Royal Gazette July 23, 2016

Transcription

Royal Gazette July 23, 2016
Prince Edward Island
Postage paid in cash at First Class Rates
PUBLISHED BY AUTHORITY
VOL. CXLII – NO. 30
Charlottetown, Prince Edward Island, July 23, 2016
CANADA
PROVINCE OF PRINCE EDWARD ISLAND
IN THE SUPREME COURT - ESTATES DIVISION
TAKE NOTICE that all persons indebted to the following estates must make payment to the personal
representative of the estates noted below, and that all persons having any demands upon the following
estates must present such demands to the representative within six months of the date of the advertisement:
Estate of:
Date of
the Advertisement
Personal Representative:
Executor/Executrix (Ex)
Administrator/Administratrix (Ad)
Place of
Payment
BLANCHARD, Reginald J. Rita Doiron Blanchard (EX.)
Rustico
Queens Co., PE
July 23, 2016 (30-43)*
HBC Law Corporation
25 Queen Street
Charlottetown, PE
CAMPBELL, William Calder
Eleanor Anne Gallant (EX.)
Cornwall
Queens Co., PE
July 23, 2016 (30-43)*
Key Murray Law
119 Queen Street
Charlottetown, PE
CLEMENTS, Mary Loretta
Carol Ann Matheson
St. Charles (formerly Carol Ann Jones) Kings Co., PE
Albertine Clements (EX.)
July 23, 2016 (30-43)*
Stewart McKelvey
65 Grafton Street
Charlottetown, PE
HATTON, Paul George
Colette Hatton (EX.)
Allen J. MacPhee Law
Marie Corporation
Kings Co., PE
106 Main Street
July 23, 2016 (30-43)*
Souris, PE
HICKEN, Reta
Barry Hicken
Pembroke
Charles Hicken (EX.)
Kings Co., PE
July 23, 2016 (30-43)*
Cox & Palmer
4A Riverside Drive
Montague, PE
MacDONALD, Carol Ann
Gail Gray (EX.)
Meadowbank
Queens Co., PE
July 23, 2016 (30-43)*
T. Daniel Tweel
105 Kent Street
Charlottetown, PE
*Indicates date of first publication in the Royal Gazette.
This is the official version of the Royal Gazette. The electronic version may be viewed at:
http://www.gov.pe.ca/royalgazette
ROYAL GAZETTE
762
July 23, 2016
CANADA
PROVINCE OF PRINCE EDWARD ISLAND
IN THE SUPREME COURT - ESTATES DIVISION
TAKE NOTICE that all persons indebted to the following estates must make payment to the personal
representative of the estates noted below, and that all persons having any demands upon the following
estates must present such demands to the representative within six months of the date of the advertisement:
Estate of:
Date of
the Advertisement
Personal Representative:
Executor/Executrix (Ex)
Administrator/Administratrix (Ad)
Place of
Payment
McINNIS, Hector
Rita McInnis (EX.)
Tignish
Prince Co., PE
July 23, 2016 (30-43)*
Cox & Palmer
347 Church Street
Alberton, PE
MacNEILL, Amy
Wallace Vere MacKay (EX.)
Murray Harbour
Kings Co., PE
July 23, 2016 (30-43)*
HBC Law Corporation
25 Queen Street
Charlottetown, PE
KELLY, Ellen Mary
Leonard Kelly (AD.)
Toronto, ON
July 23, 2016 (30-43)*
Cox & Palmer
4A Riverside Drive
Montague, PE
DOYLE, Leo Augustine
Irene Sanderson (EX.)
Charlottetown
Queens Co., PE
July 16, 2016 (29-42)
Carr Stevenson & MacKay
65 Queen Street
Charlottetown, PE
LIVINGSTON, Carl Daniel
Stratford
Queens Co., PE
July 16, 2016 (29-42)
Daniel Livingston
Kent Livingston
Lori Livingston (EX.)
Campbell Lea
65 Water Street
Charlottetown, PE
MacLEAN, Bertha M. Larry F. Welton (EX.)
Montague
Kings Co., PE
July 16, 2016 (29-42)
Stewart McKelvey
65 Grafton Street
Charlottetown, PE
MacPHERSON, Alvin E. Ann Berneta MacPherson (EX.)
Pinette
Queens Co., PE
July 16, 2016 (29-42)
Campbell Stewart
137 Queen Street
Charlottetown, PE
MacQUARRIE, Charles William Caroline Helen MacQuarrie
South Rustico
Lori Anne McLean (EX.)
Queens Co., PE
July 16, 2016 (29-42)
Campbell Lea
65 Water Street
Charlottetown, PE
CAVAGNARO, Jean M. Lauren Cavagnaro (AD.)
Boston, Massachusetts
July 16, 2016 (29-42)
Cox & Palmer
4A Riverside Drive
Montague, PE
http://www.gov.pe.ca/royalgazette
ROYAL GAZETTE
July 23, 2016
763
CANADA
PROVINCE OF PRINCE EDWARD ISLAND
IN THE SUPREME COURT - ESTATES DIVISION
TAKE NOTICE that all persons indebted to the following estates must make payment to the personal
representative of the estates noted below, and that all persons having any demands upon the following
estates must present such demands to the representative within six months of the date of the advertisement:
Estate of:
Date of
the Advertisement
Personal Representative:
Executor/Executrix (Ex)
Administrator/Administratrix (Ad)
Place of
Payment
MICHAEL, Christopher
Mary Setlik (AD.)
Chicago, Illinois
July 16, 2016 (29-42)
Cox & Palmer
97 Queen Street
Charlottetown, PE
PETERS, Mary Margaret Ann
Margaret Creed (AD.)
Charlottetown
Queens Co., PE
July 16, 2016 (29-42)
Peter C. Ghiz Law Corporation
240 Pownal Street
Charlottetown, PE
STEELE, Reginald F. Reginald J. Steele
Natick, Middlesex County
Derek C. Steele (AD.)
Massachusetts, USA
July 16, 2016 (29-42)
Peter C. Ghiz & Associates
240 Pownal Street
Charlottetown, PE
FORD, Florence Maria
Eva MacNeill
York
Cheryl MacNeill (EX.)
Queens Co., PE
July 9, 2016 (28-41)
Carpenters Ricker
204 Queen Street
Charlottetown, PE
MacDONALD, John Bernard
Diane MacDonald
Allen J. MacPhee Law
Monticello
Blayne MacDonald (EX.) Corporation
Kings Co., PE
106 Main Street
July 9, 2016 (28-41)
Souris, PE
McDONALD, Leonard Joseph
Floyd McDonald (EX.)
Charlottetown
Queens Co., PE
July 9, 2016 (28-41)
Carr Stevenson & MacKay
65 Queen Street
Charlottetown, PE
NELSON, Caroline Joanne
Ronald Frederick Nelson (EX.)
(also known as Joanne Nelson)
Calgary, AB
July 9, 2016 (28-41)
Carr Stevenson & MacKay
65 Queen Street
Charlottetown, PE
PHILLIPS, Sadie Gladys (also
John Carr, Q.C. (EX.)
known as Gladys Sadie Phillips)
Charlottetown
Queens Co., PE
July 9, 2016 (28-41)
Carr Stevenson & MacKay
65 Queen Street
Charlottetown, PE
http://www.gov.pe.ca/royalgazette
ROYAL GAZETTE
764
July 23, 2016
CANADA
PROVINCE OF PRINCE EDWARD ISLAND
IN THE SUPREME COURT - ESTATES DIVISION
TAKE NOTICE that all persons indebted to the following estates must make payment to the personal
representative of the estates noted below, and that all persons having any demands upon the following
estates must present such demands to the representative within six months of the date of the advertisement:
Estate of:
Date of
the Advertisement
Personal Representative:
Executor/Executrix (Ex)
Administrator/Administratrix (Ad)
Place of
Payment
ROPER, Dorothy E. Donald Ling (EX.)
Charlottetown
Queens Co., PE
July 9, 2016 (28-41)
Campbell Stewart
137 Queen Street
Charlottetown, PE
NORTHCOTT, Dawn Carol
Peter Ivan Northcott (AD.)
Hampshire
Queens Co, PE
July 9, 2016 (28-41)
Stewart McKelvey
65 Grafton Street
Charlottetown, PE
CAMPBELL, Whylie Roy
Fenton Campbell (EX.)
Lot 16
Prince Co., PE
July 2, 2016 (27-40)
Key Murray Law
494 Granville Street
Summerside, PE
CLOW, Robert Cecil
Frances Sheila Gallant (EX.)
Charlottetown
(formerly Grand Tracadie) Queens Co., PE
July 2, 2016 (27-40)
HBC Law Corporation
25 Queen Street
Charlottetown, PE
JEFFERY, Troy Joseph
Sherri-Dawn Jean Jeffery (EX.)
Tignish
Prince Co., PE
July 2, 2016 (27-40)
Cox & Palmer
250 Water Street
Summerside, PE
MacLURE, A. Aileen
Judy L. Johnston
Montague Gary B. MacLure (EX.)
Kings Co., PE
July 2, 2016 (27-40)
Cox & Palmer
4A Riverside Drive
Montague, PE
MEYER, Robert John
Gloriana Glory (EX.)
French River
Prince Co., PE
July 2, 2016 (27-40)
Cox & Palmer
250 Water Street
Summerside, PE
YOUNGS, Richard C. Rosemary A. Dooley (EX.)
Normal, Illinois
USA
July 2, 2016 (27-40)
Stewart McKelvey
65 Grafton Street
Charlottetown, PE
http://www.gov.pe.ca/royalgazette
ROYAL GAZETTE
July 23, 2016
765
CANADA
PROVINCE OF PRINCE EDWARD ISLAND
IN THE SUPREME COURT - ESTATES DIVISION
TAKE NOTICE that all persons indebted to the following estates must make payment to the personal
representative of the estates noted below, and that all persons having any demands upon the following
estates must present such demands to the representative within six months of the date of the advertisement:
Estate of:
Date of
the Advertisement
Personal Representative:
Executor/Executrix (Ex)
Administrator/Administratrix (Ad)
Place of
Payment
BROOKS, John Frederick
Doreen Alma Dyment (AD.)
Tyne Valley
Prince Co., PE
July 2, 2016 (27-40)
Ramsay Law
303 Water Street
Summerside, PE
KILBRIDE, Katherine Blanche
James Rice (AD.)
Cardigan
Kings Co., PE
July 2, 2016 (27-40)
Cox & Palmer
4A Riverside Dr.
Montague, PE
SCHURMAN, David Wayne
Robert Wayne Schurman (AD.)
Travellers Rest
Prince Co., PE
July 2, 2016 (27-40)
Robert R. MacArthur
3291 West River Road
Cornwall, PE
VENN, Paula Doreen
Julie Elaine Strilesky
Bay Fortune
Andrew James Strilesky (AD.)
Kings Co., PE
July 2, 2016 (27-40)
Stewart McKelvey
65 Grafton Street
Charlottetown, PE
BROOME, Muriel Anne
Glenda Anne Broome (EX.)
Chelton
Prince Co., PE
June 25, 2016 (26-39)
Donald Schurman
155A Arcona Street
Summerside, PE
DYCK, Dorothy Geraldine
James Rogers (EX.)
(also known as Dorothy Dyck)
Summerside, PE
Prince Co., PE
June 25, 2016 (26-39)
Cox & Palmer
250 Water Street
Summerside, PE
HEWITT, Arthur James
Patricia Jane Hewitt (EX.)
Lower Montague
Kings Co., PE
June 25, 2016 (26-39)
Paul J. D. Mullin, Q.C.
14 Great George Street
Charlottetown, PE
JONES, Sarah Elizabeth
Gerwyn R. Jones
Summerside
Susan Escoffery (EX.)
Prince Co., PE
June 25, 2016 (26-39)
Ramsay Law
303 Water Street
Summerside, PE
http://www.gov.pe.ca/royalgazette
ROYAL GAZETTE
766
July 23, 2016
CANADA
PROVINCE OF PRINCE EDWARD ISLAND
IN THE SUPREME COURT - ESTATES DIVISION
TAKE NOTICE that all persons indebted to the following estates must make payment to the personal
representative of the estates noted below, and that all persons having any demands upon the following
estates must present such demands to the representative within six months of the date of the advertisement:
Estate of:
Date of
the Advertisement
Personal Representative:
Executor/Executrix (Ex)
Administrator/Administratrix (Ad)
Place of
Payment
MORONEY, Hazel
Noreen Watts (EX.)
Charlottetown
Queens Co., PE
June 25, 2016 (26-39)
Philip Mullally Law Office
51 University Aveune
Charlottetown, PE
NICHOLLS, Helen Melinda
Sandra Ann Mutton
Hamilton
Patricia Helen Nicholls (EX.)
Ontario
June 25, 2016 (26-39)
Cox & Palmer
250 Water Street
Summerside, PE
REID, Albert Joseph
Rita Reid (EX.)
Suffolk
Queens Co., PE
June 25, 2016 (26-39)
Birt & McNeill
138 St. Peters Road
Charlottetown, PE
ROPER, Helen Isabel
Janet L. Bevan
Charlottetown
Arleen H. Harris (EX.)
Queens Co., PE
June 25, 2016 (26-39)
McInnes Cooper
141 Kent Street
Charlottetown, PE
ROSS, Clayton Emmanual (also
Randy Ross
known as Clayton Emmanuel Ross) Robert Ross
Tyne Valley
Georgia MacKinnon (EX.)
Prince Co., PE
June 25, 2016 (26-39)
Key Murray Law
494 Granville Street
Summerside, PE
SIMMS, David Gordon
D. Michael Simms (EX.)
Charlottetown (formerly Cornwall)
Queens Co., PE
June 25, 2016 (26-39)
Key Murray Law
119 Queen Street
Charlottetown, PE
SIMPSON, Douglas Reagh
E. Lorraine Gordon
Iroquois
Donald O. Simpson (EX.)
Ontario
June 25, 2016 (26-39)
Stewart McKelvey
65 Grafton Street
Charlottetown, PE
STONEFIELD, Charles Ralph
Kevin Stonefield (EX.)
Brudenell
Kings Co., PE
June 25, 2016 (26-39)
Birt & McNeill
138 St. Peters Rd.
Charlottetown, PE
http://www.gov.pe.ca/royalgazette
ROYAL GAZETTE
July 23, 2016
767
CANADA
PROVINCE OF PRINCE EDWARD ISLAND
IN THE SUPREME COURT - ESTATES DIVISION
TAKE NOTICE that all persons indebted to the following estates must make payment to the personal
representative of the estates noted below, and that all persons having any demands upon the following
estates must present such demands to the representative within six months of the date of the advertisement:
Estate of:
Date of
the Advertisement
Personal Representative:
Executor/Executrix (Ex)
Administrator/Administratrix (Ad)
Place of
Payment
KING, Everett Archibald, Jr.
Ian Douglas King (AD.)
Lower Montague
Kings Co., PE
June 25, 2016 (26-39)
Lecky Quinn
37 St. Peters Road
Charlottetown, PE
MacQUARRIE, Raymond
Florence MacQuarrie (AD.)
Oyster Bed Bridge
Queens Co., PE
June 25, 2016 (26-39)
Carr Stevenson & MacKay
65 Queen Street
Charlottetown, PE
REEVES, Anna Marie
Peter Wayne Reeves (AD.)
Shamrock
Prince Co., PE
June 25, 2016 (26-39)
Robert R. MacArthur
3291 West River Rd., Rte. 9
Cornwall, PE
SADLER, Clifford Norman
Jane Sadler (AD.)
Charlottetown
Queens Co., PE
June 25, 2016 (26-39)
Key Murry Law
119 Queen Street
Charlottetown, PE
CAMPBELL, Faye
Edgar Allen Gay (EX.)
Central Bedeque
Prince Co., PE
June 11, 2016 (24-37)
McCabe Law
193 Arnette Avenue
Summerside, PE
HARDAGE, Margaret
Ruth Anne Bean
(also known as Margaret Yeo)
Kenneth Hardage (EX.)
Ottawa, ON
June 11, 2016 (24-37)
Cox & Palmer
97 Queen Street
Charlottetown
JELLEY, Inez Marion
Parris Mitchell Jelley
O’Leary
Cathie Ellen Rivard (EX.)
Prince Co., PE
June 11, 2016 (24-37)
Key Murray Law
446 Main Street
O’Leary, PE
MacDONALD, Spencer Blaine
James Wendell MacDonald (EX.)
Mayfield
Queens Co., PE
June 11, 2016 (24-37)
Carr Stevenson & MacKay
65 Queen Street
Charlottetown, PE
http://www.gov.pe.ca/royalgazette
ROYAL GAZETTE
768
July 23, 2016
CANADA
PROVINCE OF PRINCE EDWARD ISLAND
IN THE SUPREME COURT - ESTATES DIVISION
TAKE NOTICE that all persons indebted to the following estates must make payment to the personal
representative of the estates noted below, and that all persons having any demands upon the following
estates must present such demands to the representative within six months of the date of the advertisement:
Estate of:
Date of
the Advertisement
Personal Representative:
Executor/Executrix (Ex)
Administrator/Administratrix (Ad)
Place of
Payment
MacLEOD, Frederick Cobb
Gina MacLeod
Charlottetown
Bruce MacLeod (EX.)
Queens Co., PE
June 11, 2016 (24-37)
Carr Stevenson & MacKay
65 Queen Street
Charlottetown, PE
PHILLIPS, Marjorie Irene
Eric Phillips (EX.)
Knutsford
Prince Co., PE
June 11, 2016 (24-37)
Key Murray Law
446 Main Street
O’Leary, PE
PHILLIPS, Waldo Orie
Eric Phillips (EX.)
Knutsford
Prince Co., PE
June 11, 2016 (24-37)
Key Murray Law
446 Main Street
O’Leary, PE
LECLAIR, Danny John
Tami Lyn Marie Leclair (AD.)
Summerside
Prince Co., PE
June 11, 2016 (24-37)
Cox & Palmer
250 Water Street
Summerside, PE
MacARTHUR, Robert Eldon
Douglas Eldon MacArthur
Tyne Valley
Donald James MacArthur (AD.)
Prince Co., PE
June 11, 2016 (24-37)
Key Murray Law
446 Main Street
O’Leary, PE
MacAUSLAND, Rachel Dawn
Stephen Gregory MacAusland Charlottetown (AD.)
Queens Co., PE
June 11, 2016 (24-37)
Birt & McNeill
138 St. Peters Road
Charlottetown, PE
MacINNIS, Colin Lloyd
Bonnie Stewart (AD.)
Glen William
Kings Co., PE
June 11, 2016 (24-37)
Cox & Palmer
4A Riverside Dr.
Montague, PE
ARSENAULT, Margaret Bernetta Wendell Arsenault (EX.)
(Marjorie) St. Louis
Prince Co., PE
June 4, 2016 (23-36)
Cox & Palmer
479 Church Street
Alberton, PE
http://www.gov.pe.ca/royalgazette
ROYAL GAZETTE
July 23, 2016
769
CANADA
PROVINCE OF PRINCE EDWARD ISLAND
IN THE SUPREME COURT - ESTATES DIVISION
TAKE NOTICE that all persons indebted to the following estates must make payment to the personal
representative of the estates noted below, and that all persons having any demands upon the following
estates must present such demands to the representative within six months of the date of the advertisement:
Estate of:
Date of
the Advertisement
Personal Representative:
Executor/Executrix (Ex)
Administrator/Administratrix (Ad)
Place of
Payment
CANNON, Leo
Alfred Cannon (EX.)
Pownal
Queens Co., PE
June 4, 2016 (23-36)
Philip Mullally
51 University Avenue
Charlottetown, PE
COMPTON, Lorne Hensley
Lillian Ada Campbell (EX.)
Summerside
Prince Co., PE
June 4, 2016 (23-36)
McCabe Law
193 Arnett Avenue
Summerside, PE
DIXON, Major Robert
Donna Campbell-Dixon (EX.)
Souris
Kings Co., PE
June 4, 2016 (23-36)
Stewart McKelvey
65 Grafton Street
Charlottetown, PE
FRASER, James Alexander
Murray Fraser (EX.)
Charlottetown
Queens Co., PE
June 4, 2016 (23-36)
MacNutt & Dumont
57 Water Street
Charlottetown, PE
MacDONALD, Nora Galbraith
Barbara Elizabeth Stevens (EX.)
Charlottetown
Queens Co., PE
June 4, 2016 (23-36)
Elizabeth S. Reagh, Q.C.
17 West Street
Charlottetown, PE
MacLENNAN, Edwin Lloyd
Wayne MacLennan (EX.)
Tyne Valley
Prince Co., PE
June 4, 2016 (23-36)
McLellan Brennan
37 Central Street
Summerside, PE
MacPHAIL, David Winston
L. Ferne MacPhail (EX.)
Meadowbank
Queens Co., PE
June 4, 2016 (23-36)
Carr Stevenson & MacKay
65 Queen Street
Charlottetown, PE
McALDUFF, George Richard
Frances Genevieve McAdulff
St. Louis RR (EX.)
Prince Co., PE
June 4, 2016 (23-36)
Cox & Palmer
347 Church Street
Alberton, PE
http://www.gov.pe.ca/royalgazette
ROYAL GAZETTE
770
July 23, 2016
CANADA
PROVINCE OF PRINCE EDWARD ISLAND
IN THE SUPREME COURT - ESTATES DIVISION
TAKE NOTICE that all persons indebted to the following estates must make payment to the personal
representative of the estates noted below, and that all persons having any demands upon the following
estates must present such demands to the representative within six months of the date of the advertisement:
Estate of:
Date of
the Advertisement
Personal Representative:
Executor/Executrix (Ex)
Administrator/Administratrix (Ad)
Place of
Payment
MORRISSEY, Kenneth Alphonsus Arn C.J. Reisler (EX.)
Toronto, ON
June 4, 2016 (23-36)
McInnes Cooper
14 Kent Street
Charlottetown, PE
RIX, Myrtle Jean
Cleve Rix (EX.)
Alberton
Prince Co., PE
June 4, 2016 (23-36)
Key Murray Law
494 Granville Street
Summerside, PE
RUSSELL, Eugene
Catherine J. MacKinnon (EX.)
Five Houses
Kings Co., PE
June 4, 2016 (23-36)
Carr Stevenson & MacKay
50 Water Street
Charlottetown, PE
WILLIAMS, Judy
Marven Williams (EX.)
MacNeills Mills
Prince Co., PE
June 4, 2016 (23-36)
Robert McNeill
251 Water Street
Summerside, PE
COTTRELL, Thelma Christine
John Edward Cottrell
Niagara on the Lake
Ruth Carol Jaeger (AD.)
Niagara, ON
June 4, 2016 (23-36)
Stewart McKelvey
65 Grafton Street
Charlottetown, PE
MORGAN, Gwendolyn (Goldie) Gail A’Hearn (AD.)
Mary
Ebbsfleet
Prince Co., PE
June 4, 2016 (23-36)
Carla L. Kelly
102-100 School Street
Tignish, PE
RADVANYI, Teresa Ann
Lorna Lannigan (AD.)
Montague
Kings Co., PE
June 4, 2016 (23-36)
Carpenters Ricker
204 Queen Street
Charlottetown, PE
BUELL, Leon R. Heather G. Buell (EX.)
(also known as Leon Ray Buell)
Murray River
Kings Co., PE
May 28, 2016 (22-35)
Cox & Palmer
4A Riverside Drive
Montague, PE
http://www.gov.pe.ca/royalgazette
ROYAL GAZETTE
July 23, 2016
771
CANADA
PROVINCE OF PRINCE EDWARD ISLAND
IN THE SUPREME COURT - ESTATES DIVISION
TAKE NOTICE that all persons indebted to the following estates must make payment to the personal
representative of the estates noted below, and that all persons having any demands upon the following
estates must present such demands to the representative within six months of the date of the advertisement:
Estate of:
Date of
the Advertisement
Personal Representative:
Executor/Executrix (Ex)
Administrator/Administratrix (Ad)
Place of
Payment
GALLANT, John William
Frank Murphy (EX.)
Summerside
Prince Co., PE
May 28, 2016 (22-35)
Ramsay Law
303 Water Street
Summerside, PE
HOLMES, Margaret Elizabeth
Thomas Harwood Holmes (EX.)
Wellington
Prince Co., PE
May 28, 2016 (22-35)
Key Murray Law
494 Granville Street
Summerside, PE
JACKSON, Julia Ann
Elsie O’Gorman (EX.)
Summerside
Prince Co., PE
May 28, 2016 (22-35)
Robert McNeill
251 Water Street
Summerside, PE
MacKENZIE, J. Gordon
Lowell MacKenzie
Charlottetown
Brian MacKenzie (EX.)
Queens Co., PE
May 28, 2016 (22-35)
Stewart McKelvey
65 Grafton Street
Charlottetown, PE
SMITH, Elizabeth Josephine
Merrill Patrick Smith
Stratford
Wayne Ambrose Smith (EX.)
Queens Co., PE
May 28, 2016 (22-35)
Catherine M. Parkman Law Office
82 Fitzroy Street
Charlottetown, PE
THOMAS, Marian Isabel
Gerald Carrol Thomas (EX.)
Courtenay, BC
May 28, 2016 (22-35)
McLellan Brennan
37 Central Street
Summerside, PE
TOOMBS, Wilma Jean
L. Garth Toombs
Summerside
Alan L. Toombs (EX.)
Prince Co., PE
May 28, 2016 (22-35)
Key Murray Law
494 Granville Street
Summerside, PE
HUGHES, Ronald Frederick
Judith Kathleen Profitt (AD.)
Brackley Beach
Queens Co., PE
May 28, 2016 (22-35)
Ian Bailey
513B North River Road
Charlottetown, PE
http://www.gov.pe.ca/royalgazette
ROYAL GAZETTE
772
July 23, 2016
CANADA
PROVINCE OF PRINCE EDWARD ISLAND
IN THE SUPREME COURT - ESTATES DIVISION
TAKE NOTICE that all persons indebted to the following estates must make payment to the personal
representative of the estates noted below, and that all persons having any demands upon the following
estates must present such demands to the representative within six months of the date of the advertisement:
Estate of:
Date of
the Advertisement
Personal Representative:
Executor/Executrix (Ex)
Administrator/Administratrix (Ad)
Place of
Payment
BOULTER, James A. (also
Anne Boulter (EX.)
known as James Arthur Boulter)
Victoria
Queens Co., PE
May 21, 2016 (21-34)
Key Murray Law
494 Granville Street
Summerside, PE
DAVIS, Melvin (also known
Deborah Lynn Davis (EX.)
as Melvin Jerome Davis)
Floral Park, NY
USA
May 21, 2016 (21-34)
Carr Stevenson & MacKay
50 Water Street
Charlottetown, PE
HARRIS, Eileen (also known
Edwin Alexander Harris
as Eileen Furze Harris)
Benjamin Jenkins (EX.)
Summerside
Prince Co., PE
May 21, 2016 (21-34)
McCabe Law
193 Arnett Avenue
Summerside, PE
HAWBOLT, Mary Eileen
Barry Burton Gosby (EX.)
Charlottetown
Queens Co., PE
May 21, 2016 (21-34)
Carr Stevenson & MacKay
50 Water Street
Charlottetown, PE
MURPHY, Thelma Mary
Steven Gerard Sherry (EX.)
Summerside
Prince Co., PE
May 21, 2016 (21-34)
Ramsay Law
303 Water Street
Summerside, PE
ROSE, David Allen
Susan Ann Rose (EX.)
St. Andrews
Kings Co., PE
May 21, 2016 (21-34)
Cox & Palmer
97 Queen Street
Charlottetown, PE
TAYLOR, Viola
Steven W. MacEachern
Charlottetown
W. Dean MacEachern (EX.)
(formerly of Rice Point) Queens Co., PE
May 21, 2016 (21-34)
Cox & Palmer
97 Queen Street
Charlottetown, PE
http://www.gov.pe.ca/royalgazette
ROYAL GAZETTE
July 23, 2016
773
CANADA
PROVINCE OF PRINCE EDWARD ISLAND
IN THE SUPREME COURT - ESTATES DIVISION
TAKE NOTICE that all persons indebted to the following estates must make payment to the personal
representative of the estates noted below, and that all persons having any demands upon the following
estates must present such demands to the representative within six months of the date of the advertisement:
Estate of:
Date of
the Advertisement
Personal Representative:
Executor/Executrix (Ex)
Administrator/Administratrix (Ad)
Place of
Payment
GALLANT, Matthew David
Melissa Dawn LeBlanc
Thomas
Brenton Thomas Gallant (AD.)
Amherst, NS May 21, 2016 (21-34)
McLellan Brennan
37 Central Street
Summerside, PE
PETRIE, Judith Marie (also
Jaime Petrie (AD.)
known as Judy M. Petrie)
Millcove
Queens Co., PE
May 21, 2016 (21-34)
MacNutt & Dumont
