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The Alberta Gazette
Part I
Vol. 112	Edmonton, Tuesday, November 15, 2016	No. 21
PROCLAMATION
[GREAT SEAL] 
CANADA 
PROVINCE OF ALBERTA	Lois Mitchell, Lieutenant Governor.
ELIZABETH THE SECOND, by the Grace of God, of the United Kingdom, 
Canada, and Her Other Realms and Territories, QUEEN, Head of the 
Commonwealth, Defender of the Faith
P R O C L A M A T I O N
To all to Whom these Presents shall come
G R E E T I N G
Philip Bryden Deputy Attorney General
WHEREAS section 11 of the Alberta Research and Innovation Amendment Act, 
2016 provides that that Act comes into force on Proclamation; and
WHEREAS it is expedient to proclaim the Alberta Research and Innovation 
Amendment Act, 2016 in force:
NOW KNOW YE THAT by and with the advice and consent of Our Executive 
Council of Our Province of Alberta, by virtue of the provisions of the said Act 
hereinbefore referred to and of all other power and authority whatsoever in Us vested 
in that behalf, We have ordered and declared and do hereby proclaim the Alberta 
Research and Innovation Amendment Act, 2016 in force on November 1, 2016.
IN TESTIMONY WHEREOF We have caused these Our Letters to be made Patent 
and the Great Seal of Our Province of Alberta to be hereunto affixed.
WITNESS: THE HONOURABLE LOIS MITCHELL, Lieutenant Governor of 
Our Province of Alberta, this 26 day of October in the Year of Our Lord Two 
Thousand Sixteen and in the Sixty-fifth Year of Our Reign.
BY COMMAND	Kathleen Ganley, Provincial Secretary.
PROCLAMATION
[GREAT SEAL] 
CANADA 
PROVINCE OF ALBERTA	Lois Mitchell, Lieutenant Governor.
ELIZABETH THE SECOND, by the Grace of God, of the United Kingdom, 
Canada, and Her Other Realms and Territories, QUEEN, Head of the 
Commonwealth, Defender of the Faith
P R O C L A M A T I O N
To all to Whom these Presents shall come
G R E E T I N G
Frank Bosscha Acting Deputy Attorney General
WHEREAS section 15 of the Energy Efficiency Alberta Act provides that that Act 
comes into force on Proclamation; and
WHEREAS it is expedient to proclaim the Energy Efficiency Alberta Act in force:
NOW KNOW YE THAT by and with the advice and consent of Our Executive 
Council of Our Province of Alberta, by virtue of the provisions of the said Act 
hereinbefore referred to and of all other power and authority whatsoever in Us vested 
in that behalf, We have ordered and declared and do hereby proclaim the Energy 
Efficiency Alberta Act in force on October 27, 2016.
IN TESTIMONY WHEREOF We have caused these Our Letters to be made Patent 
and the Great Seal of Our Province of Alberta to be hereunto affixed.
WITNESS: THE HONOURABLE LOIS MITCHELL, Lieutenant Governor of 
Our Province of Alberta, this 26 day of October in the Year of Our Lord Two 
Thousand Sixteen and in the Sixty-fifth Year of Our Reign.
BY COMMAND	Kathleen Ganley, Provincial Secretary.
 
GOVERNMENT NOTICES
Agriculture and Forestry
Form 15
(Irrigation Districts Act) 
(Section 88)
Notice to Irrigation Secretariat: 
Change of Area of an Irrigation District
On behalf of the Taber Irrigation District, I hereby request that the Irrigation 
Secretariat forward a certified copy of this notice to the Registrar of Land Titles for 
the purposes of registration under section 22 of the Land Titles Act and arrange for 
notice to be published in the Alberta Gazette.
The following parcels of land should be added to the irrigation district and the 
appropriate notation added to the certificate of title:
LINC Number
Short Legal Description as shown on title
Title Number
0022430706
SW 35-10-16-4
941190056
I certify the procedures required under part 4 of the Irrigation Districts Act have been 
completed and the area of the Taber Irrigation District should be changed according 
to the above list.
Rebecca Fast, Office Administrator, 
Irrigation Secretariat.
______________
On behalf of the Western Irrigation District, I hereby request that the Irrigation 
Secretariat forward a certified copy of this notice to the Registrar for Land Titles for 
the purposes of registration under section 22 of the Land Titles Act and arrange for 
notice to be published in the Alberta Gazette.
The following parcels of land should be removed from the irrigation district and the 
notation removed from the certificate of title:
LINC Number
Short Legal Description as shown on title
Title Number
0022 018 519
4; 23; 23; 2; NW
871 095 469
0022 014 294
4; 23; 23; 10; NE
891 019 421
0022 018 527
4; 23; 23; 2; NE
871 095 469 B
0022 014 302
4; 23; 23; 11; SW
871 095 469 A
I certify the procedures required under part 4 of the Irrigation Districts Act have been 
completed and the area of the Western Irrigation District should be changed 
according to the above list.
Rebecca Fast, Office Administrator, 
Irrigation Secretariat.
Energy
Declaration of Withdrawal from Unit Agreement
(Petroleum and Natural Gas Tenure Regulations)
The Minister of Energy on behalf of the Crown in Right of Alberta hereby declares 
and states that the Crown in right of Alberta has withdrawn as a party to the 
agreement entitled "Leduc-Woodbend Blairmore "U3U Unit No. 1" effective October 
31, 2016.
Gwenn Thiele, for Minister of Energy.
Production Allocation Unit Agreement
(Mines and Minerals Act)
Notice is hereby given, pursuant to section 102 of the Mines and Minerals Act, that 
the Minister of Energy on behalf of the Crown has executed counterparts of the 
agreement entitled "Production Allocation Unit Agreement - Fox Creek Duvernay 
Agreement" and that the Unit became effective on December 1, 2015.
 
 
 
 
 
 
Infrastructure
Sale or Disposition of Land
(Government Organization Act)
Name of Purchaser:  Merak Chan 
Consideration:  $25,000.00 
Land Description:  Plan 1175EZ gravel pit.  Containing 1.01 Hectares (2.5 Acres) 
more or less.  Excepting thereout all mines and minerals and the right to work the 
same.
Name of Purchaser:  County of Northern Lights 
Consideration:  $1.00 
Land Description:
Plan 2879ET Block 2 Lot 3.  Excepting thereout all mines and minerals.
AND
All that portion of the North West Quarter of Section Thirty Three (33) Township 
Ninety (90) Range Twenty Three (23) west of the Fifth Meridian described as 
follows:  commencing at the north west corner of the said quarter section, thence 
easterly along the north boundary thereof, one hundred and forty eight (148) Feet to a 
point, thence southerly and parallel to the west boundary of the said quarter section 
one hundred and fourty eight (148) Feet, thence westerly and parallel to the said north 
boundary to a point on the said west boundary, thence northerly along said west 
boundary to the point of commencement.  Excepting thereout all mines and minerals.
Justice and Solicitor General
Cancellation of Qualified Technician Appointment  
(Intox EC/IR II)
Lacombe Police Service 
Murray, Thomas Steven
(Date of Designation October 27, 2016)
 
Safety Codes Council
Agency Accreditation
(Safety Codes Act)
Pursuant to Section 30 of the Alberta Safety Codes Act it is hereby ordered that
Alberta Elevating Devices and Amusement Rides Safety Association, 
Accreditation No. A000248, Order No. 0781
Having satisfied the terms and conditions of the Safety Codes Council is authorized to 
provide services under the Safety Codes Act for Amusement Rides.
Consisting of all parts of the Safety Codes for Amusement Rides and Devices 
Standard Practice for Design, Manufacture, Operation, Maintenance and Inspection of 
Amusement Rides and Devices in Canada
Accredited Date: March 29, 1996	Issued Date: October 27, 2016.
_______________
Pursuant to Section 30 of the Safety Codes Act it is hereby ordered that
Elspect Electrical Ltd., Accreditation No. A000132, Order No. 0135
Having satisfied the terms and conditions of the Safety Codes Council is authorized to 
provide services under the Safety Codes Act including applicable Alberta 
amendments and regulations for Electrical.
Consisting of all parts of the Canadian Electrical Code Part 1, Code for Electrical 
Installations at Oil and Gas Facilities and Alberta Electrical Utility Code.
Accredited Date: April 19, 1995	Issued Date: October 28, 2016.
_______________
Pursuant to Section 30 of the Alberta Safety Codes Act it is hereby ordered that
Alberta Elevating Devices and Amusement Rides Safety Association, 
Accreditation No. A000248, Order No. 0780
Having satisfied the terms and conditions of the Safety Codes Council is authorized to 
provide services under the Safety Codes Act for Elevating Devices.
Consisting of all parts of the Safety Codes for Elevators and Escalator Lifts for 
Persons with Physical Disabilities, Safety Codes for Personnel Hoists, Safety Codes 
for Man lifts.
Accredited Date: March 29, 1996	Issued Date: October 27, 2016.
 
