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: __________________________________________________________________
Number and Street Name (PO Box not acceptable)
_________________________ ______________ __________ _______________ _________________________
City/Town/Community Province Postal Code Telephone Email 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 land
1
in the province
in which the applicant and his minor children hold an interest, including land
1
held by way of lease. (Attach separate
sheet if necessary): ___________________________________________________________________________
8. For any corporation owning or leasing land within the province in which the applicant or his minor children hold more
than 5% of the shares
2
as defined in clause 1(1)(l) of the Act (see below), provide on a separate sheet and attach:
(a) the name and permanent address of the corporation;
(b) the total number of shares
2
issued by the corporation;
(c) the total number of shares
2
held by the applicant and the applicant’s minor children; and
(d) the parcel number, arable land acreage and non-arable land acreage of each parcel of land
1
in the province now
owned, leased in or leased out by the corporation.
IF THE APPLICANT IS A CORPORATION:
9. For the applicant corporation, provide on a separate sheet and attach:
(a) the parcel number, arable land acreage and non-arable land acreage of each parcel of land
1
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 shares
2
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 each of the shareholders listed in clause (d) above provide:
(i) the parcel number, arable land acreage and non-arable land acreage of each parcel of land
1
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 land
1
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) if any of the shareholders listed in clause (d) above are corporations, provide for each shareholder corporation:
(i) the names and permanent address of each officer and director;
(ii) the names, addresses and number of shares held by shareholders, both corporate and individual, who hold
more than 5% of the issued shares;
(iii) the parcel number, arable land acreage and non-arable land acreage of each parcel of land
1
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;
(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
1
in the province
now owned, leased in or leased out.
1
The Act excludes any parcel of land of one acre or less 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., 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.
10. Are each of the shareholders listed in 9(d) and (f) a resident person as defined by subsection 1(1.01) of the Act?
_____ If not, a Form 8A application may be required, pursuant to section 5.3(1)(b) of the Act, and application fee
(when applicable) for each shareholder who is not a resident person.
