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High Tide Inc. – ‘40FR12B’ on 3/19/21 – ‘EX-99.82’

On:  Friday, 3/19/21, at 9:42pm ET   ·   As of:  3/22/21   ·   Accession #:  1213900-21-16760   ·   File #:  1-40258

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

 3/22/21  High Tide Inc.                    40FR12B     3/19/21  155:68M                                    EdgarAgents LLC/FA

Registration Statement by a Canadian Issuer   —   Form 40-F   —   Sect. 12(b) – SEA’34
Filing Table of Contents

Document/Exhibit                   Description                      Pages   Size 

 1: 40FR12B     Registration Statement by a Canadian Issuer         HTML    123K 
 2: EX-99.1     MD&A Dated for the Year Ended October 31, 2019      HTML    176K 
11: EX-99.10    Report of Exempt Distribution Excluding Schedule 1  HTML     39K 
                of 45-106F1 Dated December 19, 2019                              
101: EX-99.100   News Release Dated December 14, 2020                HTML     49K  
102: EX-99.101   News Release Dated December 29, 2020                HTML     48K  
103: EX-99.102   News Release Dated January 4, 2021                  HTML     46K  
104: EX-99.103   News Release Dated January 7, 2021                  HTML     46K  
105: EX-99.104   Ni 44-101 Notice of Intent to Qualify Dated         HTML     38K  
                January 6, 2021                                                  
106: EX-99.105   News Release Dated January 10, 2021                 HTML     46K  
107: EX-99.106   Report of Exempt Distribution Excluding Schedule 1  HTML     38K  
                of 45-106F1 Dated January 13, 2021                               
108: EX-99.107   Business Acquisition Report Dated January 15, 2021  HTML     46K  
109: EX-99.108   News Release Dated January 22, 2021                 HTML     43K  
110: EX-99.109   News Release Dated January 25, 2021                 HTML     55K  
12: EX-99.11    News Release Dated December 27, 2019                HTML     46K 
111: EX-99.110   News Release Dated February 1, 2021                 HTML     47K  
112: EX-99.111   News Release Dated February 1, 2021                 HTML     43K  
113: EX-99.112   News Release Dated February 2, 2021                 HTML     48K  
114: EX-99.113   Amended and Restated Bought Deal Offering of Units  HTML    111K  
                Dated February 2, 2021                                           
115: EX-99.114   Cover Letter From Newsfile Corp. Dated February 2,  HTML     40K  
                2021                                                             
116: EX-99.115   Letter From Foreign Issuer Dated February 2, 2021   HTML     38K  
117: EX-99.116   Term Sheet Dated February 1, 2021                   HTML     46K  
118: EX-99.117   Amended and Restated Term Sheet Dated February 2,   HTML     45K  
                2021                                                             
119: EX-99.118   Qualification Certificate Dated February 5, 2021    HTML     43K  
120: EX-99.119   Preliminary Short Form Prospectus Dated February    HTML    424K  
                5, 2021                                                          
13: EX-99.12    Loan Agreement Dated January 6, 2020                HTML    243K 
121: EX-99.120   Decision Document Dated February 5, 2021            HTML     38K  
122: EX-99.121   Marketing Materials Dated February 9, 2021          HTML     47K  
123: EX-99.122   Other Material Contract(S) Dated February 9, 2021   HTML    123K  
124: EX-99.123   News Release Dated February 10, 2021                HTML     44K  
125: EX-99.124   News Release Dated February 16, 2021                HTML     46K  
126: EX-99.125   Undertaking to File Documents and Material          HTML     39K  
                Contracts Dated February 16, 2021                                
127: EX-99.126   Government of Alberta Certificate of Amendment and  HTML     52K  
                Registration of Restated Articles                                
128: EX-99.127   Consent Letter of Underwriters' Legal Counsel       HTML     42K  
                Dated February 16, 2021                                          
129: EX-99.128   Consent Letter of Issuer's Legal Counsel            HTML     39K  
130: EX-99.129   Auditors' Consent Letter Dated February 16, 2021    HTML     39K  
14: EX-99.13    News Release Dated January 7, 2020                  HTML     48K 
131: EX-99.130   Auditors' Consent Letter Dated February 16, 2021    HTML     39K  
132: EX-99.131   Underwriting or Agency Agreement Dated February     HTML    303K  
                16, 2021                                                         
133: EX-99.132   Final Short Form Prospectus Dated February 16,      HTML    440K  
                2021                                                             
134: EX-99.133   Decision Document Dated February 17, 2021           HTML     38K  
135: EX-99.134   News Release Dated February 18, 2021                HTML     47K  
136: EX-99.135   News Release Dated February 22, 2021                HTML     48K  
137: EX-99.136   2021 Warrant Indenture Dated February 22, 2021      HTML    309K  
138: EX-99.137   News Release Dated February 23, 2021                HTML     48K  
139: EX-99.138   On Form 13-502F1 (Class 1 and 3B Reporting Issuers  HTML     37K  
                - Participation Fee) Dated March 1, 2021                         
140: EX-99.139   Consolidated Financial Statements for the Years     HTML    485K  
                Ended October 31, 2020 and 2019                                  
15: EX-99.14    News Release Dated January 7, 2020                  HTML     48K 
141: EX-99.140   Ab Form 13-501F1 (Class 1 and 3B Reporting Issuers  HTML     38K  
                - Participation Fee) Dated March 1, 2021                         
142: EX-99.141   MD&A for the Year Ended October 31, 2020            HTML    152K  
143: EX-99.142   52-109Fv1 - Certification of Annual Filings - CFO   HTML     41K  
                (E) Dated March 1, 2021                                          
144: EX-99.143   52-109Fv1 - Certification of Annual Filings - CEO   HTML     41K  
                (E) Dated March 1, 2021                                          
145: EX-99.144   News Release Dated March 1, 2021                    HTML     76K  
146: EX-99.145   News Release Dated March 4, 2021                    HTML     44K  
147: EX-99.146   News Release Dated March 5, 2021                    HTML     43K  
148: EX-99.147   News Release Dated March 8, 2021                    HTML     44K  
149: EX-99.148   News Release Dated March 10, 2021                   HTML     43K  
150: EX-99.149   Annual Information Form Dated March 5, 2021         HTML    410K  
16: EX-99.15    Early Warning Report Dated January 9, 2020          HTML     61K 
151: EX-99.150   52-109F1 - Aif - Certification of Filings With      HTML     41K  
                Voluntarily Filed Aif - CFO (E) Dated March 11,                  
                2021                                                             
152: EX-99.151   52-109F1 - Aif - Certification of Filings With      HTML     42K  
                Voluntarily Filed Aif - CEO (E) Dated March 11,                  
                2021                                                             
153: EX-99.152   News Release Dated March 15, 2021                   HTML     43K  
154: EX-99.153   Consent of Independent Registered Public            HTML     38K  
                Accounting Firm Dated March 19, 2021 From Mnp LLP                
155: EX-99.154   Consent of Independent Registered Public            HTML     38K  
                Accounting Firm Dated March 19, 2021 From Ernst &                
                Young LLP                                                        
17: EX-99.16    Report of Exempt Distribution Excluding Schedule 1  HTML     38K 
                of 45-106F1 Dated January 16, 2020                               
18: EX-99.17    News Release Dated January 27, 2020                 HTML     49K 
19: EX-99.18    News Release Dated January 28, 2020                 HTML     48K 
20: EX-99.19    News Release Dated January 31, 2020                 HTML     46K 
 3: EX-99.2     News Release Dated November 7, 2019                 HTML     45K 
21: EX-99.20    Condensed Interim Consolidated Financial            HTML    330K 
                Statements for the Three Months Ended January 31,                
                2020 and 2019                                                    
22: EX-99.21    MD&A for the Three Months Ended January 31, 2020    HTML    144K 
                and 2019                                                         
23: EX-99.22    Report of Exempt Distribution Excluding Schedule 1  HTML     39K 
                of 45-106F1 Dated February 6, 2020                               
24: EX-99.23    News Release Dated February 14, 2020                HTML     50K 
25: EX-99.24    News Release Dated February 21, 2020                HTML     48K 
26: EX-99.25    On Form 13-502F1 (Class 1 and 3B Reporting          HTML     37K 
                Issueers - Participation Fee) Dated February 28,                 
                2020                                                             
27: EX-99.26    Audited Annual Financial Statements Dated February  HTML    437K 
                28, 2020                                                         
28: EX-99.27    Ab Form 13-501F1 (Class 1 and 3B Reporting Issuers  HTML     37K 
                - Participation Fee) Dated February 27, 2020                     
29: EX-99.28    51-109Fv1 - Certification of Annual Filings - CFO   HTML     41K 
                (E) Dated February 28, 2020                                      
30: EX-99.29    51-109Fv1 - Certification of Annual Filings - CEO   HTML     41K 
                (E) Dated February 28, 2020                                      
 4: EX-99.3     News Release Dated November 15, 2019                HTML     45K 
31: EX-99.30    News Release Dated March 2, 2020                    HTML     74K 
32: EX-99.31    News Release Dated March 31, 2020                   HTML     61K 
33: EX-99.32    52-109Fv2 - Certification of Interim Filings - CFO  HTML     41K 
                (E) Dated March 30, 2020                                         
34: EX-99.33    52-109Fv2 - Certification of Interim Filings - CEO  HTML     41K 
                (E) Dated March 30, 2020                                         
35: EX-99.34    News Release Dated April 6, 2020                    HTML     46K 
36: EX-99.35    News Release Dated April 8, 2020                    HTML     45K 
37: EX-99.36    News Release Dated April 13, 2020                   HTML     44K 
38: EX-99.37    News Release Dated April 20, 2020                   HTML     45K 
39: EX-99.38    News Release Dated April 22, 2020                   HTML     45K 
40: EX-99.39    Condensed Interim Consolidated Financial            HTML    386K 
                Statements for the Three and Six Months Ended                    
                April 30, 2020 and 2019                                          
 5: EX-99.4     News Release Dated November 21, 2019                HTML     47K 
41: EX-99.40    MD&A for the Three and Six Months Ended April 30,   HTML    164K 
                2020 and 2019                                                    
42: EX-99.41    Report of Exempt Distribution Excluding Schedule 1  HTML     40K 
                of 45-106F1 Dated May 1, 2020                                    
43: EX-99.42    News Release Dated May 4, 2020                      HTML     45K 
44: EX-99.43    News Release Dated May 8, 2020                      HTML     44K 
45: EX-99.44    News Release Dated May 14, 2020                     HTML     44K 
46: EX-99.45    Notice of the Meeting and Record Dated, Dated May   HTML     42K 
                21, 2020                                                         
47: EX-99.46    News Release Dated May 25, 2020                     HTML     44K 
48: EX-99.47    News Release Dated June 9, 2020                     HTML     44K 
49: EX-99.48    News Release Dated June 15, 2020                    HTML     39K 
50: EX-99.49    News Release Dated June 17, 2020                    HTML     65K 
 6: EX-99.5     Report of Exempt Distribution Excluding Schedule 1  HTML     86K 
                of 45-106F1                                                      
51: EX-99.50    52-109Fv1 - Certification of Interim Filings - CFO  HTML     41K 
                (E) Dated June 16, 2020                                          
52: EX-99.51    52-109Fv1 - Certification of Interim Filings - CEO  HTML     41K 
                (E) Dated June 16, 2020                                          
53: EX-99.52    Notice of Meeting Dated June 19, 2020               HTML     42K 
54: EX-99.53    Management Information Circular Dated June 19,      HTML    176K 
                2020                                                             
55: EX-99.54    Form of Proxy                                       HTML     48K 
56: EX-99.55    Report of Exempt Distribution Excluding Schedule 1  HTML     40K 
                of 45-106F1 Dated July 2, 2020                                   
57: EX-99.56    Security Agreement Dated July 22, 2020              HTML    144K 
58: EX-99.57    Debt Restructuring Agreement Dated July 22, 2020    HTML     84K 
59: EX-99.58    News Release Dated July 24, 2020                    HTML     48K 
60: EX-99.59    News Release Dated July 31, 2020                    HTML     46K 
 7: EX-99.6     News Release Dated November 27, 2019                HTML     44K 
61: EX-99.60    Letter From Former Auditor Dated July 31, 2020      HTML     38K 
62: EX-99.61    Notice of Change of Auditor Dated July 31, 2020     HTML     39K 
63: EX-99.62    Condensed Interim Consolidated Financial            HTML    401K 
                Statements for the Three and Nine Months Ended                   
                July 31, 2020 and 2019                                           
64: EX-99.63    MD&A for the Three and Nine Months Ended July 31,   HTML    155K 
                2020 and 2019                                                    
65: EX-99.64    Letter From Ernst & Young Regarding Change of       HTML     38K 
                Auditor Notice Dated July 31, 2020                               
66: EX-99.65    News Release Dated August 7, 2020                   HTML     43K 
67: EX-99.66    News Release Dated August 10, 2020                  HTML     43K 
68: EX-99.67    Arrangement Agreement Dated August 20, 2020         HTML    465K 
69: EX-99.68    Support and Voting Agreement Dated August 20, 2020  HTML     81K 
70: EX-99.69    News Release Dated August 21, 2020                  HTML     61K 
 8: EX-99.7     News Release Dated December 5, 2019                 HTML     45K 
71: EX-99.70    Material Change Report Dated August 28, 2020        HTML     50K 
72: EX-99.71    Amended and Restated Asset Purchase Agreement       HTML    205K 
                Dated September 1, 2020                                          
73: EX-99.72    News Release Dated September 1, 2020                HTML     50K 
74: EX-99.73    News Release Dated September 1, 2020                HTML     50K 
75: EX-99.74    News Release Dated September 8, 2020                HTML     43K 
76: EX-99.75    News Release Dated September 14, 2020               HTML     43K 
77: EX-99.76    52-109Fv2 - Certification of Interim Filings - CFO  HTML     41K 
                (E) Dated September 16, 2020                                     
78: EX-99.77    52-109Fv2 - Certification of Interim Filings - CEO  HTML     41K 
                (E) Dated September 16, 2020                                     
79: EX-99.78    News Release Dated September 16, 2020               HTML     68K 
80: EX-99.79    News Release Dated September 16, 2020               HTML     70K 
 9: EX-99.8     Share Purchase Agreement Dated December 9, 2019     HTML    157K 
81: EX-99.80    News Release Dated September 22, 2020               HTML     47K 
82: EX-99.81    Management Information Circular Dated September     HTML   1.08M 
                23, 2020                                                         
83: EX-99.82    Report of Exempt Distribution Excluding Schedule 1  HTML     85K 
                of 45-106F1 (Amended) Dated October 19, 2020                     
84: EX-99.83    News Release Dated October 28, 2020                 HTML     47K 
85: EX-99.84    News Release Dated November 3, 2020                 HTML     44K 
86: EX-99.85    First Supplemental Warrant Indenture Dated          HTML    107K 
                November 16, 2020                                                
87: EX-99.86    First Supplemental Debenture Indenture Dated        HTML     78K 
                November 16, 2020                                                
88: EX-99.87    News Release Dated November 17, 2020                HTML     46K 
89: EX-99.88    News Release Dated November 17, 2020                HTML     46K 
90: EX-99.89    Support and Voting Agreement Dated November 18,     HTML     76K 
                2020                                                             
10: EX-99.9     News Release Dated December 10, 2019                HTML     49K 
91: EX-99.90    Articles of Arrangement Dated November 18, 2020     HTML    142K 
92: EX-99.91    News Release Dated November 23, 2020                HTML     44K 
93: EX-99.92    News Release Dated November 25, 2020                HTML     44K 
94: EX-99.93    Material Change Report Dated November 25, 2020      HTML     45K 
95: EX-99.94    News Release Dated November 30, 2020                HTML     49K 
96: EX-99.95    News Release Dated December 3, 2020                 HTML     43K 
97: EX-99.96    Report of Exempt Distribution Excluding Schedule 1  HTML     41K 
                of 45-106F1 Dated December 4, 2020                               
98: EX-99.97    News Release Dated December 8, 2020                 HTML     43K 
99: EX-99.98    News Release Dated December 9, 2020                 HTML     45K 
100: EX-99.99    Report of Exempt Distribution Excluding Schedule 1  HTML     41K  
                of 45-106F1 Dated December 10, 2020                              


‘EX-99.82’   —   Report of Exempt Distribution Excluding Schedule 1 of 45-106F1 (Amended) Dated October 19, 2020


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



EXHIBIT 99.82

 

Note: [05 Oct 2018] - The following is a consolidation of 45-106F1. It incorporates the amendments to this document that came
into effect on October 5, 2018. This consolidation is provided for your convenience and should not be relied on as authoritative.

 

Form 45-106F1 Report of Exempt Distribution

 

A.General Instructions

 

1.Filing instructions

 

An issuer or underwriter that is required to file a report of exempt distribution and pay the applicable fee must file the report and pay the fee as follows:

 

In British Columbia – through BCSC eServices at http://www.bcsc.bc.ca.
In Ontario – through the online e-form available at http://www.osc.gov.on.ca.
In all other jurisdictions – through the System for Electronic Document Analysis and Retrieval (SEDAR) in accordance with National Instrument 13-101 System for Electronic Document Analysis and Retrieval (SEDAR) if required, or otherwise with the securities regulatory authority or regulator, as applicable, in the applicable jurisdictions at the addresses listed at the end of this form.

 

The issuer or underwriter must file the report in a jurisdiction of Canada if the distribution occurs in the jurisdiction, and the issuer or underwriter is relying on a specific exemption from the prospectus requirement set out in section 6.1 of the Instrument. The requirement to file this report might also be a condition of a prospectus exemption provided in a national, multilateral or local rule or instrument, or a condition of an exemptive relief order. If a distribution is made in more than one jurisdiction of Canada, the issuer or underwriter may satisfy its obligation to file the report by completing a single report identifying all purchasers, and file the report in each jurisdiction of Canada in which the distribution occurs. Filing fees payable in a particular jurisdiction are not affected by identifying all purchasers in a single report.

