Form 2—Debtor Company Information Summary (Commencement of Proceedings)


(To be filed with the Superintendent of Bankruptcy under paragraph 23(1)(f) of the Companies' Creditors Arrangement Act)

Part 1 — Information respecting debtor company

1. Name, including names under which the debtor company carries on business, if any:

space to insert name, including names under which the debtor company carries on business, if any, line 1

space to insert name, including names under which the debtor company carries on business, if any, line 2

space to insert name, including names under which the debtor company carries on business, if any, line 3

2. Debtor company's head office address, telephone number and Web site address, if any:

space to insert debtor company's head office address

space to insert telephone number

space to insert Web site address

3. The debtor company is

Checkbox a not-for-profit body corporate,

Checkbox an income trust, or

Checkbox other (Specify: space to insert type of debtor company)

4. Industry type code using the North American Industry Classification System:

space to insert industry type code using the North American Industry Classification System

5. Names and titles of directors and officers:

space to insert names and titles of directors and officers, line 1

space to insert names and titles of directors and officers, line 2

space to insert names and titles of directors and officers, line 3

6. Any other names used by the debtor company during the 24-month period before the making of the order on the initial application, including names under which the company carried on business:

space to insert any other names used by the debtor company during the 24-month period before the making of the order on the initial application, including names under which the company carried on business, line 1

space to insert any other names used by the debtor company during the 24-month period before the making of the order on the initial application, including names under which the company carried on business, line 2

space to insert any other names used by the debtor company during the 24-month period before the making of the order on the initial application, including names under which the company carried on business, line 3

7. Previous proceedings:

  • under the Bankruptcy and Insolvency Act: Checkbox Yes yes Checkbox No no

    If yes, estate number: space to insert, if yes, estate number

  • under the Companies' Creditors Arrangement Act: Checkbox Yes yes Checkbox No no

    If yes, name of court, judicial district and court file number:

    space to insert, if yes, name of court

    space to insert, if yes, judicial district

    space to insert, if yes, court file number

  • foreign proceedings: Checkbox Yes yes Checkbox No no

    If yes, country, name of court, judicial district and court file number:

    space to insert, if yes, name of court

    space to insert, if yes, judicial district

    space to insert, if yes, court file number

8. Are debtor company's shares or units publicly traded? Checkbox Yes yes Checkbox No no

If yes, index symbol: space to insert, if yes, index symbol country:space to insert, if yes, country

9. Incorporation number, if applicable: space to insert incorporation number, if applicable

Checkbox Federal

Checkbox Provincial (Specify: space to specify provincial incorporation number)

Checkbox Other (Specify: space to insert other specification)

10. Are there companies that are affiliated with or subsidiaries of the debtor company?

Checkbox Yes yes Checkbox No no

If yes, names of affiliated and subsidiary companies:

space to insert, if yes, names of affiliated and subsidiary companies, line 1

space to insert, if yes, names of affiliated and subsidiary companies, line 2

space to insert, if yes, names of affiliated and subsidiary companies, line 3

11. Date of the most recent consolidated financial statements of debtor company:

space to insert year/space to insert month/space to insert day (yyyy/mm/dd)

12. The statements referred to in item 11 are:

Checkbox audited (Name of auditor: space to insert name of auditor)

Checkbox unaudited

13. Book values for the debtor company set out in the statements referred to in item 11:

  • Book value of total assets: $space to insert book value of total assets
  • Book value of total liabilities: $space to insert book value of total liabilities
    • secured: $space to insert amount secured
    • unsecured: $space to insert amount unsecured
    • trust claims: $space to insert trust claims
  • Book value of total liabilities that are contingent: $space to insert book value of total liabilities that are contingent

14. Does the debtor company participate in any prescribed pension plans for the benefit of its employees? Checkbox Yes yes Checkbox No no

If yes, give name of each plan and indicate whether it is a defined benefit or defined contribution plan:

space to insert, if yes, name of each plan and indicate whether it is a defined benefit or defined contribution plan, line 1

space to insert, if yes, name of each plan and indicate whether it is a defined benefit or defined contribution plan, line 2

space to insert, if yes, name of each plan and indicate whether it is a defined benefit or defined contribution plan, line 3

15. Name, address, telephone number and e-mail address of debtor company's legal counsel:

space to insert name of debtor company's legal counsel, line 1

space to insert address and telephone number of debtor company's legal counsel, line 2

space to insert e-mail address of debtor company's legal counsel, line 3

Part 2 — Information respecting monitor

16. Monitor's toll-free number for the proceedings, if any: space to insert monitor's toll-free number for the proceedings, if any

Monitor's Web page created for the proceedings, if any: space to insert monitor's Web page created for the proceedings, if any

17. Name, address, telephone number and e-mail address of monitor's legal counsel:

space to insert name of monitor's legal counsel, line 1

space to insert address and telephone number of monitor's legal counsel, line 2

space to insert e-mail address of monitor's legal counsel, line 3

Part 3 — To be completed if there is a foreign proceeding

18. Name of foreign representative:space to insert name of foreign representative

19. Country, name of court, judicial district and court file number:

space to insert country and name of court

space to insert judicial district

space to insert court file number

20. Indicate whether the proceeding is

Checkbox a foreign main proceeding, or

Checkbox a foreign non-main proceeding.

21. Date of first order in foreign proceeding: space to insert year/space to insert month/space to insert day (yyyy/mm/dd)

Dated at space to insert city, space to insert province, on space to insert day and month, 20space to insert year.

space to insert signature of monitor's representative responsible for the proceedings
Monitor's representative
responsible for the proceedings