Forms Regulations

t PRINCE EDWARD ISLAND LANDS PROTECTION ACT FORMS REGULATIONS PLEASE NOTE This document, prepared by the Legislative Counsel Office, is an office consolidation of this regulation, current to May 25, 2024. It is intended for information and reference purposes only. This document is not the official version of these regulations. The regulations and the amendments printed in the Royal Gazette should be consulted on the Prince Edward Island Government web site to determine the authoritative text of these regulations. For more information concerning the history of these regulations, please see the Table of Regulations on the Prince Edward Island Government web site (www.princeedwardisland.ca). If you find any errors or omissions in this consolidation, please contact: Legislative Counsel Office Tel: (902) 368-4292 Email: legislation@gov.pe.ca Prince Edward Island Lands Protection Act Forms Regulations Section 1 c PRINCE EDWARD ISLAND LANDS PROTECTION ACT Chapter L-5 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. Act, defined (1) In these regulations, “Act” means the Prince Edward Island Lands Protection Act R.S.P.E.I. 1988, Cap. L-5. Forms (2) The following forms are prescribed: (a) Form 1 - application by or on behalf of a non-resident pursuant to section 4 of the Act; (b) Form 2 - application by or on behalf of a corporation pursuant to subsection 5(1) of the Act; (b.1) Form 2A - application by or on behalf of a corporation for an amended permit pursuant to subsection 5(2) of the Act; (b.2) Form 2B – application by or on behalf of a non-profit corporation pursuant to subsection 5(1) of the Act; (c) to (g) revoked by EC647/09; (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) to (m) - revoked by EC191/22 (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; c t Current to: May 25, 2024 Page 3 Section 1 Prince Edward Island Lands Protection Act Forms Regulations (r) Form 10B - aggregate land holding declaration for a corporation pursuant to subsection 11(2) of the Act. (EC219/96; 742/96; 525/98; 647/09; 471/16; 191/22; 491/24) Page 4 Current to: May 25, 2024 t c Prince Edward Island Lands Protection Act Forms Regulations FORMS FORMS FORM 1 APPLICATION BY OR ON BEHALF OF A NON-RESIDENT PURSUANT TO SECTION 4 OF THE PRINCE EDWARD ISLAND LANDS PROTECTION ACT (the ‘ACT’) LAND APPROVED FOR ACQUISITION MAY BE SUBJECT TO CONDITIONS IMPOSED BY THE LIEUTENANT GOVERNOR IN COUNCIL NOTE: Multiple parcels may be included on a single application form provided the transaction is between the same purchaser(s) and vendor(s). However, questions #11-18 must be answered for each parcel individually (attach a schedule if necessary). 1. Applicant’s name: . ......................................................................................................................................... 2. Applicant’s permanent address: ..................................................................................................................... Number and Street Name (Not PO Box) . .............................................................................................................................................................................. City/Town/Community Province Postal Code . .............................................................................................................................................................................. Telephone Email Address 3. Present land owner’s name: ............................................................................................................................ 4. Present land owner’s permanent address: . ...................................................................................................... 5. Vendor’s name, if different than present land owner: . ................................................................................... 6. Vendor’s permanent address: . ........................................................................................................................ 7. Approximate date of acquisition by the present land owner: . ......................................................................... 8. Type of transaction (check one): (a) purchase ___ (b) transfer ___ (c) gift ___ (d) bequest ___ (e) lease ___ (f) other (specify) ______________________________ 9. Agreed purchase price: . .................................................................................................................................. 10. If the interest is being acquired by lease: Total value of the lease $__________ Lease term: ________ years 11. Acreage Parcel Arable Land Non-Arable Total Community Township or County Shore Number Land Lot # Frontage (feet) (a) (b) (c) (d) (e) 12. Are there buildings located on the parcel? ___ If yes, describe the buildings or other structures: . .............................................................................................................................................................................. c t Current to: May 25, 2024 Page 5 FORMS Prince Edward Island Lands Protection Act Forms Regulations 13. State the present non-arable land acreage breakdown of each parcel separately: (a) pasture _____ (b) woodland______ (c) marsh _____ (d) vacant/clear ______ (e) other (specify)___________________ 14. State the intended use of each parcel separately: (a) principal residence _____________ If so, when______________ (b) seasonal residence ___________ (c) agriculture _____________ (d) forestry ______________ (e) commercial ________________ (f) industrial _____________ (g) subdivision of lots ____________ (h) multi-unit residential ________ (i) other (specify) __________ 15. If the applicant intends to become a resident person as defined in the Act, complete a statutory declaration (Appendix 1) signed by each applicant stating the date the applicant will commence to maintain the applicant’s principal residence, as defined in the Act, and stating unequivocally that the applicant will become a permanent resident of the Province of Prince Edward Island no later than a date, which must be specified in the declaration. 16. If the intended use is ‘subdivision of lots’, indicate whether a subdivision application has been filed and/or approved by the Department. If so, provide a copy of the letter granting preliminary approval and a sketch showing the proposed subdivision or the approved subdivision plan. 17. Has each parcel been used for agriculture in the last five years? ................................................................ 18. In accordance with subsection 9(1) of the Act, the Lieutenant Governor in Council may impose such conditions on a permit issued under section 4 or 5 of the Act as the Lieutenant Governor in Council may consider expedient, including a condition that the land not be subdivided or that the land be identified for non-development use pursuant to the Land Identification Regulations made under the Act. Land identified for non-development use cannot be further subdivided or used for commercial or industrial purposes. (Refer to subsection 9(1) of the Act.) The land identification program does not apply where: (a) the parcel is located in a community that has an official plan; (b) the parcel is less than five (5) acres in size or has less than 165 feet of shore frontage; (c) planning approval has been granted for development of the entire parcel. If the Executive Council imposes one or more conditions pursuant to section 9(1) of the Act, are you prepared to complete the transaction? _______ If no, state reasons: . ........................................................................................................... 19. If the applicant already owns land in the province, explain how that land will be used and explain why additional land is required: . ............................................................................................................................................................................ . ............................................................................................................................................................................ 20. 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 separate sheet if necessary): __________________________________________________________ 21. (1) For any corporation owning or leasing land within the province in which the applicant or the applicant’s minor children hold more than 5% of the shares as defined in section 1(1)(l) of the Act, 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 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 land1 in the province now owned, leased in or leased out by the corporation. (2) For any corporation owning or leasing land within the province in which the applicant or the applicant’s minor children Page 6 Current to: May 25, 2024 t c Prince Edward Island Lands Protection Act Forms Regulations FORMS hold any of the interests as outlined in section 9.1(2) of the Act, provide on a separate sheet and attach: (a) the name and permanent address of the corporation; (b) the nature of the interests or rights; (c) the names and addresses of the persons, corporations, groups, or other organizations, if applicable, sharing the interests or rights referred to in clause (b); and (d) 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. 22. With respect to trusts, provide on a separate sheet and attach: (a) the names and land holdings, including parcel numbers and acreages of the trustee(s) of the trust; (b) if the trust is non-discretionary, the names and land holdings, including parcel numbers and acreages, of the beneficiaries of the trust; or (c) if the trust is discretionary, file (i) a copy of the trust agreement, (ii) an affidavit which contains, or has attached as a schedule, the sections of the trust agreement that grants the discretion to the trustee(s), or (iii) a legal opinion signed by a solicitor licensed to practice law in P.E.I. confirming the trust is discretionary. 23. Details of advertising of the land on the local real estate market may be required. Refer to the Administrative Guidelines for Advertising Land for more information. Provide the response to the following, as applicable: (a) if the parcel was listed through a local real estate company, state the following: (i) real estate company: _____________________________ (ii) was a for sale sign displayed on each parcel? ______ If not, provide reason: _____________________________________________________ (iii) was the parcel number clearly displayed in the listing(s)? _____________ (iv) date the listing agreement began: _________________________________ (v) date the listing agreement expires or expired: _______________________ (vi) list price: ____________________________________________________ (vii) details of interest expressed by residents of the province, including offers that were made and the reasons that those offers were not accepted: ___________________________________________________________; (b) if the parcel was not listed with a local real estate company, explain how the parcel was suitably advertised as outlined in the Administrative Guidelines for Advertising Land. Also, provide details of any interest expressed by residents of the province, including offers that were made and the reasons that those offers were not accepted: ________________________________________________; (c) if the parcel was not suitably advertised as outlined in the Administrative Guidelines for Advertising Land, provide a submission explaining why the advertising requirements should be waived: ____________________________. 24. State any other circumstances that are relevant: . ........................................................................................ 1The 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. 1988, Cap P-8. 2 “share” means (i) in relation to a partnership or cooperative association, a unit representing a proportion of the ownership of the partnership or cooperative association, and (ii) in relation to a corporation, an issued share carrying voting rights or that may result in voting rights in the future, and includes (A) a security convertible into an issued share, and (B) exercisable options or rights to acquire an issued share or a security convertible into an issued share; c t Current to: May 25, 2024 Page 7 FORMS Prince Edward Island Lands Protection Act Forms Regulations DECLARATION 25. I hereby certify that this application is complete and that the information herein, and attached hereto, is true and correct in all respects. I further certify that I am authorized to sign this application. 26. 