KENTUCKY PETROLEUM L I M I T E D
P A R T N E R S H I P
(An Oil and Gas Limited Partnership)
S U B S C R I P T I O N
D O C U M E N T S
KENTUCKY PETROLEUM LIMITED PARTNERSHIP
SUBSCRIPTION AGREEMENT AND POWER OF ATTORNEY
THE SECURITIES TO WHICH THIS SUBSCRIPTION AGREEMENT RELATES ARE SUBJECT TO A
HOLD PERIOD IN ALL OF THE PROVINCES OF CANADA AND MAY NOT BE TRADED IN ANY OF
THE PROVINCES OF CANADA EXCEPT AS PERMITTED BY APPLICABLE SECURITIES
LEGISLATION.
TO:
AND TO:
Kentucky Petroleum Limited Partnership (the “Limited Partnership”)
Kentucky Petroleum Operating Ltd. (the “General Partner”)
The undersigned (the “Subscriber”) hereby irrevocably subscribes for and agrees to purchase that
number of units (the “Units”) in the Limited Partnership shown in section (b) of the Basic Terms below,
having an acquisition cost of $5,000 per Unit , for the Purchase Price shown in section (c) of the Basic
Terms, which is tendered herewith, on the basis of the representations and warranties and subject to the
terms and conditions set forth herein, including those set out in Exhibit “A”, Exhibit “B”, Exhibit “C” and
Exhibit “D” attached hereto, as applicable (collectively, the “Subscription Agreement”).
Basic Terms
The following information is applicable to this Subscription Agreement:
(a)
Subscriber:
(i)
Name:
(ii)
Address:
(iii)
Phone No.:
(iv)
Social Insurance Number:
(v)
E-mail address:
(b)
No. of Units (Minimum 1 Unit):
(c)
Purchase Price: (No. of Units x
$5,000):
(d)
The Subscriber acknowledges, represents and warrants as of the date of this
Subscription Agreement that the Subscriber is either (check at least one):
(i)
a resident of Alberta, British Columbia, Manitoba, Ontario or New
Brunswick and is a person or entity that qualifies as an "accredited
investor" as that term is defined in National Instrument 45-106 (“NI 45106”) and has completed an Accredited Investor Questionnaire in the
form attached hereto as Exhibit “B”;
(ii)
a resident of British Columbia or New Brunswick, has received a copy
of the Limited Partnership’s Offering Memorandum dated April 30,
2013 and has signed two (2) copies of the Risk Acknowledgment in
the form attached hereto as Exhibit “C”;
(iii)
(iv)
a resident of Alberta, Saskatchewan or Manitoba and has received a
copy of the Limited Partnership’s Offering Memorandum dated April
30, 2013, has signed two (2) copies of the Risk Acknowledgment in
the form attached hereto as Exhibit “C”, and either:
(A)
has invested no more than $10,000, or
(B)
has invested more than $10,000 and has completed and
signed the Eligible Investor Questionnaire in the form attached
hereto as Exhibit “D”; OR
a resident of Alberta, British Columbia, Saskatchewan, Manitoba,
Ontario or New Brunswick and is investing a minimum amount of
$150,000, paid in cash.
(e)
The Subscriber is a “Registrant” as defined in the Securities Act (British
Columbia) [Indicate YES or NO]
(f)
The Subscriber is a “Insider” of the Limited Partnership as defined in the
Securities Act (British Columbia) [Indicate YES or NO]
Y
N
Y
N
Additional Terms and Conditions
The terms and conditions of Exhibit “A”, Exhibit “B”, Exhibit “C” and Exhibit “D” to this Subscription
Agreement shall apply to the Subscriber’s subscription for the Units and are hereby incorporated into this
Subscription Agreement.
IN WITNESS WHEREOF the Subscriber has duly executed this Subscription Agreement on the
_________day of ________________, 20__
(Signature of the Subscriber and, if the
Subscriber is a Corporation, an Officer)
ACCEPTANCE
This Subscription Agreement in respect of the Units is hereby accepted by Kentucky Petroleum Limited
Partnership.
DATED at ________________________ , the ______ day of________, 20__
Kentucky Petroleum Limited Partnership
By its General Partner
Kentucky Petroleum Operating Ltd.
Per:
Authorized Signatory
EXHIBIT “A”
1.
Subscription
1.1
The Subscriber hereby irrevocably subscribes for and agrees to purchase that number of Units
shown in section (b) of the Basic Terms having an acquisition cost of $5,000 per Unit, for the
Purchase Price shown in section (c) of the Basic Terms, which is tendered herewith, on the basis
of the representations and warranties and subject to the terms and conditions set forth in this
Subscription Agreement (the “Subscription”).
1.2
Subject to the terms hereof, the Subscription will be effective upon its acceptance by the General
Partner on behalf of the Limited Partnership. Upon acceptance by the General Partner on behalf
of the Limited Partnership, this Subscription constitutes an agreement by the Subscriber to
become a limited partner of the Limited Partnership on the terms and subject to the terms and
conditions set out in this Subscription Agreement.
2.
Payment for Units
2.1
The Purchase Price shall be paid upon the execution and delivery of the Subscription Agreement to
the General Partner by certified cheque or bank draft made payable to “Kentucky Petroleum
Limited Partnership”.
3.
Closing
3.1
The General Partner will confirm whether or not the Subscription Agreement is acceptable,
whereupon the General Partner will deliver to the Subscriber a signed copy of this Agreement
(the “Closing”), and shall deliver a certificate representing the Units, registered in the name of the
Subscriber.
3.2
The Closing will take place on such date or dates to be determined by the General Partner,
provided however that the Purchase Price paid by the Subscriber will be held in trust pending the
Closing.
4.
Securities Act Exemption matters
4.1
The Subscriber acknowledges and agrees that:
(a)
it is acquiring the Units pursuant to an exemption (the “Exemption”) from the registration
and prospectus requirements of the applicable securities laws and regulations
(collectively, the “Legislation”) in all jurisdictions relevant to this Subscription, and, as a
consequence, the Subscriber will not be entitled to use most of the civil remedies
available under the Legislation and the Subscriber will not receive information that would
otherwise be required to be provided to the Subscriber pursuant to the Legislation;
(b)
the Exemption is premised on the basis that:
(i)
if the Subscriber has checked box (i) of item (d) of the Basic Terms, the
Subscriber does not require the protection of the Legislation by virtue of the
Subscriber’s status as an “accredited investor”, as defined in NI 45-106 and
acknowledges and agrees that the General Partner shall not consider the
Subscriber’s subscription for acceptance unless the Subscriber provides to the
General Partner, along with an executed copy of this Subscription Agreement a
fully completed and executed Accredited Investor Questionnaire in the form
attached hereto as Exhibit “B” and such other supporting documentation that the
General Partner or its legal counsel may request to establish the Subscriber’s
qualification as an accredited investor;
(ii)
if the Subscriber has ticked box (ii) or (iii) in item (d) of the Basic Terms, the
Subscriber acknowledges and agrees that the General Partner shall not consider
the Subscriber’s subscription for acceptance unless the Subscriber provides to
the General Partner, along with an executed copy of this Subscription
Agreement, a fully completed and executed Risk Acknowledgment in the form
attached as Exhibit “C” hereto and, if applicable, a fully completed and executed
Eligible Investor Questionnaire attached as Exhibit “D” hereto; or
(iii)
if the Subscriber has checked box (iv) of item (d) of the Basic Terms, the
Subscriber is investing at least $150,000, paid in cash.
5.
Acknowledgements of Subscriber
5.1
The Subscriber acknowledges and agrees that:
(a)
there is no market for the Units and no market for the Units may ever exist;
(b)
the Subscriber is aware that an investment in the Units is speculative and involves certain
risks, including the possible loss of the Subscriber’s entire investment;
(c)
the Subscriber understands and agrees that the General Partner and others will rely upon
the truth and accuracy of the acknowledgements, representations and agreements
contained in this Subscription Agreement and any questionnaire completed herewith, and
agrees that if any of such acknowledgements, representations and agreements are no
longer accurate or have been breached, the Subscriber shall promptly notify the General
Partner;
(d)
any transfer, resale or other subsequent disposition of the Units will be subject to
restrictions set out in the Limited Partnership Agreement dated for reference October 24,
2010 in respect of the Limited Partnership (the “Partnership Agreement”) and may be
subject to restrictions contained in the Legislation applicable to the holder of the Units or
to the proposed transferee, including, but not limited to, resale restrictions under the
Securities Act (British Columbia) or similar legislation in the other Provinces or Territories
of Canada, as applicable;
(e)
the Limited Partnership is not a reporting issuer in any Province or Territory of Canada
and, accordingly, any applicable hold periods under the Legislation may never expire,
and the Units may be subject to restrictions on resale for an indefinite period of time;
(f)
the Units have not been registered under the United States Securities Act of 1933, as
amended (the “1933 Act”) or the securities laws of any state of the United States, that the
Units may not be offered or sold, directly or indirectly, in the United States except
pursuant to registration under the 1933 Act and the securities laws of all applicable states
or available exemptions therefrom, that the Limited Partnership has no obligation or
present intention of filing a registration statement under the 1933 Act in respect of any of
the Units, and that:
(i)
the offer to purchase the Subscriber’s Units was not made to the Subscriber in
the United States;
(ii)
this Agreement was delivered to, executed and delivered by the Subscriber
outside the United States;
(g)
(iii)
the Subscriber is not, and will not be purchasing the Subscriber’s Units for the
account or benefit of, any U.S. Person (as defined in the 1933 Act) or person in
the United States;
(iv)
the current structure of this transaction and all transactions and activities
contemplated hereunder is not a scheme to avoid the registration requirements
of the 1933 Act;
(v)
the Subscriber and any person for whose account it is acquiring the Subscriber’s
Units, if applicable, has no intention to distribute either directly or indirectly any of
the Securities in the United States, except in compliance with the 1933 Act;
(vi)
if the Subscriber is a corporation, partnership or other legal entity incorporated or
organized in the United States, the Subscriber’s affairs are controlled and
directed from outside of the United States, its purchase of the Securities was not
solicited in the United States, no part of the transaction which is the subject of
this Subscription Agreement occurred in the United States, and the Company
has informed the Subscriber that no market for the Securities currently exists in
the United States;
no person has made to the Subscriber any written or oral representations:
(i)
that any person will resell or repurchase the Units;
(ii)
that any person will refund the Purchase Price for the Units other than as
provided in this Subscription;
(iii)
as to the future price or value of the Units; or
(iv)
that the Units will be listed and posted for trading on a stock exchange or that
application has been made to list and post the Units for trading on a stock
exchange;
(g)
no securities commission or similar regulatory authority has reviewed or passed on the
merits of the Units;
(h)
by execution hereof the Subscriber has waived the need for the General Partner to
communicate its acceptance of the purchase of the Units pursuant to this Subscription
Agreement;
(i)
the Subscriber has been advised to consult its own legal, tax and other advisors with
respect to the merits and risks of an investment in the Units and with respect to
applicable resale restrictions and it is solely responsible (and the General Partner is in no
way responsible) for compliance with applicable resale restrictions;
(j)
the Subscriber shall complete, sign and return to the General Partner as soon as possible,
on request by the General Partner, any documents, questionnaires, notices and
undertakings as may be required by the General Partner, regulatory authorities, stock
exchanges and applicable law.
