FORM 13-502F2
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FORM 13-502F2
CLASS 2 REPORTING ISSUERS -- PARTICIPATION FEE
Reporting Issuer Name: _________________________ |
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Fiscal year end date used |
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to calculate capitalization: |
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Financial Statement Values: |
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(Use stated values from the audited financial statements of the reporting issuer as at its most recent audited year end) |
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Retained earnings or deficit |
(A) |
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__________ |
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Contributed surplus |
(B) |
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__________ |
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Share capital or owners' equity, options, warrants and preferred shares (whether such shares are classified as debt or equity for financial reporting purposes) |
(C) |
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__________ |
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Long term debt (including the current portion) |
(D) |
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__________ |
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Capital leases (including the current portion) |
(E) |
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__________ |
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Minority or non-controlling interest |
(F) |
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__________ |
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Items classified on the balance sheet between current liabilities and shareholders' equity (and not otherwise listed above) |
(G) |
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__________ |
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Any other item forming part of shareholders' equity and not set out specifically above |
(H) |
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__________ |
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Capitalization |
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(Add items (A) through (H)) |
__________ |
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Participation Fee |
__________ |
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(From Appendix A of the Rule, select the participation fee beside the capitalization calculated above) |
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New reporting issuer's reduced participation fee, if applicable |
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(See section 2.6 of the Rule) |
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Participation fee |
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Number of entire months remaining |
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in the issuer's fiscal year |
= |
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_____________________________________________________ |
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12 |
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Late Fee, if applicable |
__________ |
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(As determined under section 2.5 of the Rule) |
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