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{"sheet":"Instructions","index":0,"n_rows":28,"n_cols":14,"rows_kept":28,"cut":false,"hidden":false,"merged":[[0,0,0,12],[0,13,0,37],[1,0,1,37],[2,0,2,37],[4,0,4,37],[3,0,3,37],[27,1,27,33],[26,0,26,33],[12,0,12,37],[14,0,14,37],[22,1,22,33],[18,0,18,37],[23,0,23,33],[24,0,24,33],[25,0,25,33],[15,0,15,37],[16,0,16,37],[20,0,20,33],[19,0,19,37],[21,0,21,37],[13,0,13,37],[17,0,17,37],[10,0,10,37],[9,0,9,37],[8,0,8,37],[5,0,5,37],[6,0,6,37],[7,1,7,37]]}
[null,null,null,null,null,null,null,null,null,null,null,null,null,"Synergy Capital\n(version: 2021-02)"]
["Instructions – Application for Authorized Placement Certificate"]
["This document indicates the procedure to follow to obtain a certificate attesting that the corporation is a corporation qualified to issue shares of its share capital to a qualified investor in order to receive the synergy capital tax credit (CAPS). The qualified investor must then claim the tax credit from Revenu Québec by submitting the income tax return CO-17 and the related appendices by the prescribed deadline."]
["The application for an authorized placement certificate must be submitted after December 31, 2020, and before the subscription to shares of its share capital by the qualified investor."]
["We strongly encourage you to consult the detailed fact sheet available on our website before completing this form. Be sure to use the most up-to-date version of the form. In addition, you can consult the budget documents issued by the Ministère des Finances on March 10, 2020, concerning the sectoral parameters of this tax measure. "]
[]
["A complete application includes all the following mandatory documents:"]
[" -","Duly completed and signed application for an authorized placement certificate as well as all the mandatory documents indicated in section 5;"]
[]
["AGREEMENT TO EXCHANGE INFORMATION"]
["On October 7, 2009, Investissement Québec and Revenu Québec reached an agreement entitled \"Entente portant sur l'échange de renseignements nécessaires à l'administration de mesures fiscales ou à l’application d’une loi fiscale\" [agreement on the exchange of information required for the administration of fiscal measures or the enforcement of tax legislation]. Under that agreement, the two organizations can share information required to carry out their respective mandates without being required to ask for the consent of the individual in question. Information is shared with Revenu Québec only under this agreement. The Commission d'accès à l'information du Québec has approved this agreement, after reviewing the nature of the information provided and the reasons for disclosure, and ensuring that appropriate security and confidentiality measures are in place."]
[]
[]
["REQUIRED FEES"]
["Investissement Québec charges fees for issuing certificates. For more information on these fees, consult the fee schedule available on the website. "]
[]
["MAILING ADDRESSES AND METHOD FOR SUBMITTING AN APPLICATION\n"]
["We recommend that you send your signed application form by email to expedite processing. Please enclose duly signed form in PDF format. \n\nApplication forms can also be sent by mail to one of the addresses below."]
["In all situations, make sure you send the electronic file of the certification application forms (including the appendices) as well as the trial balance in Excel format.\n"]
["For companies whose head office is located in the following regions:\n\nBas-Saint-Laurent;\nCapitale-Nationale;\nChaudière-Appalaches;\nCentre-du-Québec;\nCôte-Nord;\nEstrie;\nGaspésie–Îles-de-la-Madeleine;\nLanaudière;\nMauricie;\nMontérégie;\nNord-du-Québec;\nSaguenay–Lac-Saint-Jean."]
[]
["Investissement Québec\nDirection, Mesures fiscales (Québec)\nÉdifice Iberville 1\n1195, avenue Lavigerie, bureau 060\nQuébec (Québec)  G1V 4N3\nFax: 418 528-8480"]
[" -","by email to: mfquebec@invest-quebec.com"]
[]
["For companies whose head office is located in the following regions:\n\nAbitibi-Témiscamingue;\nLaval;\nLaurentides;\nMontréal;\nOutaouais."]
