Corporate Information

Corporate Information Form

Please provide your corporate details below.

Submitter's Information

Name(Required)

First Last

Email(Required)

Corporate Legal Name(Required)

Trade or Operating Name

Phone number(Required)

Website URL (if applicable)

General Business Email

Admin or Info@[your company URL].com, if applicable

Incorporation Documents(Required)

Please provide your Federal OR Provincial incorporation documents.

Max. file size: 256 MB.

Business Number (BN)(Required)

Nine digit number Ex: 12345 6789

Fiscal Yearend Date(Required)

MM-DD

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Shareholder Information

1st Shareholder

Is this shareholder an individual or corporation?

Individual

Corporation

1st Shareholder Name(Required)

First Last

1st Shareholder Social Insurance Number (SIN)(Required)

1st Shareholder Corporation Name(Required)

1st Shareholder Corporate Business Number (BN)(Required)

Nine digit number Ex: 12345 6789

1st Shareholder Percentage of Ownership(Required)

1st Shareholder Type of Shares owned(Required)

_____________________________

2nd Shareholder (If applicable)

Individual

Corporation

2nd Shareholder Name

First Last

2nd Shareholder Social Insurance Number (SIN)

2nd Shareholder Corporation Name

2nd Shareholder Corporate Business Number (BN)

Nine digit number Ex: 12345 6789

2nd Shareholder Percentage of Ownership

2nd Shareholder Type of Shares owned

_____________________________

3rd Shareholder (If applicable)

Individual

Corporation

3rd Shareholder Name

First Last

3rd Shareholder Social Insurance Number (SIN)

3rd Shareholder Corporation Name

3rd Shareholder Corporate Business Number (BN)

Nine digit number Ex: 12345 6789

3rd Shareholder Percentage of Ownership

3rd Shareholder Type of Shares owned

Additional Shareholder Information

Please provide the information for any other shareholders not listed above.