Proxy Form - Template Form to Create Word & PDF Pro · EN-CA-law

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FORM OF PROXY

(Solicited by Management of the Corporation)

This form of proxy is given pursuant to the Canada Business Corporations Act, R.S.C. 1985, c. C-44, as amended (the "Act"), and the by-laws of the Corporation.

§ 1.  Appointment of Proxyholder

I, ________, being the undersigned registered holder of shares of ________ (the "Corporation"), incorporated under the Act with registered office at ________ and Corporation number ________, whose latest address as shown in the records of the Corporation is:

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and being the registered holder of ________ common share(s) in the capital of the Corporation, hereby revoke any proxy previously given and appoint, in my stead, ________ (the "Proxyholder"), whose address is as follows:

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or, failing him or her, in the event that ________ is unwilling or unable to act as Proxyholder, I hereby appoint ________, whose address is as follows:

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as my nominee to attend, act, vote and otherwise represent me at the meeting of shareholders of the Corporation referred to below, and at any adjournment or postponement thereof, with the same powers as if I were personally present. The Proxyholder need not be a shareholder of the Corporation.

§ 2.  The Meeting

This Proxy is given in respect of the ________ meeting of shareholders of the Corporation to be held on ________ at ________, at the following location:

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and at any adjournment or postponement thereof (the "Meeting"). This Proxy is solicited by and on behalf of the management of the Corporation.

§ 3.  Powers of the Proxyholder

This Proxy confers upon the Proxyholder the following powers:

1. to attend the Meeting and to be counted in the determination of whether a quorum is present;
2. to vote, whether by show of hands or by ballot, in respect of all shares registered in my name on all resolutions and matters properly brought before the Meeting; and
3. to exercise all rights attaching to such shares and to act generally on my behalf in connection with all business that may properly come before the Meeting.

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Voting instructions of the shareholder (if any):

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§ 4.  Revocation

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§ 5.  Execution

This Proxy is executed, by written or electronic signature, pursuant to the provisions of the Canada Business Corporations Act, R.S.C. 1985, c. C-44, as amended (or any consolidation, repeal, amendment or substitution therefor). If the shareholder is a body corporate, this Proxy must be executed by a duly authorized officer or attorney. If not dated, this Proxy shall be deemed to bear the date on which it is deposited with the Corporation.

Executed at ________ on this date:

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Date (________)

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Signature of Shareholder (or authorized officer/attorney)

Name and title of signatory (if signing on behalf of a body corporate): ________

This signed Proxy must be deposited with the Corporation (or delivered electronically if permitted) or with an agent thereof, at the address set out below, within the time and in the manner specified in the by-laws of the Corporation and consistent with the Act:

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Deadline for deposit: ________