 

In order to determine the applicable fee in a particular jurisdiction of Canada, consult the securities legislation of that jurisdiction.

 

2.Issuers located outside of Canada

 

If an issuer located outside of Canada determines that a distribution has taken place in a jurisdiction of Canada, include information about purchasers resident in that jurisdiction only.

 

3.Multiple distributions

 

An issuer may use one report for multiple distributions occurring within 10 days of each other, provided the report is filed on or before the 10th day following the first distribution date. However, an investment fund issuer that is relying on the exemptions set out in subsection 6.2(2) of NI 45-106 may file the report annually in accordance with that subsection.

 

4.References to purchaser

 

References to a purchaser in this form are to the beneficial owner of the securities.

 

However, if a trust company, trust corporation, or registered adviser described in paragraph (p) or (q) of the definition of “accredited investor” in section 1.1 of NI 45-106 has purchased the securities on behalf of a fully managed account, provide information about the trust company, trust corporation or registered adviser only; do not include information about the beneficial owner of the fully managed account.

 

Joint purchasers may be treated as one purchaser for the purposes of Item 7(f) of this form.

 

5.References to issuer

 

References to “issuer” in this form include an investment fund issuer and a non-investment fund issuer, unless otherwise specified.

 

6.Investment fund issuers

 

If the issuer is an investment fund, complete Items 1-3, 6-8, 10, 11 and Schedule 1 of this form.

 

7.Mortgage investment entities

 

If the issuer is a mortgage investment entity, complete all applicable items of this form other than Item 6.

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8.Language

 

The report must be filed in English or in French. In Québec, the issuer or underwriter must comply with linguistic rights and obligations prescribed by Québec law.

 

9.Currency

 

All dollar amounts in the report must be in Canadian dollars. If the distribution was made or any compensation was paid in connection with the distribution in a foreign currency, convert the currency to Canadian dollars using the daily exchange rate of the Bank of Canada on the distribution date. If the distribution date occurs on a date when the daily exchange rate of the Bank of Canada is not available, convert the currency to Canadian dollars using the most recent daily exchange rate of the Bank of Canada available before the distribution date. For investment funds in continuous distribution, convert the currency to Canadian dollars using the average daily exchange rate of the Bank of Canada for the distribution period covered by the report.

 

If the distribution was not made in Canadian dollars, provide the foreign currency in Item 7(a) of the report.

 

10.Date of information in report

 

Unless otherwise indicated in this form, provide the information as of the distribution end date.

 

11.Date of formation

 

For the date of formation, provide the date on which the issuer was incorporated, continued or organized (formed). If the issuer resulted from an amalgamation, arrangement, merger or reorganization, provide the date of the most recent amalgamation, arrangement, merger or reorganization.

 

12.Security codes

 

Wherever this form requires disclosure of the type of security, use the following security codes:

 

Security code   Security type
BND   Bonds
CER   Certificates (including pass-through certificates, trust certificates)
CMS   Common shares
CVD   Convertible debentures
CVN   Convertible notes
CVP   Convertible preferred shares
DCT   Digital coins or tokens
DEB   Debentures
DRS   Depository receipts (such as American or Global depository receipts/shares)
FTS   Flow-through shares
FTU   Flow-through units
LPU   Limited partnership units and limited partnership interests (including capital commitments)
MTG   Mortgages (other than syndicated mortgages)
NOT   Notes (include all types of notes except convertible notes)
OPT   Options
PRS   Preferred shares
RTS   Rights
SMG   Syndicated mortgages
SUB   Subscription receipts
UBS   Units of bundled securities (such as a unit consisting of a common share and a warrant)
UNT   Units (exclude units of bundled securities, include trust units and mutual fund units)
WNT   Warrants (including special warrants)
OTH   Other securities not included above (if selected, provide details of security type in Item 7d)

 

13.Distributions by more than one issuer of a single security

 

If two or more issuers distributed a single security, provide the full legal names of the co-issuers in Item 3.

