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YEAR MONTH DAY - Alberta

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Name and Address % of voting shares issuedCorporate Access NumberName and Address % of voting shares issuedCorporate Access NumberName and Address % of voting shares issuedCorporate Access NumberName and Address % of voting shares issued Corporate Access NumberName and Address % of voting shares issuedCorporate Access NumberName and Address % of voting shares issuedCorporate Access NumberName and Address % of voting shares issuedCorporate Access NumberName and Address % of voting shares issuedCorporate Access NumberName and Address % of voting shares issued Corporate Access NumberName and Address % of voting shares issuedCorporate Access NumberCorporate Access No.

Non-Profit Companies only incorporated or amalgamated pursuant to the Companies Act.Complete this form and return (no fee required) to: Annual Return INSTRUCTIONS - For corporations incorporated, continued, amalgamated or registered

  Form, Month, Year, Year month day

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