(k)
there is no government or other insurance covering any of the Units; and
(l)
this Subscription Agreement is not enforceable by the Subscriber unless it has been
accepted by the General Partner for and on behalf of the Limited Partnership, and the
Subscriber acknowledges and agrees that the General Partner reserves the right to reject
any Subscription for any reason.
6.
Representations, Warranties and Covenants of the Subscriber
6.1
The Subscriber hereby represents and warrants to and covenants with the General Partner and
the Limited Partnership (which representations, warranties and covenants will be true and correct
as at the date set forth above and at Closing, and shall survive the Closing) that:
(a)
the Subscriber is acquiring the Units as a principal (and not as an agent) for investment
purposes only, with no intention or view to reselling or distributing any portion or
beneficial interest in the Units, and the Subscriber will be the beneficial owner of any
Units to be issued to the Subscriber if, as and when this Subscription is accepted by the
General Partner in whole or in part;
(b)
the Subscriber is resident in the jurisdiction identified in the address of the Subscriber set
forth on page 2 of this Subscription Agreement;
(c)
the Subscriber is not a “non-resident” of Canada under the Income Tax Act (Canada) and
is not a “non-Canadian” within the meaning of the Investment Canada Act;
(d)
the Subscriber has the legal capacity and competence to enter into and execute this
Subscription Agreement and to take all actions required pursuant hereto and, if the
Subscriber is a corporation, it is duly incorporated and validly subsisting under the laws of
its jurisdiction of incorporation and all necessary approvals by its directors, shareholders
and others have been obtained to authorize execution and performance of this
Subscription Agreement on behalf of the Subscriber;
(e)
the entering into of this Subscription Agreement and the transactions contemplated
hereby do not result in the violation of any of the terms and provisions of any law
applicable to, or, if applicable, the constating documents of, the Subscriber, or of any
agreement, written or oral, to which the Subscriber may be a party or by which the
Subscriber is or may be bound;
(f)
the Subscriber has duly executed and delivered this Subscription Agreement and it
constitutes a valid and binding agreement of the Subscriber enforceable against the
Subscriber;
(g)
the Subscriber has received and reviewed a copy of the Partnership Agreement and the
Offering Memorandum of the Limited Partnership dated April 30, 2013 (the “Offering
Memorandum”) and the Subscriber confirms that it is aware of and accepts the
variances and additions to the terms and conditions of the Partnership Agreement from
those summarized in the Offering Memorandum;
(h)
the Subscriber’s decision to tender this offer and purchase the Subscriber’s Units has not
been made as a result of any verbal or written representation as to fact or otherwise
made by or on behalf of the Limited Partnership, or any other person and is based
entirely upon information contained herein, in the Offering Memorandum and in the
Partnership Agreement;
(i)
the Subscriber has such knowledge and experience in financial and business matters as
to be capable of evaluating the merits and risks of the transactions detailed in the
Subscription Agreement and the Subscriber is able to bear the economic risk of loss
arising from such transactions;
(j)
the Subscriber is not:
(i)
a person an interest in which is a "tax shelter investment" for the purposes of
Section 143.2 of the Income Tax Act (Canada); or
(ii)
(k)
a “financial institution” as that term is defined in subsection 142.2(1) of the
Income Tax Act (Canada) (and agrees to immediately advise the General Partner
if it becomes a “financial instruction” at any time hereafter);
if financing the acquisition of Units by way of indebtedness, in whole or in part, the
Subscriber has ensured and will ensure that all of the following terms are met with
respect to such indebtedness:
(i)
recourse for such indebtedness is not limited in any way, either immediately or in
the future or absolutely or contingently;
(ii)
bona fide written arrangements were made, at the time the indebtedness arose,
for full repayment with interest within a reasonable period not exceeding 10
years;
(iii)
interest is payable on such indebtedness at least annually at a rate at least equal
to the rate prescribed (or to be prescribed) for purposes of Section 143.2 of the
Income Tax Act (Canada) as of the time the indebtedness arose;
(iv)
such interest will be paid no later than 60 days after the end of each taxation year
of the debtor;
(v)
there is not, and is not to be, a series of loans and repayments in relation to the
indebtedness; and
(vi)
all information with respect to the indebtedness is available in Canada;
(l)
the Subscriber has not purchased the Units as a result of any form of general solicitation
or general advertising, including advertisements, articles, notices or other communication
published in any newspaper, magazine or similar media or broadcast over radio,
television or internet or any seminar or meeting whose attendees have been invited by
general solicitation or general advertising;
(m)
the Subscriber agrees that the Limited Partnership and the General Partner may be
required by law or otherwise to disclose to regulatory authorities the identity of the
Subscriber; and
(n)
the funds representing the aggregate Purchase Price for the Subscriber's Units which will
be advanced by the Subscriber hereunder will not represent proceeds of crime for the
purposes of the Proceeds of Crime (Money Laundering) and Terrorist Financing Act
(Canada) and the Subscriber acknowledges that the Limited Partnership may in the
future be required by law to disclose the Subscriber’s name and other information relating
to this Subscription Agreement and the Subscriber’s subscription hereunder, on a
confidential basis, pursuant to such Act. To the best of its knowledge: (a) none of the
subscription funds to be provided by the Subscriber (i) have been or will be derived from
or related to any activity that is deemed criminal under any law of Canada, the United
States of America (or any state thereof), or any other jurisdiction, or (ii) are being
tendered on behalf of a person or entity who has not been identified to the Subscriber;
and (b) the Subscriber shall promptly notify the Limited Partnership if the Subscriber
discovers that any of such representations ceases to be true, and to provide the Limited
Partnership with appropriate information in connection therewith.