 

 C: 

 

 

 

B.Terms used in the form

 

1.For the purposes of this form:

 

“designated foreign jurisdiction” means Australia, France, Germany, Hong Kong, Italy, Japan, Mexico, the Netherlands, New Zealand, Singapore, South Africa, Spain, Sweden, Switzerland or the United Kingdom of Great Britain and Northern Ireland;

 

“eligible foreign security” means a security offered primarily in a foreign jurisdiction as part of a distribution of securities in either of the following circumstances:

 

(a)the security is issued by an issuer
(i)that is incorporated, formed or created under the laws of a foreign jurisdiction,
(ii)that is not a reporting issuer in a jurisdiction of Canada,
(iii)that has its head office outside of Canada, and
(iv)that has a majority of the executive officers and a majority of the directors ordinarily resident outside of Canada;

 

(b)the security is issued or guaranteed by the government of a foreign jurisdiction;

 

“foreign public issuer” means an issuer where any of the following apply:

 

(a)the issuer has a class of securities registered under section 12 of the 1934 Act;

 

(b)the issuer is required to file reports under section 15(d) of the 1934 Act;

 

(c)the issuer is required to provide disclosure relating to the issuer and the trading in its securities to the public, to security holders of the issuer or to a regulatory authority and that disclosure is publicly available in a designated foreign jurisdiction;

 

“legal entity identifier” means a unique identification code assigned to the person

 

(a)in accordance with the standards set by the Global Legal Entity Identifier System, or

 

(b)that complies with the standards established by the Legal Entity Identifier Regulatory Oversight Committee for pre-legal entity identifiers;

 

“NRD” means National Registration Database;

 

“permitted client” has the same meaning as in National Instrument 31-103 Registration Requirements, Exemptions and Ongoing Registrant Obligations;

 

“SEDAR profile” means a filer profile required under section 5.1 of National Instrument 13-101 System for Electronic Document Analysis and Retrieval (SEDAR).

 

2.For the purposes of this form, a person is connected with an issuer or an investment fund manager if either of the following applies:

 

(a)one of them is controlled by the other;

 

(b)each of them is controlled by the same person.

 

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SCHEDULE 1 TO FORM 45-106F1 (CONFIDENTIAL PURCHASER INFORMATION)

 

Schedule 1 must be filed in the format of an Excel spreadsheet in a form acceptable to the securities regulatory authority or regulator.

 

The information in this schedule will not be placed on the public file of any securities regulatory authority or regulator. However, freedom of information legislation may require the securities regulatory authority or regulator to make this information available if requested.

 

a)General information (provide only once)
1.Name of issuer
2.Certification date (YYYY-MM-DD)

 

Provide the following information for each purchaser that participated in the distribution. For each purchaser, create separate entries for each distribution date, security type and exemption relied on for the distribution.

 

b)Legal name of purchaser

 

If two or more individuals have purchased a security as joint purchasers, provide information for each purchaser under the columns for family name, first given name and secondary given names, if applicable, and separate the individuals’ names with an ampersand. For example, if Jane Jones and Robert Smith are joint purchasers, indicate “Jones & Smith” in the family name column.

 

1.Family name
2.First given name
3.Secondary given names (if applicable)
4.Full legal name of non-individual (if applicable)
c)Contact information of purchaser
1.Residential street address
2.Municipality
3.Province/State
4.Postal code/Zip code
5.Country
6.Telephone number
7.Email address (if available)

 

d)Details of securities purchased

 

1.Date of distribution (YYYY-MM-DD)
2.Number of securities
3.Security code
4.Amount paid (Canadian $)

 

e)Details of exemption relied on

 

1.Rule, section and subsection number
2.If relying on section 2.3 [Accredited investor] of NI 45-106, provide the paragraph number in the definition of “accredited investor” in section 1.1 of NI 45-106 that applies to the purchaser. (select only one – if the purchaser is a permitted client that is not an individual, “NIPC” can be selected instead of the paragraph number)
3.If relying on section 2.5 [Family, friends and business associates] of NI 45-106, provide:
a.the paragraph number in subsection 2.5(1) that applies to the purchaser (select only one); and
b.if relying on paragraphs 2.5(1)(b) to (i), provide:
i.the name of the director, executive officer, control person, or founder of the issuer or affiliate of the issuer claiming a relationship to the purchaser. (Note: if Item 9(a) has been completed, the name of the director, executive officer or control person must be consistent with the name provided in Item 9 and Schedule 2.)

 

ii.the position of the director, executive officer, control person, or founder of the issuer or affiliate of the issuer claiming a relationship to the purchaser.

 

4.If relying on subsection 2.9(2) or, in Alberta, New Brunswick, Nova Scotia, Ontario, Québec, or Saskatchewan, subsection 2.9(2.1) [Offering memorandum] of NI 45-106 and the purchaser is an eligible investor, provide the paragraph number in the definition of “eligible investor” in section 1.1 of NI 45-106 that applies to the purchaser. (select only one)

 

 C: 

 

 

 

f)Other information

 

Paragraphs f)1. and f)2. do not apply if any of the following apply:

 

(a)the issuer is a foreign public issuer;
(b)the issuer is a wholly owned subsidiary of a foreign public issuer;
(c)the issuer is distributing only eligible foreign securities and the distribution is to permitted clients only.

