Notice of proposed issuance of securities- Form 9
FORM 9 – NOTICE OF PROPOSED ISSUANCE OF
LISTED SECURITIES
January 2015
Page 1
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FORM 9
NOTICE OF PROPOSED ISSUANCE OF LISTED SECURITIES
(or securities convertible or exchangeable into listed securities1)
Please complete the following:
Name of Listed Issuer: Appia Energy Corp. (the “Issuer”).
Trading Symbol: API .
Date: April 5, 2019 .
Is this an updating or amending Notice: Yes ⌧ No
If yes provide date(s) of prior Notices: __N/A_____.
Issued and Outstanding Securities of Issuer Prior to Issuance: 64,048,468 .
Date of News Release Announcing Private Placement: April 5, 2019 .
Closing Market Price on Day Preceding the Issuance of the News Release: _$0.33__
1. Private Placement (if shares are being issued in connection with an
acquisition (either as consideration or to raise funds for a cash acquisition),
proceed to Part 2 of this form)
Full Name &
Residential
Address of
Placee
Number of
Securities
Purchase
d or to be
Purchase
d
Purchase
price per
Security
(CDN$)
Conversion
Price (if
Applicable)
Prospectus
Exemption
No. of
Securities,
directly or
indirectly,
Owned,
Controlled or
Directed
Payment
Date(1)
Describe
relations
-hip to
Issuer (2)
Maple Leaf
Short Duration
2019 Flow
Through LP
Quebec Class
Vancouver,
BC
500,000 0.40 N/A 2.3(u) 681,750 DAP N/A
Maple Leaf
2019 Flow
Through LP
National Class
Vancouver,
BC
500,000 0.40 N/A 2.3(u) 681,750 DAP N/A
FORM 9 – NOTICE OF PROPOSED ISSUANCE OF
LISTED SECURITIES
January 2015
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(1) Indicate date each placee advanced or is expected to advance payment for securities. Provide
details of expected payment date, conditions to release of funds etc. Indicate if the placement funds
been placed in trust pending receipt of all necessary approvals.
(2) Indicate if Related Person.
1An issuance of non-convertible debt does not have to be reported unless it is a significant transaction as
defined in Policy 7, in which case it is to be reported on Form 10.
1. Total amount of funds to be raised: $400,000 in flow-through funds.
2. Provide full details of the use of the proceeds. The disclosure should be
sufficiently complete to enable a reader to appreciate the significance of the
transaction without reference to any other material. exploration. .
3. Provide particulars of any proceeds which are to be paid to Related Persons
of the Issuer: None
.
4. If securities are issued in forgiveness of indebtedness, provide details and
attach the debt agreement(s) or other documentation evidencing the debt and
the agreement to exchange the debt for securities. Not applicable.
5. Description of securities to be issued:
(a) Class Common .
(b) Number 1,000,000 flow-through shares. .
(c) Price per security $0.40 per flow-through share. .
(d) Voting rights All shares being issued are common shares with
standard voting rights
6. Provide the following information if Warrants, (options) or other convertible
securities are to be issued:
(a) Number N/A
(b) Number of securities eligible to be purchased on exercise of
Warrants (or options)
.
(c) Exercise price ______________________________________.
(d) Expiry date _______________________________ .
FORM 9 – NOTICE OF PROPOSED ISSUANCE OF
LISTED SECURITIES
January 2015
Page 3
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7. Provide the following information if debt securities are to be issued:
(a) Aggregate principal amount Not applicable .
(b) Maturity date .
(c) Interest rate .
(d) Conversion terms .
(e) Default provisions .
8. Provide the following information for any agent’s fee, commission, bonus or
finder’s fee, or other compensation paid or to be paid in connection with the
placement (including warrants, options, etc.):
(a) Details of any dealer, agent, broker or other person receiving
compensation in connection with the placement (name, address. If
a corporation, identify persons owning or exercising voting control
over 20% or more of the voting shares if known to the Issuer):
__GloRes Capital Inc., 4385 Idlewilde Crescent, Mississauga ON
L5M4E5._
(b) Cash 6% .
(c) Securities 6% of the number of flow-through shares sold. .
(d) Other N/A .
(e) Expiry date of any options, warrants etc. Twelve months from
closing .
(f) Exercise price of any options, warrants etc. $0.40 .
9. State whether the sales agent, broker, dealer or other person receiving
compensation in connection with the placement is Related Person or has any
other relationship with the Issuer and provide details of the relationship No
.