57 Water Street
Charlottetown, PE
ARMSTRONG, Joan Winifred
Guy William Armstrong (EX.)
Stratford
Queens Co., PE
May 14, 2016 (20-33)
MacNutt & Dumont
57 Water Street
Charlottetown, PE
BLACQUIERE, Joseph Louis (also Terry Blacquiere
known as Louis Joseph Blacquiere) Ann Marie Farrar (EX.)
Charlottetown
Queens Co., PE
May 14, 2016 (20-33)
Carr Stevenson & MacKay
65 Queen Street
Charlottetown, PE
MacMILLAN, Daniel Hector
Neil Peter MacMillan (EX.)
Eldon
Queens Co., PE
May 14, 2016 (20-33)
Cox & Palmer
4A Riverside Drive
Montague, PE
MacPHEE, Stephen Roy
Michelle Stuart (EX.)
Lower Montague
Kings Co., PE
May 14, 2016 (20-33)
Michelle Stuart
Roseneath, PE
McCORMACK, Joan Audrie
Clayton McCormack (EX.)
Allen J. MacPhee Law Souris Corporation
(formerly of Bear River North)
106 Main Street
Kings Co, PE
Souris, PE
May 14, 2016 (20-33)
MOLYNEAUX, Waldron Gordon Randy James Molyneaux (EX.)
Charlottetown
Queens Co., PE
May 14, 2016 (20-33)
http://www.gov.pe.ca/royalgazette
Carr Stevenson & MacKay
65 Queen Street
Charlottetown, PE
ROYAL GAZETTE
774
July 23, 2016
CANADA
PROVINCE OF PRINCE EDWARD ISLAND
IN THE SUPREME COURT - ESTATES DIVISION
TAKE NOTICE that all persons indebted to the following estates must make payment to the personal
representative of the estates noted below, and that all persons having any demands upon the following
estates must present such demands to the representative within six months of the date of the advertisement:
Estate of:
Date of
the Advertisement
Personal Representative:
Executor/Executrix (Ex)
Administrator/Administratrix (Ad)
Place of
Payment
SMITH, Father Brady Joseph (also Gerard Murnaghan (EX.)
known as Joseph Brady Smith)
Charlottetown
Queens Co., PE
May 14, 2016 (20-33)
Philip Mullally Law Office
51 University Avenue
Charlottetown, PE
CALDER, Barry Vincent
Mary Michelle Calder (AD.)
Bonshaw
Queens Co., PE
May 14, 2016 (20-33)
Robert R. MacArthur
3291 West River Road
Cornwall, PE
HIGGINBOTHAM, George Hector Florence Mabey Higginbotham
Murray River (AD.)
Kings Co., PE
May 14, 2016 (20-33)
Catherine M. Parkman Law Office
82 Fitzroy Street
Charlottetown, PE
ARSENAULT, Albert Arthur
David Arthur Arsenault
Charlottetown
John “Kevin” Arsenault (EX.)
Queens Co., PE
May 7, 2016 (19-32)
Catherine M. Parkman Law Office
82 Fitzroy Street
Charlottetown, PE
BURKE, Helen
Deborah Burke
Charlottetown
Philip Mullally (EX.)
Queens Co., PE
May 7, 2016 (19-32)
Philip Mullally Law Office
51 University Avenue
Charlottetown, PE
LINKLETTER, Susan Clark
Frank Hennessey (EX.)
Charlottetown
Queens Co., PE
May 7, 2016 (19-32)
E. W. Scott Dickieson Law Office
10 Pownal Street
Charlottetown, PE
McISAAC, Francis D. Darlene McGuirk
Eldon (formerly Uigg)
Leonard McIsaac (EX.)
Queens Co., PE
May 7, 2016 (19-32)
HBC Law Corporation
25 Queen Street
Charlottetown, PE
PROFITT, Gerald Wayne
Eleanor Evans (EX.)
Kensington
Prince Co., PE
May 7, 2016 (19-32)
Key Murray Law
494 Granville Street
Summerside, PE
http://www.gov.pe.ca/royalgazette
ROYAL GAZETTE
July 23, 2016
775
CANADA
PROVINCE OF PRINCE EDWARD ISLAND
IN THE SUPREME COURT - ESTATES DIVISION
TAKE NOTICE that all persons indebted to the following estates must make payment to the personal
representative of the estates noted below, and that all persons having any demands upon the following
estates must present such demands to the representative within six months of the date of the advertisement:
Estate of:
Date of
the Advertisement
Personal Representative:
Executor/Executrix (Ex)
Administrator/Administratrix (Ad)
Place of
Payment
WILSON, Mary Elizabeth “Teresa” Judy Morrison (EX.)
Souris
Kings Co., PE
May 7, 2016 (19-32)
Cox & Palmer
4A Riverside Dr.
Montague, PE
DICKIESON, Ralph Leland (also Erna Glydon
known as Ralph L. Dickieson)
Evelyn F. Ford (EX.)
Charlottetown
Queens Co., PE
April 30, 2016 (18-31)
E. W. Scott Dickieson
10 Pownal Street
Charlottetown, PE
MAYHEW, Jack Merrill
Deborah MacPhee (EX.)
(also known as Jack Mayhew)
Charlottetown
Queens Co., PE
April 30, 2016 (18-31)
Cox & Palmer
97 Queen Street
Charlottetown, PE
MORRISEY, Byrne Joseph
Nancy Gaudet (EX.)
Earnscliffe
Queens Co., PE
April 30, 2016 (18-31)
Cox & Palmer
97 Queen Street
Charlottetown, PE
OSBORNE, Audrey A. Frederick Cameron Osborne (EX.) Cox & Palmer
Guernsey Cove
4A Riverside Dr.
Kings Co., PE
Montague, PE
April 30, 2016 (18-31)
SHEPERD, Francis Gerard
Ann Teresa Shepherd (EX.)
Cardigan
Kings Co., PE
April 30, 2016 (18-31)
Cox & Palmer
4A Riverside Dr.
Montague, PE
MITCHELL, Janet Brown
Gregg Brown Mitchell
Milford, Connecticut
Tracey Mitchell-Devine (AD.)
USA
April 30, 2016 (18-31)
HBC Law Corporation
25 Queen Street
Charlottetown, PE
BUELL, Catherine M. Alistair Aiken
Charlottetown
Andrew Aiken (EX.)
Queens Co., PE
April 23, 2016 (17-30)
E. W. Scott Dickieson
10 Pownal Street
Charlottetown, PE
http://www.gov.pe.ca/royalgazette
ROYAL GAZETTE
776
July 23, 2016
CANADA
PROVINCE OF PRINCE EDWARD ISLAND
IN THE SUPREME COURT - ESTATES DIVISION
TAKE NOTICE that all persons indebted to the following estates must make payment to the personal
representative of the estates noted below, and that all persons having any demands upon the following
estates must present such demands to the representative within six months of the date of the advertisement:
Estate of:
Date of
the Advertisement
Personal Representative:
Executor/Executrix (Ex)
Administrator/Administratrix (Ad)
Place of
Payment
CAMPBELL, J. Michael
Patrick Campbell (EX.)
York Point
Queens Co., PE
April 23, 2016 (17-30)
Philip Mullally Law Office
51 University Avenue
Charlottetown, PE
CREELMAN, M. Sylvia
Robin Prescott Creelman (EX.)
Charlottetown
Queens Co., PE
April 23, 2016 (17-30)
Ian Bailey Law Office
513B North River Road
Charlottetown, PE
HERMANN, Ernest Gordon
Norma Elizabeth Hermann (EX.)
Cornwall
Queens Co., PE
April 23, 2016 (17-30)
HBC Law Corporation
25 Queen Street
Charlottetown, PE
LAMBIE, Roy (also known
R. Kenneth Lambie (EX.)
as Roy Weston Lambie)
Souris West
Kings Co., PE
April 23, 2016 (17-30)
Cox & Palmer
97 Queen Street
Charlottetown, PE
LECLAIR, Joseph Leonard
Karen Lavoie
Catherine M. Parkman Law
Charlottetown
Andre Lavoie (EX.) Office
Queens Co., PE
82 Fitzroy Street
Charlottetown, PE
April 23, 2016 (17-30)
LEWIS, Harry
Beverley Hingley
Woodstock
Karen Hill (EX.)
Prince Co., PE
April 23, 2016 (17-30)
Robert McNeill
251 Water Street
Summerside, PE
LYONS, Mylon A. Mylon A. Lyons, Jr. (EX.)
Dunedin, Pinellas County
Florida, USA
April 23, 2016 (17-30)
Carr Stevenson & MacKay
65 Queen Street
Charlottetown, PE
MacDONALD, Joyce Marie
Douglas Boyce MacDonald (EX.) Carr Stevenson & MacKay
Charlottetown
65 Queen Street
Queens Co., PE
Charlottetown, PE
April 23, 2016 (17-30)
http://www.gov.pe.ca/royalgazette
ROYAL GAZETTE
July 23, 2016
777
CANADA
PROVINCE OF PRINCE EDWARD ISLAND
IN THE SUPREME COURT - ESTATES DIVISION
TAKE NOTICE that all persons indebted to the following estates must make payment to the personal
representative of the estates noted below, and that all persons having any demands upon the following
estates must present such demands to the representative within six months of the date of the advertisement:
Estate of:
Date of
the Advertisement
Personal Representative:
Executor/Executrix (Ex)
Administrator/Administratrix (Ad)
Place of
Payment
MacDONALD, Mary Catherine
Linda Furjan (EX.)
Rice Point
Queens Co., PE
April 23, 2016 (17-30)
Carr Stevenson & MacKay
65 Water Street
Charlottetown, PE
MacFARLANE, Margaret Louise Joan Aletha MacFarlane
Charlottetown
Jill Elizabeth Moore (EX.)
Queens Co., PE
April 23, 2016 (17-30)
MacNutt & Dumont
57 Water Street
Charlottetown, PE
MacKINNON, William Allison
Royal Trust Corporation of Charlottetown Canada (EX.)
Queens Co., PE
April 23, 2016 (17-30)
McInnes Cooper
141 Kent Street, Suite 300
Charlottetown, PE
MAYNARD, Wendell James
Blanche Marilyn Maynard (EX.)
Birch Hill
Prince Co., PE
April 23, 2016 (17-30)
Key Murray Law
446 Main Street
O’Leary, PE
OLAFSON, David Peter
Malcolm Harold Olafson (EX.)
Cornwall
Queens Co., PE
April 23, 2016 (17-30)
Campbell Lea
65 Water Street
Charlottetown, PE
WALSH, Sandra Lee
George Peter Walsh (EX.)
Charlottetown
Queens Co., PE
April 23, 2016 (17-30)
Cox & Palmer
97 Queen Street
Charlottetown, PE
CAMPBELL, Maryellen (also
Barbara Jean Power (AD.)
known as Maryellen Lowther)
Waterside
Queens Co., PE
April 23, 2016 (17-30)
Carr Stevenson & MacKay
65 Queen Street
Charlottetown, PE
________________________________________________________________________________________________________________________
http://www.gov.pe.ca/royalgazette
ROYAL GAZETTE
778
July 23, 2016
The following order was approved by His Honour the Lieutenant Governor in Council dated July 12,
2016.
EC2016-431
FATHERS OF CONFEDERATION BUILDINGS ACT
FATHERS OF CONFEDERATION BUILDINGS TRUST
APPOINTMENTS
Pursuant to section 3 of the Fathers of Confederation Buildings Act R.S.P.E.I. 1988, Cap. F-6 Council
made the following appointments:
NAME
TERM OF APPOINTMENT
via subsection (1)
Chief Brian Francis
Rocky Point
(vice Sherry Huang, term expired)
31 July 2016
to
31 July 2019
H. Wayne Hambly
Charlottetown
(reappointed)
31 July 2017
to
31 July 2018
Dr. Colin MacMillan
Charlottetown
(reappointed)
31 July 2015
to
31 July 2017
Dr. Gregory Mitton
Charlottetown
(reappointed)
31 July 2015
to
31 July 2018
Mike Schurman
Summerside
(reappointed)
31 July 2015
to
31 July 2018
Bob Sear
Charlottetown
(reappointed)
31 July 2016
to
31 July 2019
Barbara Stevenson, Q.C.
Charlottetown
(reappointed)
31 July 2015
to
31 July 2017
James C. Travers, Q.C.
Charlottetown
(reappointed)
31 July 2016
to
31 July 2017
via subsection (2)
Bill Andrew
Alberta
(reappointed)
http://www.gov.pe.ca/royalgazette
31 July 2015
to
31 July 2018
July 23, 2016
ROYAL GAZETTE
Richard Homburg
Nova Scotia
(reappointed)
31 July 2016
to
31 July 2019
Dr. Frederic L.R. Jackman
Ontario
(reappointed)
31 July 2017
to
31 July 2019
Aldéa Landry
New Brunswick
31 July 2016
to
31 July 2019
Naomi Levine
Manitoba
(reappointed)
31 July 2016
to
31 July 2017
Louis W. MacEachern
Alberta
(reappointed)
31 July 2016
to
31 July 2018
Dan Mathieson
Ontario
(reappointed)
31 July 2016
to
31 July 2019
Claude Métras
Quebec
(reappointed)
31 July 2016
to
31 July 2017
Taleeb Noormohamed
British Columbia
(reappointed)
31 July 2015
to
31 July 2018
Arlene Perly Rae
Ontario
(vice Jeffrey D. Symons, resigned) 31 July 2016
to
31 July 2019
Charles F. Scott Jr.
Ontario
(reappointed)
31 July 2017
to
31 July 2019
Janis Sobey-Hames
Nova Scotia
(reappointed)
31 July 2016
to
31 July 2017
779
Further, Council reappointed H. Wayne Hambly to serve as chairperson of the Board for the duration of
his term.
Signed,
Paul T. Ledwell
Clerk of the Executive Council
and Secretary to Cabinet
http://www.gov.pe.ca/royalgazette
ROYAL GAZETTE
780
July 23, 2016
PROCLAMATION
CANADA
PROVINCE OF PRINCE EDWARD ISLAND
(Great Seal)
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.
HON. H. FRANK LEWIS
Lieutenant Governor
TO ALL TO WHOM these presents shall come or whom the same may in any wise concern:
GREETING
A PROCLAMATION
WHEREAS in and by section 2 of Chapter 13 of the Acts passed by the Legislature of Prince Edward
Island in the Second Session thereof held in the year 2016 and in the sixty-fifth year of Our Reign intituled
“An Act to Amend the Liquor Control Act (No. 2)” it is enacted as follows:
“This Act comes into force on a date that may be fixed by proclamation of the Lieutenant
Governor in Council.”,
AND WHEREAS it is deemed expedient that the said Act, Stats. P.E.I. 2016, c. 13 should come into force
on the 23rd day of July, 2016,
NOW KNOW YE that We, by and with the advice and consent of our Executive Council for Prince Edward Island, do by this Our Proclamation ORDER AND DECLARE that the said Act being the “An Act to
Amend the Liquor Control Act (No. 2)” passed in the sixty-fifth year of Our Reign shall come into force
on the twenty-third day of July, two thousand and sixteen of which all persons concerned are to take notice
and govern themselves accordingly.
IN TESTIMONY WHEREOF We have caused these Our Letters to be made Patent and the Great Seal of
Prince Edward Island to be hereunto affixed.
WITNESS the Honourable H. Frank Lewis, Lieutenant Governor of the Province of Prince Edward Island,
at Charlottetown this twelfth day of July in the year of Our Lord two thousand and sixteen and in the sixtyfifth year of Our Reign.
By Command,
Paul T. Ledwell
Clerk of the Executive Council
and Secretary to Cabinet
http://www.gov.pe.ca/royalgazette
July 23, 2016
ROYAL GAZETTE
781
PROCLAMATION
CANADA
PROVINCE OF PRINCE EDWARD ISLAND
(Great Seal)
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.
HON. H. FRANK LEWIS
Lieutenant Governor
TO ALL TO WHOM these presents shall come or whom the same may in any wise concern:
GREETING
A PROCLAMATION
WHEREAS in and by section 2 of Chapter 27 of the Acts passed by the Legislature of Prince Edward
Island in the Second Session thereof held in the year 2016 and in the sixty-fifth year of Our Reign intituled
“An Act to Amend the Securities Act” it is enacted as follows:
“This Act comes into force on a date that may be fixed by proclamation of the Lieutenant
Governor in Council.”,
AND WHEREAS it is deemed expedient that the said Act, Stats. P.E.I. 2016, c. 27 should come into force
on the 1st day of August, 2016,
NOW KNOW YE that We, by and with the advice and consent of our Executive Council for Prince Edward
Island, do by this Our Proclamation ORDER AND DECLARE that the said act being “An Act to Amend
the Securities Act” passed in the sixty-fifth year of Our Reign shall come into force on the first day of
August, two thousand and sixteen of which all persons concerned are to take notice and govern themselves
accordingly.
IN TESTIMONY WHEREOF We have caused these Our Letters to be made Patent and the Great Seal of
Prince Edward Island to be hereunto affixed.
WITNESS the Honourable H. Frank Lewis, Lieutenant Governor of the Province of Prince Edward Island,
at Charlottetown this twelfth day of July in the year of Our Lord two thousand and sixteen and in the sixtyfifth year of Our Reign.
By Command,
Paul T. Ledwell
Clerk of the Executive Council
and Secretary to Cabinet
30
http://www.gov.pe.ca/royalgazette
ROYAL GAZETTE
782
July 23, 2016
NOTICE OF CHANGE
OF CORPORATE NAME
Companies Act
R.S.P.E.I. 1988, Cap. C-14, S. 81.1
NOTICE OF GRANTING
LETTERS PATENT
Companies Act
R.S.P.E.I. 1988, Cap. C-14, s.11,
Public Notice is hereby given that under the
Companies Act the following corporation has
changed its corporate name:
Public Notice is hereby given that under the
Companies Act Letters Patent have been issued
by the Minister to the following:
Former Name STRAITWAY FARMS INC.
New Name
KARMA FARMS INC.
Effective Date:
July 13, 2016
Name: 101948 P.E.I. INC.
77 Upper Prince Street
Charlottetown, PE C1A 4S6
Incorporation Date:
July 08, 2016
30
______________________________________________________
NOTICE OF DISSOLUTION
Partnership Act
R.S.P.E.I. 1988, Cap. P-1
Public Notice is hereby given that a Notice of
Dissolution has been filed under the Partnership Act for each of the following:
Name: 2 PETES
Owner:Joshua Paterson
Shane Turner
Registration Date:
July 12, 2016
Name: D AND L CONTRACTING
Owner:8874590 Canada Inc.
Registration Date:
July 15, 2016
Name: DAVIES CONSTRUCTION
Owner:Jordan Davies
Michael Davies
Registration Date:
July 12, 2016
Name: IDEAL TILES AND BATHROOMS
Owner:Jordan Davies
Michael Davies
Registration Date:
July 12, 2016
Name: KARMA FARMS
Owner:Cole Joshua Noonan
Registration Date:
July 13, 2016
30
http://www.gov.pe.ca/royalgazette
Name: 101989 P.E.I. INC.
203 Royalty Junction Road
Charlottetown, PE C1E 3C7
Incorporation Date:
July 12, 2016
Name: 101993 P.E.I. INC.
550 Malpeque Road
Charlotttown, PE C1A 0P4
Incorporation Date:
July 14, 2016
Name: 101994 P.E.I. INC.
49 Maple Avenue
Charlottetown, PE C1A 6E6
Incorporation Date:
July 18, 2016
Name: 101995 P.E.I. INC.
16 Wallace Drive
PO Box 520
Alberton, PE C0B 1B0
Incorporation Date:
July 14, 2016
Name: ADEEM MANAGEMENT INC.
111 Point Farm Road
PO Box 149
Cornwall, PE C0A 1H0
Incorporation Date:
July 13, 2016
Name: GLO P.E.I. INC.
124 Sydney Street
Charlottetown, PE C1A 1G4
Incorporation Date:
July 08, 2016
Name: IGYC (2016) INC.
106 - 73 Trans Canada Highway
Cornwall, PE C0A 1H8
Incorporation Date:
July 15, 2016
July 23, 2016
ROYAL GAZETTE
Name: IN FOCUS EYE CARE INC.
111 Northumberland Street
Summerside, PE C1N 3W7
Incorporation Date:
July 12, 2016
Name: PANDA AMUSEMENT INC.
9 Jordan Crescent
Charlottetown, PE C1A 2W2
Incorporation Date:
July 11, 2016
30
______________________________________________________
NOTICE OF REGISTRATION
Partnership Act
R.S.P.E.I. 1988, Cap. P-1, s.52 and s.54(1)
783
Name: CREATION ENERGY
Owner:100148 P.E.I. INC.
223 Water Street
Summerside, PE C1N 1B4
Registration Date:
July 14, 2016
Name: ADDICAN
Owner:Cana-add Inc.
126 Kent Street
Suite 205
Charlottetown, PE C1A 1N2
Registration Date:
July 15, 2016
Public Notice is hereby given that the following
Declarations have been filed under the Partnership Act:
Name: CENTENNIAL CERTIFIED OF
CHARLOTTETOWN
Owner:GRANVILLE AUTO CENTER LTD.
610 South Drive
Summerside, PE C1N 3Z7
Registration Date:
July 15, 2016
Name: SUBWOLF CANADA
Owner:MAROLINE DISTRIBUTING INC.
DISTRIBUTIONS MAROLINE INC.
1751 Richardson Street
Suite 4600
Montreal, PQ H3K 1G6
Registration Date:
July 12, 2016
Name: EZI-WAY DISASTER KLEENUP
Owner:FIRSTONSITE RESTORATION
LIMITED
1300 - 1969 Upper Water Street
Purdy’s Wharf Tower II
Halifax, NS B3J 3R7
Registration Date:
July 15, 2016
Name: RMSQUANTIFY
Owner:SCM RISK MANAGEMENT
SERVICES LP
#101, 5083 Windermere Blvd. SW
Edmonton, AB T6W 0J5
Registration Date:
July 11, 2016
Name: EZI-WAY
Owner:FIRSTONSITE RESTORATION
LIMITED
1300 - 1969 Upper Water Street
Purdy’s Wharf Tower II
Halifax, NS B3J 3R7
Registration Date:
July 15, 2016
Name: NORRAY PROPERTIES
Owner:NORRAY HOLDINGS INC.
134 Kent Street
P.O. Box 2860
Charlottetown, PE C1A 8C4
Registration Date:
July 14, 2016
Name: ACADIAN PEAT MOSS
Owner:SCOTTS CANADA LTD./SCOTTA
CANADA LTEE.
199 Bay Street
Suite 5300, Commerce Court West
Toronto, ON M5L 1B9
Registration Date:
July 14, 2016
http://www.gov.pe.ca/royalgazette
Name: EZI-WAY CLEANING SERVICE
Owner:FIRSTONSITE RESTORATION
LIMITED
1300 - 1969 Upper Water Street
Purdy’s Wharf Tower II
Halifax, NS B3J 3R7
Registration Date:
July 15, 2016
Name: FIRSTONSITE RESTORATION
Owner:FIRSTONSITE RESTORATION
LIMITED
1300 - 1969 Upper Water Street
Purdy’s Wharf Tower II
Halifax, NS B3J 3R7
Registration Date:
July 15, 2016
784
ROYAL GAZETTE
July 23, 2016
Name: THE REAL ESTATE BOOK OF NEW
BRUNSWICK
Owner:MRE GROUP INC.
94 Kent Street
Charlottetown, PE C1A 1M9
Registration Date:
July 18, 2016
Name: DARLENE’S STORE TO DOOR
SERVICES
Owner:Darlene Ramsay
32790 Western Road
Springhill, PE C0B 2C0
Registration Date:
July 12, 2016
Name: AWAY PROPERTY INSURANCE
CHECKS
Owner:Brenda Victor
405B Queen Street
Charlottetown, PE C1A 4E4
Registration Date:
July 13, 2016
Name: DAVIES CONSTRUCTION HOME
IMPROVEMENTS
Owner:Julie Davies
836 Crooked Creek Road
Wheatley River, PE C1E 0M4
Registration Date:
July 12, 2016
Name: CHALETS RENDEZ-VOUS
COTTAGES
Owner:Bernard LeBlanc
60 Rural Estates Drive
Moncton, NB E1G 4W2
Owner:Cheryl LeBlanc
60 Rural Estates Drive
Moncton, NB E1G 4W2
Registration Date:
July 14, 2016
Name: DOWN EAST APPLIANCE REPAIR
Owner:Matthew Lamont
4532 Alley’s Mill Road
RR#6
Cardigan, PE C0A 1G0
Registration Date:
July 12, 2016
Name: CORKUM ARSENAULT CROZIER
Owner:Troy J. Arsenault Professional
Corporation
105 Primrose Drive
Cornwall, PE C0A 1H4
Owner:Kevin B. Crozier Professional
Corporation
1215 Route 19
New Dominion, PE C0A 1H6
Registration Date:
July 08, 2016
Name: COUNTRY LANE BED &
BREAKFAST
Owner:Mike (Michel) Cavallin
417 York Point Road
Cornwall, PE C0A 1H4
Registration Date:
July 15, 2016
Name: D AND L CONTRACTING
Owner:Courtney Hughes
2377 Route 112
Bedeque, PE C0B 1C0
Registration Date:
July 15, 2016
http://www.gov.pe.ca/royalgazette
Name: FES PAINTING
Owner:Frank Shanahan
93 Wynn Road
Elmwood, PE C0A 1C0
Registration Date:
July 14, 2016
Name: GEORGE LARTER PEI GUIDE AND
DRIVE SERVICE
Owner:George Larter
1 Beacon Hill Drive
Stratford, PE C1B 1M2
Registration Date:
July 13, 2016
Name: HONEYPIE HOMESTEAD
Owner:Leslee Larsen
11435 Shore Road
Murray River, PE C0A 1W0
Registration Date:
July 13, 2016
Name: IDEAL TILES
Owner:Julie Davies
836 Crooked Creek Road
Wheatley River, PE C1E 0M4
Registration Date:
July 12, 2016
Name: JD ENTERPRISES
Owner:Julie Davies
836 Crooked Creek Road
Wheatley River, PE C1E 0M4
Registration Date:
July 12, 2016
July 23, 2016
ROYAL GAZETTE
Name: KUSTIM AESTHETICS
Owner:Stephanie Mitsuk
151 Main Street
P.O. Box 347
Souris, PE C0A 2B0
Registration Date:
July 13, 2016
Name: LEVYS ELECTRIC
Owner:Christopher D. Isnor
9 Hunter Lane
Charlottetown, PE C1A 9K9
Registration Date:
July 13, 2016
Name: MACDONALD THE PEI
MONUMENT COMPANY
Owner:Dawna MacDonald
41 Cambridge Drive
P.O. Box 502
Charlottetown, PE C1A 1P2
Registration Date:
July 12, 2016
Name: NATURAL POWER SOLAR
PRODUCTS
Owner:Xiaolei Han
5 - 98 Maypoint Road
Charlottetown, PE C1E 1W3
Registration Date:
July 13, 2016
Name: PRINCE EDWARD ISLAND
TELECOMMUNICATIONS
INDUSTRY ASSOCIATION
Owner:PEITIA INC.
13647 St. Peters Road
Dunstaffnage, PE C1A 7J7
Registration Date:
July 13, 2016
Name: SEVEN MILE RANCH
Owner:Della LeClair
2579 Seven Mile Road
Glenfanning, PE C0A 1G0
Registration Date:
July 15, 2016
Name: SHORE MARKET
Owner:Josh Patterson
105 Doc Soper Crescent
Stanhope, PE C0A 1P0
Owner:Shane Turner
63 Warburton Drive
Charlottetown, PE C1A 8Z3
Registration Date:
July 12, 2016
http://www.gov.pe.ca/royalgazette
785
Name: SOUTH LAKE SHELLFISH
Owner:Ronnie MacDonald
4695 East Point Road
RR#1
Elmira, PE C0A 1K0
Owner:Francis MacDonald
4695 East Point Road
RR#1
Elmira, PE C0A 1K0
Registration Date:
July 12, 2016
Name: TAIL-FEATHERS SKINCARE
PRODUCTS
Owner:Nadine Lloyd
61 Glen Stewart Drive
Stratford, PE C1B 2A8
Registration Date:
July 07, 2016
Name: THE BROTHERS CRANE
Owner:Ryan Crane
6268 Cardigan Road
Cardigan, PE C0A 1G0
Registration Date:
July 08, 2016
Name: TMG ELECTRIC
Owner:Terry MacGregor
765 Baltic Road
Souris, PE C0A 2B0
Registration Date:
July 14, 2016
30
______________________________________________________
NOTICE OF REVIVED COMPANIES
Companies Act
R.S.P.E.I. 1988, Cap. C-14 s.73
Public Notice is hereby given that under the
Companies Act the following companies have
been revived:
Name: VALENTINE INVESTMENTS
LIMITED
Effective Date:
July 08, 2016
30
ROYAL GAZETTE
786
NOTICE
MARRIAGE ACT
