Risk Acknowledgment Form 45-106F4 | 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.