 

1.Is the purchaser a registrant? (Y/N)
2.Is the purchaser an insider of the issuer? (Y/N) (not applicable if the issuer is an investment fund)
3.Full legal name of person compensated for distribution to purchaser. If a person compensated is a registered firm, provide the firm NRD number only. (Note: the names must be consistent with the names of the persons compensated as provided in Item 8.)

 

INSTRUCTIONS FOR SCHEDULE 1

 

Any securities issued as payment for commissions or finder’s fees must be disclosed in Item 8 of the report, not in Schedule 1.

 

Details of exemption relied on – When identifying the exemption the issuer relied on for the distribution to each purchaser, refer to the rule, statute or instrument in which the exemption is provided and identify the specific section and, if applicable, subsection or paragraph. For example, if the issuer is relying on an exemption in a National Instrument, refer to the number of the National Instrument, and the subsection or paragraph number of the specific provision. If the issuer is relying on an exemption in a local blanket order, refer to the blanket order by number.

 

For exemptions that require the purchaser to meet certain characteristics, such as the exemption in section 2.3 [Accredited investor], section 2.5 [Family, friends and business associates] or subsection 2.9(2) or, in Alberta, New Brunswick, Nova Scotia, Ontario, Québec, or Saskatchewan, subsection 2.9(2.1) [Offering memorandum] of NI 45-106, provide the specific paragraph in the definition of those terms that applies to each purchaser.

 

Reports filed under paragraph 6.1(1)(j) [TSX Venture Exchange offering] of NI 45-106 – For reports filed under paragraph 6.1(1)(j) [TSX Venture Exchange offering] of NI 45-106, Schedule 1 must list the total number of purchasers by jurisdiction only, and is not required to include the name, residential address, telephone number or email address of the purchasers.

 

 C: 

 

 

 

SCHEDULE 2 TO FORM 45-106F1 (CONFIDENTIAL DIRECTOR, EXECUTIVE OFFICER, PROMOTER AND CONTROL PERSON INFORMATION)

 

Schedule 2 must be filed in the format of an Excel spreadsheet in a form acceptable to the securities regulatory authority or regulator.

 

Complete the following only if Item 9(a) is required to be completed. This schedule also requires information to be provided about control persons of the issuer at the time of the distribution.

 

The information in this schedule will not be placed on the public file of any securities regulatory authority or regulator. However, freedom of information legislation may require the securities regulatory authority or regulator to make this information available if requested.

 

a)General information (provide only once)

 

1.Name of issuer
2.Certification date (YYYY-MM-DD)

 

b)Business contact information of Chief Executive Officer (if not provided in Item 10 or 11 of report)

 

1.Email address
2.Telephone number

 

c)Residential address of directors, executive officers, promoters and control persons of the issuer

 

Provide the following information for each individual who is a director, executive officer, promoter or control person of the issuer at the time of the distribution. If the promoter or control person is not an individual, provide the following information for each director and executive officer of the promoter and control person. (Note: names of directors, executive officers and promoters must be consistent with the information in Item 9 of the report, if required to be provided.)

 

1.Family name
2.First given name
3.Secondary given names
4.Residential street address
5.Municipality
6.Province/State
7.Postal code/Zip code
8.Country
9.Indicate whether the individual is a control person, or a director and/or executive officer of a control person (if applicable)

 

d)Non-individual control persons (if applicable)

 

If the control person is not an individual, provide the following information. For locations within Canada, state the province or territory, otherwise state the country.

 

1.Organization or company name
2.Province or country of business location

 

 C: 

 

 

 

Questions:

Refer any questions to:

 

Alberta Securities Commission

Suite 600, 250 – 5th Street

SW Calgary, Alberta T2P 0R4

Telephone: 403-297-6454

Toll free in Canada: 1-877-355-0585

Facsimile: 403-297-2082

Public official contact regarding indirect collection of information: FOIP Coordinator

 

British Columbia Securities Commission

P.O. Box 10142, Pacific Centre

701 West Georgia Street

Vancouver, British Columbia V7Y 1L2

Inquiries: 604-899-6854

Toll free in Canada: 1-800-373-6393

Facsimile: 604-899-6581
Email: FOI-privacy@bcsc.bc.ca

Public official contact regarding indirect collection of information: FOI Inquiries

 

The Manitoba Securities Commission

500 – 400 St. Mary Avenue

Winnipeg, Manitoba R3C 4K5

Telephone: 204-945-2561

Toll free in Manitoba: 1-800-655-5244

Facsimile: 204-945-0330

Public official contact regarding indirect collection of information: Director

 

