AI assistant
Atmofizer Technologies Inc. — Regulatory Filings 2021
Jan 29, 2021
42946_rns_2021-01-28_d2c8e79b-a1de-478f-963a-d302718a7dbe.pdf
Regulatory Filings
Open in viewerOpens in your device viewer
Note: [01 Mar 2017] – The following is a consolidation of 13-501F1. It incorporates amendments to this document that came into effect on March 1, 2017. This consolidation is provided for your convenience and should not be relied on as authoritative.
FORM 13-501F1 CLASS 1 REPORTING ISSUERS AND CLASS 3B REPORTING ISSUERS – PARTICIPATION FEE
MANAGEMENT CERTIFICATION
==> picture [487 x 532] intentionally omitted <==
----- Start of picture text ----- Mike DaiI, ____________________ , an officer of the reporting issuer noted below have examined thisForm 13-501F1 (the Form ) being submitted hereunder to the Alberta Securities Commission andcertify that to my knowledge, having exercised reasonable diligence, the information provided inthe Form is complete and accurate."Mike Dai" (signed) 2021-01-28_________________________________ _________________________________Name: Date: Mike DaiTitle: Chief Financial OfficerConsolidated HCI Holdings CorporationReporting Issuer Name:September 30, 2020End date of previous financial year:Type of Reporting Issuer: [ ] Class 1 reporting [ ] Class 3B reportingissuer issuerTSX-V NEXHighest Trading Marketplace:Market value of listed or quoted equity securities:CXA.HEquity Symbol01/10/19 31/12/191st Specified Trading Period (dd/mm/yy) _______________ to ______________Closing price of the security in the class or series on thelast trading day of the specified trading period in which0.10such security was listed or quoted on the highest trading $ ______________________marketplace (i)----- End of picture text -----
| Number of securities in the class or series of suchsecurity outstanding at the end of the last trading day of | Number of securities in the class or series of suchsecurity outstanding at the end of the last trading day of | ________________________20,575,866 |
|---|---|---|
| the specified trading period | (ii) | |
| (i) x (ii) | $ ______________________2,057,587 | |
| Market value of class or series | (A) | |
| 31/03/2001/01/20 | ||
| 2nd Specified Trading Period(dd/mm/yy) | _______________ to ______________ | |
| Closing price of the security in the class or series on the | ||
| last trading day of the specified trading period in whichsuch security was listed or quoted on the highest trading | $ ______________________0.10 | |
| marketplace | (iii) | |
| Number of securities in the class or series of such | 20,575,866 | |
| security outstanding at the end of the last trading day of | ______________________ | |
| the specified trading period | (iv) | |
| (iii) x (iv) | $ ______________________2,057,587 | |
| Market value of class or series | (B) | |
| 30/06/2001/04/20 | ||
| 3rd Specified Trading Period(dd/mm/yy) | _______________ to ______________ | |
| Closing price of the security in the class or series on the | ||
| last trading day of the specified trading period in which | 0.10 | |
| such security was listed or quoted on the highest trading | $ ______________________ | |
| marketplace | (v) | |
| Number of securities in the class or series of suchsecurity outstanding at the end of the last trading day of | ______________________20,575,866 | |
| the specified trading period | (vi) | |
| (v) x (vi) | $ ______________________2,057,587 | |
| Market value of class or series | (C) |
| 01/07/20 | 01/07/20 | 30/09/20 | |
|---|---|---|---|
| 4th Specified Trading Period(dd/mm/yy) | _______________ to ______________ | ||
| Closing price of the security in the class or series on the | |||
| last trading day of the specified trading period in which | 0.13 | ||
| such security was listed or quoted on the highest trading | $ ______________________ | ||
| marketplace | (vii) | ||
| Number of securities in the class or series of such | 20,575,866 | ||
| security outstanding at the end of the last trading day of | ______________________ | ||
| the specified trading period | (viii) | ||
| 2,674,863 | |||
| (vii) x (viii) | $ ______________________ | ||
| Market value of class or series | (D) | ||
| 5th Specified Trading Period(dd/mm/yy) | _______________ to ______________ | ||
| Closing price of the security in the class or series on the | |||
| last trading day of the specified trading period in which | |||
| such security was listed or quoted on the highest trading | $ ______________________ | ||
| marketplace | (ix) | ||
| Number of securities in the class or series of such | |||
| security outstanding at the end of the last trading day of | ______________________ | ||
| the specified trading period | (x) | ||
| (ix) x (x) | $ ______________________ | ||
| Market value of class or series | (E) | ||
| Average Market Value of Class or Series(Calculate | |||
| the simple average of the market value of the class or | 2,211,906 | ||
| series of security for each applicable specified trading | $ ______________________ | ||
| period (i.e. A through E above)) | (1) |
(Repeat the above calculation for each other class or series of equity securities of the reporting issuer (and a subsidiary, if applicable) that was listed or quoted on a marketplace at the end of the previous financial year)
==> picture [478 x 261] intentionally omitted <==
----- Start of picture text ----- Fair value of outstanding debt securities:(Provide details of how value was determined) $ ______________________( 2 )2,211,906Capitalization for the previous financial year (1) + (2) $ ______________________400Participation Fee $ ______________________Late Fee , if applicable $ ______________________400Total Fee Payable $ ______________________(Participation Fee plus Late Fee)----- End of picture text -----