Quarterly Survey of Financial Statements (IC3)

Reporting Entity - Question identifier:1.

This report covers (please mark only one)

• 1: a single corporation
• 2: part of a corporation (e.g. branch, division, head office)
• 3: a consolidated family of corporations
• 4: other (specify)

If you have received a Corporate Structure, please review the list of entities and make any necessary corrections. The Corporate Structure lists the Canadian entities expected to be consolidated in this report.

If you have not received a Corporate Structure and this entity
is part of a Canadian consolidation, please check here

Reporting Entity - Question identifier:2.

Does this reporting entity have investments in partnerships or joint ventures?

• 1: Yes
• 2: No

Reporting Entity - Question identifier:3.

Please indicate which accounting standards were used by the reporting entity to complete this questionnaire:

Reporting instructions

Continued.

ii) Capital Expenditures
- Purchases of used building and structures and machinery and equipment are itemized separately from the purchase of new capital assets.
- Capital expenditures include additions to the construction-in-progress accounts, not transfers from construction-in-progress to fixed assets accounts.
- Capital expenditures should be reported at gross values before deducting credits such as government assistance, grants, donations, investment tax credits, and flow through share credits, but net of GST input tax credits claimed.

iii) Retained Earnings
Prior period adjustments are to be included in item 38700 (Other additions (deductions)).

iv) Income Statement
- Expenses related to the amortization of deferred debits and deferred charges should be included in cell 52350 (Amortization - intangible assets and deferred charges).
- All unrealized losses, write-downs, and write-offs of assets, including adjustments to net realizable values, should be included in item 56420 (Derivative gains (losses) - unrealized), 56100 (Foreign currency gains (losses)), 56200 (Revaluations, (write-downs) and (write-offs)) or item 56500 (other comprehensive income (unrealized gains and (losses)).
- All realized gains and losses related to the disposal of investments, loans, and capital assets (except extraordinary items) should be included in item 56410 (Derivative gains (losses) - realized), 56300 (Realized gains (losses) on the sale of assets), 56100 (Foreign Currency gains (losses)) or 56600 (Other comprehensive income realized (gains) and losses).
- Profits or losses accruing to minority shareholders of consolidated subsidiaries should include the minority shareholders' portion of extraordinary gains and losses of the subsidiary. This means that the entire extraordinary gain or loss attributable to the subsidiary must be included in the extraordinary gain or loss line item of the consolidated income statement.

v) Discontinued Operations
Gains or losses from discontinued businesses related to operations should be disclosed as normal operations showing detailed revenues and expenses separately in the prescribed accounts in the income statement. As well, the balance sheet items related to discontinued operations should be shown separately in their respective accounts. Estimated gains or losses forecasted from a future disposal of assets of a discontinued operation are classified as an unrealized gain or loss and as such should be shown in the revaluation account (item 56200) - noted above.

• (1): International Financial Reporting Standards (IFRS)
• (2): Accounting standards for Private enterprises
• (3): Other (specify)

Reporting Entity - Question identifier:4.

Please explain any significant events, changes in accounting or basis of reporting, that have impacted operations since the prior period.

Reporting Entity - Question identifier:5.

This report covers the period from: Day, month, year to Day, month, year

I certify that the information herein is complete and correct to the best of my knowledge.

• 1: Name of company official (please print)
• 2: Name and position of person to contact if different from above (please print)
• 3: Telephone number and Extension
• 4: Position of company official
• 5: E-mail address
• 6: Facsimile number

Balance sheet date: Day, month, year

SECTION A - ASSETS - Question identifier:1.

Cash and deposits

• (a): Canadian currency

• (b): foreign currency

SECTION A - ASSETS - Question identifier:2.

Accounts receivable

• (a): Trade

• (b): consumer credit

• (c): other

• (d): allowance for doubtful accounts

SECTION A - ASSETS - Question identifier:3.

Lease Contracts

• (a): financial leases

• (b): residual value

SECTION A - ASSETS - Question identifier:4.

Inventory

SECTION A - ASSETS - Question identifier:5.

Investments in affiliates

SECTION A - ASSETS - Question identifier:6.

Canadian investments - non affiliates

Reporting instructions

Continued

b) 15195 bonds and debentures

Definition

All debt securities issued by Canadian corporations, government business enterprises or Canadian government. Include investments in Canadian issued debt securities, except treasury bills and notes with original terms to maturity of less than one year. Included are debt securities issued by provincial and municipal government business enterprises guaranteed by provincial or municipal governments.

Inclusions

- Income debentures, mortgage bonds, small business development bonds and small business bonds
- Notes with an original term to maturity of one year or over, except promissory notes arising from the sale of goods and services
- Own debt securities held but not retired
- Debt securities issued by separately constituted government enterprises and not guaranteed by a Canadian government
- Government guaranteed debt securities of private sector enterprises
- Government business enterprise debt guaranteed by a Canadian government

Exclusions

- Short-term paper - see item 15190 (Short-term paper)
- Debt securities of foreign governments and corporations - see item 15200 (Foreign investments - non-affiliates)
- Accrued interest receivable - see item 12180 (Accounts receivable - other)
- Debt securities of affiliates - see item 14000 (Investments in affiliates)
- Promissory notes arising from the sale of goods and services - see item 12110 (Accounts receivable - trade)
- Treasury bills - see item 15190 (Short-term paper)

c) 15160 corporate shares, fund or trust units and other equity

Definition

Investments in all Canadian equity issued by non-affiliated Canadian entities.

Inclusions

- Common and preferred shares of non-affiliated Canadian corporations
- Fixed term equity securities
- Closed-end and open-end funds
- Credit union shares
- Trust units

Exclusions

- Shares of affiliates - see items 14110 and 14120 (Shares and equity in Canada or outside Canada)
- Shares in foreign corporations - see item 15200 (Foreign investments - non affiliates)
- Dividends receivable - see item 12180 (Accounts receivable - other)
- Stock warrants and options - see item 19900 (Derivatives)

d) 15180 other Canadian investments

Definition

Canadian investments not elsewhere classified.

Inclusions

- Gold and silver certificates
- Precious metals (except for mining companies, where these should be part of inventory)

Exclusions

- Cash surrender value of life insurance policies - see item 19800 (Other assets)
- Goodwill, trademarks, patents, franchises, licences, rights and like items - see item 19100 (Intangible assets)
- Mortgage loans and non-mortgage loans - see items 16000 (Mortgage loans to non-affiliates) and 17000 (Non-mortgage loans to non-affiliates)

SECTION A - ASSETS - Question identifier:7.

Foreign investments - non-affiliates

SECTION A - ASSETS - Question identifier:8.

Derivatives

SECTION A - ASSETS - Question identifier:9.

Mortgage loans to non-affiliates

SECTION A - ASSETS - Question identifier:10.

Non-mortgage loans to non-affiliates

SECTION A - ASSETS - Question identifier:11.

Fixed assets

Reporting instructions

Continued.

a) 18319 depreciable assets and land

Definition

Property, plant, and equipment are tangible assets that are:
- Held for use in the production or supply of goods and services, for rental to others, or for administrative purposes, and may include items held for the maintenance or repair of such assets;
- Have been acquired or constructed with the intention of being used on a continuing basis;
- Not intended for sale in the ordinary course of business. This category includes real estate held for rental.

Valuation

Land and depreciable assets should be valued at acquisition cost including interest capitalized, or allowance for funds used for construction, plus the cost of betterments, less write-downs to reflect permanent impairment. Depreciable assets should be reported before deducting depreciation.

Inclusions
- Land, roads, bridges and towers
- Buildings and other structures
- Leasehold improvements and other improvements
- Machinery and equipment
b) 18316 capitalized leases of lessee

Definition

Include assets acquired under capital leases which are leases where all the benefits and risks of ownership of leased property are transferred from the lessor to the lessee. Leased properties include land, buildings, machinery, and equipment (see general definition above under item 18300).
c) 18350 accumulated depreciation

Definition

The accumulated periodic allocations of the cost of rental properties and fixed assets to expense.

d) 18360 depletable assets

Definition

The costs of acquiring proven or producing natural resource properties. The cost of exploring and developing new natural resource properties.

Valuation

Show net of accumulated depletion and amortization.

• (a): depreciable assets and land

• (b): capitalized leases of lessee

• (c): accumulated depreciation

• (d): depletable assets

SECTION A - ASSETS - Question identifier:12.

Intangible assets

SECTION A - ASSETS - Question identifier:13.

