Proposed Name (choose 3 in order of preference, in case the first choice is not available):

Please list proposed Shareholders of the Company and their residential addresses (must be a physical location, not P.O. etc.)

Of the above Shareholders, please list who will have “voting” rights.

Please list who will be directors of the proposed Company (see the necessary “qualifications” below), along with their current residential address (must be a street address not a post office box) and their occupation. Note: the majority of directors need to be resident in Canada - one (1) needs to live in British Columbia:

Qualifications to be a Director (under Section 114 of the Company Act)

1. “114 No person is qualified to become or to act as a director of a company who is”

   1. Under the age of 18 years.

   2. Found to be incapable of managing the person’s own affairs by reason of mental infirmity;

   3. A corporation;

   4. An undischarged bankrupt;

   5. Unless the court orders otherwise, convicted in or out of British Columbia of an offence:

      1. In connection with the promotion, formation or management of a corporation; or

      2. Involving fraud
         unless 5 years have elapsed since the expiration of the period fixed for suspension of the passing of sentence without sentencing or since a fine was imposed, or the term of imprisonment and probation imposed, if any, was concluded, whichever is the latest, but the disability imposed by this paragraph ceases on a pardon being granted under the Criminal Records Act (Canada); or

   6. In the case of a reporting company, a person whose registration in any capacity has been cancelled under:

      1. The Securities Act by either the British Columbia Securities Commission or the executive director, or

      2. The Mortgage Brokers Act by either the Commercial Appeals Commission or the registrar,
         unless the commission, the executive director or the registrar, whichever is applicable, otherwise orders, or unless 5 years have elapsed since the cancellation of the registration.

2. An order must not be made under subsection (1)(e) and (f) unless notice of the application for the order is given to the registrar, who may appear as a party to the application.
3. Every person who acts as a director of a company and is a person who, because of subsection (1), is not qualified to act as a director of a company commits an offence.”

Will the proposed company carry on business in any other Province?

If you have retained an accountant, please list name and state whether there any requirements that he/she would like to see in the share structure?

Please list who is to be President and Secretary. Note: the President must be a director. (If there is only one shareholder then he/she can be President and Secretary, otherwise the Secretary must be a different shareholder).

The proposed Company’s Bank details:

We generally do not order the Company a seal unless you request it. The cost to order a seal is $60.00. Please check the appropriate line:

Yes, the company will require a seal.

No, the company will not require a seal.