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3 - Year of filing
1 - Corporate name
2 - Corporation number
Canada Not-for-profit Corporations Act (NFP Act) Form 4022
Annual Return
Yes No
IMPORTANT REMINDER • If there has been a change to the registered office address, file Form 4003 - Change of Registered Office Address. • If there have been changes to the board of directors or to the address of directors, file Form 4006 - Changes Regarding Directors.
4 - Date of last annual meeting of members (YYYY-MM-DD)
5 - Is the corporation a soliciting corporation?
6 -DeclarationI hereby certify that I have relevant knowledge of the corporation, and that I am authorized to sign this form.
Note: A person who makes, or assists in making, a false or misleading statement is guilty of an offence and liable on summary conviction to a fine of not more than $5,000 or to imprisonment for a term of not more than six months or to both (subsection 262(2) of the NFP Act).
ISED-ISDE 3601E (2016-11)
Signature:
Telephone number:Print name:
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