0001193125-19-095778.txt : 20190402 0001193125-19-095778.hdr.sgml : 20190402 20190402172702 ACCESSION NUMBER: 0001193125-19-095778 CONFORMED SUBMISSION TYPE: F-X PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20190402 EFFECTIVENESS DATE: 20190402 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: Savary Gold Corp. CENTRAL INDEX KEY: 0001601603 IRS NUMBER: 000000000 STATE OF INCORPORATION: A6 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: F-X SEC ACT: 1933 Act SEC FILE NUMBER: 005-90972 FILM NUMBER: 19726530 BUSINESS ADDRESS: STREET 1: 65 QUEEN STREET WEST, SUITE 815 CITY: TORONTO STATE: A6 ZIP: M5H 2M5 BUSINESS PHONE: 416-309-2134 MAIL ADDRESS: STREET 1: 65 QUEEN STREET WEST, SUITE 815 CITY: TORONTO STATE: A6 ZIP: M5H 2M5 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: SEMAFO INC CENTRAL INDEX KEY: 0001278653 IRS NUMBER: 000000000 STATE OF INCORPORATION: A8 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: F-X BUSINESS ADDRESS: STREET 1: 100 ALEXIS-NIHON BOULEVARD STREET 2: 7TH FLOOR CITY: SAINT LAURENT STATE: A8 ZIP: H4M 2P3 BUSINESS PHONE: 514-744-4408 MAIL ADDRESS: STREET 1: 100 ALEXIS-NIHON BOULEVARD STREET 2: 7TH FLOOR CITY: SAINT LAURENT STATE: A8 ZIP: H4M 2P3 F-X 1 d686246dfx.htm F-X F-X

 

 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

 

FORM F-X

 

 

APPOINTMENT OF AGENT FOR SERVICE

OF PROCESS AND UNDERTAKING

 

 

 

A.

  

Name of issuer or person filing

(“Filer”):

   Semafo Inc.

B.

   (1)  

This is [check one]

    

an original filing for the Filer

    

an amended filing for the Filer

   (2)  

Check the following box if you are filing the Form F-X in paper in accordance with Regulation S-T Rule 101(b)(9)  ☐

C.

   Identify the filing in conjunction with which this Form is being filed:
   Name of registrant:    Semafo Inc.
   Form type:    Form CB
   File Number (if known):   
   Filed by:    Semafo Inc.
   Dated Filed:    April 2, 2019

D.

  

The Filer is incorporated or organized under the laws of Quebec, Canada and has its principal place of business at:

 

100, Alexis-Nihon Boulevard, 7th Floor,

Saint-Laurent, Quebec,

H4M 2P3,

telephone number (514) 744-4408.

E.

  

The Filer designates and appoints C T Corporation System (“Agent”) located at

 

28 Liberty Street

New York, New York 10005;

telephone (212) 894-8940,

 

as the agent of the Filer upon whom may be served any process, pleadings, subpoenas, or other papers in

 

(a) any investigation or administrative proceeding conducted by the Commission; and

 

(b) any civil suit or action brought against the Filer or to which the Filer has been joined as defendant or respondent, in any appropriate court in any place subject to the jurisdiction of any state or of the United States or of any of its territories or possessions or of the District of Columbia, where the investigation, proceeding or cause of action arises out of or relates to or concerns any offering made or purported to be made in connection with the securities registered or qualified by the Filer on Form CB on April 2, 2019 or any purchase or sales of any security in connection therewith. The Filer stipulates an agrees that any such civil suit or action or administrative proceeding may be commenced by the service of process upon, and that service of an administrative subpoena shall be effected by service upon such agent for service of process, and that service as aforesaid shall be taken and held in all courts and administrative tribunals to be valid and binding as if personal service thereof had been made.

F.

  

The Filer stipulates and agrees to appoint a successor agent for service of process and file an amended Form F-X if the Filer discharges the Agent or the Agent is unwilling or unable to accept service on behalf of the Filer at any time until six years have elapsed following the effective date of the latest amendment to the Form CB.

The Filer further undertakes to advise the Commission promptly of any change to the Agent’s name or address during the applicable period by amendment of this form, referencing the file number of the relevant form in conjunction with which the amendment is being filed.

G.

   The Filer undertakes to make available, in person or by telephone, representatives to respond to inquiries made by the Commission staff, and to furnish promptly, when requested to do so by the Commission staff, information relating to: the Form CB; the securities to which the Form CB relates; and the transactions in such securities.


SIGNATURES

The Filer certifies that it has duly caused this power of attorney, consent, stipulation and agreement to be signed on its behalf by the undersigned, thereunto duly authorized, in the City of Montreal, Province of Quebec, and Country of Canada this 2nd day of April, 2019.

 

SEMAFO INC.
By:  

/s/ Eric Paul-Hus

Name:   Eric Paul-Hus
Title:   Vice-President, Law, Chief Compliance Officer and Corporate Secretary


This statement has been signed by the following persons in the capacities and on the dates indicated.

 

C T CORPORATION SYSTEM

By:  

/s/ Olga Hinkel

Name:   Olga Hinkel
Title:   Vice President
Date:   April 2, 2019