Prince Edward Island
[Subsection 8(1) of the Act]
Notice is hereby published that, under the
authority of the Marriage Act, the following
clergy has been registered for the purpose of
solemnizing marriages in the province of Prince
Edward Island:
Rev. Allan Emery
63 Evergreen Village
Summerside PE C1N 4B8
Adam Peters
Director of Vital Statistics
30
______________________________________________________
NOTICE
MARRIAGE ACT
Prince Edward Island
[Subsection 8(1) of the Act]
Notice is hereby published that, under the
uthority of the Marriage Act, the following
clergy has been registered for the purpose of
solemnizing marriages in the province of Prince
Edward Island:
Rev. Joan Emery
63 Evergreen Village
Summerside PE C1N 4B8
Adam Peters
Director of Vital Statistics
30
______________________________________________________
NOTICE
MARRIAGE ACT
Prince Edward Island
[Subsection 8(1) of the Act]
Notice is hereby published that, under the
authority of the Marriage Act, the following
clergy has been registered for the purpose of
solemnizing marriages in the province of Prince
Edward Island:
Rev. Dottie Gamble
1781 O’Leary Road
http://www.gov.pe.ca/royalgazette
July 23, 2016
O’Leary PE C0B 1V0
Adam Peters
Director of Vital Statistics
30
______________________________________________________
NOTICE
MARRIAGE ACT
Prince Edward Island
[Subsection 8(1) of the Act]
Notice is hereby published that, under the
authority of the Marriage Act, the following
clergy has been registered for the purpose of
solemnizing marriages in the province of Prince
Edward Island:
Rev. Robert Gamble
1781 O’Leary Road
O’Leary PE C0B 1V0
Adam Peters
Director of Vital Statistics
30
______________________________________________________
NOTICE
MARRIAGE ACT
Prince Edward Island
[Subsection 8(1) of the Act]
Notice is hereby published that, under the
authority of the Marriage Act, the following
clergy has been registered for the purpose of
solemnizing marriages in the province of Prince
Edward Island:
Rev. Leona O’Brien
M221 Linden Avenue, Apt. 14
Summerside PE C1N 2K4
Adam Peters
Director of Vital Statistics
30
July 23, 2016
ROYAL GAZETTE
NOTICE
MARRIAGE ACT
Prince Edward Island
[Subsection 8(1) of the Act]
Notice is hereby published that, under the
authority of the Marriage Act, the following
clergy has been temporarily registered from
July 22, 2016 to August 29, 2016 for the purpose of solemnizing marriages in the province
of Prince Edward Island:
Jason McVicar
31 Katie Avenue
Douglas NB E3G 7Z8
Adam Peters
Director of Vital Statistics
30
______________________________________________________
INDEX TO NEW MATTER
VOL. CXLII – NO. 30
July 23, 2016
APPOINTMENTS
Fathers of Confederation Buildings Act
Fathers of Confederation Buildings Trust
Andrew, Bill................................................778
Francis, Chief Brian....................................778
Hambly, H. Wayne (chair)...........................778
Homburg, Richard.......................................779
Jackman, Frederic L.R., Dr. .......................779
Landry, Aldéa..............................................779
Levine, Naomi.............................................779
MacMillan, Colin, Dr. ................................778
MacEachern, Louis W. ...............................779
Mathieson, Dan...........................................779
Mitton, Gregory, Dr. . .................................778
Métras, Claude............................................779
Noormohamed, Taleeb................................779
Perly Rae, Arlene........................................779
Schurman, Mike..........................................778
Scott, Charles F., Jr. . ..................................779
Sear, Bob.....................................................778
Sobey-Hames, Janis....................................779
Stevenson, Barbara, Q.C. ...........................778
Travers, James C., Q.C. . ............................778
COMPANIES ACT NOTICES
Change of Corporate Name
Karma Farms Inc. ........................................782
Straitway Farms Inc. ....................................782
http://www.gov.pe.ca/royalgazette
787
Granting Letters Patent
101948 P.E.I. Inc. . .......................................782
101989 P.E.I. Inc. . .......................................782
101993 P.E.I. Inc. . .......................................782
101994 P.E.I. Inc. . .......................................782
101995 P.E.I. Inc. . .......................................782
Adeem Management Inc. .............................782
GLO P.E.I. Inc. ............................................782
IGYC (2016) Inc. .........................................782
In Focus Eye Care Inc. . ...............................783
Panda Amusement Inc. ................................783
Revived Companies
Valentine Investments Limited.....................785
ESTATES
Administrators’ Notices
Kelly, Ellen Mary..........................................762
Executors’ Notices
Blanchard, Reginald J. .................................761
Campbell, William Calder............................761
Clements, Mary Loretta................................761
Hatton, Paul George......................................761
Hicken, Reta..................................................761
MacDonald, Carol Ann.................................761
McInnis, Hector............................................762
MacNeill, Amy..............................................762
MISCELLANEOUS
Marriage Act
Registrations
Emery, Rev. Allan........................................786
Emery, Rev. Joan.........................................786
Gamble, Rev. Dottie....................................786
Gamble, Rev. Robert...................................786
O’Brien, Rev. Leona....................................786
Temporary Registrations
McVicar, Jason............................................787
PARTNERSHIP ACT NOTICES
Dissolutions
2 Petes...........................................................782
D and L Contracting......................................782
Davies Construction......................................782
Ideal Tiles and Bathrooms............................782
Karma Farms.................................................782
Registrations
Acadian Peat Moss........................................783
Addican.........................................................783
Away Property Insurance Checks.................784
788
ROYAL GAZETTE
Brothers Crane, The......................................785
Centennial Certified of Charlottetown..........783
Chalets Rendez-Vous Cottages.....................784
Corkum Arsenault Crozier............................784
Country Lane Bed & Breakfast.....................784
Creation Energy............................................783
D and L Contracting......................................784
Darlene’s Store to Door Services..................784
Davies Construction Home Improvements....784
Down East Appliance Repair........................784
Ezi-Way.........................................................783
Ezi-Way Cleaning Service............................783
Ezi-Way Disaster Kleenup............................783
FES Painting.................................................784
Firstonsite Restoration..................................783
George Larter PEI Guide and Drive
Service....................................................784
Honeypie Homestead....................................784
Ideal Tiles......................................................784
JD Enterprises...............................................784
July 23, 2016
Kustim Aesthetics.........................................785
Levys Electric...............................................785
MacDonald The PEI Monument Company....785
Natural Power Solar Products.......................785
Norray Properties..........................................783
Prince Edward Island Telecommunications
Industry Association...............................785
Real Estate Book of New Brunswick, The.....784
Rmsquantify..................................................783
Seven Mile Ranch.........................................785
Shore Market.................................................785
South Lake Shellfish.....................................785
Subwolf Canada............................................783
Tail-Feathers Skincare Products...................785
TMG Electric................................................785
PROCLAMATIONS
An Act to Amend the Liquor Control Act
(No. 2).....................................................780
An Act to Amend the Securities Act.............781
The ROYAL GAZETTE is issued every Saturday from the office of Michael Fagan, Queen’s Printer,
PO Box 2000, Charlottetown, PEI C1A 7N8. All copy must be received by the Tuesday preceding the day
of publication. The subscription rate is $75.00 per annum, postpaid; single copies are $2.00 each, postpaid
or $1.25 each, over the counter.
http://www.gov.pe.ca/royalgazette
July 23, 2016
ROYAL GAZETTE
PART II
REGULATIONS
EC2016-432
HIGHWAY TRAFFIC ACT
BICYCLE SAFETY HELMET REGULATIONS
AMENDMENT
(Approved by His Honour the Lieutenant Governor in Council dated
July 12, 2016.)
Pursuant to section 312 of the of the Highway Traffic Act R.S.P.E.I.
1988, Cap. H-5, Council made the following regulations:
1. Clause 2(1)(a) of the Highway Traffic Act Bicycle Safety Helmet
Regulations (EC329/03) is amended
(a) in subclause (i), by the deletion of the words “CAN/CSA
D113.2-M89” and the substitution of the words “CAN/CSA
D113.2-M89 (R2009)”;
(b) in subclause (vi), by the deletion of the words “ASTM F 144794” and the substitution of the words “ASTMF 1447-12”; and
(c) in subclause (vii), by the deletion of the words “ANSI Z90.41984” and the substitution of the words “ANSI/ASTM F144615”.
2. These regulations come into force on July 23, 2016.
EXPLANATORY NOTES
SECTION 1 amends clause 2(1)(a) of the regulations by revoking
references in subclauses (i), (vi) and (vii) to three outdated standards that
were applicable to bicycle safety helmets and substituting references to
the current standards applicable to bicycle safety helmets in those
subclauses.
SECTION 2 provides for the commencement of these regulations.
Certified a true copy,
Paul T. Ledwell
Clerk of the Executive Council and Secretary to Cabinet
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ROYAL GAZETTE
July 23, 2016
EC2016-433
HIGHWAY TRAFFIC ACT
COMMERCIAL VEHICLE (CARGO SECUREMENT)
REGULATIONS
AMENDMENT
(Approved by His Honour the Lieutenant Governor in Council dated
July 12, 2016.)
Pursuant to section 148 of the Highway Traffic Act R.S.P.E.I. 1988, Cap.
H-5, Council made the following regulations:
1. Section 10 - Steel Strapping of Part 4 - Manufacturing Standards
of Schedule I to the Highway Traffic Act Commercial Vehicle (Cargo
Securement) Regulations (EC383/05) is amended by the deletion of
the words “(ASTM D3953-91)” and the substitution of the words
“(ASTM D3953-15)”.
2. These regulations come into force on July 23, 2016.
EXPLANATORY NOTES
SECTION 1 amends section 10 of Part 4 of Schedule I to the regulations
to revoke a reference to an outdated ASTM standard specification for
strapping, flat steel and seals and substitute a reference to the current
ASTM standard that deals with those specifications.
SECTION 2 provides for the commencement of these regulations.
Certified a true copy,
Paul T. Ledwell
Clerk of the Executive Council and Secretary to Cabinet
EC2016-434
HIGHWAY TRAFFIC ACT
HYDRAULIC BRAKE FLUID REGULATIONS
REVOCATION
(Approved by His Honour the Lieutenant Governor in Council dated
July 12, 2016.)
Made by the Lieutenant Governor in Council under the Highway Traffic
Act R.S.P.E.I. 1988, Cap. H-5:
1. The Highway Traffic Act Hydraulic Brake Fluid Regulations
(EC1190/67) are revoked.
2. These regulations come into force on July 23, 2016.
July 23, 2016
ROYAL GAZETTE
EXPLANATORY NOTES
SECTION 1 revokes the Hydraulic Brake Fluid Regulations. The
requirements of these regulations are now completely covered by the
Federal Canadian Motor Vehicle Safety Standards sector 116.
SECTION 2 provides for the commencement of these regulations.
Certified a true copy,
Paul T. Ledwell
Clerk of the Executive Council and Secretary to Cabinet
EC2016-435
HIGHWAY TRAFFIC ACT
SLOW MOVING VEHICLE SIGNS REGULATIONS
AMENDMENT
(Approved by His Honour the Lieutenant Governor in Council dated
July 12, 2016.)
Made by the Lieutenant Governor in Council under the Highway Traffic
Act R.S.P.E.I. 1988, Cap. H-5:
1. Section 1 of the Highway Traffic Act Slow Moving Vehicle Signs
Regulations (EC320/81) is amended
(a) in clauses (a) and (b), by the deletion of the word “and” after
the semicolon;
(b) in clause (c), by the addition of the word “and” after the
semicolon; and
(c) in clause (d), by the deletion of the words “number CSA D1981967” and the substitution of the words “standard CSA D198M77”.
2. These regulations come into force on July 23, 2016.
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ROYAL GAZETTE
July 23, 2016
EXPLANATORY NOTES
SECTION 1 amends section 1 of the regulations to revoke the citation of
an outdated CSA standard applicable to slow moving vehicle signs, and
substitute a reference to the current CSA standard. The section also
corrects minor grammatical errors in clauses 1(a) and (b).
SECTION 2 provides for the commencement of these regulations.
Certified a true copy,
Paul T. Ledwell
Clerk of the Executive Council and Secretary to Cabinet
EC2016-436
HIGHWAY TRAFFIC ACT
VEHICLE STANDARDS REGULATIONS
AMENDMENT
(Approved by His Honour the Lieutenant Governor in Council dated
July 12, 2016.)
Made by the Lieutenant Governor in Council under the Highway Traffic
Act R.S.P.E.I. 1988, Cap. H-5:
1. Clause 3(b) of the Highway Traffic Act Vehicle Standards
Regulations (EC856/72) is revoked and the following substituted:
(b) the following CSA standards, including any amendments to
them:
(i) CSA Z240 MH Series 92 (R2005), entitled “Mobile homes”,
(ii) CSA Z240 RV Series-14, entitled “Recreational vehicles”.
2. Section 4 of the regulations is amended
(a) in clause (a),
(i) by the deletion of the words “D106.1-1972” and the
substitution of the words “CSA D106.1-1977”, and
(ii) by the deletion of the word “Vehicles” and the substitution
of the word “Vehicle”; and
(b) by the revocation of clause (b) and the substitution of the
following:
(b) ANSI Z26.1-1996 Safety Standard entitled “Safety Glazing
Materials for Glazing Motor Vehicles and Motor Vehicle Equipment
Operating on Land Highways”, for each piece of glazing material on
the motor vehicle.
3. These regulations come into force on July 23, 2016.
July 23, 2016
ROYAL GAZETTE
119
EXPLANATORY NOTES
SECTION 1 amends clause 3(b) of the regulations to delete references to
8 out-dated standards and substitute references to the current standards
applicable to motor homes and recreational vehicles: CSA Z240 MH
Series 92 (R2005), and CSA Z240 RV Series-14.
SECTION 2 amends section 4 of the regulations to delete references to
out-dated standards and substitute references to the current CSA
standards for vehicle lighting equipment and the current ANSI standard
for glazing materials.
SECTION 3 provides for the commencement of the regulations.
Certified a true copy,
Paul T. Ledwell
Clerk of the Executive Council and Secretary to Cabinet
EC2016-463
LIQUOR CONTROL ACT
REGULATIONS
AMENDMENT
(Approved by His Honour the Lieutenant Governor in Council dated
July 12, 2016.)
Made by the Prince Edward Island Liquor Control Commission and
approved by the Lieutenant Governor in Council under section 8 of the
Liquor Control Act R.S.P.E.I. 1988, Cap. L-14:
1. Subsections 10(3) and (4) of the Liquor Control Act Regulations
(EC704/75) are revoked and the following substituted:
(3) Upon receipt of an application in the form required by the
Commission and a license fee of $50, the Commission may issue to the
applicant a license to keep and sell items referred to in subsection (2), if
the Commission is satisfied that the applicant requires a license under
this section and will comply with the terms of the license.
License to sell
preparations etc.
2. Section 11 of the regulations is revoked and following substituted:
11. Subject to section 12, upon receipt of an application in the form
required by the Commission, a non-refundable application fee of $200
and a license fee of $250 from the proprietor or operator of a dining
room, the Commission may issue a dining room license to the applicant,
if the Commission is satisfied
(a) with respect to the standards of the space, service, food,
furnishings and equipment of the dining room;
(b) with respect to the location and character of the dining room;
Dining room license
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ROYAL GAZETTE
July 23, 2016
(c) that the premises of the dining room meet the requirements in
subsection 14(1) and any other requirements established by the
Commission; and
(d) that the applicant, or management employed by the applicant,
has adequate experience in the hotel, motel or food service business
or other acceptable business experience.
3. Sections 18 and 19 of the regulations are revoked.
4. Section 20 of the regulations is revoked and the following
substituted:
Annual fee
20. The annual fee to renew a dining room license in accordance with
section 57 is $250.
5. Section 20.1 of the regulations is amended by the deletion of the
words “Upon application in writing by” and the substitution of the
words “Upon receipt of an application in writing from”.
6. Section 21 of the regulations is revoked and the following
substituted:
Lounge license
21. Upon receipt of an application in the form required by the
Commission, a non-refundable application fee of $200 and a license fee
of $250 from the holder of a dining room license, the Commission may
issue a lounge license to the applicant, if the Commission is satisfied
(a) with respect to the standards of the space, service, food,
furnishings and equipment of the proposed lounge;
(b) with respect to the location and character of the proposed
lounge;
(c) that the premises of the proposed lounge are adequate for that
purpose and may be operated in compliance with the Act and these
regulations; and
(d) that the applicant has operated, and will continue to operate, the
dining room under the dining room license in compliance with the
Act and these regulations.
7. Section 27 of the regulations is revoked.
8. Section 28 of the regulations is revoked.
9. Section 29 of the regulations is revoked and the following
substituted:
Annual fee
29. The annual fee to renew a lounge license in accordance with section
57 is $250.
10. Section 31 of the regulations is revoked and the following
substituted:
July 23, 2016
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ROYAL GAZETTE
31. (1) Subject to section 32, upon receipt of an application in the form
required by the Commission, a non-refundable application fee of $200
and a license fee in the amount required under subsection (2), the
Commission may issue a club license to the applicant.
(2) The license fee for a club license is
(a) $75, for a club with a membership of 100 members or less;
(b) $150, for a club with a membership of more than 100 members
but not more than 150 members; or
(c) $250, for a club with a membership of more than 150 members.
Club license
Club license fee
11. Section 38 of the regulations is revoked.
12. Section 39 of the regulations is revoked.
13. Section 40 of the regulations is revoked and the following
substituted:
40. The annual fee to renew a club license in accordance with section 57
is
(a) $75, for a club with a membership of 100 members or less;
(b) $150, for a club with a membership of more than 100 members
but not more than 150 members; or
(c) $250, for a club with a membership of more than 150 members.
Annual fee
14. Section 41 of the regulations is revoked and the following
substituted:
41. Upon receipt of an application in the form required by the
Commission, a non-refundable application fee of $100 and a license fee
of $75, the Commission may issue a military canteen license to the
person in charge of a canteen located in
(a) a camp, armoury or barracks of active or reserve units of the
Canadian Armed Forces, under the direct supervision and control of
the Canadian Armed Forces;
(b) the quarters of the Royal Canadian Mounted Police; or
(c) a branch of the Royal Canadian Legion or other recognized
armed services veterans association.
Military canteen
license
15. Sections 48 and 49 of the regulations are revoked.
16. Section 50 of the regulations is revoked and the following
substituted:
50. The annual fee to renew a military canteen license in accordance
with section 57 is $75.
17. (1) Subsection 50.1(1) of the regulations is amended by the
deletion of the words “Upon receipt of an application and the prescribed
fee, the Commission may issue a special premises license if satisfied”
and the substitution of the words “Upon receipt of an application in the
form required by the Commission, a non-refundable application fee of
Annual fee
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ROYAL GAZETTE
July 23, 2016
$200 and a license fee of $250, the Commission may issue a special
premises license to the applicant, if the Commission is satisfied”.
(2) Subsection 50.1(4) of the regulations is revoked and the
following substituted:
Annual fee
(4) The annual fee to renew a special premises license in accordance
with section 57 is $250.
(3) Subsection 50.1(7) of the regulations is revoked.
18. (1) Subsection 50.2(1) of the regulations is revoked and the
following substituted:
Caterer’s license
50.2 (1) Upon receipt of an application in the form required by the
Commission and a license fee of $250 from the holder of a dining room
license, the Commission may issue a caterer’s license to the applicant.
(2) Subsection 50.2(4) of the regulations is revoked.
(3) Subsection 50.2(5) of the regulations is revoked and the
following substituted:
Annual fee
(5) The annual fee to renew a caterer’s license in accordance with
section 57 is $250.
19. (1) Subsection 50.3(2) of the regulations is amended by the
deletion of the words “Upon application in such form as the
Commission may require and on payment of the prescribed fee, the
Commission may issue a winery license to an applicant if the
Commission is satisfied that” and the substitution of the words
“Subject to subsections (6), (7) and (8), upon receipt of an application in
the form required by the Commission, a non-refundable application fee