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 ______________________________ ____________________________ Name of signatory (please print) Address ______________________________ ____________________________ Title - Indicate if acting as attorney Email Address ___________________________________ Telephone NOTICE: Section 15 of the Act provides that: Any person or corporation who provides false or misleading information when required to provide information under this Act is guilty of an offence and liable on summary conviction to a fine in an amount not to exceed $250,000. ATTACH: (a) a legal description of the parcel(s) to be acquired; (b) a GeoLinc map showing the parcel(s) to be acquired outlined in red; (c) a statutory declaration [Appendix 1] when applicable; and (d) a cheque made payable to the Island Regulatory and Appeals Commission when applicable. Refer to the Fees Regulations or contact the Prince Edward Island Regulatory and Appeals Commission to determine the applicable fee. RETURN COMPLETED FORM TO: The Prince Edward Island Regulatory and Appeals Commission Suite 501 – 134 Kent Street P. O. Box 577 Charlottetown PE C1A 7L1 Telephone: (902) 892-3501 or 1-800-501-6268 (Toll Free in PEI and NS) Fax: (902) 566-4076 Website: www.irac.pe.ca Personal information on this form is collected under the authority of the Island Regulatory and Appeals Commission Act and will be used by the Commission in the administration of the Prince Edward Island Lands Protection Act. All information collected is included in the Commission case file and, in accordance with the Freedom of Information and Protection of Privacy Act, some of the information collected herein may be available to the public subject to exceptions. For additional information, contact the Commission at (902) 892-3501 or by email at info@irac.pe.ca Page 8 Current to: May 25, 2024 t c Prince Edward Island Lands Protection Act Forms Regulations FORMS Appendix 1 STATUTORY DECLARATION OF A PERSON WHO INTENDS TO BECOME A RESIDENT PERSON OF PRINCE EDWARD ISLAND This statutory declaration must be completed as part of an application filed by any non-residents who have indicated they intend to relocate to the province (Question 14). Subsection 1(1.01) of the Act states: (1.01) For the purposes of this Act, a person is a resident person if the person (a) is (i) a Canadian citizen, or (ii) a permanent resident within the meaning of the Immigration and Refugee Protection Act (Canada); and (b) has resided and maintained the person’s principal residence in the province for not less than three hundred and sixty-five days during the twenty-four month period immediately preceding the date of acquisition of a land holding. Section 1(1)(k) of the Act defines “principal residence” as “means the usual place where the person makes the person’s home, and for the purposes of this Act means the person’s residence in the province in which the person pays the provincial portion of the person’s taxes under the Income Tax Act (Canada)”. C A N A D A PROVINCE OF PRINCE EDWARD ISLAND IN THE MATTER of the purchase of a parcel(s) at _________________, in _______________ County, Province of Prince Edward Island, STATUTORY DECLARATION I, _________________, of ___________________, _____________, do solemnly declare: (Applicant’s name) (City/Town/Community) (Province/State) 1. THAT I have entered into an Agreement of Purchase and Sale with ______________ to purchase a parcel(s) of land in ___________________ in ______________County, Province of Prince Edward Island; 2. THAT our scheduled closing date for the purchase of the parcel(s) is ____________ 3. THAT A. I will be relocating to become a permanent resident of the Province of Prince Edward Island on or before ___________; or B. I have already relocated to become a permanent resident of the Province of Prince Edward Island on _____________________. 4. THAT I make this solemn declaration conscientiously believing it to be true, and knowing that it is of the same force and effect as if made under oath by virtue of the Canada Evidence Act. DECLARED before me at ___________ ) (City/Town) ____________________________, this ) (Province/State) ___ day of ________, in the year 20___. ) c t Current to: May 25, 2024 Page 9 FORMS Prince Edward Island Lands Protection Act Forms Regulations __________________________ )(APPLICANT’S SIGNATURE) ) __________________________ ) A NOTARY PUBLIC IN AND FOR ) _________________________ ) (Province/State) (IRAC 03/96; EC647/09; 469/10; 745/14; 561/17; 191;22) FORM 2 APPLICATION BY OR ON BEHALF OF A CORPORATION PURSUANT TO SUBSECTION 5(1) OF THE PRINCE EDWARD ISLAND LANDS PROTECTION ACT (the ‘ACT’) LAND APPROVED FOR ACQUISITION MAY BE SUBJECT TO CONDITIONS IMPOSED BY THE LIEUTENANT GOVERNOR IN COUNCIL NOTE: Multiple parcels may be included on a single application form provided the transaction is between the same purchaser(s) and vendor(s). However, questions #13-19 must be answered for each parcel individually (attach a schedule if necessary). 1. Applicant corporation’s name: ...................................................................................................................... 2. Place of incorporation .................................................................................................................................... 3. Applicant corporation’s registered permanent address: ................................................................................. Number, Street Name (Not PO Box) ..................................... ................... ....................... ..................... ..................... City/Town/Community Province Postal Code Telephone Email Address 4. Type of business in which corporation is engaged: ....................................................................................... 5. Present land owner’s name: ........................................................................................................................... 6. Present land owner’s permanent address:....................................................................................................... 7. Vendor’s name, if different than present land owner:.................................................................................... 8. Vendor’s permanent address: ......................................................................................................................... 9. Approximate date of acquisition by the present land owner: ......................................................................... 10. Type of transaction (check one): (a) purchase …… (b) transfer …… (c) gift …… (d) purchase of shares …….. (e) lease ....... (f) other (specify) .................................................................................................................................................. 11. Agreed purchase price: .................................................................................................................................. 12. If the interest is being acquired by lease: Total value of the lease $ .............................................................. Lease term: ..................................................................................................................... years 13. Acreage Parcel Arable Non-Arable Total Community Township or Lot County Shore Frontage Number Land Land # (feet) (a) (b) (c) (d) (e) Page 10 Current to: May 25, 2024 t c Prince Edward Island Lands Protection Act Forms Regulations FORMS 14. Are there buildings located on the parcel? …………. if yes, describe the buildings or other structures .......... 15. State the present non-arable land acreage breakdown of each parcel separately: (a) pasture .......... (b) woodland .......... (c) marsh .......... (d) vacant/clear ......................................................... (e) other (specify) ..................................................................................................................................................... 16. State the intended use of each parcel separately: (a) principal residence ………. If so, when ………. (b) seasonal residence ........................................................... (c) agriculture ………. (d) forestry ………. (e) commercial ………… (f) industrial ………. (g) subdivision of lots ………. (h) multi-unit residential …………......................................... (i) other (specify) .................................................................................................................................................... 17. If the intended use is ‘subdivision of lots’, indicate whether a subdivision application has been filed and/or approved by the Department. If so, provide a copy of the letter granting preliminary approval and a sketch showing the proposed subdivision or the approved subdivision plan. 18. Has each parcel been used for agriculture in the last five years? ................................................................... 19. In accordance with subsection 9(1) of the Act, the Lieutenant Governor in Council may impose such conditions on a permit issued under section 4 or 5 of the Act as the Lieutenant Governor in Council may consider expedient, including a condition that the land not be subdivided or that the land be identified for non-development use pursuant to the Land Identification Regulations made under the Act. Land identified for non-development use cannot be further subdivided or used for commercial or industrial purposes. (Refer to subsection 9(1) of the Act.) The land identification program does not apply where: (a) the parcel is located in a community that has an official plan; (b) the parcel is less than five (5) acres in size and has less than 165 feet of shore frontage; (c) planning approval has been granted for development of the entire parcel. If Executive Council imposes one or more conditions pursuant to subsection 9(1) of the Act, are you prepared to complete the transaction?.........If no, state reasons: ..................................................................................................................... 20. 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 (as defined in clause 1(1)(l) of the Act) 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 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) 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 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; (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 land1 in the province now owned, leased in or leased out. 21. Is each of the shareholders listed in 20(d) and (f) a resident person as defined by subsection 1(1.01) of the Act? ................................... If not, a Form 1 application may be required, pursuant to section 4 of the Act, and application fee (when applicable) for any shareholder who is not a resident person. c t Current to: May 25, 2024 Page 11 FORMS Prince Edward Island Lands Protection Act Forms Regulations 22. For the applicant corporation: Are there any other persons or corporations not identified in Question 20 that have direct or indirect control of the applicant corporation in accordance with section 9.1 of the Act? If so, provide: (a) The name and permanent address of the persons and/or corporations; (b) The nature of the direct or indirect control for each of those listed in clause (a); (c) for each of those named in clause (a), 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 of those named, (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 over which each of those named has direct or indirect control in accordance with section 9.1 of the Act, (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 any other corporation in which each of those named owns more than 5% of the shares, total number of shares issued by that corporation and number of shares held by that shareholder; (d) if the applicant corporation has direct or indirect control of any other corporation(s) in accordance with s. 9.1 of the Act, provide the following for each corporation: (i) the name and permanent address of the corporation, (ii) the nature of the direct or indirect control, (iii) the names and addresses of the persons, corporations, groups, or other organizations, if applicable, sharing the interests or rights referred to in clause (b), and (iv) 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 corporation. 23. If any shareholder is a trust, provide on a separate sheet and attach: (a) the names and land holdings, including parcel numbers and acreages of the trustee(s) of the trust; (b) if the trust is non-discretionary, the names and land holdings, including parcel numbers and acreages, of the beneficiaries of the trust; or (c) if the trust is discretionary, file (i) a copy of the trust agreement, (ii) an affidavit with an attached copy of the sections of the trust agreement that grants the discretion to the trustee(s), or (iii) a legal opinion signed by a solicitor licensed to practice law in Prince Edward Island confirming the trust is discretionary. 24. Details of advertising of the land on the local real estate market may be required. Refer to the Administrative Guidelines for Advertising Land for more information. Provide the response to the following, as applicable: (a) If the parcel was listed through a local real estate company, state the following: (i) real estate company: (ii) was a for sale sign displayed on each parcel?_______ If not, provide reasons: (iii) date the listing agreement began: (iv) date the listing agreement expires or expired: (v) list price: (vi) details of interest expressed by residents of the province, including offers that were made and the reasons that those offers were not accepted:: ................................................................................................................................................. (b) If the parcel was not listed with a local real estate company, explain how the parcel was suitably advertised as outlined in the Administrative Guidelines for Advertising Land. Also, provide details of any interest expressed by residents of the province, including offers that were made and the reasons that those offers were not accepted: : ......................................................... (c) If the parcel was not suitably advertised as outlined in the Administrative Guidelines for Advertising Land, provide a submission explaining why the advertising requirements should be waived: : .......................................................................... 25. State any other circumstances that are relevant: : ......................................................................................... 1The 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. 1988, Cap P-8. Page 12 Current to: May 25, 2024 t c Prince Edward Island Lands Protection Act Forms Regulations FORMS DECLARATION 26. I hereby certify that this application is complete and that the information herein, and attached hereto, is true and correct in all respects. I further certify that I am authorized to sign this application. 27. 