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Silver Range Resources Ltd. — Regulatory Filings 2023
Jun 8, 2023
46877_rns_2023-06-08_71fe1cc3-7f53-4b50-a0a4-8a7f01c1fc60.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
| 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:Title: | Date: | |||
| Reporting Issuer Name: | ||||
| End date of previous financial year: | ||||
| Type of Reporting Issuer: | [] Class 1 reporting[] Class 3B reportingissuerissuer | |||
| 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 thelast trading day of the specified trading period in whichsuch security was listed or quoted on the highest tradingmarketplace | (i) | $ ______________________ |
| Number of securities in the class or series of suchsecurity 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 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 ofthe 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 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) | $ ______________________ |
| 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 tradingmarketplace | (vii) | $ ______________________ | |
| Number of securities in the class or series of suchsecurity outstanding at the end of the last trading day ofthe specified trading period | (viii) | ______________________ | |
| Market value of class or series | (vii) x (viii) | (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 tradingmarketplace | (ix) | $ ______________________ | |
| Number of securities in the class or series of suchsecurity outstanding at the end of the last trading day ofthe specified trading period | (x) | ______________________ | |
| Market value of class or series | (ix) x (x) | (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 tradingperiod (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) | $ ______________________ |
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