FORM 21-101F6
CESSATION OF OPERATIONS REPORT FOR INFORMATION PROCESSOR

1. Identification:

A.           Full name of information processor:

B.           Name(s) under which business is conducted, if different from item 1A:

2. Date information processor proposes to cease carrying on business:
3. If cessation of business was involuntary, date information processor ceased to carry on business:

Exhibits

File all Exhibits with the Cessation of Operations Report. For each Exhibit, include the name of the information processor, the date of filing of the Exhibit and the date as of which the information is accurate (if different from the date of the filing). If any Exhibit required is inapplicable, a statement to that effect must be furnished instead of such Exhibit.

Exhibit A

The reasons for the information processor ceasing to carry on business.

Exhibit B

A list of each of the securities the information processor displays.

CERTIFICATE OF INFORMATION PROCESSOR

The undersigned certifies that the information given in this report is true and correct.

DATED at ____________ this ____________ day of ______________ 20 _____

__________________________________________

(Name of information processor )

__________________________________________

(Name of director, officer or partner - please type or print)

__________________________________________

(Signature of director, officer or partner)

__________________________________________

(Official capacity - please type or print)