Professional Documents
Culture Documents
- Name:__________________________________________
- Telephone: ______________________________________
- Fax: ___________________________________________
- E-mail: _________________________________________
The required Information, together with a hard copy of this Checklist (bearing your initials and signature)
and an electronic version thereof (in Word, Excel or text format), no later than ……………. to the attention of:
- Name:__________________________________________
- Telephone:______________________________________
- Fax: ____________________________________________
- E-mail: _________________________________________
D- Corporate Information
Certificate or Articles
Certificate or articles of incorporation of the Company
24 & all Amendments
• Date of certificate or articles
• Incorporation date (if different)
• Corporate name
• Other versions (French, English, abbreviated, etc.)
• Incorporating act
• Place of incorporation (applicable jurisdiction)
Incorporation number, registration number,
• identification number, etc.
25Certificate(s) or articles of amendment
• Date of certificate(s) or articles
• Date of amendment (if different)
• Summary of amendment
26Certificate(s) or articles of amalgamation
• Date of certificate(s) or articles
• Date of amalgamation (if different)
• Name of amalgamating companies
27Structure of share capital
• Authorized number of shares
• Classes of shares
Rights relating to each class (voting rights, dividend
• rights, etc.)
Confidential Document Property of Tradebe Corp. Initials ( ) 2
Previously Provided To be
Provided Herewith Provided Not
NO. Item Description Date Date Applicable
28By-laws (and amendments)
• General by-law
• Borrowing by-law
• Special by-laws
• Other by-laws
Other (specify): ……………………………
29Do any of the principals have criminal records?
Governmental Notices
30Notice of board membership
31Notice of head office
32Other governmental notices
33Certificate of compliance/certificate of conformity
• Issued by governmental authorities
• Up to date (less than 30 days)
Declaration of registration, initial declaration,
34 prospectus or other initial document
Annual declarations or annual reports filed in the last
35 five (5) years
Amending declarations or amended reports filed in the
36 last five (5) years
37Notice of default
Nature of any notice received from the governmental
• authorities
• Evidence of default having been remedied
Other (specify): ……………………………
Incorporators
50List of incorporators
• Name, age, address and telephone number
• Date of birth
• Social insurance number or social security number
• Citizenship
51Other (specify): ……………………………
Directors
52List of directors
• Name, age, address and telephone number
• Date of birth
• Social insurance number or social security number
• Citizenship
• Date became a director
• Date ceased to be a director
53Curriculum vitae of each director
54Other (specify): ……………………………
Shareholders
58List of shareholders
• Name, age, address and telephone number
• Date of birth
• Social insurance number or social security number
• Citizenship
Confidential Document Property of Tradebe Corp. Initials ( ) 5
Previously Provided To be
Provided Herewith Provided Not
NO. Item Description Date Date Applicable
• Number and class of shares held
• Percentage of shares held
• Date became a shareholder
• Date ceased to be a shareholder
59Curriculum vitae of each shareholder
Other (specify): ……………………………
Last five years of annual shareholder reports for the
60 company and its subsidiaries
Securities
61Issued and paid up share capital account
• Name of the shareholders
• Number and class of securities held by each
• Particulars of transactions
Other (specify): ……………………………
A schedule of currently projected uses of proceeds to
be obtained from the offering and sale of any
62 securities
All private placement memoranda, prospectuses, or
other documents relating to the offering or acquisition
• by the company of securities.
All reports filed with and correspondence with the
Securities and Exchange commission or any state
• securities commission within the last five years
Share Transfers
63List of share transfers
• Transfer number
• Name of transferor
• Name of transferee
• Number and class of shares transferred
• Number of the share certificate in question
64Other (specify): ……………………………
Indicate whether there are any stockholders or stock
certificates whose whereabouts are unknown, or any
stockholders from which it will be difficult to obtain
approval of the transaction or stock certificates, as
appropriate.
Share Certificates
65Outstanding share certificate(s)
• Certificate number
• Name of holder
Number and class of shares represented by the
• certificate
Restrictions on share transfers (set forth on the
• certificate)
Confidential Document Property of Tradebe Corp. Initials ( ) 6
Previously Provided To be
Provided Herewith Provided Not
NO. Item Description Date Date Applicable
Corporate Operations
Miscellaneous
106Corporate records
Location of records (if not at the Company’s head
• office)
107Corporate seal(s)
• Exist(s) (yes or no)
E- Accounting Information
Income Tax
144Income tax returns for the last five (5) years
• National
• Federal
• Provincial
• State
• Other (specify): ………….
Notices of assessment issued by any competent fiscal
145 authority for the last five (5) years
Notices of reassessment, additional assessment,
corrected assessment or amended assessment, issued
by any competent fiscal authority for the last five (5)
146 years
Sales Tax
Sales tax declarations or returns prepared during the
150 last five (5) years
Notices of assessment issued by any competent fiscal
151 authority during the last five (5) years
Notices of reassessment, additional assessment,
corrected assessment or amended assessment, issued
by any competent fiscal authority for the last five (5)
152 years
Tax Credits
Applications for tax credits relating to research and
162 development (scientific, experimental, etc.)
• Governmental confirmations
• Governmental oppositions
163Other (specify): ……………………………
G- Financial Information
H- Legal Information
List of all law firms with which the Company has dealt
232 during the last five (5) years
• Name, address and telephone number of the firm
J- Intellectual Property
Trademarks
List of trademarks (whether or not registered) used by
the Company in any country. Schedule of trademarks
297 and trade names.
• location of first use
• date of first use
Registration certificates for trademarks used by the
298 Company
Countries in which each of the trademarks is
• registered
• Registration date
• Registration number
• Name of registered owner(s)
• Name of previous owner(s) (if applicable)
Description of the wares/services covered by the
• trademark
Applications for registration of the trademarks used by
299 the Company
Countries in which each of the applications for
• registration was filed for purposes of registration
• Filing date of the application for registration
• Number of the application for registration
• Name of owner-applicant(s)
Description of the wares/services covered by the
• application for registration
• Current status of the file
300List of the Company’s proposed trademarks
Licenses (e.g: user license) granted by the Company
301 to third parties
302Technical documents relating to any trademark
Assignment of rights agreements entered into between
303 the Company and third parties
Documents relating to any claim or complaint of
trademark infringement made by the Company against
304 third parties
Documents relating to any claim or complaint of
trademark infringement made against the Company by
305 third parties
Confidential Document Property of Tradebe Corp. Initials ( ) 26
Previously Provided To be
Provided Herewith Provided Not
NO. Item Description Date Date Applicable
Other (specify): ……………………………
306
307A description of important technical know-how.
A description of methods used to protect trade secrets
308 and know-how.
309Any "work for hire" agreements.
A schedule and copies of all consulting agreements,
agreements regarding inventions, and licenses or
assignments of intellectual property to or from the
310 Company.
A schedule and summary of any claims or threatened
claims by or against the Company regarding
311 intellectual property.
Copyrights
List of copyrights (whether or not registered) owned
312 by the Company in any country
Registration certificates for copyrights owned by the
313 Company
Patents
List of patents (whether or not registered) owned by
321 the Company in any country
Registration certificates for patents owned by the
322 Company
Industrial Designs
List of industrial designs (whether or not registered)
331 owned by the Company in any country
Trade Secrets
List of trade secrets owned by the Company in any
340 country
341Name of persons having knowledge thereof
Licenses (e.g: user license) granted by the Company
342 to third parties
Licenses (e.g: user license) granted to the Company
343 by third parties
Assignment of rights agreements entered into between
344 the Company and third parties
345Technical documents relating to any trade secret
Technological Processes
List of technological processes owned by the Company
349 in any country
350Name of persons having knowledge thereof
Licenses (e.g: user license) granted by the Company
351 to third parties
Licenses (e.g: user license) granted to the Company
352 by third parties
Technical documents relating to any technological
353 process
Assignment of rights agreements entered into between
354 the Company and third parties
Documents relating to any claim or complaint of
infringement of a technological process made by the
355 Company against third parties
Documents relating to any claim or complaint of
infringement of a technological process made against
356 the Company by third parties
357Other (specify): ……………………………
Product Development:
Obtain a list of development projects in the product
pipeline. What is the estimated remaining time and
358 expense required to launch each one?
What attributes make the company’s new products
359 unique?
Have any products been in the development pipeline
for a long time, and have no immediate prospects for
360 product launch?
Who are the key development personnel? What is
361 their tenure and educational background?
Does the company primarily use incremental product
improvements, or engage in major new product
362 development projects?
Miscellaneous
Rolling Stock
List of rolling stock (e.g: automobiles, trucks, trailers,
388 etc.)
• Make
• Model
• Year
• Serial number
• License plate number
• Name of registered owner
• Equipment added
Confidential Document Property of Tradebe Corp. Initials ( ) 32
Previously Provided To be
Provided Herewith Provided Not
NO. Item Description Date Date Applicable
• Other (specify): ……………
389Rolling stock acquisition agreements
• Acquisition date
• Amount paid
• Depreciation
M- Computer
N- Immovables
O- Insurance
P- Internet
Q- Environment
R- Operations
S- Franchise
T- Marketing
710What was the sales per salesperson for the past year?
What was the sales expense per salesperson for the
711 past year?
What is the sales projection by product for the next 12
712 months?
Into what category do customers fall – end users,
713 retailers, OEMs, wholesalers, and/or distributors?
How many customers are there for each product,
714 industry, and geographic region?
715What is the average order size?
U- Clientele
W- Employees
850 The Company's organizational chart.
909 Obtain copies of the I-9 forms for all active employees.
910Obtain copies of any employment agreements.
Obtain copies of performance evaluation criteria and
911 bonus plans.
X- Competition
Z- Miscellaneous
__________________________
Notary Signature
STAMP
Document the patent application process. Have List all trademark and service mark registrations and pending applications for registration. Verify
any potential patents not been applied for?_x000D_ that all affidavits of use and renewal applications have been filed, and prosecution of all pending
applications is current.
Review all corporate insurance, using a schedule from the company's insurance agency. If there is
Does the company have an overall risk mitigation material pending litigation, determine the extent of insurance coverage and obtain insurance
plan that it updates regularly?_x000D_ company confirmation. Note whether insurance terms are for "claims made" or "claims incurred,"
as well as the amounts of deductibles.
Review the amount and terms of any other debt agreements. Review covenants in the debt
Review the terms of any lines of credit._x000D_ agreements, and determine if the company has breached the covenants in the past, or is likely to do
so in the near future.
Look for unrecorded debt._x000D_
Verify wage and tax remittances to all government entities, and that there are no unpaid amounts.
Review the sufficiency of accruals for wages,
vacation time, legal expenses, insurance, property
taxes, and commissions._x000D_
Obtain copies of all unexpired purchasing commitments (purchase orders, etc.).
Equity:
Title: Express Ventures Due Diligence Checklist (borrowed from AvTech Ventures)
1. Corporate Records
a.
Formation documents, such as Articles or Certificate of Incorporation and by- laws (for the Company), or Articles or Certificate of Organization of LLC and Operating Agreement (for an LLC).
b.
All minutes of meetings of the board of directors, shareholders, members and committees of the Company.
c.
Listing of any affiliated companies such as subsidiaries.
d.
Any stockholder, buy-sell, or similar agreements that may relate, directly or indirectly, to the proposed transaction.
e.
A list of all of the security holders of the Company (including option and warrant holders and others entitled to purchase the securities of the Company), indicating the class and number of securities held by each such holder.
f.
Copies of all securities of the Company presently outstanding and any agreements or plans relating thereto (including options, warrants, and securities convertible or exchangeable into common stock) and the number of shares, units, or principal amount outstanding.
g.
A copy of the stock transfer ledger of the Company showing all transactions in its stock..
h.
All documents known to the Company relating to outstanding proxies, powers of attorney (with respect to any stock of the Company), voting trusts, or other assignments of rights attaching to any of the stock of the Company, if any.
i.
A list of any capital stock or equity interest in any other entity or enterprise owned by the Company.
2. Business Contracts
a.
Any partnership, joint venture, distributorship, franchise, licensing, management, research and development, or similar agreements or contracts to which the Company is a party.
b.
Any form engagement letters or other form agreements or contracts used in connection with the Company's business, including without limitation purchase orders, sales orders, q
c.
List of significant acquisitions or dispositions of the Company's assets, mergers, equity financings, and other material transactions completed within the last three years and all documentation relating thereto.
d.
Any other contract or agreement (or forms of related or similar contract) that: (i) involves payments by or to the Company of in excess of $1,000 in any one year or (ii) is significant to the operation of the Company's business.
3. Legal/Financial
a.
Copies of any currently outstanding commitment letters or other correspondence relating to proposed financings or borrowings of the Company.
b.
Letters of credit outstanding (amounts, terms) if any.
c.
List of financial institutions and types of accounts maintained by the Company.
d.
All documents purporting to create liens, mortgages, security agreements, pledges, charges, or other encumbrances on the stock of the Company, on any real or personal property of the Company or in favor of the Company. Copies of all Uniform Commercial Code (UCC) financing statements filed with respect to the above, if any.
e.
Copies of notes payable to or notes receivable from any employee, director, affiliate, agent, or shareholder of the Company outstanding at any time during the past year. Copies of all other agreements relating, directly or indirectly, to the Company or any person who is, or is proposed to become, an officer, director, key employee or significant owner (including affiliates) of the Company (including loans, leases, purchases, and sales of property).
f.
Copies of any agreements pursuant to which the Company either (i) guarantees or otherwise supports the credit of any other person or entity or (ii) indemnifies or has agreed to hold others harmless with respect to any liabilities
g.
Financial Statements and income and payroll tax returns for last 3 years.
4. Property
a.
List of real property (owned or leased) used in the Company's business, including size, location, and use of each parcel and number of employees employed at each location. For leased properties, include the term of each lease.
b.
Copy of all leases, subleases, deeds, mortgages, construction contracts, and other commitments relating to real property owned or leased in connection with the Company's business.
c.
Any appraisals of the Company's real property obtained within the past three years; copies of any Phase I Environmental Reports.
d.
Inventory of significant personal property owned or leased, and copies of all purchase contracts, leases (including, without limitation, automobile leases, and computer equipment leases) and security agreements, etc., relating to material equipment or personal property or licenses regarding equipment usage.
5. Intellectual Property
a.
