Appendix 2A – Ownership Information – Religious
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 – Religious.
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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. Charity Organization
Any religious organization or foundation using the Canadian broadcasting system to solicit funds should be a charity and be registered as such with the Canada Revenue Agency (CRA), in accordance with the Income Tax Act (Religious Broadcasting Policy, Public Notice CRTC 1993‑78, 3 June 1993).
Please confirm that you agree to comply with the guideline stating that any organization that solicits funds must be a registered charity.
Yes ( ) No ( )
If you answered “No”, please explain:
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