CYBIN INC. — Regulatory Filings 2021

Jul 26, 2021

F-X 1 d188142dfx.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 40-F
	File Number (if known):	001-40673
	Filed by:	Cybin Inc.
	Date Filed (if filed concurrently, so indicate):	July 26, 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 CT 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 26th day of July, 2021.

CYBIN INC.
By:	/s/ Greg Cavers
	Name: Greg Cavers
	Title: Chief Financial Officer

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

CT CORPORATION SYSTEM (Agent for Service)
By:	/s/ Scott White
	Name: Scott White
	Title: Assistant Secretary
Dated: July 26, 2021