Schedule of trademarks, trade names, service marks, copyrights, or patents owned by, licensed to, or applied for by or on behalf of the Company and correspondence files relating thereto, including dates of registration with state or federal agencies along with identifying registration numbers, if any.
b.
A listing of all parties whose software or intellectual property is utilized in the Company’s products or service and copies of any license or purchase agreements with those parties.
c.
Copy of all patent applications outstanding.
d.
Copy of all licenses, assignments, royalty agreements, and other contracts and instruments relating to the foregoing.
e.
Name of contact person who handles patent, trademark, or copyright matters for the Company.
f.
Description of policies to protect intellectual property rights owned by the Company or otherwise used in the Company's business.
g.
Documents relating to any claims of infringement of intellectual property rights owned by the Company or related to its business either (i) by the Company or any of its owners against the rights of others or (ii) by others against the rights of the Company or its owners.
6. Management/Employees
a.
All corporate policy manuals covering hiring, regulatory compliance, internal controls, etc. Include number of employees by department or other relevant classification.
b.
Copies of employment contracts, confidentiality agreements, non-competition agreements, management and consulting contracts, union contracts, collective bargaining agreement
c.
Any written agreements and summaries of any unwritten arrangements or understandings between the Company and any of its officers, directors, affiliates, and associates within the
d.
Copies of and listing of all profit sharing and savings plans, pension or retirement plans, deferred compensation plans, medical, dental, or other health and welfare plans and any bonus, incentive, performance, or similar plans or arrangements and related. agreements; Summary Plan Descriptions or other descriptions, Form 5500 filings for past 3 years, and all IRS determination letters or other communications with governmental officials regarding any of the foregoing.
e.
Copies of any other executive compensation plans or programs.
f.
Any indemnification agreements with any directors, employees, or agents.
g.
Distribution, sales representative, agency, and dealer agreements currently in effect.
h.
Commission agreements with nonemployee salespersons, buyers, or other agents.
i.
Form of nondisclosure or proprietary information agreements used by the Company and a list of any employees of the Company who are a party to such agreements.
j.
Schedule of all compensation paid during the last fiscal year to officers, directors, and key employees showing separately salaries, bonuses, and non-cash compensation, including bonuses paid or accrued, direct or indirect benefits or perquisites, and all benefits paid or accrued under all employee benefit plans.
7. Litigation
a.
List of all litigation, administrative or regulatory proceedings, investigations, or governmental actions involving the Company or its business since Company began, with a brief description of the basis for each such matter.
b.
Description of any currently threatened litigation, legal claims, regulatory actions or other actions or proceedings, including any correspondence relating to any alleged infringement of any patent, trademark, or other intellectual property.
8. Insurance
a.
A schedule of all policies or binders of insurance or self-insurance arrangements, including medical, workers compensation, disability, automobile, general liability, fire and casualty, products liability, professional liability, officers' and directors' liability and key-man life insurance, with deductibles, coverage limits, and other significant terms. Please indicate the name and address of all insurance agents, brokers, and companies.
b.
A schedule of insurance claims in excess of $50,000 over the last five years, and summary of loss history for that period.
c.
A schedule of threatened or potential claims.
d.
A schedule of outstanding bonds (value and bonding company), current bonding limits.
e.
Any reports or correspondence concerning the adequacy of the foregoing or denial of coverage.
9. Legal-Regulations and Filings
a.
Reports filed and significant correspondence to and from any state or federal regulatory agencies.
b.
A schedule of all material governmental permits, licenses, etc. of the Company and relating to the Company's business.
c.
A description of any inquiries or known noncompliance with any laws or regulations for the past five years and the disposition and status thereof.
10. Miscellaneous
a.
Copies of any finder's fee or bonus compensation arrangements regarding the proposed transaction.
b.
Any other documents, information, or data that are significant with respect to the business of the Company or which should be considered and reviewed in making disclosures regarding the business and financial condition of the Company to prospective investors.
A. Corporate Records
1. Certificate/Articles of Incorporation, Determination or Organization (or similar documents), including any amendments t
2. By-Laws, operating agreements, partnership agreements (general or limited) or similar documents, including any amend
3. Minute Books, consents and resolutions (since inception) for Shareholders, Members, Board of Directors and any commi
(a) Number of, and record ownership of, outstanding shares (common and preferred);
(d)
Ownershi
p by
officers,
employee
s and
directors.
10. Stock
option
plans and
stock
option,
warrant
and other
similar
stock
purchase
agreemen
ts.
11.
Schedule
of all
dba's and
fictitious
business
names,
and all
filings and
registratio
ns
therefor.
12.
Schedule
of
predeces
sor
corporatio
ns or
entities.
13.
Offering
materials
and
closing
document
s from
prior
financing.
14. All
applicatio
ns and
permits
for
issuance/t
ransfer of
securities,
including
any Form
D or
similar
federal or
state
forms.
15. List of
jurisdictio
ns
(domestic
and
foreign)
where the
Company
is (or
should be
qualified)
to do
business.
16.
Schedule
of
locations
(by street
address,
city, state
and
country)
at which
the
Company
has
offices,
conducts
business
or stores
inventory
or
equipmen
t, since
inception.
17.
Schedule
of owned
real
property.
18.
Schedule
of leases
and
subleases
for real
property
and
facilities,
including
location,
square
footage,
rent and
lease
term and
renewal
options.
19.
Schedule
of
material
suppliers
and other
third party
service
providers.
20.
Schedule
of
property,
key man,
liability,
and
worker's
comp
insurance
policies
(including
current
and
pending
insurance
carrier,
policy
limits,
deductible
s,
retroactiv
e
premium
adjustme
nts and
other
special
arrangem
ents), and
copies of
all such
insurance
policies
and
contracts.
21, Press
releases
relating to
the
Company,
its
managem
ent or its
products
and
services.
B.
Intellectua
l Property
1.
Schedule
of owned
or
proprietar
y
technolog
y
(including
software,
database
s and
systems).
2.
Schedule
and
copies (if
applicable
) of the
following
(common
law,
registered
and
issued,
and
foreign
and
domestic)
:
(a)
tradenam
es, brand
names,
trademark
s, service
marks,
logos and
slogans;
(b)
internet
domain
names
(including
lower
level
domain
names);
(c).
patents,
patent
rights,
innovation
s and
designs;
(d)
copyrights
;
(e) trade
secrets
and other
industrial
property
rights,
including
all
processes
,
know‑how
, technical
data and
shop
rights;
and
(f)
registratio
ns,
issuances
,
applicatio
ns,
additions,
affidavits,
continuati
ons,
divisional
s and
other
filings
related to
the
foregoing
items.
3. Copies
of
searches,
counsel's
opinion
letters
and
applicatio
n file
histories
(or file
wrappers)
for the
items
requested
in the
preceding
Item 2.
4.
Schedule
of all
material
ongoing
or
planned
software,
database
s and/or
network
developm
ent
projects.
5.
Schedule
of third
party
intellectua
l property
sold,
licensed
or
otherwise
distribute
d by the
Company.
6.
Schedule
of third
party
software
and other
intellectua
l property
incorporat
ed in,
embedde
d in or
otherwise
necessary
for the
use of the
Company'
s
intellectua
l property.
7. Product
document
ation and
manuals
for the
Company’
s
software,
database
s and
networks
(or other
descriptio
n of
primary
capabilitie
s).
8.
Schedule
of third
party
intellectua
l property
necessary
for the
Company
to
conduct
business
in the
ordinary
course.
s software
products
and other
intellectua
l property,
with a
notation
next to
each
name
indicating
whether
such
author/cre
ator made
his/her
contributi
on (a) as
an
employee
within the
scope of
his/her
employm
ent, (b)
outside
his/her
scope of
employm
ent or (c)
as a
consultant
or other
independ
ent
contractor
.
10. The
name(s),
address(e
s) and
phone
number(s)
of counsel
and any
other
person(s)
responsibl
e for
applicatio
n,
maintena
nce and
protection
of
trademark
s,
copyrights
, patents
and other
intellectua
l property
rights.
Internal
memoran
da,
correspon
dence
and other
document
ation
setting
forth or
relating to
Year
2000
complianc
e of the
operating
codes,
programs
and other
software,
database,
hardware
and
systems
sold or
licensed
by or to
the
Company,
or
otherwise
used by
the
Company
in its
business.
C.
Material
Agreeme
nts
1.
Agreeme
nts with
customer
s and
clients,
including
end‑user
license
agreemen
ts, beta
test
agreemen
ts,
warrantie
s and
guarantie
s.
2.
Consultin
g,
developm
ent and
work-for-
hire
agreemen
ts with, or
for and on
behalf of,
customer
s and
clients.
3.
Web-site
hosting
and
connectivi
ty
agreemen
ts.
4. Web-
site
linking,
affiliate,
co‑brandi
ng,
promotion
al,
advertisin
g, content
provider
and other
agreemen
ts relating
to
Company
=s e-
commerc
e
initiatives.
5.
Electronic
data
interchan
ge
agreemen
ts and
other
Internet,
electronic
mail and
on-line
service
agreemen
ts.
6.
Trademar
k usage
guidelines
, privacy
policy,
terms of
use,
Aclick-
wrap@
agreemen
ts and
similar
web site
use
agreemen
ts and
policies.
7.
Marketing
agreemen
ts ‑‑
distributor
ships,
sales
represent
atives, co-
packaging
, re‑seller
(VAR),
OEM,
systems
integrator
s,
franchises
and
referral
agreemen
ts.
8.
Agreeme
nts with
employee
s,
independ
ent
contractor
s or other
third
parties
relating to
the
developm
ent for or
on behalf
of the
Company
of
software
products,
websites
and other
intellectua
l property.
9.
Software
escrow
agreemen
ts or other
arrangem
ents
providing
third
parties
with
source
code
access or
use.
10.
Independ
ent
software
vendor
agreemen
ts.
11.
Agreeme
nts
whereby
the
Company
licenses
software
or other
intellectua
l property
from third
parties,
including
run time
licenses.
12.
Agreeme
nts for
software
support
and
maintena
nce by or
for the
Company.
13.
Assignme
nts of
software
and other
intellectua
l property
rights.
14.
Leases
with
respect to
tangible
personal
properties
(including
equipmen
t).
15.
Agreeme
nts that
involve
the
executory
performan
ce of
services
or
delivery of
goods or
materials
to the
Company
which are
not
terminabl
e on 30
days prior
notice
without
liability, or
which
contain
provisions
relating to
ownership
rights in
intellectua
l property
assets of
the
Company
or the
provider.
16. Joint
ventures,
joint
developm
ent
agreemen
ts and
other
working
arrangem
ents.
17.
Non‑com
petition,
exclusivity
and
non‑solicit
ation
agreemen
ts, in
favor of
the
Company
or by
which the
Company
is bound,
or by
which the
Company
=s key
employee
s or
consultant
s may be
bound to
third
parties.
18.
Confidenti
ality,
assignme
nt of
invention
and
similar
agreemen
ts with
employee
s,
independ
ent
contractor
s and
other
service
providers.
19. Other
confidenti
ality and
non‑disclo
sure
agreemen
ts, in
favor of
the
Company
or by
which the
Company
is bound.
20.
Employm
ent
(including
incentive
and
severanc
e
agreemen
ts),
agency
and
independ
ent
contractor
agreemen
ts.
21.
Indemnific
ation
agreemen
ts for the
benefit of
officers,
directors
and
employee
s.
22.
Agreeme
nts or
arrangem
ents with
managem
ent,
employee
s,
sharehold
ers and
other
affiliates
(including
any loans
or
managem
ent fee
arrangem
ents), or
with
which any
of them
have a
relationshi
p.
23.
Outstandi
ng
agreemen
ts or
commitme
nts for
capital
expenditu
res.
24.
Agreeme
nts with
investmen
t bankers,
brokers
and
similar
advisors.
25.
Intercomp
any
agreemen
ts.
26.
Leases
and
subleases
(including
all
amendme
nts,
suppleme
nt and
addendu
ms).
27.
Contracts,
rights of
first
refusal or
options to
purchase,
sell or
lease real
property.
28. Loan
agreemen
ts, lines of
credit,
indenture
s and
other debt
instrumen
ts,
including
notes
payable
and
guarantee
s (by or in
favor of
the
Company
), and any
other
agreemen
ts
collaterali
zed or
secured
by the
assets.
29.
Security
agreemen
ts
affecting
assets or
properties
, and all
currently-
effective
financing
document
s, such as
sale and
leaseback
s and
installmen
t sales,
and all
liens and
financing
statement
s.
30.
Agreeme
nts
relating to
past,
current or
proposed
mergers,
acquisitio
ns or
dispositio
ns,
including
transactio
ns
involving
subsidiari
es,
divisions,
product
lines and
other
substantia
l assets.
31.
Powers of
Attorney.
32.
Consents
and
approvals
required
under law
or
contracts,
leases,
licenses
and other
agreemen
ts
necessary
for the
Company
to
complete
the
present
transactio
n.
33. Other
material
agreemen
ts to
which the
Company
is bound
or which
are
necessary
for the
conduct
of the
Company
=s
business.
D.
Personnel
and
Employee
Benefits
1.
Schedule
of
officers,
directors,
employee
s,
independ
ent
contractor
s and
consultant
s, and
their
respective
titles,
length of
service,
current
compens
ation and
benefits,
compens
ation
history
since
employm
ent or
engagem
ent, and
contractu
al
severanc
e
obligation
s.
employee
benefit
plans,
including
pension,
bonus,
commissi
on, profit-
sharing,
stock
option,
deferred
compens
ation,
incentive,
retirement
, 401(k),
medical,
disability,
salary
continuati
on,
executive
benefit,
fringe
benefit,
managem
ent
perquisite
s or
golden
parachute
/change-
of-control
payments
(the
"Plans").
3. Copies
of Plan
document
s, trust
agreemen
ts and
insurance
contracts
(including
all
amendme
nts and
Section
125
arrangem
ents) and
summary
plan
descriptio
ns.
4. IRS
Form
5500's
(including
schedules
and
attachme
nts) for
past 2
years and
most
recent
IRS
determina
tion letter.
5.
Descriptio
n of
special
insured
arrangem
ents (e.g.,
retrospect
ive rating
arrangem
ent,
premium
delay,
etc.).
6.
Evidence
of
complianc
e with
state or
federal
COBRA
(including
form of
COBRA
notice).
of
employee
s made
by the
U.S.
