendments

and regulations for the discipline of Building

Consisting of all parts of the National Building Code - 2019 Alberta Edition, and the

National Energy Code of Canada for Buildings 2017 as amended from time to time.

Accredited Date: May 23, 1995 Issued Date: September 1, 2021.

_______________

Pursuant to

Section 26 of the Safety Codes Act it is hereby ordered that

Town of Nanton, Accreditation No. M000296, Order No. 2799

provide services under the Safety Codes Act including applicable Alberta amendments

and regulations for the discipline of Electrical

Consisting of all parts of the CSA C22.1-18 Canadian Electrical Code (24th Edition)

as amended from time to time.

Accredited Date: May 23, 1995 Issued Date: September 1, 2021.

Pursuant to

Section 26 of the Safety Codes Act it is hereby ordered that

Town of Nanton, Accreditation No. M000296, Order No. 2281

provide services under the Safety Codes Act including applicable Alberta amendments

and regulations for the discipline of Fire

Consisting of all parts of the National Fire Code - 2019 Alberta Edition as amended

from time to time, except for those requirements pertaining to the installation,

alteration, and removal of the storage tank systems for flammable and combustible

liquids; and Fire Investigation (cause and circumstance).

Accredited Date: May 23, 1995 Issued Date: September 1, 2021.

_______________

Pursuant to

Section 26 of the Safety Codes Act it is hereby ordered that

Town of Nanton, Accreditation No. M000296, Order No. 2798

provide services under the Safety Codes Act including applicable Alberta amendments

and regulations for the discipline of Gas

Consisting of all parts of the CAN/CSA-B149.1-15 Natural Gas and Propane

Installation Code, CAN/CSA-B149.2-15 Propane Storage and Handling Code, and

CAN/CSA-B108-18 Natural Gas Fuelling Stations Installation Code.

Excluding the CAN/CSA149.5-15 Installation Code for Propane Fuel Systems and

Tanks on Highway Vehicles, CSA-B109-17 Natural Gas for Vehicles Installation

Code, and CAN/CSA-B149.3-15 Code for the Field Approval of Fuel Related

Components on Appliances and Equipment.

Accredited Date: May 23, 1995 Issued Date: September 1, 2021.

_______________

Pursuant to

Section 26 of the Safety Codes Act it is hereby ordered that

Town of Nanton, Accreditation No. M000296, Order No. 2795

provide services under the Safety Codes Act including applicable Alberta amendments

and regulations for the discipline of Plumbing

Consisting of all parts of the National Plumbing Code of Canada 2015, and Alberta

Private Sewage Systems Standard of Practice 2015 as amended from time to time.

Accredited Date: May 23, 1995 Issued Date: September 1, 2021.

Alberta Securities Commission

NATIONAL INSTRUMENT 45-110 START-UP CROWDFUNDING

REGISTRATION AND PROSPECTUS EXEMPTIONS

(Securities Act)

Made as a rule by the Alberta Securities Commission on May 19, 2021 pursuant to

sections 223 and 224 of the Securities Act.

NATIONAL INSTRUMENT 45-110 START-UP CROWDFUNDING

REGISTRATION AND PROSPECTUS EXEMPTIONS

PART 1

DEFINITIONS AND

INTERPRETATION

Definitions

(1) In this Instrument,

"association" means any of the following:

(

a) a cooperative, as defined in subsection 2(1) of the Canada Cooperatives

Act (Canada);

(

b) a person or company referred to in Appendix A;

"crowdfunding distribution" means a distribution under

section 5;

"eligible security" means any of the following:

(

a) a common share;

(

b) a non-convertible preference share;

(

c) a security convertible into a security referred to in paragraph (

a) or (b);

(

d) a non-convertible debt security linked to a fixed or floating interest rate;

(

e) a unit of a limited partnership;

(

f) a share in the capital of an association;

"exempt market dealer" means a person or company registered in the category

of exempt market dealer;

"founder" means a person or company that,

(

a) in the case of an issuer or a funding portal, acting alone or in conjunction

or in concert with one or more persons or companies, directly or

indirectly, takes the initiative in founding, organizing or substantially

reorganizing the business of the issuer or funding portal, and

(

b) in the case of an issuer, at the time of the distribution or trade, is actively

involved in the business of the issuer;

"funding portal" means a person or company that facilitates or proposes to

facilitate a crowdfunding distribution through a web-based or application-

based platform;

"investment dealer" means a person or company registered in the category of

investment dealer;

"issuer group" means, in respect of an issuer, the following:

(

a) the issuer;

(

b) an affiliate of the issuer;

(

c) any other issuer if either of the following applies:

(

i) the other issuer is engaged in a common enterprise with the issuer

or with an affiliate of the issuer;

(ii) the other issuer's business is founded or organized by a person or

company that founded or organized the issuer;

"minimum offering amount", in respect of a crowdfunding distribution, means

the minimum amount disclosed in the issuer's completed Form 45-110F1

Offering Document;

"principal", except under paragraph 5(1)(b), means a founder, director, officer

or control person of a funding portal or an issuer;

"subsidiary" means an issuer that is controlled directly or indirectly by another

issuer and includes a subsidiary of that subsidiary.

(2) For the purposes of this Instrument, an issuer is affiliated with another issuer if

(

a) one of them is the subsidiary of the other, or

(

b) each of them is controlled by the same person or company.

(3) For the purposes of this Instrument, a person (first person) is considered to

control another person (second person) if

(

a) the first person beneficially owns or directly or indirectly exercises

control or direction over securities of the second person carrying votes

that, if exercised, would entitle the first person to elect a majority of the

directors of the second person, unless that first person holds the voting

securities only to secure an obligation,

(

b) the second person is a partnership, other than a limited partnership, and

the first person holds more than 50% of the interests of the partnership,

(

c) the second person is a limited partnership and the general partner of the

limited partnership is the first person.

Special application - Alberta, British Columbia, Ontario, Qu‚bec and

Saskatchewan

(1) In Alberta, an offering document that is provided under

section 5 is designated

to be an offering memorandum under securities legislation.

(2) In British Columbia, an offering document that is provided under paragraph

5(1)(

h) is a prescribed disclosure document for purposes of

section 132.1 of

the Securities Act (British Columbia).

(3) In Ontario, an issuer that distributes securities under

section 5 is prescribed as

a market participant under the Securities Act (Ontario).

(4) In Saskatchewan, an offering document that is provided under

section 5 is an

offering memorandum under securities legislation.

(5) In Qu‚bec,

(

a) an offering document that is provided under

section 5 and a Form 45-

110F2 Risk Acknowledgement made available to purchasers in

accordance with this Instrument must be drawn up in French only or in

(

b) a funding portal that has relied on the exemption under

section 3 is a

market participant determined by regulation for the purpose of

section

151.1.1 of the Securities Act (Qu‚bec),

(

c) an offering document that is provided under

section 5 and materials that

are made available to purchasers in accordance with this Instrument are

documents authorized by the Autorit‚ des march‚s financiers for use in

lieu of a prospectus, and

(d) "trade", in this Instrument, means any of the following activities:

(

i) the activities described in the definition of "dealer" in

section 5 of

the Securities Act (Qu‚bec), including the following activities:

(

A) the sale or disposition of a security by onerous title, whether

the terms of payment be on margin, instalment or otherwise,

but does not include a transfer or the giving in guarantee of

securities in connection with a debt or the purchase of a

security, except as provided under subparagraph (ii);

(

B) participation as a trader in any transaction in a security

through the facilities of an exchange or a quotation and trade

reporting system;

(

C) the receipt by a registrant of an order to buy or sell a security;

(ii) a transfer or the giving in guarantee of securities of an issuer from

the holdings of a control person in connection with a debt.

