IM CANNABIS CORP.
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8th Floor, 100 University Avenue
Toronto, Ontario M5J 2Y1
www.computershare.com
Toll Free Canada and US 1-800-564-6253
International 1-514-982-7555
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TOTAL SHARES
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IM CANNABIS CORP. - LETTER OF TRANSMITTAL
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Lost |
Certificate Number | Shares | Lost |
Certificate Number | Shares | Totals | Shares |
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Total Certificated Shares |
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Total Uncertificated Shares |
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Total Shares |
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Signature of Registered Owner or Authorized Representative |
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Signature of Registered Owner or Authorized Representative |
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Daytime Phone number (__) - _____________
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Signing Capacity _____________________ |
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Signing Capacity _____________________ |
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MM / DD / YY
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Date |
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1.
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Use of Letter of Transmittal
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a.
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Each shareholder holding share certificates or DRS of IM Cannabis must send or deliver this Letter of Transmittal duly completed and signed together with the share certificates or
DRS described herein to Computershare Investor Services Inc. (“Computershare”) at the office listed below. The method of delivery to Computershare is at the option and risk of the shareholder, but if mail is used, registered mail is
recommended.
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b.
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Shares registered in the name of the person by whom (or on whose behalf) the Letter of Transmittal is signed need not be endorsed or accompanied by any share transfer power of
attorney.
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c.
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Shares not registered in the name of the person by whom (or on whose behalf) the Letter of Transmittal is signed must be endorsed by the registered holder thereof or deposited
together with share transfer power of attorney properly completed by the registered holder. Such signature must be guaranteed by an «Eligible Institution» or in some other manner satisfactory to Computershare. An «Eligible Institution»
means a Canadian schedule 1 chartered bank, a member of the Securities Transfer Agent Medallion Program (STAMP), a member of the Stock Exchanges Medallion Program (SEMP) or a member of the New York Stock Exchange Inc. Medallion Signature
Program (MSP). Members of these programs are usually members of a recognized stock exchange in Canada and the United States, members of the Investment Industry Regulatory Organization of Canada, members of the Financial Industry
Regulatory Authority or banks and trust companies in the United States.
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d.
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Where the Letter of Transmittal is executed on behalf of a corporation, partnership or association or by an agent, executor, administrator, trustee, guardian or any person acting in a
representative capacity, the Letter of Transmittal must be accompanied by satisfactory evidence of the representative’s authority to act.
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e.
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IM Cannabis reserves the right if it so elects in its absolute discretion to instruct Computershare to waive any defect or irregularity contained in any Letter of Transmittal received by
it.
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2.
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Lost Share Certificates
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3.
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Miscellaneous
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BOX A - LOST CERTIFICATES
If your lost certificate(s) forms part of an estate or trust, or are valued at more than CAD $200,000.00, please contact Computershare for
additional instructions. Any person who, knowingly and with intent to defraud any insurance company or other person, files a statement of claim containing any materially false information or conceals for the purpose of misleading,
information concerning any fact material thereto, commits a fraudulent insurance act, which is a crime.
Premium Calculation:
Number of lost Company Shares ____________________ X CAD $0.01800 = Premium Payable $ ____________________
The option to replace your certificate by completing this Box A will expire on 01-Mar-23. After this date, shareholders must contact
Computershare for alternative replacement options. Note: Payment NOT required if premium is less than $5.00
I enclose my certified cheque, bank draft or money order payable to Computershare Investor Services Inc.
STATEMENT OF LOST CERTIFICATES:
The undersigned (solitarily, jointly and severally, if more than one) represents and agrees to the following: (i) the undersigned is (and, if
applicable, the registered owner of the Original(s), at the time of their death, was) the lawful and unconditional owner of the Original(s) and is entitled to the full and exclusive possession thereof; (ii) the missing certificate(s)
representing the Original(s) have been lost, stolen or destroyed, and have not been endorsed, cashed, negotiated, transferred, assigned, pledged, hypothecated, encumbered in any way, or otherwise disposed of; (iii) a diligent search for
the certificate(s) has been made and they have not been found; and (iv) the undersigned makes this Statement for the purpose of transferring or exchanging the Original(s) (including, if applicable, without probate or letters of
administration or certification of estate trustee(s) or similar documentation having been granted by any court), and hereby agrees to surrender the certificate(s) representing the Original(s) for cancellation should the undersigned, at
any time, find the certificate(s). The undersigned hereby agrees, for myself and my heirs, assigns and personal representatives, in consideration of the transfer or exchange of the Original(s), to completely indemnify, protect and hold
harmless IM Cannabis Corp., Computershare, Aviva Insurance Company of Canada, each of their lawful successors and assigns, and any other party to the transaction (the “Obligees”), from and against all losses, costs and damages, including
court costs and attorneys’ fees that they may be subject to or liable for in respect of the cancellation and/or replacement of the Original(s) and/or the certificate(s) representing the Original(s) and/or the transfer or exchange of the
Originals represented thereby, upon the transfer, exchange or issue of the Originals and/or a cheque for any cash payment. The rights accruing to the Obligees under the preceding sentence shall not be limited by the negligence,
inadvertence, accident, oversight or breach of any duty or obligations on the part of the Obligees or their respective officers, employees and agents or their failure to inquire into, contest, or litigate any claim, whenever such
negligence, inadvertence, accident, oversight, breach or failure may occur or have occurred. I acknowledge that a fee of CAD$0.01800 per lost IM Cannabis share is payable by the undersigned. Surety protection for the Obligees is provided
under Blanket Lost Original Instruments/Waiver of Probate or Administration Bond No. 35900-16 issued by Aviva Insurance Company of Canada.
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By Mail:
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PO Box 7023
31 Adelaide Street East
Toronto, ON M5C 2K4
Attn: Corporate Actions
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By Registered Mail,
Hand or Courier
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100 University Avenue
8th Floor
Toronto, ON M5J 2Y1
Attn: Corporate Actions
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