Departme
nt of
Labor,
OSHA,
OFCCP
and any
other
federal,
state or
local
agencies
during the
past 2
years,
and
document
s
summarizi
ng the
results of
any such
audits
and any
dispositio
n of
violation
or
citations
issued as
a result of
such
audits.
8. Policy
and
personnel
manuals,
including
policies
and
procedure
s with
respect to
vacation
and sick
time,
harassme
nt and
equal
opportunit
y.
If the
Company
has more
than 25
employee
s:
9.
Informatio
n on
confidenti
ality or
non-
competitio
n
agreemen
ts to
which key
employee
s and
consultant
s may be
a party
currently
or from
prior
employm
ent or
engagem
ents.
10.
Managem
ent
perquisite
s or
arrangem
ents,
contracts
or loans
between
the
Company
and any
sharehold
er, officer,
director,
employee
or
consultant
or any
entities or
persons
with
which
such
persons
have a
relationshi
p.
If the
Company
has been
in place
for more
than a
short
period:
13.
Financial
statement
s for any
plan
assets for
the past
two years
and any
actuarial
statement
s for the
past two
years.
14. For
welfare
plans, an
indication
of
premiums
paid,
claims
incurred,
claims
paid,
reserves
and
administr
ative
expenses.
15.
FAS
disclosure
statement
s for the
past two
years.
If the Company or any affiliate of such Company (at an 80% ownership level) has entered into any collective bargai
1.
Informatio
n with
respect to
any multi-
employer
plans that
the
Company
or any
affiliate
has any
obligation
to
contribute
to or has
had an
obligation
to
contribute
to during
the past
six years.
2. With
respect to
such
multi-
employer
plans, the
following:
record of
contributi
ons for
the last
three
years,
calculatio
n of
potential
withdrawa
l liability
pursuant
to ERISA
Section
4221(c),
and a
descriptio
n of
pending
claims
against
the
employer
for
complete
or partial
withdrawa
l.
2.
COBRA
and
HIPAA
complianc
e
informatio
n.
3. Any
informatio
n on the
transfer of
plan
liabilities
from the
Company
to a
related
entity.
4. Any
defined
benefit
pension
plan
maintaine
d or
transferre
d out of
the
controlled
group at
anytime
within the
prior six
years.
E.
Rights,
Permits
and Other
Regulator
y Matters
1. Filings,
registratio
ns,
reports
and
correspon
dence
filed with
local,
state or
federal
regulatory
agencies
(e.g.,
DOL,
EEOC,
IRS,
PBGC,
FDA,
NLRB,
OSHA,
FCC,
BXA and
EPA), and
any
reports
issued by
such
agencies.
2.
Governm
ental
licenses,
permits,
approvals
and
authorizat
ions
necessary
to
conduct
business
(including
any
export
licenses).
3. Export
classificati
on matrix
and other
product
classificati
on
analysis
(internal
or from
third party
suppliers
of
customer
s), and
product
classificati
on rulings
from the
BXA.
4. Expert
complianc
e
procedure
s or
manuals,
including
any
procedure
s relating
to
encryptio
n items.
5.
Summary
of the
transport,
use,
handling,
location,
storage,
treatment
and/or
disposal
of any
hazardou
s
substance
s
(including
by any
predeces
sor).
F.
Litigation,
Investigati
ons and
Other
Disputes
1.
Schedule
and
descriptio
n of
pending
or
threatene
d
litigation,
claims
and other
disputes.
2.
Schedule
and
descriptio
n of
governme
nt,
regulatory
or
administr
ative
proceedin
gs,
inquiries
or
investigati
ons.
3.
Pleadings
, filings
and
correspon
dence
relating to
the
matters
requested
in the
preceding
Items 1
and 2.
4. Legal
opinions
rendered
to the
Company
in the last
3 years.
5.
Inquiries
with
respect to
the
Company’
s rights or
ownership
in or to
internet
domain
names.
6.
Judgment
s, consent
decrees,
injunction
s or other
orders.
7.
Settlemen
t
agreemen
ts.
8.
Schedule
of
warranty
claims.
G.
General
Financial
Informatio
n
1.
Previous
(up to 3
years if
available)
annual
audited /
unaudited
financial
statement
s as well
as interim
period
(monthly /
quarterly)
for current
year.
2. Current
prospectiv
e financial
data (i.e.,
budgets /
forecasts)
with detail
of
assumptio
ns.
3.
External
and
internal
auditors'
reports
(annual
and
quarterly),
workpape
rs,
permanen
t files,
managem
ent letters
and
regulatory
examinati
on reports
received /
issued in
the last 3
years.
4.
Consolida
ting
general
ledger or
trial
balance
for
detailed
accounts
for the
latest 2
fiscal
years,
current
year
quarters
and stub
period.
5.
Schedule
of prepaid
expenses
and other
assets
(e.g.,
deferred
charges
and
intangible
s) with
related
amortizati
on
methods.
6.
Schedule
of
financing
arrangem
ents such
as
guarantee
s,
pledges,
factoring
arrangem
ents,
credit
lines,
letters of
credit,
etc.
H.
Cash/Inve
stments
1. Latest
annual
and
interim /
current
cash flow
statement
s.
2. Detail
of latest
quarterly
and
monthly
cash and
cash
equivalent
s
balances.
3.
Descriptio
n of short-
term and
long-term
investmen
ts and
copies of
investmen
t
statement
s for
latest
annual
and
interim
periods.
I.
Accounts
Receivabl
e
1. Schedule of accounts receivable by category for the latest annual and interim periods and comparable periods.
2. Credit
policy and
collection
procedure
s.
3. Latest
annual
and
interim
period
aging
analysis
and
trends,
allowance
for
uncollecti
ble
accounts
and past
write‑offs.
J.
Property
and
Equipmen
t
1. Fixed
asset
policy
including
depreciati
on
methods
and lives
used for
book and
tax
purposes.
2.
Maintena
nce
procedure
s and
expenditu
res.
3.
Schedule
of fixed
assets for
the latest
annual
and
interim
periods
including
date
acquired,
original
cost,
accumulat
ed
depreciati
on, net
book
value and
appraised
value
(include
appraisals
).
K.
Purchase
d and
Develope
d
Software
1.
Accountin
g policy
for
software
developm
ent and
purchase
d
software.
2.
Schedule
of
purchase
d and
develope
d
software
as well as
the
amortizati
on
schedule
and write-
offs for
the latest
annual
and
interim
periods.
L.
Accounts
Payable
and
Accrued
Liabilities
1.
Detailed
schedule
of
accounts
payable
and
accrued
expenses
for the
latest
annual
and
interim
periods.
2.
Schedule
of the top
5 vendors
from
latest 12
month
period.
3.
Schedule
of
commitme
nts to
customer
s -
product
deliverabl
es,
consulting
agreemen
ts, etc.
M.
Revenue
1. Copies
of the 5
largest
contracts
for the
current
year.
2.
Descriptio
n of the
procedure
s for
contractin
g and
billing
maintena
nce.
3. Detail
of
revenue
for last 12
months.
4.
Pipeline
informatio
n.
5.
Descriptio
n of the
sales
force,
including
sales
offices
and
service
facilities,
including
compens
ation
structure.
N.
Product
Expenses
& Other
Operating
Expenses
1.
Operating
expense
detail for
the last
annual
period
and latest
comparati
ve interim
periods.
2. Listing
of outside
contractor
s.
3. Current
year and
future
years
budget of
operating
expenses
compared
to current
year /
interim
actual
results.
4. Detail
listing of
current
and
budgeted
research
and
developm
ent
expenditu
res.
5.
Detailed
schedule
of general
and
administr
ative
expenses
and
payroll
expense.
O. Taxes
1. Schedule of states and local jurisdictions in which the Company currently files tax returns and pays taxes, includi
2. US
Federal
income
tax
returns for
the past 2
years,
and all
state tax
returns
filed
during the
past 2
years.
3.
Schedule
of
complete
d tax
examinati
ons/audits
from the
past 5
years and
all tax
examinati
ons/audits
in
progress
or
scheduled
to be
performed
. Include
related
correspon
dence
and other
written
materials.
4.
Descriptio
n of the
Company'
s use of
and
policies
regarding
independ
ent
contractor
s. With
respect to
long term
contracts,
include
amount of
payment
in prior
year.
s), including any amendments thereto.
c) In
order to
facilitate
your
task, this
Checklist
is also
available
in
electroni
c format
(Word,
Excel or
text)
upon
request.
d)
Numbers
used in
this
Checklist
refer to
documen
ts. Black
dots
used in
this
Checklist
refer to
informati
on
usually
containe
d in the
said
documen
ts or to
matters
usually
arising
from the
content
of the
said
documen
ts.
e) Each
documen
t
provided
by you
must
include,
in the
upper
right-
hand
corner,
the
correspo
nding
number
from this
Checklist
.
f) You
may
supply a
photocop
y of the
required
documen
ts,
provided
that we
are able
to
consult
the
originals
thereof
upon
request.
Informati
on must
be
provided
in one or
more
ringed
binders
with
appropri
ate tabs
identifyin
g the
twenty-
six (26)
sections
of this
Checklist
(e.g.: “A -
Identifica
tion of
the
Compan
y”, “B -
Identifica
tion of
the
Compan
y’s
Authoriz
ed
Represe
ntative”,
etc.).
h) If you
have
already
provided
certain
required
Informati
on, you
do not
need to
provide it
again.
You
should
simply
state
“Already
provided”
immediat
ely below
the
relevant
number.
i) If
certain
required
Informati
on does
not
apply,
you
should
state
“N/A”
immediat
ely below
the
relevant
number.
j) If
certain
required
Informati
on has
previousl
y been
provided
under
another
number
of this
Checklist
, you
should
simply
state
“Already
provided
under
number
….”
immediat
ely below
the
relevant
number.
k) If
certain
required
Informati
on
involves
extensiv
e, long or
costly
searches
, notify
us so
that we
can
agree on
an
acceptab
le
alternativ
e.
within
the
context
of a
complete
due
diligence
review.
Moreove
r, certain
Informati
on
provided
by you
may give
rise to
the need
to
analyze
Informati
on other
than that
set forth
in this
Checklist
.
Accordin
gly,
additiona
l
Informati
on may
be
required.
m) When
this
Checklist
requires
that a
contract
be
provided,
and the
contract
does not
exist in
written
form, you
must
provide
all
particular
s
regardin
g the
verbal
contract
entered
into, as
well as
any
correspo
ndence
or other
documen
ts in
support
thereof.
n) The
words
“docume
nt” and
“corresp
ondence”
as used
in this
Checklist
include
the
following,
without
limitation
:
- all
electroni
c files
containin
g data. In
such a
case, all
such files
must be
provided
on an
appropri
ate
computer
medium.
- all
informati
on that
you have
to
reproduc
e in
writing
because
the
informati
on is not
containe
d in a
documen
t or in
correspo
ndence.
o) It is
important
that you
provide
full
disclosur
e and,
consequ
ently,
that you
not
withhold
or omit
any or all
of the
required
Informati
on.
p) After
having
complete
d this
Checklist
and
having
provided
the
required
Informati
on on
and in
support
of the
Checklist
, you
should
initial
each
page and
sign the
Checklist
, before
a
witness,
in the
space
provided
for your
signature
.
q)
Should
you have
any
question
s or
require
assistanc
e, you
may
contact
the
following
person:
- …………
Name: ……
…………
- Tel: ……
…………
- Fax: ……
- E-
mail:
…………
….
r) The
required
Informati
on,
together
with a
hard
copy of
this
Checklist
(bearing
your
initials
and
signature
) and an
electroni
c version
thereof
(in Word,
Excel or
text
format),
must be
sent by
messeng
er (at our
expense)
no later
than
…………
…. to the
attention
of:
- …………
Name: ……
- …………
Address: ……
…………
- Tel: ……
REQUIR
ED
INFORM
¢3 2 ATION
A-
Identific
ation of
the
Compan
y
1.
Corporat
e name
2.
Address
3.
Mailing
address
4. Main
telephon
e
number
5. Main
telecopie
r number
6. Main
e-mail
address
7. Other
(specify):
…………
…………
………
B-
Identific
ation of
the
Authoriz
ed
Represe
ntative
8.
Salutatio
n (Mr.,
Ms.)
9.
Represe
ntative’s
first
name
10.
Initial(s)
11.
Represe
ntative’s
family
name
12.
Position
held
13.
Telephon
e
number
(direct
line)
14.
Telephon
e
number
(general)
15.
Mobile
telephon
e
number
16.
Pager
number
17.
Telecopi
er
number
18. E-
mail
address
(office)
19.
Telephon
e
number
(residenc
e)
20. E-
mail
address
(residenc
e)
21.
Other
(specify):
…………
…………
………
C-
History
of the
Compan
y
22.
Docume
nts
relating
to the
Compan
y’s
history
Pre-
incorpora
tion
period
Early
history of
the
Compan
y
Develop
ment
over the
years
Current
situation
Nature of
the
services
or
products
offered
23.
Other
(specify):
…………
…………
………
D-
Corpora
te
Informat
ion
Certifica
te or
Articles
24.
Certificat
e or
articles
of
incorpora
tion of
the
Compan
y
Date of
certificat
e or
articles
Incorpor
ation
date (if
different)
Corporat
e name
Other
versions
(French,
English,
abbreviat
ed, etc.)
Incorpor
ating act
Place of
incorpora
tion
(applicab
le
jurisdictio
n)
Incorpor
ation
number,
registrati
on
number,
identifica
tion
number,
etc.
25.
Certificat
e(s) or
articles
of
amendm
ent
Date of
certificat
e(s) or
articles
Date of
amendm
ent (if
different)
Summar
y of
amendm
ent
26.
Certificat
e(s) or
articles
of
amalgam
ation
Date of
certificat
e(s) or
articles
Date of
amalgam
ation (if
different)
Name of
amalgam
ating
compani
es
27.
Structure
of share
capital
Authoriz
ed
number
of shares
Classes
of shares
Rights
relating
to each
class
(voting
rights,
dividend
rights,
etc.)
28. By-
laws
(and
amendm
ents)
General
by-law
Borrowin
g by-law
Special
by-laws
Other by-
laws
29.
Other
(specify):
…………
…………
………
Govern
mental
Notices
30.
Notice of
board
members
hip
31.
Notice of
head
office
32.
Other
governm
ental
notices
33.
Certificat
e of
complian
ce/certifi
cate of
conformit
y
Issued
by
governm
ental
authoritie
s
Up to
date
(less
than 30
days)
34.
