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.

  1. 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.

  2. 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: _______________________________

  3. 3. Members of the Board of Directors (B.O.D.) and Chief Executive Officer (CEO)

    1. 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.
    2. 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

Table A – Members of the B.O.D. and CEO

Full name

City and province of ordinary residence

CanadianFootnote 1
(Yes/No)

Position held (e.g.: President, Secretary)

Members of the B.O.D.

 

 

 

 

 

 

 

 

 

 

 

 

CEO

 

 

 

 

  1. 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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