Fax 905 507 5354Form 1 F UNDTAIN Terms used in thisFormve the meanings gin to them in National Insume54101The use of this form is referenced in tion 62 of National Instrum54Name of Individual ID: 820015
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To: Broridge Investor Communicion Soluti
To: Broridge Investor Communicion Solutions, nada Email: NOBO.Product ion@Broadrdge Fax: 905 507 5354Form 1 FUNDTAIN(Terms used in thisFormve the meanings gin to them in National Insume54101.The use of this form is referenced in tion 6.2 of National Instrum54[Name of Individual] [Full Residence Address](If thisuningmade on halfof a rson or co oer an an individual,set out fu legal namethat person or company, positioof dividual signg on half of at persoor cony ndress for rve). EMNLY DECLARE AND UNTAKE THAT: I rre a list inthe required format of the non-objecting benecial ners of securities offnsert N of thpoing Iuer]on whose behalftermediaries holdurities (a NOBO list), as shn on the rcords of the intermediari. [Option #1 – use this alternative if the reporting issuer is providing the undertaking] I une at theinformation t o on the NOBO lt will be used only connection ith maers relatingthe airs of the reporting issuer. [Option #2 – use this alternative if a person or company other than the reporting issuer is providing the undertaking] I unrtake at the information t out on the NOBO list will be used only for o or more of the folling purposes: (anding urityholder materials NOBOs acconce with National Instrum 54-(b an eort influence the vong of securityholde of the rerting issuer; (c) an oer acquire securities of the rrting issuer. I unrtakt, except armitte u National Instrumnt 54-101, the NO l will not b useto send urityholder materials toose NOBOs at a intified on theNOBO lt as having chon not receive the materials, at the materials shade t folling statement:e urityholder materials are ing se bo registered a non-registered ners of the securities. If you are a non- istered ner, athe issuer or itsagehasese materials directly yo yoname a aress and information yo holdof uriti, ve bn obtained acconce withapplicurities regtory requirementsom the intermediary holding on yo behalf.” I am aware at is a contravention of the law use a NOBO lt for ppos oer an connection with o or more of the followg: (anding urityholder materials NOBOs acconce with National Instrum 54-101; (b an eort influence the vong of securityholde of the rerting issuer; (c) an oer acquire securities of the rrting issuer.5. I claat I the person or cony I am using me this requeshasthe tal capaity reive theNOBO lis______________________________________________natureNa of thrson SigningndTitle Body Corporate(Please Print)teion 0213