PART 2

EXEMPTION FROM THE DEALER REGISTRATION REQUIREMENT

Exemption from dealer registration requirement

(1) A funding portal is exempt from the dealer registration requirement if all of

the following apply:

(

a) the funding portal is not registered under securities legislation in any

jurisdiction of Canada;

(

b) the funding portal does not advise a purchaser about the merits of an

investment or recommend or represent that an eligible security is a

suitable investment for the purchaser;

(

c) the funding portal does not receive a commission, fee or other similar

payment from a purchaser;

(

d) the funding portal facilitates or proposes to facilitate crowdfunding

distributions only;

(

e) at least 30 days before the first date the funding portal facilitates a

crowdfunding distribution, the funding portal delivered to the securities

regulatory authority or regulator both of the following:

(

i) a completed Form 45-110F3 Funding Portal Information for the

funding portal certified by an authorized individual of the funding

portal;

(ii) a completed Form 45-110F4 Portal Individual Information for

each principal of the funding portal that contains a certification

signed by that principal;

(

f) the funding portal has its head office in Canada;

(

g) the funding portal has policies and procedures to prevent a person or

company from accessing its platform unless the person or company

acknowledges that the person or company is accessing a platform of a

funding portal that

(

i) is not registered under securities legislation in any jurisdiction of

Canada, and

(ii) will not, and is not authorized to, provide advice about

(

A) the suitability of any security for investment by the person or

company, or

(

B) the merits of any investment;

(

h) the following are disclosed on the funding portal's platform:

(

i) a statement that the funding portal is not registered under securities

legislation in any jurisdiction of Canada and is relying on the

exemption from the dealer registration requirement under this

Instrument;

(ii) a statement that the funding portal will hold each purchaser's assets

(

A) separate and apart from the funding portal's own assets,

(

B) in trust for the purchaser, and

(

C) in the case of cash, in a designated trust account at a

Canadian financial institution;

(iii) the policies and procedures that the funding portal will follow for

notifying each purchaser if the funding portal becomes insolvent or

discontinues operations, and how the funding portal will return a

purchaser's assets;

(

i) the funding portal holds each purchaser's assets

(

i) separate and apart from the funding portal's own assets,

(ii) in trust for the purchaser, and

(iii) in the case of cash, in a designated trust account at a Canadian

financial institution;

(

j) the funding portal has policies and procedures for handling assets, in

relation to a crowdfunding distribution, sufficient to provide reasonable

assurance that the funding portal will comply with the conditions under

paragraph (i);

(

k) the funding portal does not close a crowdfunding distribution on its

platform unless the funding portal receives, through the funding portal's

platform, payment for the distribution of each eligible security from the

purchaser of that security;

(

l) the funding portal has policies and procedures to ensure that, after an

issuer provides the funding portal with its completed Form 45-110F1

Offering Document and a Form 45-110F2 Risk Acknowledgement, these

documents are made available to each purchaser through the funding

portal's platform;

(

m) the funding portal has policies and procedures to prevent a purchaser

from subscribing to a crowdfunding distribution unless the purchaser

first completes Form 45-110F2 Risk Acknowledgement and confirms that

the purchaser has read and understands the issuer's completed Form 45-

110F1 Offering Document;

(

n) the funding portal has policies and procedures for, upon receiving notice

from an issuer that the issuer has amended its completed Form 45-110F1

Offering Document, promptly

(

i) posting the amendment on the funding portal's platform, and

(ii) notifying each purchaser of the amendment, and of the purchaser's

right to withdraw from the agreement to purchase the security by

delivering a notice to the funding portal under paragraph 5(1)(j);

(

o) the funding portal has policies and procedures to return all assets to a

purchaser within 5 business days of receiving a withdrawal notification

under paragraph 5(1)(

j) from the purchaser;

(

p) if an issuer has not raised the minimum offering amount by the 90th day

after the issuer's completed Form 45-110F1 Offering Document is first

made available to a prospective purchaser on the funding portal's

platform, or if an issuer notifies the funding portal that it is withdrawing

its crowdfunding distribution, no later than 5 business days after the 90th

day or the notice, as applicable, the funding portal

(

i) notifies the issuer, and each purchaser of that issuer's

crowdfunding distribution, that assets have been returned or are in

the process of being returned, and

(ii) takes reasonable steps to return, or cause to be returned, all assets

to each purchaser of that issuer's crowdfunding distribution;

(

q) if both periods referred to in paragraph 5(1)(

j) have elapsed, the funding

portal

(

i) releases, or causes to be released, all assets due to the issuer at the

closing of the distribution, and

(ii) no later than 15 days after the closing of the distribution,

(

A) notifies each purchaser that the assets have been released to

the issuer, and

(

B) provides the issuer with the documents referred to in

paragraph 5(2)(b);

(

r) neither the funding portal, nor any of its principals, is or has been the

subject of an order, judgment, decree, sanction, or administrative penalty

imposed by, or has entered into a settlement agreement with, a

government agency, administrative agency, self-regulatory organization

or court in the last 10 years related to a claim based in whole or in part

on fraud, theft, deceit, misrepresentation, conspiracy, breach of trust,

breach of fiduciary duty, insider trading, unregistered trading, illegal

distributions, failure to disclose material facts or changes, or allegations

of similar conduct;

(

s) neither the funding portal nor any of its principals is or has been a

principal of an entity that is or has been subject to an order, judgment,

decree, sanction or administrative penalty or a settlement agreement

referred to in paragraph (r);

(

t) the funding portal has policies and procedures to promptly notify the

securities regulatory authority or regulator, and any purchasers for which

it holds assets, of the process the funding portal will use to return assets

to those purchasers in the event that the funding portal becomes

insolvent or discontinues operations;

(

u) the funding portal is not insolvent.

(2) A funding portal relying on subsection (1) must

(

a) maintain, for a period of 8 years from the date a record is created,

records at its head office that accurately record its financial affairs and

client transactions, and demonstrate the extent of the funding portal's

compliance with this Instrument,

(

b) notify the securities regulatory authority or regulator of each change to

the information previously submitted in a document referred to in

paragraph (1)(

e) by delivering an amendment to the document no later

than 30 days after the change,

(

c) take reasonable steps to confirm that the majority of the directors of the

funding portal ordinarily reside in Canada,

(

d) disclose on its platform, for each principal of the funding portal, the

principal's full legal name, municipality and jurisdiction of residence,

business mailing and email addresses and business telephone number,

(

e) take reasonable steps to confirm that the head office of an issuer is in

Canada before allowing the issuer to post a crowdfunding distribution on

the funding portal's platform,

(

f) not allow a person or company to access the funding portal's platform

unless the person or company acknowledges that the person or company

is accessing a platform of a funding portal that

(

i) is not registered under securities legislation in any jurisdiction of

Canada, and

(ii) will not, and is not authorized to, provide advice about

(

A) the suitability of any security for investment by the person or

company, or

(

B) the merits of any investment,

(

g) not close a crowdfunding distribution on its platform unless the funding

portal has made the issuer's completed Form 45-110F1 Offering

Document and Form 45-110F2 Risk Acknowledgement available to each

purchaser through the funding portal's platform,

(

h) not close a crowdfunding distribution on its platform unless each

purchaser completes Form 45-110F2 Risk Acknowledgement

acknowledging the risks and confirms that the purchaser has read and

understands the issuer's completed Form 45-110F1 Offering Document,

(

i) upon receiving notice from an issuer that the issuer has amended its

completed Form 45-110F1 Offering Document, promptly

(

i) post the amendment on the funding portal's platform, and

(ii) notify each purchaser of the amendment, and the purchaser's right

to withdraw from the agreement to purchase the security by

delivering a notice to the funding portal under paragraph 5(1)(j),

(

j) return all assets to a purchaser within 5 business days of receiving a

withdrawal notification under paragraph 5(1)(

j) from the purchaser,

(

k) during the following periods of each year, deliver to the securities

regulatory authority or regulator a completed Form 45 110F5 Semi-

Annual Financial Resources Certification:

(

i) between January 1 and January 10, and

(ii) between July 1 and July 10, and

(

l) upon becoming insolvent or discontinuing operations, promptly notify

the securities regulatory authority or regulator, and any purchasers for

which it holds assets, of the process the funding portal will use to return

the assets to those purchasers.

