Usha Resources Ltd. — Regulatory Filings 2020

Oct 28, 2020

Form 45-106F1

Report of Exempt Distribution

ITEM 1 – R EPORT TYPE ✓ New report (YYYY-MMAmended report If amended, provide filing date of report that is being amended. DD)

ITEM 2 – P ARTY C ERTIFYING THE R EPORT Indicate the party certifying the report (select only one). For guidance regarding whether an issuer is an investment fund, refer to section 1.1 of National Instrument 81-106 Investment Fund Continuous Disclosure and the companion policy to NI 81-106. Investment fund issuer ✓ Issuer (other than an investment fund) Underwriter

ITEM 3 – ISSUER N AME AND O THER IDENTIFIERS

Provide the following information about the issuer, or if the issuer is an investment fund, about the fund. Full legal name Usha Resources Ltd. Previous full legal name N/A If the issuer’s name changed in the last 12 months, provide most recent previous legal name. Website https://www.usharesources.com/ (if applicable) If the issuer has a legal entity identifier, provide below. Refer to Part B of the Instructions for the definition of “legal entity identifier”. Legal entity identifier N/A If two or more issuers distributed a single security, provide the full legal name(s) of the co-issuer(s) other than the issuer named above. Full legal name(s) of co-issuer(s) N/A (if applicable)

ITEM 4 – U NDERWRITER I NFORMATION

If an underwriter is completing the report, provide the underwriter’s full legal name and firm NRD number. Full legal name N/A Firm NRD number (if applicable) If the underwriter does not have a firm NRD number, provide the head office contact information of the underwriter. Street address Municipality Province/State Country Postal code/Zip code Telephone number Website (if applicable)

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ITEM 5 – ISSUER INFORMATION

If the issuer is an investment fund, do not complete Item 5. Proceed to Item 6.

a) Primary industry Provide the issuer’s North American Industry Classification Standard (NAICS) code (6 digits only) that in your reasonable judgment most closely corresponds to the issuer’s primary business activity. NAICS industry code 2 1 2 3 9 8 If the issuer is in the mining industry , indicate the stage of operations. This does not apply to issuers that provide services to issuers operating in the mining industry. Select the category that best describes the issuer’s stage of operations. ✓ Exploration Development Production Is the issuer’s primary business to invest all or substantially all of its assets in any of the following? If yes, select all that apply. Mortgages Real estate Commercial/business debt Consumer debt Private companies Cryptoassets b) Number of employees Number of employees:  0 – 49 50 – 99 100 – 499 500 or more c) SEDAR profile number Does the issuer have a SEDAR profile? No  Yes If yes, provide SEDAR profile number 0 0 0 4 5 3 7 4 If the issuer does not have a SEDAR profile complete Item 5(d) – (h).

d)	Head office address
Street address														Province/State
Municipality												Postal code/Zip code
	Country											Telephone number
e)	Date of formation and financialyear-end
	Date of formation							Financial year-end
	YYYY		MM DD											MM	DD
f)	Reportingissuer status
Is the issuer a reporting issuer in any jurisdiction of Canada?								No			Yes
If yes, select the jurisdictions of Canada in which the issuer is a reporting								issuer.
	All AB BC		MB			NB				NL				NT
	NS NU ON		PE			QC				SK				YT
g)	Public listingstatus
If the issuer has a CUSIP number, provide below (first 6 digits only).
	CUSIP number
If the issuer is publicly listed, provide the name of the exchange on which the issuer’s equity securities primarily trade. Provide only the name of an exchange
and not	a trading facility such as, for example, an automated trading system.
	Exchange name
h)	Size of issuer’s assets
Select the size of the issuer’s assets based on its most recently available							annual financial statements						(Canadian $). If the issuer has not prepared annual
financial statements for its first financial year, provide the size of				the issuer’s assets at the distribution end date.
	$0 to under $5M		$5M to under $25M									$25M to under $100M
	$100M to under $500M		$500M to under $1B									$1B or over

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ITEM 6 – INVESTMENT FUND ISSUER INFORMATION

If the issuer is an investment fund, provide the following information.

