-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, NMzNCxhcaRZb7zB5sMsGAnEsWDJ2jhvNvsOLL1OhB/WLGz649DVHN5TtGZL6Lj7c 5AWr9qmWLpgeav4p5lzN/A== 0001341004-10-001136.txt : 20100701 0001341004-10-001136.hdr.sgml : 20100701 20100701161556 ACCESSION NUMBER: 0001341004-10-001136 CONFORMED SUBMISSION TYPE: F-X PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20100701 EFFECTIVENESS DATE: 20100701 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: CB Gold Inc. CENTRAL INDEX KEY: 0001495426 IRS NUMBER: 000000000 STATE OF INCORPORATION: A1 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: F-X SEC ACT: 1933 Act SEC FILE NUMBER: 005-85545 FILM NUMBER: 10931126 BUSINESS ADDRESS: STREET 1: 1300-1500 WEST GEORGIA STREET CITY: VANCOUVER STATE: A1 ZIP: V6G 2Z6 BUSINESS PHONE: 778-389-7274 MAIL ADDRESS: STREET 1: 1300-1500 WEST GEORGIA STREET CITY: VANCOUVER STATE: A1 ZIP: V6G 2Z6 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: CB Gold Inc. CENTRAL INDEX KEY: 0001495426 IRS NUMBER: 000000000 STATE OF INCORPORATION: A1 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: F-X BUSINESS ADDRESS: STREET 1: 1300-1500 WEST GEORGIA STREET CITY: VANCOUVER STATE: A1 ZIP: V6G 2Z6 BUSINESS PHONE: 778-389-7274 MAIL ADDRESS: STREET 1: 1300-1500 WEST GEORGIA STREET CITY: VANCOUVER STATE: A1 ZIP: V6G 2Z6 F-X 1 formf_x.htm FORM F-X formf_x.htm

U.S. 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"):

CB GOLD 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:
CB GOLD INC.
 
 
Form type:
Form CB
 
 
File Number (if known):
 
  
 
Filed by:
CB GOLD INC.
 
 
Date Filed:
(if filed concurrently,
so indicate)
 
July 1, 2010
(concurrent herewith)
 

D.
The Filer is incorporated or organized under the laws of:

British Columbia, Canada

 
and has its principal place of business at:

1300 – 1500 West Georgia Street
Vancouver, British Columbia V5G 2Z6
(778) 389-7274
 
E.
The Filer designates and appoints:

CT Corporation System
111 Eighth Avenue
New York, New York 10011
(212) 590-9070

 
 
 
 
as the agent of the Filer (the "Agent") 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 tender offer for the securities of a Canadian issuer with respect to which filings are made by the Filer with the Commission on Form CB.  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 sub poena shall be effected by service upon such agent for service of process, and that the 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 such Form CB.  The Filer further undertakes to advise the Commission promptly of any change of the Agent's name or address during such 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.

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 Vancouver, Province of British Columbia, Canada, on July 1, 2010,


   
CB GOLD INC.
 
 
By:
   /s/ Fabio Capponi  
   
Name:
Fabio Capponi
  
   
Title:
President and Chief Executive Officer
  

This statement has been signed by the following person in the capacity indicated on July 1, 2010,

   
CT CORPORATION SYSTEM
(Agent for Service)
 
 
By:
   /s/ Debbie Diaz  
   
Name:
 Debbie Diaz   
   
Title:
 Assistant Secretary   


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