Other assets

SECTION A - ASSETS - Question identifier:14.

TOTAL ASSETS

Balance sheet date: Day, month, year

LIABILITIES - Question identifier:15.

Accounts payable

• (a): trade

• (b): other

LIABILITIES - Question identifier:16.

Income taxes payable

LIABILITIES - Question identifier:17.

Amounts owing to affiliates

• (a): in Canada

• (b): outside Canada

LIABILITIES - Question identifier:18.

Borrowing from non-affiliates

Reporting instructions

Continued.

Inclusions
- Finance and commercial paper
- Demand or call notes
- Promissory notes not insurable under a deposit insurance act in Canada
- Bankers' acceptances - bankers' acceptances is short-term money market financing that is guaranteed by a bank
c) 25400 bonds and debentures

Definition

Bonds and debentures which represent long-term obligations. The instruments include a written promise to pay a specified sum of money at a fixed time in the future and to pay interest at a specified rate, and are usually secured by a pledge of assets. These debt instruments are usually marketable.

Valuation

This liability should be valued at the proceeds of the issue before deducting fees or commission. However, many issues are issued at a discount and may be recorded at amortized value. If data on proceeds are not available, amortized values are acceptable. Sinking funds consisting of investments may be established by the debtor under the terms of the bond agreement. The value of these investments should not be deducted from the value of the bonds outstanding, but should be shown in the appropriate asset category and the amount of debt shown as the actual amount outstanding. Bonds and debentures retired through the use of sinking funds or other resources should be deducted from the total debt outstanding. Investments in the reporting entity's bonds and debentures should not be netted against the corresponding liabilities, but should be shown in the appropriate investment category. Bonds and debentures denominated in foreign currency should be expressed in Canadian dollars using the exchange rate in effect on the balance sheet date.

Inclusions
- Mortgage bonds
- Collateral trust bonds
- Own bonds held but not retired
- Equipment trust certificates
- Small business bonds and small business development bonds
- Income bonds

Exclusions
- Mortgage loans - see item 25500 (Mortgage loans)
- Bonds held by affiliates - see series 24000 (Amounts owing to affiliates)
- Finance and other short-term paper - see item 25200 (Commercial paper)
- Bank or other loans secured by bonds, debentures, and serial notes - see items 25700 and 25800
(Loans and overdrafts from lenders in Canada and outside Canada)
d) 25500 mortgage loans

Definition

Funds borrowed under a mortgage contract to purchase real estate.

Valuation

Loans denominated in foreign currency should be expressed in Canadian dollars using the exchange rate in effect on the balance sheet date.

Exclusions
- Chattel or collateral mortgages - see items 25700 and 25800 (Loans and overdrafts from lenders in Canada and outside Canada)
- Mortgages due to affiliates - see series 24000 (Amounts owing to affiliates)
- Accrued interest payable - see item 22180 (Accounts payable - other)
- Mortgage bonds - see item 25400 (Bonds and debentures)
e) 25184 capital lease obligations

Definition

Capital lease obligations represent the total dollar value of lease payments payable by lessees over the life of the financing lease

• (a): loans and overdrafts
• (1): from lenders in Canada
• (2): from lenders outside Canada

• (b): commercial paper

• (c): bonds and debentures

• (d): mortgage loans

• (e): capital lease obligations

LIABILITIES - Question identifier:19.

Equity securities classified as liabilities

LIABILITIES - Question identifier:20

Derivatives

LIABILITIES - Question identifier:21.

Future income taxes

LIABILITIES - Question identifier:22.

Minority interest

LIABILITIES - Question identifier:23.

Other liabilities

EQUITY - Question identifier:24.

Share capital

• (a): preferred

• (b): common

EQUITY - Question identifier:25.

Unitholders' capital

EQUITY - Question identifier:26.

Contributed surplus

EQUITY - Question identifier:27.

Accumulated other comprehensive income

EQUITY - Question identifier:28.

Retained earnings

Reporting instructions

Continued

e) 38800 dividends declared

Details

(1) 38804 preferred shares
(2) 38806 common shares

Definition

An amount declared by the board of directors for distribution to shareholders in proportion to their holdings, having regard for the respective rights of various classes of stock.

