Banking Resolution Corporation (Page 2 of 2) in pdf

Banking Resolution Corporation Page 2

SAMPLE SIGNATURES

AUTHORIZED REPRESENTATIVE

Name in block letters

Signature

SIGNATORIES ON THE EXTERNAL ACCOUNT

Name in block letters

Signature

Name in block letters

Signature

LIST OF DIRECTORS AND SHAREHOLDERS

Please provide the following information regarding the company’s directors (if there are more than six directors, please list their names and

occupations on a separate sheet):

Director 1

Director 2

First and last name

Occupation

Director 3

Director 4

First and last name

Occupation

Director 5

Director 6

First and last name

Occupation

Please provide the following information regarding the company’s actual shareholders who own, directly or indirectly, at least 25% of its

Shareholder 1

Shareholder 2

First and last name

Occupation

Address

Shareholder 3

Shareholder 4

First and last name

Occupation

Address

6659A (04-2009)

(Version française : 6659F)

Page 2 of 2

Banking Resolution Corporation Page 2