Pursuant to Section 30 of the Safety Codes Act it is hereby ordered that
Central Peace Fire and Rescue Commission, Accreditation No. A000901, Order 
No. 3014
Having satisfied the terms and conditions of the Safety Codes Council is authorized to 
provide services under the Safety Codes Act including applicable Alberta 
amendments and regulations for Fire.
Consisting of all parts of the Alberta Fire Code and Fire Investigation (cause and 
circumstance).
Accredited Date: October 17, 2016	Issued Date: October 17, 2016.
_______________
Pursuant to Section 30 of the Alberta Safety Codes Act it is hereby ordered that
Alberta Elevating Devices and Amusement Rides Safety Association, 
Accreditation No. A000248, Order No. 0878
Having satisfied the terms and conditions of the Safety Codes Council is authorized to 
provide services under the Safety Codes Act for Passenger Ropeways.
Consisting of all parts of the Standard for Passenger Ropeways and Passenger 
Conveyors.
Accredited Date: August 14, 1996	Issued Date: October 27, 2016.
Corporate Accreditation
(Safety Codes Act)
Pursuant to Section 28 of the Safety Codes Act it is hereby ordered that
XTO Energy Canada ULC, Accreditation No. C000900, Order No. 3015
Having satisfied the terms and conditions of the Safety Codes Council is authorized to 
administer the Safety Codes Act including applicable Alberta amendments and 
regulations within the Corporation's industrial facilities for the discipline of 
Electrical
Consisting of all parts of the Canadian Electrical Code Part 1 and Code for Electrical 
Installations at Oil & Gas Facilities.
Accredited Date: October 24, 2016	Issued Date: October 24, 2016.
 
Alberta Securities Commission
ALBERTA SECURITIES COMMISSION RULE 13-501 FEES
(Securities Act)
Made as a rule by the Alberta Securities Commission on April 13, 2016 pursuant to 
sections 223 and 224 of the Securities Act.
ALBERTA SECURITIES COMMISSION RULE 13-501 FEES
PART 1 
DEFINITIONS AND INTERPRETATION
Definitions
1. (1)	In this Rule
"alternative trading system" means an alternative trading system as defined by 
National Instrument 21-101 Marketplace Operation;
"Canadian trading share", in relation to a person or company that is a specified 
regulated entity for a specified period, means the average in the specified period of
(a)	the share of the person or company of the total dollar values of trades of 
exchange-traded securities in Canada,
(b)	the share of the person or company of the total trading volume of 
exchange-traded securities in Canada, and
(c)	the share of the person or company of the total number of trades of 
exchange-traded securities in Canada;
"Class 1 reporting issuer" means a reporting issuer, other than a Class 2 reporting 
issuer, Class 3A reporting issuer or a Class 3B reporting issuer, that at the end of its 
previous financial year, has securities listed or quoted on a marketplace;
"Class 2 reporting issuer" means a reporting issuer that does not have securities listed 
or quoted on a marketplace, and that is incorporated or organized under the laws of 
Canada or a jurisdiction in Canada;
"Class 3A reporting issuer" means a reporting issuer that is not incorporated under the 
laws of Canada or a province or territory and that
(a)	had no securities listed or quoted on any marketplace at the end of its 
previous financial year, or
(b)	had securities listed or quoted on a marketplace at the end of its previous 
financial year and all of the following apply:
(i)	at the end of its previous financial year, securities registered in the 
names of persons or companies resident in Alberta represented 
less than 1% of the market value of all of the reporting issuer's 
outstanding securities for which it or its transfer agent or registrar 
maintains a list of registered owners;
(ii)	the reporting issuer reasonably believes that, at the end of its 
previous financial year, securities beneficially owned by persons 
or companies resident in Alberta represented less than 1% of the 
market value of all its outstanding securities;
(iii)	the reporting issuer reasonably believes that none of its securities 
traded on a marketplace in Canada during its previous financial 
year;
(iv)	the reporting issuer has not issued any of its securities in Alberta 
in the last 5 years, other than
(A)	to its employees or to employees of one or more of its 
subsidiaries, or
(B)	to a person or company exercising a right previously 
granted by the reporting issuer or its affiliate to convert or 
exchange its previously issued securities without payment 
of any additional consideration;
"Class 3B reporting issuer" means a reporting issuer that
(a)	is not a Class 3A reporting issuer, and
(b)	is a designated foreign issuer or an SEC foreign issuer as those terms are 
defined in National Instrument 71-102 Continuous Disclosure and Other 
Exemptions Relating to Foreign Issuers;
"gross proceeds" means the total proceeds realized from the distribution, sale, 
conversion or exchange of securities under a prospectus or in reliance on an 
exemption from prospectus requirements including any proceeds realized pursuant to 
the reinvestment of dividends or the distribution of income or capital gains; 
"highest trading marketplace" means
(a)	the marketplace on which the highest volume in Canada of the class or 
series was traded in the previous financial year and which discloses 
regularly the prices at which those securities have traded,
(b)	if the class or series was not traded in the previous financial year on a 
marketplace in Canada, the marketplace on which the highest volume in 
the United States of America of the class or series was traded in the 
previous financial year and which discloses regularly the prices at which 
those securities have traded, or
(c)	if the class or series was not traded in the previous financial year on a 
marketplace in Canada or the United States of America, the marketplace 
on which the highest volume of the class or series was traded in the 
previous financial year and which discloses regularly the prices at which 
those securities have traded;
"interim period" has the same meaning as in National Instrument 51-102 Continuous 
Disclosure Obligations;
"marketplace" has the same meaning as in NI 21-101; 
"money market fund" has the same meaning as in National Instrument 81-102 
Investment Funds;
"MTN Program" has the same meaning as in National Instrument 44-102 Shelf 
Distributions; 
"net proceeds" means the gross proceeds realized in Alberta from the distribution of a 
money market fund under a prospectus less the aggregate of the redemption or 
repurchase price paid to redeem or repurchase securities of the fund held by persons 
in Alberta during the period since the receipt for the prospectus was issued; 
 "notice of proceeds" means a written notice to the Executive Director of the 
aggregate gross or net proceeds, as the case may be, realized in Alberta by an issuer 
or security holder from a distribution of securities; 
"previous financial year" means the most recently completed financial year of the 
person or company; 
"realized in Alberta" means distributed in or sold to purchasers in Alberta; 
"registered firm" has the same meaning as in National Instrument 31-103 Registration 
Requirements, Exemptions, and Ongoing Registrant Obligations;
"Shelf Procedures" means the requirements of NI 44-102 for the distribution of 
securities under a base shelf prospectus and a shelf prospectus supplement; 
"special warrant" means a security, (i) that is distributed in reliance on an exemption 
from prospectus requirements, (ii) that carries the right to purchase, convert or 
exchange the security, without payment of any material additional consideration, into 
another security, and (iii) in respect of which the issuer or selling security holder has 
agreed to file a prospectus for the distribution of the security received on the exercise 
of the right;
"specified period" means the period beginning on April 1 of the previous calendar 
year and ending on March 31 of the calendar year;
"specified regulated entity" means a person or company described in Part 6 of this 
Rule;
"specified trading period" means, in respect of a reporting issuer's financial year, 
each period that is an interim period in the financial year and the period commencing 
on the first day of the financial year and ending on the last day of the financial year;
"subsidiary" means, subject to subsection 5 of the Securities Act, a subsidiary of a 
person or company as determined in accordance with the generally accepted 
accounting principles applying to the person or company.
(2)	Unless otherwise defined in this Rule, terms defined in the Act have the same 
meaning in this Rule. 
PART 2 
APPLICATION
Payment of fees 
2.	Any fee payable to the Commission under the Securities Act, any regulation or 
any other legislative authority must be paid to the Commission in accordance 
with this Rule.
Waiver or refund of fees 
3.	The Executive Director may waive or refund any fee in whole or in part that is 
payable under the Securities Act, or any regulation.
PART 3 
REGISTERED INDIVIDUALS AND FIRMS
Fees related to registration
4. (1)	A form prescribed under National Instrument 33-109 Registration Information 
that is submitted to the Executive Director to seek registration or any request 
for reinstatement after a suspension of registration must be accompanied by 
one of the following fees: 
(a)	for a firm seeking registration as a dealer, adviser or investment fund 
manager, regardless of the number of categories, $1400; 
(b)	for an individual seeking registration to act on behalf of a firm, 
regardless of the number of categories, $400. 
(2)	Despite subsection (1), no fee is payable by a registered person or company 
who is seeking registration in an additional category or categories. 
(3)	Despite paragraph (1)(b), no fee is payable for filing Form 33-109F7 
Reinstatement of Registered Individuals and Permitted Individuals where an 
individual joins a new sponsoring firm, unless the individual files the form in 
the calendar year following the date of the individual's termination with the 
individual's former sponsoring firm.
 