a) Investment fund manager information Full legal name N/A Firm NRD Number (if applicable) If the investment fund manager does not have a firm NRD number, provide the head office contact information of the investment fund manager. Street Address Municipality Province/State Country Postal code/Zip code Telephone number Website (if applicable) b) Type of investment fund Type of investment fund that most accurately identifies the issuer (select only one). Money market Equity Fixed income Balanced Alternative strategies Cryptoasset Other (describe) Indicate whether one or both of the following apply to the investment fund. Invests primarily in other investment fund issuers Is a UCITs Fund[1] 1Undertaking for the Collective Investment of Transferable Securities funds (UCITs Funds) are investment funds regulated by the European Union (EU) directives that allow collective investment schemes to operate throughout the EU on a passport basis on authorization from one member state.

c)	c)	Date of formation and financialyear-end of the	Date of formation and financialyear-end of the	investment fund	investment fund	investment fund	investment fund	investment fund
		Date of formation						Financial year-end
		YYYY MM DD											MM	DD
d)		Reportingissuer status of the investment fund
Is the	investment fund a reporting issuer in any jurisdiction of		Canada?					No		Yes
If yes, select the jurisdictions of Canada in which the investment				fund is a reporting issuer.
		All AB BC		MB				NB		NL			NT
		NS NU ON		PE				QC		SK			YT
e)		Public listingstatus of the investment fund
If the	investment fund has a CUSIP number, provide below (first			6 digits only).
		CUSIP number
If the	investment fund is publicly listed, provide the name of the exchange on which the investment fund’s securities primarily trade.														Provide only the name of
an exchange and not a trading facility such as, for example, an automated trading system.
		Exchange name
f)		Net asset value(NAV)of the investment fund
Select the		NAV range of the investment fund as of the date of the		most recent NAV calculation					(Canadian $).
	$0 to under $5M $5M to under $25M						$25M to under $100M
	$100M to under $500M $500M to under $1B						$1B or over			Date of NAV calculation:
															YYYY	M M	DD

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ITEM 7 – INFORMATION ABOUT THE DISTRIBUTION

If an issuer located outside of Canada completes a distribution in a jurisdiction of Canada, include in Item 7 and Schedule 1 information about purchasers resident in that jurisdiction of Canada only. Do not include in Item 7 securities issued as payment of commissions or finder’s fees in connection with the distribution, which must be disclosed in Item 8. The information provided in Item 7 must reconcile with the information provided in Schedule 1 of the report.

a) Currency Select the currency or currencies in which the distribution was made. All dollar amounts provided in the report must be in Canadian dollars.  Canadian dollar US dollar Euro Other (describe) b) Distribution date(s) State the distribution start and end dates. If the report is being filed for securities distributed on only one distribution date, provide the distribution date as both the start and end dates. If the report is being filed for securities distributed on a continuous basis, include the start and end dates for the distribution period covered by the report. Start date 2020 10 21 End date 2020 10 21 YYYY MM DD YYYY MM DD c) Detailed purchaser information Complete Schedule 1 of this form for each purchaser and attach the schedule to the completed report. d) Types of securities distributed Provide the following information for all distributions reported on a per security basis. Refer to Part A(12) of the Instructions for how to indicate the security code. If providing the CUSIP number, indicate the full 9-digit CUSIP number assigned to the security being distributed.

