Final Policy and Licensing Procedures for the Auction of the 24 and 38 GHz Frequency Bands — Appendix 7

Appendix 7 – Declaration of Ownership and Control for Provisional Winners of 24/38 GHz Licences Who Wish to Act as Radiocommunication Carriers

Declaration of Ownership and Control for Provisional Winners of 24/38 GHz Licences Who Wish to Act as Radiocommunication Carriers (Appendix 7)
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Note:   If the provisional licence winner is not a corporation, then documents dealing with the same subject matters must be submitted.

I, the undersigned, do hereby make the following statements that I certify to be true and complete in every respect.

I certify, on behalf of
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(Name of Provisional Licence Winner)
that:
I have read and I understand the contents of the Canadian carrier eligibility criteria as set out in section 10 of the Radiocommunication Regulations and
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(Name of Provisional Licence Winner)
complies with the said Canadian carrier ownership and control requirements.

The following required supporting documents are attached:

  1. Incorporation Documents
    1.1 The incorporating documents, including any by-laws relating to control matters, for the company and any related holding company.
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    1.2 A narrative explaining the company's Canadian ownership and control structure.
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  2. Shareholdings
    2.1 The details of the authorized and issued shares for each class of shares for the company and any related holding company.
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    2.2 The details of the rights, privileges, restrictions and conditions of each class of shares for the company and any related holding company.
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    2.3 The details of the beneficial ownership by Canadians (as defined in the Canadian Telecommunications Common Carrier Ownership and Control Regulations), and by non-Canadians, of each class of shares for the company and any related holding company.
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    2.4 The copies of all shareholder agreements for the company and any related holding company.
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  3. Directors
    3.1 The name and citizenship of each member of the board of directors of the company and any related holding company.
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    3.2 The details of any agreements or arrangements related to the election of directors of the company and any related holding company.
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  4. Officers
    4.1 The name and citizenship of each officer, and office held, of each officer of the company and any related holding company.
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    4.2 The details of any agreements or arrangements related to the appointment of officers of the company and any related holding company.
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  5. Financing
    5.1 The complete details of the financial structure of the company and any related holding company, including the source of debt and equity financing. Please provide details as to the share structure, source of financing (banks, shareholders, passive investors, etc.), and domestic or foreign funding through both voting and non-voting investments.
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  6. Agreements
    6.1 Copies of any agreements between the company and any foreign partner or affiliate.
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    6.2 The details of any other agreement or arrangement which could affect whether the company or any related holding company are or are not controlled in fact by Canadians.

Important Notice:

Industry Canada reserves the right to review all ownership and control information submitted with this form and to request further information.

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(Printed Name and Signature)
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(Position Title)
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