Annual registration fees 
5. (1)	Registered persons and companies must pay the following annual registration 
fees on December 31 of each year: 
(a)	for registered dealers, advisers or investment fund managers, regardless 
of the number of categories, $1400; 
(b)	for registered individuals, regardless of the number of categories, $400. 
(2)	Despite paragraph (1)(a), no annual fee is payable by a dealer, adviser or 
investment fund manager whose registration is suspended as a result of a 
decision by the Executive Director or of the firm's principal regulator under 
Multilateral Instrument 11-102 Passport System.
(3)	Despite paragraph (1)(b), no annual fee is payable for an individual whose 
registration is suspended as a result of the suspension of registration of the 
individual's sponsoring firm by a decision of the Executive Director or of the 
firm's principal regulator under MI 11-102.
International dealers and international advisers
6.	A fee of $1400 must accompany any of the following: 
(a)	Form 31-103F2 Submission to Jurisdiction and Appointment of Agent 
for Service filed pursuant to either paragraph 8.18(3)(e) or paragraph 
8.26(4)(f) of National Instrument 31-103 Registration Requirements, 
Exemptions and Ongoing Registrant Obligations;
(b)	a notice given pursuant to either subsection 8.18(5) or subsection 8.26(5) 
of NI 31-103. 
Acquisition of registered firm's securities or assets 
7.	A notice required to be filed in Alberta under section 11.9 or section 11.10 of 
National Instrument 31-103 Registration Requirements, Exemptions and 
Ongoing Registrant Obligations must be accompanied by a fee of $1750. 
Fees for late documents 
8. (1)	In this section, "document" means any of the following: 
(a)	a subordination agreement delivered under National Instrument 31-103 
Registration Requirements, Exemptions and Ongoing Registrant 
Obligations;
(b)	interim financial information and annual financial statements delivered 
under Division 4 of Part 12 of NI 31-103;
(c)	any document required to be filed, delivered or otherwise provided by a 
registered firm either pursuant to the terms and conditions imposed on 
that firm's registration, or pursuant to an undertaking given by that firm. 
(2)	A registered firm that files, delivers or otherwise provides a document after the 
date on which the document was required to be filed, delivered or otherwise 
provided must, concurrently with the filing, delivery or provision of the 
document, pay the Commission a late fee of $100 for each day that elapses 
between the date the document was required to be filed, delivered or otherwise 
provided and the date on which the document is filed, delivered or otherwise 
provided.
(3)	Despite subsection (2), the maximum late fee payable by a registered firm as a 
result of the operation of this section is $5000 per document. 
PART 4 
PROSPECTUS AND REPORTS OF EXEMPT DISTRIBUTION
Fees related to filing a prospectus 
9. (1)	Every preliminary or pro forma prospectus filed other than for a mutual fund 
must be accompanied by a fee in the aggregate amount of 
(a)	$2000 for each issuer, and 
(b)	$2000 where there is one or more selling security holders whose 
securities may be distributed under the prospectus. 
(2)	Every preliminary or pro forma prospectus filed for a mutual fund must be 
accompanied by a fee in the aggregate amount of 
(a)	$1200 for each issuer, and 
(b)	$1200 where there is one or more selling security holders whose 
securities may be distributed under the prospectus. 
(3)	Despite subsections (1) and (2), every preliminary prospectus filed, other than 
for the distribution of securities on the exercise of a right under a special 
warrant, where the value of the distribution of securities under the prospectus 
will not exceed $1 000 000, must be accompanied by a fee of $250 for each 
issuer or selling security holder whose securities may be distributed under it. 
Fees for distribution of securities
10. (1)For every prospectus filed for the distribution of securities, the issuer or selling 
security holder must file a notice of proceeds.
(2)	For every prospectus filed for the distribution of securities, the issuer or selling 
security holder that is not a reporting issuer must pay a fee equal to the amount, 
if any, by which 0.025% of the gross proceeds realized in Alberta by the issuer 
or selling security holder from the distribution of securities under the 
prospectus exceeds the fees paid under section 9 
(a)	in the case of a non-continuous distribution of securities, within 30 days 
from the earlier of 
(i)	the completion of the distribution under the prospectus, and 
(ii)	12 months from the date the receipt for the prospectus is issued, 
and 
(b)	in the case of a distribution of securities under the Shelf Procedures, 
within 25 months from the date that the receipt for the prospectus is 
issued or,
(i)	in respect of a continuous distribution, other than under a MTN 
Program, 5 business days after the end of each month with respect 
to the securities distributed during that month, 
(ii)	in respect of a distribution under a MTN Program, on filing a 
pricing supplement with respect to the securities distributed under 
the pricing supplement, or 
(iii)	in respect of all other distributions, 30 days from completion of 
the distribution under a shelf prospectus supplement with respect 
to the securities distributed under the shelf prospectus 
supplement, 
whichever is the earliest. 
(3)	Despite subsections (1) and (2), except for the distribution of securities under 
the Shelf Procedures, the issuer or selling security holder for every prospectus 
filed for the continuous distribution of securities 
(a)	on the filing of a new prospectus to continue the distribution under the 
prospectus, or 
(b)	if a new prospectus is not filed, within 13 months from the date that the 
receipt for the prospectus is issued,
must 
(c)	file a notice of proceeds, and 
(d)	pay a fee equal to the amount, if any, by which the fees paid in section 9 
are exceeded by one of the following amounts of proceeds realized in 
Alberta by the issuer or selling security holder from the distribution 
under the prospectus:
(i)	in the case of a money market fund, 0.02% of the net proceeds; 
(ii)	in the case of any other mutual fund, 0.02% of the gross proceeds; 
(iii)	in any other case, 0.025% of the gross proceeds.
(4)	This section does not apply to distributions of securities referred to in 
subsection 9(3). 
Fees for reports of exempt distribution
11. (1)A report of exempt distribution required to be filed in connection with the use 
of an exemption from the prospectus requirements under Alberta securities 
laws must be accompanied by a fee equal to the greater of 
(a)	$200, and 
(b)	one of the following amounts of the  proceeds realized by the issuer or 
selling security holder from purchasers in Alberta of the securities 
described in the report:
(i)	in the case of a money market fund, 0.02% of the net proceeds; 
(ii)	in the case of any other mutual fund, 0.02% of the gross proceeds;
(iii)	in any other case, 0.025% of the gross proceeds.
(2)	Despite subsection (1), a report of exempt distribution required to be filed by a 
reporting issuer that is not an investment fund in connection with the use of an 
exemption from the prospectus requirements under Alberta securities laws 
must be accompanied by a fee of $200. 
(3)	Despite subsections (1) and (2), every report of exempt distribution filed in 
respect of a trade in securities where there is no change in beneficial ownership 
of the securities as a result of the trade must be accompanied by a fee of $200. 
(4)	If a report of exempt distribution required to be filed by a person or company 
pursuant to National Instrument 45-106 Prospectus Exemptions is not filed 
within the period of time prescribed by Alberta securities laws, the person or 
company must, concurrently with the filing of the report, pay the Commission 
a late fee of $100 for each day that elapses between the date the report was 
required to be filed and the date on which the report is filed.
(5)	Despite subsection (4), the maximum late fee payable by a person or company 
as a result of the operation of this section is $1000 per report.  
Notice for distribution of rights 
12. (1) Every notice filed for the distribution of rights under section 2.1 of National 
Instrument 45-106 Prospectus Exemptions must be accompanied by a fee of 
$600. 
(2)	The issuer or selling security holder distributing rights under the offering 
circular must, within 30 days from the date of termination of the offering, 
(a)	file a notice of proceeds, and 
(b)	pay a fee equal to the amount, if any, by which 0.025% of the gross 
proceeds realized in Alberta by the issuer or selling security holder from 
the rights offering exceeds $600. 
(3)	Paragraph (2)(b) does not apply to a reporting issuer that is not an investment 
fund distributing rights under an offering circular. 
Fees for amendments
13.	Every amendment to any of the following must be accompanied by a fee of 
$250:
(a)	preliminary or pro forma prospectus;
(b)	prospectus.
Fees for reports
14.	Every report filed with any of the following must be accompanied by a fee of 
$100:
(a)	preliminary prospectus;
(b)	pro forma prospectus; 
(c)	amendment to any of the documents referred to under section 11.
PART 5 
REPORTING ISSUER PARTICIPATION FEES
Participation fee 
15. (1)At the time the annual financial statement by or on behalf of a reporting issuer 
for the purpose of annual continuous disclosure is filed, it must be 
accompanied by the following participation fee:
(a)	for a Class 1 reporting issuer or Class 2 reporting issuer, the 
participation fee in Appendix A based on the reporting issuer's 
capitalization, as determined in accordance with either section 20 or 21, 
for the previous financial year; 
(b)	for a Class 3A reporting issuer, a participation fee of $400; 
(c)	for a Class 3B reporting issuer, the participation fee in Appendix B 
based on the reporting issuer's capitalization, as determined in 
accordance with section 20, for the previous financial year; 
(d)	for an investment fund required to file an annual financial statement 
pursuant to National Instrument 81-106 Investment Fund Continuous 
Disclosure a participation fee of $350.
(2)	Despite subsection (1), a participation fee is not payable by a participant under 
this section if the participant became a reporting issuer in the period that begins 
immediately after the time that would otherwise be the end of the previous 
financial year in respect of the participation fee and ends at the time the 
participation fee would otherwise be required to be paid under subsection (1).
Fees for late annual financial statements
16. (1)In addition to the fee payable under subsection 15(1), if an annual financial 
statement required to be filed by a person or company is not filed within the 
period of time prescribed by Alberta securities laws, the reporting issuer must, 
concurrently with the filing of the annual financial statement, pay the 
Commission a late fee of $100 for each day that elapses between the date the 
annual financial statement was required to be filed and the date on which the 
annual financial statement is filed.
(2)	Despite subsection (1), the maximum late fee payable by a person or company 
as a result of the operation of this section is $5000 per annual financial 
statement.  
Exemption for subsidiary entities
17. (1)Subsection 15(1) does not apply to a reporting issuer that is a subsidiary if all 
of the following apply:
(a)	at the end of the subsidiary's previous financial year, the parent of the 
subsidiary was a reporting issuer;
(b)	the audited financial statements of the parent prepared in accordance 
with National Instrument 52-107 Acceptable Accounting Principles and 
Auditing Standards require the consolidation of the parent and the 
subsidiary;
(c)	the parent has paid a participation fee under paragraph 15(1)(a) 
calculated based on the capitalization of the parent for the previous 
financial year;
(d)	in the case of a parent that is a Class 1 reporting issuer, the capitalization 
of the parent for the previous financial year included the capitalization of 
the subsidiary as required under paragraph 20(c);
(e)	in the previous financial year either of the following occurred: 
(i)	the net assets and total revenues of the subsidiary represented 
more than 90% of the consolidated net assets and total revenues 
of the parent in the parent's previous financial year;
(ii)	the subsidiary was entitled to rely on an exemption or waiver 
from the requirements in subsections 4.1(1), 4.3(1), 5.1(1) or 
section 5.2, and section 6.1 of National Instrument 51-102 
Continuous Disclosure Obligations.
(2)	A reporting issuer referred to in subsection (1) must file a completed Form 13-
501F6 Subsidiary Exemption Notice that contains a certification signed by an 
officer of the reporting issuer, at the time it files its annual financial statements 
for its previous financial year in accordance with Alberta securities law, or by 
the date on which its annual financial statements would have been required to 
be filed under Alberta securities law absent an exemption or waiver described 
in subparagraph (1)(e)(ii).
Participation fee estimate for Class 2 reporting issuers
18. (1)If the annual financial statements of a Class 2 reporting issuer are not available 
by the date referred to in paragraph 15(1)(a) the Class 2 reporting issuer must, 
on that date,
(a)	file a completed Form 13-501F2 Class 2 Reporting Issuers - 
Participation Fee showing a good faith estimate of the information 
required to calculate its capitalization as at the end of the previous 
financial year, and
(b)	pay the participation fee shown in Appendix A opposite the estimated 
capitalization.
(2)	A Class 2 reporting issuer that estimated its capitalization under subsection (1) 
must, when it files its annual financial statements for the previous financial 
year,
(a)	calculate its capitalization under section 21,
(b)	pay the participation fee shown in Appendix A opposite the 
capitalization, less the participation fee paid under subsection (1), and
(c)	file a completed Form 13-501F3 Adjustment of Fee Payment for Class 2 
Reporting Issuers that contains a certification signed by an officer of the 
reporting issuer.
(3)	If the amount paid by a reporting issuer under subsection (1) exceeds the 
participation fee calculated under subsection (2), the issuer is entitled to a 
refund from the Commission of the amount overpaid.
(4)	A request for a refund under subsection (3) must be made to the Commission 
by the same date on which the form referred to in paragraph 2(c) is required to 
be filed.
Filing report and certification
19. (1)At the time that it pays the participation fee required by this Part,
(a)	a Class 1 reporting issuer and a Class 3B reporting issuer must file a 
completed Form 13-501F1 Class 1 Reporting Issuers and Class 3B 
Reporting Issuers - Participation Fee,
(b)	a Class 2 reporting issuer must file a completed Form 13-501F2 Class 2 
Reporting Issuers - Participation Fee,
(c)	a Class 3A reporting issuer must file a completed Form 13-501F4 Class 
3A Reporting Issuers - Participation Fee, and
(d)	An investment fund must file a completed Form 13-501F5 Investment 
Fund - Participation Fee.
(2)	A form required to be filed under subsection (1) must contain a certification 
signed by an officer of the reporting issuer.
Calculating capitalization for Class 1 reporting issuers and Class 3B reporting 
issuers
20.	The capitalization of a Class 1 reporting issuer or a Class 3B reporting issuer 
for the previous financial year is the total of all of the following:
(a)	for each class or series of the reporting issuer's equity securities listed or 
quoted on a marketplace
(i)	the sum of the market value of the securities listed or quoted on a 
marketplace at the end of the last trading day of each specified 
trading period in the previous financial year of the reporting 
issuer, calculated for each specified trading period as follows:
A ž B
in which,
"A" is equal to the closing price of the security in the class or 
series on the last trading day of the specified trading period in 
which such security was listed or quoted on the highest trading 
marketplace, and
"B" is equal to the number of securities in the class or series of 
such security outstanding at the end of the specified trading 
period
(ii)	divided by the number of specified trading periods in the 
reporting issuer's previous financial year in which the security of 
the reporting issuer was listed or quoted on a marketplace at the 
end of the last trading day of a specified trading period;
(b)	the fair value of the outstanding debt securities of the reporting issuer at 
the end of the previous financial year that are
(i)	listed or quoted on a marketplace,
(ii)	traded over the counter, or
(iii)	available for purchase or sale without regard to a statutory hold 
period;
(c)	the capitalization for the previous financial year of a subsidiary that is 
exempt under subsection 17(1), calculated in accordance with 
paragraphs (a) and (b), and excluding any securities of the subsidiary 
held by the parent that have been included in the capitalization of the 
parent for the previous financial year.
Calculating capitalization for Class 2 reporting issuers 
21. (1)The capitalization of a Class 2 reporting issuer for the previous financial year is 
the total of all of the following items, as shown in its audited statement of 
financial position as at the end of the previous financial year:
(a)	retained earnings or deficit;
(b)	contributed surplus;
(c)	share capital or owners' equity, options, warrants and preferred shares;
(d)	non-current borrowings, including the current portion;
(e)	finance leases, including the current portion;
(f)	non-controlling interest;
(g)	items classified on the statement of financial position as non-current 
liabilities, and not otherwise referred to in this subsection;
(h)	any other item forming part of equity not otherwise referred to in this 
subsection.
(2)	Despite subsection (1), a reporting issuer may calculate its capitalization using 
unaudited annual financial statements if it is not required to prepare, and does 
not ordinarily prepare, audited annual financial statements.
(3)	Despite subsection (1), a reporting issuer that is a trust that issues only asset-
backed securities through pass-through certificates may calculate its 
capitalization using the monthly filed distribution report for the last month of 
the previous financial year if it is not required to prepare, and does not 
ordinarily prepare, audited annual financial statements.
Reliance on published information
22. (1)In determining its capitalization, a reporting issuer may rely on information 
made available by a marketplace on which its securities trade.
(2)	Despite subsection (1), if a reporting issuer reasonably believes that the 
information made available by a marketplace is incorrect, the issuer must make 
a good faith estimate of the information required.
 
PART 6 
PARTICIPATION FEES FOR SPECIFIED REGULATED ENTITIES
Recognized exchange on which securities are traded
23.	A recognized exchange on which securities are traded must, no later than April 
30 in each calendar year, pay the participation fee shown in Appendix C 
opposite the corresponding Canadian trading share of the exchange for the 
specified period.
Recognized exchange on which derivatives are traded
24. (1)If the Commission is the lead or co-lead regulator for a recognized exchange 
on which derivatives are traded, then the exchange must, no later than April 30 
in each calendar year, pay the participation fee of $15 000 for the specified 
period. 
(2)	If the Commission is not the lead or co-lead regulator for a recognized 
exchange on which derivatives are traded, then the exchange must, no later 
than April 30 in each calendar year, pay the participation fee of $7500 for the 
specified period.
Exchanges exempt from recognition under the Act
25.	A person or company that is exempted by the Commission from the application 
of section 62 of the Securities Act must, no later than April 30 in each calendar 
year, pay a participation fee of $5000.
Recognized quotation and trade reporting system 
26.	A recognized quotation and trade reporting system must, no later than April 30 
in each calendar year, pay the participation fee shown in Appendix C opposite 
the corresponding Canadian trading share of the quotation and trade reporting 
system for the specified period.
Alternative trading system
27. (1)An alternative trading system only for exchange-traded securities must, no later 
than April 30 in each calendar year, pay a participation fee of $8500. 
(2)	An alternative trading system only for unlisted debt or securities lending must, 
no later than April 30 in each calendar year, pay a participation fee of $4400.
(3)	An alternative trading system not described in subsections (1) or (2) must, no 
later than April 30 in each calendar year, pay a participation fee of $8500. 
(4)	If there are 2 or more alternative trading systems, each of which is related to 
each other and each of which trades different asset classes, then each 
alternative trading system must pay a participation fee as determined under 
subsection (1), (2) or (3).
Recognized clearing agencies providing services in connection with trades in 
securities
28. (1)A recognized clearing agency must, no later than April 30 in each calendar 
year, pay the aggregate of the participation fees set out in subsections (2) to (7) 
for each of the services that the clearing agency provides in the specified period 
in connection with trades in securities.
(2)	A recognized clearing agency that provides matching services, which is the 
provision of facilities for comparing data respecting the terms of settlement of 
a trade or transaction, must pay a participation fee of $5000.
(3)	A recognized clearing agency that provides netting services, being the 
provision of facilities for the calculation of the mutual obligations of 
participants for the exchange of securities or money, must pay a participation 
fee of $10 000. 
(4)	A recognized clearing agency that provides settlement services, which are 
services that ensure that securities are transferred finally and irrevocably from 
one participant to another in exchange for a corresponding transfer of money 
or vice versa, must pay a participation fee of $10 000.
(5)	A recognized clearing agency that acts as a central clearing counterparty by 
providing novation services, if the Commission does not place reliance on 
another regulator for direct oversight, must pay a participation fee of $75 000.
(6)	A recognized clearing agency that acts as a central clearing counterparty by 
providing novation services, if the Commission places reliance on another 
regulator for direct oversight, must pay a participation fee of $35 000.
(7)	A recognized clearing agency that provides depositary services, which is the 
provision of centralized facilities as a depository for securities, must pay a 
participation fee of $10 000. 
Recognized clearing agencies providing services in connection with trades in 
derivatives 
29.	A clearing agency that provides services  in the specified period in connection 
with trades in derivatives must, no later than April 30 in each calendar year, 
pay a participation fee of $15 000.
Clearing agencies exempt from recognition under the Act
30.	Each clearing agency that is exempted by the Commission from the application 
of section 67 of the Securities Act must, no later than April 30 in each calendar 
year, pay a participation fee of $5000.
Recognized trade repositories
31.	Each recognized trade repository under subsection 67.3(1) of the Securities Act 
must, no later than April 30 in each calendar year, pay a participation fee of 
$15 000. 
Participation fee on recognition or exemption
32. (1)A person or company must, on the date it first becomes a specified regulated 
entity, pay a participation fee of
A ž B ö C
in which  
"A" is
(a)	in the case of a recognized exchange, a recognized quotation and trade 
reporting system or an alternative trading system, $15 000,
(b)	in the case of an exchange exempt from recognition under the Securities 
Act, $5000,
(c)	in the case of a recognized clearing agency, the aggregate of the 
participation fees set out in sections 28(2) through (7) for the services 
that the clearing agency is to provide in the specified period in 
connection with trades in securities,
(d)	in the case of a clearing agency exempt from recognition under the Act, 
$5000, or
(e)	in the case of a recognized trade repository, $15 000,
"B" is the number of complete months remaining from the month in which the person 
or company first became a specified regulated entity until March 31, and
"C" is 12.
(2)	The fee required to be paid under subsection (1) is in lieu of the fees required 
to be paid by the person or company in the same specified period under 
sections 23 through 31.
Form  
33.	A payment made under sections 23 through 32 must be accompanied by a 
completed Form 13-501F7 Specified Regulated Entities - Participation Fee. 
Late fee
34. (1)In addition to the fee payable under this Part, if a person or company is late 
paying the participation fee, the person or company must pay an additional late 
fee of $100 for each day that elapses between the date the participation fee was 
required to be paid and the date on which the participation fee is paid.  
(2)	Despite subsection (1), the maximum late fee payable by a person or company 
as a result of the operation of this section is $5000 per calendar year.  
PART 7 
MARKET REGULATION RECOGNITION AND EXEMPTIONS
Recognition or exemption of an exchange
35. (1) An application for recognition as an exchange under section 62 of the 
Securities Act must be accompanied by a fee of $55 000.
(2)	An application for exemption from the recognition as an exchange under 
section 62 of the Act must be accompanied by a fee of $41 500. 
Recognition or exemption of a clearing agency
36. (1) An application for recognition as a clearing agency under section 67 of the 
Securities Act must be accompanied by a fee of $55 000.
(2)	An application for exemption from the recognition as a clearing agency under 
section 67 of the Act must be accompanied by a fee of $41 500.
Merger, acquisition, reorganization or restructuring 
37.	In addition to the fees required to be paid pursuant to any of sections 35 or 36, 
each application that reflects any of the following circumstances must be 
accompanied by a fee of $50 000:
(a)	a merger of an exchange or clearing agency;
(b)	an acquisition of a major part of the assets of an exchange or clearing 
agency;
(c)	the introduction of a new business that would significantly change the 
risk profile of an exchange or clearing agency;
(d)	a major reorganization or restructuring of an exchange or clearing 
agency.
Alternative trading system
38.	A new alternative trading system must pay a fee of $27 500 at the time it files 
Form 21-101F2 Initial Operation Report - Alternative Trading System for 
review in accordance with National Instrument 21-101 Marketplace Operation.
Trade repository
39.	An application for recognition as a trade repository under subsection 67.3(1) of 
the Securities Act must be accompanied by a fee of $41 500.
 
PART 8 
MISCELLANEOUS FEES
Take-over bid and issuer bid circular 
40. (1)Every take-over bid or issuer bid circular filed must be accompanied by a fee 
of $1200. 
(2)	Every directors' circular or individual director's or officer's circular filed must 
be accompanied by a fee of $600. 
(3)	Every notice of change or variation in respect of a take-over bid circular or 
issuer bid circular filed must be accompanied by a fee of $300.
Recognition or renewal of recognition as an exempt purchaser 
41.	Every application to the Commission for recognition as an exempt purchaser or 
renewal of recognition as an exempt purchaser must be accompanied by a fee 
of $500.
Pre-filing
42. (1)Each pre-filing related to the items described in sections 35, 36, 37, 38, 39 and 
any other pre-filing must be accompanied by a fee equal to 1/2 of the fee that 
would have been payable if the corresponding formal filing had proceeded at 
the same time as the pre-filing. 
(2)	A fee paid pursuant to subsection (1) is non-refundable. 
(3)	Despite subsection (2), a fee paid pursuant to subsection (1) will be credited 
against the applicable fee payable if and when a person or company proceeds 
with the corresponding formal filing.  
Examination in accordance with section 58 
43. (1) The fee for an examination by a person appointed under section 58 of the 
Securities Act  is $1000 per day per person plus any reasonable expenses 
incurred in connection with the examination. 
(2)	Despite subsection (1), in the case of a limited or minor examination, the fee 
prescribed under subsection (1) may be reduced to reflect the cost of the 
examination.
Notice of appeal 
44.	Every notice of appeal to the Commission under subsection 36(1) of the 
Securities Act must be accompanied by a fee of $300.
Application to the Commission 
45. (1) Every application to the Commission under section 144 of the Securities Act 
must be accompanied by a fee of $750.
(2)	Every application to the Commission under section 179 of the Act must be 
accompanied by a fee of $750. 
(3)	Every application to the Commission under the Business Corporations Act 
must be accompanied by a fee of $300.
(4)	Any application to the Commission for which a fee is not specifically provided 
in this Rule must be accompanied by a fee of $750. 
Application or request to the Executive Director
46.	Every application or request to the Executive Director for which a fee is not 
specifically provided in this Rule must be accompanied by a fee of $750.
Certified statement
47.	No fee is payable for certifying a statement referred to in section 218 of the 
Securities Act.
Photocopy
48.	The fee for photocopying is $0.50 per page photocopied.
Microfilm search 
49.	The fee for a microfilm search is $10 per person or company.
Late fee for insider report 
50. (1)A person or company must pay the Commission a late fee of $50 for each day 
that elapses between the date the report was required to be filed and the date on 
which the report is filed if 
(a)	an insider report required to be filed by a person or company pursuant to 
National Instrument 55-104 Insider Reporting Requirements and 
Exemptions  is not filed within the period of time prescribed by Alberta 
securities laws, and
(b)	the Commission is the principal regulator under Multilateral Instrument 
11-102 Passport System.
(2)	Despite subsection (1), the maximum late fee payable by a person or company 
as a result of the operation of this section is $1000 per issuer per calendar year. 
SEDAR and NRD fees
51.	Multilateral Instrument 13-102 System Fees for SEDAR and NRD applies in 
respect of fees for each of the following:  
(a)	System for Electronic Document Analysis and Retrieval (SEDAR); 
(b)	National Registration Database (NRD).
Currency conversion
52.	If a calculation under this Rule requires the price of a security, or any other 
amount, as it was on a particular date and that price or amount is not in 
Canadian dollars, it must be converted to Canadian dollars using the daily noon 
exchange rate for that date as posted on the Bank of Canada website. 
PART 9 
WHEN THIS INSTRUMENT COMES INTO FORCE
Effective date
53.	This instrument comes into force on December 1, 2016.
Appendix A 
to 
ASC Rule 13-501 Fees 
Participation fees for Class 1 reporting issuers or Class 2 reporting issuers 
(Paragraph 15(1)(a))
Capitalization for the Previous Fiscal Year
Participation Fee
under $10 million 

