Regulation BEFORE repealed by BC Reg 597/2004, effective December 31, 2004.
| B.C. Reg. 313/90 O.C. 1344/90 | Deposited September 7, 1990 |
Financial Institutions and Credit Union Incorporation Acts
Financial Institutions Forms Regulation
Financial institutions annual statement
2 The return required under section 127 (1) of the Act must be in the same form as
(a) in the case of a trust company, the Annual Statement of Trust Companies prepared and published by the Office of the Superintendent of Financial Institutions Canada and commonly referred to as OSFI-33,
(b) in the case of an insurance company authorized to carry on general insurance business, the Annual Statement by Canadian and Provincial Companies Registered or Licensed to Transact the Business of Insurance Other Than Life Insurance prepared and published by the Office of the Superintendent of Financial Institutions Canada and commonly referred to as P&C-1,
(c) in the case of an insurance company authorized to carry on life insurance business,
(i) the Annual Statement by Canadian and Provincial Companies Registered or Licensed to Transact the Business of Life/Accident and Sickness Insurance prepared and published by the Office of the Superintendent of Financial Institutions Canada and commonly referred to as OSFI-54, and
(ii) the Provincial Exhibits Required From Insurance Companies Registered or Licensed to Transact the Business of Life Insurance and Accident and Sickness Insurance in Canada prepared and published by the Office of the Superintendent of Financial Institutions Canada and commonly referred to as OSFI-194, and
(d) in the case of a credit union, Forms 1 and 2.
[am. B.C. Reg. 110/92, s. 1.]
Periodic financial and statistical report
3 The report required under section 127 (3) of the Act must be
(a) in Form 1 and 2 for credit unions, and
(b) in Form 3.1 for trust companies authorized to carry on deposit business or both deposit business and trust business.
[en. B.C. Reg. 110/92, s. 2.]
Extraprovincial corporation annual statement
4 The return required under section 163 of the Act must be in the same form as
(a) in the case of an extraprovincial trust corporation, the Annual Statement of Trust Companies, prepared and published by the Office of the Superintendent of Financial Institutions Canada and commonly referred to as OSFI-33,
(b) in the case of an extraprovincial insurance corporation authorized to carry on general insurance business
(i) the Annual Statement by Canadian and Provincial Companies Registered or Licensed to Transact the Business of Insurance Other Than Life Insurance prepared and published by the Office of the Superintendent of Financial Institutions Canada and commonly referred to as P & C-1, or
(ii) the Annual Statement by British and Foreign Companies Registered or Licensed to Transact the Business of Insurance Other Than Life Insurance prepared and published by the Office of the Superintendent of Financial Institutions Canada and commonly referred to as P & C-2, and
(c) in the case of an extraprovincial insurance corporation authorized to carry on life insurance business,
(i) the Annual Statement
(A) by Canadian and Provincial Companies Registered or Licensed to Transact the Business of Life/Accident and Sickness Insurance prepared and published by the Office of the Superintendent of Financial Institutions Canada and commonly referred to as OSFI-54, or
(B) by British and Foreign Companies Registered or Licensed to Transact the Business of Life/Accident and Sickness Insurance prepared and published by the Office of the Superintendent of Financial Institutions Canada and commonly referred to as OSFI-55, and
(ii) the Provincial Exhibits Required From Insurance Companies Registered or Licensed to Transact the Business of Life Insurance and Accident and Sickness Insurance in Canada prepared and published by the Office of the Superintendent of Financial Institutions Canada and commonly referred to as OSFI-194.
Forms under the Company Act
5 The forms established as Forms 1 to 23 of the Second Schedule of the Company Act shall be remitted to the Registrar of Companies for those matters connected with the administration of the Company Act, as it applies for the purpose of the Financial Institutions Act or the Credit Union Incorporation Act.
Form 1
[en. B.C. Reg. 241/94.]
