CYBIN INC. — Regulatory Filings 2021

Oct 2, 2021

F-X 1 d236324dfx.htm F-X F-X

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

FORM F-X

APPOINTMENT OF AGENT FOR SERVICE OF

PROCESS AND UNDERTAKING

A. Name of issuer or person filing (“Filer”): Cybin Inc.

B.	(1)	This is [ check one ]
		☒	an original filing for the Filer
		☐	an amended filing for the Filer
	(2)	Check the following box if you are filing the Form F-X in paper in
accordance with Regulation S-T Rule 101(b)(9) ☐
C.	Identify the filing in conjunction with which this form is being
filed:

Name of Registrant:	Cybin Inc.
Form type	Registration Statement on Form F-10
File Number ( if known ):	333-259994
Filed by	Cybin Inc.
Date Filed (if filed concurrently, so indicate):	October 1, 2021	(filed concurrently)

| D. | The Filer is incorporated or organized under the laws of Ontario, Canada and has its principal place of
business at 100 King Street West, Suite 5600, Toronto, Ontario, M5X 1C9 , telephone (908) 764-8385. | |
| --- | --- | --- |
| E. | The Filer designates and appoints C T Corporation System (“Agent”), located at 1015 15th
Street N.W., Suite 1000 , Washington, DC 20005 , telephone (202) 572-3133 as the agent of the Filer upon whom may be served any process, pleadings, subpoenas, or other
papers in: | |
| | (a) | any investigation or administrative proceeding conducted by the Commission;
and |

	(b)
F.	The Filer stipulates and agrees to appoint a successor agent for service of process and file an amended Form F-X if the Filer discharges the Agent or the Agent is unwilling or unable to accept service on behalf of the Filer at any time until six years have elapsed from the date the Filer has ceased reporting
under the Exchange Act. The Filer further undertakes to advise the Commission promptly of any change to the Agent’s name or address during the applicable period by amendment of this Form, referencing the file number of the relevant form in
conjunction with which the amendment is being filed.
G.	The Filer undertakes to make available, in person or by telephone, representatives to respond to inquiries made
by the Commission staff, and to furnish promptly, when requested to do so by the Commission staff, information relating to the forms, schedules, and offering statements described in General Instructions I.(a), I.(b), I.(c), I.(d) and I.(f) of this
Form, as applicable; the securities to which such forms, schedules and offering statements relate, and the transaction in such securities..

The Filer certifies that it has duly caused this power of attorney, consent, stipulation and agreement to be signed on its behalf by the undersigned, thereto duly authorized, in the City of Toronto, Country of Canada, this 1 st day of October, 2021.

/s/ Greg Cavers
Name: Title:	Greg Cavers Chief Financial Officer

This statement has been signed by the following person in the capacity and on the date indicated:

C T CORPORATION SYSTEM (Agent for Service)
By:	/s/ Olga Hinkel
	Name: Olga Hinkel
	Title: VP & Assistant Secretary
Dated: October 1, 2021