6.2
The Subscriber acknowledges that the representations, warranties, covenants and acknowledges
contained herein are made by the Subscriber with the intention that they may be relied upon by
the General Partner, the Limited Partnership and its legal counsel in determining the Subscriber’s
eligibility to acquire the Units under relevant Legislation. The Subscriber further agrees that by
accepting delivery of the Units, the Subscriber will be representing and warranting that the foregoing
representations and warranties are true and correct as at the time of delivery of such Units with
the same force and effect as if they had been made by the Subscriber at such time, and that they
shall survive the completion of the transactions contemplated under this Subscription and remain
in full force and effect thereafter for the benefit of the General Partner for a period of two years.
6.3
The Subscriber hereby agrees to indemnify and hold harmless the General Partner and Limited
Partnership and their respective directors, officers, employees, agents, advisors and
shareholders from and against any and all loss, liability, claim, damage and expense whatsoever
arising out of or based upon any representation or warranty of the Subscriber contained in this
Subscription Agreement, any questionnaire or in any other document furnished by the Subscriber
to the General Partner in connection herewith, being untrue in any material respect or any breach
or failure by the Subscriber to comply with any covenant or agreement made by the Subscriber to
the General Partner in connection therewith;
7.
Power of Attorney and Agreement to be Bound
7.1
In consideration of the General Partner, on behalf of the Limited Partnership, accepting the
Subscription of the Subscriber and conditional thereon, the Subscriber:
(a)
agrees to be bound, as a party to and as a limited partner in the Limited Partnership, by
the terms of the Partnership Agreement, and the undersigned expressly ratifies and
confirms the power of attorney given to the Limited Partnership therein; and
(b)
irrevocably nominates, constitutes and appoints the General Partner and any successor
to the General Partner under the terms of the Partnership Agreement, as the Subscriber’s
true and lawful attorney and agent, with full power of substitution and authority in the
Subscriber’s name, place and stead and for the Subscriber’s use and benefit to do the
following:
(i)
execute, swear to, acknowledge, complete, deliver and file as and where the
General Partner considers it appropriate any and all of the following:
A.
the Partnership Agreement and all declarations and certificates of
change required under the Partnership Act (British Columbia) and other
instruments necessary to form, qualify or continue and keep in good
standing the Limited Partnership as a limited partnership;
B.
all instruments, declarations and certificates necessary to reflect any
amendment to the Partnership Agreement;
C.
all elections, determinations or designations made pursuant to the
Income Tax Act (Canada) or any other taxation or other legislation or
laws of like import of Canada or any provinces or jurisdictions in respect
of the affairs of the Limited Partnership or of a partner’s interest in the
Limited Partnership; and
D.
all conveyances, agreements and other instruments necessary or
desirable to reflect the dissolution and termination of the Limited
Partnership including cancellation of any certificates or declarations and
the execution of any elections under the Income Tax Act ( C a n a d a )
and any analogous provincial legislation, as any of the same may be
amended or re-enacted from time to time;
(ii)
execute and file with any governmental body or instrumentality thereof of the
Government of Canada or a province thereof or the Government of the United
States or any state thereof, any documents necessary to be filed in connection
with the business, property, assets and undertaking of the Limited Partnership;
(iii)
execute and deliver all such other documents or instruments on behalf of and in
the name of the Limited Partnership and for or on behalf of the Subscriber as
may be deemed necessary or desirable by the Limited Partnership to carry out
fully the provisions of this Subscription Agreement, the Partnership Agreement or
any other material contract required in connection herewith; and
(iv)
to complete, amend or modify any of the foregoing or this Subscription
Agreement and to complete any missing information or correct any clerical or other
errors in the completion of this Subscription Agreement or any of the foregoing.
7.2
The power of attorney granted herein is irrevocable, is a power coupled with an interest, shall
survive the death, disability or other legal incapacity of the Subscriber and shall survive the transfer
or assignment, to the extent of the obligations of the Subscriber under the Partnership Agreement
or hereunder, by the Subscriber of the whole or any part of the interest of the Subscriber in the
Limited Partnership and extends to the heirs, executors, administrators, successors and assigns
of the Subscriber and may be exercised by the General Partner, on behalf of the Subscriber, by
executing any instrument as with a single signature as attorney and agent for all the General
Partner’s executing such instrument or by such other form of execution as the General Partner
may determine, and it shall not be necessary for the General Partner to execute any document or
instrument under seal, however the General Partner may, in its discretion, execute documents or
instruments under seal.
7.3
The Subscriber agrees to be bound by any representations and actions made or taken in good
faith by the General Partner pursuant to this power of attorney in accordance with the terms
hereof or in accordance with the Partnership Agreement and the Subscriber hereby waives any
and all defences which may be available to contest, negate or disaffirm the action of the General
Partner taken in good faith under this power of attorney.
8.
