Name of Listed Issuer:
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Symbol(s): |
IM Cannabis Corp. (the “Issuer”).
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IMCC
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1. |
For private placements (including debt settlement), complete tables 1A and 1B in Part 1 of this form.
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2. |
Complete Table 1A – Summary for all purchasers, excluding those identified in Item 8.
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3. |
Complete Table 1B – Related Persons only for Related Persons
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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.
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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
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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.
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Each jurisdiction in which purchasers reside
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Number of Purchasers
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Price per Security
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Total dollar value ($) raised in the jurisdiction
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Israel
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2
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US$1.25
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US$1,449,999
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Nova Scotia, Canada
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1
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US$1.25
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US$500,000
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Total number of purchasers:
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3
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||
Total dollar value of distribution in all jurisdictions:
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US$1,949,999
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Full Name &
Municipality of
Residence
of Placee
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Number of
Securities
Purchased
or to be
Purchased
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Purchase
price per
Security
($)
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Conversion
Price (if
Applicable)
($)
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Prospectus
Exemption
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Total Securities
Previously
Owned,
Controlled or
Directed
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Payment
Date(1) |
Describe
relationship
to Issuer (2)
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Oren Shuster
Glil-Yam, Israel
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856,704 Units
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US$1.25
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Each Warrant underlying a Unit is exercisable for one Common Share at a price of US$1.50 per Common Share
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BC Rule 72-503
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1,016,013 Common Shares and securities convertible into an additional 131,250 Common Shares
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January 16, 2023
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Chief Executive Officer and Director
10% holder of Common Shares
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Rafael Gabay
Tel Aviv, Israel
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303,295 Units
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US$1.25
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Each Warrant underlying a Unit is exercisable for one Common Share at a price of US$1.50 per Common Share
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BC Rule 72-503
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870,421 Common Shares
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January 16, 2023
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10% holder of Common Shares
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1. |
Total amount of funds to be raised: Aggregate gross proceeds of US$1,949,999 were raised in connection with the LIFE First Tranche and the Concurrent Offering.
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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.
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3. |
Provide particulars of any proceeds which are to be paid to Related Persons of the Issuer: N/A.
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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.
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5. |
Description of securities to be issued:
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(a) |
Class Common Shares.
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(b) |
Number 1,559,999 Common Shares following the completion of the LIFE First Tranche and the Concurrent Offering.
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(c) |
Price per security US$1.25.
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(d) |
Voting rights Each common share is entitled to one vote.
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6. |
Provide the following information if warrants, (options) or other convertible securities are to be issued:
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(a) |
Number 1,559,999 Warrants following the completion of LIFE Frist Tranche and the Concurrent Offering.
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(b) |
Number of securities eligible to be purchased on exercise of warrants (or options) 1,559,999 Common Shares upon exercise of the Warrants issued in connection with the LIFE First Tranche and the Concurrent Offering.
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(c) |
Exercise price US$1.50.
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(d) |
Expiry date 36 months following the date of issuance.
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7. |
Provide the following information if debt securities are to be issued:
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(a) |
Aggregate principal amount N/A.
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(b) |
Maturity date N/A.
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(c) |
Interest rate N/A.
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(d) |
Conversion terms N/A.
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(e) |
Default provisions N/A.
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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.):
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(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): N/A.
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(b) |
Cash N/A.
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(c) |
Securities N/A.
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(d) |
Other N/A.
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(e) |
Expiry date of any options, warrants etc. N/A.
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(f) |
Exercise price of any options, warrants etc. N/A.
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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 N/A.
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10. |
Describe any unusual particulars of the transaction (i.e. tax “flow through” shares, etc.).
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11. |
State whether the private placement will result in a change of control.
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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.
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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.
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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.
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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.
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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.
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(a) | Total aggregate consideration in Canadian dollars:_________________________.
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(b) | Cash: _____________________________________________________________. | |
(c) | Securities (including options, warrants etc.) and dollar value:
_________________. |
(d) | Other:_____________________________________________________________. |
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(e) | Expiry date of options, warrants, etc. if any:_______________________________. |
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(f) | Exercise price of options, warrants, etc. if any:_____________________________
. |
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(g) | Work commitments:__________________________________________________. |
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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).
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5. |
Provide details of any appraisal or valuation of the subject of the acquisition known to management of the Issuer: N/A.
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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. |
Name of
Party (If not
an
individual,
name all
insiders of
the Party)
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Number
and Type
of
Securities
to be
Issued
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Dollar
value per
Security
(CDN$)
|
Conversion
price (if
applicable)
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Prospectus
Exemption
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Total
Securities,
Previously
Owned,
Controlled or
Directed by
Party
|
Describe
relationship
to Issuer(1)
|
(1) |
Indicate if Related Person
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7. |
Details of the steps taken by the Issuer to ensure that the vendor has good title to the assets being acquired: N/A.
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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.
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(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): ________________________________________________________________.
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(b) | Cash________________________________________________________________. |
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(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.
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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.
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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.
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2. |
As of the date hereof there is not material information concerning the Issuer which has not been publicly disclosed.
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3. |
the Issuer has obtained the express written consent of each applicable individual to:
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(a) |
the disclosure of their information to the Exchange pursuant to this Form or otherwise pursuant to this filing; and
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(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
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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).
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5. |
All of the information in this Form 9 Notice of Issuance of Securities is true.
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Oren Shuster
Name of Director or Senior Officer “Oren Shuster” Signature Chief Executive Officer Official Capacity
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• |
To determine whether an individual is suitable to be associated with a Listed Issuer;
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• |
To determine whether an issuer is suitable for listing;
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• |
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;
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• |
To conduct enforcement proceedings;
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• |
To ensure compliance with Exchange Requirements and applicable securities legislation; and
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• |
To fulfil the Exchange’s obligation to regulate its marketplace.
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