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Great West Lifeco Inc – ‘F-X’ on 3/28/03 re: Great West Lifeco Inc

On:  Friday, 3/28/03, at 5:27pm ET   ·   Effective:  3/28/03   ·   Accession #:  1047469-3-10972   ·   File #:  333-104122

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

 3/28/03  Great West Lifeco Inc             F-X         3/28/03    1:13K  Great West Lifeco Inc             Merrill Corp/New/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     16K 
                          Foreign Non-Financial Entity                           


Document Table of Contents

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11st Page   -   Filing Submission
"U.S. Securities and Exchange Commission Washington, D.C. 20549
"Form F-X
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U.S. 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"):
B.
This is
C.
Identify the filing in conjunction with which this Form is being filed:

D.    The Filer is incorporated or organized under the laws of Canada and has its principal place of business at 100 Osborne Street North, Winnipeg, Manitoba R3C 3A5, Canada.

E.
The Filer designates and appoints Great-West Life & Annuity Insurance Company ("Agent") located at:

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 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 Form CB; 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 service of an administrative subpoena shall be effected by service upon such agent for service of process, and that 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.
Each person filing this Form in connection with:

        (a)  the use of Form F-9, F-10, 40-F, SB-2 or CB or Schedule 13E-4F, 14D-1F or 14D-9F 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 such Forms and Schedules relate has ceased reporting under the Exchange Act;



        (b)  the use of Form F-8, Form F-80 or Form CB 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 following the effective date of the latest amendment to such Form F-8, Form F-80 or Form CB;

        (c)  its status as trustee with respect to securities registered on Form F-7, F-8, F-9, F-10, F-80, or SB-2 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 during which any of the securities subject to the indenture remain outstanding; and

        (d)  the use of Form 1-A or other Commission form for an offering pursuant to Regulation A 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 of the last sale of securities in reliance upon the Regulation A exemption.

Each filer further undertakes to advise the Commission promptly of any change to the Agent's name and 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.    Each person filing this Form, other than a trustee filing in accordance with General Instruction I.(a) of this Form, 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 Forms, Schedules and offering statements described in General Instructions I. (a), I. (b), I. (c), I. (d) and I. (f) of this Form, as applicable; the securities to which such Forms, Schedules and offering statements relate; and the transactions in such securities.

2


        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 the City of Winnipeg, Province of Manitoba, Country of Canada this 28th day of March 2003.

Filer: GREAT-WEST LIFECO INC.

By:   /s/        Sheila A. Wagar
   
    Sheila A. Wagar, Q.C.,
Vice President, Counsel and Secretary, Canada
   

This statement has been signed by the following persons in the capacities and on the dates indicated.

By:   /s/        Mitchell T.G. Graye
   
    Great-West Life & Annuity Insurance Company
As Registered Agent for Service of
Process in the United States
Date: March 28, 2003
   

3




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U.S. Securities and Exchange Commission Washington, D.C. 20549
Form F-X

Dates Referenced Herein   and   Documents Incorporated by Reference

This ‘F-X’ Filing    Date    Other Filings
Filed on / Effective on:3/28/03F-8
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Filing Submission 0001047469-03-010972   –   Alternative Formats (Word / Rich Text, HTML, Plain Text, et al.)

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