of $300 and a license fee of $400, the Commission may issue to the
applicant a winery license of a type described in subsection (5), if the
Commission is satisfied that”.
(2) Subsection 50.3(3) of the regulations is revoked.
(3) Subsection 50.3(10) of the regulations is revoked and the
following substituted:
Annual fee
(10) The annual fee to renew a winery license in accordance with
section 57 is $400.
(4) Subsection 50.3(12) of the regulations is amended by the
deletion of the words “the prescribed fee” and the substitution of the
words “an annual fee of $100 per retail outlet”.
(5) Subsection 50.3(13) of the regulations is revoked.
July 23, 2016
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ROYAL GAZETTE
20. (1) Subsection 50.4(1) of the regulations is amended by the
deletion of the words “Upon receipt of an application and the prescribed
fee, the Commission may issue a tourist home license, if satisfied that”
and the substitution of the words “Upon receipt of an application in the
form required by the Commission, a non-refundable application fee of
$100 and a license fee in the amount required under subsection (1.1), the
Commission may issue a tourist home license to the applicant, if the
Commission is satisfied that”.
(2) Section 50.4 of the regulations is amended by the addition of
the following after subsection (1):
(1.1) The license fee for a tourist home license is
(a) $75, for a license that is valid for six months; or
(b) $125, for a license that is valid for more than six months until it
expires in accordance with section 56.
Tourist home
license fee
(3) Subsection 50.4(4) of the regulations is revoked and the
following is substituted:
(4) The annual fee to renew a tourist home license in accordance with
section 57 is
(a) $75, for a license that is valid for six months; or
(b) $125, for a license that is valid for more than six months until it
expires in accordance with section 56.
Annual fee
(4) Subsection 50.4(5) of the regulations is revoked.
21. (1) Subsection 50.5(1) of the regulations is amended by the
deletion of the words “Upon application in such form as the
Commission may require and on payment of a fee of $400, the
Commission may issue a distiller’s license to the applicant if satisfied
that” and the substitution of the words “Upon receipt of an application
in the form required by the Commission, a non-refundable application fee
of $300 and a license fee of $400, the Commission may issue a distiller’s
license to the applicant, if the Commission is satisfied that”.
(2) Subsection 50.5(2) of the regulations is revoked and the
following substituted:
(2) The annual fee to renew a distiller’s license in accordance with
section 57 is $400.
(3) Subsection 50.5(6) of the regulations is amended by the
deletion of the words “the prescribed fee” and the substitution of the
words “an annual fee of $100 per retail outlet”.
(4) Subsection 50.5(7) of the regulations is revoked.
22. (1) Subsection 50.6(2) of the regulations is amended by the
deletion of the words “Upon application in such form as the
Commission may require and on payment of a fee of $400, the
Commission may issue a brew-pub license to the applicant if satisfied
Annual fee
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ROYAL GAZETTE
July 23, 2016
that” and the substitution of the words “Upon receipt of an application
in the form required by the Commission, a non-refundable application fee
of $300 and a license fee of $400, the Commission may issue a brew-pub
license to the applicant, if the Commission is satisfied that”.
(2) Subsection 50.6(9) of the regulations is revoked and the
following substituted:
Annual fee
(9) The annual fee to renew a brew-pub license in accordance with
section 57 is $400.
23. (1) Subsections 50.7(2) and (3) of the regulations are revoked
and the following substituted:
Micro-brewery
license
(2) Upon receipt of an application in the form required by the
Commission, a non-refundable application fee of $300 and a license fee
of $500, the Commission may issue a micro-brewery license to the
applicant, if the Commission is satisfied that the premises, furnishings,
equipment and all other facilities of the micro-brewery are of a high
standard.
Annual fee
(3) The annual fee to renew a micro-brewery license in accordance
with section 57 is $500.
(2) Subsection 50.7(11) of the regulations is amended by the
deletion of the words “the prescribed fee” and the substitution of the
words “an annual fee of $100 per retail outlet”.
(3) Subsection 50.7(12) of the regulations is revoked.
24. (1) Subsection 50.8(2) of the regulations is revoked and the
following substituted:
Ferment on
premises license
(2) Subject to subsection (3), upon receipt of an application in the
form required by the Commission, a non-refundable application fee of
$300 and a license fee of $400, the Commission may issue a ferment on
premises license to the applicant.
(2) Subsection 50.8(3) of the regulations is amended by the
deletion of the words “The Commission may issue a ferment on
premises license to an applicant if the Commission is satisfied that” and
the substitution of the words “A ferment on premises license shall not
be issued unless the Commission is satisfied that”.
(3) Subsection 50.8(6) of the regulations is revoked and the
following substituted:
Annual fee
(6) The annual fee to renew a ferment on premises license in
accordance with section 57 is $400.
25. (1) Subsection 50.9(1) of the regulations is revoked and the
following substituted:
July 23, 2016
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50.9 (1) Upon receipt of an application in the form required by the
Commission and a license fee of $150 from the holder of a dining room
license, a club license or special premises license, the Commission may
issue a package sales license to the applicant.
Package sales
license
(2) Subsection 50.9(4) of the regulations is revoked and the
following substituted:
(4) The annual fee to renew a package sales license in accordance with
section 57 is $150.
Annual fee
26. Section 56 of the regulations is revoked and the following
substituted:
56. (1) A license may be issued for a period of up to twelve months and,
except where otherwise provided, expires on the date indicated on the
license, unless sooner cancelled by the Commission.
(2) Where a license is issued for a period of less than twelve months,
the Commission may pro-rate the license fee, except where otherwise
provided.
License period and
expiry
Pro-rate license fee
27. (1) Subsection 57(1) of the regulations is revoked and the
following substituted:
57. (1) Upon receipt of an application in the form required by the
Commission and the applicable annual fee, the Commission may renew a
license other than a license issued under section 10, including a license
that expired less than twelve months before the application is received,
for a period of up to twelve months.
Renewal of license
(1.1) Where a license is renewed for a period of less than twelve
months, the Commission may pro-rate the annual fee to renew the
license, except where otherwise provided.
Pro-rate annual fee
(2) Section 57 of the regulations is amended by the addition of the
following after subsection (3):
(4) Subsections (2) and (3) do not apply to an application to renew a
license issued on a seasonal basis that expired less than twelve months
before the application is received.
28. (1) Subsection 62(2) of the regulations is amended by the
deletion of the words “the Commission may, upon application in a
manner approved by the Commission and subject to payment of the
prescribed fee” and the substitution of the words “upon receipt of an
application in the form required by the Commission and a non-refundable
application fee of $35 to alter the license, the Commission may”.
(2) Subsection 62(3) of the regulations is revoked.
29. Subsection 74.2(1) of the regulations is amended by the deletion
of the words “On application by a licensee, the Commission may,
Exception, seasonal
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July 23, 2016
subject to this section,” and the substitution of the words “Upon
receipt of an application in the form required by the Commission from a
licensee, the Commission may”.
30. Subsection 85.1(2) of the regulations is revoked and the following
substituted:
Authorization to
hold wet-dry event
(2) Upon receipt of an application in the form required by the
Commission from a licensee, the Commission may give the licensee
written authorization to hold a wet-dry event.
31. Subsection 95(1) of the regulations is amended by the deletion of
the words “Upon application, in a form prescribed by the Commission,
by the holder of a lounge license” and the substitution of the words
“Upon receipt of an application in the form required by the Commission
from the holder of a lounge license,”.
32. Forms 9 to 12 of the regulations are revoked.
33. These regulations come into force on July 23, 2016.
EXPLANATORY NOTES
SECTION 1 revokes and replaces subsections 10(3) and (4) of the
regulations to remove references to Form 9 and Form 10, which are being
revoked, and to make wording respecting an application consistent
throughout the regulations. No fees have changed.
SECTION 2 revokes and replaces section 11 of the regulations to make
wording respecting an application consistent throughout the regulations.
No fees have changed.
SECTION 3 revokes section 18 of the regulations, which is redundant
after the amendments to section 11, and section 19 of the regulations to
remove references to Form 11 and Form 12, which are being revoked.
SECTION 4 revokes and replaces section 20 of the regulations to
improve the wording respecting the annual fee to renew a dining room
license and make it consistent throughout the regulations. The fee has not
changed.
SECTION 5 amends section 20.1 of the regulations to make wording
respecting an application consistent throughout the regulations.
SECTION 6 revokes and replaces section 21 to make wording
respecting an application consistent throughout the regulations. No fees
have changed.
SECTION 7 revokes section 27, which is redundant after the
amendments to section 21.
July 23, 2016
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SECTION 8 revokes section 28 to remove references to Form 11 and
Form 12, which are being revoked.
SECTION 9 revokes and replaces section 29 of the regulations to
improve the wording respecting the annual fee to renew a lounge license
and make it consistent throughout the regulations. The fee has not
changed.
SECTION 10 revokes and replaces section 31 of the regulations to make
wording respecting an application consistent throughout the regulations.
No fees have changed.
SECTION 11 revokes section 38 of the regulations, which is redundant
after the amendments to section 31.
SECTION 12 revokes section 39 of the regulations to remove references
to Form 11 and Form 12, which are being revoked.
SECTION 13 revokes and replaces section 40 of the regulations to
improve the wording respecting the annual fee to renew a club license
and make it consistent throughout the regulations. The fee has not
changed.
SECTION 14 revokes and replaces section 41 of the regulations to make
wording respecting an application consistent throughout the regulations.
No fees have changed.
SECTION 15 revokes section 48 of the regulations, which is redundant
after the amendments to section 41, and section 49 of the regulations to
remove references to Form 11 and Form 12, which are being revoked.
SECTION 16 revokes and replaces section 50 of the regulations to
improve the wording respecting the annual fee to renew a military
canteen license and make it consistent throughout the regulations. The
fee has not changed.
SECTION 17 amends subsection 50.1(1) of the regulations to make
wording respecting an application consistent throughout the regulations.
It also revokes and replaces subsection (4) to improve the wording
respecting the annual fee to renew a special premises license and make it
consistent throughout the regulations. It also revokes subsection (7),
which is redundant after the amendments to subsection (1). No fees have
changed.
SECTION 18 amends subsection 50.2(1) of the regulations to make
wording respecting an application consistent throughout the regulations.
It also revokes subsection (4), which is redundant after the amendments
to subsection (1). It also revokes and replaces subsection (5) to improve
the wording respecting the annual fee to renew a caterer’s license and
make it consistent throughout the regulations. No fees have changed.
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July 23, 2016
SECTION 19 amends subsection 50.3(2) of the regulations to make
wording respecting an application consistent throughout the regulations.
It also revokes subsection (3), which is redundant after the amendments
to subsection (2). It also revokes and replaces subsection (10) to improve
the wording respecting the annual fee to renew a winery license and
make it consistent throughout the regulations. It also amends subsection
(12) to set out the annual fee to operate an off-site retail outlet and
revokes subsection (13), which is redundant after the amendments to
subsection (12). No fees have changed.
SECTION 20 amends subsection 50.4(1) of the regulations to make
wording respecting an application consistent throughout the regulations.
It adds subsection (1.1) to the section, setting out the license fee for an
initial tourist home license, depending on whether it is valid for six
months or more than six months. It also revokes and replaces subsection
(4) to improve the wording respecting the annual fee to renew a tourist
home license and make it consistent throughout the regulations. It also
revokes subsection (5), which is redundant after the amendments to
subsection (1). No fees have changed.
SECTION 21 amends subsection 50.5(1) of the regulations to make
wording respecting an application consistent throughout the regulations.
It also revokes and replaces subsection (2) to set out the annual fee to
renew a distiller’s license. It also amends subsection (6) to set out the
annual fee to operate an off-site retail outlet and revokes subsection (7),
which is redundant after the amendments to subsection (6). No fees have
changed.
SECTION 22 amends subsection 50.6(2) of the regulations to make
wording respecting an application consistent throughout the regulations.
It also revokes and replaces subsection (9) to set out the fee to renew a
brew-pub license. No fees have changed.
SECTION 23 revokes and replaces subsections 50.7 (2) and (3) of the
regulations to make wording respecting an application consistent
throughout the regulations and to set out the annual fee to renew a microbrewery license. It also amends subsection (11) to set out the annual fee
to operate an off-site retail outlet and revokes subsection (12), which is
redundant after the amendments to subsection (11). No fees have
changed.
SECTION 24 revokes and replaces subsection 50.8(2) and amends
subsection (3) to make wording respecting an application consistent
throughout the regulations. It also revokes and replaces subsection (6) to
improve the wording respecting the annual fee to renew a ferment on
premises license and make it consistent throughout the regulations. No
fees have changed.
SECTION 25 revokes and replaces subsection 50.9(1) of the regulations
to make wording respecting an application consistent throughout the
regulations. It also revokes and replaces subsection (4) to improve the
July 23, 2016
ROYAL GAZETTE
wording respecting the annual fee to renew a package sales license and
make it consistent throughout the regulations. No fees have changed.
SECTION 26 revokes and replaces section 56 of the Act to provide that
a license may be issued for a period of up to twelve months and, except
where otherwise provided, expires on the date specified on the license,
unless earlier cancelled. It also provides for the Commission to pro-rate
the license fee for a license issued for less than twelve months.
SECTION 27 revokes and replaces subsection 57(1) to make wording
respecting an application consistent throughout the regulations and to
provide for an exception that a license issued under section 10 can’t be
renewed. A new application is required upon expiry of such a license. It
also provides for the Commission to pro-rate the annual fee to renew a
license for less than twelve months. It also provides that the application
deadline and late penalty in subsections (2) and (3) do not apply to an
application to renew a license issued on a seasonal basis that expired less
than twelve months before the application is received.
SECTION 28 amends subsection 62(2) to make wording respecting an
application consistent throughout the regulations. It also revokes
subsection (3), which is redundant after the amendments to subsection
(2). No fees have changed.
SECTION 29 amends subsection 74.2(1) to make wording respecting an
application consistent throughout the regulations.
SECTION 30 revokes and replaces subsection 85.1(2) to make wording
respecting an application consistent throughout the regulations.
SECTION 31 amends subsection 95(1) to make wording respecting an
application consistent throughout the regulations.
SECTION 32 revokes Form 9, Form 10, Form 11 and Form 12.
SECTION 33 provides for the commencement of these regulations.
Certified a true copy,
Paul T. Ledwell
Clerk of the Executive Council and Secretary to Cabinet
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July 23, 2016
EC2016-464
LIQUOR CONTROL ACT
LIQUOR AGENCY REGULATIONS
AMENDMENT
(Approved by His Honour the Lieutenant Governor in Council dated
July 12, 2016.)
Pursuant to section 8 of the Liquor Control Act R.S.P.E.I. 1988, Cap. L14, the Prince Edward Island Liquor Commission, with the approval of
the Lieutenant Governor in Council, made the following regulations:
1. Clause 4(2)(d) of the Liquor Control Act Liquor Agency
Regulations (EC343/12) is revoked and the following substituted:
(d) have no current or proposed affiliation with a ferment on
premises business, including the operation of a licensed premises
under a ferment on premises license issued by the Commission,
2. Subsection 6(4) of the regulations is revoked and the following
substituted:
Fee
(4) An applicant shall pay to the Commission a non-refundable fee of
$300 to submit a proposal and a proposal is not considered to have been
received until the fee is paid.
3. These regulations come into force on July 23, 2016.
EXPLANATORY NOTES
SECTION 1 provides that to be eligible to be appointed as a vendor, an
applicant must have no current or proposed affiliation with a ferment on
premises business, including the operation of a licensed premises under a
ferment on premises license issued by the Commission.
SECTION 2 requires an applicant to pay a non-refundable fee of $300 to
submit a proposal and a proposal is not considered to have been received
until the fee is paid.
SECTION 3 provides for the commencement of these regulations.
Certified a true copy,
Paul T. Ledwell
Clerk of the Executive Council and Secretary to Cabinet
July 23, 2016
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EC2016-469
SUMMARY PROCEEDINGS ACT
TICKET REGULATIONS
AMENDMENT
(Approved by His Honour the Lieutenant Governor in Council dated
July 12, 2016.)
Pursuant to section 10 of the Summary Proceedings Act R.S.P.E.I. 1988,
Cap. S-9, Council made the following regulations:
1. Schedule 2 of the Summary Proceedings Act Ticket Regulations
(EC58/08) is amended in Part 38 by the addition of the following
after item 14:
14.1 Consuming liquor on or about a boat .......………........
39(4)
$200 (1st offence)
400 (2nd or
subsequent offence)
2. These regulations come into force on July 23, 2016.
EXPLANATORY NOTES
SECTION 1 sets out ticket fines for an offence recently added to the
Liquor Control Act R.S.P.E.I. 1988, Cap. L-14.
SECTION 2 provides for the commencement of these regulations.
Certified a true copy,
Paul T. Ledwell
Clerk of the Executive Council and Secretary to Cabinet
EC2016-470
VITAL STATISTICS ACT
REGULATIONS
AMENDMENT
(Approved by His Honour the Lieutenant Governor in Council dated
July 12, 2016.)
Pursuant to section 40 of the Vital Statistics Act R.S.P.E.I. 1996, Cap. V4.1, Council made the following regulations:
1. (1) Subsection 7(1) of the Vital Statistics Act Regulations
(EC453/00) is amended
(a) in clause (g), by the deletion of the words “32(1), (2)” and the
substitution to the words “32(1)”; and
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July 23, 2016
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(b) by the deletion of clauses (i) and (j) and the substitution of
the following:
32(3)
(i) copy of registration of birth................................................................... $35
32(4)
(j) certificate of registration of marriage - framing size (long) ................. $35
(2) Subsection 7(2) of the regulations is revoked.
2. Form 11 and Form 11.1 of the regulations are revoked and Form
11 and Form 11.1 as set out in the Schedule to these regulations are
substituted.
3. These regulations come into force on July 23, 2016.
SCHEDULE
FORM 11
APPLICATION FOR PRINCE EDWARD ISLAND BIRTH RECORD
VITAL STATISTICS REGISTRY
126 DOUSES ROAD
PO BOX 3000, MONTAGUE, PEI C0A 1R0
Telephone (902) 838-0880 Fax: (902) 838-0883
Toll free in Canada 1-877-320-1253
Email: [email protected]
www.gov.pe.ca/vitalstatistics
PRIVACY STATEMENT: Personal information contained on this form is collected under the authority
of the Vital Statistics Act R.S.P.E.I. 1988, Cap. V-4.1, section 32, as applicable, to fulfil the requirements
for registration and release of records and information. If you have any questions about the collection or
use of this information please contact the Vital Statistics Office toll free at 1-877-320-1253.
Your request can only be processed if this application is complete, the information provided agrees with
our records, and the event is registered.
Applicant Information
PLEASE PRINT CLEARLY
“Applicant” is the person who is completing this request. As “Applicant” you must provide the
information below so you can be contacted if problems arise with this request. This contact information
will be used for all correspondence and delivery purposes.
SURNAME::
GIVEN NAMES:
MAILING ADDRESS:
CITY, PROVINCE, STATE, COUNTRY
DAYTIME PHONE (include area code):
POSTAL CODE
EMAIL ADDRESS:
AUTHORITY TO OBTAIN BIRTH CERTIFICATE:

Applicant is person to whom certificate applies

Applicant is parent on birth registration of person to whom certificate applies

Written authorization of person to whom certificate applies or parent on registration

Applicant requires certificate for the administration of the estate of deceased person to whom
certificate applies or to establish eligibility to administer person’s estate

Applicant is a lawyer acting for the person to whom the certificate applies

Applicant is a public officer who requires the certificate for the purpose of discharging official
duties

Court order

Written authorization of Minister
AUTHORITY TO OBTAIN COPY OF BIRTH REGISTRATION:

Applicant is adult person to whom registration applies

Applicant is listed as a parent on the registration

Applicant is a public officer who requires the registration for the purpose of discharging official
duties

Court order

Written authorization of Minister
July 23, 2016
133
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WRITTEN AUTHORIZATION: For the purposes of giving written authorization to an
applicant in respect of a birth certificate, the person to whom the certificate applies or a
parent of that person may use this section OR provide a signed letter of authorization to be
attached to this application:
I __________________________________________ authorize that my birth certificate be
Person to whom certificate applies or Parent
issued to the applicant stated above.
_____________________________________________
____________________
Signature of person to whom certificate applies or parent
Date
SIGNATURE OF APPLICANT
DATE of APPLICATION (Month/Day/Year)
Birth Certificate or Registration Information
Enter the birth information of the person to whom the certificate or registration applies including the
names of both parents and where they were born. If the father’s/other parent’s information is not
applicable (was not on birth registration) please put N/A in corresponding fields.
Person To Whom Certificate Applies
Last Name (At Birth)
Given Names:
First
❑ MALE
Middle
Date of Birth:
Month
Day
❑ FEMALE
Other Given
City/Town of Birth:
Province of Birth:
Prince Edward
Island
Year
Mother’s Details
Mother’s Surname: (before marriage)
First Name:
Middle Names:
Birthplace
Father/Other Parent’s Details
Father/Other Parent’s Surname: (If stated on Birth
Record) - If not enter N/A/:
First Name:
Middle Names:
Birthplace
Administrative Information
Type of Product Requested:
 Standard Birth Certificate ………………. $25
 Detailed Birth Certificate ………………..$35
(includes parent names)
 Certified Copy of Registration of Birth (Not a
birth certificate) …………………………….$35
Special Service Requested:
 Expedited Service (2 business days + delivery
time) ……………………………………… $50
 Emergency Service (Same day - pick up only)
………………………………………………$100:
Payment
Payment Method: CANADIAN FUNDS ONLY
Province/State
Province/State
Country
Country
Method of Delivery Requested:
 Pick up Montague (expedited or emergency
service only)
 Regular Mail (free of charge)
 Courier: PEI, NS, and NB ……………$10
 Courier: All other Canadian destinations .$20
 Courier outside Canada, please contact Vital
Statistics to make arrangements: (902) 838-0880
or toll free (in Canada) 1-877-320-1253
❑ Cash (In person only)
❑ Debit Card (In person only)
❑ Cheque or Money Order (Payable to PEI Vital Statistics)
❑ MasterCard or Visa: I authorize Vital Statistics to charge my credit card:
$_______________
Credit Card Number ______________________
Expiry: Month___________ Year______
___________________________________________________________
Cardholder’s Name (please print)
___________________________________________________________
Cardholder’s Signature
Post-dated cheques are not accepted. An additional $30 will be charged for NSF cheques.
134
July 23, 2016
ROYAL GAZETTE
Completed_________________ Receipt # _____________
Reg #_____________________________Certificate #____________________________
Issue Date___________________________________
IMPORTANT INFORMATION
Documents can only be issued for births that occurred in P.E.I.
INFORMATION PROVIDED ON DOCUMENTS:
Certificates contain information extracted from the original, legal registration filed at the time of birth.
Standard Birth Certificate
Detailed Birth Certificate
Full Name of the Individual
Date of Birth
Place of Birth
Sex
Registration Number
Date of Registration
Date certificate is issued
The same information that
appears on a Standard Birth
Certificate, and also Parent
information (if contained on
registration):
Mother’s Name and her Place of
Birth
Father’s Name and his Place of
Birth.
Note: A detailed birth
certificate is recommended for
minors (under age 16).
Certified Copy of Live Birth
Registration
The information that appears on
the original (legal) Registration
of Birth. It is a photocopy of the
registration onto certified copy
paper.
Note: These are most commonly
required for international
purposes.
Certified copies are not used for
identification: they do not
substitute as a birth certificate.
TO AVOID DELAY:
- Ensure that you are authorized to make the request (see front of form)
- Complete the application in full (PLEASE PRINT)
- Enclose the correct fee (Canadian Funds)
- Ensure that your phone number and address are correct and clear
- Ensure all given names of parents are included (initials not acceptable)
FEES: Every person who submits an application for service must pay the prescribed fee at the time of
request.
(a) Birth - Standard
(b) Birth - Detailed
(c) Certified Copy of Birth Registration
(d) Expedited Service (2 business days)
(e) Emergency Service (same day)
$25
$35
$35
$50 (does not include certificate or courier fees)
$100 (does not include certificate fee)
*Post-dated cheques are not accepted. An additional $30 fee will be charged for NSF cheques.
TYPE OF SERVICE:
Regular Service
Processing time: Varies
(generally 10-15 business days)
Delivery method options:
- Regular mail*
- Courier (at client request and
expense)
*The Vital Statistics Office is
not responsible for delays or
lost items by Canada Post.
Expedited Service
(Certificates Only)
Processing time: 2 business
days
Delivery method options:
- *Pick up at 126 Douses
Road, Montague (Monday
through Friday)
- Courier (at client request
and expense)
- Regular mail
*Documents not picked up on
the date specified (where prior
arrangements have not been
made) will be placed in regular
mail the following day.
Emergency Service
(Certificates Only)
Processing time: Same day of
request (minimum two hours’
notice required) or less than two
business days
Delivery method:
Pick up Only (Montague)
July 23, 2016
135
ROYAL GAZETTE
FORM 11.1
APPLICATION FOR PRINCE EDWARD ISLAND MARRIAGE & DEATH RECORDS
VITAL STATISTICS REGISTRY
126 DOUSES ROAD
PO BOX 3000, MONTAGUE, PEI C0A 1R0
Telephone (902) 838-0880 Fax: (902) 838-0883
Toll free in Canada 1-877-320-1253
Email: [email protected]
www.gov.pe.ca/vitalstatistics
PRIVACY STATEMENT: Personal information contained on this form is collected under the
authority of the Vital Statistics Act R.S.P.E.I. 1988, Cap. V-4.1, section 32, as applicable, to fulfil the
requirements for registration and release of records and information. If you have any questions about the
collection or use of this information please contact the Vital Statistics Office toll free at 1-877-320-1253.
Your request can only be processed if this application is complete, the information provided agrees with
our records, and the event is registered.
Applicant Information PLEASE PRINT CLEARLY
“Applicant” is the person who is completing this request. As “Applicant” you must provide the
information below so you can be contacted if problems arise with this request. This contact information
will be used for all correspondence and delivery purposes.
SURNAME::
GIVEN NAMES:
MAILING ADDRESS:
CITY, PROVINCE, STATE, COUNTRY
DAYTIME PHONE (include area code):
POSTAL CODE
EMAIL ADDRESS:
AUTHORITY TO OBTAIN MARRIAGE CERTIFICATE OR COPY OF MARRIAGE
REGISTRATION:

Applicant is a party to the marriage to which the certificate or registration applies

Written authorization of a party to the marriage

Applicant is a lawyer acting for or a legal representative of a party to the marriage

Applicant is a public officer who requires the certificate or registration for the purpose of
discharging official duties

Court order

Written authorization of Minister
AUTHORITY TO OBTAIN DEATH CERTIFICATE WITH CAUSE OF DEATH OR COPY OF
DEATH REGISTRATION:

Applicant is a parent, sibling, spouse or adult child of the deceased

Applicant is a public officer who requires the certificate or registration for the purpose of
discharging official duties