$400
$10 million to under $25 million 

$500
$25 million to under $50 million 

$1200
$50 million to under $100 million 

$3000
$100 million to under $250 million 

$6500
$250 million to under $500 million 

$14 000
$500 million to under $1 billion

$19 000
$1 billion to under $5 billion

$28 000
$5 billion to under $10 billion 

$36 500
$10 billion to under $25 billion 

$42 500
$25 billion and over 

$48 000

 
Appendix B 
to 
ASC Rule 13-501 Fees 
Participation fees for Class 3B reporting issuers 
(Paragraph 15(1)(c))
Capitalization for the Previous Fiscal Year
Participation Fee
under $10 million 

$400
$10 million to under $25 million 

$500
$25 million to under $50 million 

$600
$50 million to under $100 million 

$1000
$100 million to under $250 million 

$2000
$250 million to under $500 million 

$4500
$500 million to under $1 billion

$6000
$1 billion to under $5 billion

$9000
$5 billion to under $10 billion 

$11 500
$10 billion to under $25 billion 

$13 500
$25 billion and over 

$15 500
Appendix C 
to 
ASC Rule 13-501 Fees 
Participation fees for Specified Regulated Entities 
(Part 6)
Specified Regulated Entity 
(Column A)
Participation 
Fee 
(Column B)
Recognized exchange and recognized quotation and trade 
reporting system
A person or company with a Canadian trading share for the 
specified period of up to 5%
A person or company with a Canadian trading share for the 
specified period of 5% to up to 15%
A person or company with a Canadian trading share for the 
specified period of 15% to up to 25%
A person or company with a Canadian trading share for the 
specified period of 25% to up to 50%
A person or company with a Canadian trading share for the 
specified period of 50% to up to 75%
A person or company with a Canadian trading share for the 
specified period of 75% or more

$15 000
$25 000
$67 500
$137 500
$200 000
$250 000

FORM 13-501F1
CLASS 1 REPORTING ISSUERS AND CLASS 3B REPORTING ISSUERS - 
PARTICIPATION FEE
MANAGEMENT CERTIFICATION
I, ____________________, an officer of the reporting issuer noted below have 
examined this Form 13-501F1 (the Form) being submitted hereunder to the Alberta 
Securities Commission and certify that to my knowledge, having exercised 
reasonable diligence, the information provided in the Form is complete and accurate.
_______________________________      _________________________________ 
Name:                                                         Date: 
Title:


Reporting Issuer Name:
_________________________________
End date of previous financial year:
_________________________________
Type of Reporting Issuer:
[ ] Class 1  
reporting issuer
[ ] Class 3B  
reporting issuer
Highest Trading Marketplace:
_________________________________
Market value of listed or quoted equity securities:

Equity Symbol


1st Specified Trading Period (dd/mm/yy)
_______________ to ______________
Closing price of the security in the class or series 
on the last trading day of the specified trading 
period in which such security was listed or quoted 
on the highest trading marketplace

$ _________________
(i)
Number of securities in the class or series of such 
security outstanding at the end of the last trading 
day of the specified trading period

___________________
(ii)
Market value of class or series
(i) x (ii)
$ _________________
(A)
2nd Specified Trading Period (dd/mm/yy)
_______________ to ______________
Closing price of the security in the class or series 
on the last trading day of the specified trading 
period in which such security was listed or quoted 
on the highest trading marketplace

$ _________________
(iii)
Number of securities in the class or series of such 
security outstanding at the end of the last trading 
day of the specified trading period

$ _________________
(iv)
Market value of class or series
(iii) x (iv)
$ _________________
(B)
3rd Specified Trading Period (dd/mm/yy)
_______________ to ______________
Closing price of the security in the class or series 
on the last trading day of the specified trading 
period in which such security was listed or quoted 
on the highest trading marketplace

$ _________________
(v)
Number of securities in the class or series of such 
security outstanding at the end of the last trading 
day of the specified trading period

$ _________________
(vi)
Market value of class or series
(v) x (vi)
$ _________________
(C)
4th Specified Trading Period (dd/mm/yy)
_______________ to ______________
Closing price of the security in the class or series 
on the last trading day of the specified trading 
period in which such security was listed or quoted 
on the highest trading marketplace

$ _________________ 
(vii)
Number of securities in the class or series of such 
security outstanding at the end of the last trading 
day of the specified trading period

$ _________________ 
(viii)
Market value of class or series
(vii) x (viii)
$ _________________ 
(D)
5th Specified Trading Period (dd/mm/yy)
_______________ to ______________
Closing price of the security in the class or series 
on the last trading day of the specified trading 
period in which such security was listed or quoted 
on the highest trading marketplace

$ _________________ 
(ix)
Number of securities in the class or series of such 
security outstanding at the end of the last trading 
day of the specified trading period

$ _________________ 
(x)
Market value of class or series
(ix) x (x)
$ _________________ 
(E)
Average Market Value of Class or Series 
(Calculate the simple average of the market value 
of the class or series of security for each 
applicable specified trading period (i.e. A through 
E above))

$ _________________ 
(1)
(Repeat the above calculation for each other class or series of equity securities of the reporting 
issuer (and a subsidiary, if applicable) that was listed or quoted on a marketplace at the end of 
the previous financial year)
Fair value of outstanding debt securities:


(Provide details of how value was determined)

$ _________________ 
(2)
Capitalization for the previous financial year
(1) + (2)
$ _________________
Participation Fee

$ _________________
Late Fee, if applicable

$ _________________
Total Fee Payable

$ _________________
(Participation Fee plus Late Fee)


FORM 13-501F2 
CLASS 2 REPORTING ISSUERS - PARTICIPATION FEE
MANAGEMENT CERTIFICATION
I, ____________________, an officer of the reporting issuer noted below have 
examined this Form 13-501F2 (the Form) being submitted hereunder to the Alberta 
Securities Commission and certify that to my knowledge, having exercised 
reasonable diligence, the information provided in the Form is complete and accurate.
_______________________________      _________________________________ 
Name:                                                         Date: 
Title:


Reporting Issuer Name: ____________________________________________
End date of previous financial year: __________________________________
Financial Statement Values:
(Use stated values from the audited financial statements of the reporting issuer  
as of the end of its previous financial year)
Retained earnings or deficit
$ ____________ (A)
Contributed surplus
$ ____________ (B)
Share capital or owners' equity, options, warrants and preferred 
shares (whether such shares are classified as debt or equity for 
financial reporting purposes)
$ ____________ (C)
Non-current borrowings (including the current portion)
$ ____________ (D)
Finance leases (including the current portion)
$ ____________ (E)
Non-controlling interest
$ ____________ (F)
Items classified on the statement of financial position as non-current 
liabilities (and not otherwise listed above)
$ ____________ (G)
Any other item forming part of equity and not set out specifically above
$ ____________ (H)
Capitalization for the previous financial year
 (Add items (A) through (H))
$ ____________
Participation Fee
$ ____________
Late Fee, if applicable
$ ____________
Total Fee Payable
(Participation Fee plus Late Fee)
$ ____________

FORM 13-501F3 
ADJUSTMENT OF FEE PAYMENT FOR CLASS 2 REPORTING ISSUERS
MANAGEMENT CERTIFICATION
I, ____________________, an officer of the reporting issuer noted below have 
examined this Form 13-501F3 (the Form) being submitted hereunder to the Alberta 
Securities Commission and certify that to my knowledge, having exercised 
reasonable diligence, the information provided in the Form is complete and accurate.
_______________________________      _________________________________ 
Name:                                                         Date: 
Title:


Reporting Issuer Name: ________________________________________________
Financial year end date used to calculate capitalization: _____________________
State the amount of participation fee paid under paragraph 15(1)(a) of ASC 
Rule 13-501 Fees:
$ __________ (i)
Show calculation of actual capitalization based on audited financial statements:
Financial Statement Values:
Retained earnings or deficit
$ ____________ (A)
Contributed surplus
$ ____________ (B)
Share capital or owners' equity, options, warrants and preferred shares  
(whether such shares are classified as debt or equity for financial 
reporting 
purposes)
$ ____________ (C)
Non-current borrowings (including the current portion)
$ ____________ (D)
Finance leases (including the current portion)
$ ____________ (E)
Non-controlling interest
$ ____________ (F)
Items classified on the statement of financial position as non-current 
liabilities (and not otherwise listed above)
$ ____________ (G)
Any other item forming part of equity and not set out specifically above
$ ____________ (H)
Capitalization
 