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 …………………………………… ………………………………………… Name of signatory (please print) Address ……………………………………. …………………………….................... Title - Indicate if acting as attorney Email Address …………………………………… Telephone ATTACH: (a) a legal description of the parcel(s) to be acquired; (b) a GeoLinc map showing the parcel(s) to be acquired outlined in red; and (c) a cheque made payable to the Island Regulatory and Appeals Commission when applicable. Refer to the Fees Regulations or contact the Island Regulatory and Appeals Commission to determine the applicable fee. NOTICE: Section 15 of the Act provides that: Any person or corporation who provides false or misleading information when required to provide information under this Act is guilty of an offence and liable on summary conviction to a fine in an amount not to exceed $250,000. RETURN COMPLETED FORM TO: The Island Regulatory and Appeals Commission Telephone: (902) 892-3501 or Suite 501 - 134 Kent Street 1-800-501-6288 (Toll Free in PEI and NS) P.O. Box 577 Fax: (902) 566-4076 Charlottetown PE C1A 7L1 Website: www.irac.pe.ca Personal information on this form is collected under the authority of the Island Regulatory and Appeals Commission Act and will be used by the Commission in the administration of the Prince Edward Island Lands Protection Act. All information collected is included in the Commission case file and, in accordance with the Freedom of Information and Protection of Privacy Act, some of the information collected herein may be available to the public subject to exceptions. For additional information, contact the Commission at (902) 892-3501 or by email at info@irac.pe.ca (EC647/09; 469/10; 745/15; 561/17; 191/22) c t Current to: May 25, 2024 Page 13 FORMS Prince Edward Island Lands Protection Act Forms Regulations FORM 2A APPLICATION BY OR ON BEHALF OF A CORPORATION FOR AN AMENDED PERMIT PURSUANT TO SUBSECTION 5(2) OF THE PRINCE EDWARD ISLAND LANDS PROTECTION ACT (the ‘ACT’) 1. Corporation’s name: ……………………………………………………………………………. 2. Place of incorporation: …………………………………………………………………………. 3. Corporation’s registered permanent address: ………………………………………………….. Number, Street Name (Not PO Box) ………………..…….. ………….. ……………… ……………….. …………………….. City/Town/Community Province Postal Code Telephone Email Address 4. 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 land1 in the province now owned, leased in or leased out by the corporation; (b) the names and permanent addresses of each current officer and director of the corporation; (c) the total number of shares as defined in clause 1(1)(l) of the Act currently issued by the applicant corporation; (d) the names, addresses and number of shares currently held by shareholders, both corporate and individual, who hold more than 5% of the issued shares of the applicant corporation; (e) details of the proposed “material change2” to the applicant corporation’s shareholders; (f) the total number of shares to be issued by the applicant corporation upon completion of the material change; (g) the names, addresses and number of shares to be held by shareholders, both corporate and individual, who will hold more than 5% of the issued shares of the applicant corporation after completion of the material change; (h) the date the proposed material change will occur; (i) for each of the shareholders listed in clause (g) above provide: (i) the parcel number, arable land acreage and non-arable land acreage of each parcel of land 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 in the province now owned, leased in or leased out by any other corporation in which each shareholder holds more than 5% of the shares, total number of shares issued by that corporation and number of shares held by that shareholder; (j) if any of the shareholders listed in clause (g) 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 land1 in the province now owned or leased by each shareholder that holds more than 5% of the shares, total number of shares issued by that corporation and number of shares held by that shareholder; (k) if, upon completion of the material change, the applicant corporation will hold 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 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. 1988, Cap P-8 2 As defined in section 5(3) of the Prince Edward Island Lands Protection Act. Page 14 Current to: May 25, 2024 t c Prince Edward Island Lands Protection Act Forms Regulations FORMS (l) a list of all Orders in Council to be amended. 5. Upon completion of the material change, will there be any other persons or corporations not identified in Question 4 that have direct or indirect control of the applicant corporation in accordance with section 9.1 of the Act? If yes, provide: (a) The name and permanent address of the persons and/or corporations; (b) The nature of the direct or indirect control for each of those listed in clause (a); (c) for each of those named in clause (a), 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 of those named, (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 over which each of those named has direct or indirect control in accordance with section 9.1 of the Act, (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 any other corporation in which each of those named owns more than 5% of the shares, total number of shares issued by that corporation and number of shares held by that shareholder; (d) if the applicant corporation has direct or indirect control of any other corporation(s) in accordance with section 9.1 of the Act, provide the following for each corporation: (i) the name and permanent address of the corporation, (ii) the nature of the direct or indirect control, (iii) the names and addresses of the persons, corporations, groups, or other organizations, if applicable, sharing the interests or rights referred to in clause (b), and (iv) the parcel number, arable land acreage and non-arable land acreage of each parcel of land in the province now owned, leased in or leased out by each corporation. 6. If any shareholder is a trust, provide on a separate sheet and attach (a) the names and land holdings, including parcel numbers and acreages of the trustee(s) of the trust; (b) if the trust is non-discretionary, the names and land holdings, including parcel numbers and acreages, of the beneficiaries of the trust; (c) if the trust is discretionary, file (i) a copy of the trust agreement, (ii) an affidavit with an attached copy of the sections of the trust agreement that grants the discretion to the trustee(s), or (iii) a legal opinion signed by a solicitor licensed to practice law in Prince Edward Island confirming the trust is discretionary. 7. State any other circumstances that are relevant: ………………………………………………………………………………… ………………………………………………………………………………… _______________________________________________________________ DECLARATION 8. I hereby certify that this application is complete and that the information herein, and attached hereto, is true and correct in all respects. I further certify that I am authorized to sign this application. 9. 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. ………………………………………… ………………………………….. c t Current to: May 25, 2024 Page 15 FORMS Prince Edward Island Lands Protection Act Forms Regulations Signature of applicant or attorney Date ………………………………………… ………………………………….. Name of signatory (please print) Address ………………………………………… ………………………………….. Title – Indicate if acting as attorney Email Address ………………………………….. Telephone Section 15 of the Act provides that: Any person or corporation who provides false or misleading information when required to provide information under this Act is guilty of an offence and liable on summary conviction to a fine in an amount not to exceed $250,000. RETURN COMPLETED FORM TO: The Island Regulatory and Appeals Commission Telephone: (902) 892-3501 or Suite 501, 134 Kent Street, PO Box 577 1-800-501-6288 Charlottetown PE C1A 7L1 Fax: (902) 566-4076 Email: lpainquiries@irac.pe.ca Personal information on this form is collected under the authority of the Island Regulatory and Appeals Commission Act and will be used by the Commission in the administration of the Prince Edward Island Lands Protection Act. All information collected is included in the Commission case file and, in accordance with the Freedom of Information and Protection of Privacy Act, some of the information collected herein may be available to the public subject to exceptions. For additional information, contact the Commission at (902) 892-3501 or by email at info@irac.pe.ca (EC191/22; 491/24) FORM 2B APPLICATION BY OR ON BEHALF OF A NON-PROFIT CORPORATION PURSUANT TO SUBSECTION 5(1) OF THE PRINCE EDWARD ISLAND LANDS PROTECTION ACT (the “ACT”) LAND APPROVED FOR ACQUISITION MAY BE SUBJECT TO CONDITIONS IMPOSED BY THE LIEUTENANT GOVERNOR IN COUNCIL NOTE: Multiple parcels may be included on a single application form provided the transaction is between the same purchaser(s) and vendor(s). However, questions #13-19 must be answered for each parcel individually (attach a schedule if necessary). 1. Applicant corporation’s name: ………………………………………………………………………..……………….. 2. Place of incorporation: ………………………………………………………………………..……………….. 3. Applicant corporation’s registered permanent address: ………………………………………………………………………………………. Number and Street Name (PO Box not acceptable) ………………………….. .…………. ………………… …………… ………………… City/Town/Community Province Postal Code Telephone Email Address Page 16 Current to: May 25, 2024 t c Prince Edward Island Lands Protection Act Forms Regulations FORMS 4. Purpose of the corporation:………………………………………………………………. 5. Present land owner’s name:……………………………………………………………… 6. Present land owner’s permanent address:…………………………………………………. 7. Vendor’s name, if different than present land owner:……………………………………… 8. Vendor’s permanent address: …………………………………………………………………... 9. Approximate date of acquisition by the present land owner: ………………………………. 10. Type of transaction (check one): (a) purchase …... (b) transfer …... (c) gift ….. . (d) lease….. (e) other (specify) …………. 11. Agreed purchase price: …………………………………………………………………………… 12. If the interest is being acquired by lease: Total value of the lease $… Lease term:……..years 13. Acreage Township Shore Parcel Non-Arable or Lot frontage Number Arable Land Land Total Community Number County (feet) (a) (b) (c) (d) (e) 14. Are there buildings located on the parcel?… If yes, describe the buildings or other structures: ……………………………………………………………………………………….. 15. State the present non-arable land acreage breakdown of each parcel separately: (a) pasture ……….. (b) woodland ……… (c) marsh ……… (d) vacant/clear …………. (e) other (specify) ……………………………............................................................................. 16. State the intended use of each parcel separately: (a) agriculture …… (b) preservation of land …. (c) forestry …. (d) commercial ………. (e) industrial …… (f) institutional …… (g) subdivision of lots …….. (h) residential …… (i) other (specify) …………. 17. If the intended use is ‘subdivision of lots’, indicate whether a subdivision application has been filed and/or approved by the Department. If so, provide a copy of the letter granting preliminary approval and a sketch showing the proposed subdivision or the approved subdivision plan. 18. Why is this particular parcel of land of interest to the applicant corporation? ……………….. 19. Has each parcel been used for agriculture in the last five years? ……………………………. 20. Does the applicant corporation have a policy with respect to the type of land it acquires? …… If Yes, provide a copy of the policy. 21. In accordance with subsection 9(1) of the Act, the Lieutenant Governor in Council may impose such conditions on a permit issued under section 4 or 5 of the Act as the Lieutenant Governor in Council may consider expedient, including a condition that the land not be subdivided or that the land be identified for non-development use pursuant to the Land Identification Regulations made under the Act. Land identified for non-development use cannot be further subdivided or used for commercial or industrial purposes. (Refer to subsection 9(1) of the Act.) The land identification program does not apply where: c t Current to: May 25, 2024 Page 17 FORMS Prince Edward Island Lands Protection Act Forms Regulations (a) the parcel is located in a municipality with an official plan; (b) the parcel is less than five (5) acres in size and has less than 165 feet of shore frontage; (c) planning approval has been granted for development of the entire parcel. If Executive Council imposes one or more conditions pursuant to section 9(1) of the Act, are you prepared to complete the transaction? …… If “no”, state reasons: …………………… 22. 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 land1 in the province now owned, leased in or leased out by the corporation (including global leases); (b) the name, permanent address and position held by each officer, director and board member of the corporation; (c) do any of the officers, directors or board members in (b) above have direct or indirect influence that, if exercised, would result in control in fact of the applicant corporation; (d) if yes to (c) above, provide the name(s) of the officer(s), director(s) and board member(s), and list any other non-profit corporation(s) over which each such officer, director and board member also has direct or indirect influence that, if exercised, would result in control in fact of that corporation; (e) 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 by that corporation. 1The 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. 23. Are there any other persons or corporations not identified in Question 22 that have direct or indirect influence that, if exercised, would result in control in fact of the applicant corporation in accordance with section 9.1 of the Act, or control of the lands subject to this application? If yes, provide: (a) the name and permanent addresses of the persons and/or corporations;

(b) the nature of the direct or indirect control for each of those listed in clause (a); (c) for each of those named in clause (a), 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 named, (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 over which each named has direct or indirect control in accordance with section 9.1 of the Act, (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 any other corporation in which each named owns more than 5% of the shares, total number of shares issued by that corporation and number of shares held by that shareholder. 24. If the applicant corporation has direct or indirect influence that, if exercised, would result in control in fact of any other corporation(s) in accordance with section 9.1 of the Act, provide the following for each corporation: (a) the name and permanent address of the corporation; (b) the nature of the direct or indirect control; (c) the names and addresses of the persons, corporations, groups, or other organizations, if applicable, sharing the control in fact; and (d) 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 corporation. 25. Details of advertising of the land on the local real estate market may be required. Refer to the Administrative Guidelines for Advertising Land for more information. Provide the response to the following, as applicable: (a) If the parcel was listed through a local real estate company, state the following: (i) real estate company: …………………………………………………………… Page 18 Current to: May 25, 2024 t c Prince Edward Island Lands Protection Act Forms Regulations FORMS (ii) was a for sale sign displayed on each parcel? ...... If not, provide reasons: ………… (iii) date the listing agreement began: ……………………………………………….. (iv) date the listing agreement expires or expired: …………………………………… (v) list price: ……………………………………………………………………… (vi) details of interest expressed by residents of the province, including offers that were made and the reasons that those offers were not accepted: ………………………. ………………………………………………………………………………… ………………………………………………………………………………… (b) If the parcel was not listed with a local real estate company, explain how the parcel was suitably advertised as outlined in the Administrative Guidelines for Advertising Land. Also, provide details of any interest expressed by residents of the province, including offers that were made and the reasons that those offers were not accepted: …………………………………………………………………………………… (c) If the parcel was not suitably advertised as outlined in the Administrative Guidelines for Advertising Land, provide a submission explaining why the advertising requirements should be waived …………………………………………………………………………………………… …………………………………………………………………………………………… 26. State any other circumstances that are relevant: ………………………………………….. ……………………………………………………………………………………….. DECLARATION 27. I hereby certify that this application is complete and that the information herein, and attached hereto, is true and correct in all respects. I further certify that I am authorized to sign this application. 28. I hereby certify that there are no agreements or restrictions in place respecting the election of directors of the applicant corporation. 29. 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 ………………………………………… …………………………………… Name of signatory (please print) Address ………………………………………… …………………………………… Title (indicate if acting as attorney) Email Address ………………………………………… Telephone ATTACH: (a) a copy of Letters Patent or Articles of Incorporation, as the case may be, of the applicant corporation; (b) a copy of the bylaws of the applicant corporation; (c) a legal description of the parcel(s) to be acquired; (d) a GeoLinc map showing the parcel(s) to be acquired outlined in red; and (e) a cheque made payable to the Island Regulatory and Appeals Commission when applicable. c t Current to: May 25, 2024 Page 19 FORMS Prince Edward Island Lands Protection Act Forms Regulations Refer to the Fees Regulations or contact the Island Regulatory and Appeals Commission to determine the applicable fee. NOTICE: Section 15 of the Act provides that: A person or corporation who provides false or misleading information when required to provide information under this Act is guilty of an offence and liable on summary conviction to a fine in an amount not to exceed $250,000. RETURN COMPLETED FORM TO: The Prince Edward Island Regulatory and Appeals Commission Telephone: (902) 892-3501 or Suite 501, 134 Kent Street, PO Box 577 1-800-501-6288 (Toll Free in PEI and NS) Charlottetown PE C1A 7L1 Fax: (902) 566-4076 Website: www.irac.pe.ca Email: lpainquiries@irac.pe.ca Personal information on this form is collected under the authority of the Island Regulatory and Appeals Commission Act and will be used by the Commission in the administration of the Prince Edward Island Lands Protection Act. All information collected is included in the Commission case file and, in accordance with the Freedom of Information and Protection of Privacy Act, some of the information collected herein may be available to the public subject to exceptions. For additional information, contact the Commission at (902) 892-3501 or by email at info@irac.pe.ca (EC491/24) FORMS 3, 4A, 4B, 5A, 5B (revoked by EC647/09) 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 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 Prince Edward 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. SECTION 1 Declaring Person’s Particulars Reporting Year ………………….. Name of Declaring Person ...................................................................................................... Mailing Address ………………………………….Province .................................................. Page 20 Current to: May 25, 2024 t c Prince Edward Island Lands Protection Act Forms Regulations FORMS Postal Code ………………………Telephone ……………….Fax ........................................ Email Address ……………………… 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 info@irac.pe.ca. SECTION 2 Declaring Person’s Land Holdings 2.1 List the following information for each parcel of land in the province OWNED by the Declaring Person. PARCELS OWNED BY THE DECLARING PERSON: ACREAGE PARCEL NUMBER NAME OF REGISTERED OWNER* LOCATION ARABLE NON-ARABLE TOTAL Note: If land is owned jointly or as tenants in common, list the complete names of the registered owners. 2.2 List the following information for each parcel of land in the province LEASED IN by the Declaring Person. PARCELS LEASED IN BY THE DECLARING PERSON: LEASE LEASE EXPIRY ACREAGE LEASED IN PARCEL LEASED START DATE LOCATION NON- NUMBER FROM DATE M/D/Y ARABLE ARABLE M/D/Y TOTAL 2.3 List the following information for each parcel of land in the province LEASED OUT by the Declaring Person. PARCELS LEASED OUT BY THE DECLARING PERSON: LEASE LEASE EXPIRY ARABLE ACREAGE LEASED PARCEL LEASED START DATE OUT LOCATION NUMBER TO DATE M/D/Y M/D/Y TOTAL SECTION 3 Corporate Land Holdings c t Current to: May 25, 2024 Page 21 FORMS Prince Edward Island Lands Protection Act Forms Regulations Does the Declaring Person hold more than 5% of the shares of any corporation? YES__ NO__ If you answered YES, complete the remainder of this section. If you have answered NO, proceed to section 5. 3.1 If the Declaring Person owns more than 5% of the issued shares in any corporation, list the following information: 1 2 3 4 NAME OF TOTAL NUMBER OF NUMBER OF ISSUED SHARES HELD BY % OF ISSUED CORPORATION ISSUED SHARES DECLARING PERSON SHARES 3.2 List the following information for each parcel of land in the province OWNED by each corporation listed in 3.1. (Complete a separate table for each corporation.) Name of Corporation …………………………………………………………… PARCELS OWNED BY CORPORATION: ACREAGE PARCEL NUMBER NAME OF REGISTERED OWNER* LOCATION ARABLE NON-ARABLE TOTAL *Note: If land is owned jointly or as tenants in common, list the complete names of the registered owners. 3.3 List the following information for each parcel of land in the province LEASED IN by each corporation listed in 3.1. (Complete a separate table for each corporation.) Name of Corporation ………………………………………………………………. PARCELS LEASED IN BY CORPORATION: LEASE LEASE EXPIRY ACREAGE LEASED IN PARCEL LEASED START DATE LOCATION NON- NUMBER FROM DATE M/D/Y ARABLE ARABLE M/D/Y TOTAL 3.4 List the following information for each parcel of land in the province LEASED OUT by each corporation listed in 3.1. (Complete a separate table for each corporation.) Name of Corporation ………………………………………………………………… PARCELS LEASED OUT BY CORPORATION: LEASE START LEASE EXPIRY ARABLE PARCEL LEASED TO LOCATION DATE DATE ACREAGE NUMBER M/D/Y M/D/Y LEASED OUT Page 22 Current to: May 25, 2024 t c Prince Edward Island Lands Protection Act Forms Regulations FORMS TOTAL 3.5 List the following information for each corporation listed in 3.1: 1 2 3 4 5 6 NAME OF TOTAL TOTAL TOTAL % OF CONTRIBUTION TO CORPORATION ARABLE ARABLE ARABLE ISSUED AGGREGATE LAND ACREAGE ACREAGE LAND SHARES HOLDING OWNED LEASED IN HOLDING (from 3.1 (multiply column 4 by (from 3.2) (from 3.3) (column 2+3) column 4) column 5) ARABLE LAND TOTAL 3.6 List the following information for each corporation listed in 3.1: 1 2 3 4 5 6 NAME OF TOTAL NON- TOTAL NON- TOTAL NON- % OF CONTRIBUTION TO CORPORATION ARABLE ARABLE ARABLE ISSUED AGGREGATE LAND ACREAGE ACREAGE LAND SHARES HOLDING OWNED LEASED IN HOLDING (from 3.1 (multiply column 4 by (from 3.2) (from 3.3) (column 2+3) column 4) column 5) NON-ARABLE LAND TOTAL 3.7 List the following information for each corporation listed in 3.1: 1 2 NAME OF CORPORATION TOTAL ARABLE ACREAGE LEASED OUT (from 3.4) TOTAL SECTION 4 Other Corporations Answer the following questions: YES or NO A. Does any corporation listed in 3.1 hold more than 5% of the issued shares in any other corporation? YES__ NO__ B. Are there any other corporations that hold more than 5% of the issued shares in any of the corporations listed in 3.1? YES__ NO__ If you answered YES to either of these, complete the remainder of this section. You will need to complete Appendix 4 to answer the questions. If you have answered NO to each of the above questions, proceed to section 5. 4.1 List the following information for any corporation in which more than 5% of the issued shares are held by a corporation identified in 3.1 (Use a separate sheet for each corporation). IF N/A, PROCEED TO 4.6 Name of the Corporation: _____________________________________________________ Mailing Address: ____________________________________________________________ c t Current to: May 25, 2024 Page 23 FORMS Prince Edward Island Lands Protection Act Forms Regulations Place of incorporation: ________________ Date of incorporation: _____________________ Names and permanent addresses of all officers and directors: __________________________ 4.2 List the following information for each corporation listed in 3.1: 1 2 3 4 5 NAME OF NAME OF TOTAL NUMBER NUMBER OF ISSUED SHARES % ISSUED CORPORATION SHAREHOLDER OF ISSUED OWNED BY THE SHARES LISTED IN 4.1 (Corporations listed SHARES CORPORATION in 3.1 only) IN 3.1 TOTAL 4.3 Complete Appendix 4.1 and 4.2 and list the following information for each corporation listed in question 4.1: 1 2 3 4 5 NAME OF TOTAL TOTAL ARABLE TOTAL ARABLE RELEVANT AMOUNT TO CORPORATION ARABLE ACREAGE LAND HOLDING BE ATTRIBUTED TO LISTED IN 4.1 ACREAGE LEASED IN (from (column 2 + 3) DECLARING PERSON OWNED Appendix 4.2) (see example below) (from Appendix 4.1) TOTAL Example: The Declaring Person owns 25% of the shares of Corporation A. Corporation A owns 75% of the shares of Corporation B. Corporation B has a land holding of 1,000 acres. Relevant amount equals 1,000 X 75% X 25% = 187.50 acres. 4.4 List the following information for each corporation listed in 4.1: 1 2 3 4 5 NAME OF TOTAL NON- TOTAL NON- TOTAL NON- RELEVANT AMOUNT TO CORPORATION ARABLE ARABLE ACREAGE ARABLE LAND BE ATTRIBUTED TO LISTED IN 4.1 ACREAGE LEASED IN (from HOLDING DECLARING PERSON OWNED Appendix 4.2) (column 2 + 3) (see example above) (from Appendix 4.1) TOTAL 4.5 Complete Appendix 4.3 and list the following information for each corporation listed in 4.1: 1 2 NAME OF CORPORATION TOTAL ARABLE ACREAGE LEASED OUT LISTED IN 4.1 (from Appendix 4.3) TOTAL Page 24 Current to: May 25, 2024 t c Prince Edward Island Lands Protection Act Forms Regulations FORMS 4.6 List the following information for any other corporation holding more than 5 per cent of the shares of any corporation identified in 3.1 (Use a separate sheet for each corporation) Name of the Corporation: _____________________________________________________ Mailing Address: ____________________________________________________________ Place of incorporation: ________________ Date of incorporation: _____________________ Names and permanent addresses of all officers and directors: __________________________ 4.7 List the following information for each corporation listed in 4.6: 1 2 3 4 5 NAME OF NAME OF CORPORATION TOTAL NUMBER OF NUMBER OF ISSUED % OF OTHER (FROM 3.6) WITH SHARES ISSUED SHARES OF SHARES HELD BY ISSUED CORPORATION HELD BY CORPORATION OTHER CORPORATION IN SHARES LISTED IN 4.6 LISTED IN 4.6 CORPORATION 4.6 TOTAL 4.8 Complete Appendix 4.4 and 4.5 and list the following information for each corporation listed in 4.6. 1 2 3 4 5 NAME OF TOTAL TOTAL ARABLE TOTAL ARABLE RELEVANT AMOUNT TO CORPORATION ARABLE ACREAGE LAND HOLDING BE ATTRIBUTED TO LISTED IN 4.6 ACREAGE LEASED IN (from (column 2 + 3) DECLARING PERSON OWNED Appendix 4.5) (from Appendix 4.4) TOTAL 4.9 List the following information for each corporation listed in 4.6. 1 2 3 4 5 NAME OF TOTAL NON- TOTAL NON- TOTAL NON- RELEVANT AMOUNT TO CORPORATION ARABLE ARABLE ACREAGE ARABLE LAND BE ATTRIBUTED TO LISTED IN 4.1 ACREAGE LEASED IN (from HOLDING DECLARING PERSON OWNED Appendix 4.5) (column 2 + 3) (from Appendix 4.4 c t Current to: May 25, 2024 Page 25 FORMS Prince Edward Island Lands Protection Act Forms Regulations TOTAL 4.10 Complete Appendix 4.6 and list the following information for each corporation listed in 4.6. 1 2 NAME OF CORPORATION TOTAL ARABLE ACREAGE LEASED OUT LISTED IN 4.6 (from Appendix 4.6) TOTAL APPENDIX 4.1 List the following information for each parcel of land in the province OWNED by each corporation listed to 4.1 (Complete a separate Appendix for each corporation). Name of corporation _____________________________________________________ PARCELS OWNED BY CORPORATION: ACREAGE PARCEL NUMBER NAME OF REGISTERED OWNER* LOCATION ARABLE NON-ARABLE TOTAL *Note: If land is owned jointly or as tenants in common, list the complete names of the registered owners. APPENDIX 4.2 List the following information for each parcel of land in the province LEASED IN by each corporation listed to 4.1 (Complete a separate Appendix for each corporation). Name of corporation _____________________________________________________ PARCELS LEASED IN BY EACH CORPORATION: LEASE LEASE EXPIRY ACREAGE LEASED IN PARCEL LEASED START DATE LOCATION NON- NUMBER FROM DATE M/D/Y ARABLE ARABLE M/D/Y TOTAL APPENDIX 4.3 List the following information for each parcel of land in the province LEASED OUT by each corporation listed to 4.1 (Complete a separate Appendix for each corporation). Name of corporation _____________________________________________________ PARCELS LEASED OUT BY EACH CORPORATION: LEASE START LEASE EXPIRY ARABLE PARCEL LEASED TO LOCATION DATE DATE ACREAGE NUMBER M/D/Y M/D/Y LEASED OUT Page 26 Current to: May 25, 2024 t c Prince Edward Island Lands Protection Act Forms Regulations FORMS TOTAL APPENDIX 4.4 List the following information for each parcel of land in the province OWNED by each corporation listed to 4.6 (Complete a separate Appendix for each corporation). Name of corporation _____________________________________________________ PARCELS OWNED BY CORPORATION: ACREAGE PARCEL NUMBER NAME OF REGISTERED OWNER* LOCATION ARABLE NON-ARABLE TOTAL *Note: If land is owned jointly or as tenants in common, list the complete names of the registered owners. APPENDIX 4.5 List the following information for each parcel of land in the province LEASED IN by each corporation listed to 4.6 (Complete a separate Appendix for each corporation). Name of corporation _____________________________________________________ PARCELS LEASED IN BY EACH CORPORATION: LEASE LEASE EXPIRY ACREAGE LEASED IN PARCEL LEASED START DATE LOCATION NON- NUMBER FROM DATE M/D/Y ARABLE ARABLE M/D/Y TOTAL APPENDIX 4.6 List the following information for each parcel of land in the province LEASED OUT by each corporation listed to 4.6 (Complete a separate Appendix for each corporation). Name of corporation _____________________________________________________ PARCELS LEASED OUT BY EACH CORPORATION: LEASE LEASE EXPIRY ARABLE ACREAGE PARCEL LEASED START DATE LEASED OUT LOCATION NUMBER TO DATE M/D/Y M/D/Y c t Current to: May 25, 2024 Page 27 FORMS Prince Edward Island Lands Protection Act Forms Regulations TOTAL SECTION 5 Trusts Answer the following question: YES or NO Is the Declaring Person a trustee or beneficiary in a trust that has an aggregate land holding? YES___ NO___ If you answered YES, fill out the remainder of this section. You will need to complete Appendix 5 to answer the following questions. If you have answered NO, do not complete this section. 5.1 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) Name of the trust:__________________________________________________________ Address: _________________________________________________________________ Names and permanent addresses of all trustees and beneficiaries of the trust: ___________ ________________________________________________________________________ 5.2 List the following information for each trust listed in 5.1. 1 2 3 NAME OF TOTAL ARABLE ACREAGE TOTAL ARABLE ACREAGE TOTAL ARABLE LAND TRUST OWNED LEASED IN HOLDING (from question 1, Appendix 5) (from question 2, Appendix 5) (column 1 + 2) TOTAL 5.3 List the following information for each trust listed in 5.1. 1 2 3 NAME OF TOTAL NON-ARABLE TOTAL NON- ARABLE TOTAL NON-ARABLE TRUST ACREAGE OWNED ACREAGE LEASED IN LAND HOLDING (from question 1, Appendix 5) (from question 2, Appendix 5) (column 1 + 2) TOTAL 5.4 List the following information for each trust listed in 5.1. 1 2 NAME OF TRUST TOTAL ARABLE ACREAGE LEASED OUT (from question 3, Appendix 5) TOTAL APPENDIX 5 Instructions: Complete questions 1-3 below for each trust that is listed in response to question 5.1 of your Declaration. You will use the totals calculated in the below tables to complete questions 5.2 to 5.4 of your Declaration. Attach the completed Appendix to your Declaration. Page 28 Current to: May 25, 2024 t c Prince Edward Island Lands Protection Act Forms Regulations FORMS Name of the trust: __________________________________________ 1. List the following information for each parcel of land in the province OWNED by the trust. PARCELS OWNED BY THE TRUST PARCEL NAME OF REGISTERED NAME OF LOCATION ACREAGE NUMBER OWNER* BENEFICIARY ARABLE NON- ARABLE TOTAL Note: If land is owned jointly or as tenants in common list the complete names of the registered owners. 2. List the following information for each parcel of land in the province LEASED IN by the trust. PARCELS LEASED IN BY THE TRUST PARCEL LEASED LOCATION LEASE START LEASE EXPIRY ACREAGE LEASED NUMBER FROM DATE DATE IN M/D/Y M/D/Y ARABLE NON- ARABLE TOTAL List the following information for each parcel of land in the province LEASED OUT by the trust. PARCELS LEASED OUT BY THE TRUST PARCEL LOCATION LEASED LEASE START LEASE EXPIRY ARABLE ACREAGE NUMBER TO DATE DATE LEASED OUT M/D/Y M/D/Y TOTAL SECTION 6 OTHER CORPORATIONS – DIRECT OR INDIRECT CONTROL Answer the following questions: YES or NO A. Other than the corporations listed in the preceding sections, does the Declaring Person have direct or indirect influence over any other corporation that, if exercised, would result in control in fact of that corporation? YES___ NO ___ B. Other than the corporations listed in the preceding sections, does the Declaring Person have a prescribed interest, right or ability in relation to any other corporation, or a prescribed criterion or set of circumstances applies to the Declaration Person, with respect to that corporation? YES___ NO ___ If you answered YES to any of these, complete the remainder of this section. List the following information for any corporation to which A and/or B applies (Use a separate sheet for each corporation). c t Current to: May 25, 2024 Page 29 FORMS Prince Edward Island Lands Protection Act Forms Regulations Name of Corporation: ___________________________________________________ Mailing Address:________________________________________________________ Place of incorporation: _________________ Date of incorporation: ______________ Names and permanent addresses of all officers and director: _______________________ _______________________________________________________________________ SECTION 7 DECLARATION This form has been completed pursuant to section 10 of the Prince Edward Island Lands Protection Act. My maximum aggregate land holding in the calendar year _______ was ________ acres held on mm/dd/yyyy _____/_____/_______. I hereby certify that the information contained herein is true and correct in all respects for the reporting year listed above. 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 *This form must be signed by the Declaring Person __________________________ Print Name of Declaring Person If you wish to direct any further inquiries relating to this declaration to a contact person, please provide contact particulars of the contact person. Name ___________________________________________________ Mailing Address __________________________________________ Province ____________ Postal Code __________________________ Telephone __________________ Email ___________________________________________________ NOTICE: Section 15 of the Act provides that: Any person or corporation who provides false or misleading information when required to provide information under this Act is guilty of an offence and liable on summary conviction to a fine in an amount not to exceed $250,000. (EC191/22) 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 Pursuant to subsection 10(2) of the Prince Edward Island Lands Protection Act (the “Act”) any corporation having an aggregate land Page 30 Current to: May 25, 2024 t c Prince Edward Island Lands Protection Act Forms Regulations FORMS holding of more than 2,250 acres shall, not later than December 31 of each year, file an aggregate land holding declaration with the Prince Edward 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. SECTION 1 Declaring Person’s Particulars Reporting Year ………………….. Name of Declaring Corporation ............................................................................................................................ Mailing Address ………………………………….Province ................................................................................. Postal Code ………………………Telephone ……………….Fax ....................................................................... Email Address ………………………………. Place of Incorporation……………………… Date of Incorporation ………………………. Name and permanent addresses of all officers and directors: ……………………………….. ………………………………………………………………………………………………... 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 info@irac.pe.ca. SECTION 2 Declaring Corporation 2.1 Report the total number of voting shares issued by the Declaring Corporation___ 2.2 List the following information for each shareholder – both corporate and individual – holding more than 5% of the issued shares of the Declaring Corporation: 1 2 3 4 NAME OF SHAREHOLDER ADDRESS NUMBER OF SHARES OWNED BY % OF ISSUED A SHAREHOLDER VOTING SHARES SECTION 3 Declaring Corporation’s Land Holdings 3.1 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 a trust: PARCELS OWNED BY THE DECLARING CORPORATION: ACREAGE PARCEL NUMBER NAME OF REGISTERED OWNER* LOCATION ARABLE NON-ARABLE c t Current to: May 25, 2024 Page 31 FORMS Prince Edward Island Lands Protection Act Forms Regulations TOTAL Note: If land is owned jointly or as tenants in common, list the complete names of the registered owners. 3.2 List the following information for each parcel of land in the province LEASED IN by the Declaring Corporation. PARCELS LEASED IN BY THE DECLARING CORPORATION: LEASE LEASE EXPIRY ACREAGE LEASED IN PARCEL LEASED START DATE LOCATION NON- NUMBER FROM DATE M/D/Y ARABLE ARABLE M/D/Y TOTAL 3.3 List the following information for each parcel of land in the province LEASED OUT by the Declaring Corporation. PARCELS LEASED OUT BY THE DECLARING PERSON: LEASE LEASE EXPIRY ARABLE ACREAGE LEASED PARCEL LEASED START DATE OUT LOCATION NUMBER TO DATE M/D/Y M/D/Y TOTAL SECTION 4 Declaring Corporation – Individual Shareholders’ Land Holding 4.1 Complete Appendix 4.1 and 4.2 for EACH shareholder listed in 2.2 that is a person. List the following information for each applicable shareholder listed in 2.2 for ARABLE LAND: 1 2 3 4 NAME OF TOTAL ARABLE TOTAL ARABLE ACREAGE TOTAL ARABLE LAND SHAREHOLDER ACREAGE OWNED LEASED IN HOLDING (from Appendix 4.1) (from Appendix 4.2) (column 2+3) TOTAL 4.2 Complete Appendix 4.1 and 4.2 for EACH shareholder listed in 2.2 that is a person. List the following information for each applicable shareholder listed in 2.2 for NON-ARABLE LAND: 1 2 3 4 NAME OF TOTAL NON-ARABLE TOTAL NON-ARABLE TOTAL NON-ARABLE SHAREHOLDER ACREAGE OWNED ACREAGE LEASED IN LAND HOLDING (from Appendix 4.1) (from Appendix 4.2) (column 2+3) TOTAL Page 32 Current to: May 25, 2024 t c Prince Edward Island Lands Protection Act Forms Regulations FORMS 4.3 Complete Appendix 4.3 and list the following information for each applicable shareholder listed in 2.2 that is a person: 1 2 NAME OF SHAREHOLDER TOTAL ARABLE ACREAGE LEASED OUT (from Appendix 4.3) TOTAL APPENDIX 4.1 List the following information for each parcel of land in the province OWNED by each shareholder (person) listed in 2.2. (Complete a separate Appendix for each shareholder). Name of shareholder _____________________________________________________ PARCELS OWNED BY EACH SHAREHOLDER OF DECLARING CORPORATION: ACREAGE PARCEL NUMBER NAME OF REGISTERED OWNER* LOCATION ARABLE NON-ARABLE TOTAL *Note: If land is owned jointly or as tenants in common, list the complete names of the registered owners. APPENDIX 4.2 List the following information for each parcel of land in the province LEASED IN by each shareholder (person) listed in 2.2. (Complete a separate Appendix for each shareholder). Name of shareholder _____________________________________________________ PARCELS LEASED IN BY EACH SHAREHOLDER OF DECLARING CORPORATION: LEASE LEASE EXPIRY ACREAGE LEASED IN PARCEL LEASED START DATE LOCATION NON- NUMBER FROM DATE M/D/Y ARABLE ARABLE M/D/Y TOTAL APPENDIX 4.3 List the following information for each parcel of land in the province LEASED OUT by each shareholder (person) listed in 2.2 (Complete a separate Appendix for each shareholder). Name of shareholder _____________________________________________________ PARCELS LEASED OUT BY EACH SHAREHOLDER OF DECLARING CORPORATION: c t Current to: May 25, 2024 Page 33 FORMS Prince Edward Island Lands Protection Act Forms Regulations LEASE START LEASE EXPIRY ARABLE PARCEL LEASED TO LOCATION DATE DATE ACREAGE NUMBER M/D/Y M/D/Y LEASED OUT TOTAL SECTION 5 Declaring Corporation – Corporate Shareholders’ Land Holdings Answer the following question: YES or NO A. Are there any shareholders in 2.2 that are corporations? YES__ NO__ If you answered YES, complete the remainder of this section. If you have answered NO, proceed to section 6. NOTE: CORPORATE SHAREHOLDERS OF THE DECLARING CORPORATION THAT HOLD MORE THAN 50% OF THE SHARES OF THE DECLARING CORPORATION SHOULD NOT BE REPORTED IN THIS SECTION. THEY SHOULD BE INCLUDED IN SECTION 7.10. 5.1 For each corporation that holds more than 5% of the issued shares of the Declaring Corporation, list the following information: (Use a separate sheet for each corporation). Name of the Corporation: _____________________________________________________ Mailing Address: ____________________________________________________________ Place of incorporation: ________________ Date of incorporation: _____________________ Names and permanent addresses of all officers and directors: __________________________ 5.2 Complete Appendix 5.1, 5.2 and 5.3 for each corporation listed in 5.1. 5.3 List the following information for each corporation listed in 5.1 for ARABLE LAND: 1 2 3 4 NAME OF TOTAL ARABLE TOTAL ARABLE ACREAGE TOTAL ARABLE LAND CORPORATION ACREAGE OWNED LEASED IN HOLDING (from Appendix 5.1) (from Appendix 5.2) (column 2 + 3) TOTAL 5.4 List the following information for each corporation listed in 5.1 for NON-ARABLE LAND: 1 2 3 NAME OF TOTAL NON-ARABLE TOTAL NON- ARABLE TOTAL NON-ARABLE CORPORATION ACREAGE OWNED ACREAGE LEASED IN LAND HOLDING (from Appendix 5.1) (from Appendix 5.2) (column 2 + 3) TOTAL 5.5 List the following information for each corporation listed in 5.1 for LEASED LAND: 1 2 Page 34 Current to: May 25, 2024 t c Prince Edward Island Lands Protection Act Forms Regulations FORMS NAME OF CORPORATION TOTAL ARABLE ACREAGE LEASED OUT (from Appendix 5.3) TOTAL APPENDIX 5.1 List the following information for each parcel of land in the province OWNED by the corporation listed in 5.1: PARCELS OWNED BY CORPORATION: ACREAGE PARCEL NUMBER NAME OF REGISTERED OWNER* LOCATION ARABLE NON-ARABLE TOTAL *Note: If land is owned jointly or as tenants in common, list the complete names of the registered owners. APPENDIX 5.2 List the following information for each parcel of land in the province LEASED IN by the corporation listed in 5.1: PARCELS LEASED IN BY EACH CORPORATION: LEASE LEASE EXPIRY ACREAGE LEASED IN PARCEL LEASED START DATE LOCATION NON- NUMBER FROM DATE M/D/Y ARABLE ARABLE M/D/Y TOTAL APPENDIX 5.3 List the following information for each parcel of land in the province LEASED OUT by the corporation listed in 5.1: PARCELS LEASED OUT BY EACH CORPORATION: LEASE START LEASE EXPIRY ARABLE PARCEL LEASED TO LOCATION DATE DATE ACREAGE NUMBER M/D/Y M/D/Y LEASED OUT TOTAL SECTION 6 Other Corporations Answer the following question: YES or NO Does any of the shareholders of the Declaring Corporation – both corporate and individual – hold more than 5% of the issued shares in any other corporation? YES__ NO__ If you answered YES, complete the remainder of this section. If you have answered NO, proceed to section 6.7. c t Current to: May 25, 2024 Page 35 FORMS Prince Edward Island Lands Protection Act Forms Regulations 6.1 For each shareholder of the Declaring Corporation who holds more than 5% of the issued shares of any other corporation, list the following information (Use a separate sheet for each (shareholder): Name of shareholder:_________________________________________________________ For any shareholders that are corporations, list: Name of the Corporation: _____________________________________________________ Mailing Address: ____________________________________________________________ Place of incorporation: ________________ Date of incorporation: _____________________ Names and permanent addresses of all officers and directors: __________________________ 6.2 Complete Appendix 6.1, 6.2 and 6.3 for each corporation listed in 6.1. 6.3 List the following information for each shareholder named in 6.1: 1 2 3 4 5 6 NAME OF NAME OF ADDRESS TOTAL NUMBER OF NUMBER OF % OF SHAREHOLDER OTHER ISSUED SHARES OF ISSUED SHARES ISSUED (from 6.1) CORPORATION OTHER HELD BY SHARES CORPORATION SHAREHOLDER TOTAL 6.4 List the following information for each other corporation listed in 6.3: 1 2 3 4 5 6 NAME OF OTHER TOTAL TOTAL TOTAL % OF CONTRIBUTION TO CORPORATION ARABLE ARABLE ARABLE ISSUED TOTAL AGGREGATE ACREAGE ACREAGE LAND SHARES LAND HOLDING OWNED LEASED IN HOLDING (from 6.3, (column 4 x 5) (from Appendix (from (column 2 + 3) column 6) 6.1) Appendix 6.2) TOTAL 6.5 List the following information for each other corporation listed in 6.2: 1 2 3 4 5 6 NAME OF TOTAL NON- TOTAL NON- TOTAL NON- % OF CONTRIBUTION TO CORPORATION ARABLE ARABLE ARABLE ISSUED TOTAL AGGREGATE ACREAGE ACREAGE LAND SHARES LAND HOLDING OWNED LEASED IN (from HOLDING (from 6.3, (column 4 x 5) (from Appendix Appendix 6.2) (column 2 + 3) column 6) Page 36 Current to: May 25, 2024 t c Prince Edward Island Lands Protection Act Forms Regulations FORMS 6.1) TOTAL 6.6 List the following information for each corporation in 6.2: 1 2 NAME OF OTHER CORPORATION TOTAL ARABLE ACREAGE LEASED OUT (from Appendix 6.3) TOTAL Answer the following question: YES or NO Does the Declaring Corporation hold more than 5%, but not more than 50%, of the issued shares in any other corporation? YES__ NO__ If you answered YES, complete the remainder of this section. If you answered NO, proceed to section 7. 6.7 For each other corporation in which the Declaring Corporation holds more than 5%, but not more than 50%, of the issued shares, list the following information (Use a separate sheet for each corporation): Name of the Corporation: _____________________________________________________ Mailing Address: ____________________________________________________________ Place of incorporation: ________________ Date of incorporation: _____________________ Names and permanent addresses of all officers and directors: __________________________ 6.8 Complete Appendix 6.4, 6.5 and 6.6 for each corporation listed in 6.7. 6.9 List the following information for each shareholder named in 6.7: 1 2 3 4 5 6 NAME OF NAME OF ADDRESS TOTAL NUMBER NUMBER OF % OF SHAREHOLDER OTHER OF ISSUED SHARES ISSUED SHARES ISSUED (from 6.7) CORPORATION OF OTHER HELD BY SHARES CORPORATION SHAREHOLDER TOTAL 6.10 List the following information for each other corporation listed in 6.9: 1 2 3 4 5 6 NAME OF OTHER TOTAL TOTAL TOTAL % OF CONTRIBUTION TO CORPORATION ARABLE ARABLE ARABLE ISSUED TOTAL AGGREGATE ACREAGE ACREAGE LAND SHARES LAND HOLDING OWNED LEASED IN HOLDING (from 6.9, (column 4 x 5) (from Appendix (from (column 2 + 3) column 6) 6.4) Appendix 6.5) c t Current to: May 25, 2024 Page 37 FORMS Prince Edward Island Lands Protection Act Forms Regulations TOTAL 6.11 List the following information for each other corporation listed in 6.7: 1 2 3 4 5 6 NAME OF TOTAL NON- TOTAL NON- TOTAL NON- % OF CONTRIBUTION TO CORPORATION ARABLE ARABLE ARABLE ISSUED TOTAL AGGREGATE ACREAGE ACREAGE LAND SHARES LAND HOLDING OWNED LEASED IN HOLDING (from 6.9, (column 4 x 5) (from Appendix (from (column 2 + 3) column 6) 6.4) Appendix 6.5) TOTAL 6.12 List the following information for each corporation in 6.7: 1 2 NAME OF OTHER CORPORATION TOTAL ARABLE ACREAGE LEASED OUT (from Appendix 6.6) TOTAL APPENDIX 6.1 List the following information for each parcel of land in the province OWNED by each corporation listed to 6.2 (Complete a separate Appendix for each corporation). Name of corporation _____________________________________________________ PARCELS OWNED BY OTHER CORPORATION: ACREAGE PARCEL NUMBER NAME OF REGISTERED OWNER* LOCATION ARABLE NON-ARABLE TOTAL *Note: If land is owned jointly or as tenants in common, list the complete names of the registered owners. APPENDIX 6.2 List the following information for each parcel of land in the province LEASED IN by each corporation listed in 6.2 (Complete a separate Appendix for each corporation): Name of corporation _____________________________________________________ Page 38 Current to: May 25, 2024 t c Prince Edward Island Lands Protection Act Forms Regulations FORMS PARCELS LEASED IN BY OTHER CORPORATION: LEASE LEASE EXPIRY ACREAGE LEASED IN PARCEL LEASED START DATE LOCATION NON- NUMBER FROM DATE M/D/Y ARABLE ARABLE M/D/Y TOTAL APPENDIX 6.3 List the following information for each parcel of land in the province LEASED OUT by each corporation listed in 6.2 (Complete a separate Appendix for each corporation): Name of corporation _____________________________________________________ PARCELS LEASED OUT BY EACH CORPORATION: LEASE START LEASE EXPIRY ARABLE PARCEL LOCATION LEASED TO DATE DATE ACREAGE NUMBER M/D/Y M/D/Y LEASED OUT TOTAL APPENDIX 6.4 List the following information for each parcel of land in the province OWNED by each corporation listed to 6.7 (Complete a separate Appendix for each corporation): Name of corporation _____________________________________________________ PARCELS OWNED BY CORPORATION: ACREAGE PARCEL NUMBER NAME OF REGISTERED OWNER* LOCATION ARABLE NON-ARABLE TOTAL *Note: If land is owned jointly or as tenants in common, list the complete names of the registered owners. APPENDIX 6.5 List the following information for each parcel of land in the province LEASED IN by each corporation listed in 6.7 (Complete a separate Appendix for each corporation): Name of corporation _____________________________________________________ c t Current to: May 25, 2024 Page 39 FORMS Prince Edward Island Lands Protection Act Forms Regulations PARCELS LEASED IN BY OTHER CORPORATION: LEASE LEASE EXPIRY ACREAGE LEASED IN PARCEL LEASED START DATE LOCATION NON- NUMBER FROM DATE M/D/Y ARABLE ARABLE M/D/Y TOTAL APPENDIX 6.6 List the following information for each parcel of land in the province LEASED OUT by each corporation listed in 6.7 (Complete a separate Appendix for each corporation): Name of corporation _____________________________________________________ PARCELS LEASED OUT BY OTHER CORPORATION: LEASE LEASE EXPIRY ARABLE ACREAGE PARCEL LEASED START DATE LEASED OUT LOCATION NUMBER TO DATE M/D/Y M/D/Y TOTAL SECTION 7 Deemed Corporations (by issued shares) Answer the following question: YES or NO Does the Declaring Corporation hold more than 50% of the issued shares in any other corporation? YES__ NO__ If you answered YES, complete the remainder of this section. If you answered NO, proceed to the question immediately preceding section 7.10. 7.1 For each other corporation in which the Declaring Corporation holds more than 50% of the issued shares, list the following information (Use a separate sheet for each corporation): Name of the Corporation: _____________________________________________________ Mailing Address: ____________________________________________________________ Place of incorporation: ________________ Date of incorporation: _____________________ Names and permanent addresses of all officers and directors: __________________________ 7.2 Complete Appendix 7.1, 7.2 and 7.3 for each other corporation listed in 7.1. 7.3 List the following information for each other corporation listed in 7.1: Page 40 Current to: May 25, 2024 t c Prince Edward Island Lands Protection Act Forms Regulations FORMS 1 2 3 4 NAME OF OTHER TOTAL NUMBER TOTAL NUMBER OF ISSUED SHARES % OF ISSUED CORPORATION OF ISSUED SHARES HELD BY DECLARING CORPORATION SHARES HELD TOTAL 7.4 List the following information for each other corporation listed in 7.1 for arable land: 1 2 3 4 NAME OF OTHER TOTAL ARABLE TOTAL ARABLE TOTAL ARABLE LAND CORPORATION ACREAGE OWNED ACREAGE LEASED IN HOLDING (from Appendix 7.1) (from Appendix 7.2) (column 2 + 3) TOTAL 7.5 List the following information for each other corporation listed in 7.1 for non-arable land: 1 2 3 4 NAME OF OTHER TOTAL NON-ARABLE TOTAL NON-ARABLE TOTAL NON-ARABLE CORPORATION ACREAGE OWNED ACREAGE LEASED IN LAND HOLDING (from Appendix 7.1) (from Appendix 7.2) (column 2 + 3) 7.6 List the following information for each other corporation in 7.1 for leased land: 1 2 NAME OF OTHER CORPORATION TOTAL ARABLE ACREAGE LEASED OUT (from Appendix 7.3) TOTAL 7.7 List the following information for each shareholder holding more than 5% of the issued shares in each other corporation listed in 7.1. DO NOT REPORT LAND HOLDINGS THAT ARE REPORTED ELSEWHERE IN THIS FORM. (Complete a separate table for each corporation.) 1 2 3 4 NAME OF TOTAL ARABLE TOTAL ARABLE ACREAGE TOTAL ARABLE LAND SHAREHOLDER ACREAGE OWNED LEASED IN HOLDING (from Appendix 7.4) (from Appendix 7.5) (column 2 + 3) c t Current to: May 25, 2024 Page 41 FORMS Prince Edward Island Lands Protection Act Forms Regulations TOTAL 7.8 List the following information for each shareholder holding more than 5% of the issued shares in each other corporation listed in 7.1. DO NOT REPORT LAND HOLDINGS THAT ARE REPORTED ELSEWHERE IN THIS FORM. (Complete a separate table for each corporation.) 1 2 3 4 NAME OF OTHER TOTAL NON-ARABLE TOTAL NON-ARABLE TOTAL NON-ARABLE SHAREHOLDER ACREAGE OWNED ACREAGE LEASED IN LAND HOLDING (from Appendix 7.4) (from Appendix 7.5) (column 2 + 3) TOTAL 7.9 List the following information for each shareholder holding more than 5% of the issued shares in each other corporation listed in 7.1. DO NOT REPORT LAND HOLDINGS THAT ARE REPORTED ELSEWHERE IN THIS FORM. (Complete a separate table for each corporation.) 1 2 NAME OF SHAREHOLDER TOTAL ARABLE ACREAGE LEASED OUT (from Appendix 7.6) TOTAL Answer the following question: YES or NO Is there another corporation that holds more than 50% of the issued shares in the Declaring Corporation? YES__ NO__ If you answered YES, complete the remainder of this section. If you answered NO, proceed to section 8. 7.10 For each other corporation holding more than 50% of the issued shares of the Declaring Corporation, list the following information (Use a separate sheet for each corporation): Name of the Corporation: _____________________________________________________ Mailing Address: ____________________________________________________________ Place of incorporation: ________________ Date of incorporation: _____________________ Names and permanent addresses of all officers and directors: __________________________ 7.11 Complete Appendix 7.7, 7.8 and 7.9 for each other corporation listed in 7.10. 7.12 List the following information for each other corporation listed in 7.10: 1 2 3 4 NAME OF OTHER TOTAL NUMBER TOTAL NUMBER OF ISSUED SHARES % OF ISSUED CORPORATION OF ISSUED SHARES HELD BY DECLARING CORPORATION SHARES HELD TOTAL Page 42 Current to: May 25, 2024 t c Prince Edward Island Lands Protection Act Forms Regulations FORMS 7.13 List the following information for each other corporation listed in 7.10 for arable land: 1 2 3 4 NAME OF OTHER TOTAL ARABLE TOTAL ARABLE TOTAL ARABLE LAND CORPORATION ACREAGE OWNED ACREAGE LEASED IN HOLDING (from Appendix 7.7) (from Appendix 7.8) (column 2 + 3) TOTAL 7.14 List the following information for each other corporation listed in 7.10 for non-arable land: 1 2 3 4 NAME OF OTHER TOTAL NON-ARABLE TOTAL NON-ARABLE TOTAL NON-ARABLE CORPORATION ACREAGE OWNED ACREAGE LEASED IN LAND HOLDING (from Appendix 7.7) (from Appendix 7.8) (column 2 + 3) TOTAL 7.15 List the following information for each other corporation in 7.10 for leased land: 1 2 NAME OF OTHER CORPORATION TOTAL ARABLE ACREAGE LEASED OUT (from Appendix 7.9) TOTAL 7.16 List the following information for each shareholder holding more than 5% of the issued shares in each other corporation listed in 7.10. DO NOT REPORT LAND HOLDINGS THAT ARE REPORTED ELSEWHERE IN THIS FORM. (Complete a separate table for each corporation.) 1 2 3 4 NAME OF TOTAL ARABLE TOTAL ARABLE ACREAGE TOTAL ARABLE LAND SHAREHOLDER ACREAGE OWNED LEASED IN HOLDING (from Appendix 7.10) (from Appendix 7.11) (column 2 + 3) TOTAL 7.17 List the following information for each shareholder holding more than 5% of the issued shares in each other corporation listed in 7.10. DO NOT REPORT LAND HOLDINGS THAT ARE REPORTED ELSEWHERE IN THIS FORM. (Complete a separate table for each corporation.) 1 2 3 4 NAME OF OTHER TOTAL NON-ARABLE TOTAL NON-ARABLE TOTAL NON-ARABLE SHAREHOLDER ACREAGE OWNED ACREAGE LEASED IN LAND HOLDING (from Appendix 7.10) (from Appendix 7.11) (column 2 + 3) c t Current to: May 25, 2024 Page 43 FORMS Prince Edward Island Lands Protection Act Forms Regulations TOTAL 7.18 List the following information for each shareholder holding more than 5% of the issued shares in each other corporation listed in 7.10. DO NOT REPORT LAND HOLDINGS THAT ARE REPORTED ELSEWHERE IN THIS FORM. (Complete a separate table for each corporation.) 1 2 NAME OF SHAREHOLDER TOTAL ARABLE ACREAGE LEASED OUT (from Appendix 7.12) TOTAL APPENDIX 7.1 List the following information for each parcel of land in the province OWNED by the corporation listed in 7.1 PARCELS OWNED BY DEEMED CORPORATION: ACREAGE PARCEL NUMBER NAME OF REGISTERED OWNER* LOCATION ARABLE NON-ARABLE TOTAL *Note: If land is owned jointly or as tenants in common, list the complete names of the registered owners. APPENDIX 7.2 List the following information for each parcel of land in the province LEASED IN by the corporation listed in 7.1: PARCELS LEASED IN BY DEEMED CORPORATION: LEASE LEASE EXPIRY ACREAGE LEASED IN PARCEL LEASED START DATE LOCATION NON- NUMBER FROM DATE M/D/Y ARABLE ARABLE M/D/Y TOTAL APPENDIX 7.3 List the following information for each parcel of land in the province LEASED OUT by the corporation listed in 7.1: PARCELS LEASED OUT BY DEEMED CORPORATION: Page 44 Current to: May 25, 2024 t c Prince Edward Island Lands Protection Act Forms Regulations FORMS LEASE LEASE EXPIRY ARABLE ACREAGE PARCEL LEASED START DATE LEASED OUT LOCATION NUMBER TO DATE M/D/Y M/D/Y TOTAL APPENDIX 7.4 List the following information for each parcel of land in the province OWNED by each shareholder listed in 7.8 (Complete a separate Appendix for each shareholder):

Name of shareholder _____________________________________________________ PARCELS OWNED BY EACH SHAREHOLDER OF DEEMED CORPORATION: ACREAGE PARCEL NUMBER NAME OF REGISTERED OWNER* LOCATION ARABLE NON-ARABLE TOTAL *Note: If land is owned jointly or as tenants in common, list the complete names of the registered owners. APPENDIX 7.5 List the following information for each parcel of land in the province LEASED IN by each shareholder listed in 7.8 (Complete a separate Appendix for each corporation): Name of shareholder _____________________________________________________ PARCELS LEASED IN BY EACH SHAREHOLDER OF DEEMED CORPORATION: LEASE LEASE EXPIRY ACREAGE LEASED IN PARCEL LEASED START DATE LOCATION NON- NUMBER FROM DATE M/D/Y ARABLE ARABLE M/D/Y TOTAL APPENDIX 7.6 List the following information for each parcel of land in the province LEASED OUT by each shareholder listed in 7.8 (Complete a separate Appendix for each corporation): Name of shareholder _____________________________________________________ c t Current to: May 25, 2024 Page 45 FORMS Prince Edward Island Lands Protection Act Forms Regulations PARCELS LEASED OUT BY EACH SHAREHOLDER OF DEEMED CORPORATION: LEASE LEASE EXPIRY ARABLE ACREAGE PARCEL LEASED START DATE LEASED OUT LOCATION NUMBER TO DATE M/D/Y M/D/Y TOTAL APPENDIX 7.7 List the following information for each parcel of land in the province OWNED by the corporation listed in 7.10: PARCELS OWNED BY DEEMED CORPORATION: ACREAGE PARCEL NUMBER NAME OF REGISTERED OWNER* LOCATION ARABLE NON-ARABLE TOTAL *Note: If land is owned jointly or as tenants in common, list the complete names of the registered owners. APPENDIX 7.8 List the following information for each parcel of land in the province LEASED IN by the corporation listed in 7.10: PARCELS LEASED IN BY DEEMED CORPORATION: LEASE LEASE EXPIRY ACREAGE LEASED IN PARCEL LEASED START DATE LOCATION NON- NUMBER FROM DATE M/D/Y ARABLE ARABLE M/D/Y TOTAL APPENDIX 7.9 List the following information for each parcel of land in the province LEASED OUT by the corporation listed in 7.10: PARCELS LEASED OUT BY DEEMED CORPORATION: LEASE LEASE EXPIRY ARABLE ACREAGE PARCEL LEASED START DATE LEASED OUT LOCATION NUMBER TO DATE M/D/Y M/D/Y TOTAL APPENDIX 7.10 List the following information for each parcel of land in the province OWNED by each shareholder listed in 7.10 (Complete a separate Appendix for each shareholder): Page 46 Current to: May 25, 2024 t c Prince Edward Island Lands Protection Act Forms Regulations FORMS Name of shareholder _____________________________________________________ PARCELS OWNED BY EACH SHAREHOLDER OF DEEMED CORPORATION: ACREAGE PARCEL NUMBER NAME OF REGISTERED OWNER* LOCATION ARABLE NON-ARABLE TOTAL *Note: If land is owned jointly or as tenants in common, list the complete names of the registered owners. APPENDIX 7.11 List the following information for each parcel of land in the province LEASED IN by each shareholder listed in 7.10: Name of shareholder _____________________________________________________ PARCELS LEASED IN BY EACH SHAREHOLDER OF DEEMED CORPORATION: LEASE LEASE EXPIRY ACREAGE LEASED IN PARCEL LEASED START DATE LOCATION NON- NUMBER FROM DATE M/D/Y ARABLE ARABLE M/D/Y TOTAL APPENDIX 7.12 List the following information for each parcel of land in the province LEASED OUT by each shareholder listed in 7.10: Name of shareholder _____________________________________________________ PARCELS LEASED OUT BY EACH SHAREHOLDER OF DEEMED CORPORATION: LEASE LEASE EXPIRY ARABLE ACREAGE PARCEL LEASED START DATE LEASED OUT LOCATION NUMBER TO DATE M/D/Y M/D/Y TOTAL SECTION 8 Trusts Answer the following question: YES or NO Is the Declaring Corporation or any of its shareholders a trustee or beneficiary in a trust that has an aggregate land holding? YES__ NO__ If you answered YES, complete the remainder of this section. If you answered NO, proceed to section 9. 8.1 List the following information if the Declaring Corporation or any of its shareholders is involved in a trust, either as a trustee or beneficiary, which owns land in the province (Use a separate sheet for each trust): Name of Trust: _____________________________________________________ Address: ____________________________________________________________ Names and permanent addresses of all trustees and beneficiaries of the trust: ___________________________________________________________________________ c t Current to: May 25, 2024 Page 47 FORMS Prince Edward Island Lands Protection Act Forms Regulations 8.2 List the following information for each trust listed in 8.1 1 2 3 4 NAME OF TRUST TOTAL ARABLE ACREAGE TOTAL ARABLE ACREAGE TOTAL ARABLE LAND OWNED LEASED IN HOLDING (from question 1, Appendix 8) (from question 2, Appendix 8) (column 2 + 3) TOTAL 8.3 List the following information for each trust listed in 8.1 1 2 3 4 NAME OF TRUST TOTAL NON-ARABLE TOTAL NON-ARABLE TOTAL NON-ARABLE ACREAGE OWNED ACREAGE LEASED IN LAND HOLDING (from question 1, Appendix 8) (from question 2, Appendix 8) (column 2 + 3) TOTAL 8.4 List the following information for each trust listed in 8.1 1 2 NAME OF TRUST TOTAL ARABLE ACREAGE LEASED OUT (from question 3, Appendix 8) TOTAL APPENDIX 8 Instructions: Complete questions 1 – 3 below for each trust that is listed in response to question 8.1 of your Declaration. You will use the totals calculated in the below tables to complete questions 8.2 to 8.4 of your Declaration. Attach the completed Appendix to your Declaration. Name of Trust ___________________________________________________________ 1. List the following information for each parcel of land in the province OWNED by the trust: PARCELS OWNED BY THE TRUST: ACREAGE PARCEL NUMBER NAME OF REGISTERED OWNER* LOCATION ARABLE NON-ARABLE TOTAL *Note: If land is owned jointly or as tenants in common, list the complete names of the registered owners. Page 48 Current to: May 25, 2024 t c Prince Edward Island Lands Protection Act Forms Regulations FORMS 2. List the following information for each parcel of land in the province LEASED IN by the trust: PARCELS LEASED IN BY THE TRUST: LEASE LEASE EXPIRY ACREAGE LEASED IN PARCEL LEASED START DATE LOCATION NON- NUMBER FROM DATE M/D/Y ARABLE ARABLE M/D/Y TOTAL 3. List the following information for each parcel of land in the province LEASED OUT by the trust: PARCELS LEASED OUT BY THE TRUST: LEASE LEASE EXPIRY ARABLE ACREAGE PARCEL LEASED START DATE LEASED OUT LOCATION NUMBER TO DATE M/D/Y M/D/Y TOTAL SECTION 9 Other Corporations – Direct or Indirect Control Answer the following questions: YES or NO A. Other than the corporations listed in the preceding sections, does the Declaring Corporation, including any deemed corporation, or any of their shareholders, have direct or indirect influence over any other corporation that, if exercised, would result in control in fact of that corporation? YES ___ NO ___ B. Other than the corporations listed in the preceding sections, does the Declaring Corporation, including any deemed corporation, or any of their shareholders, have a prescribed interest, right or ability in relation to any other corporation, or a prescribed criterion or set of circumstances applies to the Declaration Corporation, including any deemed corporation, or any of their shareholders? YES ___ NO ___ If you answered YES to any of these, complete the remainder of this section. 9.1 List the following information for any corporation to which A and/or B applies (Use a separate sheet for each corporation): Name of the Corporation: _____________________________________________________ Mailing Address: ____________________________________________________________ Place of incorporation: _______________ Date of incorporation: ______________________ Names and permanent addresses of all officers and directors: __________________________ ___________________________________________________________________________ Nature of the direct or indirect control: _________________________________________ ___________________________________________________________________________ SECTION 10 Declaration c t Current to: May 25, 2024 Page 49 FORMS Prince Edward Island Lands Protection Act Forms Regulations This form has been completed pursuant to section 10 of the Prince Edward Island Lands Protection Act. The maximum aggregate land holding for the Declaring Corporation for the calendar year _____________ was __________ acres held on mm/dd/yyyy _____/_____/_______. I hereby certify that the information herein, and attached hereto, is true and correct in all respects for the reporting year listed above. 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 Date of the Declaring Corporation Date ____________________________ ________________________ Print Name of Signatory Title If you wish to direct any further inquiries relating to this declaration to a contact person, please provide contact particulars of the contact person. Name ___________________________________________________ Mailing Address __________________________________________ Province _____________ Postal Code _________________________ Telephone _______________________________________________ Email ___________________________________________________ NOTICE: Section 15 of the Act provides that: Any person or corporation who provides false or misleading information when required to provide information under this Act is guilty of an offence and liable on summary conviction to a fine in an amount not to exceed $250,000. (EC191/22) FORM 6C & FORM 6D (Revoked by EC191/22) FORM 7A &FORM 7B (Revoked by EC191/22) 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 ________________________________________________________________________ Page 50 Current to: May 25, 2024 t c Prince Edward Island Lands Protection Act Forms Regulations FORMS 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 in the province in which the applicant and the applicant’s minor children hold an interest, including land held by way of lease. (Attach separate sheet if necessary): ___________________________________________________________________________ 8. (a) For any corporation owning or leasing land within the province in which the applicant or the applicant’s minor children hold more than 5% of the shares as defined in section 1(1)(l) of the Act, provide on a separate sheet and attach: (i) the name and permanent address of the corporation, (ii) the total number of shares issued by the corporation, (iii) the total number of shares held by the applicant and the applicant’s minor children, and (iv) the parcel number, arable land acreage and non-arable land acreage of each parcel of land in the province now owned, leased in or leased out by the corporation; (b) For any corporation owning or leasing land within the province in which the applicant or the applicant’s minor children hold any of the interests as outlined in section 9.1(2) of the Act, provide on a separate sheet and attach: (i) the name and permanent address of the corporation, (ii) the nature of the interests or rights, (iii) the names and addresses of the persons, corporations, groups, or other organizations, if applicable, sharing the interests or rights referred to in clause (b), and (iv) the parcel number, arable land acreage and non-arable land acreage of each parcel of land 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 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 shares (as defined in section 1(1)(l) of the Act) 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 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) 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 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; (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 land1 in the province now owned, leased in or leased out. 10. Are there any other persons or corporations not identified in Question 9 that have direct or indirect control of the applicant corporation in accordance with section 9.1 of the Act? If so, provide: c t Current to: May 25, 2024 Page 51 FORMS Prince Edward Island Lands Protection Act Forms Regulations (a) the name and permanent address of the persons and/or corporations; (b) the nature of the direct or indirect control for each of those listed in clause (a); (c) for each of those named in clause (a), 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 of those named, (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 over which each of those named has direct or indirect control in accordance with section 9.1 of the Act, (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 any other corporation in which each of those named owns more than 5% of the shares, total number of shares issued by that corporation and number of shares held by that shareholder; (d) if the applicant corporation has direct or indirect control of any other corporation(s) in accordance with s. 9.1 of the Act, provide the following for each corporation: (i) the name and permanent address of the corporation, (ii) the nature of the direct or indirect control, (iii) the names and addresses of the persons, corporations, groups, or other organizations, if applicable, sharing the interests or rights referred to in clause (b), and (iv) 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 corporation. 11. Is each of the shareholders listed in 9(d) and (f)(ii) a “resident person” as defined by subsection 1(1.01) of the Act? _____ If not, a Form 1 application may be required, pursuant to section 4 of the Act, and application fee (when applicable) for any shareholder who is not a resident person. 12. If any shareholder is a trust, provide on a separate sheet and attach: (a) the names and land holdings, including parcel numbers and acreages of the trustee(s) of the trust; (b) if the trust is non-discretionary, the names and land holdings, including parcel numbers and acreages, of the beneficiaries of the trust; or (c) if the trust is discretionary, file (i) a copy of the trust agreement, (ii) an affidavit with an attached copy of the sections of the trust agreement that grants the discretion to the trustee(s), or (iii) a legal opinion signed by a solicitor licensed to practice law in Prince Edward Island confirming the trust is discretionary. FOR APPLICANT PERSONS AND CORPORATIONS: 13. State any other circumstances that are relevant: __________________________________ _________________________________________________________________________ DECLARATION 14. I hereby certify that this application is complete and that the information herein, and attached hereto, is true and correct in all respects. I further certify that I am authorized to sign this application. 15. 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 ____________________________________ ______________________________________ Title – Indicate if acting as attorney Email Address ___________________________________ Telephone Refer to the Prince Edward Island Lands Protection Act Fees Regulations or contact the Prince Edward Island Regulatory and Appeals Page 52 Current to: May 25, 2024 t c Prince Edward Island Lands Protection Act Forms Regulations FORMS Commission to determine if a fee is applicable. If applicable, please attach a cheque made payable to the Prince Edward Island Regulatory and Appeals Commission. RETURN COMPLETED FORM TO: The Prince Edward 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 in PEI and NS) 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. Personal information on this form is collected under the authority of the Island Regulatory and Appeals Commission Act and will be used by the Commission in the administration of the Prince Edward Island Lands Protection Act. All information collected is included in the Commission case file and, in accordance with the Freedom of Information and Protection of Privacy Act, some of the information collected herein may be available to the public subject to exceptions. For additional information, contact the Commission at (902)892- 3501 or by email at info@irac.pe.ca. 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. 1988, Cap P-8. (EC561/17; 191/22) 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: LEASED LAND (1) (2) (3) (4) (5) (6) PARCEL LOCATION LEASED LEASE LEASE ACRES c t Current to: May 25, 2024 Page 53 FORMS Prince Edward Island Lands Protection Act Forms Regulations # FROM START END DATE ARABLE NON-ARABLE DATE M/D/Y M/D/Y SUBTOTAL TOTAL Sign the appropriate declaration below: Declaration – Corporation Declaration – Non-Resident Person I hereby certify that the information herein, and attached I hereby certify that the information herein, and hereto, is true and correct in all respects for the reporting attached hereto, is true and correct in all respects calendar year ………………….. 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 ** This form must be signed by the Declaring officer of the Lessee Corporation. Lessee. …………………………………………………………………. ………………………………………………………… Name of Signatory (Please Print): Name (Please Print) Title: …………………………………………………………… FORM 9 APPLICATION BY OR ON BEHALF OF A COOPERATIVE VENTURE PURSUANT TO SUBSECTION 1.1(3) OF THE 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: ________________________________________________________________________ ________________________________________________________________________ Page 54 Current to: May 25, 2024 t c Prince Edward Island Lands Protection Act Forms Regulations FORMS 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): Property Number Owned or Acreage Community Township County Leased/Being Name Acquired 7. 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. For the applicant corporation, list on a separate sheet: (a) the names and permanent address of officers and directors of the corporation; (b) total number of shares issued by the applicant corporation; (c) the names and addresses of ALL corporations and persons who hold shares in the applicant corporation and number of shares held by each; (d) for the shareholders listed in subsection (c) who hold more than 5% of the shares in the applicant corporation, list: (i) the parcel number and acreage of each parcel of land1 in the province now owned or leased in by each shareholder (including holdings of minor children), and (ii) the parcel number and acreage of the land holding of any other corporation in which each shareholder owns more than 5% of the shares, the total number of shares issued by that corporation and number of shares owned by that shareholder; (e) if the applicant corporation owns more than 5% of the shares in any other corporation(s), list the following for each corporation: (i) the percentage of shares owned by the applicant corporation, (ii) the parcel numbers and acreages of each parcel of land owned or leased; (f) if the applicant corporation or any other corporation listed above have direct or indirect control of any other corporation(s) in accordance with s. 9.1 of the Act, provide the following for each corporation: (i) the name and permanent address of the corporation, (ii) the nature of the direct or indirect control; (iii) the names and addresses of the persons, corporations, groups, or other organizations, if applicable, sharing the interests or rights referred to in clause (b), and (iv) the parcel number, arable land acreage and non-arable land acreage of each parcel of land in the province now owned, leased in or leased out by each corporation. 11. Indicate any other circumstances that are relevant: _____________________________ ___________________________________________________________________________ 12. I hereby certify that the information contained in this application and the attachments is true and correct in all respects. ______________________________________ ____________________ Signature of applicant or attorney Date ___________________________________ _______________________________________ Name of signatory (please print) Address ___________________________________ ______________________________________ Title – Indicate if acting as attorney Email Address ___________________________________ c t Current to: May 25, 2024 Page 55 FORMS Prince Edward Island Lands Protection Act Forms Regulations Telephone ATTACH: (a) a legal description of the parcel(s) to be acquired; (b) a GeoLinc map showing the parcel(s) to be acquired outlined in red; and (c) a cheque made payable to the Prince Edward Island Regulatory and Appeals Commission when applicable. Refer to the Fees Regulations or contact the Prince Edward Island Regulatory and Appeals Commission to determine the applicable fee. NOTICE: Section 15 of the Act provides that: A person or corporation who provides false or misleading information when required to provide information under this Act is guilty of an offence and liable on summary conviction to a fine in an amount not to exceed $250,000. RETURN COMPLETED FORM TO: The Prince Edward Island Regulatory and 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 in PEI and NS) Fax: (902) 566-4076 Website: www.irac.pe.ca Personal information on this form is collected under the authority of the Island Regulatory and Appeals Commission Act and will be used by the Commission in the administration of the Prince Edward Island Lands Protection Act. All information collected is included in the Commission case file and, in accordance with the Freedom of Information and Protection of Privacy Act, some of the information collected herein may be available to the public subject to exceptions. For additional information, contact the Commission at (902) 892- 3501 or by email at info@irac.pe.ca. 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. 1988, Cap P-8. (EC191/22) FORM 10A AGGREGATE LAND HOLDING DECLARATION FOR A PERSON PURSUANT TO SUBSECTION 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 Prince Edward 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 only declare the changes to the particulars provided in the original declaration. Enclosed is your summary disclosure report that summarizes your last Page 56 Current to: May 25, 2024 t c Prince Edward Island Lands Protection Act Forms Regulations FORMS year’s filing. If there are no changes to report since last year’s reporting date, complete Section A below. To report any changes since last year’s reporting date, complete the attached summary disclosure report and part B below. Declaration Section A – No Changes to Report I, ____________________________________, hereby declare that I have no changes to report pursuant to section 11(2) of the Act. I hereby certify that the information contained in my summary disclosure report is true and correct in all respects for the current 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. My maximum aggregate land holding in the calendar year _____________ was __________ acres held on mm/dd/yyyy _____/_____/_______ __________________________________ ____________________ Signature of Declaring Person Date Name: ________________________________________ Address: ________________________________________ _________________________________________ Telephone: ______________________________________ Email: _________________________________________ - or - Section B – Changes to Report I, ____________________________________, hereby declare that I have reviewed the summary disclosure report provided by the Commission. Attached hereto is the summary disclosure report, reflecting all changes in my aggregate land holding since my previous reporting date. I hereby certify that the information herein, and attached hereto, is true and correct in all respects for the current 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. My maximum aggregate land holding in the calendar year _____________ was __________ acres held on mm/dd/yyyy _____/_____/_______. _________________________________ ______________________ Signature of 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 (EC191/22) FORM 10B AGGREGATE LAND HOLDING DECLARATION FOR A CORPORATION PURSUANT TO SUBSECTION 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 c t Current to: May 25, 2024 Page 57 FORMS Prince Edward Island Lands Protection Act Forms Regulations holding of more than 2,250 acres shall, not later than December 31 of each year, file an aggregate land holding declaration with the Prince Edward 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 only declare the changes to the particulars provided in the original declaration. Enclosed is the corporation’s summary disclosure report that summarizes last year’s filing. If there are no changes to report since last year’s reporting date, complete Section A below. To report any changes since last year’s reporting date, complete the attached summary disclosure report and part B below. Declaration Section A – No Changes to Report I__________________________________________ _____________________ (Name of person making declaration) (Title) ___________________________________________________________________ (Name of declaring corporation – the “Corporation”) hereby declare that the Corporation has no changes to report pursuant to section 11(2) of the Act. I hereby certify that the information contained in my summary disclosure report is true and correct in all respects for the current 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. The Corporation’s maximum aggregate land holding in the calendar year _____________ was __________ acres held on mm/dd/yyyy _____/_____/_______ I hereby certify that I am duly authorized by the Corporation to make his declaration. ________________________________ _______________________ Signature on behalf of declaring corporation Date *This form must be signed by an authorized signing officer of the declaring Corporation Name: _________________________________________ Address: ________________________________________ ________________________________________ Telephone: ______________________________________ Email: __________________________________________ - or - Section B –Changes to Report I__________________________________________ _____________________ (Name of person making declaration) (Title) ___________________________________________________________________ (Name of declaring corporation – the “Corporation”) hereby declare that the Corporation has reviewed the summary disclosure report provided by the Commission. Attached hereto is the corporation’s completed summary disclosure report, reflecting all changes in the aggregate land holding of the Corporation since its previous reporting date. I hereby certify that the information contained in the summary disclosure report is true and correct in all respects for the current 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. I hereby certify that I am duly authorized by the Corporation to make this declaration. The Corporation’s maximum aggregate land holding in the calendar year _____________ was __________ acres held on Page 58 Current to: May 25, 2024 t c Prince Edward Island Lands Protection Act Forms Regulations FORMS mm/dd/yyyy _____/_____/_______. _______________________________ ________________________ Signature on behalf of 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. (EC647/09; 745/14; 451/16; 191/22) c t Current to: May 25, 2024 Page 59