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:

Part 2 — Information respecting proceedings

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

If yes,

• amount of interim financing granted by court order: $
• amount drawn: $

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:

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

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