Written authorization of Minister
* Any person may obtain a death certificate that does not show the cause of death
WRITTEN AUTHORIZATION:
For the purposes of giving written authorization to an applicant in respect of a marriage certificate or a
copy of a marriage registration, a party to the marriage may use this section OR provide a signed letter of
authorization to be attached to this application:
I _______________________________________________ authorize my marriage certificate or a
Party named on the marriage certificate
copy of my marriage registration to be
issued to the applicant stated above.
_______________________________________________ ___________________________________
Signature of party named on marriage certificate
Date
SIGNATURE OF APPLICANT
DATE of APPLICATION (Month/Day/Year)
Certificate or Registration Information
Marriage Information (if applicable)
Surname Before Marriage
All Given Names
Surname Before Marriage
All Given Names
❑ MALE
Birthplace
❑ FEMALE
❑ MALE
❑ FEMALE
Birthplace
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July 23, 2016
ROYAL GAZETTE
Place of Marriage
Date of Marriage
Month
Day
City/Town:
Province: Prince Edward Island
Year
Date of Birth
Death/Stillbirth Information (if applicable)
Surname of Deceased
❑ MALE
All Given Names
Month
Day
Year
Day
Year
Age:
Usual Residence Prior To Death:
Marital Status Upon Death:
Single
Married
Date of Death
Month
❑ FEMALE
Widow
Divorced
Place of Death
City/Town:
Province: Prince Edward Island
Administrative Information
Type of Product Requested:
 Detailed Marriage Certificate $35
 Death Certificate
$35
 Death Certificate With Cause $50
 Certified Copy of Registration of Marriage $35
(Not a certificate)
 Certified Copy of Registration of Death
$35 (Cause of Death not included)
 Certified Copy of Registration of Stillbirth $35
Special Service Requested (Certificates Only):
 Expedited Service (2 business days +
delivery time) …………………………… $50
 Emergency Service (same day - pick up
only) ………………………………………$100
Method of Delivery Requested:
 Pick up Montague (expedited or emergency
service only)
 Regular Mail (free of charge)
 Courier: PEI, NS, and NB ……………..$10
 Courier: All other Canadian destinations $20
 Courier outside Canada, please contact Vital
Statistics to make arrangements: (902) 838-0880
or toll free (in Canada) 1-877-320-1253.
Payment
Payment Method: CANADIAN FUNDS ONLY
❑ Cash (In person only)
❑ Debit Card (In person only)
❑ Cheque or Money Order (Payable to PEI Vital Statistics)
❑ MasterCard or Visa: I authorize Vital Statistics to charge my credit card:
$_______________
Credit Card Number ______________________
Expiry: Month___________ Year______
___________________________________________________________
Cardholder’s Name (please print)
___________________________________________________________
Cardholder’s Signature
Post-dated cheques are not accepted. An additional $30 will be charged for NSF cheques.
Completed_________________ Receipt # _____________
Reg #_____________________________Certificate #____________________________
Issue Date___________________________________
IMPORTANT INFORMATION
Certificates and Copies of Registrations can only be issued for events (marriage, death) that occurred in
P.E.I.
INFORMATION PROVIDED ON DOCUMENTS:
Marriage Certificate
Full Name of Persons who
married
Place of Birth (both)
Date of Marriage
Place of Marriage
Registration Number
Date of Registration
Date of Issue
Death Certificate (with and
without cause)
Name of Deceased
Date of Death
Place of Death
Age
Sex
Marital Status
Registration Number
Date of Registration
Date of Issue
Marriage/Death Registrations
The information that appears on
the original (legal) Registration
of Marriage/Death (cause of
death not included). It is a
photocopy of the registration on
certified copy paper.
Not intended for identification:
it does not substitute as a
certificate.
July 23, 2016
ROYAL GAZETTE
TO AVOID DELAY:
- Ensure that you are authorized to make the request (see front of form)
- Complete the appropriate sections in full (PLEASE PRINT)
- Enclose the correct fee (Canadian Funds)
- Ensure that your phone number and address are correct and clear
FEES: Every person who submits an application for service must pay the prescribed fee at the time of
request.
(a) Marriage Certificate
(b) Certified Copy of Marriage Registration
(c) Death Certificate
(d) Death Certificate with Cause
(e) Certified Copy of Death Registration
(f) Certified Copy of Stillbirth Registration
(g) Expedited Service (2 business days)
(h) Emergency Service (same day)
$35
$35
$35
$50
$35 (does not include cause of death)
$35
$50 (does not include certificate or courier fee)
$100 (does not include certificate)
*Post-dated cheques are not accepted. An additional $30 fee will be charged for NSF cheques.
TYPE OF SERVICE:
Regular Service
Processing time: Varies
(generally 10-15 business days)
Delivery method options:
- Regular mail*
- Courier (at client request and
expense)
*The Vital Statistics Office is
not responsible for delays or
lost items by Canada Post.
Expedited Service
(Certificates Only)
Processing time: 2 business
days
Delivery method options:
- *Pick up at 126 Douses
Road, Montague (Monday
through Friday)
- Courier (at client request
and expense)
- Regular mail
*Documents not picked up on
the date specified (where prior
arrangements have not been
made) will be placed in regular
mail the following day.
Emergency Service
(Certificates Only)
Processing time: Same day of
request (minimum two hours’
notice required)
Delivery method:
Pick up Only (Montague)
EXPLANATORY NOTES
SECTION 1 updates several Act section references in the fee schedule in
section 7 of the regulations to correspond with amendments made to the
Act by S.P.E.I. 2016, Cap. 29. It also revokes a provision that authorizes
the Director to waive or modify fees at the Director’s discretion.
SECTION 2 updates Form 11 and Form 11.1 to correspond with
amendments made to the Act by S.P.E.I. 2016, Cap. 29.
SECTION 3 provides for the commencement of these regulations.
Certified a true copy,
Paul T. Ledwell
Clerk of the Executive Council and Secretary to Cabinet
137
138
ROYAL GAZETTE
July 23, 2016
EC2016-471
PRINCE EDWARD ISLAND LANDS PROTECTION ACT
FORMS REGULATIONS
Pursuant to clause 17(1)(c) of the Prince Edward Island Lands
Protection Act R.S.P.E.I. 1988, Cap. L-5, Council made the following
regulations:
1. (1) Section 1 of the of the Prince Edward Island Lands Protection
Act Forms Regulations (EC219/96) is amended by renumbering it as
subsection 1(2).
(2) Section 1 of the Regulations is amended by the addition of the
following before subsection (2):
Act, defined
1. (1) In these regulations, “Act” means the Prince Edward Island Lands
Protection Act R.S.P.E.I. 1988, Cap.L-5.
(3) Subsection 1(2) of the regulations is amended
(a) in clauses (a) and (b), by the deletion of the words “Prince
Edward Island Lands Protection Act” and the substitution of the
word “Act”;
(b) by the revocation of clauses (h) to (k) and the substitution of
the following:
(h) Form 6A – aggregate land holding declaration for a person
pursuant to section 10 of the Act;
(i) Form 6B – aggregate land holding declaration for a corporation
pursuant to section 10 of the Act;
(j) Form 6C – aggregate land holding declaration for a person
pursuant to section 10 of the Act;
(k) Form 6D – aggregate land holding declaration for a corporation
pursuant to section 10 of the Act;
(c) by the revocation of clause (n) and the substitution of the
following:
(n) Form 8A – application by or on behalf of a non-resident or
corporation pursuant to clause 5.3(1)(b) of the Act;
(o) Form 8B – statement for reporting land leased in pursuant to
subsection 5.3(2) of the Act;
(p) Form 9 – application by or on behalf of a cooperative venture
pursuant to subsection 1.1(3) of the Prince Edward Island Lands
Protection Act Exemption Regulations;
(q) Form 10A – aggregate land holding declaration for a person
pursuant to subsection 11(2) of the Act;
(r) aggregate land holding declaration for a corporation pursuant to
subsection 11(2) of the Act.
July 23, 2016
ROYAL GAZETTE
2. (1) Forms 6A, 6B, 6C and 6D of the regulations are revoked and
Forms 6A, 6B, 6C and 6D as set out in the Schedule to these
regulations are substituted.
(2) Form 8 of the regulations is revoked and Forms 8A and 8B as
set out in the Schedule to these regulations are substituted.
(3) The regulations are amended by the addition of Forms 9, 10A
and 10B after Form 8B as set out in the Schedule to these
regulations.
3. These regulations come into force on July 23, 2016.
139
140
ROYAL GAZETTE
July 23, 2016
SCHEDULE
FORM 6A
AGGREGATE LAND HOLDING DECLARATION FOR A PERSON
PURSUANT TO SECTION 10 OF
THE PRINCE EDWARD ISLAND LANDS PROTECTION ACT (the “Act”)
INFORMATION PROVIDED SHALL DECLARE THE MAXIMUM LAND
HOLDING DURING THE REPORTING YEAR
SECTION 1
Answer the following questions: YES or NO
A. Does the corporation in which you own more than 5% of the issued voting shares own
shares in any other corporation?
YES
NO
B. Are there other corporations that own shares in a corporation in which you own more
than 5% of the issued voting shares?
YES
NO
C. Is the declaring person a trustee or a beneficiary in a trust that has an aggregate land
holding?
YES
NO
D. Has the Minister given the declaring person approval to limit disclosure pursuant to
section 11.1 of the Act?
YES
NO
If you answered YES to any of the above questions, do not use this form. Complete
Form 6C.
SECTION 2
Reporting Year …………………..
Name of Declaring Person ........................................................................................................
Mailing Address ………………………………….Province ...................................................
Postal Code ………………………Telephone ……………….Fax .........................................
Email Address ………………………
I hereby certify that the information herein, and attached hereto, is true and correct
in all respects for reporting year …….. Upon request, I undertake to provide such
further information as may be reasonably required by the Commission in the
processing of this declaration.
Signature of Declaring Person
Date
Print Name of Declaring Person
INFORMATION PROVIDED BY DECLARING PERSON IS SUBJECT TO AUDIT
Information on this Form is collected pursuant to the Lands Protection Act and will be used by the
Commission in the administration of the said Act. For additional information, contact the Commission at
902-892-3501 or by email at [email protected].
July 23, 2016
141
ROYAL GAZETTE
FORM 6A - APPENDIX 1
Land OWNED by the Declaring Person:
PARCEL
NUMBER
NAME OF REGISTERED
OWNER*
ACREAGE
ARABLE
NON-ARABLE
LOCATION
SUBTOTAL
TOTAL
*Note: If land is owned jointly or as tenants in common, list the complete name of the
registered owner.
FORM 6A - APPENDIX 2
Land LEASED IN by the Declaring Person:
PARCEL
NUMBER
LEASED
FROM
LOCATION
LEASE START
DATE
M/D/Y
LEASE EXPIRY
DATE
M/D/Y
ACREAGE
NONARABLE
ARABLE
SUBTOTAL
TOTAL
……………
Initials
FORM 6A - APPENDIX 3
Land LEASED OUT by the Declaring Person:
PARCEL
NUMBER
LEASED TO
LOCATION
LEASE START
DATE
M/D/Y
LEASE EXPIRY
DATE
M/D/Y
ACREAGE
NONARABLE
ARABLE
SUBTOTAL
TOTAL
FORM 6A - APPENDIX 4
4.1
If the Declaring Person owns more than 5% of the issued voting shares in any
corporation, list the following information:
1
NAME OF
CORPORATION
4.2
2
TOTAL NUMBER OF
ISSUED VOTING SHARES
3
NUMBER OF ISSUED VOTING SHARES
OWNED BY DECLARING PERSON
4
% OF ISSUED
VOTING
SHARES
List the following information for each parcel of land in the province OWNED by
corporations listed in 4.1.
(Complete a separate Appendix 4.2 for each corporation.)
Name of Corporation ……………………………………………………………
PARCEL
NUMBER
NAME OF REGISTERED
OWNER*
LOCATION
ACREAGE
ARABLE
NON-ARABLE
SUBTOTAL
TOTAL
*Note: If land is owned jointly or as tenants in common, list the complete name of the
registered owner.
……………
Initials
4.3 List the following information for each parcel of land in the province LEASED IN by
corporations listed in 4.1.
(Complete a separate Appendix 4.3 for each corporation.)
Name of Corporation ……………………………………………………………….
142
July 23, 2016
ROYAL GAZETTE
PARCEL
NUMBER
LEASED
FROM
LOCATION
LEASE START
DATE
M/D/Y
LEASE EXPIRY
DATE
M/D/Y
ACREAGE
NONARABLE
ARABLE
SUBTOTAL
TOTAL
4.4
List the following information for each parcel of land in the province LEASED
OUT by corporations listed in 4.1. (Complete a separate Appendix 4.4 for each
corporation.)
Name of Corporation …………………………………………………………………
PARCEL
NUMBER
LEASED TO
LOCATION
LEASE START
DATE
M/D/Y
LEASE EXPIRY
DATE
M/D/Y
ACREAGE
NONARABLE
ARABLE
SUBTOTAL
TOTAL
4.5
List the following information for each corporation listed in 4.1 for
ARABLE LAND:
1
2
3
4
5
6
NAME OF
CORPORATION
TOTAL
ARABLE
ACREAGE
OWNED
(from Appendix
4.2)
TOTAL
ARABLE
ACREAGE
LEASED IN
(from Appendix
4.3)
TOTAL ARABLE
LAND HOLDING
(column 2+3)
% OF ISSUED
VOTING
SHARES
(from 4.1
column 4)
CONTRIBUTION
TO
AGGREGATE
LAND HOLDING
(multiply column 4
by column 5)
ARABLE LAND TOTAL
4.6
List the following information for each corporation listed in 4.1 for NONARABLE LAND:
1
2
3
4
5
6
NAME OF
CORPORATION
TOTAL NONARABLE
ACREAGE
OWNED
(from Appendix
4.2)
TOTAL NONARABLE
ACREAGE
LEASED IN
(from Appendix
4.3)
TOTAL NONARABLE LAND
HOLDING
(column 2+3)
% OF ISSUED
VOTING
SHARES (from
row 4.1 column 4)
CONTRIBUTION
TO
AGGREGATE
LAND HOLDING
(multiply column 4
by column 5)
NON-ARABLE LAND TOTAL
……………
Initials
July 23, 2016
143
ROYAL GAZETTE
FORM 6B
AGGREGATE LAND HOLDING DECLARATION FOR A CORPORATION
PURSUANT TO SECTION 10 OF
THE PRINCE EDWARD ISLAND LANDS PROTECTION ACT (the “Act”)
INFORMATION PROVIDED SHALL DECLARE THE MAXIMUM LAND
HOLDING DURING THE REPORTING YEAR
SECTION 1
Answer the following questions: YES or NO
A. Does the declaring corporation own more than 5% of the issued voting shares
in any other corporations?
YES
NO
B. Do any other corporations own more than 5% of the issued voting shares in
the declaring corporation?
YES
NO
C. Do any of the shareholders of the declaring corporation own more than 5% of
YES
NO
the issued voting shares in any other corporations?
D. Is the declaring corporation or any of its shareholders a trustee or beneficiary
in a trust that has an aggregate land holding?
YES
NO
E. Has the Minister given the declaring corporation approval to limit disclosure
pursuant to section 11.1 of the Act?
YES
NO
If you answered YES to any of the above questions, do not use this form. Complete
Form 6D.
SECTION 2
Reporting Year …………………..
Name of Declaring Corporation ...............................................................................................
Mailing Address ………………………………….Province ...................................................
Postal Code ………………………Telephone ……………….Fax .........................................
Email Address ……………………… Place of Incorporation ……………………………..
Date of Incorporation …………………………………….
I hereby certify that the information herein, and attached hereto, is true and correct
in all respects for reporting year …….. Upon request, I undertake to provide such
further information as may be reasonably required by the Commission in the
processing of this declaration.
Signature of Authorized Signing Officer
of the Declaring Corporation
Date
Print Name of Signatory
Title
INFORMATION PROVIDED BY DECLARING CORPORATION IS SUBJECT TO AUDIT
Information on this Form is collected pursuant to the Lands Protection Act and will be used by the
Commission in the administration of the said Act. For additional information, contact the Commission at
902-892-3501 or by email at [email protected].
144
July 23, 2016
ROYAL GAZETTE
FORM 6B - APPENDIX 1
1.1
Report the total number of voting shares issued by the Declaring Corporation ………
1.2 List the following information for each shareholder – both corporate and individual –
owning more than 5% of the issued voting shares of the Declaring Corporation.
1
NAME OF SHAREHOLDER
2
ADDRESS
3
NUMBER OF SHARES
OWNED BY
SHAREHOLDER
4
% OF ISSUED VOTING
SHARES
FORM 6B - APPENDIX 2
2.1 List the following information for each parcel of land in the province OWNED by the
Declaring Corporation:
PARCEL
NUMBER
NAME OF REGISTERED
OWNER*
ACREAGE
ARABLE
NON-ARABLE
LOCATION
SUBTOTAL
TOTAL
*Note: If land is owned jointly or as tenants in common, list the complete name of the
registered owner.
2.2 List the following information for each parcel of land in the province LEASED IN by
the Declaring Corporation:
PARCEL
NUMBER
LEASED
FROM
LOCATION
LEASE START
DATE
M/D/Y
LEASE EXPIRY
DATE
M/D/Y
ACREAGE
NONARABLE
ARABLE
SUBTOTAL
TOTAL
2.3 List the following information for each parcel of land in the province LEASED OUT
by the Declaring Corporation:
1
2
3
PARCEL
NUMBER
LEASED TO
LOCATION
4
LEASE START
DATE
M/D/Y
5
LEASE EXPIRY
DATE
M/D/Y
6
ACREAGE
NONARABLE
ARABLE
SUBTOTAL
TOTAL
……………
Initials
FORM 6B - APPENDIX 3
3.1 Land OWNED by each shareholder: (Complete a separate Appendix 3 for each
shareholder):
1
PARCEL
NUMBER
2
NAME OF REGISTERED
OWNER*
3
LOCATION
4
ACREAGE
ARABLE
NON-ARABLE
SUBTOTAL
TOTAL
*Note: If land is owned jointly or as tenants in common, list the complete name of the
registered owner.
July 23, 2016
145
ROYAL GAZETTE
3.2 Land LEASED IN by each shareholder: (Complete a separate Appendix 3 for each
shareholder)
1
2
3
PARCEL
NUMBER
LEASED
FROM
LOCATION
4
LEASE START
DATE
M/D/Y
5
LEASE EXPIRY
DATE
M/D/Y
6
ACREAGE
NONARABLE
ARABLE
SUBTOTAL
TOTAL
3.3 Land LEASED OUT by each shareholder: (Complete a separate Appendix 3 for each
shareholder):
1
2
3
PARCEL
NUMBER
LEASED TO
LOCATION
4
LEASE START
DATE
M/D/Y
5
LEASE EXPIRY
DATE
M/D/Y
6
ACREAGE
NONARABLE
ARABLE
SUBTOTAL
TOTAL
3.4 List the following information for each shareholder listed in 1.2 for ARABLE
LAND:
1
2
3
4
NAME OF
SHAREHOLDER
TOTAL ARABLE
ACREAGE OWNED
(from Appendix 3,
sec. 3.1)
TOTAL ARABLE ACREAGE
LEASED IN
(from Appendix 3,
sec. 3.2)
TOTAL ARABLE LAND
HOLDING
(column 2+3)
ARABLE LAND TOTAL
3.5 List the following information for each shareholder listed in 1.2 for NON-ARABLE
LAND:
1
2
3
4
NAME OF
SHAREHOLDER
TOTAL NON-ARABLE
ACREAGE OWNED
(from Appendix 3, sec. 3.1)
TOTAL NON-ARABLE
ACREAGE LEASED IN
(from Appendix 3, sec. 3.2)
TOTAL NON-ARABLE
LAND HOLDING
(column 2+3)
NON-ARABLE LAND TOTAL
3.6 Pursuant to Section 11.(1)(f) of the Act, list any transfers of 10% or more of the
issued voting shares which have been made since the last declaration:
1
NAME OF CORPORATION
……………
Initials
2
NAME OF SHAREHOLDER WHO ACQUIRED
10% OR MORE OF THE SHARES
3
% OF SHARES ACQUIRED BY
THE SHAREHOLDER SINCE
LAST DECLARATION
146
July 23, 2016
ROYAL GAZETTE
FORM 6C
AGGREGATE LAND HOLDING DECLARATION FOR A PERSON
PURSUANT TO SECTION 10 OF
THE PRINCE EDWARD ISLAND LANDS PROTECTION ACT (the “Act”)
INFORMATION PROVIDED SHALL DECLARE THE MAXIMUM LAND HOLDING
DURING THE REPORTING YEAR
SECTION 1
Reporting Year …………………..
Name of Declaring Person ........................................................................................................
Mailing Address ………………………………….Province ...................................................
Postal Code ………………………Telephone ……………….Fax .........................................
Email Address ………………………
SECTION 2
2.1 If the Declaring Person owns more than 5% of the issued voting shares in any
corporation, list the following information. (All information must be provided, unless prior
approval to withhold information in columns 2, 3 and 4 has been granted by the Minister.
Provide a copy of Form 7A.)
1
NAME OF CORPORATION
2.2
2
TOTAL NUMBER OF
ISSUED VOTING
SHARES
3
NUMBER OF ISSUED
VOTING SHARES
OWNED BY
DECLARING PERSON
4
% OF ISSUED VOTING
SHARES
List the following information for each corporation listed in 2.1.
1
2
3
4
5
6
NAME OF
CORPORATION
TOTAL
ARABLE
ACREAGE
OWNED
(from
Appendix 4)
TOTAL ARABLE
ACREAGE
LEASED IN
(from Appendix 5)
TOTAL
ARABLE LAND
HOLDING
(column 2+3)
% OF ISSUED
VOTING
SHARES
(from row 2.1
column 4)
CONTRIBUTION
TO
AGGREGATE
LAND HOLDING
(multiply column 4
by column 5)
ARABLE LAND TOTAL
……………
Initials
July 23, 2016
2.3
147
ROYAL GAZETTE
List the following information for each corporation listed in 2.1.
1
2
3
4
5
6
NAME OF
CORPORATION
TOTAL
NONARABLE
ACREAGE
OWNED
(from
Appendix 4)
TOTAL NONARABLE
ACREAGE
LEASED IN
(from Appendix 5)
TOTAL NONARABLE LAND
HOLDING
(column 2+3
% OF ISSUED
VOTING
SHARES
(from row 2.1
column 4)
CONTRIBUTION
TO
AGGREGATE
LAND HOLDING
(multiply column 4
by column 5)
NON-ARABLE LAND TOTAL
2.4
List the following information for each corporation listed in 2.1.
1
NAME OF CORPORATION
2
TOTAL ARABLE ACREAGE
LEASED OUT
(from Appendix 6)
3
TOTAL NON- ARABLE ACREAGE
LEASED OUT (from Appendix 6)
TOTAL
SECTION 3
List the following information for any corporation (as defined in the Act) that is
directly or indirectly controlled by any corporation listed in 2.1, but has not been
reported in 2.1. (Use a separate sheet for each corporation for 3.1 to 3.5.)
3.1
Name of the corporation ..............................................................................................
3.2
Address ........................................................................................................................
3.3
Place of incorporation …… 3.4 Date of incorporation ..............................................
3.5
Names and permanent addresses of all officers and directors
....................................................................................................................................................
....................................................................................................................................................
3.6 List the following information for the corporation(s) listed in 3.1. (All information
must be provided, unless prior approval to withhold information in columns 2, 3 and 4 has
been granted by the Minister. Provide a copy of Form 7A.)
1
NAME OF
CORPORATION
LISTED IN 3.1
……………
Initials
2
NAME OF
SHAREHOLDER
(Corporations
listed
in 2.1 only)
3
TOTAL
NUMBER OF
ISSUED
VOTING
SHARES
4
NUMBER OF ISSUED
VOTING SHARES
OWNED BY THE
CORPORATION IN
2.1
5
% OF ISSUED VOTING
SHARES
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July 23, 2016
ROYAL GAZETTE
3.7
List the following information for each corporation listed in 3.1.
1
NAME OF
CORPORATION
LISTED IN 3.1
2
TOTAL ARABLE
ACREAGE
OWNED
(from Appendix 7)
3
TOTAL
ARABLE
ACREAGE
LEASED IN
(from
Appendix 8)
4
TOTAL ARABLE
LAND HOLDING
(column 2 + 3)
5
RELEVANT AMOUNT TO
BE ATTRIBUTED TO
DECLARING PERSON
(see example)
TOTAL
Example:
1. The Declaring Person owns 25% of the shares of Corporation A. Corporation A
owns 75% of the shares of Corporation B (Controlled Corporation). Corporation B
has a land holding of 1,000 acres. Relevant amount equals 1,000 X 75% X 25% =
187.50 acres.
3.8
List the following information for each corporation listed in 3.1.
1
NAME OF
CORPORATION
LISTED IN 3.1
2
TOTAL NONARABLE
ACREAGE
OWNED
(from Appendix 7)
3
TOTAL NONARABLE
ACREAGE
LEASED IN
(from
Appendix 8)
4
TOTAL NONARABLE LAND
HOLDING
(column 2 + 3)
5
RELEVANT AMOUNT TO
BE ATTRIBUTED TO
DECLARING PERSON
(see example)
TOTAL
3.9
List the following information for each corporation listed in 3.1.
1
NAME OF CORPORATION
LISTED IN 3.1
2
TOTAL ARABLE ACREAGE
LEASED OUT
(from Appendix 9)
3
TOTAL NON- ARABLE ACREAGE LEASED
OUT (from Appendix 9)
TOTAL
SECTION 4
List the following information if the Declaring Person is involved in a trust, either as a
trustee or beneficiary, which owns land in the province. (Use a separate sheet for each
trust for 4.1 to 4.3.)
4.1
Name of the trust .........................................................................................................
4.2
Address
4.3
List the names and permanent addresses of all trustees and beneficiaries
of the trust
....................................................................................................................
....................................................................................................................
4.4
List the following information for each trust listed in 4.1.
NAME OF TRUST
1
TOTAL ARABLE
ACREAGE OWNED
(from Appendix 10)
2
TOTAL ARABLE
ACREAGE LEASED IN
(from Appendix 11)
TOTAL
……………
Initials
3
TOTAL ARABLE LAND
HOLDING
(column 1 + 2)
July 23, 2016
4.5
149
ROYAL GAZETTE
List the following information for each trust listed in 4.1.
NAME OF TRUST
1
TOTAL NON-ARABLE
ACREAGE OWNED
(from Appendix 10)
2
TOTAL NON- ARABLE
ACREAGE LEASED IN
(from Appendix 11)
3
TOTAL NON-ARABLE
LAND HOLDING
(column 1 + 2)
TOTAL
4.6
List the following information for each trust listed in 4.1.
1
NAME OF TRUST
2
TOTAL ARABLE ACREAGE
LEASED OUT
(from Appendix 12)
3
TOTAL NON- ARABLE ACREAGE LEASED
OUT (from Appendix 12)
TOTAL
This form has been completed pursuant to section 10 of the Prince Edward Island
Lands Protection Act.
I hereby certify that the information herein, and attached hereto, is true and correct
in all respects for reporting year ……….. Upon request, I undertake to provide such
further information as may be reasonably required by the Commission in the
processing of this declaration.
……………………………………
Signature of Declaring Person*
……………………………………..
Date
…………………………………..
Name (Please Print)
* This form must be signed by the Declaring Person.
For further inquiries please name a contact person
Name .........................................................................................................................................
Mailing Address ........................................................................................................................
Province ……………………………….. Postal Code ............................................................
Telephone ………………………………... Fax .....................................................................
Email .........................................................................................................................................
FORM 6C - APPENDIX 1
List the following information for each parcel of land in the province OWNED by the
Declaring Person.
PARCEL
NUMBER
PARCELS OWNED BY THE DECLARING PERSON
NAME OF REGISTERED
LOCATION
OWNER*
ACREAGE
ARABLE
TOTAL
*Note: If land is owned jointly or as tenants in common list the complete name of the
registered owner.
……………
Initials
NONARABLE
150
July 23, 2016
ROYAL GAZETTE
FORM 6C - APPENDIX 2
List the following information for each parcel of land in the province LEASED IN by
the Declaring Person.
PARCEL
NUMBER
LEASED
FROM
PARCELS LEASED IN BY THE DECLARING PERSON
LOCATION
LEASE START
LEASE EXPIRY
DATE
DATE
M/D/Y
M/D/Y
ACREAGE LEASED
IN
ARABLE
NONARABLE
TOTAL
FORM 6C - APPENDIX 3
List the following information for each parcel of land in the province LEASED OUT
by the Declaring Person.
PARCEL
NUMBER
PARCELS LEASED OUT BY THE DECLARING PERSON
LEASED TO
LOCATION
LEASE START
LEASE EXPIRY
DATE
DATE
M/D/Y
M/D/Y
ACREAGE LEASED
OUT
ARABLE
NONARABLE
TOTAL
FORM 6C - APPENDIX 4
List the following information for each parcel of land in the province OWNED by
corporations listed in 2.1 (Complete a separate Appendix 4 for each corporation).
Name of corporation .................................................................................................................
PARCEL
NUMBER
PARCELS OWNED BY EACH CORPORATION
NAME OF REGISTERED
LOCATION
OWNER*
ACREAGE
ARABLE
NONARABLE
TOTAL
*Note: If land is owned jointly or as tenants in common list the complete name of the
registered owner.
FORM 6C - APPENDIX 5
List the following information for each parcel of land in the province LEASED IN by
corporations listed in 2.1 (Complete a separate Appendix 5 for each corporation.)
Name of corporation .................................................................................................................
PARCEL
NUMBER
LEASED
FROM
PARCELS LEASED IN BY EACH CORPORATION
LOCATION
LEASE START
LEASE EXPIRY
DATE
DATE
M/D/Y
M/D/Y
ACREAGE
LEASED IN
ARABLE
TOTAL
……………
Initials
FORM 6C - APPENDIX 6
NONARABLE
July 23, 2016
151
ROYAL GAZETTE
List the following information for each parcel of land in the province LEASED OUT
by corporations listed in 2.1 (Complete a separate Appendix 6 for each corporation.)
Name of corporation .................................................................................................................
PARCEL
NUMBER
LEASED TO
PARCELS LEASED OUT BY EACH CORPORATION
LOCATION
LEASE START
LEASE EXPIRY
DATE
DATE
M/D/Y
M/D/Y
ACREAGE
LEASED OUT
ARABLE
NONARABLE
TOTAL
FORM 6C - APPENDIX 7
List the following information for each parcel of land in the province OWNED by
corporations listed in 3.1 (Complete a separate Appendix 7 for each corporation).
Name of corporation .................................................................................................................
PARCEL
NUMBER
PARCELS OWNED BY EACH CORPORATION
NAME OF REGISTERED
LOCATION
OWNER*
ACREAGE
ARABLE
NONARABLE
TOTAL
*Note: If land is owned jointly or as tenants in common list the complete name of the
registered owner.
FORM 6C - APPENDIX 8
List the following information for each parcel of land in the province LEASED IN by
corporations listed in 3.1 (Complete a separate Appendix 8 for each corporation.)
Name of corporation .................................................................................................................
PARCEL
NUMBER
LEASED
FROM
PARCELS LEASED IN BY EACH CORPORATION
LOCATION
LEASE START
LEASE EXPIRY
DATE
DATE
M/D/Y
M/D/Y
ACREAGE LEASED
IN
ARABLE
TOTAL
……………
Initials
NONARABLE
152
July 23, 2016
ROYAL GAZETTE
FORM 6C - APPENDIX 9
List the following information for each parcel of land in the province LEASED OUT