(Add items (A) through (H))
$ ____________
Participation Fee
$ ____________ (ii)
Refund due (Balance owing)
 
(Indicate the difference between (i) and (ii) and enter nil if no difference) 
(i) - (ii) =

$ ___________
FORM 13-501F4 
CLASS 3A REPORTING ISSUERS - PARTICIPATION FEE
MANAGEMENT CERTIFICATION
I, ____________________, an officer of the reporting issuer noted below have 
examined this Form 13-501F4 (the Form) being submitted hereunder to the Alberta 
Securities Commission and certify that to my knowledge, having exercised 
reasonable diligence, the information provided in the Form is complete and accurate.
_______________________________      _________________________________ 
Name:                                                         Date: 
Title:


Reporting Issuer Name: ___________________________________
Financial year end date: ___________________________________
Indicate, by checking the appropriate box, which of the following criteria the issuer 
meets:
[ ] (a) had no securities listed or quoted on any marketplace at the end of its previous 
financial year, or
[ ] (b) had securities listed or quoted on a marketplace at the end of its previous 
financial year and all of the following apply:
(i)	at the end of its previous financial year, securities registered in the 
names of persons or companies resident in Alberta represented 
less than 1% of the market value of all of the reporting issuer's 
outstanding securities for which it or its transfer agent or registrar 
maintains a list of registered owners;
(ii)	the reporting issuer reasonably believes that, at the end of its 
previous financial year, securities beneficially owned by persons 
or companies resident in Alberta represented less than 1% of the 
market value of all its outstanding securities;
(iii)	the reporting issuer reasonably believes that none of its securities 
traded on a marketplace in Canada during its previous financial 
year;
(iv)	the reporting issuer has not issued any of its securities in Alberta 
in the last 5 years, other than
(A)	to its employees or to employees of one or more of its 
subsidiaries, or
(B)	to a person or company exercising a right previously 
granted by the reporting issuer or its affiliate to convert or 
exchange its previously issued securities without payment 
of any additional consideration;
Participation Fee
$                   400
Late Fee, if applicable
$ ____________
Total Fee Payable

(Participation Fee plus Late Fee)
$ ____________

 
FORM 13-501F5 
INVESTMENT FUND - PARTICIPATION FEE
MANAGEMENT CERTIFICATION
I, ____________________, an officer of the reporting issuer noted below have 
examined this Form 13-501F5 (the Form) being submitted hereunder to the Alberta 
Securities Commission and certify that to my knowledge, having exercised reasonable 
diligence, the information provided in the Form is complete and accurate.
_______________________________      _________________________________ 
Name:                                                         Date: 
Title:


Investment Fund Name: _____________________________________
Financial year end date: _____________________________________
The investment fund is required to file an annual financial statement pursuant to 
National Instrument 81-106 Investment Fund Continuous Disclosure. 
Participation Fee
$                   350
Late Fee, if applicable
$ ____________
Total Fee Payable

(Participation Fee plus Late Fee)
$ ____________

 
FORM 13-501F6 
SUBSIDIARY EXEMPTION NOTICE
MANAGEMENT CERTIFICATION
I, ____________________, an officer of the reporting issuer noted below have 
examined this Form 13-501F6 (the Form) being submitted hereunder to the Alberta 
Securities Commission and certify that to my knowledge, having exercised reasonable 
diligence, the information provided in the Form is complete and accurate.
_______________________________      _________________________________ 
Name:                                                         Date: 
Title:


Name of Subsidiary: _____________________________________
Name of Parent: ________________________________________
End Date of Subsidiary's Previous Financial Year: ________________________
The reporting issuer (subsidiary) meets the following criteria set out under subsection 
17(1) of ASC Rule 13-501 Fees:
(a)	at the end of the subsidiary's previous financial year, a parent of the 
subsidiary was a reporting issuer;
(b)	the audited financial statements of the parent prepared in accordance 
with National Instrument 52-107 Acceptable Accounting Principles and 
Standards require the consolidation of the parent and the subsidiary;
(c)	the parent has paid a participation fee under subsection 15(1) calculated 
based on the capitalization of the parent for its previous financial year; 
(d)	in the case of a parent that is a Class 1 reporting issuer, the capitalization 
of the parent for its previous financial year included the capitalization of 
the subsidiary as required under paragraph 20(c); 
(e)	in its previous financial year,
(i)	the net assets and total revenues of the subsidiary represented 
more than 90% of the consolidated net assets and total revenues 
of the parent for the parent's previous financial year, or
(ii)	the subsidiary was entitled to rely on an exemption or waiver 
from the requirements in subsections 4.1(1), 4.3(1) and 5.1(1) and 
sections 5.2 and 6.1 of National Instrument 51-102 Continuous 
Disclosure Obligations.
If paragraph e(i) above applies, complete the following table:


Net Assets for 
previous financial 
year
Total Revenues for 
previous financial 
year

Reporting Issuer 
(Subsidiary)
$ ________________
$ ________________
(A)
Reporting Issuer 
(Parent)
$ ________________
$ ________________
(B)
Percentage (A/B)
  __________%
   __________%


FORM 13-501F7 
SPECIFIED REGULATED ENTITIES - PARTICIPATION FEE
Name of Specified Regulated Entity: ____________________
Applicable Calendar Year: __________ (2016 or later) 
Type of Specified Regulated Entity: (check one)
	[  ] Recognized exchange or recognized quotation and trade reporting system 
	[  ] Alternate trading system 
	[  ] Recognized clearing agency 
	[  ] Exempt exchange, exempt clearing agency or designated  trade repository 
(1) Participation Fee for applicable calendar year -- Recognized exchange or 
recognized quotation and trade reporting system on which securities are traded
Filer should enter their Canadian trading share for the specified period below:
Canadian Trading Share Description
% (To be Entered  
by Filer)
Line 1: the share in the specified period of the total dollar 
values of trades of exchange-traded securities

Line 2: the share in the specified period of the total trading 
volume of exchange-traded securities

Line 3: the share in the specified period of the total number 
of trades of exchange-traded securities

Line 4: Average of Lines 1, 2 & 3 above

Line 5: Filer is required to pay the amount from the 
corresponding column in Appendix C based on the 
average calculated on Line 4 above:
$

(2) Participation Fee for applicable calendar year -- Recognized exchange on 
which derivatives are traded
Line 6: If operating a recognized exchange on which 
derivatives are traded  and for which the Commission is 
the lead or co-lead regulator, enter $15 000

$
Line 7: If operating a recognized exchange on which 
derivatives are traded  and for which the Commission is 
not the lead or co-lead regulator, enter $7500

$

(3) Participation Fee for applicable calendar year -- Alternative trading system
Line 8: If operating an alternative trading system for only 
exchange-traded securities, enter $8500

$
Line 9: If operating an alternative trading system for only 
unlisted debt or securities lending, enter $4375

$
Line 10: If operating an alternative trading system not 
described in Lines 8 or 9, enter $8500
$

(4) Participation Fee for applicable calendar year - Recognized clearing agencies 
providing services in connection with trades in securities
For services offered in Alberta Market the filer should enter the corresponding 
amount in the Fees Payable Column:
Services
Fee Payable
Line 11: Matching services, enter $5000
$
Line 12: Netting services, enter $10 000
$
Line 13: Settlement services, enter $10 000
$
Line 14: Novation services, if the Commission does not 
place reliance on another regulator for direct oversight, 
enter $75 000
$
Line 15: Novation services, if the Commission places 
reliance on another regulator for direct oversight. Enter 
$35 000
$
Line 16: Depositary services, enter $10 000
$
Line 17: Total Participation Fee Payable (Sum of 
Lines 11-16):
$

(5) Participation Fee for applicable calendar year - Recognized clearing agencies 
providing services in connection with trades in derivatives
Line18: If operating a recognized clearing agency 
providing services in connection with trades in 
derivatives, enter $15 000

$

(6) Participation Fee for applicable calendar year for other types of specified 
regulated entities
Line 19: Filer is required to pay the amount below, as 
applicable.

