DEFSEC TECHNOLOGIES — Regulatory Filings 2021

Jan 29, 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

I, ________, an officer of the reporting issuer noted below have examined this Form 13-501F1 (the Form) being submitted hereunder to the Alberta Securities Commission and certify that to my knowledge, having exercised reasonable diligence, the information provided in the Form is complete and accurate.
_________ Name:	_________ Date:
Title:
Reporting Issuer Name:
End date of previous financial year:
Type of Reporting Issuer:	[ ] Class 1 reporting issuer	[ issuer	] Class 3B reporting
Highest 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 the last trading day of the specified trading period in which such security was listed or quoted on the highest trading marketplace		(i)	\$ ____

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		(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 the last trading day of the specified trading period in which such security was listed or quoted on the highest trading marketplace		(iii)	\$ ____
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		(iv)	____
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 the last trading day of the specified trading period in which such security was listed or quoted on the highest trading marketplace		(v)	\$ ____
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		(vi)	____
Market value of class or series	(v) x (vi)	(C)	\$ ____

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 such security was listed or quoted on the highest trading marketplace	(vii)	\$ ____
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	(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 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 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)

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)			\$ ____