Form 3 — Debtor Company Information Summary (Following the Order Discharging the Monitor)

(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 of debtor company:

____________________________________________________

2. File number assigned by the Superintendent of Bankruptcy:

____________________________________________________

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

__________/_________/_________ (yyyy/mm/dd)

4. The statements referred to in item 3 are:

audited (Name of auditor:________________________)

unaudited

5. Book values for the debtor company set out in the statements referred to in item 3:

Book value of total assets: $____________________________________
Book value of total liabilities: $__________________________________
- secured: $_________________
- unsecured: $________________
- trust claims: $_______________
Book value of total liabilities that are contingent: $___________________________

6. Does the debtor company participate in any prescribed pension plan 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:

____________________________________________________

7. Was interim financing granted by court order under section 11.2 of the Act?
yes no

If yes,

8. Was a compromise or arrangement sanctioned by the court? yes no

If yes,

Date on which the compromise or arrangement was sanctioned by the court:______/_____/______ (yyyy/mm/dd)
Was the compromise or arrangement approved by the creditors before the initial application was made? yes no
Was the compromise or arrangement completed? yes no

9. Name of debtor company at time of monitor's discharge:

____________________________________________________

10. Name of foreign representative: _____________________________________

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

____________________________________________________

12. Indicate if the proceeding is a

a foreign main proceeding, or

a foreign non-main proceeding.

13. Date of first order in foreign proceeding: _______/____/______ (yyyy/mm/dd)

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

__________________________________
Monitor's representative
responsible for the proceedings