Credit Union Monthly Financial & Statistical Return
| CHARTER NO. | CREDIT UNION NAME | UNCONSOLIDATED BALANCE SHEET — ASSETS ($) AS AT |
| CASH AND LIQUID INVESTMENTS | ||||
| Cash | _____1010 | |||
| BCCCU Operating Account | _____1020 | |||
| BCCCU Deposits | [100 days or less $____ 1035] | _____1030 | ||
| Securities Issued or Guaranteed by Government | _____1040 | |||
| Deposits-Dep. Taking Institutions | [100 days or less $____ 1055] | _____1050 | ||
| Guaranteed Debt Sec. Instruments | [1 year or less $____ 1065] | _____1060 | ||
| Non-Guaranteed Commercial Paper (Rated R1 Middle or Better) | _____1070 | |||
| All Other Non-Guaranteed Commercial Paper & Other | _____1080 | |||
| Accrued Interest on Above Items | _____1090 | _____1100 | ||
| OTHER INVESTMENTS | ||||
| Equity Shares - BCCCU/SCCU | _____1110 | |||
| CUDIC Debentures | _____1120 | |||
| Accrued Interest & Dividends on Other Investments | _____1130 | _____1140 | ||
| LOANS | ||||
| Personal - Real Estate Secured: | ||||
| CMHC/MICC Insured | _____1150 | |||
| Residential - 75% of FMV or Less | [LOC's $________ 1165] | _____1160 | ||
| Residential - > than 75% of FMV | [LOC's $________ 1175] | _____1170 | ||
| Personal - Otherwise Secured: | ||||
| Fully sec. by Dep. & Gov't. Sec. | [LOC's $________ 1185] | _____1180 | ||
| All Others | [LOC's $________ 1195] | _____11980 | ||
| Personal - Unsecured: | ||||
| All | [LOC's $________ 1205] | _____1200 | ||
| Commercial - Real Estate Secured: | ||||
| CMHC/MICC Insured | _____1210 | |||
| Residential | [LOC's $________ 1225] | _____1220 | ||
| Progressive Draws/Interim Financing | [LOC's $________ 1235] | _____1230 | ||
| All Others | [LOC's $________ 1245] | _____1240 | ||
| Commercial - Otherwise Secured: | ||||
| Fully Sec. by Dep. & Gov't Sec. | [LOC's $________ 1255] | _____1250 | ||
| All Others | [LOC's $________ 1265] | _____1260 | ||
| Commercial - Unsecured: | ||||
| Gov't, Mun., Public Bodies, etc. | [LOC's $________ 1275] | _____1270 | ||
| All Others | [LOC's $________ 1285] | _____1280 | ||
| Accrued Interest on Loans | ||||
| Allowance for Doubtful Loans: | ||||
| Personal | (____)1300 | |||
| Commercial | (____)1310 | _____1320 | ||
| OTHER ASSETS | ||||
| Premises & Equipment | _____1330 | |||
| Accumulated Depreciation/Amortization | (____)1340 | |||
| Property Acquired in Settlement of Loans - Net | _____1350 | |||
| Property Held for Investment - Net | _____1360 | |||
| Equity Investments - Less than 10% Ownership | _____1370 | |||
| Equity Investments - 10% or Greater Ownership | _____1380 | |||
| Deferred Income Tax Debits | _____1390 | |||
| Deferred Charges | _____1400 | |||
| All Other Assets | _____1410 | _____1420 | ||
| TOTAL ASSETS | _____1430 | |||
| CHARTER NO. | CREDIT UNION NAME | UNCONSOLIDATED BALANCE SHEET — LIABILITIES & CAPITAL ($) AS AT |
| BORROWINGS | |||||
| BCCCU Operating Account | _____2010 | ||||
| BCCCU Term | [Specified $________ 2025 | _____2020 | |||
| Other | [Specified $ ________ 2035 | _____2030 | |||
| Accrued Interest on Borrowings | _____2040 | _____2050 | |||
| DEPOSITS | |||||
| Demand: | |||||
| Chequing - Untiered (Basic) | _____2060 | ||||
| Chequing - Tiered (Maximizer) | _____2070 | ||||
| Daily Interest (Plan 24) | _____2080 | ||||
| Minimum Balance (Special Savings) | _____2090 | ||||
| Investment (T-Bill Savings) | _____2100 | ||||
| Registered Plans | _____2110 | ||||
| Other | _____2120 | ||||
| Term: | |||||
| Regular/Premium | _____2130 | ||||
| Registered Plans | _____2140 | ||||
| Other | _____2150 | ||||
| Non-Equity Shares | _____2160 | ||||
| Accrued Interest on Deposits and Dividends on Non-Equity Shares | _____2170 | _____2170; | |||
| OTHER LIABILITIES | _____2190 | ||||
| CAPITAL | |||||
| Primary Capital: | |||||
| Equity Shares | [Discount $________ 2205] | _____2200 | |||
| Retained Earnings (Deficit): | |||||
| Previous Year End | ______ 2210 | ||||
| Net Income (Loss) Year-to-Date | ______ 2220 | _____2230 | |||
| Deferred Income Tax Credits | _____2240 | ||||
| CUDIC/SCCU Sub. Deb. | [Discount $________ 2255] | _____2250 | |||
| Other | _____2260 | ||||
| Dividends to be Paid as Primary Capital | _____2270 | ||||
| Secondary Capital: | |||||
| Equity Shares | [Discount $________ 2285] | _____2280 | |||
| Subordinated Debt | [Discount $________ 2295] | _____2290 | |||
| Dividends to be Paid as Secondary Capital | _____2300 | _____2310 | |||
| TOTAL LIABILITIES AND CAPITAL | _____2320 | ||||
| CHARTER NO. | CREDIT UNION NAME | UNCONSOLIDATED INCOME STATEMENT ($) FOR PERIOD ENDED |
| FINANCIAL INCOME | ||||
| Liquid Investments | _____3010 | |||
| Other Investments | _____3020 | |||
| Loan Interest: | ||||
| Personal: | Real Estate Secured (excluding Lines of Credit) | _____3030 | ||
| Otherwise Secured (excluding Lines of Credit) | _____3040 | |||
| Unsecured (excluding Lines of Credit) | _____3050 | |||
| Lines of Credit | _____3060 | |||
| Commercial: | Real Estate Secured (excluding Lines of Credit) | _____3070 | ||
| Otherwise Secured (excluding Lines of Credit) | _____3080 | |||
| Unsecured (excluding Lines of Credit) | _____3090 | |||
| Lines of Credit | _____3100 | |||
| Interest Rate/Foreign Exchange Contracts - Net | _____3110 | |||
| Trading Gains (Losses) | _____3120 | _____3130 | ||
| FINANCIAL EXPENSE | ||||
| Borrowings Interest: | ||||
| BCCCU Operating Account | _____3140 | |||
| BCCCU Term | _____3150 | |||
| Other | _____3160 | |||
| Demand Interest: | ||||
| Chequing - Untiered (Basic) | _____3170 | |||
| Chequing - Tiered (Maximizer) | _____3180 | |||
| Daily Interest (Plan 24) | _____3190 | |||
| Minimum Balance (Special Savings) | _____3200 | |||
| Investment (T-Bill Savings) | _____3210 | |||
| Registered Plans | _____3220 | |||
| Other | _____3230 | |||
| Term Interest: | ||||
| Regular/Premium | _____3240 | |||
| Registered Plans | _____3250 | |||
| Other | _____3260 | |||
| Non-Equity Share Dividends | _____3270 | |||