Inclusions

- Cash dividends declared
- Cash dividends declared on all common and preferred shares
- Other dividends
- Stock dividends declared on common or preferred shares
- Liquidating dividends
- Patronage dividends

Exclusions

- Interest expense on small business development bonds, small business bonds, income bonds and debentures - see item 53110 (Interest expense on bonds and debentures)

f) 38300 income trust distributions

Definition

Distributions of funds to the owners of the trust, fund or partnership.

g) 38000 closing balance

Definition

The accumulated undistributed earnings derived from all sources, including capital or extraordinary gains and losses. Retained earnings may be appropriated (i.e., set aside at the discretion of management or in accordance with the requirements of a statute, by-law, trust indenture or other agreement for a specific or general purpose), or unappropriated. Both are included here.
Include head office accounts which represents the undistributed profits a foreign company has retained in an unincorporated branch operating in Canada. Also, other incorporated entities such as partnerships and joint ventures, branches and divisions of corporations should include their undistributed profits in this account.

Inclusions

- The undistributed profits portion of the head office accounts and capital accounts of unincorporated entities

Exclusions

- Contributed surplus - see item 33000 (Contributed surplus)
- Share capital - see item 31000 (Share capital)
- Unitholder's capital - see item 32300 (Unitholder's capital)

• (a): opening balance

• (b): net income (loss) for the current period

• (c): transfers from (to) share capital

• (d): other additions (deductions)

• (e): dividends declared
• (1): preferred shares
• (2): common shares

• (f): income trust distributions

• (g): closing balance

EQUITY - Question identifier:29.

TOTAL LIABILITIES AND EQUITY

From: Day, month, year To: Day, month, year

SECTION C - INCOME STATEMENT - Question identifier:30.

OPERATING REVENUE

OPERATING EXPENSES - Question identifier:31.

Wages and salaries

OPERATING EXPENSES - Question identifier:32.

Employer portion of employee benefits

OPERATING EXPENSES - Question identifier:33.

Pension expense

OPERATING EXPENSES - Question identifier:34.

Stock options expense

OPERATING EXPENSES - Question identifier:35.

Indirect taxes

OPERATING EXPENSES - Question identifier:36.

Depreciation

OPERATING EXPENSES - Question identifier:37.

Depletion

OPERATING EXPENSES - Question identifier:38.

Amortization

OPERATING EXPENSES - Question identifier:39.

Resource royalties expense

OPERATING EXPENSES - Question identifier:40.

Bad debts expense, charitable donations and write-down of inventory

OPERATING EXPENSES - Question identifier:41.

Purchased goods and services

OPERATING EXPENSES - Question identifier:42.

TOTAL OPERATING EXPENSES

OPERATING EXPENSES - Question identifier:43.

OPERATING INCOME (LOSS)

OTHER REVENUE AND EXPENSES - Question identifier:44.

Canadian interest revenue

OTHER REVENUE AND EXPENSES - Question identifier:45.

Canadian dividends

OTHER REVENUE AND EXPENSES - Question identifier:46.

Foreign interest and dividend revenue

OTHER REVENUE AND EXPENSES - Question identifier:47.

Interest expense

• (a): short-term debt

• (b): bonds and debentures

• (c): mortgages

• (d): other long-term debt

OTHER REVENUE AND EXPENSES - Question identifier:48.

Dividends paid on equity securities classified as liabilities

OTHER REVENUE AND EXPENSES - Question identifier:49.

Gains (losses) on the sale of assets

OTHER REVENUE AND EXPENSES - Question identifier:50.

Foreign currency gains (losses)

OTHER REVENUE AND EXPENSES - Question identifier:51.

Derivatives gains (losses)

• (a): realized

• (b): unrealized

OTHER REVENUE AND EXPENSES - Question identifier:52.

Revaluations, (write-downs) and (write-offs)

OTHER REVENUE AND EXPENSES - Question identifier:53.

INCOME (LOSS) BEFORE INCOME TAX

OTHER REVENUE AND EXPENSES - Question identifier:54.

Current income tax expense

OTHER REVENUE AND EXPENSES - Question identifier:55.

Future income tax expense

OTHER REVENUE AND EXPENSES - Question identifier:56.

INCOME (LOSS) AFTER INCOME TAX

OTHER REVENUE AND EXPENSES - Question identifier:57.

Equity in unconsolidated affiliates

OTHER REVENUE AND EXPENSES - Question identifier:58.