ITEM7 – INFORMATIONABOUT THEDISTRIBUTION	ITEM7 – INFORMATIONABOUT THEDISTRIBUTION	ITEM7 – INFORMATIONABOUT THEDISTRIBUTION	ITEM7 – INFORMATIONABOUT THEDISTRIBUTION	ITEM7 – INFORMATIONABOUT THEDISTRIBUTION	ITEM7 – INFORMATIONABOUT THEDISTRIBUTION	ITEM7 – INFORMATIONABOUT THEDISTRIBUTION	ITEM7 – INFORMATIONABOUT THEDISTRIBUTION	ITEM7 – INFORMATIONABOUT THEDISTRIBUTION	ITEM7 – INFORMATIONABOUT THEDISTRIBUTION	ITEM7 – INFORMATIONABOUT THEDISTRIBUTION	ITEM7 – INFORMATIONABOUT THEDISTRIBUTION	ITEM7 – INFORMATIONABOUT THEDISTRIBUTION	ITEM7 – INFORMATIONABOUT THEDISTRIBUTION	ITEM7 – INFORMATIONABOUT THEDISTRIBUTION	ITEM7 – INFORMATIONABOUT THEDISTRIBUTION	ITEM7 – INFORMATIONABOUT THEDISTRIBUTION	ITEM7 – INFORMATIONABOUT THEDISTRIBUTION	ITEM7 – INFORMATIONABOUT THEDISTRIBUTION	ITEM7 – INFORMATIONABOUT THEDISTRIBUTION	ITEM7 – INFORMATIONABOUT THEDISTRIBUTION	ITEM7 – INFORMATIONABOUT THEDISTRIBUTION	ITEM7 – INFORMATIONABOUT THEDISTRIBUTION	ITEM7 – INFORMATIONABOUT THEDISTRIBUTION	ITEM7 – INFORMATIONABOUT THEDISTRIBUTION	ITEM7 – INFORMATIONABOUT THEDISTRIBUTION	ITEM7 – INFORMATIONABOUT THEDISTRIBUTION	ITEM7 – INFORMATIONABOUT THEDISTRIBUTION
If an issuer located outside of Canada completes a distribution in a jurisdiction of Canada, include in Item 7 and Schedule 1 information about purchasers resident in that jurisdiction of Canada only. Do not include in Item 7 securities issued as payment of commissions or finder’s fees in connection with the distribution, which must be disclosed in Item 8. The information provided in Item 7 must reconcile with the information provided in Schedule 1 of the report.
a) Currency
Select the currency or currencies in which the distribution was made. All dollar amounts provided in the report must be in Canadian dollars.  Canadian dollar US dollar Euro Other (describe)
b) Distribution date(s)
State the distribution start and end dates. If the report is being filed for securities distributed on only one distribution date, provide the distribution date as both the start and end dates. If the report is being filed for securities distributed on a continuous basis, include the start and end dates for the distribution period covered by the report.
Start date											2020		10		21	End date				2020		10		21
YYYY MM DD YYYY MM DD
c) Detailedpurchaser information
Complete Schedule 1 of this form for each purchaser and attach the schedule to the completed report.
d) Types of securities distributed
Provide the following information for all distributions reported on a per security basis. Refer to Part A(12) of the Instructions for how to indicate the security code. If providing the CUSIP number, indicate the full 9-digit CUSIP number assigned to the security being distributed.
																					Canadian $
		Security code				CUSIP number (if applicable)						Description of security							Number of securities		Single or lowest price			Highest price		Total amount
												Units, each unit is comprised of one common share														$413,166
		U	B	S		CA91734F1080						and one-half of one common share purchase							2,065,830		$0.20			$0.20
												warrant
		Total:																	2,065,830							$413,166
e) Details of rights and convertible/exchangeable securities
If any rights (e.g. warrants, options) were distributed, provide the exercise price and expiry date for each right. If any convertible/exchangeable securities were distributed, provide the conversion ratio and describe any other terms for each convertible/exchangeable security. Convertible / exchangeable security code Underlying security code Exercise price (Canadian $) Expiry date (YYYY- MM-DD) Conversio n ratio Describe other terms (if applicable) Lowest Highest W N T C M S $0.30 $0.30 2022-10-21 1:1 Half warrants. Transferable. Accelereated expiry if shares trade at $0.75 or greater during any 30 consecutive trading period.
		Convertible / exchangeable security code					Underlying security code					Exercise price (Canadian $)					Expiry date (YYYY- MM-DD)	Conversio n ratio		Describe other terms (if applicable)
												Lowest		Highest
		W	N		T		C	M		S		$0.30		$0.30			2022-10-21	1:1		Half warrants. Transferable. Accelereated expiry if shares trade at $0.75 or greater during any 30 consecutive trading period.
f) Summaryof the distribution by jurisdiction and exemption
State the total dollar amount of securities distributed and the number of purchasers for each jurisdiction of Canada and foreign jurisdiction where a purchaser resides and for each exemption relied on in Canada for that distribution. However, if an issuer located outside of Canada completes a distribution in a jurisdiction of Canada, include distributions to purchasers resident in that jurisdiction of Canada only. This table requires a separate line item for: (i) each jurisdiction where a purchaser resides, (ii) each exemption relied on in the jurisdiction where a purchaser resides, if a purchaser resides in a jurisdiction of Canada, and (iii) each exemption relied on in Canada, if a purchaser resides in a foreign jurisdiction. For jurisdictions within Canada, state the province or territory, otherwise state the country.
																							Total amount (Canadian $)
		Province or country							Exemption relied on											Number of unique h2a
																				purcasers
		BC							NI 45-106 s.2.5											1			$5,000
		BC							NI 45-106 s.2.3											3			$20,000
		QC							NI 45-106 s.2.3											1			$5,000
		USA							NI 45-106 s.2.3											6			$383,166
		Total dollar amount of securities distributed																					$413,166
		Total number of uniquepurchasers2b																		11
2aIn calculating the number of unique purchasers per row, count each purchaser only once. Joint purchasers may be counted as one purchaser. 2bIn calculating the total number of unique purchasers to which the issuer distributed securities, count each purchaser only once, regardless of whether the issuer distributed multiple types of securities to, and relied on multiple exemptions for, that purchaser.
g) Netproceeds to the investment fund by jurisdiction
If the issuer is an investment fund, provide the net proceeds to the investment fund for each jurisdiction of Canada and foreign jurisdiction where a purchaser resides.3 If an issuer located outside of Canada completes a distribution in a jurisdiction of Canada, include net proceeds for that jurisdiction of Canada only. For jurisdictions within Canada, state the province or territory, otherwise state the country.