[]
["Investissement Québec\nDirection, Mesures fiscales (Montréal)\n1001, boulevard Robert-Bourassa, bureau 1000\nMontréal (Québec)  H3B 4L4"]
[" -","by email to: mfmontreal@invest-quebec.com"]

{"sheet":"Authorized placement certificat","index":1,"n_rows":155,"n_cols":34,"rows_kept":155,"cut":false,"hidden":false,"merged":[[38,27,38,31],[66,0,66,34],[75,0,75,27],[37,33,37,34],[18,0,18,25],[18,26,18,34],[26,26,26,34],[23,26,23,34],[24,0,24,34],[51,0,51,28],[50,0,50,28],[148,1,148,14],[113,1,113,29],[64,0,64,31],[46,22,46,38],[85,29,85,30],[32,27,32,31],[45,8,45,13],[45,14,45,15],[55,0,55,28],[56,0,56,34],[58,0,58,7],[48,0,48,34],[62,0,62,34],[60,0,60,34],[58,8,58,13],[59,0,59,7],[53,0,53,28],[87,1,87,27],[93,1,93,27],[70,0,70,27],[135,1,136,34],[140,1,140,38],[145,0,145,34],[127,1,127,31],[8,0,8,7],[8,10,8,17],[8,20,8,27],[8,29,8,34],[9,0,9,34],[14,0,14,25],[37,27,37,32],[10,0,10,25],[11,0,11,25],[25,0,25,34],[31,0,31,25],[31,27,31,34],[32,0,32,25],[28,27,28,32],[26,0,26,25],[12,0,12,34],[29,0,29,25],[35,0,35,25],[35,26,35,34],[14,26,14,34],[15,0,15,34],[16,0,16,25],[13,0,13,34],[17,0,17,25],[0,0,0,12],[0,13,0,34],[1,0,1,34],[4,0,4,34],[7,0,7,7],[7,10,7,17],[7,20,7,27],[7,29,7,34],[2,0,2,34],[3,0,3,34],[5,0,5,24],[6,0,6,34],[154,0,154,20],[154,23,154,34],[135,0,136,0],[130,1,130,18],[97,0,97,25],[103,1,103,27],[78,0,78,27],[27,0,27,34],[30,0,30,34],[116,1,116,29],[65,0,65,34],[68,0,68,34],[110,1,110,30],[45,16,45,21],[45,22,45,38],[43,0,43,38],[49,0,49,34],[47,0,47,38],[45,0,45,7],[39,0,39,34],[73,0,73,27],[59,8,59,13],[41,27,41,31],[41,32,41,34],[156,0,156,34],[19,0,19,34],[20,0,20,34],[21,0,21,25],[21,26,21,34],[23,0,23,25],[38,0,38,25],[40,0,40,25],[40,27,40,34],[41,0,41,25],[151,0,151,34],[46,0,46,7],[46,8,46,13],[33,0,33,34],[34,0,34,34],[46,14,46,15],[46,16,46,21],[129,1,129,35],[152,0,152,34],[81,0,81,27],[72,1,72,30],[89,0,89,31],[102,0,102,34],[99,1,99,28],[109,0,109,34],[147,0,147,34],[105,0,105,38],[132,1,132,26],[124,1,124,31],[61,0,61,38],[134,0,134,34],[129,0,131,0],[90,0,90,28],[91,29,91,30],[144,0,144,33],[76,1,76,30],[82,1,82,30],[142,0,142,33],[79,1,79,28],[84,0,84,32],[153,0,153,20],[153,23,153,34],[59,14,59,34],[92,29,92,30],[29,27,29,31],[28,33,28,34],[137,0,137,34],[141,0,141,34],[131,1,131,36],[95,0,95,27],[95,28,95,31],[107,0,107,27],[76,33,76,62],[67,0,67,37],[107,28,107,31],[100,29,100,30],[101,1,101,27],[86,1,86,27],[37,0,37,25],[36,0,36,34],[28,0,28,25],[146,1,146,34],[150,1,150,34],[50,29,50,30]]}
[null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"Instructions!N1","v":"Synergy Capital\n(version: 2021-02)"}]
["Application for Authorized Placement Certificate"]
["Before completing this form, please read the Instructions tab"]
["1. IDENTIFICATION OF THE CORPORATION "]
["Name of the corporation "]
[]
[]
["NEQ (Québec enterprise number)",null,null,null,null,null,null,null,null,null,"IQ business number*",null,null,null,null,null,null,null,null,null,"IQ file number*",null,null,null,null,null,null,null,null,"Date of incorporation"]
[]
["*Business or file number assigned by Investissement Québec (IQ) for the synergy capital tax credit. Not required for the initial application. In the case of a second application, you will find these numbers on the correspondence received from IQ."]