PART 3

REGISTERED FUNDING PORTALS

Requirements for investment dealers or exempt market dealers operating

funding portals

(1) A funding portal that is an investment dealer or exempt market dealer must

not

(

a) close a crowdfunding distribution on its platform unless

(

i) the funding portal receives, through its platform, payment for the

distribution of each eligible security from the purchaser of such

security,

(ii) the funding portal has made the issuer's completed Form 45-110F1

Offering Document and Form 45-110F2 Risk Acknowledgement

available to each purchaser through its platform, and

(iii) each purchaser completes the Form 45-110F2 Risk

Acknowledgement acknowledging the risks and confirms that the

purchaser has read and understands the issuer's completed Form

45-110F1 Offering Document, and

(

b) allow a person or company to access the funding portal's platform unless

the person or company has acknowledged that the person or company is

accessing a platform that

(

i) is operated by an investment dealer or an exempt market dealer, as

applicable, and

(ii) will provide advice about the suitability of the eligible security.

(2) A funding portal that is an investment dealer or exempt market dealer must

(

a) take reasonable steps to confirm that the head office of an issuer is in

Canada before allowing the issuer to post a crowdfunding distribution on

the funding portal's platform,

(

b) upon receiving notice from an issuer that the issuer has amended its

completed Form 45-110F1 Offering Document, promptly notify each

purchaser of that issuer's crowdfunding distribution of

(

i) the amendment, and

(ii) the purchaser's right to withdraw from the agreement to purchase

the security by delivering a notice to the funding portal under

paragraph 5(1)(j),

(

c) return all assets to a purchaser within 5 business days of receiving a

withdrawal notification under paragraph 5(1)(

j) from the purchaser,

(

d) upon an issuer not raising the minimum offering amount by the 90th day

after the issuer's completed Form 45-110F1 Offering Document is first

made available to a prospective purchaser on the funding portal's

platform, or an issuer notifying the funding portal that it is withdrawing

its crowdfunding distribution, no later than 5 business days after the 90th

day or the notice, as applicable,

(

i) notify the issuer, and each purchaser of that issuer's crowdfunding

distribution, that assets have been returned or are in the process of

being returned, and

(ii) take reasonable steps to return, or cause to be returned, all assets to

each purchaser of that issuer's crowdfunding distribution, and

(

e) after the later of the periods referred to in paragraph 5(1)(

j) has elapsed,

(

i) release, or cause to be released, all assets due to the issuer at the

closing of the distribution, and

(ii) no later than 15 days after the closing of the distribution,

(

A) notify each purchaser that the assets have been released to the

issuer, and

(

B) provide the issuer with all information required to comply

with the issuer's obligations under paragraph 5(2)(b).

PART 4

EXEMPTION FROM PROSPECTUS REQUIREMENT FOR ISSUERS

Exemption from prospectus requirement for issuers

(1) An issuer is exempt from the prospectus requirement in respect of a

crowdfunding distribution if all of the following apply:

(

a) the distribution of and payment for the security is facilitated through a

funding portal that is

(

i) relying on subsection 3(1), or

(ii) operated by an exempt market dealer or investment dealer;

(

b) the purchaser purchases the security as principal;

(

c) the issuer is not a reporting issuer in any jurisdiction of Canada or the

equivalent in any foreign jurisdiction;

(

d) the issuer is not an investment fund;

(

e) the issuer has its head office in Canada;

(

f) the security distributed is an eligible security of the issuer's own issue;

(

g) the aggregate gross proceeds raised by the issuer group in reliance on

this

section during the 12-month period before the closing of the

crowdfunding distribution do not exceed $1 500 000;

(

h) the issuer has completed a Form 45-110F1 Offering Document and

provided it to the funding portal;

(

i) the crowdfunding distribution closes no later than the 90th day after the

date the issuer's completed Form 45-110F1 Offering Document is first

made available to a prospective purchaser on the funding portal's

platform;

(

j) the subscription agreement provides that the purchaser may withdraw

from the agreement to purchase the security,

(

i) after entering into the agreement, by delivering a notice of

withdrawal to the funding portal not later than midnight on the 2nd

business day after the day on which the purchaser enters into the

agreement, and

(ii) after an amendment to the issuer's completed Form 45-110F1

Offering Document, by delivering a notice of withdrawal not later

than midnight on the 2nd business day after the day on which the

funding portal notifies the purchaser of the amendment;

(

k) the issuer's completed Form 45-110F1 Offering Document discloses how

the issuer intends to use the assets raised and the minimum offering

amount required to close the crowdfunding distribution;

(

l) the issuer does not close the crowdfunding distribution until the issuer

has raised the minimum offering amount stated in the issuer's completed

Form 45-110F1 Offering Document either through subscriptions to the

crowdfunding distribution or any concurrent distribution under one or

more other exemptions from the prospectus requirement, provided that

the assets are unconditionally available to the issuer;

(

m) no concurrent crowdfunding distribution is made by any member of the

issuer group for the same purposes as described in the issuer's completed

Form 45-110F1 Offering Document;

(

n) no commission, fee or similar payment is paid by the issuer to the issuer

group, or any principal, employee or agent of a member of the issuer

group, with respect to the crowdfunding distribution;

(

o) no principal of the issuer group is a principal of the funding portal;

(

p) the issuer does not distribute to any one purchaser securities valued at

more than,

(

i) subject to subparagraph (ii), $2 500, or

(ii) if the purchaser has obtained advice from a registered dealer that

the investment is suitable for the purchaser, $10 000;

(

q) the issuer

(

i) has operations other than operations to identify and evaluate assets

or a business with a view to completing an investment in, merger

with, amalgamation with or a purchase of the securities of an

issuer, or the acquisition of a business, and

(ii) does not intend to use the proceeds of the crowdfunding

distribution to invest in, merge with, amalgamate with or to

purchase securities of an issuer, or to acquire a business, unless the

issuer or the business is identified in the issuer's completed Form

45-110F1 Offering Document.

(2) An issuer relying on subsection (1) must,

(

a) if the issuer becomes aware that its completed Form 45-110F1 Offering

Document is not accurate, or is no longer accurate, promptly

(

i) advise the funding portal that the issuer's Form 45-110F1 Offering

Document is not accurate, or is no longer accurate,

(ii) amend the Form 45-110F1 Offering Document so that it is

accurate, and

(iii) provide the amended Form 45-110F1 Offering Document to the

funding portal, and

(

b) within 30 days after the closing of the crowdfunding distribution, deliver

to each purchaser

(

i) a written confirmation setting out all of the following:

(

A) the date of subscription and the closing of the crowdfunding

distribution;

(

B) the quantity and description of the eligible security

purchased;

(

C) the price per eligible security paid by the purchaser;

(

D) the total commissions, fees and any other similar payments

paid by the issuer to the funding portal in respect of the

crowdfunding distribution, and

(ii) a copy of the issuer's completed Form 45-110F1 Offering

Document.

Filing of distribution materials

6. An issuer that distributes a security under this Instrument must, no later than

the 30th day after the closing of the crowdfunding distribution, file with the

securities regulatory authority or regulator both of the following:

(

a) the issuer's completed Form 45-110F1 Offering Document;

(

b) a report of exempt distribution in accordance with Form 45-106F1

Report of Exempt Distribution of National Instrument 45-106 Prospectus

Exemptions.

PART 5

EXEMPTION

Exemption

(1) The securities regulatory authority or regulator may grant an exemption from

this Instrument, in whole or in part, subject to such conditions or restrictions

as may be imposed in the exemption.

(2) Despite subsection (1), in Ontario, only the regulator may grant an exemption.

(3) Except in Alberta and Ontario, an exemption referred to in subsection (1) is

granted under the statute referred to in Appendix B of National Instrument 14-

Definitions opposite the name of the local jurisdiction.

PART 6

EFFECTIVE DATE

Effective date

(1) This Instrument comes into force on September 21, 2021.

(2) In Saskatchewan, despite subsection (1), if this Instrument is filed with the

Registrar of Regulations after September 21, 2021, this Instrument comes into

force on the day on which they are filed with the Registrar of Regulations.