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	Province or country	Province or country	Net proceeds (Canadian $)	Net proceeds (Canadian $)
	Total net proceeds to the investment fund
3“Net proceeds” means the gross proceeds realized in the jurisdiction from the distributions for which the report is being filed, less the gross redemptions that occurred during the distribution period covered by the report.
h) Offeringmaterials –This section applies onlyinSaskatchewan,Ontario, Québec,New Brunswick and Nova Scotia.
If a distribution has occurred in Saskatchewan, Ontario, Québec, New Brunswick or Nova Scotia, complete the table below by listing the offering materials that are required under the prospectus exemption relied on to be filed with or delivered to the securities regulatory authority or regulator in those jurisdictions. In Ontario, if the offering materials listed in the table are required to be filed with or delivered to the Ontario Securities Commission (OSC), attach an electronic version of the offering materials that have not been previously filed with or delivered to the OSC.
	Description	Date of document or other material (YYYY-MM-DD)		Previously filed with or delivered to regulator? (Y/N)		Date previously filed or delivered (YYYY-MM-DD)
1.
2.
3.

ITEM 8 – C OMPENSATION I NFORMATION

Provide information for each person (as defined in NI 45-106) to whom the issuer directly provides, or will provide, any compensation in connection with the distribution. Complete additional copies of this page if more than one person was, or will be, compensated.

Indicate whether any compensation was paid, or will be paid, in connection with the distribution.

No ✓ Yes If yes, indicate number of persons compensated. 1 a) Name of person compensated and registration status Indicate whether the person compensated is a registrant.

No ✓ Yes If the person compensated is an individual, provide the name of the individual. Full legal name of individual Family name First given name Secondary given names If the person compensated is not an individual, provide the following information. Full legal name of non-individual PI Financial Corp. Firm NRD number 5 2 9 0 (if applicable)

Indicate whether the person compensated facilitated the distribution through a funding portal or an internet-based portal. ✓ No Yes

b) Business contact information

If a firm NRD number is not provided in Item 8(a), provide the business contact information of the person being compensated.

Street address

Municipality Province/State Country Postal code/Zip code Email address Telephone number

c) Relationship to issuer or investment fund manager Indicate the person’s relationship with the issuer or investment fund manager (select all that apply). Refer to the meaning of “connected” in Part B(2) of the Instructions and the meaning of “control” in section 1.4 of NI 45-106 for the purposes of completing this section. Connected with the issuer or investment fund manager Insider of the issuer (other than an investment fund) Director or officer of the investment fund or investment fund manager Employee of the issuer or investment fund manager ✓ None of the above

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d) Compensation details
Provide details of all compensation paid, or to be paid, to the person identified in Item 8(a) in connection with the distribution. Provide all amounts in
Canadian dollars. Include cash commissions, securities-based compensation, gifts, discounts or other compensation. Do not report payments for services
incidental to the distribution, such as clerical, printing, legal or accounting services. An issuer is not required to ask for details about, or report on, internal
allocation arrangements with the directors, officers or employees of a non-individual compensated by the issuer.
Cash commissions paid $1,050
Value of all securities distributed Security code 1 Security code 2 Security code 3
Nil Security codes
as compensation [4] W N T
5,250 warrants exercisable at $0.30 per share until Oct. 21, 2022,
Describe terms of warrants, options or other rights subject to accelereated expiry if shares trade at $0.75 or greater
during any 30 consecutive trading period.
Other compensation [5] Nil Describe
Total compensation paid $1,050
Check box if the person will or may receive any deferred compensation (describe the terms below)
4Provide the aggregate value of all securities distributed as compensation, excluding options, warrants or other rights exercisable to acquire additional
securities of the issuer. Indicate the security codes for all securities distributed as compensation, including options, warrants or other rights exercisable to
acquire additional securities of the issuer.
5Do not include deferred compensation.
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ITEM 9 – DIRECTORS, EXECUTIVE OFFICERS AND PROMOTERS OF THE ISSUER

If the issuer is an investment fund, do not complete Item 9. Proceed to Item 10.

