Exhibit 99.10
FORM 9
 
NOTICE OF ISSUANCE OR PROPOSED ISSUANCE OF LISTED SECURITIES
(or securities convertible or exchangeable into listed securities1)
 
         
Name of Listed Issuer: Symbol(s):

IM Cannabis Corp. (the “Issuer”).

IMCC
 
Date:          January 30, 2023
 
Is this an updating or amending Notice:          ☒  Yes   ☐  No
 
If yes provide date(s) of prior Notices:  January 13, 2023, January 16, 2023 and January 20, 2023.
 
Issued and Outstanding Securities of Issuer Prior to Issuance:  9,988,849 common shares (“Common Shares”).
 
Pricing
 
Date of news release announcing proposed issuance:  January 13, 2023 or
 
Date of confidential request for price protection: N/A.
 
Closing Market Price on Day Preceding the news release: US$1.30.2  or
 
Day preceding request for price protection: N/A.
 
Closing
 
Number of securities to be issued: The Issuer closed a third tranche of its previously announced non-brokered private placement of units (“Units”) pursuant to the listed issuer financing exemption under Part 5A of National Instrument 45-106 – Prospectus Exemptions (the “LIFE Offering”). An aggregate of 1,162,000 Units at a price of US$1.25 per Unit for aggregate gross proceeds of US$1,452,500 were issued and sold under the third tranche of the LIFE Offering. Each Unit consisted of one Common Share and one Common Share purchase warrant (each a “Warrant”). Each Warrant entitles its holder to purchase one additional Common Share at an exercise price of US$1.50 for a period of 36 months from the date of issue.          
 
Issued and outstanding securities following issuance: 11,150,849 Common Shares.
 

1The closing price of the Issuer’s Common Shares on the Nasdaq Capital Market on January 13, 2023 was US$1.30.


FORM 9 – NOTICE OF ISSUANCE OR PROPOSED ISSUANCE OF LISTED SECURITIES
September 2018
Page 1

Instructions:
 

1.
For private placements (including debt settlement), complete tables 1A and 1B in Part 1 of this form.
 

2.
Complete Table 1A – Summary for all purchasers, excluding those identified in Item 8.
 

3.
Complete Table 1B – Related Persons only for Related Persons
 

4.
If shares are being issued in connection with an acquisition (either as consideration or to raise funds for a cash acquisition) please proceed to Part 2 of this form.
 

5.
An issuance of non-convertible debt does not have to be reported unless it is a significant transaction as defined in Policy 7, in which case it is to be reported on Form 10 – Notice of Proposed Transaction
 

6.
Post the completed Form 9 to the CSE website in accordance with Policy 6 – Distributions.  In addition, the completed form must be delivered to listings@thecse.com with an appendix that includes the information in Table 1B for ALL placees.


FORM 9 – NOTICE OF ISSUANCE OR PROPOSED ISSUANCE OF LISTED SECURITIES
September 2018
Page 2


Part 1.          Private Placement
 
Table 1A – Summary
 

Each jurisdiction in which purchasers reside
Number of Purchasers
Price per Security
Total dollar value ($) raised in the jurisdiction
Israel
2
US$1.25
US$65,000
Newfoundland and Labrador
1
US$1.25
US$125,000
Ontario
21
US$1.25
US$637,500
Cayman Islands
1
US$1.25
US$625,000
Total number of purchasers:
25
   
Total dollar value of distribution in all jurisdictions:
US$1,452,500
 
Table 1B – Related Persons

 
Full Name & Municipality of Residence of Placee
 
Number of Securities Purchased or to be Purchased
 
Purchase price per Security ($)
 
Conversion
Price (if
Applicable)
($)
 
Prospectus Exemption
 
Total Securities Previously Owned, Controlled or Directed
 
Payment Date(1)
 
Describe relationship to Issuer (2)
N/A
             
 
1An issuance of non-convertible debt does not have to be reported unless it is a significant transaction as defined in Policy 7, in which case it is to be reported on Form 10.
 
1.
Total amount of funds to be raised: Cash gross proceeds of US$1,452,500 were raised in connection with the third tranche of the LIFE Offering. 
 
2.
Provide full details of the use of the proceeds.  The disclosure should be sufficiently complete to enable a reader to appreciate the significance of the transaction without reference to any other material.
 


FORM 9 – NOTICE OF ISSUANCE OR PROPOSED ISSUANCE OF LISTED SECURITIES
September 2018
Page 3

The Issuer intends to use the proceeds for general working capital purposes.
 
3.
Provide particulars of any proceeds which are to be paid to Related Persons of the Issuer: N/A.
 
4.
If securities are issued in forgiveness of indebtedness, provide details of the debt agreement(s) or and the agreement to exchange the debt for securities. N/A.
 
5.
Description of securities to be issued:
 

(a)
Class   Common Shares.


