Notice of Change of Address of Director(s)
Business Corporations Act
Section 113(1)

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1. Name of Corporation
2. Alberta Corporate Access Number

3. Address Change for Director(s) (for additional directors, please attach a list)

Name of Director (Last, First, Second)
New Mailing Address (Street, City/ Town, Province, Postal Code)
Effective Date (YYYY/MM/DD)
Resident Canadian? (To be completed only by Alberta Corporations)
Name of Director (Last, First, Second)
New Mailing Address (Street, City/ Town, Province, Postal Code)
Effective Date (YYYY/MM/DD)
Resident Canadian? (To be completed only by Alberta Corporations)
Name of Director (Last, First, Second)
New Mailing Address (Street, City/ Town, Province, Postal Code)
Effective Date (YYYY/MM/DD)
Resident Canadian? (To be completed only by Alberta Corporations)
Name of Director (Last, First, Second)
New Mailing Address (Street, City/ Town, Province, Postal Code)
Effective Date (YYYY/MM/DD)
Resident Canadian? (To be completed only by Alberta Corporations)

4. To be completed only by Alberta Corporations:

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Are at least 1/4 of the members of the Board of Directors resident Canadians?
Authorized Signature (applicable for non-profit companies only)
Name of Person Authorizing
Date (YYYY/MM/DD)
Telephone Number (daytime)
Valid Identification Type & Number(not applicable for non-profit companies)
Title

This information is being collected for the purposes of corporate registry records in accordance with the Business Corporations Act. Questions about the collection of this information can be directed to the Freedom of Information and Protection of Privacy Coordinator for Alberta Registries, Box 3140, Edmonton, Alberta T5J 2G7, (780) 427-7013.

REG 3220 (Rev. 2003/05)

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