by corporations listed in 3.1 (Complete a separate Appendix 9 for each corporation.)
Name of corporation .................................................................................................................
PARCEL
NUMBER
LEASED TO
PARCELS LEASED OUT BY EACH CORPORATION
LOCATION
LEASE START
LEASE EXPIRY
DATE
DATE
M/D/Y
M/D/Y
ACREAGE LEASED
OUT
ARABLE
NONARABLE
TOTAL
FORM 6C - APPENDIX 10
List the following information for each parcel of land in the province OWNED by
trusts listed in 4.1 (Complete a separate Appendix 10 for each trust.)
Name of the trust ...................................................................................................................
PARCEL
NUMBER
NAME OF
REGISTERED
OWNER*
PARCELS OWNED BY THE TRUST
NAME OF
LOCATION
BENEFICARY
ACREAGE
ARABLE
NON-ARABLE
TOTAL
Note: If land is owned jointly or as tenants in common list the complete name of the
registered owner.
FORM 6C - APPENDIX 11
List the following information for each parcel of land in the province LEASED IN by
trusts listed in 4.1 (Complete a separate Appendix 11 for each trust.)
Name of the trust ...................................................................................................................
PARCEL
NUMBER
LEASED
FROM
PARCELS LEASED IN BY THE TRUST
LOCATION
LEASE START
LEASE EXPIRY
DATE
DATE
M/D/Y
M/D/Y
ACREAGE LEASED
IN
ARABLE
TOTAL
……………
Initials
NONARABLE
July 23, 2016
153
ROYAL GAZETTE
FORM 6C - APPENDIX 12
List the following information for each parcel of land in the province LEASED OUT
by trusts listed in 4.1 (Complete a separate Appendix 12 for each trust.)
Name of the trust ....................................................................................................................
PARCEL
NUMBER
LOCATION
PARCELS LEASED OUT BY THE TRUST
LEASED TO
LEASE START
LEASE EXPIRY
DATE
DATE
M/D/Y
M/D/Y
ACREAGE LEASED
OUT
ARABLE
TOTAL
FORM 6D
AGGREGATE LAND HOLDING DECLARATION FOR A CORPORATION
PURSUANT TO SECTION 10 OF
THE PRINCE EDWARD ISLAND LANDS PROTECTION ACT (the “Act”)
INFORMATION PROVIDED SHALL DECLARE THE MAXIMUM LAND
HOLDING DURING THE REPORTING YEAR
SECTION 1
Reporting Year …………………..
Name of Declaring Corporation ...............................................................................................
Mailing Address ………………………………….Province ...................................................
Postal Code ………………………Telephone ……………….Fax .........................................
Email Address ……………………… Place of Incorporation ……………………………..
Date of Incorporation …………………………………….
Names and permanent addresses of all officers and directors
.....................................................................................................................
.....................................................................................................................
SECTION 2
2.1 Report the total number of voting shares issued by the Declaring Corporation
……………
Initials
NONARABLE
154
July 23, 2016
ROYAL GAZETTE
2.2 List the names and addresses of the shareholders and number of voting shares held by
each shareholder — both corporate and individual — owning more than 5% of the issued
voting shares of the Declaring Corporation. Corporate shareholders that hold more than
50% of the issued voting shares in the Declaring Corporation should not be reported in this
section. (All information must be provided unless prior approval to withhold information in
columns 3 and 4 has been granted by the Minister. Provide a copy of Form 7B.)
1
NAME OF SHAREHOLDER
2.3
2
ADDRESS
3
NUMBER OF SHARES OWNED BY
A SHAREHOLDER
4
% OF ISSUED
VOTING
SHARES
List the following information for each shareholder in 2.2.
1
NAME OF SHAREHOLDER
2
TOTAL ARABLE
ACREAGE OWNED
(from Appendix 4)
3
TOTAL ARABLE ACREAGE
LEASED IN (from Appendix 5)
4
TOTAL
ARABLE
LAND
HOLDING
(column 2 + 3)
TOTAL
2.4
List the following information for each shareholder in 2.2.
1
NAME OF SHAREHOLDER
2
TOTAL NONARABLE ACREAGE
OWNED
(from Appendix 4)
3
TOTAL NON- ARABLE ACREAGE
LEASED IN
(from Appendix 5)
4
TOTAL NONARABLE
LAND
HOLDING
(column 2 + 3)
TOTAL
2.5
List the following information for each shareholder in 2.2.
1
NAME OF SHAREHOLDER
2
TOTAL ARABLE ACREAGE
LEASED OUT
(from Appendix 6)
3
TOTAL NON- ARABLE ACREAGE LEASED
OUT (from Appendix 6)
TOTAL
If any shareholder of the Declaring Corporation holds more than 5% of the issued voting
shares of any other corporation, list the following information. (Use a separate sheet for
each shareholder for 2.6 to 2.10.)
2.6
Name of shareholder .......................................................................................................
……………
Initials
July 23, 2016
155
ROYAL GAZETTE
2.7 List the following information for the shareholders named in 2.6. (All information
must be provided unless prior approval to withhold information in columns 3 and 4 has
been granted by the Minister. Provide a copy of Form 7B.)
1
NAME OF OTHER
CORPORATION
2.8
2
ADDRESS
3
NUMBER OF ISSUED VOTING
SHARES OWNED BY A
SHAREHOLDER
4
% OF
ISSUED
VOTING
SHARES
List the following information for each corporation in 2.7.
1
NAME OF
OTHER
CORPORATION
2
TOTAL
ARABLE
ACREAGE
OWNED
(from
Appendix 7)
3
TOTAL
ARABLE
ACREAGE
LEASED IN
(from
Appendix 8)
4
TOTAL
ARABLE
LAND
HOLDING
(column 2 + 3)
5
% OF ISSUED
VOTING
SHARES
(from 2.7 column
4)
6
CONTRIBUTION
TO TOTAL
AGGREGATE
LAND HOLDING
(multiply column 4 by
column 5)
TOTAL
2.9
List the following information for each corporation in 2.7.
1
NAME OF
OTHER
CORPORATION
2
TOTAL
NONARABLE
ACREAGE
OWNED
(from
Appendix 7)
3
4
5
6
TOTAL
NONARABLE
ACREAGE
LEASED IN
(from
Appendix 8)
TOTAL NONARABLE
LAND
HOLDING
(column 2 + 3)
% OF ISSUED
VOTING
SHARES
(from 2.7 column
4)
CONTRIBUTION TO
TOTAL
AGGREGATE LAND
HOLDING (multiply
column 4 by column 5)
TOTAL
2.10
List the following information for each corporation in 2.7.
1
NAME OF OTHER
CORPORATION
2
TOTAL ARABLE
ACREAGE LEASED
OUT (from Appendix 9)
TOTAL
……………
Initials
3
TOTAL NON- ARABLE ACREAGE LEASED
OUT
(from Appendix 9)
156
July 23, 2016
ROYAL GAZETTE
SECTION 3
If the Declaring Corporation is directly or indirectly controlled by any other corporation,
list the following for the controlling corporation. (Note that the Act provides that
“corporation includes a partnership, cooperative association or body corporate whether
formed or incorporated under the law of this province or any other province or of Canada
or outside of Canada, and for the purposes of this Act a corporation and other
corporations directly or indirectly controlled by the same person, group or organization
shall be deemed to be one corporation.”)
3.1
Name of the controlling ..................................................................................................
3.2
Address.............................................................................................................................
3.3
Place of incorporation …………………….. 3.4
3.5
Names and permanent addresses of all officers and directors
Date of incorporation.....................
................................................................................................................................................
................................................................................................................................................
................................................................................................................................................
3.6
List the following information for the corporation listed in 3.1.
1
NAME OF CORPORATION
3.7
2
TOTAL ARABLE
ACREAGE OWNED
(from Appendix 10)
3
TOTAL ARABLE ACREAGE
LEASED IN
(from Appendix 11)
4
TOTAL ARABLE
LAND HOLDING
(column 2 + 3)
List the following information for the corporation listed in 3.1.
1
NAME OF CORPORATION
2
TOTAL NONARABLE
ACREAGE OWNED
(from appendix 10)
3
TOTAL NON- ARABLE
ACREAGE LEASED IN
(from Appendix 11)
4
TOTAL NONARABLE LAND
HOLDING
(column 2 + 3)
TOTAL
3.8
List the following information for each corporation in 3.1.
1
NAME OF CORPORATION
TOTAL
……………
Initials
2
TOTAL ARABLE
ACREAGE LEASED OUT
(from Appendix 12)
3
TOTAL NON- ARABLE ACREAGE
LEASED OUT (from Appendix 12)
July 23, 2016
157
ROYAL GAZETTE
3.9 List the following information for each shareholder who owns more than 5% of the
issued voting shares in the corporation listed in 3.1. (DO NOT REPORT A LAND
HOLDING THAT WAS PREVIOUSLY REPORTED IN THIS FORM.)
1
NAME OF SHAREHOLDER
2
TOTAL ARABLE
ACREAGE OWNED
(from Appendix 13)
3
TOTAL ARABLE ACREAGE
LEASED IN
(from Appendix 14)
4
TOTAL ARABLE
LAND HOLDING
(column 2 + 3)
TOTAL
3.10 List the following information for each shareholder who owns more than 5% of the
issued voting shares in the corporation listed in 3.1. (DO NOT REPORT A LAND
HOLDING THAT WAS PREVIOUSLY REPORTED IN THIS FORM.)
1
NAME OF SHAREHOLDER
2
TOTAL NON
ARABLE ACREAGE
OWNED
(from Appendix 13)
3
TOTAL NON ARABLE
ACREAGE LEASED IN
(from Appendix 14)
4
TOTAL NONARABLE LAND
HOLDING
(column 2 + 3)
TOTAL
3.11 List the following information for each shareholder who owns more than 5% of the
issued voting shares in the corporation listed in 3.1. (DO NOT REPORT A LAND
HOLDING THAT WAS PREVIOUSLY REPORTED IN THIS FORM.)
1
NAME OF SHAREHOLDER
2
TOTAL ARABLE
ACREAGE LEASED
OUT (from Appendix 15)
3
TOTAL NON- ARABLE ACREAGE LEASED
OUT (from Appendix 15)
TOTAL
……………
Initials
SECTION 4.A
If the Declaring Corporation directly or indirectly controls any other corporation(s) list the
following for each corporation. (Use a separate sheet for each corporation for 4.A.1 to
4.A.5.)
4.A.1
Name of the controlled corporation.............................................................................
4.A.2
Address.........................................................................................................................
4.A.3
Place of incorporation …………………….. 4.A.4
4.A.5
Names and permanent addresses of all officers and directors
Date of incorporation.............
.................................................................................................................................................
.................................................................................................................................................
.................................................................................................................................................
158
July 23, 2016
ROYAL GAZETTE
4.A.6 List the following information for each Corporation in 4.A.1. (All information
must be provided unless prior approval to withhold information in columns 2, 3 and 4 has
been granted by the Minister. Provide a copy of Form 7B.)
1
NAME OF EACH
CONTROLLED
CORPORATION
4.A.7
2
TOTAL NUMBER OF
ISSUED VOTING
SHARES
3
NUMBER OF ISSUED VOTING
SHARES OWNED BY THE
DECLARING CORPORATION
4
% OF ISSUED
VOTING SHARES
List the following information for each corporation in 4.A.1
1
NAME OF EACH
CONTROLLED
CORPORATION
2
TOTAL
ARABLE ACREAGE
OWNED
(from Appendix 16)
3
TOTAL
ARABLE ACREAGE LEASED IN
(from Appendix 17)
4
TOTAL ARABLE
LAND HOLDING
(column 2 + 3)
TOTAL
4.A.8
List the following information for each corporation in 4.A.1
1
NAME OF CONTROLLED
CORPORATION
2
TOTAL NON
ARABLE ACREAGE
OWNED
(from Appendix 16)
3
TOTAL NON ARABLE
ACREAGE LEASED IN
(from Appendix 17)
4
TOTAL NONARABLE LAND
HOLDING
(column 2 + 3)
TOTAL
4.A.9
List the following information for each corporation in 4.A.1
1
NAME OF CONTROLLED
CORPORATION
2
TOTAL ARABLE
ACREAGE LEASED
OUT (from Appendix 18)
3
TOTAL NON- ARABLE ACREAGE LEASED
OUT (from Appendix 18)
TOTAL
4.A.10 List the following information for each shareholder — both corporate and
individual — owning more than 5% of the issued voting shares in each controlled
corporation. Do not include the Declaring Corporation or shareholders listed in 2.2.
(Complete a separate table for each controlled corporation.)
Name of controlled corporation ...............................................................................................
1
NAME OF SHAREHOLDER
2
TOTAL ARABLE
ACREAGE
OWNED
(from Appendix 19)
3
TOTAL ARABLE ACREAGE
LEASED IN
(from Appendix 20)
TOTAL
……………
Initials
4
TOTAL ARABLE
LAND HOLDING
(column 2 + 3)
July 23, 2016
159
ROYAL GAZETTE
4.A.11 List the following information for each shareholder — both corporate and
individual — owning more than 5% of the issued voting shares in each controlled
corporation. Do not include the Declaring Corporation or shareholders listed in 2.2.
(Complete a separate table for each controlled corporation.)
Name of controlled corporation ................................................................................................
1
NAME OF SHAREHOLDER
2
TOTAL NON
ARABLE ACREAGE
OWNED
(from Appendix 19)
3
TOTAL NON ARABLE
ACREAGE
LEASED IN
(from Appendix 20)
4
TOTAL NONARABLE LAND
HOLDING
(column 2 + 3)
TOTAL
4.A.12 List the following information for each shareholder — both corporate and
individual — owning more than 5% of the issued voting shares in each controlled
corporation. Do not include the Declaring Corporation or shareholders listed in 2.2.
(Complete a separate table for each controlled corporation.)
Name of controlled corporation ...............................................................................................
1
NAME OF SHAREHOLDER
2
TOTAL
ARABLE ACREAGE
LEASED OUT
(from Appendix 21)
3
TOTAL NON- ARABLE ACREAGE
LEASED OUT
(from Appendix 21)
TOTAL
SECTION 4.B
If the Declaring Corporation owns more than 5% of the issued voting shares in any other
corporation(s) list the following for each corporation (DO NOT REPORT
CORPORATIONS THAT WERE REPORTED IN 4.A). (Use a separate sheet for each
corporation for 4.B.1 to 4.B.5.)
4.B.1
Name of the corporation ..............................................................................................
4.B.2
Address.........................................................................................................................
4.B.3
Place of incorporation …………………….. 4.B.4
4.B.5
Names and permanent addresses of all officers and directors
Date of incorporation .............
....................................................................................................................................................
....................................................................................................................................................
4.B.6 List the following information for each corporation listed in 4.B.1. (All information
must be provided unless prior approval to withhold information in columns 2, 3 and 4 has
been granted by the Minister. Provide a copy of Form 7B.)
1
NAME OF CORPORATION
……………
Initials
2
TOTAL NUMBER OF
ISSUED VOTING
SHARES
3
NUMBER OF ISSUED VOTING
SHARES OWNED BY
DECLARING CORPORATION
4
% OF ISSUED
VOTING SHARES
160
July 23, 2016
ROYAL GAZETTE
4.B.7
List the following information for each corporation in 4.B.1.
1
NAME OF
OTHER
CORPORATION
2
TOTAL
ARABLE
ACREAGE
OWNED
(from
Appendix 7)
3
TOTAL
ARABLE
ACREAGE
LEASED IN
(from
Appendix 8)
4
TOTAL
ARABLE
LAND
HOLDING
(column 2 + 3)
5
% OF ISSUED
VOTING
SHARES
(from 2.7 column
4)
6
CONTRIBUTION
TO TOTAL
AGGREGATE
LAND HOLDING
(multiply column 4 by
column 5)
TOTAL
4.B.8
List the following information for each corporation in 4.B.1
1
NAME OF
CORPORATION
2
TOTAL
NONARABLE
ACREAGE
OWNED
(from
Appendix 22)
3
TOTAL NONARABLE
ACREAGE
LEASED IN
(from
Appendix 23)
4
TOTAL NONARABLE
LAND
HOLDING
(column 2 + 3)
5
% OF ISSUED
VOTING
SHARES (from
4.B.6 column 4)
6
CONTRIBUTION
TO TOTAL
AGGREGATE
LAND HOLDING
(multiply column 4 by
column 5)
TOTAL
4.B.9
List the following information for each corporation in 4.B.1
1
NAME OF CORPORATION
2
TOTAL ARABLE
ACREAGE
LEASED OUT
(from Appendix 24)
3
TOTAL NON- ARABLE ACREAGE
LEASED OUT
(from Appendix 24)
TOTAL
……………
Initials
SECTION 5
The aggregate land holding of the Declaring Corporation includes the land holdings of its
shareholders (pursuant to subclause 1(1)(b)(ii) of the Act) and other corporations that may
be part of the deemed corporation as defined in clause 1(1)(d) of the Act. If there are such
shareholders or corporations that are not reported in prior sections of this form, provide the
applicable information of shareholdings and land holdings.(Complete a separate sheet for
each corporation.)
5.1 Name of the corporation ..................................................................................................
5.2
Address.............................................................................................................................
5.3
Place of incorporation …………………….. 5.4
5.5
Names and permanent addresses of all officers and directors
Date of incorporation.....................
....................................................................................................................................................
....................................................................................................................................................
July 23, 2016
5.6
List the following information for the corporation listed in 5.1.
1
NAME OF CORPORATION
5.7
2
TOTAL ARABLE
ACREAGE OWNED
(from Appendix 25)
3
TOTAL ARABLE ACREAGE
LEASED IN
(from Appendix 26)
4
TOTAL ARABLE
LAND HOLDING
(column 2 + 3)
List the following information for the corporation listed in 5.1.
1
NAME OF CORPORATION
5.8
161
ROYAL GAZETTE
2
TOTAL NONARABLE ACREAGE
OWNED
(from Appendix 25)
3
TOTAL NON-ARABLE
ACREAGE LEASED IN
(from Appendix 26)
4
TOTAL NONARABLE LAND
HOLDING
(column 2 + 3)
List the following information for the corporation listed in 5.1.
1
NAME OF CORPORATION
2
TOTAL ARABLE
ACREAGE
LEASED OUT
(from Appendix 27)
3
TOTAL NON- ARABLE ACREAGE
LEASED OUT (from Appendix 27)
TOTAL
5.9 List the following information for each shareholder who owns more than 5% of the
issued voting shares in the corporation listed in 5.1.
1
NAME OF SHAREHOLDER
2
TOTAL ARABLE
ACREAGE OWNED
(from Appendix 28)
3
TOTAL ARABLE ACREAGE
LEASED IN
(from Appendix 29)
4
TOTAL ARABLE
LAND HOLDING
(column 2 + 3)
TOTAL
5.10 List the following information for each shareholder who owns more than 5% of the
issued voting shares in the corporation listed in 5.1.
1
NAME OF SHAREHOLDER
2
TOTAL NONARABLE ACREAGE
OWNED
(from appendix 29)
3
TOTAL NON-ARABLE
ACREAGE LEASED IN
(from appendix 29)
4
TOTAL NONARABLE LAND
HOLDING
(column 2 + 3)
5.11 List the following information for each shareholder who owns more than 5% of the
issued voting shares in the corporation listed in 5.1.
1
NAME OF SHAREHOLDER
2
TOTAL ARABLE
ACREAGE LEASED
OUT (from Appendix 30)
3
TOTAL NON- ARABLE ACREAGE LEASED
OUT (from Appendix 30)
TOTAL
……………
Initials
SECTION 6
6.1 If any of the shareholdings listed in this form are held in trust, list the names of the
trustee(s) and beneficial owner(s). (Use a separate sheet for each trust.)
162
ROYAL GAZETTE
July 23, 2016
6.2
Name of the trust .............................................................................................................
6.3
Address ............................................................................................................................
6.4
Name of the Corporation in which the trust holds the shares .........................................
6.5 List the names and permanent addresses of all trustees and beneficiaries of the trust
....................................................................................................................................................
....................................................................................................................................................
....................................................................................................................................................
SECTION 7
7.1 Pursuant to clause 11(1)(f) of the Act, list any transfers of 10% or more of the issued
voting shares which have been made since the last declaration.
1
NAME OF CORPORATION
2
NAME OF THE
SHAREHOLDER WHO
ACQUIRED 10% OR
MORE OF THE SHARES
3
% OF SHARES ACQUIRED BY THE
SHAREHOLDER SINCE
LAST DECLARATION
This form has been completed pursuant to section 10 of the Prince Edward Island
Lands Protection Act.
I hereby certify that the information herein, and attached hereto, is true and correct
in all respects for reporting year ______. Upon request, I undertake to provide such
further information as may be reasonably required by the Commission in the
processing of this declaration.
…………………………………………………… ……………………………
Signature on behalf of the Declaring Corporation*
Date
* This form must be signed by an authorized signing officer of the
Declaring Corporation.
Name of Signatory ...................................................................................................................
Title ............................................................................................................................................
For further inquiries please name a contact person
Name .........................................................................................................................................
Mailing Address ........................................................................................................................
Province ……………………………….. Postal Code ............................................................
Telephone ………………………………... Fax ...................................................................
Email ........................................................................................................................................
INFORMATION PROVIDED BY DECLARING CORPORATION IS SUBJECT TO
AUDIT
Information on this Form is collected pursuant to the Lands Protection Act and will be used by the
Commission in the administration of the said Act. For additional information, contact the
Commission at 902-892-3501 or by email at [email protected].
July 23, 2016
163
ROYAL GAZETTE
FORM 6D - APPENDIX 1
List the following information for each parcel of land in the province OWNED by the
Declaring Corporation which includes lands held in trust where the Declaring Corporation
is a trustee or beneficiary of the trust.
PARCEL
NUMBER
PARCELS OWNED BY DECLARING CORPORATION
NAME OF REGISTERED
LOCATION
OWNER*
ACREAGE
ARABLE
NONARABLE
TOTAL
* Note: If land is owned jointly or as tenants in common list the complete name of the
registered owner.
FORM 6D - APPENDIX 2
List the following information for each parcel of land in the province LEASED IN by the
Declaring Corporation.
PARCEL
NUMBER
PARCELS LEASED IN BY DECLARING CORPORATION
LOCATION
LEASED
LEASE START
LEASE EXPIRY
FROM
DATE
DATE
M/D/Y
M/D/Y
ACREAGE LEASED
IN
ARABLE
NONARABLE
TOTAL
FORM 6D - APPENDIX 3
List the following information for each parcel of land in the province LEASED OUT by
the Declaring Corporation.
PARCEL
NUMBER
PARCELS LEASED OUT BY DECLARING CORPORATION
LOCATION
LEASED TO
LEASE START
LEASE EXPIRY
DATE
DATE
M/D/Y
M/D/Y
ACREAGE
LEASED OUT
ARABLE
NONARABLE
TOTAL
FORM 6D - APPENDIX 4
List the following information for each parcel of land in the province OWNED by each
shareholder listed in 2.2. (Complete a separate Appendix 4 for each shareholder.)
Name of Shareholder .............................................................................................................
PARCEL
NUMBER
PARCELS OWNED BY SHAREHOLDER OF DECLARING CORPORATION
NAME OF REGISTERED
LOCATION
ACREAGE
OWNER*
ARABLE
NONARABLE
TOTAL
*Note: If land is owned jointly or as tenants in common list the complete name of the
registered owner.
164
July 23, 2016
ROYAL GAZETTE
FORM 6D - APPENDIX 5
List the following information for each parcel of land in the province LEASED IN by each
shareholder listed in 2.2. (Complete a separate Appendix 5 for each shareholder.)
Name of Shareholder .............................................................................................................
PARCEL
NUMBER
PARCELS LEASED IN BY SHAREHOLDER OF DECLARING CORPORATION
LOCATION
LEASED
LEASE START
LEASE EXPIRY
ACREAGE LEASED
FROM
DATE
DATE
IN
M/D/Y
M/D/Y
ARABLE
NONARABLE
TOTAL
FORM 6D - APPENDIX 6
List the following information for each parcel of land in the province LEASED OUT by
each shareholder listed in 2.2. (Complete a separate Appendix 6 for each shareholder.)
Name of Shareholder .............................................................................................................
PARCEL
NUMBER
PARCELS LEASED OUT BY EACH SHAREHOLDER OF DECLARING CORPORATION
LOCATION
LEASED TO
LEASE START
LEASE EXPIRY
ACREAGE
DATE
DATE
LEASED OUT
M/D/Y
M/D/Y
ARABLE
NONARABLE
TOTAL
FORM 6D - APPENDIX 7
List the following information for each parcel of land in the province OWNED by each
corporation listed in 2.7. (Complete a separate Appendix 7 for each corporation.)
Name of Corporation .............................................................................................................
PARCEL
NUMBER
PARCELS OWNED BY OTHER CORPORATION
NAME OF REGISTERED
LOCATION
OWNER*
ACREAGE
ARABLE
TOTAL
* Note: If land is owned jointly or as tenants in common list the complete name of the
registered owner.
……………
Initials
NONARABLE
July 23, 2016
165
ROYAL GAZETTE
FORM 6D - APPENDIX 8
List the following information for each parcel of land in the province LEASED IN by each
corporation listed in 2.7. (Complete a separate Appendix 8 for each corporation.)
Name of Corporation .............................................................................................................
PARCEL
NUMBER
LOCATION
PARCELS LEASED IN BY OTHER CORPORATION
LEASED
LEASE START
LEASE EXPIRY
FROM
DATE
DATE
M/D/Y
M/D/Y
ACREAGE LEASED
IN
ARABLE
NONARABLE
TOTAL
FORM 6D - APPENDIX 9
List the following information for each parcel of land in the province LEASED OUT by
each corporation listed in 2.7. (Complete a separate Appendix 9 for each corporation.)
Name of Corporation .............................................................................................................
PARCEL
NUMBER
LOCATION
PARCELS LEASED OUT BY OTHER CORPORATION
LEASED TO
LEASE START
LEASE EXPIRY
DATE
DATE
M/D/Y
M/D/Y
ACREAGE
LEASED OUT
ARABLE
NONARABLE
TOTAL
FORM 6D - APPENDIX 10
List the following information for each parcel of land in the province OWNED by the
corporation listed in 3.1.
PARCEL
NUMBER
PARCELS OWNED BY OTHER CORPORATION
NAME OF REGISTERED
LOCATION
OWNER*
ACREAGE
ARABLE
TOTAL
*Note: If land is owned jointly or as tenants in common list the complete name of the
registered owner.
……………
Initials
NONARABLE
166
July 23, 2016
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FORM 6D - APPENDIX 11
List the following information for each parcel of land in the province LEASED IN by the
corporation listed in 3.1.
PARCEL
NUMBER
PARCELS LEASED IN BY THE CONTROLLING CORPORATION
LOCATION
LEASED
LEASE START
LEASE EXPIRY
FROM
DATE
DATE
M/D/Y
M/D/Y
ACREAGE
LEASED IN
ARABLE
NONARABLE
TOTAL
FORM 6D - APPENDIX 12
List the following information for each parcel of land in the province LEASED OUT by
the corporation listed in 3.1.
PARCEL
NUMBER
PARCELS LEASED OUT BY THE CONTROLLING CORPORATION
LOCATION
LEASED TO
LEASE START
LEASE EXPIRY
DATE
DATE
M/D/Y
M/D/Y
ACREAGE
LEASED OUT
ARABLE
NONARABLE
TOTAL
FORM 6D - APPENDIX 13
List the following information for each parcel of land in the province OWNED by a
shareholder listed in 3.9. (Complete a separate Appendix 13 for each shareholder.)
Name of Shareholder..............................................................................................................
PARCEL
NUMBER
PARCELS OWNED BY SHAREHOLDER OF A CONTROLLING CORPORATION
NAME OF REGISTERED
LOCATION
ACREAGE
OWNER*
ARABLE
NONARABLE
TOTAL
*Note: If land is owned jointly or as tenants in common list the complete name of the
registered owner.
……………
Initials
July 23, 2016
167
ROYAL GAZETTE
FORM 6D - APPENDIX 14
List the following information for each parcel of land in the province LEASED IN by a
shareholder listed in 3.9. (Complete a separate Appendix 14 for each shareholder.)
Name of Shareholder ............................................................................................................
PARCEL
NUMBER
PARCELS LEASED IN BY SHAREHOLDER OF A CONTROLLING CORPORATION
LOCATION
LEASED
LEASE START
LEASE EXPIRY
ACREAGE LEASED
FROM
DATE
DATE
IN
M/D/Y
M/D/Y
ARABLE
NONARABLE
TOTAL
FORM 6D - APPENDIX 15
List the following information for each parcel of land in the province LEASED OUT by a
shareholder listed in 3.9. (Complete a separate Appendix 15 for each shareholder.)
Name of Shareholder ................................................................................................................
PARCEL
NUMBER
PARCELS LEASED OUT BY SHAREHOLDER OF A CONTROLLING CORPORATION
LOCATION
LEASED TO
LEASE START
LEASE EXPIRY
ACREAGE
DATE
DATE
LEASED OUT
M/D/Y
M/D/Y
ARABLE
NONARABLE
TOTAL
FORM 6D - APPENDIX 16
List the following information for each parcel of land in the province OWNED by each
corporation listed in 4.A.1. (Complete a separate Appendix 16 for each corporation.)
Name of Corporation .............................................................................................................
PARCEL
NUMBER
PARCELS OWNED BY CONTROLLED CORPORATION
NAME OF REGISTERED
LOCATION
ACREAGE
OWNER*
ARABLE
NONARABLE
TOTAL
*Note: If land is owned jointly or as tenants in common list the complete name of the
registered owner.
……………
Initials
168
July 23, 2016
ROYAL GAZETTE
FORM 6D - APPENDIX 17
List the following information for each parcel of land in the province LEASED IN by each
corporation listed in 4.A.1. (Complete a separate Appendix 17 for each corporation.)