APPENDIX A

NATIONAL INSTRUMENT 45-110 START-UP CROWDFUNDING

REGISTRATION AND PROSPECTUS EXEMPTIONS

ASSOCIATIONS

In this Instrument, a person or company is an "association" if the person or company

is any of the following:

* a cooperative, as defined in subsection 1(1) of the Cooperatives Act

(Alberta)

* an association, as defined in subsection 1(1) of the Cooperative Association

Act (British Columbia)

* a cooperative, as defined in subsection 1(1) of the Cooperatives Act

(Manitoba)

* a cooperative, as defined in

section 1 of the Cooperatives Act (New

Brunswick)

* a co-operative, as defined in

section 2 of the Co-Operatives Act

(Newfoundland)

* an association, as defined in

section 1 of the Co-Operative Associations Act

(Northwest Territories)

* an association, as defined in

section 2 of the Co-Operative Associations Act

(Nova Scotia)

* an association, as defined in

section 1 of the Co-Operative Associations Act

(Nunavut)

* a co-operative, as defined in

section 1 of the Co-Operative Corporations Act

(Ontario), only if permitted or authorized by that legislation to rely on the

exemption from the prospectus requirement in this Instrument

* an association, as defined in

section 1 of the Co-Operative Associations Act

(Prince Edward Island)

* a cooperative, as defined in

section 3 of the Co-Operatives Act (Qu‚bec)

* a co-operative, as defined in clause 2(1)(

l) of The New Generation Co-

Operatives Act (Saskatchewan)

* an association, as defined in

section 1 of the Cooperative Associations Act

(Yukon)

FORM 45-110F1

OFFERING DOCUMENT

GENERAL INSTRUCTIONS:

(1) This offering document must be provided to your funding portal, which must

make it available on its online platform. This offering document must not

contain a misrepresentation. A misrepresentation means an untrue statement of

material fact or an omission to state a material fact that is required to be stated,

or necessary to prevent a statement that is made from being false or misleading

in the circumstances in which it was made. If the information contained in this

offering document is no longer accurate and contains a misrepresentation, you

must immediately notify the funding portal, amend the offering document and

provide the new version to the funding portal.

(2) If an issuer is relying on the start-up crowdfunding prospectus exemption

(section 5 of the Instrument) in the local jurisdiction with respect to a

crowdfunding distribution, the issuer must file this offering document in the

local jurisdiction. Note: if a purchaser of the securities and the issuer are in

different jurisdictions, the crowdfunding distribution is occurring in both

jurisdictions - the jurisdiction of the issuer's head office and the jurisdiction of

the purchaser.

(3) This offering document is required to be filed no later than the 30th day after

the closing of the distribution.

(4) This offering document must be completed and certified by an authorized

individual on behalf of the issuer.

(5) Draft this offering document so that it is easy to read and understand. Be

concise and use clear, plain language. Avoid technical terms.

(6) Disclosure must conform as closely as possible to this form. Address the items

in the order set out below. No variation of headings, numbering or information

set out in the form is allowed and all are to be displayed as shown.

Item 1: RISKS OF INVESTING

1.1 Include the following statement in bold type:

"No securities regulatory authority or regulator has assessed, reviewed or

approved the merits of these securities or reviewed this offering document.

Any representation to the contrary is an offence. This is a risky

investment."

1.2 Include the following statement, in bold type, if the issuer provides forward-

looking statements:

"The forecasts and predictions of an early-stage business are difficult to

objectively analyze or confirm. Forward-looking statements represent the

opinion of the issuer only and may not prove to be reasonable."

Item 2: THE ISSUER

2.1 Provide the following information about the issuer:

(

a) full legal name as it appears in the issuer's articles of incorporation,

limited partnership agreement or other organizing documents, as the case

may be;

(

b) head office address;

(

c) telephone;

(

d) email address;

(

e) website URL.

Instructions: The head office is where the individuals managing the issuer, including

the CEO, maintain their offices. This may be the same as, or different from, the

registered office address, depending on the legal structure of the issuer. The address

of the head office must be a physical address and not a post office (P.O.) box.

2.2 Provide the following information for a contact person of the issuer who is able

to answer questions from purchasers and the securities regulatory authority or

regulator:

(

a) full legal name (first name, middle name and last name);

(

b) position held with the issuer;

(

c) business address;

(

d) business telephone;

(

e) email address.

Item 3: ISSUER'S BUSINESS

3.1 Describe the issuer's business. Provide enough detail for an investor to clearly

understand what the issuer does or intends to do.

Instructions:

(1) Answer the following questions if applicable:

 Does or will the issuer build, design or develop something? Will it sell

something produced by others? Will it provide a service?

 What are the key details about the issuer's industry and operations? What

makes the issuer's business special and different from other competitors in

the industry?

 What milestones has the issuer already reached and what do they hope to

achieve in the next 2 years? E.g., Complete testing, find a manufacturer,

commence a marketing campaign or buy inventory. What is the proposed

timeline for achieving each of the milestones?

 What are the major hurdles that the issuer expects to face in achieving its

milestones?

 How are the funds raised from this financing expected to help the issuer

advance its business and achieve one or more of the milestones?

 Has the issuer entered any contracts that are important to its business?

 Has the issuer conducted any operations yet?

 Where does the issuer see its business in 3, 5 and 10 years?

 What are the issuer's future plans and hopes for its business and how does it

plan to get there?

 What is the issuer's management experience in running a business or in the

same industry?

 Does the issuer have business premises from which it can operate its

business?

 How many employees does the issuer have? How many does it need?

(2) Do not refer to a measure of financial performance, financial position or cash

flow in the offering document unless (

i) the issuer has made financial statements

available for the most recently completed financial year, and (ii) the measure

referred to in the offering document is an amount presented in the financial

statements or is reconciled to an amount presented in the financial statements.

(3) An issuer must have operations other than to identify and evaluate assets or a

business with a view to completing an investment in, merger with, amalgamation

with or acquisition of a business, or a purchase of the securities of one or more

other issuers. If it has no other operations, it must not raise capital using start-

up crowdfunding.

3.2 Describe the legal structure of the issuer and indicate the jurisdiction where the

issuer is incorporated or organized.

Instructions:

(1) Indicate whether the issuer is a corporation, a limited partnership, a general

partnership, an association (as defined under the Instrument) or other.

(2) Indicate the province, territory or state where the issuer is incorporated or

organized.

3.3 Indicate where the issuer's articles of incorporation, limited partnership

agreement, shareholder agreement or similar document is available for

purchasers to review.

Instruction: You may provide online access to these documents for investors.

3.4 Indicate which statement(

s) best describe(

s) the issuer's operations (select all

that apply)

The issuer

[] has never conducted operations,

[] is in the development stage,

[] is currently conducting operations.

3.5 Indicate whether the issuer has financial statements available. If yes, include the

following statement, in bold type:

"Information for purchasers: If you receive financial statements from an

issuer conducting a crowdfunding distribution, you should know that those

financial statements have not been provided to or reviewed by a securities

regulatory authority or regulator. They are not part of this offering

document. You should also consider seeking advice from an accountant or

an independent financial adviser about the information in the financial

statements."

Instructions:

(1) Any financial statements made available in connection with the start-up

crowdfunding distribution must be prepared in accordance with Canadian

GAAP. These financial statements must present the issuer's results of operations

for its most recently completed financial year.

(2) If an auditor has issued an auditor's report on the financial statements, it must

be included with the financial statements. If the financial statements were not

audited, the issuer must label the financial statements as unaudited.

3.6 Describe the number and type of securities of the issuer outstanding as at the

date of the offering document. If there are securities outstanding other than the

eligible securities being offered, describe those securities.

Item 4: MANAGEMENT

4.1 Provide the information in the following table for each founder, director, officer

and control person of the issuer:

Full legal

name,

municipality

of residence

and position

at issuer

Principal

occupation

for the last

5 years

Expertise,

education,

and

experience

that is

relevant to

the issuer's

business

Number

and type

securities

of the

issuer

owned

Date

securities

were

acquired

and price

paid for

the

securities

Percentage of

the issuer's

securities held

as of the date

of this

offering

document

4.2 Provide the name of the person involved and details of the time, nature and the

outcome of the proceedings for each of the persons listed under item 4.1 and the

issuer who, as the case may be:

(

a) has ever pleaded guilty to or been found guilty of

(

i) a

summary conviction or indictable offence under the Criminal

Code,

(ii) a quasi-criminal offence in any jurisdiction of Canada or a foreign

jurisdiction,

(iii) a misdemeanor or felony under the criminal legislation of the United

States of America, or any state or territory therein, or

(iv) an offence under the criminal legislation of any other foreign

jurisdiction,

(

b) is or has been the subject of an order (cease trade or otherwise), judgment,

decree, sanction, or administrative penalty imposed by, or has entered into

a settlement agreement with, a government agency, administrative agency,

self-regulatory organization, civil court, or administrative court of Canada

or a foreign jurisdiction in the last 10 years related to:

(

i) the person's involvement in any securities, insurance or banking

activity, or

(ii) a claim based in whole or in part on fraud, theft, deceit,

misrepresentation, conspiracy, breach of trust, breach of fiduciary

duty, insider trading, unregistered trading, illegal distributions,

failure to disclose material facts or changes, or allegations of similar

conduct,

(

c) is or has been the subject of an order, judgment, decree, sanction or

administrative penalty imposed by a discipline committee, professional

order or administrative court of Canada or a foreign jurisdiction in the last

ten years related to any professional misconduct,

(

d) is or has ever been the subject of a bankruptcy or insolvency proceeding,

(

e) is a director, officer, founder or control person of a person or company that

is or has been subject to a proceeding described in paragraph (a), (b), (

c) or

(

d) above.

Instruction: A quasi-criminal offence includes offences under the Income Tax Act

(Canada), the Immigration and Refugee Protection Act (Canada) or the tax,

immigration, drugs, firearms, money laundering or securities legislation of any

province or territory of Canada or foreign jurisdiction.

Item 5: CROWDFUNDING DISTRIBUTION

5.1 Provide the name of the funding portal the issuer is using to conduct its

crowdfunding distribution. If the issuer is using a funding portal that is operated

by a registered dealer, provide the name of the registered dealer.

Instruction: This offering document must not be posted on more than one funding

portal.

5.2 Indicate all the jurisdictions (Canadian provinces and territories) where the

issuer intends to raise funds and make this offering document available.

[] Alberta

[] Newfoundland and

Labrador

[] Ontario

[] British Columbia

[] Prince Edward Island

[] Manitoba

[] Northwest Territories

[] Qu‚bec

[] New Brunswick

[] Nova Scotia

[] Saskatchewan

[] Nunavut

[] Yukon

5.3 Provide the following information with respect to the crowdfunding distribution:

(

a) the date before which the issuer must have raised the minimum offering

amount for the closing of the distribution (no later than 90 days after the

date this offering document is first made available on the funding portal);

(

b) the date(

s) and description of amendment(

s) made to this offering

document, if any.

Instruction: An amendment to the offering document must not change the date

referred to under paragraph (a).

5.4 Indicate the type of eligible securities offered.

[] Common shares

[] Non-convertible preference shares

[] Securities convertible into common shares

[] Securities convertible into non-convertible preference shares

[] Non-convertible debt linked to a fixed interest rate

[] Non-convertible debt linked to a floating interest rate

[] Limited partnership units

[] Shares in the capital of an association. Specify type of shares (e.g.

membership, investment, preference, etc.): _______________

5.5 The securities offered have the following rights, restrictions and conditions:

[] voting rights;

[] dividends or interests (describe any right to receive dividends or interest);

[] rights on dissolution;

[] conversion rights (describe what each security is convertible into);

[] tag-along rights;

[] drag-along rights;

[] pre-emptive rights;

[] other (describe the rights).

Instruction: This information is found in the organizing documents referred to in

item 3.3.

5.6 Provide a brief

summary of any other material restrictions or conditions that

attach to the eligible securities being offered, such as tag-along, drag along or

pre-emptive rights.

Instruction: The restrictions and conditions required to be described here are found

in by-laws, shareholder's agreements or limited partnership agreements.

5.7 In a table, provide the following information:

Total amount ($)

Total number of securities

issuable

Minimum offering amount

Maximum offering amount

Price per security

5.8 Indicate the minimum investment amount per purchaser, or if the issuer has not

set a minimum investment amount, state that fact.

5.9 Include the following statement in bold type:

"Note: The minimum offering amount stated in this offering document may

be satisfied with funds that are unconditionally available to [insert name of

issuer] that are raised using other prospectus exemptions."

Item 6: USE OF FUNDS

6.1 Provide the following information on the funds previously raised by the issuer:

(

a) the amount of funds previously raised;

(

b) how the issuer raised those funds;

(

c) if the funds were raised by issuing securities, the prospectus exemption that

the issuer relied on to issue those securities;

(

d) how the issuer used those funds.

If the issuer has not previously raised funds, state that fact.

6.2 Using the following table, provide a detailed breakdown of how the issuer will

use the funds raised from this crowdfunding distribution. If any of the funds will

be paid directly or indirectly to a founder, director, officer or control person of

the issuer, disclose in a note to the table the name of the person, the relationship

to the issuer and the amount. If more than 10% of the available funds will be

used by the issuer to pay debt and the issuer incurred the debt within the two

preceding financial years, describe why the debt was incurred.

Description of intended use of funds

listed in order of priority

Assuming minimum

offering amount

Assuming maximum

offering amount

Item 7: PREVIOUS CROWDFUNDING DISTRIBUTIONS

7.1 For each crowdfunding distribution in which the issuer group and each founder,

director, officer and control person of the issuer group have been involved in the

past five years, provide the following information:

(

a) the full legal name of the issuer that made the distribution;

(

b) the name of the funding portal;

(

c) whether the distribution successfully closed, was withdrawn by the issuer

or did not close because the minimum offering amount was not reached,

and the date on which any of these occurred.

Instruction: Provide the information for all previous crowdfunding distributions

involving the issuer group and each founder, director, officer and control person of

each member of the issuer group, even if the previous crowdfunding distribution was

made by an issuer that is not a member of the issuer group.

Item 8: COMPENSATION PAID TO FUNDING PORTAL

8.1 Provide a description of each commission, fee or other amount expected to be

paid by the issuer to the funding portal for this crowdfunding distribution and

the estimated amount to be paid. If a commission is being paid, indicate the

percentage that the commission will represent of the gross proceeds of the

offering assuming both the minimum and maximum offering amount.

Item 9: RISK FACTORS

9.1 Describe in order of importance, starting with the most important, the risk

factors material to the issuer that a reasonable investor would consider important

in deciding whether to buy the issuer's securities.

9.2 If the securities being distributed are to pay interest, dividends or distributions

and the issuer does not have the financial resources to make such payments,

(other than from the sale of securities) state in bold type:

"We do not currently have the financial resources to pay [interest,

dividends or distributions] to investors. There is no assurance that we will

ever have the financial resources to do so."

Item 10: REPORTING OBLIGATIONS

10.1 Describe the nature and frequency of any disclosure of information the issuer

intends to provide to purchasers after the closing of the distribution and explain

how purchasers can access this information.

10.2 If the issuer is required by corporate legislation, its constating documents (e.g.,

articles of incorporation or by-laws) or otherwise to provide annual financial

statements or an information circular/proxy statements to its security holders,

state that fact.

10.3 If the issuer is aware, after making reasonable inquiries, of any existing voting

trust agreement among certain shareholders of the issuer, provide the

information:

(

a) the number of shareholders party to the agreement;

(

b) the percentage of voting shares of the issuer subject to the agreement;

(

c) the name of the person acting as a trustee;

(

d) whether the trustee has been granted any additional powers;

(

e) whether the agreement is limited to a specified period of time.

Item 11: RESALE RESTRICTIONS

11.1 Include the following statement, in bold type:

"The securities you are purchasing are subject to a resale restriction. You

might never be able to resell the securities."

