COMPANY INFORMATION

Company Details
Registered Business Name
Business Operating Name
Business Address
Mailing Address
Telephone(s)
Fax
Cellular Phone
Email
Website
Date Established
Current Ownership Since
Form of Business:	__________ Corporation _________ Society __________ Partnership ______ Co-operative _______ Sole Proprietorship _____ Inc. Assoc. ____ Other: ___________________________
Industry Sector:
Current Financial Institutions:
Company Owner(s) - Supply Same Information for Each Owner
Legal Name
Business Name
% Ownership	Title:
Business Involvement:	__________ Part-time _________Full-time
Accountant
Name
Address
Telephone
Fax
Email
Fiscal Year End
Date of most recent formal accountant prepared financial statements or corporate income tax return
Latest interim statements (if applicable)
Lawyer
Name
Address
Telephone
Fax
Email

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