(b)
Number 1,162,000 Common Shares following the completion of the LIFE Offering.
 

(c)
Price per security  US$1.25.


(d)
Voting rights  Each Common Share is entitled to one vote.

6.
Provide the following information if warrants, (options) or other convertible securities are to be issued:
 

(a)
Number 1,162,000 Warrants following the completion of LIFE Offering.
 

(b)
Number of securities eligible to be purchased on exercise of warrants (or options) 1,162,000 Common Shares upon exercise of the Warrants issued in connection with the LIFE Offering.
 

(c)
Exercise price  US$1.50.
 

(d)
Expiry date   36 months following the date of issuance.
 
7.
Provide the following information if debt securities are to be issued:
 

(a)
Aggregate principal amount   N/A.
 

(b)
Maturity date   N/A.
 

(c)
Interest rate   N/A.


(d)
Conversion terms   N/A.
 

(c)
Default provisions   N/A.


FORM 9 – NOTICE OF ISSUANCE OR PROPOSED ISSUANCE OF LISTED SECURITIES
September 2018
Page 4

 
8.
Provide the following information for any agent’s fee, commission, bonus or finder’s fee, or other compensation paid or to be paid in connection with the placement (including warrants, options, etc.):
 

(a)
Details of any dealer, agent, broker or other person receiving compensation in connection with the placement (name, and if a corporation, identify persons owning or exercising voting control over 20% or more of the voting shares if known to the Issuer): BMO Nesbitt Burns Inc.
 

(b)
Cash  Finder’s fee in the amount of US$67,500, representing 5% of the aggregate gross proceeds received from purchasers introduced to the Issuer by the finder.
 

(c)
Securities  N/A.
 

(d)
Other  N/A.
 

(e)
Expiry date of any options, warrants etc.  N/A.
 

(f)
Exercise price of any options, warrants etc.  N/A.
 
9.
State whether the sales agent, broker, dealer or other person receiving compensation in connection with the placement is Related Person or has any other relationship with the Issuer and provide details of the relationship No Related Person to the Issuer received compensation in connection with the distribution of Units in the LIFE Offering.
 
10.
Describe any unusual particulars of the transaction (i.e. tax “flow through” shares, etc.).
 
N/A.
 
11.
State whether the private placement will result in a change of control.
 
No change of control.
 
12.
Where there is a change in the control of the Issuer resulting from the issuance of the private placement shares, indicate the names of the new controlling shareholders.  N/A.
 
13.
Each purchaser has been advised of the applicable securities legislation restricted or seasoning period.  All certificates for securities issued which are subject to a hold period bear the appropriate legend restricting their transfer until the expiry of the applicable hold period required by National Instrument 45-102 Resale of Securities.
 
Given that the LIFE Offering was made pursuant to the listed issuer financing exemption under Part 5A of NI 45-106, the securities issued pursuant to the LIFE Offering are not subject to a hold period in accordance with applicable Canadian securities laws.
 


FORM 9 – NOTICE OF ISSUANCE OR PROPOSED ISSUANCE OF LISTED SECURITIES
September 2018
Page 5


 
Part 2.          Acquisition

1.
Provide details of the assets to be acquired by the Issuer (including the location of the assets, if applicable).  The disclosure should be sufficiently complete to enable a reader to appreciate the significance of the transaction without reference to any other material:  N/A.
 
2.
Provide details of the acquisition including the date, parties to and type of agreement (eg: sale, option, license etc.) and relationship to the Issuer. The disclosure should be sufficiently complete to enable a reader to appreciate the significance of the acquisition without reference to any other material: N/A.
 
3.
Provide the following information in relation to the total consideration for the acquisition (including details of all cash, securities or other consideration) and any required work commitments: N/A.
 

(a)           Total aggregate consideration in Canadian dollars:  _________________________.       
.
 

(b)           Cash:  _____________________________________________________________.       
.
 

(c)           Securities (including options, warrants etc.) and dollar value:  _________________.       

        

(d)           Other:  ____________________________________________________________.       
.
 

(e)           Expiry date of options, warrants, etc. if any:  ______________________________.       
.
 

(f)           Exercise price of options, warrants, etc. if any:  ____________________________.       
.
 

(g)           Work commitments:  _________________________________________________.       
.
 
4.
State how the purchase or sale price was determined (e.g. arm’s-length negotiation, independent committee of the Board, third party valuation etc).
 
N/A.
 
5.
Provide details of any appraisal or valuation of the subject of the acquisition known to management of the Issuer:  N/A.

 
6.
The names of parties receiving securities of the Issuer pursuant to the acquisition and the number of securities to be issued are described as follows:
N/A.



