Appendix 2 - Ownership Information
Instructions
All columns must contain the complete information requested.
1.
2.
3.
As indicated in the Procedures for filing confidential information and requesting its disclosure in Commission proceedings,
Broadcasting and Telecom Information Bulletin 2010-961, you may designate as confidential the civic number, street name and
postal code of a residential address.
If you wish to designate this information as CONFIDENTIAL, you must save your document as: NOT WEB – APP - Doc6 – CONFDOC
- Appendix 2 – Ownership Information
In that case, you will be required to also submit an ABRIDGED version of this information. You must make a copy of the
confidential document, remove the information in the columns entitled “Civic Number and Street Name” and “Portal Code” and
save it as: APP - Doc6 – ABRIDGED VERSION – Appendix 2 – Ownership Information
Ownership Information
1. The applicant
*Name of the corporation for which the following tables pertain:____________________.
1.
*Provide a list of the directors and officers, including the Chief Executive Officer (CEO). If such a position does not exist, identify
the person who performs functions that are similar to those of a CEO. If the person is also a director, repeat the information in
both sections.
Directors and Officers
Residential address
Name
Civic address of individuals (P.O. box
not accepted)
City &
Province
Postal
Code
Canadian
(x)
Directors: Date of appointment
and term
Officer
Position
Chief Executive Officer (CEO)
2.
3.
*In the table below, provide a list of the shareholders holding 10% or more of the voting shares, of the voting rights (when
different from the voting shares), and of other common shares, by type of shares.
*Also include in the table below, a breakdown between "Canadian" and "non-Canadian" of the remaining shares not yet
accounted for, by type of shares.
Capital Structure and Shareholders
Security
Type
Residential Address / Entity’s jurisdiction
Name
Civic address (P.O. box not
accepted)
City & Province/OR Entity's
jurisdiction
Postal
Code
Canadian
(y/n)
Number
held
%
votes
2. Parent corporations and other shareholders
*Copy and complete the same tables for each corporation holding, directly and/or indirectly, 20% or more of the voting interest (shares
and/or votes) of the applicant, or of any corporation forming part of its ownership chain.
*Name of the corporation for which the following tables pertain:_____________________.
1.
*In the table below, provide a list of the directors and officers, including the Chief Executive Officer (CEO). If such a position does
not exist, identify the person who performs functions that are similar to those of a CEO. If the person is also a director, repeat the
information in both sections.
Directors and Officers
Residential address
Name
Civic address of individuals (P.O. box
not accepted)
City &
Province
Postal
Code
Canadian
(x)
Directors: Date of appointment
and term
Officer
Position
Chief Executive Officer (CEO)
2.
3.
*In the table below, provide a list of the shareholders holding 10% or more of the voting shares, of the voting rights (when
different from the voting shares), and of other common shares, by type of shares.
*Also include in the table below, a breakdown between "Canadian" and "non-Canadian" of the remaining shares not yet
accounted for by type of shares.
Capital Structure and Shareholders
Security
Type
Residential Address / Entity’s jurisdiction
Name
Civic address (P.O. box not
accepted)
City & Province/OR Entity's
jurisdiction
Postal
Code
Canadian
(y/n)
Number
held
Definitions:
Canadian: Specify if Canadian or Non-Canadian. If a person, refer to the definition of CANADIAN in the Direction to the CRTC (Ineligibility of
Non-Canadians). If a corporation, CANADIAN means a "qualified corporation" as defined in the Direction to the CRTC (Ineligibility of NonCanadians).
Director: Means a person who is a member of the board of directors of a corporation or, where the corporation has no directors, a person
performing functions that are similar to the functions performed by directors, as defined in the the Direction to the CRTC (Ineligibility of
Non-Canadians).
Officers: Those persons designated as Chairman, President, Chief Executive Officer, Vice-President, General Manager, Secretary, AssistantSecretary, Controller, Treasurer, Assistant-Treasurer or any others under similar titles.
Voting shares: The shares to which are attached one or more votes, and includes securities that are convertible into such shares at all times
at the option of the holder.
%
votes
Common shares: The shares that represent the residual equity in the earnings of the corporation, and includes securities that are
convertible into such shares at all times at the option of the holder and the preferred shares to which are attached rights to participate in
the earnings of the corporation with no upper limit.