| Subordinated Debentures/Debt | _____3280 | |||
| FINANCIAL MARGIN | _____3290 | _____3330 | ||
| NON-FINANCIAL INCOME | ||||
| Member Services | _____3310 | |||
| Equity Investments - 10% or Greater: | ||||
| Revenue Allocations from Subsidiary Companies - Net | _____3320 | |||
| Subsidiary and Other Equity Investment Earnings - Net | _____3330 | |||
| Other | _____3340 | _____3350 | ||
| NON-FINANCIAL EXPENSES | ||||
| Salaries & Benefits | _____3360 | |||
| Data Processing | _____3370 | |||
| Premises & Equipment | _____3380 | |||
| Depreciation/Amortization | _____3390 | |||
| Loan Losses - Net | _____3400 | |||
| Property Acquired in Settlement of Loans - Net | _____3410 | |||
| Other | _____3420 | _____3430 | ||
| NET OPERATING INCOME (LOSS) | _____3440 | |||
| Equity Share Dividends | _____3450 | |||
| Patronage Refunds | _____3460 | |||
| Income Taxes | _____3470 | |||
| Capital Gain (Loss)/Extraordinary Items | _____3480 | _____3490 | ||
| NET INCOME (LOSS) | _____3500 | |||
| CHARTER NO. | CREDIT UNION NAME | UNCONSOLIDATED STATISTICS AS AT |
EQUITY INVESTMENTS (Subsidiary(ies) and other equity investment(s) -
10% or greater ownership as calculated using Equity Method of Accounting)
| Acquisition Cost | _____4010 | |||||
| Plus: | Post Acquisition Net Earnings (Losses), After Goodwill Amortization Expenses: To Previous Year End | _____4020 | ||||
| Year-to-Date: |
| |||||
| Insurance Subsidiaries | $________4060 | |||||
| Property/Real Estate Development | $________4070 | |||||
| All Other | $________4090 | |||||
| VALUE OF EQUITY INVESTMENT | $________4100 | |||||
LOANS IN ARREARS (including LOC's)
| PERSONAL | COMMERCIAL | |||||
| Days 30 - 89 90 - 179 180 - 364 365 & over | Real Estate $________ $________ $________ $________ 4110-4140 | Otherwise $________ $________ $________ $________ 4150-4180 | Unsecured $________ $________ $________ $________ 4190-4220 | Real Estate $________ $________ $________ $________ 4230-4260 | Otherwise $________ $________ $________ $________ 4270-4300 | Unsecured $________ $________ $________ $________ 4310-4340 |
UNAUTHORIZED ADVANCES
| PERSONAL | COMMERCIAL | |||||
| LOC's Exceeded Overdrafts > 3 days | Real Estate $________ 4350 | Otherwise $________ 4360 | Unsecured $________ 4370 $________ 4410 | Real Estate $________ 4380 | Otherwise $________ 4390 | Unsecured $________ 4400 $________ 4420 |
UNFUNDED LOANS
| PERSONAL | COMMERCIAL | |||
| LOC's All Other Loans | All $________ 4430 $________ 4470 | Real Estate $________ 4440 $________ 4480 | Otherwise $________ 4450 $________ 4490 | Unsecured $________ 4460 $________ 4500 |
OTHER STATISTICS
| Total Off Balance Sheet Exposures | $________4510 |
| Concentration Risk Adjustment: Single Parcels of Land | $________4520 |
| Staff - Full Time Equivalent | $________4530 |
| Membership | $________4540 |
SIGNATURE
| General Manager/CEO > | Y/M/D Date > |
Form 2
Form 3
Repealed. [B.C. Reg. 110/92, s. 3.]