Declarati
on of
registrati
on, initial
declarati
on,
prospect
us or
other
initial
documen
t
35.
Annual
declarati
ons or
annual
reports
filed in
the last
five (5)
years
36.
Amendin
g
declarati
ons or
amended
reports
filed in
the last
five (5)
years
37.
Notice of
default
Nature of
any
notice
received
from the
governm
ental
authoritie
s
Evidence
of default
having
been
remedied
38.
Other
(specify):
…………
…………
………
Minutes
and
Resoluti
ons
39.
Minutes
and
resolutio
ns of the
incorpora
tors
Date of
meetings
held or
resolutio
ns
adopted
Persons
present/a
bsent
Waiver
of notice
of
meeting
Dissent
Signatur
es
40.
Minutes
and
resolutio
ns of the
directors
since the
incorpora
tion
Date of
meetings
held or
resolutio
ns
adopted
Persons
present/a
bsent
Waiver
of notice
of
meeting
Dissent
Signatur
es
Annual
meetings
41.
Minutes
and
resolutio
ns of all
subcom
mittees
of
directors
(e.g:
executiv
e
committe
e) since
the
incorpora
tion
Date of
meetings
held or
resolutio
ns
adopted
Persons
present/a
bsent
Waiver
of notice
of
meeting
Dissent
Signatur
es
42.
Minutes
and
resolutio
ns of the
sharehol
ders
since the
incorpora
tion
Date of
meetings
held or
resolutio
ns
adopted
Persons
present/a
bsent
Waiver
of notice
of
meeting
Dissent
Signatur
es
Annual
meetings
43.
Minutes
and
resolutio
ns of all
subcom
mittees
of
sharehol
ders
since the
incorpora
tion
Date of
meetings
held or
resolutio
ns
adopted
Persons
present/a
bsent
Waiver
of notice
of
meeting
Dissent
Signatur
es
44.
Written
consents
from all
or part of
the
directors
Consent
to
telephon
e
meetings
Other
consents
45.
Written
consents
from all
or part of
the
sharehol
ders
Consent
to
telephon
e
meetings
Other
consents
46.
Other
(specify):
…………
…………
………
Incorpor
ators
47. List
of
incorpora
tors
Name,
address
and
telephon
e
number
Date of
birth
Social
insuranc
e
number
or social
security
number
Citizensh
ip
48.
Other
(specify):
…………
…………
………
Director
s
49. List
of
directors
Name,
address
and
telephon
e
number
Date of
birth
Social
insuranc
e
number
or social
security
number
Citizensh
ip
Date
became
a director
Date
ceased
to be a
director
50.
Curriculu
m vitae
of each
director
51.
Other
(specify):
…………
…………
………
Senior
Executiv
es or
Officers
52. List
of senior
executiv
es or
officers
Name,
address
and
telephon
e
number
Date of
birth
Social
insuranc
e
number
or social
security
number
Citizensh
ip
Position
held (e.g:
president
, vice-
president
,
secretary
,
treasurer
, etc.)
Date
became
a senior
executiv
e or
officer
Date
ceased
to be a
senior
executiv
e or
officer
53.
Curriculu
m vitae
of each
senior
executiv
e or
officer
54.
Other
(specify):
…………
…………
………
Shareho
lders
55. List
of
sharehol
ders
Name,
address
and
telephon
e
number
Date of
birth
Social
insuranc
e
number
or social
security
number
Citizensh
ip
Number
and
class of
shares
held
Percenta
ge of
shares
held
Date
became
a
sharehol
der
Date
ceased
to be a
sharehol
der
56.
Curriculu
m vitae
of each
sharehol
der
57.
Other
(specify):
…………
…………
………
Securiti
es
58.
Issued
and paid
up share
capital
account
Name of
the
sharehol
der
Number
and
class of
securitie
s held
Particula
rs of
transacti
ons
59.
Other
(specify):
…………
…………
………
Share
Transfer
s
60. List
of share
transfers
Transfer
number
Name of
transfero
r
Name of
transfere
e
Number
and
class of
shares
transferr
ed
Number
of the
share
certificat
e in
question
61.
Other
(specify):
…………
…………
………
Share
Certifica
tes
62.
Outstand
ing share
certificat
e(s)
Certificat
e
number
Name of
holder
Number
and
class of
shares
represen
ted by
the
certificat
e
Restrictio
ns on
share
transfers
(set forth
on the
certificat
e)
Current
location
of
certificat
e (if not
in the
register)
63.
Cancelle
d share
certificat
e(s)
Certificat
e
number
Name of
holder
Number
and
class of
shares
represen
ted by
the
certificat
e
Restrictio
ns on
share
transfers
(set forth
on the
certificat
e)
Endorse
ment of
certificat
e
Current
location
of
certificat
e (if not
in the
register)
64.
Other
(specify):
…………
…………
………
Agreem
ents
Relating
to
Shares
of the
Compan
y
65.
Sharehol
ders’
agreeme
nt:
Exists
(yes or
no)
Type of
agreeme
nt (e.g:
unanimo
us)
Name of
signing
sharehol
ders
Signatur
e date
Term
Interventi
on by the
Compan
y (yes or
no)
66.
Voting
trust and
other
similar
agreeme
nts
67.
Private
placeme
nt
agreeme
nts
68.
Agreeme
nts
relating
to the
sale of
the
Compan
y’s
shares
69.
Agreeme
nts
relating
to the
issuance
of the
Compan
y’s
shares
70.
Descripti
on of all
share
purchase
plans
71. List
of
persons
(includin
g
directors,
senior
executiv
es,
sharehol
ders,
employe
es and
persons
related to
them)
who are
beneficia
ries
under
any
share
purchase
plan
72.
Descripti
on of all
stock
option
plans
73. List
of
persons
(includin
g
directors,
senior
executiv
es,
sharehol
ders,
employe
es and
persons
related to
them)
who are
beneficia
ries
under
any
stock
option
plan
74.
Other
(specify):
…………
…………
………
Subsidia
ries and
Other
Entities
75. List
of
compani
es and
other
types of
business
es in
which
the
Compan
y holds
an
interest
of fifty
percent
(50%) or
more:
Name,
address
and
telephon
e
number
of
compani
es and
other
types of
business
es in
question
Nature of
their
operation
s
Number
and
class of
shares or
units
held by
the
Compan
y
Percenta
ge of
shares or
units
held by
the
Compan
y
Name,
address
and
telephon
e
number
of other
sharehol
ders or
partners
(if any)
Name,
address
and
telephon
e
number
of
directors
76. List
of
compani
es and
other
types of
business
es in
which
the
Compan
y holds
an
interest
of less
than fifty
percent
(50%):
Name,
address
and
telephon
e
number
of
compani
es and
other
types of
business
es in
question
Nature of
their
operation
s
Number
and
class of
shares or
units
held by
the
Compan
y
Percenta
ge of
shares or
units
held by
the
Compan
y
Name,
address
and
telephon
e
number
of other
sharehol
ders or
partners
Name,
address
and
telephon
e
number
of
directors
77.
Organiza
tion chart
showing
the
relations
hip
between
the
Compan
y, its
subsidiar
ies and
the
compani
es/busin
esses in
which
the
Compan
y holds
an
interest
78. List
of
compani
es and
other
types of
business
es in
which
any
director,
senior
executiv
e,
sharehol
der or
employe
e of the
Compan
y holds
an
interest:
Name of
every
director,
senior
executiv
e,
sharehol
der or
employe
e in
question
Name,
address
and
telephon
e
number
of
compani
es and
other
types of
business
es in
question
Nature of
their
operation
s
Number
and
class of
shares or
units
held by
every
director,
senior
executiv
e,
sharehol
der or
employe
e in
question
Percenta
ge of
shares or
units
held by
every
director,
senior
executiv
e,
sharehol
der or
employe
e in
question
Name,
address
and
telephon
e
number
of other
sharehol
ders or
partners
(if any)
Name,
address
and
telephon
e
number
of
directors
79.
Organiza
tion chart
showing
the
relations
hip
between
every
director,
senior
executiv
e,
sharehol
der or
employe
e of the
Compan
y and the
compani
es/busin
esses in
which he
holds an
interest
80.
Other
(specify):
…………
…………
………
Busines
s Plan
81. Up to
date
version
of the
Compan
y’s
business
plan
82. Prior
versions
of the
Compan
y’s
business
plan
prepared
during
the last
five (5)
years
83.
Other
(specify):
…………
…………
………
Relation
ships
Between
Individu
als
financial,
or other)
between
every
director,
senior
executiv
e,
sharehol
der or
employe
e of the
Compan
y and the
other
directors,
senior
executiv
es,
sharehol
ders,
employe
es,
customer
s,
suppliers
,
consulta
nts and
subcontr
actors of
the
Compan
y
85.
Other
(specify):
…………
…………
………
Suretys
hips and
Guarant
ees
Granted
in
Favour
of the
Compan
y
es or
other
contracts
or
documen
ts
pursuant
to which
any
director,
senior
executiv
e,
sharehol
der or
employe
e of the
Compan
y agreed
to act as
surety or
guaranto
r of the
Compan
y in
favour of
a third
party
(e.g:
financial
institutio
n,
supplier,
etc.)
87.
Suretyshi
ps,
guarante
es or
other
contracts
or
documen
ts
pursuant
to which
any
subsidiar
y agreed
to act as
surety or
guaranto
r of the
Compan
y in
favour of
a third
party
(e.g:
financial
institutio
n,
supplier,
etc.)
88.
Suretyshi
ps,
guarante
es or
other
contracts
or
documen
ts
pursuant
to which
any
surety
company
agreed
to act as
surety or
guaranto
r of the
Compan
y in
favour of
a third
party
(e.g:
financial
institutio
n,
supplier,
etc.)
89.
Suretyshi
ps,
guarante
es or
other
contracts
or
documen
ts
pursuant
to which
any other
natural
or legal
person
agreed
to act as
surety or
guaranto
r of the
Compan
y in
favour of
a third
party
(e.g:
financial
institutio
n,
supplier,
etc.)
90.
Other
(specify):
…………
…………
………
Corpora
te
Operatio
ns
91. List
of the
states,
province
s and
countries
in which
the
Compan
y is
authorize
d to carry
on its
operation
s
92. List
of the
states,
province
s and
countries
in which
the
Compan
y actually
carries
on its
operation
s
93.
Docume
nts
relating
to all
corporat
e
transacti
ons
which
have
been or
will be
carried
out
outside
the
ordinary
course of
business
:
·
Acquisiti
on of a
business
·
Dispositi
on of
assets
·
Acquisiti
on of
assets
·
Corporat
e
reorganiz
ation
·
Amalga
mation
·
Dissoluti
on
· etc.
94.
Other
(specify):
…………
…………
………
Number
s
Attribute
d to the
Compan
y by
Various
Govern
mental
Organiz
ations
95.
Business
number
96.
CIDREQ
registrati
on
number
(Quebec)
97. QST
number
(Quebec)
98. GST
number
(Canada)
99.
Employe
r
identifica
tion
Number
(USA)
100.Emp
loyer
number
101.Othe
r
(specify):
…………
………
Miscella
neous
102.Corp
orate
records
Location
of
records
(if not at
the
Compan
y’s head
office)
103.Corp
orate
seal(s)
Exist(s)
(yes or
no)
Location
of seal (if
not at the
Compan
y’s head
office)
104.Valu
ation
reports
on the
value of
the
Compan
y’s
shares,
prepared
or
obtained
during
the last
five (5)
years
105.Lega
l opinion
from the
Compan
y’s
lawyers
regardin
g the
Compan
y’s
corporat
e status
106.Othe
r
(specify):
…………
…………
………
E-
Account
ing
Informat
ion
107.List
of all
accounti
ng firms
with
which
the
Compan
y has
dealt
during
the last
five (5)
years
Name,
address
and
telephon
e
number
of the
firm
Name of
the
person in
charge of
the
Compan
y’s file
Telephon
e
number
(direct)
Telecopi
er
number
Mobile
telephon
e
number
Pager
number
E-mail
address
108.Cont
ract of
professio
nal
services
or
professio
nal fees
entered
into
between
the
Compan
y and
any
accounti
ng firm
during
the last
five (5)
years
109.Fina
ncial
statemen
ts
(includin
g the
balance
sheet
and
income
statemen
t) for the
five (5)
most
recently
complete
d fiscal
years
110.Mont
hly
internal
financial
statemen
ts since
the end
of the
most
recently
complete
d fiscal
year
111.Bud
get
forecasts
prepared
for the
next five
(5) fiscal
years
112.Bud
get and
budgetar
y
estimate
for the
current
fiscal
year
113.List
of future
obligatio
ns not
reflected
in the
most
recent
financial
statemen
ts
Nature of
the
obligatio
n
Amount
involved
Name,
address
and
telephon
e
number
of the
creditor
114.Des
cription
of every
reserve
establish
ed for
specific
continge
ncies
115.Deta
iled
descripti
on of
every
disagree
ment
with the
Compan
y’s
accounta
nts
regardin
g
financial
statemen
ts issued
during
the last
five (5)
years
116.Doc
uments
relating
to every
change
in the
accounti
ng
methods
or
accounti
ng
principle
s used
which
occurred
during
the last
five (5)
years
117.Corr
esponde
nce
received
from/sent
to the
Compan
y’s
accounta
nts
during
the last
five (5)
years
118.Othe
r
(specify):
…………
…………
………
F- Tax
Informat
ion
119.List
of all
firms of
tax
experts
with
which
the
Compan
y has
dealt
during
the last
five (5)
years
Name,
address
and
telephon
e
number
of the
firm
Name of
the
person in
charge of
the
Compan
y’s file
Telephon
e
number
(direct)
Telecopi
er
number
Mobile
telephon
e
number
Pager
number
E-mail
address
120.Cont
ract of
professio
nal
services
or
professio
nal fees
entered
into
between
the
Compan
y and
any firm
of tax
experts
during
the last
five (5)
years
121.Corr
esponde
nce
received
from/sent
to the
Compan
y’s tax
experts
during
the last
five (5)
years
122.Othe
r
(specify):
…………
…………
………
Income
Tax
123.Inco
me tax
returns
for the
last five
(5) years
National
Federal
Provincia
l
State
Other
(specify):
…………
.