Item 12: PURCHASERS' RIGHTS

12.1 Include the following statement, in bold type:

"Rights of Action in the Event of a Misrepresentation

If there is a misrepresentation in this offering document, you have a right

(

a) to cancel your agreement with [name of issuer or other term used

to refer to issuer] to buy these securities, or

(

b) to damages against [name of issuer or other term used to refer to

issuer] and may, in certain jurisdictions, have the statutory right

to damages from other persons.

These rights are available to you whether or not you relied on the

misrepresentation. However, there are various circumstances that limit

your rights. In particular, your rights might be limited if you knew of the

misrepresentation when you purchased the securities.

If you intend to rely on the rights described in paragraph (

a) or (

b) above,

you must do so within strict time limitations.

Two-day cancellation right:

You may cancel your agreement to purchase these securities. To do so, you

must send a notice to the funding portal not later than midnight on the

second business day after you enter into the agreement. If there is an

amendment to this offering document, you can cancel your agreement to

purchase these securities by sending a notice to the funding portal not later

than midnight on the second business day after the funding portal provides

you notice of the amendment."

Item 13: DATE AND CERTIFICATE

13.1 Include the following statement in bold type:

"This offering document does not contain a misrepresentation."

13.2 Provide the signature, date of the signature, name and position of the authorized

individual certifying this offering document.

13.3 If this offering document is signed electronically, include the following

statement in bold type:

"I acknowledge that I am signing this offering document electronically and

agree that this is the legal equivalent of my handwritten signature."

FORM 45-110F2

RISK ACKNOWLEDGEMENT

Issuer Name:

Type of Eligible Security Offered:

WARNING!

BUYER BEWARE: This investment is risky.

Don't invest unless you can afford to lose all the money you pay for this

investment.

Yes

1. Risk acknowledgement

Risk of loss - Do you understand that this is a risky investment

and that you may lose all the money you pay for this

investment?

No income - Do you understand that you may not earn any

income, such as dividends or interest, on this investment?

Liquidity risk - Do you understand that you may never be able

to sell this investment?

Lack of information - Do you understand that you may not be

provided with any ongoing information about the issuer and/or

this investment?

2. No approval and no advice Instruction: Delete "and no advice" if the funding

portal is operated by a registered dealer.

No approval - Do you understand that this investment has not

been reviewed or approved in any way by a securities

regulatory authority or regulator?

No advice - Do you understand that you will not receive advice

about your investment? Instruction: Delete this row if the

funding portal is operated by a registered dealer.

3. Limited legal rights

Limited legal rights - Do you understand that you will not

have the same rights as if you purchased under a prospectus or

through a stock exchange?

If you want to know more, you may need to seek professional

legal advice.

4. Purchaser's acknowledgement

Investment risks - Have you read this form and do you

understand the risks of making this investment?

Offering document - Has an offering document relating to this

investment been made available to you on the funding portal?

The offering document contains important information about

this investment. If you have not read the offering document or if

you do not understand the information in it, you should not

invest. You should retain a copy of the offering document for

your records.

Have you read and do you understand the information in the

offering document?

First and last name:

Electronic signature: By clicking the [I confirm] button, I acknowledge that I am

signing this form electronically and agree that this is the legal equivalent of my

handwritten signature. I will not at any time in the future claim that my electronic

signature is not legally binding. The date of my electronic signature is the same as my

acknowledgement.

5. Additional information

You have two days to cancel your purchase by sending a notice to the funding

portal at: Instruction: Provide email address where purchasers can send their notice.

Describe any other manner for purchasers to cancel their purchase.

If you want more information about your local securities regulation, go to

www.securities-administrators.ca. Securities regulators do not provide advice on

investment.

To check if the funding portal is operated by a registered dealer, go to

www.aretheyregistered.ca. Instruction: Delete if the funding portal is not operated

by a registered dealer.

FORM 45-110F3

FUNDING PORTAL INFORMATION

GENERAL INSTRUCTION:

If the funding portal is relying on the start-up crowdfunding registration exemption

(section 3 of the Instrument), the funding portal must complete and deliver this form

with any attachments and all corresponding Forms 45-110F4 Portal Individual

Information to the securities regulatory authority or regulator if the funding portal

facilitates or intends to facilitate a crowdfunding distribution.

FUNDING PORTAL INFORMATION

1. Provide the following information regarding the funding portal:

(

a) full legal name of the funding portal as it appears on the funding portal's

organizing documents;

(

b) name that the funding portal will be operating under;

(

c) website URL;

(

d) telephone;

(

e) email address;

(

f) head office address;

(

g) jurisdiction where the head office is located (check).

[] Alberta

[] Newfoundland and

Labrador

[] Ontario

[] British Columbia

[] Prince Edward Island

[] Manitoba

[] Northwest Territories

[] Qu‚bec

[] New Brunswick

[] Nova Scotia

[] Saskatchewan

[] Nunavut

[] Yukon

2. Provide the following information regarding the contact person for the funding

portal:

(

a) full legal name (first name, middle name and last name);

(

b) business address;

(

c) business telephone;

(

d) email address.

3. Provide the following information regarding each founder, director, officer and

control person of the funding portal. If necessary, use an attachment signed and

dated by the authorized individual certifying this form.

(

a) full legal name (first name, middle name and last name);

(

b) position(

s) held.

4. Indicate each jurisdiction where the funding portal is delivering this form. The

funding portal must deliver this form in the local jurisdiction if it facilitates or

intends to facilitate a crowdfunding distribution in that jurisdiction.

[] Alberta

[] Newfoundland and

Labrador

[] Ontario

[] British Columbia

[] Prince Edward Island

[] Manitoba

[] Northwest Territories

[] Qu‚bec

[] New Brunswick

[] Nova Scotia

[] Saskatchewan

[] Nunavut

[] Yukon

5. Provide the date the funding portal expects to begin to facilitate crowdfunding

distributions in the jurisdictions indicated under item 4.

6. If the funding portal is relying on National Instrument 45-110 Start-up

Crowdfunding Registration and Prospectus Exemptions in any jurisdiction,

provide the name(

s) of the jurisdiction(

s) and the date this Funding Portal

Information form was delivered to the securities regulatory authority or

regulator.

LEGAL STRUCTURE AND CONSTATING DOCUMENTS

7. Indicate the legal structure of the funding portal.

[] Sole proprietorship

[] Partnership

[] Limited partnership (provide the name of the general partner)

[] Corporation

[] Other (specify)

8. Attach the funding portal's organizing documents: for example, the funding

portal's articles and certificate of incorporation, any articles of amendments,

partnership agreement or declaration of trust. If the funding portal is a sole

proprietorship, provide a copy of the registration of the trade name. The

attachment must be signed and dated by the authorized individual certifying this

form.

9. Attach a chart showing the funding portal's structure and ownership. Include

disclosure for all parents, affiliates and subsidiaries. Include the name of each

person or company, and the class, type, amount and voting percentage of

ownership of the funding portal's securities. The attachment must be signed and

dated by the authorized individual certifying this form.

BUSINESS ACTIVITIES

10. Provide a description of following:

(

a) the proposed business activities of the funding portal;

(

b) the marketing strategy of the funding portal;

(

c) the target issuers, including their sectors;

(

d) the key risks you identify in operating your funding portal.

CRIMINAL DISCLOSURE

11. Has the funding portal ever been found guilty, pleaded no contest to, or been

granted an absolute or conditional discharge from

(

a) a

summary conviction or indictable offence under the Criminal Code,

(

b) a quasi-criminal offence in any jurisdiction of Canada or a foreign

jurisdiction,

(

c) a misdemeanor or felony under the criminal legislation of the United

States of America, or any state or territory therein, or

(

d) an offence under the criminal legislation of any other foreign jurisdiction?

Yes [] No []

If yes, provide all relevant details in an attachment signed and dated by the

authorized individual certifying this form that includes the circumstances,

relevant dates, names of the parties involved and the final disposition, if a final

disposition has been made.