Fees and Commissions
8.1
The Subscriber acknowledges and agrees that a portion of the Purchase Price for the Units will
be used to pay the organizational and offering expenses of the Limited Partnership as follows:
(a) up to 10% of the Purchase Price of the Units will be used to pay fees or commissions to a
broker, selling agent, or finder; and
(b) up to 7% of the Purchase Price of the Units will be paid to the General Partner for marketing
expenses, professional fees and regulatory compliance fees incurred by the General
Partner in connection with the organization of the Limited Partnership and the offering.
9.
Withdrawal of Subscription
9.1
The Subscriber has a two day cancellation right and may cancel this Agreement by sending
notice to the Limited Partnership by midnight on the second business day after the Subscriber
signs this Subscription Agreement.
10.
Use of Personal Information
10.1
The Subscriber hereby acknowledges and consents to: (i) the disclosure by the Limited
Partnership of Personal Information concerning the Subscriber to the Commissions or any other
regulatory authority (under the authority granted by securities legislation, where applicable),
(collectively referred to in this section as “the Securities Authorities”); and (ii) the indirect
collection, use and disclosure of Personal Information by the Securities Authorities for the
following purposes (or as otherwise identified by the Securities Authorities, from time to time):
(a)
to conduct background checks;
(b)
to verify the Personal Information that has been provided about the Subscriber;
(c)
to consider the suitability of the Subscriber as a holder of securities of the Issuer;
(d)
to provide disclosure to market participants as to the security holdings of the Issuer’s
shareholders, and their involvement with any other reporting issuers, issuers subject to a
cease trade order or bankruptcy, and information respecting penalties, sanctions or
personal bankruptcies, and possible conflicts of interest with the Issuer;
(e)
to detect and prevent fraud;
(f)
to conduct enforcement proceedings or otherwise administer and enforce securities
legislation; and
(g)
to perform other investigations as required by and to ensure compliance with all
applicable rules, policies, rulings and regulations of the Securities Authorities, securities
legislation and other legal and regulatory requirements governing the conduct and
protection of the public markets in Canada.
10.2
Herein, “Personal Information” means any information about the Subscriber required to be
disclosed to a Securities Authority, whether pursuant to a mandated form or a request made by a
Securities Authority.
11.
General
11.1
The Subscriber acknowledges and agrees that all costs and expenses incurred by the Subscriber
relating to the purchase of the Units shall be borne by the Subscriber.
11.2
This Subscription Agreement is governed by the laws of the laws of the Province of British
Columbia and the federal laws of Canada applicable therein. The Subscriber, in its personal or
corporate capacity and, if applicable, on behalf of each beneficial purchaser for whom it is acting,
irrevocably attorns to the jurisdiction of the Province of British Columbia.
11.3
This Subscription Agreement, including without limitation the representations, warranties and
covenants contained herein, shall survive and continue in full force and effect and be binding
upon the parties hereto notwithstanding the completion of the purchase of the Units by the
Subscriber pursuant hereto.
11.4
This Subscription Agreement is not transferable or assignable.
11.5
The invalidity or unenforceability of any particular provision of this Subscription Agreement shall
not affect or limit the validity or enforceability of the remaining provisions of this Subscription
Agreement.
11.6
Except as expressly provided in this Subscription Agreement and in the agreements, instruments
and other documents contemplated or provided for herein, this Subscription Agreement contains
the entire agreement between the parties with respect to the sale of the Units and there are no
other terms, conditions, representations or warranties, whether expressed, implied, oral or
written, by statute or common law, by the General Partner or Limited Partnership or by anyone
else.
11.7
All notices and other communications hereunder shall be in writing and shall be deemed to have
been duly given if mailed or transmitted by any standard form of telecommunication. Notices to
the Subscriber shall be directed to the address on page 2 of this Subscription Agreement and
notices to the General Partner shall be directed to 1066 West Hastings Street, Suite 2000,
Vancouver, British Columbia, V6E 3XE.
11.8
This Subscription Agreement may be executed in any number of counterparts, each of which,
when so executed and delivered, shall constitute an original and all of which together shall
constitute one instrument. Delivery of an executed copy of this Agreement by electronic facsimile
transmission or other means of electronic communication capable of producing a printed copy will
be deemed to be execution and delivery of this Agreement as of the date hereinafter set forth.
11.9
The Subscriber hereby acknowledges that he or she will deliver to the General Partner all such
additional completed forms in respect of the Subscriber’s purchase of the Units as may be
required for filing with the appropriate securities commissions and regulatory authorities.
EXHIBIT “B”
NI 45-106 ACCREDITED INVESTOR QUESTIONNAIRE
The undersigned, as a purchaser of limited partnership units (the “Units”) of Kentucky Petroleum Limited
Partnership (the “Issuer”), has represented to the Issuer that the undersigned is an accredited investor as
defined in Section 1.1 of National Instrument 45-106 (“NI 45-106”). The undersigned has indicated below
the categories which it, he or she satisfies to qualify as an accredited investor.
The undersigned understands that each of the Issuer is relying on this information in determining to sell
securities to the undersigned in a manner exempt from the prospectus and registration requirements of
applicable securities laws.