124.Noti
ces of
assessm
ent
issued
by any
compete
nt fiscal
authority
for the
last five
(5) years
125.Noti
ces of
reassess
ment,
additiona
l
assessm
ent,
corrected
assessm
ent or
amended
assessm
ent,
issued
by any
compete
nt fiscal
authority
for the
last five
(5) years
126.Corr
esponde
nce
received
from/sent
to any
compete
nt fiscal
authority
during
the last
five (5)
years
127.Doc
uments
relating
to every
audit
carried
out by
any
compete
nt fiscal
authority
during
the last
five (5)
years
Descripti
on of the
audit
carried
out
Correspo
ndence
received/
sent
Notices
of
assessm
ent
resulting
from any
audit
Amounts
claimed
Amounts
paid
128.Othe
r
(specify):
…………
…………
………
Sales
Tax
129.Sale
s tax
declarati
ons or
returns
prepared
during
the last
five (5)
years
130.Noti
ces of
assessm
ent
issued
by any
compete
nt fiscal
authority
during
the last
five (5)
years
131.Noti
ces of
reassess
ment,
additiona
l
assessm
ent,
corrected
assessm
ent or
amended
assessm
ent,
issued
by any
compete
nt fiscal
authority
for the
last five
(5) years
132.Corr
esponde
nce
received
from/sent
to any
compete
nt fiscal
authority
during
the last
five (5)
years
133.Doc
uments
relating
to every
audit
carried
out by
any
compete
nt fiscal
authority
during
the last
five (5)
years
Correspo
ndence
received/
sent
Notices
of
assessm
ent
resulting
from any
audit
Amounts
claimed
Amounts
paid
134.Othe
r
(specify):
…………
…………
………
Other
Taxes,
Contribu
tions
and
Levies
(e.g:
Unempl
oyment
Insuranc
e, Social
Security
, etc.)
135.Decl
arations
or
returns
regardin
g taxes,
contributi
ons or
levies
prepared
during
the last
five (5)
years
136.Noti
ces of
assessm
ent
issued
by any
compete
nt fiscal
authority
during
the last
five (5)
years
137.Noti
ces of
reassess
ment,
additiona
l
assessm
ent,
corrected
assessm
ent or
amended
assessm
ent,
issued
by any
compete
nt fiscal
authority
for the
last five
(5) years
138.Corr
esponde
nce
received
from/sent
to any
compete
nt fiscal
authority
during
the last
five (5)
years
139.Doc
uments
relating
to every
audit
carried
out by
any
compete
nt fiscal
authority
during
the last
five (5)
years
Correspo
ndence
received/
sent
Notices
of
assessm
ent
resulting
from any
audit
Amounts
claimed
Amounts
paid
140.Othe
r
(specify):
…………
…………
………
Tax
Credits
141.Appli
cations
for tax
credits
relating
to
research
and
develop
ment
(scientific
,
experime
ntal, etc.)
Governm
ental
confirmat
ions
Governm
ental
oppositio
ns
142.Othe
r
(specify):
…………
…………
………
G-
Financia
l
Informat
ion
143.List
of all
financial
institutio
ns with
which
the
Compan
y has
dealt
during
the last
five (5)
years
Name,
address
and
telephon
e
number
of the
financial
institutio
n
Name of
the
person in
charge of
the
Compan
y’s file
Telephon
e
number
(direct)
Telecopi
er
number
Mobile
telephon
e
number
Pager
number
E-mail
address
144.List
of the
Compan
y’s bank
accounts
·
Location
of the
bank
branch
·
Type of
account
(current
account,
chequing
account,
etc.)
·
Account
number
·
Transit
number
·
Identity
of
signatori
es
·
Powers
of
signatori
es
(alone,
jointly,
two out
of three,
limit on
amounts,
etc.)
145.Mont
hly bank
statemen
ts, for
each of
the
Compan
y’s bank
accounts
,
received
during
the last
five (5)
years
146.Fixe
d credit
agreeme
nts
(loans)
entered
into with
any
financial
institutio
n,
institutio
nal
lender or
private
lender
147.Vari
able
credit
agreeme
nts (line
of credit)
entered
into with
any
financial
institutio
n,
institutio
nal
lender or
private
lender
148.Imm
ovable
hypothec
agreeme
nts (real
estate
mortgag
e
agreeme
nts)
entered
into with
any
financial
institutio
n,
institutio
nal
lender or
private
lender,
or with
any other
natural
or legal
person
149.Mov
able
hypothec
agreeme
nts
(personal
property
mortgag
e
agreeme
nts)
entered
into with
any
financial
institutio
n,
institutio
nal
lender or
private
lender,
or with
any other
natural
or legal
person
150.Fina
ncial
documen
ts
executed
by the
Compan
y (e.g:
acknowle
dgement
of debt,
promisso
ry note,
letter of
credit,
etc.)
151.Sure
tyships
entered
into with
any
financial
institutio
n,
institutio
nal
lender or
private
lender
152.Safe
ty-
deposit
box
rental
agreeme
nts
153.Certi
ficates of
deposit
of sums
of
money,
treasury
bills and
other
financial
instrume
nts
154.List
of
corporat
e credit
cards
issued in
the name
of the
Compan
y or of
any
director,
senior
executiv
e or
employe
e of the
Compan
y
·
Name of
credit
card
issuer
·
Type of
card
(Visa,
MasterC
ard,
America
n
Express,
Discover,
etc.)
·
Credit
limit
granted
155.Cred
it card
statemen
ts and
use
reports
received
during
the last
five (5)
years
156.Noti
ce of
default
(includin
g a
formal
demand,
demand
for
payment,
etc.)
regardin
g any
financial
obligatio
n
assumed
by the
Compan
y
157.Doc
uments
relating
to every
loan or
other
form of
financial
assistanc
e
granted
by the
Compan
y to its
parent
company
or to any
subsidiar
y or
other
business
in which
it holds
an
interest,
during
the last
five (5)
years
·
Amount
of the
loan
·
Terms
and
condition
s of
repayme
nt
·
Notice of
default
sent by
the
Compan
y
158.Doc
uments
relating
to every
loan or
other
form of
financial
assistanc
e
granted
to the
Compan
y by its
parent
company
or by any
subsidiar
y or
other
business
in which
it holds
an
interest,
during
the last
five (5)
years
·
Amount
of the
loan
·
Terms
and
condition
s of
repayme
nt
·
Notice of
default
sent to
the
Compan
y
159.Doc
uments
relating
to every
loan or
other
form of
financial
assistanc
e
granted
by the
Compan
y to any
director,
senior
executiv
e or
employe
e during
the last
five (5)
years
·
Amount
of the
loan
·
Terms
and
condition
s of
repayme
nt
·
Notice of
default
sent by
the
Compan
y
160.Doc
uments
relating
to every
loan or
other
form of
financial
assistanc
e
granted
to the
Compan
y by any
director,
senior
executiv
e or
employe
e during
the last
five (5)
years
·
Amount
of the
loan
·
Terms
and
condition
s of
repayme
nt
·
Notice of
default
sent to
the
Compan
y
161.Doc
uments
relating
to every
governm
ent
subsidy,
governm
ental
financial
assistanc
e or
other
governm
ental
assistanc
e
received
by the
Compan
y during
the last
five (5)
years
Descripti
on
Amount
Terms
and
condition
s of grant
Terms
and
condition
s of
payment
Terms
and
condition
s of
repayme
nt
162.Corr
esponde
nce
received
from/sent
to the
Compan
y’s
bankers
during
the last
five (5)
years
163.Othe
r
(specify):
…………
…………
………
H- Legal
Informat
ion
164.List
of all law
firms
with
which
the
Compan
y has
dealt
during
the last
five (5)
years
Name,
address
and
telephon
e
number
of the
firm
Name of
the
person in
charge of
the
Compan
y’s file
Telephon
e
number
(direct)
Telecopi
er
number
Mobile
telephon
e
number
Pager
number
E-mail
address
165.Cont
ract of
professio
nal
services
or
professio
nal fees
entered
into
between
the
Compan
y and
any law
firm
during
the last
five (5)
years
166.Cop
y of the
civil
docket of
all cases
involving
the
Compan
y or its
directors,
senior
executiv
es,
sharehol
ders or
employe
es, in
any
capacity
whatsoe
ver
167.Cop
y of the
civil and
criminal
docket of
all cases
involving
the
Compan
y or its
directors,
senior
executiv
es,
sharehol
ders or
employe
es, in
any
capacity
whatsoe
ver
168.Doc
uments
relating
to every
claim
(includin
g every
action,
demand,
applicati
on for an
injunctio
n,
proceedi
ngs or
procedur
es,
whether
judicial,
quasi-
judicial,
administr
ative,
arbitral
or
otherwis
e) made
by the
Compan
y during
the last
five (5)
years
Name of
the law
firm
represen
ting the
Compan
y
File
number
Jurisdicti
on in
question
(court,
location,
etc.)
Name,
address
and
telephon
e
number
of the
opposing
party
Name,
address
and
telephon
e
number
of the
firm (and
the
lawyer in
charge)
represen
ting the
opposing
party
Nature of
the legal
claim
Amount
claimed
Current
status of
the file
(includin
g every
action,
demand,
applicati
on for an
injunctio
n,
proceedi
ngs or
procedur
es,
whether
judicial,
quasi-
judicial,
administr
ative,
arbitral
or
otherwis
e) made
against
the
Compan
y or its
directors,
sharehol
ders or
employe
es during
the last
five (5)
years
Name of
the law
firm
represen
ting the
Compan
y or its
directors,
sharehol
ders or
employe
es
File
number
Jurisdicti
on in
question
(court,
location,
etc.)
Name,
address
and
telephon
e
number
of the
opposing
party
Name,
address
and
telephon
e
number
of the
firm (and
the
lawyer in
charge)
represen
ting the
opposing
party
Nature of
the legal
claim
Amount
claimed
Current
status of
the file
170.Doc
uments
regardin
g out of
court
settleme
nts,
unilateral
discharg
es or
mutual
discharg
es, or
other
documen
ts to
which
the
Compan
y or its
directors,
sharehol
ders or
employe
es were
parties
during
the last
five (5)
years
ments
(includin
g orders,
injunctio
ns and
other
types of
judgment
s)
rendered
in favour
of the
Compan
y or its
directors,
sharehol
ders or
employe
es by a
tribunal
(includin
g any
court,
administr
ative
tribunal,
governm
ental
authority,
etc.)
during
the last
five (5)
years
Name of
the law
firm
represen
ting the
Compan
y or its
directors,
sharehol
ders or
employe
es
File
number
of the file
in
question
Jurisdicti
on in
question
(court,
location,
etc.)
Name,
address
and
telephon
e
number
of the
opposing
party
Name,
address
and
telephon
e
number
of the
firm (and
the
lawyer in
charge)
represen
ting the
opposing
party
Nature of
the legal
claim
Amount
claimed
Current
status of
the file
(e.g:
judgment
satisfied,
being
enforced,
oppositio
n to
seizure,
etc.)
ments
(includin
g orders,
injunctio
ns and
other
types of
judgment
s)
rendered
against
the
Compan
y or its
directors,
sharehol
ders or
employe
es by a
tribunal
(includin
g any
court,
administr
ative
tribunal,
governm
ental
authority,
etc.)
during
the last
five (5)
years
Name of
the law
firm
represen
ting the
Compan
y or its
directors,
sharehol
ders or
employe
es
Name,
address
and
telephon
e
number
of the
opposing
party
Name,
address
and
telephon
e
number
of the
firm (and
the
lawyer in
charge)
represen
ting the
opposing
party
Nature of
the legal
claim
Amount
claimed
Current
status of
the file
(e.g:
judgment
satisfied,
being
enforced,
oppositio
n to
seizure,
etc.)
notices
of
default,
final
notices
and
other
documen
ts raising
the
liability of
the
Compan
y or its
directors,
sharehol
ders or
employe
es, and
potentiall
y leading
to the
institutio
n of legal
proceedi
ngs
against
any one
of them,
received
during
the last
five (5)
years
174.Lega
l
opinions
prepared
by any
lawyer or
law firm
regardin
g the
actual,
potential
or
threaten
ed
liability of
the
Compan
y or its
directors,
sharehol
ders or
employe
es in any
potential
or
existing
dispute,
during
the last
five (5)
years
175.Corr
esponde
nce
received
from/sent
to the
Compan
y’s
lawyers
during
the last
five (5)
years
176.Opin
ion
letters
sent by
any of
the
Compan
y’s
lawyers
to the
Compan
y’s
accounta
nts
during
the last
five (5)
years
177.Othe
r
(specify):
…………
…………
………
I-
Complia
nce With
Laws
178.List
of
applicati
ons for
licences,
permits
and
other
authoriza
tions
allowing
the
Compan
y to
operate
its
business
alone or
with
others
179.List
of
licences,
permits
and
other
authoriza
tions
allowing
the
Compan
y to
operate
its
business
alone or
with
others
180.Busi
ness tax
statemen
ts for the
last five
(5) years
181.Busi
ness
licences,
operating
permits
and
other
authoriza
tions
issued
by any
governm
ental
authority
(municip
al,
regional,
state,
provincia
l, etc.)
Name of
issuer
Name of
beneficia
ry
Name,
address
and
telephon
e
number
of the
guaranto
r (if
applicabl
e)
Effective
date
Term
Operatio
ns in
question
182.Lice
nces,
permits
or
exemptio
ns
issued
under
any
legislatio
n
regardin
g
securitie
s
(includin
g all
laws,
regulatio
ns,
decrees,
orders,
etc.)
183.Lice
nces,
permits
or
exemptio
ns
issued
under
any
legislatio
n
regardin
g
investme
nts
(includin
g all
laws,
regulatio
ns,
decrees,
orders,
etc.)
184.Lice
nces,
permits
or
exemptio
ns
issued
under
any
legislatio
n
regardin
g
competiti
on
(includin
g all
laws,
regulatio
ns,
decrees,
orders,
etc.)
185.Lice
nces,
permits
or
exemptio
ns
issued
under
any
legislatio
n
regardin
g
consume
r
protectio
n
(includin
g all
laws,
regulatio
ns,
decrees,
orders,
etc.)
