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Pool Safe Inc. Regulatory Filings 2021

Apr 30, 2021

46502_rns_2021-04-30_0a1b6745-af3e-4b5b-a3a0-b47522e161ee.pdf

Regulatory Filings

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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, ____________________ Steven Glaser , 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.signed "Steven Glaser" _________________________________ _________________________________ April 30, 2021Name: Date: Steven GlaserTitle: Chief Operating OfficerReporting Issuer Name: Pool Safe Inc.End date of previous financial year: 31/12/2020Type of Reporting Issuer: [ ] Class 1 reporting [ ] Class 3B reportingissuer issuerHighest Trading Marketplace: TSX Venture ExchangeMarket value of listed or quoted equity securities:Equity Symbol POOL1st Specified Trading Period (dd/mm/yy) _______________ to ______________ 01/01/2020 31/03/2020Closing 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 $ ______________________ 0.0400marketplace (i)----- End of picture text -----

Number of securities in the class or series of suchsecurity outstanding at the end of the last trading day ofthe specified trading period________________________(ii)Market value of class or series(i) x (ii)$ _______(A)2nd Specified Trading Period(dd/mm/yy) to ______________30/06/202001/04/20202,880,849.560072,021,239 Number of securities in the class or series of suchsecurity outstanding at the end of the last trading day ofthe specified trading period________________________(ii)Market value of class or series(i) x (ii)$ _______(A)2nd Specified Trading Period(dd/mm/yy) to ______________30/06/202001/04/20202,880,849.560072,021,239 Number of securities in the class or series of suchsecurity outstanding at the end of the last trading day ofthe specified trading period________________________(ii)Market value of class or series(i) x (ii)$ _______(A)2nd Specified Trading Period(dd/mm/yy) to ______________30/06/202001/04/20202,880,849.560072,021,239
Closing price of the security in the class or series on thel di d f h ifid di id i hih
astsuchmarNumsecutheMar3rdClolastsuchmarNumsecu trang ay o te spece trang pero n wcsecurity was listed or quoted on the highest tradingketplace$ (iii)ber of securities in the class or series of suchrity outstanding at the end of the last trading day ofspecified trading period(iv)ket value of class or series(iii) x (iv)$ _______(B)Specified Trading Period(dd/mm/yy) to ______________sing price of the security in the class or series on thetrading day of the specified trading period in whichsecurity was listed or quoted on the highest tradingketplace$ (v)ber of securities in the class or series of suchrity outstanding at the end of the last trading day of 72,021,2390.03503,601,061.950072,021,2390.050030/09/202001/07/2020
theMar theMar specified trading period(vi)
(v) x (vi)$ 25207433650
ket value of class or series ______________________(C),,.

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----- Start of picture text ----- 4th Specified Trading Period (dd/mm/yy) _______________ to ______________ 01/10/2020 31/12/2020Closing 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 $ ______________________ 0.0150marketplace (vii)Number of securities in the class or series of suchsecurity outstanding at the end of the last trading day of ______________________ 72,021,239the specified trading period (viii)(vii) x (viii) $ ______________________ 1,080,318.5850Market 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 $ ______________________ 2,520,743.3650period (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) $ ______________________2,520,743.3650
Participation Fee $ ______________________400.0000
Late Fee, if applicable $ ______________________0.0000
Total Fee Payable $ ______________________400.0000
(Participation Fee plus Late Fee)