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Aleafia Health Inc. – ‘F-X’ on 10/5/18 re: Aleafia Health Inc.

On:  Friday, 10/5/18, at 3:11pm ET   ·   Effective:  10/5/18   ·   Accession #:  1062993-18-3990   ·   File #:  1-38690

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  As Of                Filer                Filing    For·On·As Docs:Size              Issuer               Agent

10/05/18  Aleafia Health Inc.               F-X        10/05/18    1:13K  Aleafia Health Inc.               Newsfile Corp/FA

Appointment of Agent for Service of Process by a Foreign Non-Financial Entity   —   Form F-X
Filing Table of Contents

Document/Exhibit                   Description                      Pages   Size 

 1: F-X         Appointment of Agent for Service of Process by a    HTML     13K 
                          Foreign Non-Financial Entity                           


This is an HTML Document rendered as filed.  [ Alternative Formats ]



  Aleafia Health Inc. - Form F-X - Filed by newsfilecorp.com  
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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
________________________

FORM F-X

APPOINTMENT OF AGENT FOR SERVICE OF
PROCESS AND UNDERTAKING
________________________

A.

Name of issuer or person filing (“Filer”): Aleafia Health Inc.


B. (1) This is (check one):

  [X]

An original filing for the Filer.

     
  [   ] An amended filing for the Filer.
     
  (2)

Check the following box if you are filing the Form F-X in paper in accordance with Regulation S-T Rule 101(b)(9) [   ]


C.

Identify the filing in conjunction with which this form is being filed:


  Name of registrant: Aleafia Health Inc.
  Form type: Form 40-F
  File number (if known): 001-38690
  Filed by: Aleafia Health Inc.
  Date filed (if filed concurrently, so indicate): October 5, 2018 (filed concurrently)

D.

The Filer is incorporated or organized under the laws of Ontario, Canada, and has its principal place of business at 8810 Jane Street, 2nd Floor, Concord, Ontario L4K 2M9; telephone (902) 405-4600.

   
E.

Filer designates and appoints Cogency Global Inc. (“Agent”), located at 10 E. 40th Street, 10th Floor, New York, NY 10016; telephone 800-221-0102 as the agent of the Filer upon whom may be served any process, pleadings, subpoenas, or other papers in:


  (a)

any investigation or administrative proceeding conducted by the Commission; and

     
  (b)

any civil suit or action brought against the Filer or to which the Filer has been joined as defendant or respondent, in any appropriate court in any place subject to the jurisdiction of any state or of the United States, or of any of its territories or possessions or of the District of Columbia, where the investigation, proceeding or cause of action arises out of or relates to or concerns (i) any offering made or purported to be made in connection with the securities registered or qualified by the Filer on Form 40-F on October 5, 2018, 2018 or any purchases or sales of any security in connection therewith; (ii) the securities in relation to which the obligation to file an annual report on Form 40-F arises, or any purchases or sales of such securities; (iii) any tender offer for the securities of a Canadian issuer with respect to which filings are made by the Filer with the Commission on Schedule 13E-4F, 14D-1F or 14D-9F; or (iv) the securities in relation to which the Filer acts as trustee pursuant to an exemption under Rule 10a-5 under the Trust Indenture Act of 1939. The Filer stipulates and agrees that any such civil suit or action or administrative proceeding may be commenced by the service of process upon, and that the service of an administrative subpoena shall be effected by service upon such agent for service of process, and that the service as aforesaid shall be taken and held in all courts and administrative tribunals to be valid and binding as if personal service thereof had been made.



   
F.

The Filer stipulates and agrees to appoint a successor agent for service of process and file an amended Form F-X if the Filer discharges the Agent or the Agent is unwilling or unable to accept service on behalf of the Filer at any time until six years have elapsed from the date the issuer of the securities to which the Form 40-F relates has ceased reporting under the Exchange Act.

   

The Filer further undertakes to advise the Commission promptly of any change to the Agent’s name or address during the applicable period by amendment of this form, referencing the file number of the relevant form in conjunction with which the amendment is being filed.

   
G.

The Filer 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 Form 40-F; the securities to which the Form 40-F relates; and the transactions in such securities.



SIGNATURES

            The Filer certifies that it has duly caused this power of attorney, consent, stipulation and agreement to be signed on its behalf by the undersigned, thereunto duly authorized, in Toronto, Ontario, Canada, on October 5, 2018.

  ALEAFIA HEALTH INC.
   
   
  By:      /s/ Benjamin Ferdinand                                                
  Name: Benjamin Ferdinand
  Title:   Chief Financial Officer

            This statement has been signed by the following person in the capacity indicated on October 5, 2018.

  COGENCY GLOBAL INC.
  as Agent for Service of Process for Aleafia Health Inc.
   
   
   
  By:      /s/ Tais Laureano                                                              
  Name: Tais Laureano
  Title:   Assistant Secretary



Dates Referenced Herein   and   Documents Incorporated by Reference

This ‘F-X’ Filing    Date    Other Filings
Filed on / Effective on:10/5/1840FR12B
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Filing Submission 0001062993-18-003990   –   Alternative Formats (Word / Rich Text, HTML, Plain Text, et al.)

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