Financial and Consumer Services Commission (New Brunswick)

85 Charlotte Street, Suite 300

Saint John, New Brunswick E2L 2J2

Telephone: 506-658-3060

Toll free in Canada: 1-866-933-2222

Facsimile: 506-658-3059

Email: info@fcnb.ca

Public official contact regarding indirect collection of information: Chief Executive Officer and Privacy Officer

 

Government of Newfoundland and Labrador Financial Services Regulation Division

P.O. Box 8700

Confederation Building

2nd Floor, West Block

Prince Philip Drive

St. John’s, Newfoundland and Labrador A1B 4J6

Attention: Director of Securities

Telephone: 709-729-4189

Facsimile: 709-729-6187

Public official contact regarding indirect collection of information: Superintendent of Securities

 

 

 

 

Government of the Northwest Territories

Office of the Superintendent of Securities

P.O. Box 1320

Yellowknife, Northwest Territories X1A 2L9

Telephone: 867-767-9305

Facsimile: 867-873-0243

Public official contact regarding indirect collection of information: Superintendent of Securities

 

Nova Scotia Securities Commission

Suite 400, 5251 Duke Street Duke Tower

P.O. Box 458

Halifax, Nova Scotia B3J 2P8

Telephone: 902-424-7768

Facsimile: 902-424-4625

Public official contact regarding indirect collection of information: Executive Director

 

Government of Nunavut Department of Justice

Legal Registries Division

P.O. Box 1000, Station 570

1st Floor, Brown Building

Iqaluit, Nunavut X0A 0H0

Telephone: 867-975-6590

Facsimile: 867-975-6594

Public official contact regarding indirect collection of information: Superintendent of Securities

 

Ontario Securities Commission

20 Queen Street West, 22nd Floor

Toronto, Ontario M5H 3S8

Telephone: 416-593-8314

Toll free in Canada: 1-877-785-1555

Facsimile: 416-593-8122

Email: exemptmarketfilings@osc.gov.on.ca

Public official contact regarding indirect collection of information: Inquiries Officer

 

Prince Edward Island Securities Office

95 Rochford Street, 4th Floor Shaw Building

P.O. Box 2000

Charlottetown, Prince Edward Island C1A 7N8

Telephone: 902-368-4569

Facsimile: 902-368-5283

Public official contact regarding indirect collection of information: Superintendent of Securities

 

 C: 

 

 

 

Autorité des marchés financiers    
800, rue du Square-Victoria, 22e étage    
C.P. 246, tour de la Bourse    
Montréal, Québec H4Z 1G3    
Telephone: 514-395-0337 or 1-877-525-0337    
Facsimile: 514-873-6155 (For filing purposes only)    
Facsimile: 514-864-6381 (For privacy requests only)    
Email: financementdessocietes@lautorite.qc.ca (For corporate finance issuers); fonds_dinvestissement@lautorite.qc.ca (For investment fund issuers)    
Public official contact regarding indirect collection of information: Corporate Secretary    
     
Financial and Consumer Affairs Authority of Saskatchewan    
Suite 601 - 1919 Saskatchewan Drive    
Regina, Saskatchewan S4P 4H2    
Telephone: 306-787-5842    
Facsimile: 306-787-5899    
Public official contact regarding indirect collection of information: Director    
     
Office of the Superintendent of Securities Government of Yukon    
Department of Community Services    
307 Black Street, 1st Floor    
P.O. Box 2703, C-6    
Whitehorse, Yukon Y1A 2C6    
Telephone: 867-667-5466    
Facsimile: 867-393-6251    
Email: securities@gov.yk.ca    
Public official contact regarding indirect collection of information: Superintendent of Securities    

 

 

 

 


Dates Referenced Herein   and   Documents Incorporated by Reference

This ‘40FR12B’ Filing    Date    Other Filings
Filed as of:3/22/21F-X
Filed on:3/19/21
10/5/18
 List all Filings 


5 Subsequent Filings that Reference this Filing

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

 9/20/21  High Tide Inc.                    F-10/A      9/17/21   28:2.9M                                   Newsfile Corp./FA
 9/17/21  High Tide Inc.                    F-10                  27:2.9M                                   Newsfile Corp./FA
 5/28/21  High Tide Inc.                    40FR12B/A              4:664K                                   EdgarAgents LLC/FA
 5/25/21  High Tide Inc.                    40FR12B/A             43:7.1M                                   EdgarAgents LLC/FA
 4/01/21  High Tide Inc.                    40FR12B/A             14:3.5M                                   EdgarAgents LLC/FA
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