10. Describe any unusual particulars of the transaction (i.e. tax “flow through”
shares, etc.).
The securities issued are flow-through common shares. .
11. State whether the private placement will result in a change of control.
No. .
FORM 9 – NOTICE OF PROPOSED ISSUANCE OF
LISTED SECURITIES
January 2015
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12. Where there is a change in the control of the Issuer resulting from the
issuance of the private placement shares, indicate the names of the new
controlling shareholders. No.
.
13. Each purchaser has been advised of the applicable securities legislation
restricted or seasoning period. All certificates for securities issued which are
subject to a hold period bear the appropriate legend restricting their transfer
until the expiry of the applicable hold period required by National Instrument
45-102. Yes.
2. Acquisition
1. Provide details of the assets to be acquired by the Issuer (including the
location of the assets, if applicable). The disclosure should be sufficiently
complete to enable a reader to appreciate the significance of the transaction
without reference to any other material:
.
2. Provide details of the acquisition including the date, parties to and type of
agreement (eg: sale, option, license etc.) and relationship to the Issuer. The
disclosure should be sufficiently complete to enable a reader to appreciate
the significance of the acquisition without reference to any other material:
3. Provide the following information in relation to the total consideration for the
acquisition (including details of all cash, securities or other consideration) and
any required work commitments:
(a) Total aggregate consideration in Canadian dollars: .
(b) Cash: .
(c) Securities (including options, warrants etc.) and dollar value:
.
(d) Other: .
(e) Expiry date of options, warrants, etc. if any: .
(f) Exercise price of options, warrants, etc. if any: .
(g) Work commitments: .
4. State how the purchase or sale price was determined (e.g. arm’s-length
negotiation, independent committee of the Board, third party valuation etc).
FORM 9 – NOTICE OF PROPOSED ISSUANCE OF
LISTED SECURITIES
January 2015
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5. Provide details of any appraisal or valuation of the subject of the acquisition
known to management of the Issuer:
.
6. The names of parties receiving securities of the Issuer pursuant to the
acquisition and the number of securities to be issued are described as
follows:
Name of
Party (If not
an
individual,
name all
insiders of
the Party)
Number
and Type
of
Securities
to be
Issued
Dollar
value per
Security
(CDN$)
Conversion
price (if
applicable)
Prospectus
Exemption
No. of
Securities,
directly or
indirectly,
Owned,
Controlled or
Directed by
Party
Describe
relationship
to Issuer (1)
(1) Indicate if Related Person
7. Details of the steps taken by the Issuer to ensure that the vendor has good
title to the assets being acquired:
.
8. Provide the following information for any agent’s fee, commission, bonus or
finder’s fee, or other compensation paid or to be paid in connection with the
acquisition (including warrants, options, etc.):
(a) Details of any dealer, agent, broker or other person receiving
compensation in connection with the acquisition (name, address. If
a corporation, identify persons owning or exercising voting control
over 20% or more of the voting shares if known to the Issuer):
.
(b) Cash .
(c) Securities .
(d) Other .
(e) Expiry date of any options, warrants etc.
(f) Exercise price of any options, warrants etc. .
FORM 9 – NOTICE OF PROPOSED ISSUANCE OF
LISTED SECURITIES
January 2015
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9. State whether the sales agent, broker or other person receiving compensation
in connection with the acquisition is a Related Person or has any other
relationship with the Issuer and provide details of the relationship.
10. If applicable, indicate whether the acquisition is the acquisition of an interest
in property contiguous to or otherwise related to any other asset acquired in
the last 12 months.
.
Certificate Of Compliance
The undersigned hereby certifies that:
1. The undersigned is a director and/or senior officer of the Issuer and has been
duly authorized by a resolution of the board of directors of the Issuer to sign
this Certificate of Compliance on behalf of the Issuer.
2. As of the date hereof there is not material information concerning the Issuer
which has not been publicly disclosed.
3. The undersigned hereby certifies to the Exchange that the Issuer is in
compliance with the requirements of applicable securities legislation (as such
term is defined in National Instrument 14-101) and all Exchange
Requirements (as defined in CSE Policy 1).
4. All of the information in this Form 9 Notice of Issuance of Securities is true.
Dated April 5, 2019. .
William R. Johnstone
Name of Director or Senior
Officer
“William R. Johnstone”
Signature
Assistant Secretary
Official Capacity