[]
[]
[]
["URL of corporation's website "]
[]
[]
["Addresses of all establishments – Enter the principal address here  "]
["(if more than one establishment, please append the complete list)"]
[]
[]
["Mailing address"]
[]
[]
[]
[]
["Authorized corporation representative"]
[]
[]
["Representative's title (e.g., president of the corporation)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Telephone",null,null,null,null,null,"Ext."]
[]
[]
["Representative's email address",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Fax"]
[]
[]
["Authorized corporation agent, if any"]
[]
[]
["Agent's title (e.g., accountant, outside consultant)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Telephone",null,null,null,null,null,"Ext."]
[]
[]
["Agent's email address",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Fax"]
[]
[]
["2. MOST RECENT FISCAL YEAR COMPLETED BEFORE THE DATE THE APPLICATION IS SUBMITTED"]
[]
["Fiscal year from:",null,null,null,null,null,null,null,null,null,null,null,null,null,"to:"]
[null,null,null,null,null,null,null,null,"(yyyy-mm-dd)",null,null,null,null,null,null,null,"(yyyy-mm-dd)"]
[]
["3. REORGANIZATION OR ACQUISITION OF CONTROL"]
["During the fiscal year in question, until the date when the application is submitted, did the corporation:"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Yes",null,"No"]
["— undergo an acquisition of control giving rise to a deemed year end?"]
[]
["— acquire an interest in another corporation or partnership?"]
[]
["— undergo a reorganization (e.g., merger, liquidation, bulk purchase or sale of assets)?"]
["If applicable, specify the date and nature of the changes:"]
[]
["Date"]
[null,null,null,null,null,null,null,null,"(yyyy-mm-dd)"]
[]
[]
["4. INFORMATION ABOUT THE CORPORATION AND DESCRIPTION OF THE PLAN TO ISSUE SHARES "]
[]
["Briefly describe the history of the corporation "]
[]
[]
[]
["Please check the category or categories that best correspond to the eligible activities carried out by your corporation."]
[]
["life sciences, more specifically:"]
[]
[null,"research, development, production and marketing of medications for human and animal health;\ndesign, development, manufacturing and commercialization of physical or digital medical products, other than medications;\nresearch, development, production and marketing of natural health products;\n"]
["manufacturing or processing,"]
[]
["green technologies, "]
[null,"that is, manufacturing or processing and research and development for the commercial use of technologies that boost energy efficiency or energy savings, or reduce greenhouse gas emissions or the environmental impact;"]
[]
["artificial intelligence,"]
[null,"that is, the design and development of artificial intelligence solutions; "]
[]
["information technologies,"]
[null,"that is, computer and peripheral equipment manufacturing, semi-conductor and other electronic component manufacturing, radio and television broadcasting and wireless communications equipment manufacturing, software publishing, video game publishing, data processing, data hosting and related services, and computer systems design and related services."]
[]
["Answer the following questions"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Yes",null,"No"]
["a)","At the time this application is submitted, has your corporation been carrying on eligible "]
[null,"activities for more than 12 months?"]
[]
["If you responded no to question (a), you may not submit an application for a certificate until this period has elapsed."]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Oui",null,"Non"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Yes",null,"No"]
["b)","Has the corporation obtained an authorized placement certificate before?\n"]
[]
["If you responded yes to question (b), please indicate the date this certificate was issued."]
