Form SEC 2282 SEC 2282 Form F-80

Form F-80 - Canadian Securities

formf-80.12-31-2015

Form F-80 - Canadian Securities

OMB: 3235-0404

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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, DC 20549

Form F-80

OMB APPROVAL

OMB Number:
Expires:

3235-0404

December 31, 2015

Estimated average burden
hours per response . . . . . . . . 2.0

REGISTRATION STATEMENT UNDER THE SECURITIES ACT OF 1933

(Exact name of Registrant as specified in its charter)

(Translation of Registrant’s name into English (if applicable))

(Province or other jurisdiction of incorporation or organization)

(Primary Standard Industrial Classification Code Number (if applicable))

(IRS Employer Identification Number (if applicable))

(Address and telephone number of Registrant’s principal executive offices)

(Name, address (including zip code) and telephone number (including area code) of agent for service in the United States)

Approximate date of commencement of proposed sale of the securities to the public ___________________________________
This registration statement and any amendment thereto shall become effective upon filing with the Commission in accordance
with Rule 467(a).
If any of the securities being registered on this Form are to be offered on a delayed or continuous basis pursuant to the home
jurisdiction’s shelf prospectus offering procedures, check the following box.

CALCULATION OF REGISTRATION FEE*
Title of each class
of securities to be
registered

Amount to be
registered

Proposed maximum
offering price per
unit

Proposed maximum
aggregate offering
price

Amount of
registration fee

* See General Instructions IV.F.-IV.H. for rules as to calculation of the registration fee.
If, as a result of stock splits, stock dividends or similar transactions, the number of securities purported to be registered on
this registration statement changes, the provisions of Rule 416 shall apply to this registration statement.
SEC 2282 (1-07)

GENERAL INSTRUCTIONS
I. General Eligibility Requirements for Use of Form F-80
A.

Form F-80 may be used for registration under the Securities Act of 1933 (“Securities Act”) of securities to be issued
in an exchange offer or in connection with a statutory amalgamation, merger, arrangement or other reorganization
requiring the vote of shareholders of the participating companies (a “business combination”). Securities may
be registered on this Form whether they constitute the sole consideration for such exchange offer or business
combination, or are offered in conjunction with cash.

B.

This Form shall not be used for registration of securities if no takeover bid circular or issuer bid circular (in the
case of an exchange offer) or information circular (in the case of a business combination) is prepared pursuant to
the requirements of any Canadian jurisdiction due to the availability of an exemption from such requirements.

C.

This Form may not be used for registration of derivative securities except:
(1) warrants, options and rights, provided that such securities and the underlying securities to which they relate
are issued by the Registrant, its parent or an affiliate of either; and
(2) convertible securities, provided that such securities are convertible only into securities of the Registrant, its
parent or an affiliate of either.
Instruction: For purposes of this Form, an “affiliate” of a person is anyone who beneficially owns, directly
or indirectly, or exercises control or direction over, more than 10 percent of the outstanding equity shares
of such person. The determination of a person’s affiliates shall be made as of the end of such person’s most
recently completed fiscal year.

D.

This Form shall not be used if the Registrant or, in the case of an exchange offer, the issuer of the securities to be
exchanged (the “subject securities”) for securities of the Registrant is an investment company registered or required
to be registered under the Investment Company Act of 1940.

II. Eligibility Requirements for Exchange Offers
A.

In the case of an exchange offer, Form F-80 is available to any Registrant that:
(1) is incorporated or organized under the laws of Canada or any Canadian province or territory;
(2) is a foreign private issuer;
(3) has had a class of its securities listed on The Montreal Exchange, The Toronto Stock Exchange or the Senior
Board of the Vancouver Stock Exchange for the 12 calendar months immediately preceding the filing of this
Form, has been subject to the continuous disclosure requirements of any securities commission or equivalent
regulatory authority in Canada for a period of at least 36 calendar months immediately preceding the filing
of this Form, and is currently in compliance with obligations arising from such listing and reporting; and
(4) has an aggregate market value of the public float of its outstanding equity shares of (CN) $75 million or more;
provided, however, that such public float requirement need not be satisfied if the issuer of the securities to be
exchanged is also the Registrant on this Form.
Instructions:
1.

For purposes of this Form, “foreign private issuer” shall be construed in accordance with Rule 405 under the
Securities Act.

2.

For purposes of this Form, “equity shares” shall mean common shares, non-voting equity shares and subordinate
or restricted voting equity shares, but shall not include preferred shares.

3.

For purposes of this Form, the “public float” of specified securities shall mean only such securities held by
persons other than affiliates of the issuer.
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4.

For the purposes of this Form, the market value of the public float of outstanding equity shares shall be
computed by use of the price at which such shares were last sold, or the average of the bid and asked prices
of such shares, in the principal market for such shares as of a date within 60 days prior to the date of filing.
If there is no market for any of such securities, the book value of such securities computed as of the latest
practicable date prior to the filing of this Form shall be used for purposes of calculating the market value,
unless the issuer of such securities is in bankruptcy or receivership or has an accumulated capital deficit, in
which case one-third of the principal amount, par value or stated value of such securities shall be used.

B.

In the case of an exchange offer, the securities to be registered on this Form shall be offered to U.S. holders upon
terms and conditions not less favorable than those offered to any other holder of the same class of subject securities.

C.

In the case of an exchange offer, if the Registrant is a successor Registrant subsisting after a business combination,
the Registrant shall be deemed to meet the 36-month reporting requirement and the 12-month listing requirement
of II.A.(3) above if: (1) the time the successor registrant has been subject to the continuous disclosure requirements
of any securities commission or equivalent regulatory authority in Canada, when added separately to the time
each predecessor had been subject to such requirements at the time of the business combination, in each case
equals at least 36 calendar months, provided, however, that any predecessor need not be considered for purposes
of the reporting history calculation if the reporting histories of predecessors whose assets and gross revenues,
respectively, would contribute at least 80 percent of the total assets and gross revenues from continuing operations
of the successor Registrant, as measured based on pro forma combination of such participating companies’ most
recently completed fiscal years immediately prior to the business combination, when combined with the reporting
history of the successor Registrant in each case satisfy such 36-month reporting requirement; (2) the time the
successor registrant has been subject to the listing requirements of the specified exchanges, when added separately
to the time each predecessor had been subject to such requirements at the time of the business combination, in
each case equals at least 12 calendar months, provided, however, that any predecessor need not be considered for
purposes of the listing history calculation if the listing histories of predecessors whose assets and gross revenues,
respectively, would contribute at least 80 percent of the total assets and gross revenues from continuing operations
of the successor Registrant, as measured based on pro forma combination of such participating companies’ most
recently completed fiscal years immediately prior to the business combination, when combined with the listing
history of the successor Registrant in each case satisfy such 12-month listing requirement; and (3) the successor
Registrant has been subject to such continuous disclosure requirements and listing requirements since the business
combination, and is currently in compliance with its obligations thereunder.

D.

In the case of an exchange offer, the issuer of the subject securities shall be incorporated or organized under the
laws of Canada or any Canadian province or territory and be a foreign private issuer, and less than 40 percent of
the class of subject securities outstanding shall be held by U.S. holders.
Instructions:
1.

For purposes of exchange offers, the term “U.S. holder” shall mean any person whose address appears on
the records of the issuer of the subject securities, any voting trustee, any depositary, any share transfer agent
or any person acting in a similar capacity on behalf of the issuer of the subject securities as being located in
the United States.

2.

With respect to any tender offer, including any exchange offer, otherwise eligible to proceed in accordance
with Rule 14d-1(b) under the Securities Exchange Act of 1934 (the “Exchange Act”), the issuer of the subject
securities will be presumed to be a foreign private issuer and U.S. holders will be presumed to hold less than
40 percent of such outstanding securities, unless (a) the aggregate trading volume of that class on national
securities exchanges in the United States and on NASDAQ exceeded its aggregate trading volume on securities
exchanges in Canada and on the Canadian Dealing Network, Inc. (“CDN”) over the 12 calendar month period
prior to commencement of this offer, or if commenced in response to a prior offer, over the 12 calendar month
period prior to commencement of the initial offer (based on volume figures published by such exchanges,
NASDAQ and CDN); (b) the most recent annual report or annual information form filed or submitted by the
issuer with securities regulators of Ontario, Quebec, British Columbia or Alberta (or, if the issuer of the subject
securities is not a reporting issuer in any of such provinces, with any other Canadian securities regulator) or
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with the Commission indicates that U.S. holders hold 40 percent or more of the outstanding subject class
of securities; or (c) the offeror has actual knowledge that the level of U.S. ownership equals or exceeds 40
percent of such securities.
or exchange offers for securities of the class subject to the offer that was commenced or was eligible to be
commenced on Schedule 13E-4F, Schedule 14D-1F, and/or Form F-8 or Form F-80, the date for calculation
of U.S. ownership shall be the same as that date used by the initial bidder or issuer.
4.

