1 - Corporate Name
6 - The following are the members of the board of directors (continue on next page if necessary)
2 - Corporation number
Canada Not-for-profit Corporations Act (NFP Act) Form 4033
Annual Return - Special Act Corporation As of March 31st of the year of filing
ISED-ISDE 3604E (2016-11)
5 - Complete address of the registered office (cannot be a post office box )
4 - Date of last annual meeting (YYYY-MM-DD)
Number and street name
Postal code City Province or territory
Page 1 of 2
3 - Year of filing
FIRST NAME ADDRESS (a P.O. Box is not acceptable)LAST NAME
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6 - The following are the members of the board of directors (continued)
Canada Not-for-profit Corporations Act (NFP Act) Form 4033
Annual Return - Special Act Corporation As of March 31st of the year of filing
7 - DeclarationI hereby certify that I am a director or an authorized officer of the corporation.
Note: A person who makes, or assists in making, a false or misleading statement is guilty of an offence and liable on summary conviction to a fine of not more than $5,000 or to imprisonment for a term of not more than six months or to both (subsection 262(2) of the NFP Act).
Page 2 of 2
Signature:
Telephone number:Print name:
FIRST NAME ADDRESS (a P.O. Box is not acceptable)LAST NAME
ISED-ISDE 3604E (2016-11)
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