BlockMint Technologies Inc. — Regulatory Filings 2021

May 1, 2021

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

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----- Start of picture text ----- I, ____________________ ����������� , 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.������������� _________________________________ _________________________________ ��������������Name: Date: �����������Title: ���Reporting Issuer Name: ��������������������������������������������End date of previous financial year:Type of Reporting Issuer: [ ] Class 1 reporting [ ] Class 3B reportingissuer issuerHighest Trading Marketplace: ��������������������Market value of listed or quoted equity securities:Equity Symbol ����1st 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 whichsuch security was listed or quoted on the highest trading $ ______________________ ������marketplace (i)----- End of picture text -----

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	Number of securities in the class or series of suchsecrit otstandin at the end of the last tradin da of��������
	uy ug g ythe specified trading period________________________(ii)Market value of class or series(i) x (ii)$ _______(A)2nd 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 whichsuch security was listed or quoted on the highest tradingmarketplace$ (iii)Number of securities in the class or series of suchsecurity outstanding at the end of the last trading day ofh ifid di idi����������������
	te spece trang pero(v)Market value of class or series(iii) x (iv)$ ______________________(B)��������������
	3rd 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 whichsuch security was listed or quoted on the highest tradingmarketplace$ ______________________(v)����������������������
	Number of securities in the class or series of suchsecurity outstanding at the end of the last trading day ofthe specified trading period______________________(vi)����������
	Market value of class or series(v) x (vi)$ ______________________(C)��������������

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----- Start of picture text ----- 4th 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 whichsuch security was listed or quoted on the highest trading $ ______________________ ������marketplace (vii)Number of securities in the class or series of suchsecurity outstanding at the end of the last trading day of ______________________ ����������the specified trading period (viii)(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 thelast trading day of the specified trading period in whichsuch security was listed or quoted on the highest trading $ ______________________marketplace (ix)Number of securities in the class or series of suchsecurity 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 (Calculatethe simple average of the market value of the class orseries of security for each applicable specified trading $ ______________________ ��������������period (i.e. A through E above)) ( 1 )----- End of picture text -----

(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)

Fair value of outstanding debt securities:

(Provide details of how value was determined) $ ______________________ ������ ( 2 ) Capitalization for the previous financial year (1) + (2) $ ______________________ �������������� Participation Fee $ ______________________ �������� Late Fee , if applicable $ ______________________ ������ Total Fee Payable $ ______________________ �������� (Participation Fee plus Late Fee)