For purposes of this Form, the class of subject securities shall not include any securities that may be converted
into or are exchangeable for the subject securities.

5.

For purposes of exchange offers, the calculation of U.S. holders shall be made as of the end of the subject
issuer’s preceding quarter.

III. Eligibility Requirements for Business Combinations
A.

In the case of a business combination, Form F-80 is available if:
(1) each company participating in the business combination, including the successor Registrant, is incorporated
or organized under the laws of Canada or any Canadian province or territory and is a foreign private issuer;
(2) each company participating in the business combination other than the successor Registrant has had a class
of its securities listed on the Montreal Exchange, the Toronto Stock Exchange or the Senior Board of the
been subject to the continuous disclosure requirements of any securities commission or equivalent regulatory
and is currently in compliance with obligations arising from such listing and reporting; provided, however,
that any such participating company shall not be required to meet such 36-month reporting requirement or
12-month listing requirement if other participating companies whose assets and gross revenues, respectively,
would contribute at least 80 percent of the total assets and gross revenues from continuing operations of the
successor Registrant, as measured based on pro forma combination of the participating companies’ most

in the business combination other than the successor Registrant is (CN) $75 million or more; provided,
however
if other participating companies whose assets and gross revenues, respectively, would contribute at least
80 percent of the total assets and gross revenues from continuing operations of the successor Registrant, as
provided further
an exchange offer that was registered or would have been eligible for registration on Form F-8, Form F-10,
or could have
satisfied such
B.

In the case of a business combination, less than 40 percent of the class of securities to be offered by the successor
Registrant shall be held by U.S. holders, as if measured immediately after completion of business combination.
Instructions:
1.

For purposes of business combinations, the term “U.S. holder” shall mean any person whose address appears
on the records of a participating company, any voting trustee, any depositary, any share transfer agent or
any person acting in a similar capacity on behalf of a participating company as being located in the United
States.
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2.

C.

For purposes of business combinations, the calculation of U.S. holders shall be made by a participant as of
the end of such participant’s last quarter or, if such quarter terminated within 60 days of the filing date, as of
the end of such participant’s preceding quarter.

In the case of a business combination, the securities to be registered on this Form shall be offered to U.S. holders
upon terms and conditions not less favorable than those offered to any other holder of the same class of such
securities of the participating company.

IV. Application of General Rules and Regulations
A.

The rules comprising Regulation C under the Securities Act shall not apply to filings on this Form unless specifically
referred to in the Form. Instead, the rules and regulations applicable in the home jurisdiction regarding the form
and method of preparation of disclosure documents shall apply to filings on this Form. Securities Act rules and
regulations other than Regulation C shall apply to filings on this Form unless specifically excluded in this Form.

B.

Rule 408 under the Securities Act, which provides that in addition to the information expressly required to be
included in the registration statement, there shall be added such further material information, if any, as may be
necessary to make the required statements, in light of the circumstances under which they are made, not misleading,
shall apply to filings on this Form.

C.

A registrant must file the registration statement in electronic format via the Commission’s Electronic Data Gathering,
Analysis, and Retrieval (EDGAR) system in accordance with the EDGAR rules set forth in Regulation S-T (17
CFR Part 232). For assistance with technical questions about EDGAR or to request an access code, call the EDGAR
Filer Support Office at (202) 942-8900. For assistance with the EDGAR rules, call the Office of EDGAR and
Information Analysis at (202) 942-2940.
If filing the registration statement in paper under a hardship exemption in Rule 201 or 202 of Regulation S-T (17
CFR 232.201 or 232.202), or as otherwise permitted, a registrant must file with the Commission at its principal office
five copies of the complete registration statement and any amendments, including exhibits and all other documents
filed as a part of the registration statement or amendment. The registrant must bind, staple or otherwise compile
each copy in one or more parts without stiff covers. The registrant must further bind the registration statement or
amendment on the side or stitching margin in a manner that leaves the reading matter legible. The registrant must
provide three additional copies of the registration statement or amendment without exhibits to the Commission.

D.

Any amendment to a registration statement on this Form shall be filed under cover of an appropriate facing sheet,
shall be numbered consecutively in the order in which filed, and shall indicate on the facing sheet the applicable
registration form on which the amendment is prepared and the file number of the registration statement.
If, however, an amendment to the home jurisdiction document(s) is filed after effectiveness of this registration
statement that increases the number of securities that may be sold, in lieu of filing a post-effective amendment
hereto, a new registration statement shall be filed on this Form. As provided in Rule 429, the prospectus included
in the new registration statement shall be deemed to include a prospectus covering unsold securities registered
previously. If this is the case, the following legend shall appear at the bottom of the facing page of the registration
statement: “Pursuant to Rule 429 under the Securities Act, the prospectus contained in this registration statement
relates to registration statement[s] 33-[insert file numbers of previous registration statements].”

E.

An electronic filer must provide the signatures required for the registration statement or amendment in accordance
with Regulation S-T Rule 302 (17 CFR 232.302). A registrant filing in paper must have at least one copy of the
registration statement or amendment signed in accordance with Securities Act Rule 402(e) (17 CFR 230.402(e))
by the persons whose signatures are required for this registration statement. A registrant must also conform the
unsigned copies.

F.

At the time of filing this registration statement, the Registrant shall pay to the Commission in accordance with Rule
111 under the Securities Act, a fee in U.S. dollars in the amount prescribed by Section 6 of the Securities Act. The
amount of securities to be registered on this Form need not exceed the amount to be offered in the United States
as part of the offering.
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G.

In the case of an exchange offer, the registration fee is to be calculated as follows:
(1) Upon the basis of the market value of the securities that may be received by the Registrant or cancelled in
the exchange offer from United States residents as established by the price of securities of the same class, as
determined in accordance with paragraph (4) of this section.
(2) If there is no market for the securities that may be received by the Registrant or cancelled in the exchange
offer, the book value of such securities computed as of the latest practicable date prior to the date of filing
the registration statement shall be used, unless the issuer of such securities is in bankruptcy or receivership or
has an accumulated capital deficit, in which case one-third of the principal amount, par value or stated value
of such securities shall be used.
(3) If any cash may be received by the Registrant from United States residents in connection with the exchange
offer, the amount thereof shall be added to the value of the securities to be received by the Registrant or
cancelled as computed in accordance with paragraph (1) or (2) of this section. If any cash is to be paid by the
Registrant in connection with the exchange offer, the amount thereof shall be deducted from the value of the
securities to be received by the Registrant in exchange as computed in accordance with paragraph (1) or (2)
of this section.
(4) For purposes of the registration fee, the market value of the securities received or cancelled shall be the
average of the high and low prices reported or the average of the bid and asked prices of such stock, in the
principal market for such stock as of a date within 30 days prior to the date of filing.

H.

In the case of a business combination, the registration fee is to be calculated as follows:
(1) Upon the basis of the market value of the equity securities of the predecessor companies held by United States
residents being offered the Registrant’s securities, as established by the price of the predecessors’ securities
of the same class determined in accordance with paragraph (4) of this section.
(2) If there is no market for the securities of the predecessor companies, the book value of such securities computed
as of the latest practicable date prior to the date of filing the registration statement shall be used, unless the
issuer of such securities is in bankruptcy or receivership or has an accumulated capital deficit, in which case
one-third of the principal amount, par value or stated value of such securities shall be used.
(3) If any cash may be received by the Registrant from United States residents in connection with the business
combination, the amount thereof shall be added to the value of the securities as computed in accordance with
paragraph (1) or (2) of this section. If any cash is to be paid by the Registrant in connection with the business
combination, the amount thereof shall be deducted from the value of the securities as computed in accordance
with paragraph (1) or (2) of this section.
(4) For purposes of the registration fee, the market value of a predecessor’s equity securities shall be the average
of the high and low prices reported or the average of the bid and asked prices of such securities, in the principal
market for such securities as of a date within 30 days prior to the date of filing.

I.

A registrant must file the registration statement or amendment in electronic format in the English language in
accordance with Regulation S-T Rule 306 (17 CFR 232.306). A registrant may file part of the prospectus or exhibit
or other attachment to the registration statement or amendment in both French and English if it included the French
text to comply with the requirements of the Canadian securities administrator or other Canadian authority and, for
an electronic filing, if the filing is an HTML document, as defined in Regulation S-T Rule 11 (17 CFR 232.11).
For both an electronic filing and a paper filing, a registrant may provide an English translation or English summary
of a foreign language document as an exhibit or other attachment to the registration statement or amendment as
permitted by the rules of the applicable Canadian securities administrator.

J.

A paper filer must number sequentially one signed original of the registration statement or amendment (in addition
to any internal numbering that otherwise may be present) by handwritten, typed, printed or other legible form
of notation from the first page through the last page of the registration statement or amendment, including any
exhibits or attachments. A paper filer must disclose the total number of pages on the first page of the sequentially
numbered registration statement or amendment.
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K.

Where the offering registered on this Form is being made pursuant to the home jurisdiction’s shelf procedures
or procedures for pricing offerings after the final receipt has been issued, three copies of each supplement to, or
supplemented version of, the home jurisdiction disclosure document(s) prepared under such procedures shall be
filed with the Commission within one business day after such supplement or supplemented version is filed with
any Canadian jurisdiction. Such filings shall be deemed not to constitute amendments to this registration statement.
Each such filing shall contain in the upper right corner of the cover page the following legend, which may be set
forth in longhand if legible: “Filed pursuant to General Instruction IV.K. of Form F-80; File No. 33-[insert number
of the registration statement].”
Note: Offerings registered on this Form, whether or not made contemporaneously in Canada, may be made pursuant
to National Policy Statement No. 44 shelf procedures and procedures for pricing offerings after the final receipt has
been issued. Rules 415 and 430A under the Securities Act are not available for offerings registered on this Form.

V. Compliance with Exchange Act and Auditor Independence and Reporting Requirements
A.

Pursuant to Rule 12h-4 under the Exchange Act, a Registrant shall be exempt from reporting obligations under
Section 15(d) of the Exchange Act if such reporting obligation would have arisen solely from registration of
securities on this Form. Registrants’ attention is directed, however, towards other provisions of the Exchange Act
that may be applicable, and specifically to the provisions of Sections 12(b) and 12(g) of the Exchange Act and
Rules 10b-6, 10b-7 and 10b-13 under the Exchange Act. [See Exchange Act Release No. 29355 (June 21, 1991)
containing exemptions from Rules 10b-6 and 10b-13.]

B.

The Commission’s rules on auditor independence, as codified in Section 600 of the Codification of Financial Reporting
Policies, apply to auditor reports on all financial statements that are included in this registration statement, except
that such rules do not apply with respect to periods prior to the most recent fiscal year for which financial statements
are included in the registration statement under the Securities Act filed by the issuer on Form F-8, Form F-10, or
Form F-80 or under the Exchange Act filed by the issuer on Form 40-F. Notwithstanding the exception in the
previous sentence, such rules do apply with respect to any periods prior to the most recent fiscal year if the issuer
previously was required to file with the Commission a report or registration statement containing an audit report
on financial statements for such prior periods as to which the Commission’s rules on auditor independence applied.

C.

Independent accountants reporting on financial statements included in the registration statement should consider
Canadian auditing guidelines pertaining to the Canada-U.S. reporting conflict with respect to contingencies and
going concern considerations. If additional comments for U.S. readers are appropriate under those guidelines but
are not included in the prospectus itself, those comments should be included with the legends required by Item 2 of
Part I hereof. In addition, the accountant’s consent specifically should refer to any additional comments provided
for U.S. readers.

D.

Pursuant to Rule 13e-4(g) under the Exchange Act, the provisions of Rule 13e-4 are not applicable, and pursuant to
Rule 14d-1(b) under the Exchange Act, the provisions of Sections 14(d)(1) through 14(d)(7) of the Exchange Act,
Regulation 14D under the Exchange Act and Schedule 14D-1 thereunder, and Rule 14e-1 under Regulation 14E, are
not applicable to a transaction involving offerings of securities that may be registered on this Form in connection
with exchange offers, provided that, if an exemption has been granted from the requirements of Canadian federal,
provincial and/or territorial laws, regulations or policies, and the tender offer does not comply with requirements
that otherwise would be required by Commission tender offer rules, the Registrant shall comply with such provisions
of the Exchange Act. Such transaction is not exempt from the antifraud provisions of Section 10(b), 13(e) or 14(e)
of the Exchange Act or Rule 10b-5, 13e-4(b)(1) or 14e-3 thereunder, if the transaction otherwise is subject to those
sections.

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PART I –
Item 1

INFORMATION REQUIRED TO BE DELIVERED TO OFFEREES OR
PURCHASERS

Home Jurisdiction Document

In the case of an exchange offer, the prospectus shall consist of the entire disclosure document or documents used to offer
the securities of the Registrant in any Canadian jurisdiction. Except as noted hereinafter, such disclosure document(s) shall
be prepared in accordance with the disclosure requirements of such jurisdiction(s) as interpreted and applied by the securities
commission(s) or other regulatory authorities in such jurisdiction(s).
In the case of a business combination, the prospectus shall consist of the entire disclosure document or documents used to
solicit votes of security holders in connection with the proposed business combination in any Canadian jurisdiction. Except
as noted hereinafter, such disclosure document(s) shall be prepared in accordance with the disclosure requirements of the
jurisdiction(s) governing such solicitation as interpreted and applied by the securities commission(s) or other regulatory
authorities in such jurisdiction(s).
The prospectus used in the United States shall contain additional information and legends required by this Form. It need
not include any documents incorporated by reference into the disclosure document(s) used in Canada and not required to
be delivered to offerees or purchasers (in the case of an exchange offer) or securityholders being solicited (in the case of a
business combination) pursuant to Canadian law.
Notwithstanding the foregoing, such prospectus used in the United States need not contain any disclosure applicable solely to
Canadian offerees or purchasers that would not be material to offerees or purchasers in the United States, including, without
limitation, (i) any Canadian “red herring” legend; (ii) any discussion of Canadian tax considerations other than those material
to U.S. offerees or purchasers; (iii) the names of any Canadian underwriters not acting as underwriters in the United States
or a description of the Canadian plan of distribution (except to the extent necessary to describe the material facts of the U.S.
plan of distribution); (iv) any description of offerees’ or purchasers’ statutory rights under applicable Canadian, provincial or
territorial securities legislation (except to the extent such rights are available to U.S. offerees or purchasers); or (v) certificates
of the issuer or any underwriter.

Item 2

Informational Legends

The following legends, to the extent applicable, shall appear on the outside front cover page of the prospectus (or on a sticker
thereto) in bold-face roman type at least as high as ten-point modern type and at least two points leaded:
“This offering is made by a foreign issuer that is permitted, under a multijurisdictional disclosure system adopted by the
United States, to prepare this prospectus in accordance with the disclosure requirements of its home country. Prospective
investors should be aware that such requirements are different from those of the United States. The financial statements
included or incorporated herein, if any, have been prepared in accordance with foreign generally accepted accounting
principles, and may be subject to foreign auditing and auditor independence standards, and, thus, may not be comparable
to financial statements of United States companies.”
“Prospective investors should be aware that acquisition of the securities described herein may have tax consequences
both in the United States and in the home country of the Registrant. Such consequences for investors who are resident
in, or citizens of, the United States may not be described fully herein.”
“The enforcement by investors of civil liabilities under the federal securities laws may be affected adversely by the fact
that the Registrant is incorporated or organized under the laws of a foreign country, that some or all of its officers and
directors may be residents of a foreign country, that some or all of the underwriters or experts named in the registration
statement may be residents of a foreign country, and that all or a substantial portion of the assets of the Registrant and
said persons may be located outside the United States.”
“THESE SECURITIES HAVE NOT BEEN APPROVED OR DISAPPROVED BY THE SECURITIES AND EXCHANGE
COMMISSION NOR HAS THE COMMISSION PASSED UPON THE ACCURACY OR ADEQUACY OF THIS
PROSPECTUS. ANY REPRESENTATION TO THE CONTRARY IS A CRIMINAL OFFENSE.”

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The following legend shall appear in the manner noted above in any prospectus relating to an exchange offer:
“Prospective investors should be aware that, during the period of the exchange offer, the Registrant or its affiliates,
directly or indirectly, may bid for or make purchases of the securities to be distributed or to be exchanged, or certain
related securities, as permitted by applicable laws or regulations of Canada or its provinces or territories.”
The Registrant should also include in the prospectus any legend or information required by the laws of any jurisdiction
in which the securities are to be offered.
Note to Item 2. If the home-jurisdiction document(s) are delivered through an electronic medium, the issuer may satisfy
the legibility requirements for the required legends relating to type size and font by presenting the legends in any manner
reasonably calculated to draw investor attention to it.

Item 3

Incorporation of Certain Information by Reference

Information called for by this Form, including exhibits, may be incorporated by reference at the Registrant’s option from
documents that the Registrant has filed previously with the Commission pursuant to Section 13(a) or 15(d) of the Exchange
Act or submitted to the Commission pursuant to Rule 12g3-2(b) under the Exchange Act. Any such incorporation by
reference shall be done in accordance with Rule 24 of the Commission’s Rules of Practice. If any information is incorporated
by reference into the prospectus, the prospectus shall provide the name, address and telephone number of an officer of the
Registrant from whom copies of such information may be obtained upon request without charge.

Item 4

List of Documents Filed with the Commission

There shall be set forth in or attached to the prospectus a list of all documents filed with the Commission as part of the
registration statement.

PART II – INFORMATION NOT REQUIRED TO BE DELIVERED TO OFFEREES
OR PURCHASERS
Provide a brief description of the indemnification provisions relating to directors, officers and controlling persons of the
Registrant against liability arising under the Securities Act (including any provision of the underwriting agreement which
relates to indemnification of the underwriter or its controlling persons by the Registrant against such liabilities where a
director, officer or controlling person of the Registrant is such an underwriter or controlling person thereof or a member of
any firm which is such an underwriter), together with a statement in substantially the following form:
Insofar as indemnification for liabilities arising under the Securities Act of 1933 may be permitted to directors, officers
or persons controlling the Registrant pursuant to the foregoing provisions, the Registrant has been informed that in the
opinion of the U.S. Securities and Exchange Commission such indemnification is against public policy as expressed in
the Act and is therefore unenforceable.
The exhibits specified below shall be filed as part of the registration statement. Exhibits shall be appropriately lettered or
numbered for convenient reference.
(1) Any reports or information that, in accordance with the requirements of the jurisdiction of incorporation or
organization of the subject issuer or, in the case of an business combination, in accordance with the requirements
of the jurisdiction(s) of incorporation or organization of companies involved in the transaction other than the
Registrant, must be made publicly available by the Registrant in connection with the transaction.
(2) A copy of any agreement relating to the proposed acquisition or business combination, as applicable.
(3) Copies of any documents incorporated by reference into the registration statement and any publicly available
documents filed with any other Canadian regulatory authority concurrently with the prospectus.
(4) If any accountant, engineer or appraiser, or any person whose profession gives authority to a statement made by
him, is named as having prepared or certified any part of the registration statement, or is named as having prepared
or certified a report or valuation for use in connection with the offering document, the manually signed, written
consent of such person.
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If any such person is named as having prepared or certified any other report or valuation (other than a public official
document or statement) which is used in connection with the registration statement, but is not named as having
prepared or certified such report or valuation for use in connection with the registration statement, the manually
signed, written consent of such person, unless the Commission dispenses with such filing as impracticable or as
involving undue hardship in accordance with Rule 437 under the Securities Act.
Any other consent required by Rule 436, 438 or 439 under the Securities Act. Every amendment relating to a
certified financial statement shall include the manually signed, written consent of the certifying accountant to the
use of his certificate in connection with the amended financial statements in the registration statement and to being
named as having certified such financial statements.
NOTE: The consents required by this item shall specifically indicate consent regarding use of the report or valuation
in the registration statement filed in the United States.
(5) If any name is signed to the registration statement pursuant to power of attorney, manually signed copies of such
power of attorney and, if the name of any officer signing on behalf of the Registrant is signed pursuant to a power of
attorney, certified copies of a resolution of the Registrant’s board of directors or similar governing body authorizing
such signature.
(6) A copy of any indenture relating to the registered securities.

PART III – UNDERTAKINGS AND CONSENT TO SERVICE OF PROCESS
Item 1

Undertakings

This Form shall set forth the following undertakings of the Registrant:
(a) Registrant undertakes to make available, in person or by telephone, representatives to respond to inquiries made
by the Commission staff, and to furnish promptly, when requested to do so by the Commission staff, information
relating to the securities registered pursuant to Form F-80 or to transactions in said securities.
(b) In the case of an exchange offer, Registrant further undertakes to disclose in the United States, on the same basis
as it is required to make such disclosure pursuant to any applicable Canadian federal and/or provincial or territorial
law, regulation or policy, information regarding purchases of the Registrant’s securities or of the subject issuer’s
securities during the exchange offer. Such information shall be set forth in amendments to this Form.

Item 2. Consent to Service of Process
(a) At the time of filing Form F-80, the Registrant shall file with the Commission a written irrevocable consent and
power of attorney on Form F-X.
(b) At the time of filing Form F-80, any non-U.S. person acting as trustee with respect to the registered securities shall
file with the Commission a written irrevocable consent and power of attorney on Form F-X.
(c) Any change to the name or address of the agent for service of the Registrant or the trustee shall be communicated
promptly to the Commission by amendment to Form F-X referencing the file number of the relevant registration
statement.

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SIGNATURES
Pursuant to the requirements of the Securities Act, the Registrant certifies that it has reasonable grounds to believe that it
meets all of the requirements for filing on Form F-80 and has duly caused this registration statement to be signed on its behalf
by the undersigned, thereunto duly authorized, in the
City of _____________________________________,

Country of __________________________________________,

on ____________________.
(date)

Registrant _________________________________________________________________________________________
By ______________________________________________________________________________________________
(Signature and Title)

Pursuant to the requirements of the Securities Act, this registration statement has been signed by the following persons in
the capacities and on the dates indicated.
__________________________________________________________________________________________________
(Signature)

___________________________________________________________________________________________________
(Name and Title)

___________________________________________________________________________________________________
(Date)

Instructions:
A.

The registration statement shall be signed by the Registrant, its principal executive officer or officers, its principal
financial officer, its controller or principal accounting officer, at least a majority of the board of directors or
persons performing similar functions and its authorized representative in the United States. Where the Registrant
is a limited partnership, the registration statement shall be signed by a majority of the board of directors of any
corporate general partner signing the registration statement.

B.

The name of each person who signs the registration statement shall be typed or printed beneath his signature. Any
person who occupies more than one of the specified positions shall indicate each capacity in which the registration
statement is signed.

C.

If the securities to be offered are those of a corporation not yet in existence at the time the registration statement
is filed and which will be a party to a consolidation involving two or more existing corporations, then each such
existing corporation shall be deemed a Registrant and shall be so designated on the cover page of this Form, and
the registration statement shall be signed by each such existing corporation and by the officers and directors of
each such existing corporation as if each such existing corporation were the sole Registrant.

D.

By signing this Form, the Registrant consents without power of revocation that any administrative subpoena may be
served, or any administrative proceeding, civil suit or civil action where the cause of action arises out of or relates
to or concerns any offering made or purported to be made in connection with the securities registered pursuant
to Form F-80 or any purchases or sales of any security in connection therewith, may be commenced against it in
any administrative tribunal or in any appropriate court in any place subject to the jurisdiction of any state or of
the United States or of the District of Columbia or Puerto Rico by service of said subpoena or process upon the
Registrant’s designated agent.
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File Typeapplication/pdf
File TitleForm F-80
SubjectRegistration statement for securities of certain Canadian issuers to be issued in exchange offers or a business combination
AuthorUS Securities and Exchange Commission
File Modified2013-02-06
File Created2012-07-23

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