Form 3.1
[en. B.C. Reg. 110/92, s. 4.]
| Province of British Columbia | Ministry of Finance and Corporate Relations FINANCIAL INSTITUTIONS COMMISSION | FINANCIAL RETURN for Trust Companies | Form 3.1 |
| INSTRUCTIONS | |
| 1. | This form is required pursuant to sections 62, 68, 127 and 289 of the FINANCIAL INSTITUTIONS ACT. |
| 2. | This form must be typewritten or printed. |
| 3. | All applicable information must be provided. Attach additional typed / printed sheets as necessary. |
| 4. | Upon completion, please forward this form together with all attachments to the Financial Institutions Commission, Suite 1900, 1050 West Pender Street, Vancouver, British Columbia, V6E 3S7. |
| 5. | All material requested must be submitted at the same time. |
| A. COMPANY DETAILS 1. NAME OF TRUST COMPANY: ................................................................................................................. 2. TYPE OF BUSINESS AUTHORIZATION:  Deposit Business Deposit and Trust Business3. HEAD OFFICE ADDRESS: ...................................................................................................................... 4. TELEPHONE NUMBER: ............................................. 5. FAX NUMBER: .............................................. 6. INCORPORATION NUMBER: ................................................................................................................... 7. JURISDICTION OF INCORPORATION: ...................................................................................................... 8. (i) CONTACT PERSON: .......................................................................................................................... (ii) TITLE: ............................................................................................................................................... 9. FISCAL YEAR END: ............................................................................................................................... B. REPORTING PERIOD Financial Return for the Period Ending .........................................................[date]. C. CAPITAL AND LIQUIDITY 1. Capital Adequacy Ratio [from line 085 on Schedule 9]: ...................................... 2. Liquidity Ratio [from line 890 on Schedule 8]: ...................................... |
| CERTIFICATION We, ..................................................................... and .................................................................... as officers of ................................................................... in the city of .......................................................... in the province of ......................................................., hereby certify that the foregoing statements and attached schedules have been prepared from the books and records of the company, and that to the best of our knowledge and belief are correct and complete and show the financial position of the company and the conditions of the company's affairs on .......................................................[date]. Signature ....................................................................... Date Signed: ..................................................... Position: ......................................................................... Signature: ....................................................................... Date Signed: ..................................................... Position: ......................................................................... |
Form 3.1-02
Form 3.1-03
Form 3.1-04
Form 3.1-05
Form 3.1-06
Form 3.1-07
Form 3.1-08
Form 3.1-09
Form 3.1-10
Form 3.1-11
Form 3.1-12
Form 3.1-13
Form 3.1-14
Form 3.1-15
Form 3.1-16
Form 3.1-17
Form 3.1-18
Form 3.1-19
Form 4-1
Form 4-2
Form 5-1
Form 5-2
Form 5-3
Form 6-1
Form 6-2
Form 7
Repealed. [B.C. Reg. 218/2002.]
Form 8-1
| Province of British Columbia | Ministry of Finance and Corporate Relations FINANCIAL INSTITUTIONS COMMISSION | APPLICATION FOR BUSINESS AUTHORIZATION for Trust Companies, Insurance Companies, and Credit Unions | Form 8 |
| INSTRUCTIONS | |
| 1. | This form is required pursuant to sections 61 (1), (4), (5), (6) and (7) of the FINANCIAL INSTITUTIONS ACT. |
| 2. | This form must be typewritten or printed. |
| 3. | All applicable information must be provided. Attach additional typed / printed sheets as necessary. |
| 4. | Upon completion, please forward this form together with all attachments to the Financial Institutions Commission, Suite 1900, 1050 West Pender Street, Vancouver, British Columbia, V6E 3S7. |
| 5. | All material requested must be submitted at the same time. |
| A. APPLICANT DETAILS 1. APPLICATION FOR BUSINESS AUTHORIZATION FOR: Deposit Business Trust Business Deposit and Trust Business Insurance Business2. NAME OF COMPANY/CREDIT UNION: ..................................................................................................... 3. HEAD OFFICE ADDRESS: ...................................................................................................................... 4. TELEPHONE NUMBER: ............................................. 5. FAX NUMBER: .............................................. 6. INCORPORATION NUMBER: ................................................................................................................... 