Indicate whether the issuer is any of the following (select the one that applies – if more than one applies, select only one). ✓ Reporting issuer in any jurisdiction of Canada Foreign public issuer Wholly owned subsidiary of a reporting issuer in any jurisdiction of Canada[6] Provide name of reporting issuer Wholly owned subsidiary of a foreign public issuer[6] Provide name of foreign public issuer Issuer distributing only eligible foreign securities and the distribution is to permitted clients only[7]

If the issuer is at least one of the above, do not complete Item 9(a) – (c). Proceed to Item 10. 6An issuer is a wholly owned subsidiary of a reporting issuer or a foreign public issuer if all of the issuer’s outstanding voting securities, other than securities that are required by law to be owned by its directors, are beneficially owned by the reporting issuer or the foreign public issuer, respectively. 7Check this box if it applies to the current distribution even if the issuer made previous distributions of other types of securities to non-permitted clients. Refer to the definitions of “eligible foreign security” and “permitted client” in Part B(1) of the Instructions. If the issuer is none of the above, check this box and complete Item 9(a) – (c).

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a) Directors, executive officers and promoters of the issuer

Provide the following information for each director, executive officer and promoter of the issuer. For locations within Canada, state the province or territory, otherwise state the country. For “Relationship to issuer”, “D” – Director, “O” – Executive Officer, “P” – Promoter.

a) Directors, executive officers andpromoters of the issuer	a) Directors, executive officers andpromoters of the issuer	a) Directors, executive officers andpromoters of the issuer	a) Directors, executive officers andpromoters of the issuer	a) Directors, executive officers andpromoters of the issuer	a) Directors, executive officers andpromoters of the issuer	a) Directors, executive officers andpromoters of the issuer	a) Directors, executive officers andpromoters of the issuer	a) Directors, executive officers andpromoters of the issuer	a) Directors, executive officers andpromoters of the issuer	a) Directors, executive officers andpromoters of the issuer	a) Directors, executive officers andpromoters of the issuer	a) Directors, executive officers andpromoters of the issuer
Provide the following information for each director, executive officer and promoter of the issuer. For locations within Canada, state the province or territory, otherwise state the country. For “Relationship to issuer”, “D” – Director, “O” – Executive Officer, “P” – Promoter.
	Organization or company name	Family name	First given name		Secondary given names		Business location of non-individual or residential jurisdiction of individual		Relationship to issuer (select all that apply)
							Province or country		D		O	P
	b) Promoter information
If the promoter listed above is not an individual, provide the following information for each director and executive officer of the promoter. For locations within Canada, state the province or territory, otherwise state the country. For “Relationship to promoter”, “D” – Director, “O” – Executive Officer. Organization or company name Family name First given name Secondary given names Residential jurisdiction of individual Relationship to promoter (select one or both if applicable) Province or country D O
	Organization or company name					Residential		Relationship to promoter (select one or both if applicable)
						jurisdiction of
		Family name	First given name	Secondary
				given names		individual
						Province or country		D		O
	c) Residential address of each individual
Complete Schedule 2 of this form providing the full residential address for each individual listed in Item 9(a) and (b) and attach to the completed report. Schedule 2 also requires information to be provided about control persons.

I TEM 10 – C ERTIFICATION

Provide the following certification and business contact information of an officer, director or agent of the issuer or underwriter. If the issuer or underwriter is not a company, an individual who performs functions similar to that of a director or officer may certify the report. For example, if the issuer is a trust, the report may be certified by the issuer's trustee. If the issuer is an investment fund, a director or officer of the investment fund manager (or, if the investment fund manager is not a company, an individual who performs similar functions) may certify the report if the director or officer has been authorized to do so by the investment fund.

The certification may be delegated, but only to an agent that has been authorized by an officer or director of the issuer or underwriter to prepare and certify the report on behalf of the issuer or underwriter. If the report is being certified by an agent on behalf of the issuer or underwriter, provide the applicable information for the agent in the boxes below.

If the individual completing and filing the report is different from the individual certifying the report, provide the name and contact details for the individual completing and filing the report in Item 11.