ACCREDITED INVESTOR STATUS
The undersigned represents and warrants that it, he or she is [check each applicable item]:
(a)
a Canadian financial institution (as defined under NI 45-106), or an authorized
foreign bank listed in Schedule III of the Bank Act (Canada);
(b)
the Business Development Bank of Canada incorporated under the Business
Development Bank of Canada Act (Canada);
(c)
a subsidiary of any person referred to in paragraphs (a) or (b), if the person owns all
of the voting securities of the subsidiary, except the voting securities required by law
to be owned by directors of that subsidiary;
(d)
a person registered under the securities legislation of a jurisdiction of Canada as an
adviser or dealer, other than a person registered solely as a limited market dealer
under one or both of the
Securities Act (Ontario) or the Securities Act
(Newfoundland and Labrador);
(e)
an individual registered or formerly registered under the securities legislation of a
jurisdiction of Canada, as a representative of a person referred to in paragraph (d);
(f)
the Government of Canada or a jurisdiction of Canada, or any crown corporation,
agency or wholly owned entity of the Government of Canada or a jurisdiction of
Canada;
(g)
a municipality, public board or commission in Canada and a metropolitan community,
school board, the Comité de gestion de la taxe scolaire de l’île de Montréal or an
intermunicipal management board in Québec;
(h)
any national, federal, state, provincial, territorial or municipal government of or in any
foreign jurisdiction, or any agency of that government;
(i)
a pension fund that is regulated by either the Office of the Superintendent of
Financial Institutions (Canada) or a pension commission or similar regulatory
authority of a jurisdiction of Canada;
(j)
an individual who, either alone or with a spouse, beneficially owns, directly or
indirectly, financial assets having an aggregate realizable value that before taxes,
but net of any related liabilities, exceeds $1,000,000;
(k)
an individual whose net income before taxes exceeded $200,000 in each of the two
most recent calendar years or whose net income before taxes combined with that of
a spouse exceeded $300,000 in each of the two most recent calendar years and
who, in either case, reasonably expects to exceed that net income level in the
current calendar year;
(l)
an individual who, either alone or with a spouse, has net assets of at least
$5,000,000;
(m)
a person, other than an individual or investment fund, that has net assets of at least
$5,000,000 as shown on its most recently prepared financial statements and that has
not been created or used solely to purchase or hold securities as an accredited
investor as defined in this paragraph (m);
(n)
an investment fund that distributes or has distributed its securities only to:
(i)
a person that is or was an accredited investor at the time of the distribution,
(ii)
a person that acquires or acquired securities in the circumstances referred to
in Sections 2.10 or 2.19 of NI 45-106, or;
(iii)
a person described in paragraph (i) or (ii) that acquires or acquired securities
under Section 2.18 of NI 45-106;
(o)
an investment fund that distributes or has distributed securities under a prospectus in
a jurisdiction of Canada for which the regulator, or in Québec, the securities
regulatory authority, has issued a receipt;
(p)
a trust company or trust corporation registered or authorized to carry on business
under the Trust and Loan Companies Act (Canada) or under comparable legislation
in a jurisdiction of Canada or a foreign jurisdiction, acting on behalf of a fully
managed account managed by the trust company or trust corporation, as the case
may be;
(q)
a person acting on behalf of a fully managed account managed by that person, if that
person:
(i)
is registered or authorized to carry on business as an adviser or the
equivalent under the securities legislation of a jurisdiction of Canada or a
foreign jurisdiction, and
(ii)
in Ontario, is purchasing a security that is not a security of an investment
fund;
(r)
a registered charity under the Income Tax Act (Canada) that, in regard to the trade,
has obtained advice from an eligibility adviser or an adviser registered under the
securities legislation of the jurisdiction of the registered charity to give advice on the
securities being traded;
(s)
an entity organized in a foreign jurisdiction that is analogous to any of the entities
referred to in paragraphs (a) through (d) or paragraph (i) in form and function;
(t)
a person in respect of which all of the owners of interests, direct, indirect, or
beneficial, except the voting securities required by law to be owned by directors, are
persons that are Accredited Investors;
(u)
an investment fund that is advised by a person registered as an adviser or a person
that is exempt from registration as an adviser, or
(v)
a person that is recognized or designated by the securities regulatory authority or,
except in Ontario and Québec, the regulator as:
(i)
an accredited investor, or
(ii)
an exempt purchaser in Alberta or British Columbia.
As used in this Questionnaire, the following terms have the following meanings:
“financial assets” means:
(a)
cash,
(b)
securities, or
(c)
a contract of insurance, a deposit or an evidence or a deposit that is not a security for the purposes
of securities legislation.
“fully managed account” means an account of a client for which a person makes the investment decisions
if that person has full discretion to trade in securities for the account without requiring the client’s express
consent to a transaction.
“investment fund” has the same meaning as in National Instrument 81-106 Investment Fund Continuous
Disclosure.
“non-redeemable investment fund” has the same meaning as in National Instrument 81-106 Investment
Fund Continuous Disclosure.
A “person” includes:
(a)
an individual,
(b)
a corporation,
(c)
a partnership, trust fund and an association, syndicate, organization or other organized group of
persons, whether incorporated or not, and
(d)
an individual or other person in that person’s capacity as a trustee, executor, administrator or
personal or other legal representative.
“related liabilities” means
(a)
liabilities incurred or assumed for the purpose of financing the acquisition or ownership of financial
assets, or
(b)
liabilities that are secured by financial assets.
“subsidiary” occurs when a person or corporation is controlled by another person or corporation.
“$” means Canadian dollars.
The foregoing representation, warranty and certificate is true and accurate as of the date of this certificate
and will be true and accurate as of Closing. If any such representation, warranty or certificate shall not be
true and accurate prior to Closing, the undersigned shall give immediate written notice of such fact to the
Issuer.
