CERTIFICATE OF INCUMBENCY
I, _______________________, Secretary of ___________________________________________
(hereinafter called the “Corporation”) do hereby certify that:
1.

The following have been duly elected or appointed and qualified as directors of the
Corporation and are the directors of the Corporation:

Name

Signature

Occupation

1.

_________________________________

_____________________

2.

_________________________________

_____________________

3.

_________________________________

_____________________

2. The following persons are the officers of the Corporation and hold the respective offices in the
Corporation set out opposite their names:
Name

Office Held

Signature

1.

____________________________

2.

____________________________

3.

____________________________

4.

____________________________
3. The following persons are the shareholders of the Corporation and hold the respective offices in
the Corporation set out opposite their names:

Shareholder
Name

Number of
Shares Held

Class of Shares
held

Date of
Birth

Address

Occupation

1.

____________

______________

__________

2.

____________

______________

__________

3.

____________

______________

__________

4.

____________

______________

__________

Signature

DATED this _________ day of __________________, 20____.
(c/s)
Name:
Title:

Page 2
SOLICITOR'S CERTIFICATE
The undersigned solicitor certifies that:
1.

I am the solicitor for the Corporation.

2.

I have reviewed the minute books and other corporate records of the Corporation and the
information set out in the above certificate of incumbency is true and correct as of the date
hereof

3

The signatures of the directors and officers of the Corporation set out above are the genuine
signatures of such directors and officers, respectively and the information contained herein is
accurate.

DATED this __________________ day of __________________, 20__________.

Name: