Land Owner Transparency Registry Questionnaire

Your Name(Required)

First Last

Email(Required)

Phone(Required)

Part 1: Land Owner Transparency Registry Questionnaire

Do you own any land personally that is held in trust for another individual, company or partnership?(Required)

Yes

Unsure

Does any Company you are involved with own any land in British Columbia?(Required)

Yes

Unsure

Does the Company have any leases in British Columbia in land that are for a term of 10 years or more, including any rights of renewal?(Required)

Yes

Unsure

Please provide us with some information about the property(ies) and parties involved:

Name of the Company/Partnership that owns the land

Business number of the reporting body

Contact Person

Contact Person's Email

Contact Person's Phone

Land/Property(ies) owned by the Individual/Company/Partnerships:

Civic address of the proptery(ies):

Property Identifier Number(s) (PID)

This can be found on a property tax bill or BC Assessment notice:

Part 2: Interest Holder Disclosure:

An interest holder is typically anyone who is/has:

a beneficial interest in the land;
10% or more of the issued shares of a company that is the beneficial owner of the land;
10% or more of the voting shares of a company that is the beneficial owner of the land;
the ability to exercise power over others thereby exercising de facto control, such as through a shareholders agreement or trust; or
the right, or indirect control of the right, to elect, appoint or remove a majority of the directors of a company, or the ability to exercise direct and significant influence over an individual who has any such rights.

Please fill in the information below for any individuals you believe fit into one of the five categories above. If you are uncertain please include all of the information for the relevant party, so that we have the information necessary, should we determine they are required to be included in the Transparency Report. Please add every interest holder in the reporting body.

Please do not leave any information blank.

Interest Holders

Full Legal Name(Required)

What citizenship do they hold?

List all

Are they a Canadian Citizen or Permanent Resident of Canada?

Yes

City and Province/State of the Individual's principal residence:

Date of Birth

MM slash DD slash YYYY

Social Insurance Number (SIN)

Address

Street Address City State / Province / Region Postal Code Country

Is the individual a resident of Canada for income tax purposes?

Yes

How is the individual an Interest Holder?

Shareholder

Beneficiary

Trustee

Is the individual incapacitated from managing their financial affairs?

Yes

Unsure