Name of Corporation .............................................................................................................
PARCEL
NUMBER
PARCELS LEASED IN BY CONTROLLED CORPORATION
LOCATION
LEASED
LEASE START
LEASE EXPIRY
FROM
DATE
DATE
M/D/Y
M/D/Y
ACREAGE LEASED
IN
ARABLE
NONARABLE
TOTAL
……………
Initials
FORM 6D - APPENDIX 18
List the following information for each parcel of land in the province LEASED OUT by
each corporation listed in 4.A.1. (Complete a separate Appendix 18 for each corporation.)
Name of Shareholder .............................................................................................................
PARCEL
NUMBER
PARCELS LEASED OUT BY CONTROLLED CORPORATION
LOCATION
LEASED TO
LEASE START
LEASE EXPIRY
DATE
DATE
M/D/Y
M/D/Y
ACREAGE
LEASED OUT
ARABLE
NONARABLE
TOTAL
FORM 6D - APPENDIX 19
List the following information for each parcel of land in the province OWNED by each
shareholder listed in 4.A.10. (Complete a separate Appendix 19 for each shareholder.)
Name of Shareholder .............................................................................................................
PARCEL
NUMBER
PARCELS OWNED BY EACH SHAREHOLDER OF CONTROLLED CORPORATION
NAME OF REGISTERED
LOCATION
ACREAGE
OWNER*
ARABLE
NONARABLE
TOTAL
*Note: If land is owned jointly or as tenants in common list the complete name of the
registered owner.
……………
Initials
July 23, 2016
169
ROYAL GAZETTE
FORM 6D - APPENDIX 20
List the following information for each parcel of land in the province LEASED IN by each
shareholder listed in 4.A.10. (Complete a separate Appendix 20 for each shareholder.)
Name of Shareholder
PARCEL
NUMBER
PARCELS LEASED IN BY EACH SHAREHOLDER OF CONTROLLED CORPORATION
LOCATION
LEASED
LEASE START
LEASE EXPIRY
ACREAGE
FROM
DATE
DATE
LEASED IN
M/D/Y
M/D/Y
ARABLE
NONARABLE
TOTAL
FORM 6D - APPENDIX 21
List the following information for each parcel of land in the province LEASED OUT by
each shareholder listed in 4.A.10. (Complete a separate Appendix 21 for each shareholder.)
Name of Shareholder .............................................................................................................
PARCEL
NUMBER
PARCELS LEASED OUT BY EACH SHAREHOLDER OF CONTROLLED CORPORATION
LOCATION
LEASED TO
LEASE START
LEASE EXPIRY
ACREAGE
DATE
DATE
LEASED OUT
M/D/Y
M/D/Y
ARABLE
NONARABLE
TOTAL
FORM 6D - APPENDIX 22
List the following information for each parcel of land in the province OWNED by each
corporation listed in 4.B.1. (Complete a separate Appendix 22 for each corporation.)
Name of Corporation .............................................................................................................
PARCELS OWNED BY EACH CORPORATION IN WHICH DECLARING CORPORATION OWNS MORE THAN 5%
PARCEL
NAME OF REGISTERED
LOCATION
ACREAGE
NUMBER
OWNER*
ARABLE
NONARABLE
TOTAL
*Note: If land is owned jointly or as tenants in common list the complete name of the
registered owner.
……………
Initials
170
July 23, 2016
ROYAL GAZETTE
FORM 6D - APPENDIX 23
List the following information for each parcel of land in the province LEASED IN by each
corporation listed in 4.B.1. (Complete a separate Appendix 23 for each corporation.)
Name of Corporation .............................................................................................................
PARCELS LEASED IN BY EACH CORPORATION IN WHICH DECLARING CORPORATION OWNS MORE THAN
5% OF SHARES
PARCEL
LOCATION
LEASED
LEASE START
LEASE EXPIRY
ACREAGE LEASED IN
NUMBER
FROM
DATE
DATE
M/D/Y
M/D/Y
ARABLE
NONARABLE
TOTAL
FORM 6D - APPENDIX 24
List the following information for each parcel of land in the province LEASED OUT by
each corporation listed in 4.B.1. (Complete a separate Appendix 24 for each corporation.)
Name of .................................................................................................................................
PARCELS LEASED OUT BY EACH CORPORATION IN WHICH DECLARING CORPORATION OWNS MORE THAN
5% OF SHARES
PARCEL
LOCATION
LEASED TO
LEASE START
LEASE EXPIRY
ACREAGE
NUMBER
DATE
DATE
LEASED OUT
M/D/Y
M/D/Y
ARABLE
NONARABLE
TOTAL
FORM 6D - APPENDIX 25
List the following information for each parcel of land in the province OWNED by each
corporation listed in 5.1 (Complete a separate Appendix 25 for each corporation).
PARCEL
NUMBER
PARCELS OWNED BY A CORPORATION
NAME OF REGISTERED
LOCATION
OWNER*
ACREAGE
ARABLE
TOTAL
*Note: If land is owned jointly or as tenants in common list the complete name of the
registered owner.
……………
Initials
NONARABLE
July 23, 2016
171
ROYAL GAZETTE
FORM 6D - APPENDIX 26
List the following information for each parcel of land in the province LEASED IN by each
corporation listed in 5.1 (Complete a separate Appendix 26 for each corporation).
PARCEL
NUMBER
LOCATION
PARCELS LEASED IN BY A CORPORATION
LEASED
LEASE START
LEASE EXPIRY
FROM
DATE
DATE
M/D/Y
M/D/Y
ACREAGE LEASED
IN
ARABLE
NONARABLE
TOTAL
FORM 6D - APPENDIX 27
List the following information for each parcel of land in the province LEASED OUT by
each corporation listed in 5.1 (Complete a separate Appendix 27 for each corporation).
PARCEL
NUMBER
LOCATION
PARCELS LEASED OUT BY A CORPORATION
LEASED TO
LEASE START
LEASE EXPIRY
DATE
DATE
M/D/Y
M/D/Y
ACREAGE
LEASED OUT
ARABLE
NONARABLE
TOTAL
FORM 6D - APPENDIX 28
List the following information for each parcel of land in the province OWNED by each
shareholder listed in 5.9 (Complete a separate Appendix 28 for each shareholder).
PARCEL
NUMBER
PARCELS OWNED BY A SHAREHOLDER
NAME OF REGISTERED
LOCATION
OWNER*
ACREAGE
ARABLE
TOTAL
*Note: If land is owned jointly or as tenants in common list the complete name of the
registered owner.
……………
Initials
NONARABLE
172
ROYAL GAZETTE
July 23, 2016
FORM 6D - APPENDIX 29
List the following information for each parcel of land in the province LEASED IN by each
shareholder listed in 5.9 (Complete a separate Appendix 29 for each shareholder).
PARCEL
NUMBER
LOCATION
PARCELS LEASED IN BY A SHAREHOLDER
LEASED
LEASE START
LEASE EXPIRY
FROM
DATE
DATE
M/D/Y
M/D/Y
ACREAGE LEASED
IN
ARABLE
NONARABLE
TOTAL
FORM 6D - APPENDIX 30
List the following information for each parcel of land in the province LEASED OUT by
each shareholder listed in 5.9 (Complete a separate Appendix 30 for each shareholder).
PARCEL
NUMBER
LOCATION
PARCELS LEASED OUT BY A SHAREHOLDER
LEASED TO
LEASE START
LEASE EXPIRY
DATE
DATE
M/D/Y
M/D/Y
ACREAGE
LEASED OUT
ARABLE
TOTAL
……………
Initials
FORM 8A
“GLOBAL LEASE PERMIT”
APPLICATION BY OR ON BEHALF OF A NON-RESIDENT OR CORPORATION
PURSUANT TO CLAUSE 5.3(1)(b) OF
THE PRINCE EDWARD ISLAND LANDS PROTECTION ACT (the “Act”)
1.
Applicant’s name ...............................................................................................................
2.
Place of incorporation (for applicant corporation): ..........................................................
3.
Type of business in which applicant corporation is engaged: ..........................................
4.
Applicant’s permanent address: ........................................................................................
5.
Total acreage proposed to be leased: ................................................................................
6.
Intended use of proposed leased land: ..............................................................................
IF THE APPLICANT IS A PERSON:
7. State the parcel number, arable land acreage and non-arable land acreage of each parcel
of land1 in the Province in which the applicant and the applicant’s minor children hold an
interest, including land1 held by way of lease. (Attach a separate sheet if necessary.)
8. If the applicant or the applicant’s minor children hold more than 5% of the shares of any
corporation owning or leasing land1 within the Province, provide on a separate sheet and
attach:
(a) the name and permanent address of the corporation;
(b) the total number of shares2 issued by the corporation;
(c) the total number of shares2 owned by the applicant and the applicant’s minor
children; and
NONARABLE
July 23, 2016
ROYAL GAZETTE
(d) he parcel number, arable land acreage and non-arable land acreage of each parcel
of land1 in the province now owned, leased in or leased out by the corporation.
IF THE APPLICANT IS A CORPORATION:
9. Provide on a separate sheet and attach:
(a) the parcel number, arable land acreage and non-arable land acreage of each parcel
of land1 in the province now owned, leased in or leased out by the corporation
(including global leases);
(b) the names and permanent address of each officer and director of the corporation;
(c) the total number of shares2 issued by the applicant corporation;
(d) the names, addresses and number of shares held by shareholders, both corporate
and individual, who hold more than 5% of the issued shares of the applicant
corporation;
(e) for the shareholders listed in clause (d) above provide:
(i) the parcel number, arable land acreage and non-arable land acreage of each
parcel of land1 in the province now owned, leased in or leased out by each
shareholder (including holdings of minor children), and
(ii) the parcel number, arable land acreage and non-arable land acreage of each
parcel of land1 in the province now owned, leased in or leased out by any other
corporation in which each shareholder owns more than 5% of the shares, total
number of shares issued by that corporation and number of shares held by that
shareholder;
(f) for the corporate shareholders listed in clause (d) above provide:
(i) the names and permanent address of each officer and director of that
corporation,
(ii) the names, addresses and number of shares held by shareholders, both
corporate and individual, who hold more than 5% of the issued shares of that
corporation,
(iii) the parcel number, arable land acreage and non-arable land acreage of each
parcel of land1 in the province now owned, leased in or leased out by each
shareholder that owns more than 5% of the shares, total number of shares issued
by that corporation and number of shares held by that shareholder;
(g) if the applicant corporation holds more than 5% of the shares in any other
corporation(s), provide the following for each corporation:
(i) the percentage of shares held by the applicant corporation, and
(ii) the parcel number, arable land acreage and non-arable land acreage of each
parcel of land owned, leased in or leased out.
1
The Act excludes any parcel of less than one acre that is situated within the
boundaries of a municipality with an official plan approved by the Minister under the
Planning Act R.S.P.E.I. 1988, Cap P-8.
2
“share" means
(i) in relationship to a partnership or co-operative association, a unit
representing a proportion of the ownership of the partnership or
association,
(ii) in relation to a corporation, an issued share carrying voting rights under all
circumstances or by reason of the occurrence of an event that has occurred
and that is continuing, and includes
(A) a security currently convertible into such a share, and
(B) currently exercisable options and rights to acquire such a share
or such a convertible security.
FOR APPLICANT PERSONS AND CORPORATIONS:
10. Indicate any other circumstances that are relevant ............................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
173
174
ROYAL GAZETTE
July 23, 2016
11. I hereby certify that this application is complete and that the information herein, and
attached hereto, is true and correct in all respects. Upon request, I undertake to
provide such further information as may be reasonably required by the Commission or
Executive Council in the processing of this application.
………………………………………
.............................................
Signature of applicant or attorney
Date
(in the case of a corporation, an
authorized corporate officer)
………………………………………
Name of signatory (please print)
…………………………….
Address
…………………………………………………………………………………………..
Telephone
Email address
Refer to the Prince Edward Island Lands Protection Act Fees Regulations to determine if a
fee is applicable. If applicable, please attach a cheque made payable to The Island
Regulatory and Appeals Commission.
RETURN COMPLETED FORM TO:
The Island Regulatory & Appeals
Commission
Suite 501 – 134 Kent Street
P. O. Box 577
Charlottetown PE C1A 7L1
Telephone: 902-892-3501 or
1-800-501-6288 (Toll Free within the
province)
Fax: 902-566-4076
Website: www.irac.pe.ca
NOTE: In accordance with subsection 5.3(2) of the Act, where permission has been
granted by the Lieutenant Governor in Council for a lease of land, the person or
corporation, shall within one year of receiving permission and in every subsequent
year, prior to December 31, file a statement disclosing information prescribed by
subsection (3). (Form 8B – Global Lease Permit Report)
Subsections 5.3(2) and (3) of the Act state:
(2) Where permission has been granted by the Lieutenant Governor in Council for a
lease of land pursuant to an application made under clause (1)(b), the person or corporation
shall
(a) within one year of receiving permission; and
(b) in every subsequent year, prior to December 31,
file a statement disclosing information prescribed by subsection (3).
(3) The statement required by subsection (2) shall disclose
(a) the parcel number;
(b) the acreage leased; and
(c) the term of the lease or leases,
for each parcel leased during the reporting period covered by the statement.
Information on this Form is collected pursuant to the Lands Protection Act and will be used
by the Commission in the administration of the said Act. For additional information,
contact the Commission at (902)892-3501 or by email at [email protected].
July 23, 2016
175
ROYAL GAZETTE
FORM 8B
“GLOBAL LEASE PERMIT REPORT”
STATEMENT FOR REPORTING LAND LEASED IN PURSUANT TO SUBSECTION
5.3(2) OF THE PRINCE EDWARD ISLAND LANDS PROTECTION ACT
Name of Lessee: .......................................................................................................................
Address: …………………………………. Email: ...................................................................
Phone:………………………
Global Lease file: #LL ......................................................
Report all land leased in during the past calendar year. List the following information
for each parcel:
(1)
(2)
(3)
PARCEL #
LOCATION
LEASED
FROM
LEASED LAND
(4)
LEASE START
DATE
M/D/Y
(5)
LEASE END
DATE
M/D/Y
(6)
ACRES
ARABLE
NONARABLE
SUBTOTAL
TOTAL
Sign the appropriate declaration below:
Declaration – Corporation
Declaration – Non-Resident Person
I hereby certify that the information herein, and attached
hereto, is true and correct in all respects for the reporting
calendar year …………………..
I hereby certify that the information herein, and attached
hereto, is true and correct in all respects for the reporting
calendar year …………………
…………………………………………………………………
Signature on behalf of the Lessee Corporation*
…………………………………………………………
Signature of Declaring Lessee**
…………………………………………………………………
Date
…………………………………………………………
Date
* This form must be signed by an authorized signing officer
of the Lessee Corporation.
** This form must be signed by the Declaring Lessee.
………………………………………………………………….
Name of Signatory (Please Print):
Title: ……………………………………………………………
…………………………………………………………
Name (Please Print)
176
July 23, 2016
ROYAL GAZETTE
FORM 9
APPLICATION BY OR ON BEHALF OF A COOPERATIVE VENTURE PURSUANT
TO SUBSECTION 1.1(3) OF THE PRINCE EDWARD ISLAND LANDS PROTECTION
ACT EXEMPTION REGULATIONS
1.
Name of the applicant corporation: ...................................................................................
2.
Date and place of incorporation: .......................................................................................
3.
Address of the applicant corporation: ...............................................................................
4. State the intended primary resource use for the parcel, including infrastructure or
facilities to be used by the applicant corporation: ....................................................................
....................................................................................................................................................
....................................................................................................................................................
5. Is the application being made solely for the purpose of raising capital or procuring
investments for the applicant corporation? ...............................................................................
6. State the following for the parcel(s) owned, leased or being acquired through lease or
purchase by the applicant corporation (use an additional sheet, if necessary):
Parcel
Number
7.
Owned or Leased/
Being Acquired
Acreage
Arable
Nonarable
Community
Township or lot
number
County
State the agreed purchase price of the parcel(s) being acquired: .....................................
8. Provide full disclosure of any relationship, including operating agreements, between
the applicant corporation’s shareholders:
...............................................................................................................................................
...............................................................................................................................................
9. State the reasons that the applicant corporation requires a land holding of the size
proposed:
....................................................................................................................................................
....................................................................................................................................................
10. (a) the names and permanent address of each officer and director of the corporation;
(b) the total number of shares2 issued by the applicant corporation;
(c) the names, addresses and number of shares held by shareholders, both corporate
and individual, who hold more than 5% of the issued shares of the applicant
corporation;
(d) for the shareholders listed in clause (c) above provide:
(i) the parcel number, arable land acreage and non-arable land acreage of each
parcel of land1 in the province now owned, leased in or leased out by each
shareholder (including holdings of minor children), and
(ii) the parcel number, arable land acreage and non-arable land acreage of each
parcel of land1 in the province now owned, leased in or leased out by any other
corporation in which each shareholder owns more than 5% of the shares, total
number of shares issued by that corporation and number of shares held by that
shareholder;
(e) for the corporate shareholders listed in clause (c) above provide:
(i) the names and permanent address of each officer and director of that
corporation,
July 23, 2016
ROYAL GAZETTE
(ii) the names, addresses and number of shares held by shareholders, both
corporate and individual, who hold more than 5% of the issued shares of that
corporation,
(iii) the parcel number, arable land acreage and non-arable land acreage of each
parcel of land1 in the province now owned or leased by each shareholder that owns
more than 5% of the shares, total number of shares issued by that corporation and
number of shares held by that shareholder;
(f) if the applicant corporation holds more than 5% of the shares in any other
corporation(s), provide the following for each corporation:
(i) the percentage of shares held by the applicant corporation, and
(ii) the parcel number, arable land acreage and non-arable land acreage of each
parcel of land1 in the province now owned, leased in or leased out.
1
The Act excludes any parcel of less than one acre that is situated within the
boundaries of a municipality with an official plan approved by the Minister under the
Planning Act R.S.P.E.I 1988, Cap P-8.
2
11.
“share" means
(i) in relationship to a partnership or co-operative association, a unit
representing a proportion of the ownership of the partnership or
association,
(ii) in relation to a corporation, an issued share carrying voting rights under all
circumstances or by reason of the occurrence of an event that has occurred
and that is continuing, and includes
(A) a security currently convertible into such a share, and
(B) currently exercisable options and rights to acquire such a share
or such a convertible security.
Indicate any other circumstances that are relevant .........................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
I hereby certify that the information contained in this application and the attachments is true
and correct in all respects.
………………………………………
Signature of corporate officer or attorney
………………………………………
Name of signatory (please print)
.............................................
Date
………………………………….
Signatory’s telephone number
…………………………………………………………………………………………..
Signatory’s email address
Attach:
(a) a legal description describing the parcel(s) listed in Item #6;
(b) a GeoLinc showing the parcel(s) listed in Item #6, outlined in red;
(c) a cheque made payable to the Island Regulatory and Appeals
Commission in the amount of $550. (refer to the Fees Regulations to
determine if the fee is applicable).
RETURN COMPLETED FORM TO:
The Island Regulatory & Appeals Commission
Suite 501 – 134 Kent Street
P. O. Box 577
Charlottetown PE C1A 7L1
Telephone: 902-892-3501
1-800-501-6268 (Toll Free within the
province)
Fax: 902-566-4076
Website: www.irac.pe.ca
Information on this form is collected pursuant to the Lands Protection Act and will be used
by the Commission in the administration of the Act. For further information call 902-8923501 or e-mail [email protected].
177
178
July 23, 2016
ROYAL GAZETTE
FORM 10A
AGGREGATE LAND HOLDING DECLARATION FOR A PERSON
PURSUANT TO SUB-SECTION 11(2) OF
THE PRINCE EDWARD ISLAND LANDS PROTECTION ACT
Pursuant to subsection 10(2) of the Prince Edward Island Lands Protection Act (the
“Act”) any person having an aggregate land holding of more than 750 acres shall, not
later than December 31 of each year, file an aggregate land holding declaration with the
Island Regulatory and Appeals Commission.
An aggregate land holding declaration is intended to reflect your maximum aggregate
land holding in a given year. The date on which you held your maximum aggregate land
holding becomes your reporting date. You must file any changes to your aggregate land
holding which occurred between last year’s reporting date and this year’s reporting date.
Pursuant to subsection 11(2) of the Act, where an aggregate land holding declaration has
been made under section 10 by a person or corporation in any year, the aggregate land
holding declaration delivered in any subsequent year shall declare the changes to the
particulars provided in the original declaration.
Declaration
I,
hereby declare that I have completed an aggregate
(Name of person making declaration)
land holding declaration pursuant to sections 10 and 11 of the Act.
Attached hereto is a list of my maximum aggregate land holdings for the calendar year ……….. My
maximum aggregate land holdings in the calendar year ……. was …..… acres held on (mm/dd/yy)
____/____/____ (my reporting date).
I hereby certify that the information herein, and attached hereto, is true and correct in all respects for
reporting year …………. Upon request, I undertake to provide such further information as may be
reasonably required by the Commission in the processing of this declaration.
………………………………………
Signature of the Declaring Person
.............................................
Date
Name:
Address:
Telephone:
Email:
AGGREGATE LAND HOLDING DECLARATION SHALL BE FILED WITH THE ISLAND
REGULATORY AND APPEALS COMMISSION NOT LATER THAN DECEMBER 31 OF THE
REPORTING CALENDAR YEAR
July 23, 2016
ROYAL GAZETTE
FORM 10B
AGGREGATE LAND HOLDING DECLARATION FOR A CORPORATION
PURSUANT TO SUB-SECTION 11(2) OF
THE PRINCE EDWARD ISLAND LANDS PROTECTION ACT
Pursuant to subsection 10(2) of the Prince Edward Island Lands Protection Act (the
“Act”) any corporation having an aggregate land holding of more than 2,250 acres
shall, not later than December 31 of each year, file an aggregate land holding declaration
with the Island Regulatory and Appeals Commission.
An aggregate land holding declaration is intended to reflect the corporation’s maximum
aggregate land holding in a given year. The date on which the corporation held its
maximum aggregate land holding becomes the corporation’s reporting date. The
corporation must file any changes to its aggregate land holding which occurred between last
year’s reporting date and this year’s reporting date.
Pursuant to subsection 11(2) of the Act, where an aggregate land holding declaration has
been made under section 10 by a person or corporation in any year, the aggregate land
holding declaration delivered in any subsequent year shall declare the changes to the
particulars provided in the original declaration.
I,
(Name of person making declaration)
(name of declaring corporation- the “Corporation”)
Title (president, vice-president, secretary,
treasurer)
hereby declare that the Corporation has
completed an aggregate land holding declaration pursuant to sections 10 and 11 of the Act.
Attached hereto is a list of aggregate land holdings for the Corporation for calendar year ………..
The Corporation’s maximum aggregate land holdings in the calendar year ……. was …..… acres
held on (mm/dd/yy) ____/____/____.
I hereby certify that I am duly authorized by the Corporation to make this declaration and that the .
information herein, and attached hereto, is true and correct in all respects for reporting year………
Upon request, I undertake to provide such further information as may be reasonably required by
the Commission in the processing of this declaration.
……………………………………………………….
Signature on behalf of the declaring Corporation*
......................................
Date
*This form must be signed by an authorized signing officer of the declaring
Corporation.
Name:
Address:
Telephone:
Email:
AGGREGATE LAND HOLDING DECLARATION SHALL BE FILED WITH THE ISLAND
REGULATORY AND APPEALS COMMISSION NOT LATER THAN DECEMBER 31 OF THE
REPORTING CALENDAR YEAR
179
180
ROYAL GAZETTE
July 23, 2016
EXPLANATORY NOTES
SECTION 1 amends section 1 of the regulations by renumbering it as
subsection 1(2) and adding a new subsection (1) to provide a definition
of “Act” for the purposes of the regulations. The section also amends
subsection 1(2) of the regulations to revoke listings of outdated forms
and substitute references to the new forms contained in the Schedule to
these regulations.
SECTION 2 revokes the specified forms in the regulations and
substitutes the new forms set out in the Schedule to these regulations.
SECTION 3 provides for the commencement of the regulations.
Certified a true copy,
Paul T. Ledwell
Clerk of the Executive Council and Secretary to Cabinet
July 23, 2016
181
ROYAL GAZETTE
PART II
REGULATIONS INDEX
Chapter
Number
Title
Original
Order
Reference
Amendment
Authorizing
Order
and Date
Page
H-5
Highway Traffic Act
Bicycle Safety Helmet
Regulations
EC329/03
s.2(1)(a)(i)
s.2(1)(a)(vi)
s.2(1)(a)(vii)
[eff] July 23, 2016
EC2016-432
(12.07.2016)
115
H-5
Highway Traffic Act
Commercial Vehicle
(Cargo Securement)
Regulations
EC383/05
Sched 1, Part 4
[eff] July 23, 2016
EC2016-433
(12.07.2016)
116
H-5
Highway Traffic Act
Hydraulic Brake Fluid
Regulations
EC1190/67
[rev]
[eff] July 23, 2016
EC2016-434
(12.07.2016)
116-117
H-5
Highway Traffic Act
Slow Moving Vehicle Signs
Regulations
EC320/81
s.1(a)
s.1(b)
s.1(c)
s.1(d)
[eff] July 23, 2016
EC2016-435
(12.07.2016)
117-118
H-5
Highway Traffic Act
Vehicle Standards Regulations
EC856/72
s.3(b) [R&S]
s.4(a)
s.4(b) [R&S]
[eff] July 23, 2016
EC2016-436
(12.07.2016)
118-119
L-14
Liquor Control Act
Regulations
EC704/75
s.10(3) [R&S]
s.10(4) [rev]
s.11 [R&S]
s.18 [rev]
s.19 [rev]
s.20 [R&S]
s.20.1
s.21 [R&S]
s.27 [rev]
s.28 [rev]
s.29 [R&S]
s.31 [R&S]
s.38 [rev]
s.39 [rev]
s.40 [R&S]
s.41 [R&S]
s.48 [rev]
s.49 [rev]
s.50 [R&S]
s.50.1(1)
s.50.1(4) [R&S]
s.50.1(7) [rev]
s.50.2(1) [R&S]
s.50.2(4) [rev]
s.50.2(5) [R&S]
s.50.3(2)
s.50.3(3) [rev]
EC2016-463
(12.07.2016)
119-129
182
ROYAL GAZETTE
July 23, 2016
PART II
REGULATIONS INDEX
Chapter
Number
Title
Original
Order
Reference
Amendment
Authorizing
Order
and Date
Page
s.50.3(10) [R&S]
s.50.3(12)
s.50.3(13) [rev]
s.50.4(1)
s.50.4(1.1) [added]
s.50.4(4) [R&S]
s.50.4(5) [rev]
s.50.5(1)
s.50.5(2) [R&S]
s.50.5(6)
s.50.5(7) [rev]
s.50.6(2)
s.50.6(9) [R&S]
s.50.7(2) [R&S]
s.50.7(3) [R&S]
s.50.7(11)
s.50.7(12) [rev]
s.50.8(2) [R&S]
s.50.8(3)
s.50.8(6) [R&S]
s.50.9(1) [R&S]
s.50.9(4) [R&S]
s.56 [R&S]
s.57(1) [R&S]
s.57(1.1) [added]
s.57(4) [added]
s.62(2)
s.62(3) [rev]
s.74.2(1)
s.85.1(2) [R&S]
s.95.1
Forms 9-12 [rev]
[eff] July 23, 2016
L-14
Liquor Control Act
Liquor Agency Regulations
EC343/12
s.4(2)(d) [R&S]
s.6(4) [R&S]
[eff] July 23, 2016
EC2016-464
(12.07.2016)
130
S-9
Summary Proceedings Act
Ticket Regulations
EC58/08
Sched 2, Part 38
[eff] July 23, 2016
EC2016-469
(12.07.2016)
131
V-4.1
Vital Statistics Act
Regulations
EC453/00
s.7(1)(g)
s.7(1)(i) [R&S]
s.7(1)(j) [R&S]
s.7(2) [rev]
Form 11 [R&S]
Form 11.1 [R&S]
[eff] July 23, 2016
EC2016-470
(12.07.2016)
131-137
July 23, 2016
183
ROYAL GAZETTE
PART II
REGULATIONS INDEX
Chapter
Number
L-5
Title
Lands Protection Act
Forms Regulations
Original
Order
Reference
EC219/96
Amendment
s.1(renum)
s.1(1) [added]
s.1(2)
s.1(2)(a)
s.1(2)(b)
s.1(2)(h)-(k)
[R&S]
s.1(2)(n) [R&S]
s.1(2)(o)-(r)
[added]
Forms 6A, 6B, 6C
& 6D [R&S]
Form 8 [rev]
Forms 8A & 8B
[added]
Forms 9, 10A &
10B [added]
[eff] July 23, 2016
Authorizing
Order
and Date
EC2016-471
(12.07.2016)
Page
138-180