186.Lice
nces,
permits
or
exemptio
ns
issued
under
any other
legislatio
n
(includin
g all
laws,
regulatio
ns,
decrees,
orders,
etc.)
of
default,
notices
of
violation,
warnings
,
summon
s, orders,
orders to
appear,
fines,
legal
notices,
judicial
notices,
or any
other
instrume
nt or
procedur
e issued
by a
compete
nt
authority
in virtue
of, or
pursuant
to the
violation
of any
legislatio
n
188.Doc
uments
relating
to any
investiga
tion,
examinat
ion,
inspectio
n or
other
procedur
e carried
out
during
the last
five (5)
years
under
any
applicabl
e
legislatio
n
189.Othe
r
(specify):
…………
…………
………
J-
Intellect
ual
Property
Tradema
rks
190.List
of
trademar
ks
(whether
or not
registere
d) used
by the
Compan
y in any
country
·
location
of first
use
· date
of first
use
191.Regi
stration
certificat
es for
trademar
ks used
by the
Compan
y
Countrie
s in
which
each of
the
trademar
ks is
registere
d
Registrat
ion date
Registrat
ion
number
Name of
registere
d
owner(s)
Name of
previous
owner(s)
(if
applicabl
e)
Descripti
on of the
wares/se
rvices
covered
by the
trademar
k
192.Appli
cations
for
registrati
on of the
trademar
ks used
by the
Compan
y
Countrie
s in
which
each of
the
applicati
ons for
registrati
on was
filed for
purposes
of
registrati
on
Filing
date of
the
applicati
on for
registrati
on
Number
of the
applicati
on for
registrati
on
Name of
owner-
applicant
(s)
Descripti
on of the
wares/se
rvices
covered
by the
applicati
on for
registrati
on
Current
status of
the file
193.List
of the
Compan
y’s
proposed
trademar
ks
194.Lice
nces
(e.g:
user
licence)
granted
by the
Compan
y to third
parties
195.Tech
nical
documen
ts
relating
to any
trademar
k
196.Assi
gnment
of rights
agreeme
nts
entered
into
between
the
Compan
y and
third
parties
197.Doc
uments
relating
to any
claim or
complain
t of
trademar
k
infringem
ent made
by the
Compan
y against
third
parties
198.Doc
uments
relating
to any
claim or
complain
t of
trademar
k
infringem
ent made
against
the
Compan
y by third
parties
199.Othe
r
(specify):
…………
…………
………
Copyrig
hts
200.List
of
copyright
s
(whether
or not
registere
d) owned
by the
Compan
y in any
country
201.Regi
stration
certificat
es for
copyright
s owned
by the
Compan
y
Countrie
s in
which
each of
the
copyright
s is
registere
d
Registrat
ion date
Registrat
ion
number
Name of
author(s)
Name of
registere
d
owner(s)
Name of
previous
owner(s)
(if
applicabl
e)
Descripti
on of the
work
covered
by the
copyright
202.Appli
cations
for
registrati
on of the
copyright
s owned
by the
Compan
y
Countrie
s in
which
each of
the
applicati
ons for
registrati
on was
filed
Filing
date of
the
applicati
on for
registrati
on
Number
of the
applicati
on for
registrati
on
Name of
author(s)
Name of
owner-
applicant
(s)
Descripti
on of the
work
covered
by the
copyright
Current
status of
the file
203.Lice
nces
(e.g:
user
licence)
granted
by the
Compan
y to third
parties
204.Tech
nical
documen
ts
relating
to any
copyright
205.Assi
gnment
of rights
agreeme
nts
entered
into
between
the
Compan
y and
third
parties
206.Doc
uments
relating
to any
claim or
complain
t of
copyright
infringem
ent made
by the
Compan
y against
third
parties
207.Doc
uments
relating
to any
claim or
complain
t of
copyright
infringem
ent made
against
the
Compan
y by third
parties
208.Othe
r
(specify):
…………
…………
………
Patents
209.List
of
patents
(whether
or not
registere
d) owned
by the
Compan
y in any
country
210.Regi
stration
certificat
es for
patents
owned
by the
Compan
y
Countrie
s in
which
each of
the
patents
is
registere
d
Registrat
ion date
Registrat
ion
number
Name of
inventor(
s)
Name of
registere
d
owner(s)
Name of
previous
owner(s)
(if
applicabl
e)
Descripti
on of the
invention
covered
by the
patent
211.Appli
cations
for
registrati
on of
patents
Countrie
s in
which
each of
the
applicati
ons for
registrati
on was
filed
Filing
date of
the
applicati
on for
registrati
on
Number
of the
applicati
on for
registrati
on
Name of
inventor(
s)
Name of
owner-
applicant
(s)
Descripti
on of the
invention
covered
by the
patent
applicati
on
Current
status of
the file
212.Lice
nces
(e.g:
user
licence)
granted
by the
Compan
y to third
parties
213.Tech
nical
documen
ts
relating
to any
patent
214.Assi
gnment
of rights
agreeme
nts
entered
into
between
the
Compan
y and
third
parties
215.Doc
uments
relating
to any
claim or
complain
t of
patent
infringem
ent made
by the
Compan
y against
third
parties
216.Doc
uments
relating
to any
claim or
complain
t of
patent
infringem
ent made
against
the
Compan
y by third
parties
217.Othe
r
(specify):
…………
…………
………
Industri
al
Designs
218.List
of
industrial
designs
(whether
or not
registere
d) owned
by the
Compan
y in any
country
219.Regi
stration
certificat
es for
industrial
designs
owned
by the
Compan
y
Countrie
s in
which
each of
the
industrial
designs
is
registere
d
Registrat
ion date
Registrat
ion
number
Name of
author(s)
Name of
registere
d
owner(s)
Name of
previous
owner(s)
(if
applicabl
e)
Descripti
on of the
industrial
design
220.Appli
cations
for
registrati
on of the
industrial
designs
held by
the
Compan
y
Countrie
s in
which
each of
the
applicati
ons for
registrati
on was
filed
Filing
date of
the
applicati
on for
registrati
on
Number
of the
applicati
on for
registrati
on
Name of
author(s)
Name of
owner-
applicant
(s)
Descripti
on of the
industrial
design
Current
status of
the file
221.Lice
nces
(e.g:
user
licence)
granted
by the
Compan
y to third
parties
222.Tech
nical
documen
ts
relating
to any
industrial
design
223.Assi
gnment
of rights
agreeme
nts
entered
into
between
the
Compan
y and
third
parties
224.Doc
uments
relating
to any
claim or
complain
t of
industrial
design
infringem
ent made
by the
Compan
y against
third
parties
225.Doc
uments
relating
to any
claim or
complain
t of
industrial
design
infringem
ent made
against
the
Compan
y by third
parties
226.Othe
r
(specify):
…………
…………
………
Trade
Secrets
227.List
of trade
secrets
owned
by the
Compan
y in any
country
228.Nam
e of
persons
having
knowled
ge
thereof
229.Lice
nces
(e.g:
user
licence)
granted
by the
Compan
y to third
parties
230.Lice
nces
(e.g:
user
licence)
granted
to the
Compan
y by third
parties
231.Assi
gnment
of rights
agreeme
nts
entered
into
between
the
Compan
y and
third
parties
232.Tech
nical
documen
ts
relating
to any
trade
secret
233.Doc
uments
relating
to any
claim or
complain
t of trade
secret
infringem
ent made
by the
Compan
y against
third
parties
234.Doc
uments
relating
to any
claim or
complain
t of trade
secret
infringem
ent made
against
the
Compan
y by third
parties
235.Othe
r
(specify):
…………
…………
………
Technol
ogical
Process
es
236.List
of
technolo
gical
processe
s owned
by the
Compan
y in any
country
237.Nam
e of
persons
having
knowled
ge
thereof
238.Lice
nces
(e.g:
user
licence)
granted
by the
Compan
y to third
parties
239.Lice
nces
(e.g:
user
licence)
granted
to the
Compan
y by third
parties
240.Tech
nical
documen
ts
relating
to any
technolo
gical
process
241.Assi
gnment
of rights
agreeme
nts
entered
into
between
the
Compan
y and
third
parties
242.Doc
uments
relating
to any
claim or
complain
t of
infringem
ent of a
technolo
gical
process
made by
the
Compan
y against
third
parties
243.Doc
uments
relating
to any
claim or
complain
t of
infringem
ent of a
technolo
gical
process
made
against
the
Compan
y by third
parties
244.Othe
r
(specify):
…………
…………
………
Other
Intellect
ual
Property
Rights
245.List
of other
intellectu
al
property
rights
held by
the
Compan
y in any
country
(e.g:
user
licences)
246.Lice
nses
granted
by third
parties
247.Sub-
licences
granted
by third
parties
248.Tech
nical
documen
ts
relating
to any
other
intellectu
al
property
right
249.Doc
uments
relating
to any
claim or
complain
t of
infringem
ent of
intellectu
al
property
rights
made by
the
Compan
y against
third
parties
250.Doc
uments
relating
to any
claim or
complain
t of
infringem
ent of
intellectu
al
property
rights
made
against
the
Compan
y by third
parties
251.Othe
r
(specify):
…………
…………
………
Confide
ntiality
and
Non-
Disclosu
re
252.Conf
identiality
and non-
disclosur
e
agreeme
nts
signed
by third
parties in
favour of
the
Compan
y during
the last
five (5)
years
·
Directors
·
Senior
executiv
es
·
Employe
es
·
Sharehol
ders
·
Consulta
nts
·
Subcontr
actors
·
Suppliers
· Etc.
253.Conf
identiality
and non-
disclosur
e
agreeme
nts
signed
by the
Compan
y in
favour of
third
parties
during
the last
five (5)
years
254.Com
pany
policies
regardin
g
confident
iality and
non-
disclosur
e of
informati
on
belongin
g to the
Compan
y
255.Doc
uments
relating
to any
claim or
complain
t of
breach of
confident
iality
agreeme
nts made
by the
Compan
y against
third
parties
256.Doc
uments
relating
to any
claim or
complain
t of
breach of
confident
iality
agreeme
nts made
against
the
Compan
y by third
parties
257.Othe
r
(specify):
…………
…………
………
Miscella
neous
258.List
of
persons
who
contribut
ed to the
develop
ment of
the
Compan
y’s
intellectu
al
property:
·
Name,
address
and
telephon
e
number
·
Descripti
on of
involvem
ent
·
Curriculu
m vitae
259.Rele
vant
documen
ts
relating
to any
claim
which a
person
(e.g:
employe
e,
subcontr
actor,
etc.) is
asserting
or may
assert
with
respect
to any
intellectu
al
property
right that
the
Compan
y claims
to own
260.Conf
identiality
, non-
disclosur
e or
other
agreeme
nts
relating
to one or
more of
the
Compan
y’s
intellectu
al
property
rights
261.Non-
compete
or other
agreeme
nts
relating
to one or
more of
the
Compan
y’s
intellectu
al
property
rights
262.Othe
r
agreeme
nts
relating
to one or
more of
the
Compan
y’s
intellectu
al
property
rights
263.Opin
ions
given by
lawyers
or other
professio
nals with
respect
to any
intellectu
al
property
right of
the
Compan
y or any
liability of
the
Compan
y with
respect
to any
intellectu
al
property
right,
during
the last
five (5)
years
264.Othe
r
(specify):
…………
…………
………
K-
Machine
ry, Tools
and
Equipm
ent
Rolling
Stock
265.List
of rolling
stock
(e.g:
automobi
les,
trucks,
trailers,
etc.)
·
Make
·
Model
· Year
·
Serial
number
·
Licence
plate
number
·
Name of
registere
d owner
·
Equipme
nt added
·
Other
(specify):
…………
…
266.Rolli
ng stock
acquisitio
n
agreeme
nts
·
Acquisiti
on date
·
Amount
paid
·
Deprecia
tion
·
Valuation
(liquidati
on value,
replacem
ent cost,
etc.)
267.Rolli
ng stock
rental
agreeme
nts
268.Rolli
ng stock
leasing
agreeme
nts
269.Rolli
ng stock
registrati
on
certificat
es
270.Noti
ces of
default
received
by the
Compan
y
271.Othe
r
(specify):
…………
…………
………
Tools
272.List
of tools
273.Tool
acquisitio
n
agreeme
nts
·
Acquisiti
on date
·
Amount
paid
·
Deprecia
tion
·
Valuation
(liquidati
on value,
replacem
ent cost,
etc.)
274.Tool
rental
agreeme
nts
275.Tool
leasing
agreeme
nts
276.Noti
ces of
default
received
by the
Compan
y
277.Othe
r
(specify):
…………
…………
………
Equipm
ent
(Other
Than
Comput
er
Hardwar
e)
278.List
of
equipme
nt
279.Equi
pment
acquisitio
n
agreeme
nts
·
Acquisiti
on date
·
Amount
paid
·
Deprecia
tion
·
Valuation
(liquidati
on value,
replacem
ent cost,
etc.)
280.Equi
pment
rental
agreeme
nts
281.Equi
pment
leasing
agreeme
nts
282.Main
tenance,
service
and
support
contracts
283.Noti
ces of
default
received
by the
Compan
y
284.Othe
r
(specify):
…………
…………
………
L-
Product
s and
Services
285.List
of
products
manufact
ured by
the
Compan
y
·
Brand
·
Model
·
Technica
l
descripti
on
·
Product
number
286.List
of
products
offered
by the
Compan
y
·
Brand
·
Model
·
Technica
l
descripti
on
·
Product
number
287.List
of
services
offered
by the
Compan
y
·
Descripti
on
·
Service
number
(if
applicabl
e)
288.Pric
e list for
products
offered
289.Pric
e list for
services
offered
290.List
of
products
in
inventory
291.List
of
obsolete
products
in
inventory
292.Acq
uisition
agreeme
nts
relating
to
products
in
inventory
293.Sup
ply
contracts
entered
into with
suppliers
294.Noti
ces of
default
received
by the
Compan
y
295.Othe
r
(specify):
…………
…………
………
M-
Comput
er
296.List
of
computer
equipme
nt
297.List
of
software
used
·
Name of
software
·
Version
name or
number
·
Serial
number
·
Type de
version
(single
workstati
on,
network)
298.Com
puter
equipme
nt
acquisitio
n
agreeme
nts
299.Com
puter
equipme
nt rental
agreeme
nts
300.Com
puter
equipme
nt
leasing
agreeme
nts
301.Soft
ware
acquisitio
n
agreeme
nts
302.Soft
ware
end-user
licence
agreeme
nts
303.Com
puter
maintena
nce,
service
and
support
contracts
304.Noti
ces of
default
received
by the
Compan
y
305.Com
pany
policy(ies
)
regardin
g the use
of
computer
equipme
nt
306.Com
pany
policy(ies
)
regardin
g the use
of
software
307.Doc
uments
relating
to the
develop
ment of
any
software
308.Othe
r
(specify):
…………
…………
………
N-
Immova
bles
Immova
bles
Owned
by the
Compan
y
309.List
of
immovab
les
owned
by the
Compan
y
310.Acq
uisition
agreeme
nts for
each
immovab
le
311.Hyp
othecary
agreeme
nts (real
eastate
morgage
deeds)
affecting
each
immovab
le
312.Ren
ewal of
hypothec
ary
agreeme
nts (real
eastate
morgage
deeds)
313.Dee
ds of
servitude
(deeds of
easemen
t)
affecting
each
immovab
le
314.Up
to date
certificat
es of
location
for each
immovab
le
315.Valu
ation
reports
on the
immovab
les,
obtained
or
prepared
during
the last
five (5)
years
316.Title
search
reports
on the
immovab
le
317.Extr
act of the
land
register
for each
immovab
le
318.Real
estate,
municipa
l, school,
business
and
other tax
statemen
ts for the
last five
(5) years
319.Corr
esponde
nce
regardin
g the
immovab
les
received
from/sent
to the
municipa
lity,
including
all
notices
of default
or non-
complian
ce,
during
the last
five (5)
years
320.Leas
e
agreeme
nts for
any item
leased
by the
Compan
y and
located
in or on
any
immovab
le (e.g:
water
heater,
trash
container
, etc.)
321.Con
struction,
improve
ment,
renovatio
n,
expansio
n,
demolitio
n or
other
agreeme
nts
(includin
g all
tenders)
relating
to work
carried
out or to
be
carried
out in or
on the
immovab
les
during
the last
five (5)
years
322.Othe
r
(specify):
…………
…………
………
Immova
bles
Leased
by the
Compan
y (as
Lessor)
323.List
of
immovab
les (or
portions
thereof)
leased
by the
Compan
y, in its
capacity
as lessor
324.Leas
e
agreeme
nts for
each of
the said
immovab
les (or
portions
thereof)
325.Leas
e
renewal
or non-
renewal
agreeme
nts
326.Noti
ces of
default
relating
to any
lease
327.Ancil
lary
documen
ts
relating
to each
of the
said
immovab
les (or
portions
thereof)
Letters of
understa
nding
Addenda
By-Laws
of the
immovab
le
328.Othe
r
(specify):
…………
…………
………
Immova
bles
Leased
by the
Compan
y (as
Principa
l
Lessee)
329.List
of
immovab
les (or
portions
thereof)
leased
by the
Compan
y, in its
capacity
as
principal
lessee
·
Address
of the
immovab
le
·
Name,
address
and
telephon
e
number
of the
owner of
the
immovab
le
330.Leas
e
agreeme
nts for
each of
the said
immovab
les (or
portions
thereof)
331.Leas
e
renewal
or non-
renewal
agreeme
nts
332.Noti
ces of
default
relating
to any
lease
333.Ancil
lary
documen
ts
relating
to each
of the
said
immovab
les (or
portions
thereof)
Letters of
understa
nding
Addenda
By-Laws
of the
immovab
le
334.Extr
act of the
land
register
for each
immovab
le
335.Real
estate,
municipa
l, school,
business
and
other tax
statemen
ts for the
last five
(5) years
336.Corr
esponde
nce
regardin
g the
immovab
les
received
from/sent
to the
municipa
lity,
including
all
notices
of default
or non-
complian
ce,
during
the last
five (5)
years
337.Leas
e
agreeme
nts for
any item
leased
by the
Compan
y and
located
in or on
any
immovab
le (e.g:
water
heater,
trash
container
, etc.)
338.Con
struction,
improve
ment,
renovatio
n,
expansio
n,
demolitio
n or
other
agreeme
nts
(includin
g all
tenders)
relating
to work
carried
out or to
be
carried
out in or
on the
immovab
les
during
the last
five (5)
years
339.Othe
r
(specify):
…………
…………
………
Immova
bles
Leased
by the
Compan
y (as
Subless
ee)
340.List
of
immovab
les (or
portions
thereof)
sublease
d by the
Compan
y, in its
capacity
as
sublesse
e
·
Address
of the
immovab
le
·
Name,
address
and
telephon
e
number
of the
sublesso
r
·
Name,
address
and
telephon
e
number
of the
owner of
the
immovab
le
341.Subl
ease
agreeme
nts for
each of
the said
immovab
les (or
portions
thereof)
342.Subl
ease
renewal
or non-
renewal
agreeme
nts
343.Noti
ces of
default
relating
to any
sublease
344.Ancil
lary
documen
ts
relating
to each
of the
said
immovab
les (or
portions
thereof)
Letters of
understa
nding
Addenda
By-Laws
of the
immovab
le
345.Extr
act of the
land
register
for each
immovab
le
346.Real
estate,
municipa
l, school,
business
and
other tax
statemen
ts for the
last five
(5) years
347.Corr
esponde
nce
regardin
g the
immovab
les
received
from/sent
to the
municipa
lity,
including
all
notices
of default
or non-
complian
ce,
during
the last
five (5)
years
348.Leas
e
agreeme
nts for
any item
leased or
sublease
d by the
Compan
y and
located
in or on
any
immovab
le (e.g:
water
heater,
trash
container
, etc.)
349.Con
struction,
improve
ment,
renovatio
n,
expansio
n,
demolitio
n or
other
agreeme
nts
(includin
g all
tenders)
relating
to work
carried
out or to
be
carried
out in or
on the
immovab
les
during
the last
five (5)
years
350.Othe
r
(specify):
…………
…………
………
O-
Insuranc
e
351.List
of all
insuranc
e
compani
es with
which
the
Compan
y has
dealt
during
the last
five (5)
years
Name,
address
and
telephon
e
number
of the
insuranc
e
company
Name,
address
and
telephon
e
number
of the
insuranc
e broker
Name of
the
person in
charge of
the
Compan
y’s file
Telephon
e
number
(direct)
Telecopi
er
number
E-mail
address
352.Insur
ance
policy(ies
)
covering
the
Compan
y’s
movable
property
(personal
property)
Name of
the
insuranc
e
company
Name of
the
insuranc
e broker
Amount
of
coverage
Premium
payable
Name,
address
and
telephon
e
number
of
beneficia
ries
353.Insur
ance
policy(ies
)
covering
the
Compan
y’s rolling
stock
(e.g:
cars,
trucks,
etc.)
Name of
the
insuranc
e
company
Name of
the
insuranc
e broker
Amount
of
coverage
Premium
payable
Name,
address
and
telephon
e
number
of
beneficia
ries
354.Insur
ance
policy(ies
)
covering
the
Compan
y’s
immovab
le
property
(real
property)
Name of
the
insuranc
e
company
Name of
the
insuranc
e broker
Amount
of
coverage
Premium
payable
Name,
address
and
telephon
e
number
of
beneficia
ries
355.Title
insuranc
e
policy(ies
)
covering
the
Compan
y’s
immovab
les
Name of
the
insuranc
e
company
Name of
the
insuranc
e broker
Amount
of
coverage
Premium
payable
Name,
address
and
telephon
e
number
of
beneficia
ries
356.Insur
ance
policy(ies
)
covering
the
Compan
y’s public
liability
Name of
the
insuranc
e
company
Name of
the
insuranc
e broker
Amount
of
coverage
Premium
payable
Name,
address
and
telephon
e
number
of
beneficia
ries
357.Insur
ance
policy(ies
)
covering
the
Compan
y’s
professio
nal
liability
Name of
the
insuranc
e
company
Name of
the
insuranc
e broker
Amount
of
coverage
Premium
payable
Name,
address
and
telephon
e
number
of
beneficia
ries
358.Busi
ness
interrupti
on
insuranc
e
policy(ies
)
covering
the
Compan
y’s
operation
s
Name of
the
insuranc
e
company
Name of
the
insuranc
e broker
Amount
of
coverage
Premium
payable
Name,
address
and
telephon
e
number
of
beneficia
ries
359.Insur
ance
policy(ies
)
covering
the
liability of
the
Compan
y’s
directors
and
officers
Name of
the
insuranc
e
company
Name of
the
insuranc
e broker
Amount
of
coverage
Premium
payable
Name,
address
and
telephon
e
number
of
beneficia
ries
360.Life
insuranc
e or
disability
policy(ies
)
covering
the
Compan
y’s
employe
es
(includin
g the
directors
and
officers)
Name of
the
insuranc
e
company
Name of
the
insuranc
e broker
Amount
of
coverage
Premium
payable
Name,
address
and
telephon
e
number
of
beneficia
ries
361.Insur
ance
policy(ies
)
covering
the
health
(e.g:
dental,
eye,
medicati
on,
hospitaliz
ation,
etc.) of
the
Compan
y’s
employe
es
(includin
g the
directors
and
officers)
Name of
the
insuranc
e
company
Name of
the
insuranc
e broker
Amount
of
coverage
Premium
payable
Name,
address
and
telephon
e
number
of
beneficia
ries
362.Insur
ance
policy(ies
)
covering
environm
ental
liability
(includin
g the
directors
and
officers)
Name of
the
insuranc
e
company
Name of
the
insuranc
e broker
Amount
of
coverage
Premium
payable
Name,
address
and
telephon
e
number
of
beneficia
ries
363.All
other
individual
or group
insuranc
e policies
364.Doc
uments
relating
to every
insuranc
e claim
made
during
the last
five (5)
years
365.Othe
r
(specify):
…………
…………
………
P-
Internet
366.List
of URLs
linked to
the
Compan
y’s Web
site
367.List
of URLs
(other
than
those
linked to
the
Compan
y’s Web
site)
which
belong to
the
Compan
ycorrespo
ndence
establishi
ng or
confirmin
g any
agreeme
nt with a
third
party
regardin
g the
Compan
y’s Web
site (e.g:
design,
hosting,
maintena
nce, etc.)
or
regardin
g any
business
operation
s or
activities
involving
the
Compan
y or its
Web site,
services
or
products
369.List
of e-mail
addresse
s used
370.Cont
racts,
letters of
understa
nding or
correspo
ndence
establishi
ng or
confirmin
g any
agreeme
nt with
an
Internet
service
provider
regardin
g, among
other
things,
hosting
of the
Compan
y’s Web
site
371.Noti
ce of
default,
formal
demand
or other
complain
t
documen
t
potentiall
y
affecting
the use,
ownershi
p or
enjoyme
nt of the
Web site
or the e-
mail
addresse
s
372.Othe
r
(specify):
…………
…………
………
Q-
Environ
ment
373.List
of
employe
es with
technical
or legal
skills
related to
the
environm
ent
·
Investiga
tion of a
contamin
ated or
potentiall
y
contamin
ated site
·
Determin
ation of
the
Compan
y’s
liability
regardin
g its
operation
s and
their
impact
on the
environm
ent
374.List
of
undergro
und
reservoir
s
·
Descripti
on and
contents
of the
reservoir
· Age
of the
reservoir
·
Conditio
n of the
reservoir
375.Surv
eys of
the soil,
subsoil
or
immovab
les and
other
surveys
carried
out by a
governm
ent
agency
or by
experts
during
the last
five (5)
years
376.Rep
orts of
environm
ental
inspectio
ns,
examinat
ions or
analyses
(includin
g impact
studies,
character
ization
studies,
etc.)
carried
out
during
the last
five (5)
years
377.Lice
nces,
permits,
authoriza
tions,
certificat
es or
exemptio
ns
issued
under
any
environm
ental
quality or
environm
ental
protectio
n
legislatio
n
(includin
g all
laws,
regulatio
ns,
decrees,
orders,
etc.)
378.Doc
uments
relating
to the
disposal
of
contamin
ated soil
or
hazardou
s waste
379.Com
pany
policy
regardin
g
environm
ental
protectio
n
·
Recyclin
g
·
Waste
disposal
380.Cont
racts for
services,
and
service,
maintena
nce and
other
contracts
entered
into with
any
environm
ental
consulta
nt
appear,
fines,
legal
notices,
judicial
notices,
or any
other
instrume
nt or
procedur
e issued
by a
compete
nt
authority
in virtue
of, or
pursuant
to the
violation
of any
environm
ental
quality or
protectio
n
legislatio
n,
received
during
the last
five (5)
years
382.Agre
ements
entered
into with
the
governm
ent or
any
governm
ent
agency
during
the last
five (5)
years
383.Cont
racts
relating
to any
environm
ental
work
performe
d
384.Doc
uments
relating
to any
complain
t made
against
the
Compan
y by a
third
party
(e.g:
neighbou
r)
regardin
g an
environm
ental
problem
385.Othe
r
(specify):
…………
…………
………
R-
Operatio
ns
386.List
of all the
Compan
y’s
places of
business
·
Complet
e
address
·
Telephon
e
number(
s)
·
Telecopi
er
number(
s)
·
Name of
the
person in
charge
387.Acq
uisition,
lease or
leasing
agreeme
nts
relating
to items
with a
value
greater
than
$3,000
388.Offer
s or
promises
to
purchase
, whether
or not
accepted
, relating
to items
with a
value
greater
than
$3,000
389.Coo
perative,
joint
venture,
strategic
alliance,
partners
hip,
cooperati
on and
other
agreeme
nts
entered
into
between
the
Compan
y and
third
parties
390.Con
signment
or
condition
al sale
agreeme
nts
391.Cont
racts
with any
agent,
agency,
broker or
brokerag
e firm
392.Orga
nization
chart or
internal
organizat
ion plan
of the
Compan
y (e.g: by
sector,
division,
plant,
etc.)
