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

PDF version
(124 KB, 4 pages)

Word version
(54 KB, 3 pages)

(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:

____________________________________________________

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

____________________________________________________

3. The debtor company is

a not-for-profit body corporate,

an income trust, or

other (Specify: __________________)

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

____________________________________________________

5. Names and titles of directors and officers:

____________________________________________________

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:

____________________________________________________

7. Previous proceedings:

under the Bankruptcy and Insolvency Act: yes no
If yes, estate number: ___________________________________________
under the Companies' Creditors Arrangement Act: yes no
If yes, name of court, judicial district and court file number:

____________________________________________________

____________________________________________________

____________________________________________________
foreign proceedings: yes no
If yes, country, name of court, judicial district and court file number:

____________________________________________________

____________________________________________________

____________________________________________________

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

If yes, index symbol: _____________________ country:_________________

9. Incorporation number, if applicable: ________________________________

Federal

Provincial (Specify: _________________)

Other (Specify: _________________)

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

yes no

If yes, names of affiliated and subsidiary companies:

____________________________________________________

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

_____/______/______ (yyyy/mm/dd)

12. The statements referred to in item 11 are:

audited (Name of auditor: __________________________________________________)

unaudited

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

Book value of total assets: $____________________________
Book value of total liabilities: $___________________________
- secured: $________________
- unsecured: $________________
- trust claims: $_______________
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? yes no

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

____________________________________________________

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

____________________________________________________

Part 2 — Information respecting monitor

16. Monitor's toll-free number for the proceedings, if any: ______________________

Monitor's Web page created for the proceedings, if any: ____________________

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

____________________________________________________

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

18. Name of foreign representative: _____________________________________

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

____________________________________________________

20. Indicate whether the proceeding is

a foreign main proceeding, or

a foreign non-main proceeding.

21. Date of first order in foreign proceeding: ____/_____/____ (yyyy/mm/dd)

Dated at ____________________, ____________, on _____________, 20______.

__________________________________
Monitor's representative
responsible for the proceedings