[]
["Check if applicable,"]
[]
["c)","Your corporation has associated corporations during the fiscal year in question."]
[" "]
["d) ","Complete Appendices A and B."]
[]
["e)","Describe your corporation's plan to issue shares in Appendix C."]
[]
["Authorized placement amount claimed in this application"]
[]
["Enter the authorized placement amount claimed in this application as presented in Appendix C.",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"$"]
[]
["5. MANDATORY DOCUMENTS TO ENCLOSE WITH THIS APPLICATION (check off the documents enclosed)"]
["— ","Non-consolidated financial statements of the corporation and of all the associated corporations for the most recent "]
["      fiscal year ended before the day the application is submitted;"]
[]
["— ","Non-consolidated trial balances of the corporation and of all the associated corporations for the most recent "]
["      fiscal year ended before the day the application is submitted; "]
[]
["— ","Consolidated income statement in Excel format of the corporation and of all the associated corporations for the "]
["      most recent fiscal year ended before the day the application is submitted; "]
[]
["— ","Corporate organization chart identifying the shareholders and associated corporations"]
["      (the percentage shareholding of each shareholder must be presented);"]
[]
["— ","Information requested in section 4;"]
[]
["— ","Income tax return CO-17 (including the appendices) of the corporation and all the associated corporations for the "]
["      most recent taxation year ended before the day the application is submitted ; "]
[]
["—  ","Business plan for the project to issue shares;"]
[]
["— ","If applicable, duly signed power of attorney designating an agent to represent the corporation"]
[null,"or partnership in its dealings with Investissement Québec. "]
[null,"You can use the model available on Investissement Québec's website: "]
[null,"http://www.investquebec.com/documents/qc/formulaires/Procuration_en.doc"]
["If any of the documents are not enclosed, please explain why."]
[]
[1,"Financial statements may be in draft form provided you send us the final statements as soon as they become available."]
[]
[]
[]
[]
[6,"DECLARATION OF THE AUTHORIZED CORPORATION REPRESENTATIVE OR AGENT "]
["I, the undersigned, duly authorized representative or agent of the corporation, declare that the information provided in this application, the appendices and the related documents is complete and accurate in all respects."]
["I, the undersigned, duly authorized representative or agent of the corporation, declare that the corporation has been sure to respect the obligations set out in the Securities Act and that it acknowledges that Investissement Québec has incurred no liability in this respect."]
[]
["In addition, I, the undersigned, duly authorized representative or agent of the corporation, authorize the Tax Measures Department to communicate with Revenu Québec to obtain information that could prove necessary for the examination of the corporation's respect of the eligibility conditions."]
["Furthermore, unless otherwise expressly stated, I authorize the Tax Measures Department to share with the other departments of Investissement Québec any information obtained in the course of this application that could prove necessary for the analysis of any application for financing, investment or any other service provided by Investissement Québec."]
[null,"I authorize the sharing of information"]
[]
[]
[]
[null," I do not authorize the sharing of information"]
[]
["Finally, I certify that the corporation has not modified the contents of this application."]
[]
["Signature of the corporation's or partnership's \nauthorized representative or agent.",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Date"]

{"sheet":"Appendix A-Eligibility","index":2,"n_rows":23,"n_cols":33,"rows_kept":23,"cut":false,"hidden":false,"merged":[[8,29,8,32],[8,0,8,26],[17,30,17,31],[12,1,12,29],[14,1,14,29],[16,1,16,29],[0,28,0,32],[23,0,23,32],[2,1,2,31],[3,1,3,31],[4,1,4,31],[11,30,11,31],[10,0,10,35],[6,0,6,35],[7,0,7,22],[5,0,5,32],[9,0,9,32],[20,1,20,29],[22,0,22,32],[18,1,18,28],[19,0,19,35],[7,29,7,32]]}
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"Instructions!N1","v":"Synergy Capital\n(version: 2021-02)"}]
[]
[null,"Appendix A – Application for Authorized Placement Certificate"]
[null,"Corporate Eligibility"]
[null,"(Appendix A is an integral part of this application.)"]
[]
["1. IDENTIFICATION OF THE CORPORATION"]
["Name of the corporation ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"IQ file number"]
[{"$f":"IF('Authorized placement certificat'!A6=\"\",\"\",'Authorized placement certificat'!A6)","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF('Authorized placement certificat'!U9=\"\",\"\",'Authorized placement certificat'!U9)","v":""}]
[]
["1. CORPORATION'S ELIGIBILITY CRITERIA"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Yes",null,"No"]
["a)","Your corporation is a corporation that, throughout its most recent taxation year ended before the day the application is submitted, was a Canadian-controlled private corporation;"]
[]
["b)","The total paid-up capital (including the paid-up capital of associated corporations) is less than $15 million;\n"]
[]
["c)","The total consolidated gross income (including the gross income of associated corporations) is less than $10 million;"]
["  "]
["d) ","The corporation's activities in Québec represent at least 75% of all its activities;"]
[]
["e)","According to Appendix B, the eligible activities represent more than 50% of your corporation's activities."]
[]
["If you answered \"no\" to any of the above questions, your corporation is not a qualified corporation and may not apply for an authorized placement certificate."]

{"sheet":"Appendix B-Gross income","index":3,"n_rows":37,"n_cols":9,"rows_kept":37,"cut":false,"hidden":false,"merged":[[0,6,0,8],[9,6,9,7],[12,2,12,4],[22,6,22,7],[23,6,23,7],[18,3,18,4],[19,3,19,4],[20,3,20,4],[10,6,10,7],[14,6,14,7],[15,6,15,7],[16,6,16,7],[1,2,1,6],[7,0,7,8],[5,0,5,8],[2,0,2,8],[25,6,25,7],[26,6,26,7],[17,6,17,7],[18,6,18,7],[19,6,19,7],[20,6,20,7],[21,6,21,7],[3,0,3,8],[4,0,4,8],[6,0,6,8],[32,0,32,4],[33,0,33,4],[24,3,24,4],[25,3,25,4],[26,3,26,4],[21,3,21,4],[22,3,22,4],[23,3,23,4],[30,6,30,7],[31,6,31,7],[32,6,32,7],[27,3,27,4],[31,3,31,4],[36,0,36,8],[8,0,8,6],[17,3,17,4],[9,0,9,4],[10,0,10,4],[13,0,13,6],[14,3,14,4],[15,3,15,4],[16,3,16,4],[28,3,28,4],[29,3,29,4],[30,3,30,4],[27,6,27,7],[28,6,28,7],[29,6,29,7],[24,6,24,7]]}
[null,null,null,null,null,null,{"$f":"Instructions!N1","v":"Synergy Capital\n(version: 2021-02)"}]
[]
["Appendix B – Application for Authorized Placement Certificate"]
["Eligible Activities"]
["(Appendix B is an integral part of this application.)"]
["An authorized placement certificate is issued to a corporation when the activities it carries on, for its most recent fiscal year ended before the day the application is submitted, are mainly eligible activities."]
["Description of trial balance income items"]
["List all income accounts on the trial balance that make up the gross income indicated in the non-consolidated financial statements for the fiscal year in question (see notes 1 and 2).\n\nFor each account, please describe the nature of the income reported in each income item in your trial balance and identify the gross income from eligible and non-eligible activities."]
