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Excess corporate holding worksheet for private foundations
Most of the Registered Charity Information Return, which includes this worksheet, is available to the public. Confidential information is in Part II, Section B of this form, marked "Confidential Data". Confidential information may be shared as permitted by law (e.g., with certain other government departments and agencies). A separate worksheet must be completed for each class of shares held by the foundation. Unless otherwise indicated, all figures requested are for the end of the fiscal period that corresponds to the charity's complete annual Information Return.

Part I ­ Calculation of Holdings and Divestment Obligations
Section A ­ Identification Name of the foundation Name of Corporation Class of shares Total number of issued and outstanding shares in this class Fair market value per share at end of fiscal period Is this class of shares listed on a designated stock exchange? Section B ­ Original corporate holdings percentage (on March 18, 2007) Holdings of the foundation Holdings of relevant person(s) with a material interest Original corporate holdings percentage (add lines 905 and 910) % % % 905 910 915 Exempt shares percentage % 920 $ Yes No A B BN/Registration number

See Guide T2082 to determine if any part of the amount reported on line 905 qualifies as exempt shares

Section C ­ Total corporate holdings percentage (as per the end of fiscal period) Holdings of the foundation Holdings of relevant person(s) with a material interest Total corporate holdings percentage (add lines 925 and 930) Note: Complete Section D or Section D.1 as per instructions, not both Section D ­ Excess corporate holdings percentage (complete if line 915 is less than or equal to 20%) Total corporate holdings percentage (enter % from line 935) Enter the greater of 20% or line 940 Excess corporate holdings percentage: subtract line 950 from line 945 (if positive enter %, otherwise enter "0") Section D.1 ­ Excess corporate holdings percentage (complete if line 915 is more than 20%) Total corporate holdings percentage (enter % from line 935) Enter total corporate holdings percentage from the end of the previous fiscal period (line 935 from last year's form) Enter the number of percentage points by which line 915 exceeds the "relevant percentage", as defined below Enter the lesser of line 941 and line 946 Enter the greater of 20% and line 947 Enter the exempt share percentage from line 940 Enter the greater of line 948 and line 949 Excess corporate holdings percentage: subtract line 950 from line 945 (if positive enter %, otherwise enter "0") For the purpose of calculating line 946, "relevant percentage" means: 0% for the fiscal periods that begin after March 18, 2007 and before March 19, 2012; 20% for the fiscal periods that begin after March 18, 2012 and before March 19, 2017; 40% for the fiscal periods that begin after March 18, 2017 and before March 19, 2022; 60% for the fiscal periods that begin after March 18, 2022 and before March 19, 2027 For fiscal periods that begin after March 18, 2027, refer to the calculation at Section D % % % 941 946 947 % % 948 949 ( )% % 950 955 % 945 ( % )% % 945 950 955 % % % 925 930 935 Exempt shares percentage % 940

See Guide T2082 to determine if any part of the amount reported on line 925 qualifies as exempt shares

T2081 E (10)

(Vous pouvez obtenir ce formulaire en français à www.arc.gc.ca.)

Section E ­ Net increase/decrease in excess corporate holdings percentage Current fiscal period's excess corporate holdings percentage (enter % from line 955) Enter previous fiscal period's excess corporate holdings percentage (line 955 from last year's form) Calculate the difference between line 960 and line 965 (if positive or "0" enter % on line 970, if negative enter % on line 975) Net increase in excess corporate holdings percentage Net decrease in excess corporate holdings percentage Section F ­ Divestment obligation table Follow the steps below to calculate the foundation's divestment obligations (if applicable). Refer to Guide T2082 for full instructions on how to allocate net increases and decreases in excess corporate holdings. Enter a fiscal period for each column. For column 1, enter the fiscal period for which you are submitting this form. Step 1 ­ Record obligations carried forward from previous fiscal periods. Step 2 ­ Allocate any net increase (from line 970) to the extent of purchases by the foundation to column 1. Step 3 ­ If a portion of the net increase remains unallocated, allocate the remainder to column 6, to the extent that the net increase results from bequests. Step 4 ­ If a portion of the net increase remains unallocated, allocate the remainder to column 3, to the extent that the net increase results from gifts of shares (other than gifts from relevant persons or from bequests), and from redemptions, acquisitions or cancellations of shares by the corporation. Step 5 ­ If a portion of the net increase remains unallocated, allocate the remainder to column 2. Step 6 ­ Allocate any net decrease (from line 975) first to meet the current obligation (column 1), then to meet future obligations (columns 2 through 6) as required. Divestment obligation for current fiscal period, and projected obligations for 5 subsequent periods: complete the calculations for each column (if positive enter %, otherwise enter "0"). ( )% ( %C % )% ( % )% ( % )% ( % )% ( % )% % 20 % % % 1 2 3 4 5 6 % ( ) % % % 960 965 970 975

20 %

20 %

20 %

20 %

20

%

Note: If the amount in box C is more than "0", the foundation is liable to a penalty, and its registration may be revoked.

Part II ­ Material Transactions Tables
Did the foundation or any relevant person(s) engage in a transaction or a series of transactions that exceeded the lesser of $100,000 and 0.5% of the fair market value of all the issued and outstanding shares of the class? Yes (complete the tables) (if more space is required, please attach additional pages) Section A ­ Material transactions by the foundation % $ Acquisition ( X ) Disposition ( X ) No (do not complete the tables)

Section B ­ Confidential data Material transactions by relevant person(s) Full name of relevant person % $ Acquisition ( X ) Disposition ( X )