Pension Fund Societies Act (R.S.C., 1985, c. P-8)

We, the undersigned (describe the officials establishing the society), do hereby declare that we have associated ourselves together for the purpose of establishing a pension fund society in connection with the administration of the under the provisions of the Pension Fund Societies Act;

That the proposed corporate name of the society shall be the Pension Fund Society of the ;

That the chief place of business of the said society is to be within the of ;

And we make this declaration for the purpose of establishing the said society under the said Act.

In witness whereof we have executed these presents in duplicate at in the presence of this day of , 19.

(Signatures)

Signed in the presence of