[]
["Name of the corporation",null,null,null,null,null,"IQ file number"]
[{"$f":"IF('Authorized placement certificat'!A6=\"\",\"\",'Authorized placement certificat'!A6)","v":""},null,null,null,null,null,{"$f":"IF('Authorized placement certificat'!U9=\"\",\"\",'Authorized placement certificat'!U9)","v":""}]
[]
[null,null,"Fiscal year from:",null,null,{"$f":"IF('Authorized placement certificat'!I46=\"\",\"\",'Authorized placement certificat'!I46)","v":""},"to:",{"$f":"IF('Authorized placement certificat'!Q46=\"\",\"\",'Authorized placement certificat'!Q46)","v":""}]
[]
["Name of the corporation ","Account #","Account name","Description of products or services that generated the income included in this account",null,"Amount of gross income from eligible activities \n(note 1)","Amount of gross income from non-eligible activities \n(note 1)",null,"Percentage of eligible activities"]
["ABC Company","Example:\n#4010","Sales of products","Manufacturing of computer hardware",null,125000,0,null,{"$f":"F16/(SUM(G$16:G$18)+SUM(F$16:F$18))","v":0.5}]
["ABC Company","Example:\n#4020","Service revenue","Design of information system",null,25000,0,null,{"$f":"F17/(SUM(G$16:G$18)+SUM(F$16:F$18))","v":0.1}]
["XYZ Company","Example:\n#4001","Sales revenue ","Book publishing",null,0,100000,null,{"$f":"F18/(SUM(G$16:G$18)+SUM(F$16:F$18))","v":0}]
[null,null,null,null,null,null,null,null,{"$f":"F19/($F$33+$G$33)","v":{"$error":"#DIV/0!"}}]
[null,null,null,null,null,null,null,null,{"$f":"F20/($F$33+$G$33)","v":{"$error":"#DIV/0!"}}]
[null,null,null,null,null,null,null,null,{"$error":"#DIV/0!"}]
[null,null,null,null,null,null,null,null,{"$error":"#DIV/0!"}]
[null,null,null,null,null,null,null,null,{"$error":"#DIV/0!"}]
[null,null,null,null,null,null,null,null,{"$error":"#DIV/0!"}]
[null,null,null,null,null,null,null,null,{"$error":"#DIV/0!"}]
[null,null,null,null,null,null,null,null,{"$error":"#DIV/0!"}]
[null,null,null,null,null,null,null,null,{"$error":"#DIV/0!"}]
[null,null,null,null,null,null,null,null,{"$error":"#DIV/0!"}]
[null,null,null,null,null,null,null,null,{"$error":"#DIV/0!"}]
[null,null,null,null,null,null,null,null,{"$error":"#DIV/0!"}]
[null,null,null,null,null,null,null,null,{"$error":"#DIV/0!"}]
[null,null,null,null,null,null,null,null,{"$error":"#DIV/0!"}]
["Breakdown of gross income between eligible and non-eligible activities",null,null,null,null,{"$f":"SUM(F19:F32)","v":0},{"$f":"SUM(G19:H32)","v":0},null,{"$f":"SUM(I19:I32)","v":{"$error":"#DIV/0!"}}]
["Gross income for fiscal year in question (note 2)",null,null,null,null,{"$f":"F33+G33","v":0}]
[]
["Note 1: The gross income must be presented net of transactions between associated corporations."]
["Note 2: The amount presented as gross income must correspond to the gross income presented in the consolidated statement of income of the corporation and all the associated corporations during the fiscal year in question."]

{"sheet":"Appendix C-Action plan","index":4,"n_rows":41,"n_cols":6,"rows_kept":41,"cut":false,"hidden":false,"merged":[[0,4,0,5],[7,0,7,3],[1,0,1,5],[41,0,41,5],[14,0,14,5],[12,0,12,5],[13,0,13,5],[38,0,38,1],[38,2,38,3],[39,0,39,1],[39,2,39,3],[40,0,40,1],[40,2,40,3],[35,0,35,1],[35,2,35,3],[36,0,36,1],[36,2,36,3],[37,0,37,1],[37,2,37,3],[32,0,32,1],[32,2,32,3],[33,0,33,1],[33,2,33,3],[34,0,34,1],[34,2,34,3],[29,0,29,1],[29,2,29,3],[30,0,30,1],[30,2,30,3],[31,0,31,1],[31,2,31,3],[26,0,26,1],[26,2,26,3],[27,0,27,1],[27,2,27,3],[28,0,28,1],[28,2,28,3],[23,0,23,1],[23,2,23,3],[24,0,24,1],[24,2,24,3],[25,0,25,1],[25,2,25,3],[20,0,20,1],[20,2,20,3],[21,0,21,1],[21,2,21,3],[22,0,22,1],[22,2,22,3],[19,0,19,1],[19,2,19,3],[11,0,11,5],[8,0,8,1],[8,2,8,5],[2,0,2,5],[3,0,3,5],[4,0,4,5],[6,0,6,2],[18,2,18,3],[16,0,16,1],[15,0,15,1],[18,0,18,1],[15,2,15,3],[16,2,16,3]]}
[null,null,null,null,{"$f":"Instructions!N1","v":"Synergy Capital\n(version: 2021-02)"}]
["Appendix C – Application for Authorized Placement Certificate"]
[" Action Plan for Share Issue "]
["(Appendix C is an integral part of this application.)"]
