0001104659-24-077700.txt : 20240703 0001104659-24-077700.hdr.sgml : 20240703 20240703134714 ACCESSION NUMBER: 0001104659-24-077700 CONFORMED SUBMISSION TYPE: F-X/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20240703 DATE AS OF CHANGE: 20240703 EFFECTIVENESS DATE: 20240703 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: FORTUNA MINING CORP. CENTRAL INDEX KEY: 0001341335 STANDARD INDUSTRIAL CLASSIFICATION: GOLD & SILVER ORES [1040] ORGANIZATION NAME: 01 Energy & Transportation IRS NUMBER: 000000000 STATE OF INCORPORATION: A1 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: F-X/A SEC ACT: 1933 Act SEC FILE NUMBER: 001-35297 FILM NUMBER: 241099365 BUSINESS ADDRESS: STREET 1: 200 BURRARD ST STREET 2: SUITE 650 CITY: VANCOUVER STATE: A1 ZIP: V6C 3L6 BUSINESS PHONE: 604-484-4085 MAIL ADDRESS: STREET 1: 200 BURRARD ST STREET 2: SUITE 650 CITY: VANCOUVER STATE: A1 ZIP: V6C 3L6 FORMER COMPANY: FORMER CONFORMED NAME: FORTUNA SILVER MINES INC DATE OF NAME CHANGE: 20051013 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: FORTUNA MINING CORP. CENTRAL INDEX KEY: 0001341335 STANDARD INDUSTRIAL CLASSIFICATION: GOLD & SILVER ORES [1040] ORGANIZATION NAME: 01 Energy & Transportation IRS NUMBER: 000000000 STATE OF INCORPORATION: A1 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: F-X/A BUSINESS ADDRESS: STREET 1: 200 BURRARD ST STREET 2: SUITE 650 CITY: VANCOUVER STATE: A1 ZIP: V6C 3L6 BUSINESS PHONE: 604-484-4085 MAIL ADDRESS: STREET 1: 200 BURRARD ST STREET 2: SUITE 650 CITY: VANCOUVER STATE: A1 ZIP: V6C 3L6 FORMER COMPANY: FORMER CONFORMED NAME: FORTUNA SILVER MINES INC DATE OF NAME CHANGE: 20051013 F-X/A 1 tm2418885d1_fxa.htm FORM F-X/A

 

 

 

UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

 

FORM F-X/A

 


APPOINTMENT OF AGENT FOR SERVICE
OF PROCESS AND UNDERTAKING


 

EXPLANATORY NOTE

 

The Registrant is filing this Amendment to Form F-X to report a change in the U.S. Agent for Service of Process previously appointed by the Registrant in connection with the Registration Statement on Form 40-F (the "Form 40-F") filed by the Registrant with the Commission on September 13, 2011. The Registrant hereby amends the Form F-X initially filed by the Registrant contemporaneously with the Form 40-F.

 


 

A.Name of issuer or person filing (“Filer”): FORTUNA MINING CORP.

 

B.(1) This is an [check one]:

 

¨ original filing for the Filer.

 

x 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: FORTUNA MINING CORP. (formerly FORTUNA SILVER MINES INC.)

 

Form type: Registration Statement on Form 40-F

 

File number (if known): 001-35297

 

Filed by: FORTUNA MINING CORP. (formerly FORTUNA SILVER MINES INC.)

 

Date filed (if filed concurrently, so indicate): September 13, 2011

 

D.The Filer is incorporated or organized under the laws of British Columbia and has its principal place of business at:

 

Suite 650, 200 Burrard Street
Vancouver, British Columbia V6C 3L6
Telephone: (604) 484-4085

 

E.The Filer designates and appoints Puglisi & Associates (the “Agent”), located at:

 

850 Library Ave., Suite 204
Newark, DE 19711
Telephone: (302) 738-6680

 

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 Securities and Exchange Commission (“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 40-F on September 13, 2011 or any purchases or sales of any security in connection therewith. The Filer stipulates and 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 from the date that the Filer has ceased reporting under the Securities Exchange Act of 1934, as amended. 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 Form 40-F 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 40-F, the securities to which the Form 40-F relates; and the transactions in such securities.

 

 

 

 

 

 

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 Lima, country of Peru, this 3rd day of July, 2024.

 

  Filer: FORTUNA MINING CORP.
   
   
  By: /s/ Luis Ganoza Durant                      
    Name: Luis Ganoza Durant
    Title: Chief Financial Officer

 

 

 

This statement has been signed by the following person in the capacity indicated on July 3, 2024.

 

  PUGLISI & ASSOCIATES,
  as Agent for Service of Process for
  FORTUNA MINING CORP.
   
   
  By: /s/ Donald J. Puglisi                           
    Name: Donald J. Puglisi
    Title: Managing Director