7. (i) CONTACT PERSON: .......................................................................................................................... (ii) TITLE: ............................................................................................................................................... B. BUSINESS AUTHORIZATION FEES Attach the business authorization fee, in the amount set out in the Financial Institutions Fees Regulation, made payable to the Minister of Finance and Corporate Relations. C. DEPOSIT BUSINESSFOR DEPOSIT BUSINESS OR DEPOSIT AND TRUST BUSINESS APPLICANTS ONLY In the case of a trust company, attach a letter of 'no objection' from the Canada Deposit Insurance Corporation, or an approved deposit insurer. D. INSURANCE BUSINESSFOR INSURANCE BUSINESS APPLICANTS ONLY 1. Business Authorization to be confined to: Life Insurance Business General Insurance Business Life and General Insurance Business Specific Class or Classes of Insurance2. Name of Actuary: .................................................................................................................................... 3. Address: ................................................................................................................................................ 4. Telephone Number: ......................................................... 5. Attach a letter of no objection or evidence of membership from an approved insurance compensation plan in respect to classes of insurance permitted under business authorization. |
Form 8-2
Form 9-1
Form 9-2
Form 10-1
| Province of British Columbia | Ministry of Finance and Corporate Relations FINANCIAL INSTITUTIONS COMMISSION | APPLICATION FOR ANNUAL PERMIT For Reciprocal Exchanges | Form 10 |
| INSTRUCTIONS | |
| 1. | This form is required pursuant to section 187 (1) (a) of the FINANCIAL INSTITUTIONS ACT. |
| 2. | This form must be typewritten or printed. |
| 3. | All applicable information must be provided. Attach additional typed / printed sheets as necessary. |
| 4. | Upon completion, please forward this form together with all attachments to the Financial Institutions Commission, Suite 1900, 1050 West Pender Street, Vancouver, British Columbia, V6E 3S7. |
| 5. | All material requested must be submitted at the same time. |
| A. APPLICANT DETAILS 1. APPLICATION FOR: Initial Permit Renewal of Permit2. NAME OF RECIPROCAL EXCHANGE ..................................................................................................... 3. HEAD OFFICE ADDRESS: ...................................................................................................................... 4. TELEPHONE NUMBER: ........................................... 5. FAX NUMBER: ............................................... 6. (i) CONTACT PERSON: .......................................................................................................................... (ii) TITLE:............................................................................................................................................... B. BUSINESS PERMIT FEES Attach the annual permit fees in the amount set out in the Financial Institutions Fees Regulation, made payable to the Minister of Finance and Corporate Relations. C. MEMBERS OF RECIPROCAL EXCHANGE 1. Attach any agreement(s) entered into by members. 2. Attach forms of all policies and endorsements. 3. List members of the reciprocal exchange: |
| NAME | ADDRESS | TELEPHONE |
Form 10-2
Form 11
| Province of British Columbia | Ministry of Finance and Corporate Relations FINANCIAL INSTITUTIONS COMMISSION | APPLICATION FOR BUSINESS AUTHORIZATION for Extraprovincial Corporations | Form 11 |
| INSTRUCTIONS | |
| 1. | This form is required pursuant to section 160 (1) of the FINANCIAL INSTITUTIONS ACT. |
| 2. | This form must be typewritten or printed. |
| 3. | All applicable information must be provided. Attach additional typed / printed sheets as necessary. |
| 4. | Upon completion, please forward this form together with all attachments to the Financial Institutions Commission, Suite 1900, 1050 West Pender Street, Vancouver, British Columbia, V6E 3S7. |
| 5. | All material requested must be submitted at the same time. |
| A. APPLICANT DETAILS 1. APPLICATION FOR BUSINESS AUTHORIZATION FOR: Deposit Business Trust Business Deposit and Trust Business Insurance Business2. NAME OF EXTRAPROVINCIAL CORPORATION: ...................................................................................... 3. HEAD OFFICE ADDRESS: ...................................................................................................................... 4 TELEPHONE NUMBER: ............................................ 5. FAX NUMBER: .............................................. 6. INCORPORATION NUMBER: ................................................................................................................... 7. JURISDICTION OF INCORPORATION: ...................................................................................................... 8. (i) CONTACT PERSON: .......................................................................................................................... (ii) TITLE: ............................................................................................................................................... B. BUSINESS AUTHORIZATION FEES Attach the business authorization fees, in the amount set out in the Financial Institutions Fees Regulation, made payable to the Minister of Finance and Corporate Relations. C. PLAN Attach a business plan for the extraprovincial corporation. D. MEMORANDUM / CONSTITUTION Attach the memorandum / constitution for the extraprovincial corporation. E. ARTICLES / BYLAWS Attach the articles / bylaws for the extraprovincial corporation. F. NOTICE OF OFFICE IN BRITISH COLUMBIA Provide the following: Registered Office Address ............................................................................................................................ Records Office Address: ............................................................................................................................... Branch Address(es): ..................................................................................................................................... |
Form 11-2
Form 12
Repealed. [B.C. Reg. 110/92, s. 3.]