393.Stud
ies,
memos,
reports
and
other
documen
ts
regardin
g the
market in
which
the
Compan
y
operates
or may
operate
394.Doc
uments
relating
to foreign
operation
s
395.Cont
racts
entered
into
outside
the
ordinary
course of
business
during
the last
five (5)
years
396.Doc
uments
relating
to any
certificati
on
granted
to the
Compan
y (e.g:
ISO)
397.Doc
uments
relating
to every
warranty
granted
by the
Compan
y on the
products
sold by it
398.Othe
r
(specify):
…………
…………
………
S-
Franchis
e
399.Fran
chise
agreeme
nts
entered
into
between
the
Compan
y and
any
franchiso
r
400.Othe
r
contracts
or
documen
ts
ancillary
to a
franchise
agreeme
nt
401.Oper
ations
manuals
provided
by the
franchiso
r
402.Noti
ces of
default
received
from
franchiso
rs
403.Othe
r
(specify):
…………
…………
………
T-
Marketin
g
404.Pres
s
releases
issued
by the
Compan
y during
the last
five (5)
years
405.New
spaper
and
magazin
e articles
relating
to the
Compan
y during
the last
five (5)
years
406.Refe
rence
letters
and
written
testimoni
als from
customer
s
407.Adv
ertising
pamphlet
s and
other
promotio
nal
documen
ts
408.Print
ed
advertise
ments
409.Medi
a plan
410.Adv
ertising
agreeme
nts
entered
into
during
the last
five (5)
years
411.Stud
ies,
surveys
and
inspectio
ns
carried
out
during
the last
five (5)
years
412.List
of
associati
ons,
chamber
s of
commerc
e and
other
organizat
ions to
which
the
Compan
y
belongs
or to
which
any
director,
senior
executiv
e,
sharehol
der or
employe
e
belongs
as a
represen
tative of
the
Compan
y
413.List
of
telephon
e
numbers
used by
the
Compan
y
Regular
line(s)
Toll free
line(s)
(for
callers)
Mobile
telephon
e(s)
Pager(s)
Other
414.Cont
racts and
invoices
relating
to the
said
telephon
e
numbers
Regular
line(s)
Toll free
line(s)
(for
callers)
415.Acq
uisition
agreeme
nts
relating
to any
telephon
e system
416.Main
tenance
agreeme
nts
relating
to any
telephon
e system
417.Agre
ement
for
services
with any
call
centre
418.List
of
telecopie
r
numbers
used by
the
Compan
y
419.Cont
racts and
invoices
relating
to the
said
telecopie
r
numbers
420.Acq
uisition
agreeme
nts
relating
to any
telecopie
r system
421.Main
tenance
agreeme
nts
relating
to any
telecopie
r system
422.Noti
ce of
default,
formal
demand
or other
complain
t
documen
t
potentiall
y
affecting
the use,
ownershi
p or
enjoyme
nt of the
said
telephon
e and
telecopie
r
numbers
423.Othe
r
(specify):
…………
…………
………
U-
Clientele
424.List
of the
Compan
y’s
customer
s
Name,
address
and
telephon
e
number
of the
customer
Name of
the
customer
’s
authorize
d
represen
tative
Annual
sales
figures
for the
last five
(5) years
Terms
and
condition
s of
payment
granted
425.List
of
contracts
entered
into with
the
governm
ent or
with any
governm
ent
agency
426.Sup
ply
contracts
,
contracts
for
services
and
other
contracts
entered
into with
the
governm
ent or
any
governm
ent
agency,
during
the last
five (5)
years
427.Com
pany
policies
regardin
g credit
428.Com
pany
policies
regardin
g
collection
s
429.Line
of credit
agreeme
nts
430.List
of
accounts
receivabl
e
· Age
(current,
30 days,
60 days,
etc.)
·
Amount
431.Noti
ces of
default
sent to
customer
s during
the last
five (5)
years
432.Doc
uments
relating
to
provision
s for bad
debts
433.Agre
ements
or
undertaki
ngs not
to solicit
customer
s signed
by third
parties in
favour of
the
Compan
y
434.Agre
ements
or
undertaki
ngs not
to solicit
customer
s signed
by the
Compan
y in
favour of
third
parties
435.Corr
esponde
nce sent
to/receiv
ed from
any
customer
regardin
g
problems
relating
to the
services/
products
provided
by the
Compan
y during
the last
five (5)
years
436.Othe
r
(specify):
…………
…………
………
V-
Supplier
s,
Subcont
ractors
and
Consult
ants
437.List
of the
Compan
y’s
suppliers
,
subcontr
actors
and
consulta
nts
Name,
address
and
telephon
e
number
of the
supplier,
subcontr
actor or
consulta
nt
Name of
its
authorize
d
represen
tative
Nature of
the
products/
services
in
question
Annual
volume
of
purchase
s
Terms
and
condition
s of
payment
granted
438.Line
of credit
agreeme
nts
439.List
of
accounts
payable
· Age
(current,
30 days,
60 days,
etc.)
·
Amount
440.Noti
ces of
default
received
by the
Compan
y during
the last
five (5)
years
441.Sup
ply
contracts
(whether
or not
exclusive
) entered
into with
suppliers
442.Cont
racts for
services,
and
maintena
nce,
service
and
other
contracts
relating
to
obligatio
ns to be
performe
d at
regular
intervals
443.Cont
racts for
services
entered
into with
subcontr
actors
444.Con
sulting
agreeme
nts
entered
into with
consulta
nts
445.Distr
ibution
agreeme
nts
(whether
or not
exclusive
) entered
into with
distributo
rs
446.Selli
ng
agency
agreeme
nts
447.Outs
ourcing
agreeme
nts
448.Cont
racts
(includin
g
purchase
orders)
involving
a
disburse
ment
exceedin
g $
…………
per year
for a
period of
more
than one
year.
449.Corr
esponde
nce sent
to/receiv
ed from
any
supplier,
consulta
nt or
subcontr
actor
regardin
g
problems
relating
to the
services/
products
provided
by it
during
the last
five (5)
years
450.Doc
uments
relating
to liability
arising
from
defective
products
451.Opin
ions,
reports
or
studies
prepared
by any
expert at
the
Compan
y’s
request:
·
Lawyer
·
Accounta
nt
· Tax
expert
·
Environ
mental
advisor
·
Engineer
·
Appraise
r
·
Actuary
·
Insuranc
e broker
·
Land
surveyor
·
Other
(specify)
452.Othe
r
(specify):
…………
…………
………
W-
Employe
es
453.Doc
uments
relating
to the
process
of
recruiting
, hiring,
evaluatin
g,
promotin
g,
transferri
ng,
laying off
and
dismissin
g
employe
es
454.List
of the
Compan
y’s
employe
es
(includin
g senior
executiv
es and
directors)
Name,
address
and
telephon
e
number
Date of
hire
Position
held
Type of
position
(e.g:
permane
nt, part-
time,
casual,
etc.)
Descripti
on of
tasks
Employm
ent
history
(promoti
ons, etc.)
Current
remuner
ation
(salary,
commissi
ons,
bonuses,
stock
options,
etc.)
Employe
e
benefits
and
other
benefits
Current
status
(e.g:
working,
sick
leave,
etc.)
455.List
of the
Compan
y’s key
employe
es
(includin
g senior
executiv
es and
directors)
Name,
address
and
telephon
e
number
Date of
hire
Position
held
Type of
position
(e.g:
permane
nt, part-
time,
casual,
etc.)
Descripti
on of
tasks
Employm
ent
history
(promoti
ons, etc.)
Current
remuner
ation
(salary,
commissi
ons,
bonuses,
stock
options,
etc.)
Employe
e
benefits
and
other
benefits
456.List
of
employe
es
currently
on sick
leave or
disability
leave
(includin
g senior
executiv
es and
directors)
Name,
address
and
telephon
e
number
Date of
hire
Position
held
Type of
position
(e.g:
permane
nt, part-
time,
casual,
etc.)
Descripti
on of
tasks
Employm
ent
history
(promoti
ons, etc.)
Current
remuner
ation
(salary,
commissi
ons,
bonuses,
stock
options,
etc.)
Employe
e
benefits
and
other
benefits
457.List
of
employe
es laid
off or
dismisse
d
(includin
g senior
executiv
es and
directors)
during
the last
five (5)
years
Name,
address
and
telephon
e
number
Date of
hire
Position
held
Type of
position
(e.g:
permane
nt, part-
time,
casual,
etc.)
Descripti
on of
tasks
Employm
ent
history
(promoti
ons, etc.)
Current
remuner
ation
(salary,
commissi
ons,
bonuses,
stock
options,
etc.)
Employe
e
benefits
and
other
benefits
458.List
of
employe
es
having
left the
Compan
y to work
for
competit
ors
during
the last
five (5)
years
Name,
address
and
telephon
e
number
Seniority
Position
held
Employm
ent
history
(promoti
ons, etc.)
Remuner
ation
Employe
e
benefits
and
other
benefits
459.Hirin
g letters
460.Emp
loyment
contracts
with
employe
es
461.Emp
loyment
contracts
with
sales
represen
tatives
462.Cont
racts for
services
with self-
employe
d
workers
463.Emp
loyee
performa
nce
evaluatio
ns for the
last five
(5) years
464.Emp
loyment
terminati
on
agreeme
nts,
release
agreeme
nts and
other
agreeme
nts
entered
into with
former
employe
es of the
Compan
y during
the last
five (5)
years
465.Rec
ords of
employm
ent
issued
by the
Compan
y during
the last
five (5)
years
466.Orga
nization
chart
(hierarchi
cal
structure
)
467.Com
pany
policies
of the
Compan
y
·
Sexual
harassm
ent
·
Conflicts
of
interest
·
Repaym
ent of
expense
s
·
Overtime
· Etc.
468.Emp
loyee
handboo
k(s) or
guide(s)
469.Hum
an
resource
s
manage
ment
handboo
k(s) or
guide(s)
470.Hist
ory of
union
activities
within
the
Compan
y
· First
steps
taken
towards
unionizat
ion
·
Principal
organizer
s
·
Certificati
on
process
·
Name,
address
and
telephon
e
number
of the
union
·
Name,
address
and
telephon
e
number
of the
union
president
·
Name,
address
and
telephon
e
number
of the
union
steward
·
Strikes,
lock-outs
and
other
work
stoppage
s
471.Coll
ective
agreeme
nts with
any
union
(includin
g all
amendm
ents)
472.Draft
collective
agreeme
nts with
any
union
473.Lette
rs of
understa
nding
with any
union
474.List
of
grievanc
es filed
against
the
Compan
y during
the last
five (5)
years
475.Doc
uments
relating
to every
grievanc
e filed
against
the
Compan
y during
the last
five (5)
years
476.List
of
grievanc
es filed
by the
Compan
y during
the last
five (5)
years
477.Doc
uments
relating
to every
grievanc
e filed by
the
Compan
y during
the last
five (5)
years
478.Judg
ments or
arbitratio
n
decisions
rendered
during
the last
five (5)
years
479.Doc
uments
relating
to every
claim
regardin
g
employm
ent
injuries
made
during
the last
five (5)
years
agreeme
nts and
other
types of
undertaki
ngs
entered
into by
the
Compan
y with
respect
to all or
part of
the
remuner
ation or
employe
e
benefits
(e.g:
bonuses,
pensions
,
incentive
bonuses,
deferred
compens
ation,
profit-
sharing,
group
insuranc
e, etc.)
481.Doc
uments
relating
to
pension
funds
·
History
of
contributi
ons
·
Current
status of
the fund
·
Revision
of
actuarial
tables
482.Doc
uments
relating
to all
employe
e
benefits
483.Doc
uments
relating
to all
group
health
plans
·
Medical
·
Dental
· Eye
·
Other
(specify)
484.Agre
ements
or
undertaki
ngs not
to solicit
personne
l signed
by third
parties in
favour of
the
Compan
y
485.Agre
ements
or
undertaki
ngs not
to solicit
personne
l signed
by the
Compan
y in
favour of
third
parties
486.Doc
uments
relating
to any
sexual
harassm
ent
complain
t made
against
any
director,
senior
executiv
e,
sharehol
der or
employe
e of the
Compan
y during
the last
five (5)
years
487.Doc
uments
relating
to any
complain
t of
discrimin
ation
(based
on age,
gender,
etc.)
made
against
the
Compan
y during
the last
five (5)
years
488.Equi
pment
loan or
lease
agreeme
nts
entered
into with
directors,
senior
executiv
es,
sharehol
ders or
employe
es during
the last
five (5)
years
·
Name
and
address
of
borrower
·
Nature of
equipme
nt loaned
(e.g:
notebook
computer
,
automobi
le, etc.)
·
Terms
and
condition
s of the
loan or
lease
·
Current
status
489.Agre
ements
for the
loan of
money
entered
into with
directors,
senior
executiv
es,
sharehol
ders or
employe
es during
the last
five (5)
years
·
Name
and
address
of
borrower
·
Amount
of the
loan
·
Interest
rate
·
Terms
and
condition
s of
repayme
nt
·
Current
status
490.List
of
positions
currently
vacant
· Title
of
position
·
Descripti
on of
tasks
·
Departm
ent in
question
· Date
position
became
vacant
·
Steps
taken to
fill the
position
·
Current
status
491.Othe
r
(specify):
…………
…………
………
X-
Competi
tion
492.List
of the
Compan
y’s top
ten (10)
competit
ors
Name,
address
and
telephon
e
number
Compan
y’s
position
in this list
493.Indu
stry
studies,
reports,
reviews
or other
documen
ts
regardin
g the
competiti
on faced
or likely
to be
faced by
the
Compan
y
·
Compan
y’s
market
share
·
Competit
ive
advantag
es and
disadvan
tages
494.Othe
r
(specify):
…………
…………
………
Y-
Researc
h and
Develop
ment
495.Doc
uments
regardin
g
research
and
develop
ment
carried
out by
the
Compan
y
496.Res
earch
and
develop
ment
contracts
signed
by the
Compan
y during
the last
five (5)
years
497.Othe
r
(specify):
…………
…………
………
Z-
Miscella
neous
498.All
other
Informati
on
reasonab
ly
required
by the
Purchas
er
499.All
other
Informati
on
regardin
g any
matter
liable to
give rise
to a
claim for
a
brokerag
e fee
500.All
other
Informati
on
regardin
g any
fact
which is
necessar
y or
useful so
that the
due
diligence
is
complete
and does
not
mislead
the
Purchas
er
501.Othe
r
(specify):
…………
…………
………
DECLAR
¢4 3 ATION
The
undersig
ned,
…………
……..,
domicile
d and
residing
at
…………
…………
…,
hereby
declares
as
follows:
· I am
the
…………
…. and
duly
authorize
d
represen
tative of
the
Compan
y (OR:
the
Vendor);
· all
Informati
on
provided
on and in
support
of this
Checklist
is
complete
and
accurate.
SIGNED
IN ..........
............
(.....)
COUNT
ERPART
¢5 S,
IN THE
CITY OF
........,
PROVIN
CE (OR:
STATE,
DEPART
MENT,
ETC.)
OF ........
¢6 ..,
ON ........
..............
..............
¢7 .
¢8
_______
_______ _______
_______ _______
______ _____
WITNES
¢9 S