Minority shareholders' portion of net income of consolidated affiliates

OTHER REVENUE AND EXPENSES - Question identifier:59.

Extraordinary gains (losses)

OTHER REVENUE AND EXPENSES - Question identifier:60.

NET INCOME (LOSS)

OTHER REVENUE AND EXPENSES - Question identifier:61.

Other comprehensive income

• (a): unrealized gains (losses)

• (b): realized (gains) losses

• (c): income taxes

OTHER REVENUE AND EXPENSES - Question identifier:62.

COMPREHENSIVE INCOME

BALANCE SHEET DISCLOSURE - Question identifier:63.

Current assets

BALANCE SHEET DISCLOSURE - Question identifier:64.

Current liabilities

PENSION PLAN FUNDING - Question identifier:65.

Funded status

• (a): plan assets

• (b): benefit obligation

• (c): funded status

• (d): accrued benefits (liability) or asset

INCOME STATEMENT DISCLOSURE - Question identifier:66.

Cost of goods and services sold

INCOME STATEMENT DISCLOSURE - Question identifier:67.

Exploration and development costs expensed

INCOME STATEMENT DISCLOSURE - Question identifier:68.

Software costs expensed

INCOME STATEMENT DISCLOSURE - Question identifier:69.

Equity method dividends

• (a): Canadian

• (b): foreign

INCOME STATEMENT DISCLOSURE - Question identifier:70.

Unusual items

INCOME STATEMENT DISCLOSURE - Question identifier:71.

Consolidation accounting elimination of sales

INCOME STATEMENT DISCLOSURE - Question identifier:72.

CAPITAL EXPENDITURES

OTHER DISCLOSURE - Question identifier:73.

Hours spent completing questionnaire

Is this your first quarterly report completed for the Quarterly Survey of Financial Statements after adopting a new set of acounting standards?

• (1): YES If yes, please complete sections below.
• (2): NO

Total assets - Canadian GAAP

Total assets - New accounting standards

Total liabilities - Canadian GAAP

Total liabilities - New accounting standards

Total equity - Canadian GAAP

Total equity - New accounting standards

Explanation of differences between figures under prior Canadian GAAP and under the new accounting standards.

Total operating revenue - Canadian GAAP

Total operating revenue - New accounting standards

Total operating expenses - Canadian GAAP

Total operating expenses - New accounting standards

Operating income (loss) - Canadian GAAP

Operating income (loss) - New accounting standards

Net income (loss) - Canadian GAAP

Net income (loss) - New accounting standards

Comprehensive income (loss) - Canadian GAAP

Comprehensive income (loss) - New accounting standards

Explanation of differences between figures under prior Canadian GAAP and under the new accounting standards.

Please use this section to report any comments you may have.

Report only Canadian operations - please exclude foreign affiliates.

Report all amounts in thousands of Canadian dollars - "$ 000s"

Use parentheses to report negative values.

If actual data are not available, estimates may be used.

The term "affiliate" used in this questionnaire covers unconsolidated:

- parent, subsidiary and related corporations

- related joint ventures and partnerships

- head offices, branches and divisions

- directors, officers and individual shareholders

Affiliates are entities within a common family of corporations controlled or significantly influenced by the reporting company or another company within the corporate family.

Returning your questionnaire and Corporate Structure:

Return the completed questionnaire and Corporate Structure in the enclosed envelope or fax it to Statistics Canada at (800) 552-4428 within 30 days of quarter end.

Fax or other electronic transmission disclosure:

Statistics Canada advises you there could be risk of disclosure during facsimile or other electronic transmission. However, upon receipt of your information, Statistics Canada will provide the guaranteed level of protection afforded all information collected under the authority of the Statistics Act.

For further information, definitions of terms used, or questions concerning this survey, please consult the "Quarterly Survey of Financial Statements Reporting Guide" (available at www.statcan.gc.ca/imdb-bmdi/2501-eng.htm), and/or contact Statistics Canada at:

Telephone: (877) 898-6686 Fax: (800) 552-4428 E-mail: QSFS-RTEF@statcan.gc.ca Statistics Canada Business Survey Section/Central Region 2nd Floor, Jean Talon Building 150 Tunney's Pasture Driveway Ottawa, Canada, K1A 0T6

THANK YOU FOR YOUR CO-OPERATION