Renewal Form For Certificate Of Authorization For Professional Corporation (Page 3 of 3) in pdf

Renewal Form For Certificate Of Authorization For Professional Corporation Page 3

DECLARATION

, holding College

registration number___________, am a director of___________________________

___________________________________________________________________

and do hereby declare the following:

that the corporation is in compliance with section 3.2 of the Business

Corporations Act as of the date this statutory declaration is signed,

that the corporation does not carry on, and does not plan to carry on, any

ii.

business that is not the practice of the profession governed by the College or

activities related to or ancillary to the practice of that profession,

that there has been no change in the status of the corporation since the date of

iii.

the corporation profile report enclosed with the renewal application for a

Certificate of Authorization that accompanies this declaration, and

that the information contained in the application for renewal of the Certificate of

iv.

Authorization is complete and accurate as of the day this declaration is signed.

(Signature of Declarant)

(Print Name)

(Date)

21 S t. C lair A venue E ast, S uite 3 03, T oronto, O ntario M 4T 1 L9 T el 4 16 6 40 2 252 F ax 4 16 6 40 2 257 Email a dmin@cmo.on.ca

Renewal Form For Certificate Of Authorization For Professional Corporation Page 3