Instruction: A quasi-criminal offence includes an offence under the Income Tax Act

(Canada), the Immigration and Refugee Protection Act (Canada) or the tax,

immigration, drugs, firearms, money laundering or securities legislation of any

province or territory of Canada or foreign jurisdiction.

12. Are there any outstanding or stayed charges against the funding portal alleging a

criminal offence that was committed?

Yes [] No []

If yes, provide all relevant details in an attachment signed and dated by the

authorized individual certifying this form that includes the circumstances,

relevant dates, names of the parties involved and final disposition, if a final

disposition has been made.

CIVIL DISCLOSURE

13. Has the funding portal been the subject of an order (cease trade or otherwise),

judgment, decree, sanction, or administrative penalty imposed by, or entered

into a settlement agreement with, a government agency, administrative agency,

self-regulatory organization, civil court, or administrative court of Canada or a

foreign jurisdiction in the last 10 years related to a claim based in whole or in

part on fraud, theft, deceit, misrepresentation, conspiracy, breach of trust, breach

of fiduciary duty, insider trading, unregistered trading, illegal distributions,

failure to disclose material facts or changes, or allegations of similar conduct in

Canada or a foreign jurisdiction related to its involvement in any type of

securities, derivatives, insurance or banking activity.

Yes [] No []

If yes, provide all relevant details in an attachment signed and dated by the

authorized individual certifying this form that includes the circumstances,

relevant dates, names of the parties involved and final disposition, if a final

disposition has been made.

14. Are there currently any outstanding civil actions alleging fraud, theft, deceit,

misrepresentation or similar misconduct against the funding portal?

Yes [] No []

If yes, provide all relevant details in an attachment signed and dated by the

authorized individual certifying this form that includes the circumstances,

relevant dates, names of the parties involved and final disposition, if a final

disposition has been made.

PROCESS AND PROCEDURE FOR HANDLING OF FUNDS

15. Provide all relevant details in an attachment that is signed and dated by the

authorized individual certifying this form of the relevant documents on the

process and procedure for handling all funds in relation to the crowdfunding

distribution in a designated trust account at a Canadian financial institution,

including the following:

(

a) the name of the Canadian financial institution the funding portal will use

with the designated trust account number;

(

b) the names of the signatories on this account and their role with the funding

portal;

(

c) details of how the funds held in this account will be separate and apart

from the funding portal's own property;

(

d) a copy of the trust agreement, or details surrounding the establishment of

this account. If the funding portal does not have a trust agreement or an

account, please explain;

(

e) details regarding how funds will flow

(

i) from purchasers to the funding portal's account,

(ii) from the funding portal's account to the issuer in the event that the

crowdfunding distribution closes, and

(iii) from the funding portal's account back to the purchasers in the event

that the crowdfunding distribution does not close or the purchaser

has exercised their right of withdrawal.

COLLECTION AND USE OF INFORMATION

The information required under this form is collected, used and disclosed by the

securities regulatory authority or, where applicable, the regulator of the jurisdiction

under the authority granted under securities legislation for the purposes of the

administration and enforcement of the securities legislation.

By submitting this form, the funding portal

* acknowledges that the securities regulatory authority or regulator may

collect personal information about the individuals referred to in this form or

information about the funding portal,

* confirms that the individuals referred to in this form have been notified that

their personal information is disclosed on this form, the legal reason for

doing so, how it will be used and who to contact for more information, and

* consents to the posting on the website of the securities regulatory authority

or regulator of:

(

i) the name that the funding portal will be operating under;

(ii) the website address for the funding portal; and

(iii) the funding portal's reliance on a dealer registration exemption.

If you have any questions about the collection and use of this information, contact the

securities regulatory authority or regulator in any jurisdiction in which this form is

submitted. Contact information is listed at the end of this form.

CERTIFICATION

By signing this form, the funding portal

* undertakes to comply with all of the applicable conditions set out in

National Instrument 45-110 Start-up Crowdfunding Registration and

Prospectus Exemptions,

* certifies that its platform is complete, ready for viewing in a test

environment and designed to comply with National Instrument 45-110 Start-

up Crowdfunding Registration and Prospectus Exemptions,

* certifies that it has, or reasonably expects to have, sufficient financial

resources to continue its operations for at least the next 6 months, and

* acknowledges that the securities regulatory authority or regulator of a

jurisdiction in which this form is submitted may access the books and

records relating to the carrying on of its activities and may conduct a

compliance review.

On behalf of the funding portal, I certify that the statements made in this form,

including any attachments, are true and complete.

Full legal name of

funding portal:

Signature of

authorized individual:

Date:

Print name of

authorized individual:

Position held:

Telephone number:

Email:

IT IS AN OFFENCE TO MAKE A MISREPRESENTATION IN THIS FORM

Contact information:

Alberta

The Alberta Securities Commission

Suite 600, 250 - 5th Street SW

Calgary, Alberta T2P 0R4

Telephone: 403-297-6454

Email: registration@asc.ca

www.asc.ca

Nova Scotia

Nova Scotia Securities Commission

Suite 400, 5251 Duke Street

Halifax, Nova Scotia B3J 1P3

Telephone: 902-424-7768

Toll free in Nova Scotia: 1-855-424-2499

Email:

nssc.crowdfunding@novascotia.ca

nssc.novascotia.ca

British Columbia

British Columbia Securities Commission

P.O. Box 10142, Pacific Centre

701 West Georgia Street

Vancouver, British Columbia V7Y 1L2

Telephone: 604-899-6854

Toll free in Canada: 1-800-373-6393

Email: portal@bcsc.bc.ca

www.bcsc.bc.ca

Ontario

Ontario Securities Commission

20 Queen Street West, 22nd Floor

Toronto, Ontario M5H 3S8

Toll free: 1-877-785-1555

Email: inquiries@osc.gov.on.ca

www.osc.ca

OSC Electronic Filing Portal

https://eforms1.osc.gov.on.ca/e-

filings/generic/form.do?token=ec7a3cb6-

d86d-419d-9c11-f1febe403cb6

Manitoba

The Manitoba Securities Commission

500 - 400 St Mary Avenue

Winnipeg, Manitoba R3C 4K5

Telephone: 204-945-2548

Toll free in Manitoba: 1-800-655-2548

Email: exemptions.msc@gov.mb.ca

www.mbsecurities.ca

Qu‚bec

Autorit‚ des march‚s financiers

Direction de l'encadrement des

interm‚diaires

800, rue du Square-Victoria, 22e ‚tage

C.P. 246, Place Victoria

Montr‚al, Qu‚bec H4Z 1G3

Telephone: 514-395-0337

Toll free in Qu‚bec: 1-877-525-0337

Email: financement-

participatif@lautorite.qc.ca

www.lautorite.qc.ca

New Brunswick

Financial and Consumer Services

Commission

85 Charlotte Street, Suite 300

Saint John, New Brunswick E2L 2J2

Toll free: 1-866-933-2222

Email: emf-md@fcnb.ca

www.fcnb.ca

Saskatchewan

Financial and Consumer Affairs

Authority of Saskatchewan

Securities Division

Suite 601 - 1919 Saskatchewan Drive

Regina, Saskatchewan S4P 4H2

Telephone: 306-787-5645

Email: registrationfcaa@gov.sk.ca

www.fcaa.gov.sk.ca

FORM 45 110F4

PORTAL INDIVIDUAL INFORMATION

GENERAL INSTRUCTIONS:

If the funding portal is relying on the start-up crowdfunding registration exemption

(section 3 of the Instrument), each founder, director, officer and control person of the

funding portal must complete this form and the funding portal must deliver those

completed forms and any attachments, along with the corresponding Form 45 110F3

Funding Portal Information, to the securities regulatory authority or regulator if the

funding portal facilitates or intends to facilitate a crowdfunding distribution.

The information provided on this form must be specific to the individual certifying

this form.

FUNDING PORTAL INFORMATION

1. Provide the full legal name of the funding portal as it appears on the funding

portal's organizing documents.

2. Provide the name that the funding portal will be operating under.

3. Indicate the position(

s) you hold with the funding portal.

