First Name
Last Name
Firm/Company
Phone
Fax
Email
Verify Email



A. Name of Corporation      OR      Numbered Corporation
Government Assigned Number
Name Choice #1
Name Choice #2
Name Choice #3
B. Jurisdiction
C. Brief Description of Activity
Any Restrictions on Business NoYes
(specify):
D. Registered Office Address
No. & Street Suite City Province Country Postal Code
C. Mailing Address
No. & Street Suite City Province Country Postal Code




1a. IndividualLegal Entity
First Name Middle Initial Last Name
Legal Entity
1b. OR
No. & Street Suite City Prov/State Country Postal/Zip
1c. Check all that apply:
Incorporator Shareholder
Director Officer
YesNo
Pos #1:
Pos #2:
2a. IndividualLegal Entity
First Name Middle Initial Last Name
Legal Entity
2b. OR
No. & Street Suite City Prov/State Country Postal/Zip
2c. Check all that apply:
Incorporator Shareholder
Director Officer
YesNo
Pos #1:
Pos #2:
3a. IndividualLegal Entity
First Name Middle Initial Last Name
Legal Entity
3b. OR
No. & Street Suite City Prov/State Country Postal/Zip
3c. Check all that apply:
Incorporator Shareholder
Director Officer
YesNo
Pos #1:
Pos #2:
4a. IndividualLegal Entity
First Name Middle Initial Last Name
Legal Entity
4b. OR
No. & Street Suite City Prov/State Country Postal/Zip
4c. Check all that apply:
Incorporator Shareholder
Director Officer
YesNo
Pos #1:
Pos #2:
5a. IndividualLegal Entity
First Name Middle Initial Last Name
Legal Entity
5b. OR
No. & Street Suite City Prov/State Country Postal/Zip
5c. Check all that apply:
Incorporator Shareholder
Director Officer
YesNo
Pos #1:
Pos #2:
6a. IndividualLegal Entity
First Name Middle Initial Last Name
Legal Entity
6b. OR
No. & Street Suite City Prov/State Country Postal/Zip
6c. Check all that apply:
Incorporator Shareholder
Director Officer
YesNo
Pos #1:
Pos #2:
7a. IndividualLegal Entity
First Name Middle Initial Last Name
Legal Entity
7b. OR
No. & Street Suite City Prov/State Country Postal/Zip
7c. Check all that apply:
Incorporator Shareholder
Director Officer
YesNo
Pos #1:
Pos #2:
If there are more than 7 Principals, please add the additional information in “Other Information” at the end of this form.
Summary of Principals
Incorporator
Director
Shareholder
Officer
*CDN = Resident Canadian, NR = Non-resident



A. Share / Securities Transfer Restrictions
Consent of directors or shareholders      OR      Other
B. Authorized Classes of Shares (maximum of 7)
Unlimited number of common shares only
OR
If more than one class of shares is to be authorized, list the name of each class of shares, the number of shares authorized for each class and the share attributes attached to each class of shares:
Name   shares
Authorized Number
Priority
Dividends? No Yes
(specify):
Redeemable? No Yes
(specify):
Retractable? No Yes
(specify):
Convertible? No Yes
(specify):
Dissolution? No Yes
(specify):
Voting? No Yes
Name   shares
Authorized Number
Priority
Dividends? No Yes
(specify):
Redeemable? No Yes
(specify):
Retractable? No Yes
(specify):
Convertible? No Yes
(specify):
Dissolution? No Yes
(specify):
Voting? No Yes
Name   shares
Authorized Number
Priority
Dividends? No Yes
(specify):
Redeemable? No Yes
(specify):
Retractable? No Yes
(specify):
Convertible? No Yes
(specify):
Dissolution? No Yes
(specify):
Voting? No Yes
Name   shares
Authorized Number
Priority
Dividends? No Yes
(specify):
Redeemable? No Yes
(specify):
Retractable? No Yes
(specify):
Convertible? No Yes
(specify):
Dissolution? No Yes
(specify):
Voting? No Yes
Name   shares
Authorized Number
Priority
Dividends? No Yes
(specify):
Redeemable? No Yes
(specify):
Retractable? No Yes
(specify):
Convertible? No Yes
(specify):
Dissolution? No Yes
(specify):
Voting? No Yes
Name   shares
Authorized Number
Priority
Dividends? No Yes
(specify):
Redeemable? No Yes
(specify):
Retractable? No Yes
(specify):
Convertible? No Yes
(specify):
Dissolution? No Yes
(specify):
Voting? No Yes
Name   shares
Authorized Number
Priority
Dividends? No Yes
(specify):
Redeemable? No Yes
(specify):
Retractable? No Yes
(specify):
Convertible? No Yes
(specify):
Dissolution? No Yes
(specify):
Voting? No Yes



SHAREHOLDER:
$
SHAREHOLDER:
$
SHAREHOLDER:
$
SHAREHOLDER:
$
SHAREHOLDER:
$
SHAREHOLDER:
$
SHAREHOLDER:
$



A. Number of Directors
Minimum of 1 and maximum of 10      OR      Other
B. Directors' Quorum
Majority of number of Directors      OR      Other
C. Shareholders' Quorum
Holder(s) of more than 50% of the outstanding voting shares      OR      Other
D. Accountant*      OR     Auditor* To be determined later
First Name Last Name Company
No. & Street Suite City Province Country Postal Code
E. Financial Year End* To be determined later
Month      Day  
F. Banker* To be determined later
Name
Cheque Signing Authority
G. General Signing Authority
H. Extra Provincial Registrations Not Applicable
I. Business Name Registration Not Applicable
J. Corporate Seal? Yes No
K. Shareholders' Agreement
Will the shareholders be entering into a shareholders' agreement to govern the operation of the business and the affairs of the Corporation? Yes No
L. HST Registration
Do you want us to register the Corporation with Canada Revenue Agency for HST (Harmonized Sales Tax) after it has been incorporated? Yes No



CONTACT INFORMATION
  Name  
  Company  
 
CORPORATE INFORMATION
  Numbered   (Government Assigned Number)  
  Name Choice(s)   1.
  2.
  3.
  Jurisdiction  
  Brief Description of Activity  
  Restrictions on Business  
  Shareholders' Agreement?  
  CLASSES OF SHARES
  Name Authorized No. Priority Voting
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  Registered Office Address  
  Mailing Address  
  Number of Directors  
   
 
  Financial Year End  
  Banker  
  Cheque Signing Authority  
  General Signing Authority  
  Directors' Quorum  
  Shareholders’ Quorum  
  Share Transfer Restrictions  
  Business Name  
  Registration(s)  
  Extra-Provincial  
  Registrations  
 
  Corporate Seal?  
  HST Registration?  
  INCORPORATORS
  Name Address
 
 
 
 
 
 
 
  DIRECTORS
  Name Address CDN?
 
 
 
 
 
 
 
  OFFICERS
  Name Office(s) Held
 
 
 
 
 
 
 
  SHARES TO BE ISSUED
  Name Class of Shares No of Shares Price per Share
 
 
 
 
 
 
 
 



Other Information (if any)