Common shares Date of Annual Market value Description ACB ($) Quantity Total ($) acquisition dividend ($) 1) 2) 3) 4) Total Perpetual preferred shares Date of Market value Description ACB ($) Rate of return Quantity Total ($) acquisition ($) 1) 2) 3) 4) Total Growth securities mutual Date of Number of Market Description MER ACB ($) Total ($) acquisition ($) 1) 2) 3) 4) Total Income trusts Annual Date of Market value Description ACB ($) distributions Quantity Total ($) acquisition ($) ($) 1) 2) Total Note: The ACB should be adjusted downward each year to reflect capital distributions. Other growth securities
Common shares Description Date of acquisition ACB ($) Annual dividend Quantity Market value ($) Total ($) 1) 2) 3) 4) Total Perpetual preferred shares Description Date of acquisition ACB ($) Rate of return Quantity Market value ($) Total ($) 1) 2) 3) 4) Total Growth securities mutual Description Date of acquisition MER ACB ($) Number of Market ($) Total ($) 1) 2) 3) 4) Total Income trusts Description Date of acquisition ACB ($) Annual distributions ($) Quantity Market value ($) Total ($) 1) 2) Total Note: The ACB should be adjusted downward each year to reflect capital distributions. Other growth securities
Questionnaire_de_cueillette_de_donnees_version_anglaise.docx