FORM 9 – NOTICE OF ISSUANCE OR PROPOSED ISSUANCE OF LISTED SECURITIES
September 2018
Page 6



Name of Party (If not an individual, name all insiders of the Party)
Number and Type of Securities to be Issued
Dollar value per Security (CDN$)
Conversion price (if applicable)
Prospectus Exemption
Total Securities, Previously Owned, Controlled or Directed by Party
Describe relationship
to Issuer(1)
             
             
 

(1)
Indicate if Related Person
 
7.
Details of the steps taken by the Issuer to ensure that the vendor has good title to the assets being acquired:  N/A.

8.
Provide the following information for any agent’s fee, commission, bonus or finder’s fee, or other compensation paid or to be paid in connection with the acquisition (including warrants, options, etc.): N/A.
 

(a)
Details of any dealer, agent, broker or other person receiving compensation in connection with the acquisition (name, and if a corporation, identify persons owning or exercising voting control over 20% or more of the voting shares if known to the Issuer): ._____________________________________________________________________________________________________________________.
 

(b)           Cash _______________________________________________________________.     
.
 

(c)           Securities ___________________________________________________________.
.
 

(d)           Other ______________________________________________________________.
.
 

(e)           Expiry date of any options, warrants etc.  __________________________________.

 

(f) Exercise price of any options, warrants etc. ________________________________.
.
 
9.
State whether the sales agent, broker or other person receiving compensation in connection with the acquisition is a Related Person or has any other relationship with the Issuer and provide details of the relationship. N/A.
 
10.
If applicable, indicate whether the acquisition is the acquisition of an interest in property contiguous to or otherwise related to any other asset acquired in the last 12 months.  N/A.

 

FORM 9 – NOTICE OF ISSUANCE OR PROPOSED ISSUANCE OF LISTED SECURITIES
September 2018
Page 7


Certificate Of Compliance
 
The undersigned hereby certifies that:
 
1.
The undersigned is a director and/or senior officer of the Issuer and has been duly authorized by a resolution of the board of directors of the Issuer to sign this Certificate of Compliance on behalf of the Issuer.
 
2.
As of the date hereof there is not material information concerning the Issuer which has not been publicly disclosed.
 
3.
the Issuer has obtained the express written consent of each applicable individual to:


(a)
the disclosure of their information to the Exchange pursuant to this Form or otherwise pursuant to this filing; and
 

(b)
the collection, use and disclosure of their information by the Exchange in the manner and for the purposes described in Appendix A or as otherwise identified by the Exchange, from time to time
 
4.
The undersigned hereby certifies to the Exchange that the Issuer is in compliance with the requirements of applicable securities legislation (as such term is defined in National Instrument 14-101) and all Exchange Requirements (as defined in CSE Policy 1).
 
5.
All of the information in this Form 9 Notice of Issuance of Securities is true.
 
Dated January 30, 2023.
 


Oren Shuster
Name of Director or Senior Officer
 


“Oren Shuster”
Signature
 


Chief Executive Officer
Official Capacity
 


FORM 9 – NOTICE OF ISSUANCE OR PROPOSED ISSUANCE OF LISTED SECURITIES
September 2018
Page 8

 


Appendix A
 
PERSONAL INFORMATION COLLECTION POLICY REGARDING FORM 9
 
The Canadian Securities Exchange and its subsidiaries, affiliates, regulators and agents (collectively, “CSE” or the “Exchange”) collect and use the information (which may include personal or other information) which has been provided in Form 9 for the following purposes:
 

To determine whether an individual is suitable to be associated with a Listed Issuer;
 

To determine whether an issuer is suitable for listing;
 

To determine whether allowing an issuer to be listed or allowing an individual to be associated with a Listed Issuer could give rise to investor protection concerns or could bring the Exchange into disrepute;
 

To conduct enforcement proceedings;
 

To ensure compliance with Exchange Requirements and applicable securities legislation; and
 

To fulfil the Exchange’s obligation to regulate its marketplace.
 
The CSE also collects information, including personal information, from other sources, including but not limited to securities regulatory authorities, law enforcement and self-regulatory authorities, regulation service providers and their subsidiaries, affiliates, regulators and agents. The Exchange may disclose personal information to these entities or otherwise as provided by law and they may use it for their own investigations.
 
The Exchange may use third parties to process information or provide other administrative services. Any third party will be obliged to adhere to the security and confidentiality provisions set out in this policy.
 
All personal information provided to or collected by or on behalf of The Exchange and that is retained by The Exchange is kept in a secure environment. Only those employees who need to know the information for the purposes listed above are permitted access to the information or any summary thereof. Employees are instructed to keep the information confidential at all times.
 
Information about you that is retained by the Exchange and that you have identified as inaccurate or obsolete will be corrected or removed.
 
If you wish to consult your file or have any questions about this policy or our practices, please write the Chief Privacy Officer, Canadian Securities Exchange, 220 Bay Street – 9th Floor, Toronto, ON, M5J 2W4.


FORM 9 – NOTICE OF ISSUANCE OR PROPOSED ISSUANCE OF
LISTED SECURITIES
September 2018
Page 9