The signature on the report must be in typed form rather than handwritten form. The report may include an electronic signature provided the name of the signatory is also in typed form.

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Securities legislation requires an issuer or underwriter that makes a distribution of securities under certain prospectus exemptions to file a completed report of exempt distribution.

By completing the information below, I certify, on behalf of the issuer/underwriter/investment fund manager, to the securities regulatory authority or regulator, as applicable, that I have reviewed this report and to my knowledge, having exercised reasonable diligence, the information provided in this report is true and, to the extent required, complete.

Securities legislation requires an issuer or underwriter that makes a distribution of securities under certain prospectus exemptions to file a completed report of exempt distribution. By completing the information below, I certify, on behalf of the issuer/underwriter/investment fund manager, to the securities regulatory authority or regulator, as applicable, that I have reviewed this report and to my knowledge, having exercised reasonable diligence, the information provided in this report is true and, to the extent required, complete.	Securities legislation requires an issuer or underwriter that makes a distribution of securities under certain prospectus exemptions to file a completed report of exempt distribution. By completing the information below, I certify, on behalf of the issuer/underwriter/investment fund manager, to the securities regulatory authority or regulator, as applicable, that I have reviewed this report and to my knowledge, having exercised reasonable diligence, the information provided in this report is true and, to the extent required, complete.	Securities legislation requires an issuer or underwriter that makes a distribution of securities under certain prospectus exemptions to file a completed report of exempt distribution. By completing the information below, I certify, on behalf of the issuer/underwriter/investment fund manager, to the securities regulatory authority or regulator, as applicable, that I have reviewed this report and to my knowledge, having exercised reasonable diligence, the information provided in this report is true and, to the extent required, complete.	Securities legislation requires an issuer or underwriter that makes a distribution of securities under certain prospectus exemptions to file a completed report of exempt distribution. By completing the information below, I certify, on behalf of the issuer/underwriter/investment fund manager, to the securities regulatory authority or regulator, as applicable, that I have reviewed this report and to my knowledge, having exercised reasonable diligence, the information provided in this report is true and, to the extent required, complete.	Securities legislation requires an issuer or underwriter that makes a distribution of securities under certain prospectus exemptions to file a completed report of exempt distribution. By completing the information below, I certify, on behalf of the issuer/underwriter/investment fund manager, to the securities regulatory authority or regulator, as applicable, that I have reviewed this report and to my knowledge, having exercised reasonable diligence, the information provided in this report is true and, to the extent required, complete.
Name of issuer/underwriter/ investment fund manager/agent Full legal name Title Telephone number Signature	Usha Resources Ltd.
	Varshney	Deepak
	Family name First given na
	CEO
	778.899.1780 Email address “Deepak Varshney” Date
ITEM11 – CONTACT	PERSON
Provide the following business contact information for the individual that the securities regulatory authority or regulator may contact with any questions regarding the contents of this report, if different than the individual certifying the report in Item 10. Same as individual certifying the report Full legal name Hamelin Lindsay Title Consultant Family name First given name Secondary given names Name of company Take It Public Services Inc. Telephone number 604.682.2928 Email address lindsay@takeitpublicservices.com

Notice – Collection and use of personal information

The personal information required under this form is collected on behalf of and used by the securities regulatory authority or regulator under the authority granted in securities legislation for the purposes of the administration and enforcement of the securities legislation.

If you have any questions about the collection and use of this information, contact the securities regulatory authority or regulator in the local jurisdiction(s) where the report is filed, at the address(es) listed at the end of this form.

The attached Schedules 1 and 2 may contain personal information of individuals and details of the distribution(s). The information in Schedules 1 and 2 will not be placed on the public file of any securities regulatory authority or regulator. However, freedom of information legislation may require the securities regulatory authority or regulator to make this information available if requested.

By signing this report, the issuer/underwriter confirms that each individual listed in Schedule 1 or 2 of the report who is resident in a jurisdiction of Canada:

a) has been notified by the issuer/underwriter of the delivery to the securities regulatory authority or regulator of the information pertaining to the individual as set out in Schedule 1 or 2, that this information is being collected by the securities regulatory authority or regulator under the authority granted in securities legislation, that this information is being collected for the purposes of the administration and enforcement of the securities legislation of the local jurisdiction, and of the title, business address and business telephone number of the public official in the local jurisdiction, as set out in this form, who can answer questions about the security regulatory authority’s or regulator’s indirect collection of the information, and b) has authorized the indirect collection of the information by the securities regulatory authority or regulator.

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