Appendix 2A – Ownership Information – Commercial
Sample form only: do not complete
This form is for reference purposes only. It is not to be completed in this format.
To complete this and submit it to the CRTC, download the form.
Instruction
The document must be saved under the name: Appendix 2A – Ownership Information – Commerciale.
Please complete the tables for the licensee and each of the shareholder corporations.
If the entity is a not‑for‑profit corporation, please complete questions 1 to 3 only.
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1. Proposed Licensee Name
Option #1 - The proposed licensee is a non-profit corporation that has already been incorporated.
Legal name on the Certificate of Incorporation: ___________________________
Option #2 - The proposed licensee is a non-profit corporation that has not yet been incorporated.
The application is submitted by _______ (Name of the individual submitting the application) on behalf of a non-profit corporation to be incorporated.
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2. Declaration of control
Please indicate who will control the proposed licensee:
Control exercised by the licensee’s Board of Directors (B.O.D.)
Control exercised by an individual
If control is exercised by an individual, please identify the individual and confirm whether they are Canadian and ordinarily resident in Canada: ___________________________
Other
If other, please explain how control is exercised: _______________________________
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3. Members of the Board of Directors (B.O.D.) and Chief Executive Officer (CEO)
- Please provide the list of members of the B.O.D. or, if not applicable, the individuals performing functions similar to those of such a position.
- Please provide the information regarding the person who holds the position of CEO. If such a position does not exist, indicate the name of the person who performs comparable functions and specify their title in parentheses.
Notes
- If the person who holds the position of CEO is also a member of the B.O.D., please provide their information in both sections.
- If a person identified in the table is a permanent resident, please indicate the approximate date on which they will be eligible to apply for Canadian citizenship in the “Canadian” column.
Full name |
City and province of ordinary residence |
CanadianFootnote 1 |
Position held (e.g.: President, Secretary) |
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Members of the B.O.D. |
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CEO |
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4. Shareholding of the licensee
If the licensee is a for‑profit corporation, please complete Section 4.
Authorized Securities
In the table below, describe all categories of shares authorized to be issued, as well as the identity of the holders of those shares.
Security Type |
Number of Votes Per Share |
Convertible |
Participating |
Number of Shares Authorized |
Number of Shares Issued and Outstanding |
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Note
- All types of securities must be reflected exactly as they are described in the articles or schedules of the corporation (whether voting or non-voting, including the types of shares that have not been issued).
Security Type |
Shareholder Name |
City & Province of Ordinary Residence or Entity’s Jurisdiction |
Canadian |
Number of Shares Held |
% Votes |
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Notes
- All shareholders holding 10% or more of the voting shares must be included in the list of shareholders;
- For shareholders holding less than 10% of the voting shares, they must be broken down between “Canadian” and “non-Canadian” shareholders, by type of shares. It is not required to indicate the names of these shareholders;
- Jurisdiction for legal entity: Identify the jurisdiction where the shareholder’s legal entity is incorporated.
5. Parent corporations and other shareholders
If the proposed licensee is owned by corporations, please complete Section 5.
Please copy and complete the following tables for each corporation that holds, directly or indirectly, 10% or more of the voting shares.
Name of the shareholder corporation to which the following tables apply: _____________________________________________________
Full name |
City and province of ordinary residence |
Canadian |
Position held (e.g.: President, Secretary) |
|---|---|---|---|
Members of the B.O.D. |
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CEO |
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Notes
- If the person who holds the position of CEO is also a member of the B.O.D., please provide their information in both sections.
- If a person identified in the table is a permanent resident, please indicate the approximate date on which they will be eligible to apply for Canadian citizenship in the “Canadian” column.
Authorized Securities
In the table below, describe all categories of shares authorized to be issued, as well as the identity of the holders of those shares.
Security Type |
Number of Votes Per Share |
Convertible |
Participating |
Number of Shares Authorized |
Number of Shares Issued and Outstanding |
|---|---|---|---|---|---|
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Note
- All types of securities must be reflected exactly as they are described in the articles or schedules of the corporation (whether voting or non-voting, including the types of shares that have not been issued).
Security Type |
Shareholder Name |
City & Province of Ordinary Residence or Entity’s Jurisdiction |
Canadian |
Number of Shares Held |
% Votes |
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Notes
- All shareholders holding 10% or more of the voting shares must be included in the list of shareholders;
- For shareholders holding less than 10% of the voting shares, they must be broken down between “Canadian” and “non-Canadian” shareholders, by type of shares. It is not required to indicate the names of these shareholders;
- Jurisdiction for legal entity: Identify the jurisdiction where the shareholder’s legal entity is incorporated.
- Date modified: