Form 45-106F12 Risk Acknowledgment for Family, Friend and Business Associate Investors | Canada

This Form 45-106F4 Risk Acknowledgment Form must be completed by individual investors in exempt private placements.

• This is a consolidated form that incorporates the amendments effective April 30, 2016.
• The form must be completed by individual investors in private placement offerings that rely on the Offering Memorandum Exemption from prospectus requirements under portions of section 2.9 of National Instrument 4-106.
• It includes two additional schedules which must be completed by each investor that is an individual resident in either Alberta, New Brunswick, Nova Scotia, Ontario, Québec or Saskatchewan.
• The document contains information and instructions to help investors complete the form.
• Available in MS Word format.
• This is a free form provided by the British Columbia Securities Commission.

Ontario investors can use this Share Subscription form to purchase securities being offered in a private placement of shares.

• The investor must be purchasing the shares for their own behalf and not for someone else.
• The form is only for Ontario residents.
• This form of Subscription should be used only by close friends or business associates of a principal or promoter of the issuing corporation.

The Ontario Investor Share Subscription is part of the required documentation for any private securities offering.

When doing a private placement of shares in Canada, an issuer provides certain documents to potential investors. One of those forms is the Share Subscription Agreement.

• An investor who wants to purchase shares under the offering must complete and send the Subscription Agreement to the issuing corporation.
• The rights, restrictions, privileges and conditions attaching to the shares are described, such as voting rights, rights to dividends, and rights on dissolution.
• This template contains provisions for both shares and share warrants.
• The subscriber acknowledges that because the securities are being purchased under a prospectus exemption, most of the civil remedies available under securities legislation is not available.
• Once you purchase the Canada Share Subscription Agreement for Private Placement, you can customize it with your specific details and use it as often as you need to.