Form 13-1
| Province of British Columbia | Ministry of Finance and Corporate Relations FINANCIAL INSTITUTIONS COMMISSION | PERSONAL INFORMATION RETURN for Directors, Senior Officers, Subscribers and Shareholders | Form 13 |
| INSTRUCTIONS | |
| 1. | This form is required pursuant to section 18 (2) (e), 29 (2) (c) 105 and 289 (3) (a) of the FINANCIAL INSTITUTIONS ACT, and section 11 (3) (e) and 108 (2) (a) and (b) of the CREDIT UNION INCORPORATION ACT. |
| 2. | This form must be typewritten or printed. |
| 3. | All applicable information must be provided. Attach additional typed / printed sheets as necessary. |
| 4. | Upon completion, please forward this form together with all attachments to the Financial Institutions Commission, Suite 1900, 1050 West Pender Street, Vancouver, British Columbia, V6E 3S7. |
| 5. | All material requested must be submitted at the same time. |
| A. GENERAL INFORMATION 1. Personal Information for a: Director Senior Officer Subscriber Shareholder controlling 10% of more of the voting shares2. Name of Financial Institution: ................................................................................................................... 3. Full Legal Nam ..................................................................................................................................... [Surname] [Full Given Names] 4. All Previous Names: ................................................................................................................................ [Surname] [Full Given Names] 5. Residential Address: ............................................................................................................................... 6. Telephone Number: ....................................... 7. Social Insurance Number: ........................................... 8. Date of Birth: ..................................................... 9. Place of Birth: ........................................................ [Year] [Month] [Day] 10. Citizenship: ........................................................................................................................................... 11. Driver's Licence No.: .......................................... Issued by: (Prov. / Territory) ........................................... B. EMPLOYMENT 1. Present Position or Occupation: ................................................................................................................ 2. Start Date Present Employment: ............................................................................................................... 3. (i) Name of Present Employer: ................................................................................................................. (ii) Address:............................................................................................................................................ (iii) Telephone Number: ............................................................................................................................. C. OTHER INFORMATION 1. List memberships in professional societies or associations (if none, please indicate): .............................................................................................................................................................. 2. List any Directorates held (if none, please indicate):................................................................................... .............................................................................................................................................................. 3. List any companies in which you own or control more than 10% of the voting shares (if none, please indicate): ......................................................................................................................... |
Form 13-2
Requirements for Disclosure Statements Form
Repealed. [B.C. Reg. 82/91, s. 1.]
[see now B.C. Reg. 309/90 under the Credit Union Incorporation Act]
[Provisions relevant to the enactment of this regulation: Financial Institutions Act, R.S.B.C. 1996, c. 141 — section 289; Credit Union Incorporation Act, R.S.B.C. 1996, c. 82 — section 108]