IN WITNESS WHEREOF, the undersigned has executed this Questionnaire as of the _______________
day of
_____________________________________, 201__.
If a Corporation, Partnership or Other Entity:
If an Individual:
Name of Entity
Signature
Type of Entity
Print or Type Name
Signature of Person Signing
Print or Type Name and Title of Person Signing
EXHIBIT “C”
Form 45-106F4
Risk Acknowledgement
•
I acknowledge that this is a risky investment.
•
I am investing entirely at my own risk.
•
No securities regulatory authority or regulator has evaluated or endorsed the merits of
these securities or the disclosure in the offering memorandum.
•
The person selling me these securities is not registered with a securities regulatory
authority and has no duty to tell me whether this investment is suitable for me.
•
I will not be able to sell these securities except in very limited circumstances. I may
never be able to sell these securities.
•
The securities are redeemable, but I may only be able to redeem them in limited
circumstances.
•
I could lose all the money I invest.
I am investing $____________ [total consideration] in total; this includes any amount I am obliged
to pay in the future. Kentucky Petroleum Limited Partnership may pay up to 7% of this to its
General Partner to cover expenses incurred in organizing this offering. Any remainder to of the 7%
may be paid to its Manager for managing the offering. The Kentucky Petroleum Limited
Partnership may also pay up to 10% of this to one or more third party selling agents as a fee or
commission. There is no ongoing annual management fee.
I acknowledge that this is a risky investment and that I could lose all the money I
invest.
Date
Signature of Purchaser
Print name of Purchaser
Sign 2 copies of this document. Keep one copy for your records.
You have 2 business days to cancel your purchase
To do so, send a notice to Kentucky Petroleum Limited Partnership stating that you want to cancel your
purchase. You must send the notice before midnight on the second (2nd) business day after you sign the
agreement to purchase the securities. You can send the notice by facsimile, email, through your broker,
by courier or in person to Kentucky Petroleum Limited Partnership at its business address. Keep a copy
of the notice for your records.
Kentucky Petroleum Limited Partnership
1066 West Hastings Street, Suite 2000
Vancouver, British Columbia V6E 3X2
Email: [email protected]
Fax: (604) 669-3844
You are buying Exempt Market Securities
They are called exempt market securities because two parts of securities law do not apply to them. If an
issuer wants to sell exempt market securities to you:
the issuer does not have to give you a prospectus (a document that describes the investment in
detail and gives you some legal protections), and
the securities do not have to be sold by an investment dealer registered with a securities
regulatory authority.
There are restrictions on your ability to resell exempt market securities. Exempt market securities are
more risky than other securities.
You will receive an Offering Memorandum
Read the Offering Memorandum carefully because it has important information about the issuer and its
securities. Keep the Offering Memorandum because you have rights based on it. Talk to a lawyer for
details about these rights.
You will not receive advice
You will not get professional advice about whether the investment is suitable for you. But you can still
seek that advice from a registered adviser or investment dealer. In Alberta, Manitoba, Northwest
Territories, Prince Edward Island, Québec and Saskatchewan to qualify as an eligible investor, you may
be required to obtain that advice. Contact the Investment Industry Regulatory Association of Canada
(website at www.iiroc.ca) for a list of registered investment dealers in your area.
The securities you are buying are not listed
The securities you are buying are not listed on any stock exchange, and they may never be listed. You
may never be able to sell these securities.
The issuer of your securities is a non-reporting issuer
A non-reporting issuer does not have to publish financial information or notify the public of changes in its
business. You may not receive ongoing information about this issuer.
For more information on the exempt market, call your local securities regulatory authority.
BRITISH COLUMBIA
British Columbia Securities Commission
701 West Georgia Street
P.O. Box 10142, Pacific Centre
Vancouver British Columbia V7Y 1L2
Telephone
604 899 6500
Toll-Free 1 800 373 6393
Fax
604 899 6506
www.bcsc.bc.ca
ALBERTA
Alberta Securities Commission
Ste. 400 - 300, 5th Avenue SW
Calgary, AB T2P 3C4
Tel: (403) 297-6454
Toll Free: 1-877-355-0585
Fax: (403) 297-6156
Web site: www.albertasecurities.com
Inquiries: [email protected]
ONTARIO
Ontario Securities Commission
Box 55, Suite 1903 - 20 Queen Street West
Toronto, ON M5H 3S8
Tel: (416) 593-8314
Toll Free: 1-877-785-1555
Fax: (416) 593-8122
Web site: www.osc.gov.on.ca
Inquiries: [email protected]
SASKATCHEWAN
Saskatchewan Financial Securities Commission
Suite 601, 1919 Saskatchewan Drive
Regina, SK S4P 4H2
Telephone:
306-787-5645
Fax:
306-787-5899
Website: www.sfsc.gov.sk.ca
MANITOBA
The Manitoba Securities Commission
500-400 St. Mary Avenue
Winnipeg MB R3C 4K5
Telephone:
204-945-2548
Toll Free: 1-800-655-5244
(Manitoba Only)
Fax:
204-945-0330
Website: www.msc.gov.mb.ca
NEW BRUNSWICK
New Brunswick Securities Commission
85 Charlotte Street, Suite 300
Saint John, NB E2L 2J2
Telephone:
506-658-3060
Fax:
506-658-3059
Toll Free: 1-866-933-2222
(within NB only)
Website: http://www.nbsc-cvmnb.ca/nbsc
EXHIBIT “D”
ELIGIBLE INVESTOR QUESTIONNAIRE
(To be completed by residents of Alberta, Saskatchewan and Manitoba investing more than $10,000)
The undersigned, as a purchaser of limited partnership units (the “Units”) of Kentucky Petroleum Limited
Partnership (the “Issuer”), has represented to the Issuer that the undersigned is an eligible investor as
defined in Section 1.1 of National Instrument 45-106 (“NI 45-106”). The undersigned has indicated below
the categories which it, he or she satisfies to qualify as an eligible investor.
