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Blackline Safety Corp. — Proxy Solicitation & Information Statement 2023
Feb 17, 2023
46025_rns_2023-02-17_63def203-42e9-40ca-ac18-6df88315867f.pdf
Proxy Solicitation & Information Statement
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blacklinesafety
ODYSSEY
Traders Bank Building
702, 67 Yonge Street
Toronto, ON M5E 1J8
Blackline Safety Corp.
Form of Proxy – Annual and Special Meeting to be held on March 21, 2023.
Appointment of Proxyholder
I/We being the undersigned holder(s) of Blackline Safety Corp. (the “Corporation”) hereby appoint: Cody Slater, the Chief Executive Officer of the Corporation, or failing this person, Shane Grennan, Chief Financial Officer of the Corporation (the "Management Nominees").
OR
Print the name of the person you are appointing if this person is someone other than the Management Nominees listed herein:
as my/our proxyholder with full power of substitution and to attend, act, and to vote for and on behalf of the holder in accordance with the following direction (or if no directions have been given, as the proxyholder sees fit) and all other matters that may properly come before the Annual and Special Meeting of Blackline Safety Corp. (the "Meeting") to be held virtually via live audio webcast online at https://web.lumiagm.com/292419334 on March 21, 2023 at 3:00 p.m. (Calgary time) or at any adjournment or postponement thereof.
- Number of Directors: To fix the number of directors of the Corporation to be elected at the Meeting at seven (7) directors.
| 2. Election of Directors. | For | Withhold | For | Withhold | For | Withhold |
|---|---|---|---|---|---|---|
| a. Cody Slater | ☐ | ☐ | b. Robert Herdman | ☐ | ☐ | c. Michael Hayduk |
| d. Brad Gilewich | ☐ | ☐ | e. Cheemin Bo-Linn | ☐ | ☐ | f. Jason Cohenour |
| g. Barbara Holzapfel | ☐ | ☐ |
- Appointment of Auditor. To appoint PricewaterhouseCoopers LLP as the auditors of the Corporation for the ensuing year and to authorize the board of directors to fix the auditor's remuneration as such.
| For | Withhold |
|---|---|
| ☐ | ☐ |
- Employee stock ownership plan. To pass an ordinary resolution, as more particularly set forth in the accompanying management information circular – proxy statement of the Corporation dated February 7, 2023 approving an increase to the aggregate number of common shares that may be issued from treasury for grant under the Corporation's employee stock ownership plan.
| For | Against |
|---|---|
| ☐ | ☐ |
Authorized Signature(s) – This section must be completed for your instructions to be executed.
I/we authorize you to act in accordance with my/our instructions set out above. I/We hereby revoke any proxy previously given with respect to the Meeting. If no voting instructions are indicated above, this Proxy will be voted as recommended by Management.
Interim Financial Statements – Check the box to the right if you would like to RECEIVE Interim Financial Statements and accompanying Management's Discussion & Analysis by mail. See reverse for instructions to sign up for delivery by email.
| Signature(s): | Date |
|---|---|
| / / | |
| MM / DD / YY |
Annual Financial Statements – Check the box to the right if you would like to DECLINE to receive the Annual Financial Statements and accompanying Management's Discussion and Analysis by mail.
This form of proxy is solicited by and on behalf of Management of Blackline Safety Corp.
Proxies must be received by 3:00 pm, (Calgary time) on March 17, 2023.
Notes to Proxy
- Each holder has the right to appoint a person, who need not be a holder, to attend and represent him or her at the Meeting. If you wish to appoint a person other than the persons whose names are printed herein, please insert the name of your chosen proxyholder in the space provided on the reverse.
- If the securities are registered in the name of more than one holder (for example, joint ownership, trustees, executors, etc.) then all of the registered owners must sign this proxy in the space provided on the reverse. If you are voting on behalf of a corporation or another individual, you may be required to provide documentation evidencing your power to sign this proxy with signing capacity stated.
- This proxy should be signed in the exact manner as the name appears on the proxy.
- If this proxy is not dated, it will be deemed to bear the date on which it is mailed by Management to the holder.
- The securities represented by this proxy will be voted as directed by the holder; however, if such a direction is not made in respect of any matter, this proxy will be voted as recommended by Management.
- The securities represented by this proxy will be voted or withheld from voting, in accordance with the instructions of the holder, on any ballot that may be called for and, if the holder has specified a choice with respect to any matter to be acted on, the securities will be voted accordingly.
- This proxy confers discretionary authority in respect of amendments to matters identified in the Notice of Meeting or other matters that may properly come before the Meeting.
- This proxy should be read in conjunction with the accompanying documentation provided by Management.
INSTEAD OF MAILING THIS PROXY, YOU MAY SUBMIT YOUR PROXY USING SECURE ONLINE VOTING AVAILABLE ANYTIME:

To Vote Your Proxy Online please visit:
https://login.odysseytrust.com/pxlogin and click
on
You will require the
CONTROL NUMBER printed with your address to the right.
If you vote by Internet, do not mail this proxy.
To request the receipt of future documents via
email and/or to sign up for Securityholder Online services, you may contact Odyssey Trust Company at [email protected].
To Virtually Attend the Meeting:
You can attend the Meeting virtually by visiting https://web.lumiagm.com and entering the meeting ID 292419334. For further information on the virtual AGM and how to attend it, please refer to the enclosed virtual meeting guide.
Voting by mail may be the only method for securities held in the name of a corporation or securities being voted on behalf of another individual. A return envelope has been enclosed for voting by mail.
Shareholder Address and Control Number Here