(a)	If operating as an exempt exchange or exempt 
clearing agency, enter $5000
$
(b)	If operating as a Designated Trade Repository, 
enter $15 000
$

(7) Prorated Participation Fee
Line 20: If this is the first time paying a participation fee 
as a specified regulated entity, prorate the amount
$

(8) Late Fee
Line 21: Late Fee
$

(9) Total Fee Payable
Line 22: Aggregate Participant Fee from Sections (1), 
(2), (3), (4), (5), and (6)  
$
Line 23: Total Fee Payable is amount from Line 20 or 
Line 22 plus amount from Line 21:
$
 
Alberta Securities Commission
AMENDMENTS TO NATIONAL INSTRUMENT 31-103 REGISTRATION 
REQUIREMENTS, EXEMPTIONS AND ONGOING REGISTRANT 
OBLIGATIONS
(Securities Act)
Made as a rule by the Alberta Securities Commission on September 13, 2016 pursuant 
to sections 223 and 224 of the Securities Act.
AMENDMENTS TO NATIONAL INSTRUMENT 31-103 REGISTRATION 
REQUIREMENTS, EXEMPTIONS AND ONGOING REGISTRANT 
OBLIGATIONS
1.	National Instrument 31-103 Registration Requirements, Exemptions, and 
Ongoing Registrant Obligations is amended by this Instrument. 
2.	Section 10.1(1)(a) is amended by deleting "2.1 of the Schedule - Fees in Alta. 
Reg. 115/95 - Securities Regulation" and adding "5 of ASC Rule 13-501 
Fees". 
3.	This Instrument comes into force on December 1, 2016. 
Service Alberta
Certificate of Intent to Dissolve
(Cooperatives Act)
Andrew Co-operative Association Limited
Notice is hereby given that a Certificate of Intent to Dissolve was issued to Andrew 
Co-operative Association Limited on October 14, 2016.
Dated at Edmonton, Alberta, October 25, 2016.
Jodi Morris, Director of Cooperatives.
Notice of Intent to Dissolve
(Cooperatives Act)
Invent-Cooperative
Notice is hereby given that a Notice of Intent to Dissolve was issued to Invent-
Cooperative on October 20, 2016.
Dated at Edmonton, Alberta, October 20, 2016.
Jodi Morris, Director of Cooperatives.
ADVERTISEMENTS
Notice of Certificate of Intent to Dissolve
(Business Corporations Act)
Notice is hereby given that a Certificate of Intent to Dissolve was issued to 826339 
ALBERTA LTD. on October 25, 2016.
Dated at Edmonton, Alberta on October 25, 2016.
Kenneth King, Agent.
_______________
Notice is hereby given that a Certificate of Intent to Dissolve was issued to Four 
Way Insurance Ltd. on October 21, 2016.
Dated at Calgary, Alberta on October 21, 2016.
Intact Financial Corporation.
_______________
Notice is hereby given that a Certificate of Intent to Dissolve was issued to Jennifer 
A. Galarneau Professional Corporation on September 27, 2016.
Dated at Edmonton, Alberta on September 27, 2016.
Jennifer A. Galarneau, Director.
Public Sale of Land
(Municipal Government Act)
Town of Drumheller
Notice is hereby given that, under the provisions of the Municipal Government Act, 
the Town of Drumheller will offer for sale, by public auction, at Drumheller Town 
Hall, Drumheller, Alberta, on Friday, January 27th, 2017, at 11:00 a.m., the following 
lands:
Lot
Block
Plan
Title Number
Address
2
11
0510043
121226193
100 - 6 Avenue Southeast
N 1/2 of 17&18
6
4653BC
091340495
550 - 2 Street Southwest
11
9
4653BC
081448612
461 - 1 Street Southwest
1&2
11
2089BN
041384610
407 - 3 Street East
32
12
2089BN
071113446
436 - 3 Street East
34
23
7710AP
941053477
274 - 2 Street West
26
33
2691BC
031083215
124 - 3 Street West
2
41
2193CC
011263750
305 - 4 Street West
14
47
7251CK
071101234
740 - 3 Avenue West
Portions of 1

6305FC
151171341
807 Highway 9 South
SE 1/2 of 1
A
6416EO
971223455
11 Grove Avenue
4
11
1110970
151053736+3
819 - 3 Street Southwest
3
11
1110970
151053736+2
815 - 3 Street Southwest
Portion of 2
2
8011334
891021284
277 River Drive
9
1
678CR
031249840
74 - 1 Street East
5
1
4676CH
061524073+1
39 - 1 Avenue North
28&29
4
4676CH
061048814
56 - 2 Avenue South
1

9111062
981058892
336 - 1 Street North
2

9111062
981058892+1
342 - 1 Street North
2
3
0911282
091151945
5355 Highway 10
Each parcel will be offered for sale, subject to a reserve bid and to the reservations 
and conditions contained in the existing certificate of title.
This land is being offered for sale on an "as is, where is" basis.  The Town of 
Drumheller makes no representation and gives no warranty whatsoever as to the 
adequacy of services, soil conditions, land use districting, building and development 
conditions, absence or presence of environmental contamination, or the developability 
of the subject land for any intended use by the purchaser.
No bid will be accepted where the bidder attempts to attach conditions precedent to 
the sale of any parcel.
The Town of Drumheller may, after the public auction, become the owner of any 
parcel of land that is not sold at the public auction.
Terms: Cash or cash equivalent.
GST will apply on lands sold at the public auction.
Redemption may be effected by payment of all arrears of taxes and costs at any time 
prior to the sale.
Dated at Drumheller, Alberta, October 14, 2016.
Barbara Miller, CPA, CGA, CLGM, Director of Corporate Services.
Town of Sylvan Lake
Notice is hereby given that under the provisions of the Municipal Government Act, 
the Town of Sylvan Lake will offer for sale, by public auction, at Municipal 
Government Building, 5012 48 Avenue in the Council Chambers, Sylvan Lake, 
Alberta, on Thursday, February 9, 2017, at 10:00 a.m., the following lands:
Lot
Block
Plan
C of T
Address

39
062-7816
082243670
220-5040 53 Street
20
9
102-4600
132066800
18 Radcliff Way
The lands are being offered for sale on an "as is, where is" basis, and the Town of 
Sylvan Lake makes no representation and gives no warranty whatsoever as to the 
adequacy of services, soil conditions, land use districting, building and development 
conditions, absence or presence of environmental contamination, or the develop 
ability of the subject lands for any intended use by the Purchaser.
These parcels will be offered for sale subject to a reserve bid, and to the reservations 
and conditions contained in the existing certificate of title.
The Town of Sylvan Lake may, after the public auction, become the owner of any 
parcel of land that is not sold at the public auction.
Terms: Payment in Cash, Bank Draft or Certified Cheque. 10% deposit and balance 
within 30 days of date of Public Auction. GST may apply.
Redemption may be effected by payment of all arrears of taxes and costs at any time 
prior to the sale.
Dated at Sylvan Lake, Alberta, November 15, 2016.
Betty Osmond, Chief Administrative Officer.
______________
Town of Wainwright
Notice is hereby given that under the provisions of the Municipal Government Act, 
the Town of Wainwright will offer for sale, by public auction, in the Town of 
Wainwright Town Hall, Wainwright, Alberta, on Tuesday, January 10, 2017, at 10:00 
a.m., the following lands:
LINC Number
Legal Description
Title Number
0014 577 242
Plan 6263RS, Block 1, Lot 5
062 507 621
The property will be subject to the Tax Sale if tax arrears remain outstanding prior to 
the Tax Sale.
The property will be offered for sale, subject to a reserve bid and to the reservations 
and conditions contained in the existing certificate of title.
The land is being offered for sale on an "as is, where is" basis and the Town of 
Wainwright makes no representation and gives no warranty whatsoever as to the 
adequacy of services, soil conditions, land use districting, building and development 
conditions, absence or presence of environmental contamination, or the developability 
of the subject land for any intended use by the Purchaser. No bid will be accepted 
where the bidder attempts to attach conditions precedent to the sale of any parcel. No 
terms and conditions of sale will be considered other than those specified by Town of 
Wainwright.
The Town of Wainwright may, after the public auction, become the owner of the 
parcel of land if not sold at the public auction.
Terms: 10% deposit bank draft or lawyer's trust cheque is required on the date of sale 
and the balance within 30 days.
All sales are subject to current taxes.
GST may apply on properties sold at the public auction.
Redemption may be effected by payment of all arrears of taxes and costs at any time 
prior to the date of the sale. Properties may be deleted from this list as the tax arrears 
and costs are paid. 






NOTICE TO ADVERTISERS
The Alberta Gazette is issued twice monthly, on the 15th and last day.
Notices and advertisements must be received ten full working days before the 
date of the issue in which the notices are to appear. Submissions received after 
that date will appear in the next regular issue.
Notices and advertisements should be typed or written legibly and on a sheet separate 
from the covering letter. An electronic submission by email or disk is preferred. 
Email submissions may be sent to the Editor of The Alberta Gazette at 
albertagazette@gov.ab.ca. The number of insertions required should be specified and 
the names of all signing officers typed or printed. Please include name and complete 
contact information of the individual submitting the notice or advertisement.
Proof of Publication: Statutory Declaration is available upon request.
A copy of the page containing the notice or advertisement will be emailed to each 
advertiser without charge.
The dates for publication of Tax Sale Notices in The Alberta Gazette are as follows:
 
Issue of
Earliest date on which 
sale may be held
November 30
January 10


December 15
January 25
December 31
February 10


January 14
February 24
January 31
March 13


February 15
March 28
February 28
April 10


March 15
April 25
March 31
May 11


April 15
May 26
April 29
June 9


May 15
June 25
The charges to be paid for the publication of notices, advertisements and documents 
in The Alberta Gazette are:
Notices, advertisements and documents that are 5 or fewer pages	$20.00
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Please add 5% GST to the above prices (registration number R124072513).


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