The undersigned understands that each of the Issuer is relying on this information in determining to sell
securities to the undersigned in a manner exempt from the prospectus requirements of applicable
securities laws.
ELIGIBLE INVESTOR STATUS
The undersigned represents and warrants that it, he or she is [check each applicable item]:
(a)
(a) a person whose [circle one or more]
(i) net assets, alone or with a spouse, in the case of an individual, exceed $400,000,
(ii) net income before taxes exceeded $75,000 in each of the 2 most recent calendar
years and who reasonably expects to exceed that income level in the current
calendar year, or
(iii) net income before taxes, alone or with a spouse, in the case of an individual,
exceeded $125,000 in each of the 2 most recent calendar years and who reasonably
expects to exceed that income level in the current calendar year;
(b)
a person of which a majority of the voting securities are beneficially owned by eligible
investors or a majority of the directors are eligible investors;
(c)
a general partnership of which all of the partners are eligible investors;
(d)
a limited partnership of which the majority of the general partners are eligible
investors;
(e)
a trust or estate in which all of the beneficiaries or a majority of the trustees or
executors are eligible investors;
(f)
an accredited investor;
(g)
if resident in Alberta; a person described in NI 45-106 section 2.5 [Family, friends
and business associates], which provides as follows:
(a) a director, executive officer or control person of Limited Partnership or the
General Partner or Manager of the Limited Partnership,
(b) a spouse, parent, grandparent, brother, sister or child of a director, executive
officer or control person of the Limited Partnership or the General Partner or
Manager of the Limited Partnership,
(c) a parent, grandparent, brother, sister or child of the spouse of a director,
executive officer or control person of the Limited Partnership or the General Partner
or Manager of the Limited Partnership,
(d) a close personal friend of a director, executive officer or control person of the
Limited Partnership or the General Partner or Manager of the Limited Partnership,
(e) a close business associate of a director, executive officer or control person of the
Limited Partnership or the General Partner or Manager of the Limited Partnership,
(f) a founder of the issuer or a spouse, parent, grandparent, brother, sister, child,
close personal friend or close business associate of a founder of the Limited
Partnership,
(g) a parent, grandparent, brother, sister or child of a spouse of a founder of the
Limited Partnership,
(h) a person of which a majority of the voting securities are beneficially owned by, or
a majority of the directors are, persons described in paragraphs (a) to (g), or
(i) a trust or estate of which all of the beneficiaries or a majority of the trustees or
executors are persons described in paragraphs (a) to (g).
(h)
a person that has obtained advice regarding the suitability of the investment and, if
the person is resident in a jurisdiction of Canada, that advice has been obtained from
an eligibility adviser;
As used in this Questionnaire, the following terms have the following meanings:
“financial assets” means:
(a)
cash,
(b)
securities, or
(c)
a contract of insurance, a deposit or an evidence or a deposit that is not a security for the purposes
of securities legislation.
“eligibility adviser” means
(a)
a person that is registered as an investment dealer or in an equivalent category of
registration under the securities legislation of the jurisdiction of a purchaser and authorized
to give advice with respect to the type of security being distributed, and
(b)
in Saskatchewan or Manitoba, also means a lawyer who is a practicing member in good
standing with a law society of a jurisdiction of Canada or a public accountant who is a
member in good standing of an institute or association of chartered accountants, certified
general accountants or certified management accountants in a jurisdiction of Canada
provided that the lawyer or public accountant must not
(i)
have a professional, business or personal relationship with the issuer, or any of its
directors, executive officers, founders, or control persons, and
(ii)
have acted for or been retained personally or otherwise as an employee, executive
officer, director, associate or partner of a person that has acted for or been retained
by the issuer or any of its directors, executive officers, founders or control persons
within the previous 12 months.
“fully managed account” means an account of a client for which a person makes the investment decisions
if that person has full discretion to trade in securities for the account without requiring the client’s express
consent to a transaction.
“investment fund” has the same meaning as in National Instrument 81-106 Investment Fund Continuous
Disclosure.
“non-redeemable investment fund” has the same meaning as in National Instrument 81-106 Investment
Fund Continuous Disclosure.
A “person” includes:
(a)
an individual,
(b)
a corporation,
(c)
a partnership, trust fund and an association, syndicate, organization or other organized group of
persons, whether incorporated or not, and
(d)
an individual or other person in that person’s capacity as a trustee, executor, administrator or
personal or other legal representative.
“related liabilities” means
(a)
liabilities incurred or assumed for the purpose of financing the acquisition or ownership of financial
assets, or
(b)
liabilities that are secured by financial assets.
“subsidiary” occurs when a person or corporation is controlled by another person or corporation.
“$” means Canadian dollars.
The foregoing representation, warranty and certificate is true and accurate as of the date of this certificate
and will be true and accurate as of Closing. If any such representation, warranty or certificate shall not be
true and accurate prior to Closing, the undersigned shall give immediate written notice of such fact to the
Issuer.
IN WITNESS WHEREOF, the undersigned has executed this Questionnaire as of the _______________
day of
_____________________________________, 201__.
If a Corporation, Partnership or Other Entity:
If an Individual:
Name of Entity
Signature
Type of Entity
Print or Type Name
Signature of Person Signing
Print or Type Name and Title of Person Signing