Ontario Corporation Initial Return/Notice of Change
ESC Account Number:  (ESC Corporate Services Account Number)
Firm Name:
Address:
Contact:
Telephone NO.:
Fax NO.:
E-mail Address:
1. General Information
  (a)  Business Corporation Not for Profit Corporation
  (b)  Initial Return Notice of Change
2. Ontario Corporation Number
3. Date of Incorporation or Amalgamation YEAR/MMM/DD (eg:2005/May/15)
4. Corporation Name (including punctuation)
 
5. Address of Registered or Head Office
  Care of /Attention:
  Suite Street Number
 
  Street Name
 
  City Province
 
  Country Postal Code
 
6. Mailing Address
  Same as Registered or Head Office Not Applicable
  Care of /Attention:
  Suite Street Number
 
  Street Name
 
  City Province
 
  Country Postal Code
 
7. Language of Preference
  English French
8. Filing Authorization
  I,    
       (Type name in full of the person authorizing the filing)
Certify that the information set out herein, is true and correct.
  Check appropriate box: Director
    Officer
    Other individual having knowledge of the affairs of the Corporation
Director/Officer Information 1
Last Name First Name Middle Name
Suite No. Street No.
Street Name
City Province "Other" for U.S.A or European
Country Postal Code
Director Information
Resident Canadian (applies to directors only) Yes      No
Date Elected         Date Ceased  
                        (FORMAT: YYYY/MMM/DD) (eg. 2005/May/05)   (FORMAT: YYYY/MMM/DD)
Officer Information
  Date Elected Date Ceased
President
Secretary
Treasurer
General Manager
Other (FORMAT: YYYY/MMM/DD) (FORMAT: YYYY/MMM/DD)
 
    


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