["You must provide a description of the plan to issue shares of the corporation's share capital: the value, number and class of the shares to be issued and the planned use of the funds from this issue, including the projected schedule."]
[]
["Name of the corporation",null,null,null,null,"IQ file number "]
[{"$f":"IF('Authorized placement certificat'!A6=\"\",\"\",'Authorized placement certificat'!A6)","v":""},null,null,null,null,{"$f":"IF('Authorized placement certificat'!U9=\"\",\"\",'Authorized placement certificat'!U9)","v":""}]
[]
["Plan to issue shares of the corporation"]
[]
["Describe the method used to value the shares of the corporation's share capital in order to determine the amount of the authorized placement requested."]
[]
[]
["Complete the following tables:"]
["Class of shares to be issued",null,"Number of shares ",null,"Unit value of shares to be issued","Amount of authorized placement requested"]
[null,null,null,null,null,{"$f":"C17*E17","v":0}]
[]
["Description of the use of funds for operations planned by the corporation",null,"Amount",null,"Planned schedule","Reserved for IQ"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
["Total (must correspond to the amount of the authorized placement requested)",null,{"$f":"SUM(C20:C40)","v":0}]

{"sheet":"List of establishments","index":5,"n_rows":33,"n_cols":27,"rows_kept":33,"cut":false,"hidden":false,"merged":[[1,0,1,1],[11,0,11,1],[9,4,9,5],[10,4,10,5],[2,0,2,1],[8,4,8,5],[6,0,6,1],[3,0,3,1],[4,0,4,1]]}
[null,{"$f":"Instructions!N1","v":"Synergy Capital\n(version: 2021-02)"}]
[" Application for Authorized Placement Certificate"]
["List of Establishments"]
["If the corporation has more than one establishment"]
[]
["Name of the corporation"]
[{"$f":"IF('Authorized placement certificat'!A6=\"\",\"\",'Authorized placement certificat'!A6)","v":""},null,null,""]
[]
["Fiscal year from ",{"$f":"IF('Authorized placement certificat'!I46=\"\",\"\",'Authorized placement certificat'!I46)","v":""},null,"",""]
["Fiscal year to ",{"$f":"IF('Authorized placement certificat'!Q46=\"\",\"\",'Authorized placement certificat'!Q46)","v":""},null,"",""]
["File number ",{"$f":"IF('Authorized placement certificat'!U9=\"\",\"\",'Authorized placement certificat'!U9)","v":""},null,"",""]
["Address of all establishments  (1 address per line)"]
["Principal address"]
[null,{"$f":"IF('Authorized placement certificat'!A19:Z19=\"\",\"\",'Authorized placement certificat'!A19:Z19)","v":""},"","","","","","","","","","","","","","","","","","","","","","","","",""]
["Establishment 1"]
[]
["Establishment 2"]
[]
["Establishment 3"]
[]
["Establishment 4"]
[]
["Establishment 5"]
[]
["Establishment 6"]
[]
["Establishment 7"]
[]
["Establishment 8"]
[]
["Establishment 9"]
[]
["Establishment 10"]