Fillable 02701 PRIVATELY OWNED COMPANY CERTIFICATE (RBC Direct Investing)

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02701 PRIVATELY OWNED COMPANY CERTIFICATE (RBC Direct Investing)

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E-FORM 2701 (06/2016)
RBC Direct Investing Inc. and Royal Bank of Canada are separate corporate entities which are affiliated. RBC Direct Investing Inc. is a wholly owned subsidiary of
Royal Bank of Canada and is a Member of the Investment Industry Regulatory Organization of Canada and the Canadian Investor Protection Fund. Royal Bank of
Canada and certain of its issuers are related to RBC Direct Investing Inc. RBC Direct Investing Inc. does not provide investment advice or recommendations
regarding the purchase or sale of any securities. Investors are responsible for their own investment decisions. RBC Direct Investing is a business name used by
RBC Direct Investing Inc. ® / ™ Trademark(s) of Royal Bank of Canada. RBC and Royal Bank are registered trademarks of Royal Bank of Canada. Used under
licence. © Royal Bank of Canada 2016. All rights reserved.
RBC Direct Investing Inc.
PRIVATELY OWNED COMPANY CERTIFICATE
On behalf of
(the "Company"), I hereby certify that I am a duly authorized and acting officer of the Company
and that in connection with the Company's accounts with RBC Direct Investing Inc. and/or any
of its affiliated companies ("RBC Direct Investing
®
"):
1.
The persons authorized to give orders or trading instructions to RBC Direct Investing in
respect of account dealings for, on behalf of or in the name of the Company are not
permanent or temporary residents of the United States of America ("U.S.");
2.
No one having investment authority in respect of account dealings for, on behalf of or in
the name of the Company is a permanent or temporary resident of the U.S.;
3.
Orders and/or trading instructions for, on behalf of or in the name of the Company will not
originate from the U.S.; and
4.
Date:
Company Name
Name of Officer
Signature
Title
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02701 PRIVATELY OWNED COMPANY CERTIFICATE (RBC Direct Investing)

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Completed 27 August 2020

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