Notification to establish a new Canadian business

NOTIFICATION TO ESTABLISH A NEW
CANADIAN BUSINESS

(highlighted text provides additional info)

INVESTOR

1. Name of investor (if more than one, please itemize)
   
   
   
2. Mailing address
   
   
   
3. Telephone
   
   Facsimile
   
   Internet address (URL - if available)
   
   
   
4. Name and address of the person or entity that controls the investor
   (if more than one, please itemize)
   
   
   INVESTMENT
   
   
5. Country of origin of investment
   
   
   
6. Does not apply - go to question 7
   
   
7. Date of implementation of investment
   
   
   CANADIAN BUSINESS BEING ESTABLISHED
   
   
8. Name, or proposed name, of Canadian business being established
   
   
   
9. Business address of the Canadian business being established
   (if not yet determined, city and province in Canada)
   
   
   
10. Brief description of the business activities of the Canadian business being established
    (e.g. film production, magazine publishing, etc.)
    
    
    

11 to 13 do not apply to the establishment of a new Canadian business -
go to 14

FOR YOUR NEW CANADIAN BUSINESS, PLEASE INDICATE:

14.

1. Projected number of persons to be employed in connection with the new Canadian business at the end of the second full year of operation:
   1 to 9
   10 to 49
   50 to 199
   If 200 or more, please specify
   
   
   
2. Projected total amount of Canadian dollars to be invested in the new Canadian business during the first two years of operation:
   under $500 000
   $500 000 to $2 000 000
   $2 000 000 to $5 000 000
   if over $5 000 000, please specify:
   
   
   
3. Projected level of annual sales or revenues of the new Canadian business during the second full year of operation:
   under $500 000
   $500 000 to $2 000 000
   $2 000 000 to $5 000 000
   if over $5 000 000, please specify:
   
   
   

CANADIAN CULTURAL HERITAGE OR NATIONAL IDENTITY

15.

1. Indicate which of the following business activities the investment falls within:
   Publication, distribution or sale of books, magazines, periodicals or newspapers in print or machine readable form
   Production, distribution, sale or exhibition of film or video products
   Production, distribution, sale or exhibition of audio or video music recordings
   Publication, distribution or sale of music in print or machine readable form
   
   PROVIDE THE FOLLOWING INFORMATION. WHERE APPLICABLE, YOU MAY USE ANNUAL REPORTS, OTHER BUSINESS MATERIAL, OR A SEPARATE ATTACHMENT TO ANSWER ITEMS b) to d):
   
   
2. a description of the business activities of the investor
   
   
   
3. a description of any business activity carried on by the person or entity that controls the investor, if any, that is similar to those indicated in a)
   
   
   
4. a description of any products manufactured or sold, or to be manufactured or sold, and of any services rendered, or to be rendered, by the Canadian business
   
   
   
5. does not apply to the establishment of a new Canadian business - continue
   
   

IF YOU ARE UNABLE TO ANSWER ANY OF THE QUESTIONS RELEVANT TO YOUR INVESTMENT, INDICATE THE REASONS

Date

Signature of Investor

Name and Title