0001104659-21-078355.txt : 20210609 0001104659-21-078355.hdr.sgml : 20210609 20210608175541 ACCESSION NUMBER: 0001104659-21-078355 CONFORMED SUBMISSION TYPE: F-X PUBLIC DOCUMENT COUNT: 3 FILED AS OF DATE: 20210609 EFFECTIVENESS DATE: 20210609 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: AcuityAds Holdings Inc. CENTRAL INDEX KEY: 0001861233 IRS NUMBER: 000000000 STATE OF INCORPORATION: Z4 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: F-X SEC ACT: 1933 Act SEC FILE NUMBER: 333-256909 FILM NUMBER: 211003250 BUSINESS ADDRESS: STREET 1: 70 UNIVERSITY AVE. STREET 2: SUITE 1200 CITY: TORONTO STATE: A6 ZIP: M5J 2M4 BUSINESS PHONE: 416-218-9888 MAIL ADDRESS: STREET 1: 70 UNIVERSITY AVE. STREET 2: SUITE 1200 CITY: TORONTO STATE: A6 ZIP: M5J 2M4 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: AcuityAds Holdings Inc. CENTRAL INDEX KEY: 0001861233 IRS NUMBER: 000000000 STATE OF INCORPORATION: Z4 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: F-X BUSINESS ADDRESS: STREET 1: 70 UNIVERSITY AVE. STREET 2: SUITE 1200 CITY: TORONTO STATE: A6 ZIP: M5J 2M4 BUSINESS PHONE: 416-218-9888 MAIL ADDRESS: STREET 1: 70 UNIVERSITY AVE. STREET 2: SUITE 1200 CITY: TORONTO STATE: A6 ZIP: M5J 2M4 F-X 1 tm2117023d5_fx.htm FORM 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”): AcuityAds Holdings Inc.

 

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

 

xan original filing for the Filer.

 

¨an amended filing for the Filer.

 

C.Identify the filing in conjunction with which this Form is being filed:

 

  Name of registrant: AcuityAds Holdings Inc.
  Form type: Form F-10
  File Number (if known): 333-256909
  Filed by: AcuityAds Holdings Inc.
  Date Filed (if filed concurrently, so indicate): June 8, 2021
(concurrently with Form F-10)

 

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

 

70 University Avenue

Suite 1200

Toronto, Ontario M5J 2M4

Telephone Number: (416) 218-9888

 

E.The Filer designates and appoints CT Corporation System (“Agent”) located at:

 

28 Liberty Street

New York, NY 10005

Telephone Number: (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 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 F-10 on June 8, 2021 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 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 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 F-10, the securities to which the Form F-10 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 Toronto, Province of Ontario, Country of Canada, on this 8th day of June, 2021.

 

Filer:  AcuityAds Holdings Inc. By: /s/ Jonathan Pollack
    Name:  Jonathan Pollack
    Title:  Chief Financial Officer

 

2 -

 

 

This statement has been signed by the following person in the capacity and on the date indicated.

 

 

CT Corporation System

As Agent for Service of Process for

AcuityAds Holdings Inc.

   
  By: /s/ Laura R. Broderick
    Name: Laura R. Broderick
    Title: Assistant Secretary

 

Date: June 8, 2021

 

3 -

 

 

 

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