INDIVIDUAL INFORMATION

4. Full legal name:

First name

Middle name(

s) Last name

5. Are you currently, or have you ever been, known by any name(

s) other than

your full legal name stated above, for example nicknames or name changes due

to marriage?

Yes [] No []

If yes, provide details.

6. Telephone number and email address:

Residential:

( )

Mobile:

Business:

( )

Email:

7. Provide all residential addresses for the past five years starting with your current

residential address.

Number, street, city, province, territory

or state, country and postal/ZIP code

From

YYYY

YYYY

8. If you are not a resident of Canada, you must have one address for service of

process in Canada and provide the following information:

Name of agent for service:

Name of contact person:

Address for service:

Telephone:

9. Date and place of birth:

Date of birth

Place of birth

YYYY

City

Province/Territory/State

Country

10. Country of citizenship:

11. Are you currently or have you ever been registered or licensed in any capacity

with any Canadian securities regulatory authority or regulator?

Yes [] No []

If yes, provide your licence or registration type, the securities regulatory

authority or regulator, and the start date and ending date, if applicable:

12. Have you ever been dismissed for cause by an employer from a position

following allegations that you:

(

a) violated any statutes, regulations, rules or standards of conduct,

(

b) failed to appropriately supervise compliance with any statutes, regulations,

rules or standards of conduct, or

(

c) committed fraud or the wrongful taking of property, including, for greater

certainty, theft?

Yes [] No []

If yes, provide all relevant details in an attachment signed and dated by the

authorized individual certifying this form that includes the circumstances,

relevant dates, names of the parties involved and final disposition, if a final

disposition has been made.

CRIMINAL DISCLOSURE

13. Have you ever been found guilty, pleaded no contest to, or been granted an

absolute or conditional discharge from

(

a) a

summary conviction or indictable offence under the Criminal Code,

(

b) a quasi-criminal offence in any jurisdiction of Canada or a foreign

jurisdiction,

(

c) a misdemeanour or felony under the criminal legislation of the United

States of America, or any state or territory therein, or

(

d) an offence under the criminal legislation of any other foreign jurisdiction?

Yes [] No []

If yes, provide all relevant details in an attachment signed and dated by the

authorized individual certifying this form that includes the circumstances,

relevant dates, names of the parties involved and final disposition, if a final

disposition has been made.

Instructions: A quasi-criminal offence includes an offence under the Income Tax

Act (Canada), the Immigration and Refugee Protection Act (Canada) or the tax,

immigration, drugs, firearms, money laundering or securities legislation of any

province or territory of Canada or of a foreign jurisdiction.

14. Are there any outstanding or stayed charges against you alleging a criminal

offence that was committed?

Yes [] No []

If yes, provide all relevant details in an attachment signed and dated by the

authorized individual certifying this form that includes the circumstances,

relevant dates, names of the parties involved and final disposition, if a final

disposition has been made.

15. To the best of your knowledge, are there any outstanding or stayed charges

against any person or company of which you were, at the time the criminal

offence was alleged to have taken place, a founder, director, officer or control

person?

Yes [] No []

If yes, provide all relevant details in an attachment signed and dated by the

authorized individual certifying this form that includes the circumstances,

relevant dates, names of the parties involved and final disposition, if a final

disposition has been made.

16. To the best of your knowledge, has any person or company of which you were a

founder, or during the period when you were a director, officer or control

person, ever been found guilty, pleaded no contest to or been granted an

absolute or conditional discharge from a criminal offence that was committed?

Yes [] No []

If yes, provide all relevant details in an attachment signed and dated by the

authorized individual certifying this form that includes the circumstances,

relevant dates, names of the parties involved and final disposition, if a final

disposition has been made.

CIVIL DISCLOSURE

17. Have you or a person or company of which you are or were a founder, director,

officer or control person been the subject of an order (cease trade or otherwise),

judgment, decree, sanction, or administrative penalty imposed by, or entered

into a settlement agreement with, a government agency, administrative agency,

self-regulatory organization, civil court, or administrative court of Canada or a

foreign jurisdiction in the last 10 years related to a claim based in whole or in

part on fraud, theft, deceit, misrepresentation, conspiracy, breach of trust, breach

of fiduciary duty, insider trading, unregistered trading, illegal distributions,

failure to disclose material facts or changes, or allegations of similar conduct in

Canada or a foreign jurisdiction related to your involvement in any type of

securities, derivatives, insurance or banking activity?

Yes [] No []

If yes, provide all relevant details in an attachment signed and dated by the

authorized individual certifying this form that includes the circumstances,

relevant dates, names of the parties involved and final disposition, if a final

disposition has been made.

18. Are there currently any outstanding civil actions alleging fraud, theft, deceit,

misrepresentation, or similar misconduct against you or a person or company of

which you are or were a founder, director, officer or control person?

Yes [] No []

If yes, provide all relevant details in an attachment signed and dated by the

authorized individual certifying this form that includes the circumstances,

relevant dates, names of the parties involved and final disposition, if a final

disposition has been made.

COLLECTION AND USE OF PERSONAL INFORMATION

The personal information required under this form is collected, used and disclosed by

the securities regulatory authority or, where applicable, the regulator of the

jurisdiction under the authority granted in securities legislation for the purposes of the

administration and enforcement of the securities legislation.

By submitting this form, you consent to the collection, use and disclosure of this

personal information by the securities regulatory authority or regulator of each

jurisdiction in which this form is submitted and any police records, records from other

government or non-governmental regulators or self-regulatory organizations, credit

records and employment records about you that the securities regulatory authority or

regulator may need to determine the completeness of the information submitted in this

form and compliance with the conditions of the start up crowdfunding registration and

prospectus exemptions. The securities regulatory authority or regulator may contact

government and private bodies or agencies, individuals, corporations and other

organizations for information about you.

If you have any questions about the collection and use of this information, contact the

securities regulatory authority or regulator of any jurisdiction in which this form is

submitted. Contact information is listed at the end of this form.

CERTIFICATION

By submitting this form, I

* certify that the statements made in this form, including any attachments, are

true and complete, and

* agree to be subject to the securities legislation of each jurisdiction of Canada

where I have submitted this form. This includes the jurisdiction of any

tribunals or any proceedings that relate to my activities as a founder,

director, officer or control person of a funding portal under applicable

securities legislation.

Signature:

Date:

Print name:

Position held:

IT IS AN OFFENCE TO MAKE A MISREPRESENTATION IN THIS FORM

Contact information:

Alberta

The Alberta Securities Commission

Suite 600, 250 - 5th Street SW

Calgary, Alberta T2P 0R4

Telephone: 403-297-6454

Email: registration@asc.ca

www.asc.ca

Nova Scotia

Nova Scotia Securities Commission

Suite 400, 5251 Duke Street

Halifax, Nova Scotia B3J 1P3

Telephone: 902-424-7768

Toll free in Nova Scotia: 1-855-424-2499

Email:

nssc.crowdfunding@novascotia.ca

nssc.novascotia.ca

British Columbia

British Columbia Securities Commission

P.O. Box 10142, Pacific Centre

701 West Georgia Street

Vancouver, British Columbia V7Y 1L2

Telephone: 604-899-6854

Toll free in Canada: 1-800-373-6393

Email: portal@bcsc.bc.ca

www.bcsc.bc.ca

Ontario

Ontario Securities Commission

20 Queen Street West, 22nd Floor

Toronto, Ontario M5H 3S8

Toll free: 1-877-785-1555

Email: inquiries@osc.gov.on.ca

www.osc.ca

OSC Electronic Filing Portal

https://eforms1.osc.gov.on.ca/e-

filings/generic/form.do?token=ec7a3cb6-

d86d-419d-9c11-f1febe4

Document details

CollectionAlberta — Gazette
CitationTuesday, August 31, 2021
Typegazette
Volume / chapter16 Aug31 Part1
Languageen
Formathtml
SourcePROVINCIAL
Identifier7261598695c021a1ed1fcbb96d6bb5feb196f9ff

Source file is stored in the law ingest library (html).