Canadian investment in non-Canadian corporations, 2013 - (BP-60)

For Information onlyThis is an electronic survey example for information purposes only. This is not a working questionnaire.

Introduction

BP - Please correct any mistakes in the following information:

BP - Introduction

Purpose

This statistical program measures at a point in time the value and composition of Canada's financial assets and liabilities with non-residents.

Additional information

Objective of the survey.- Data are used to prepare statements on Canada's Balance of International Payments and Investment Position. Such statements are used as a major input in the conduct of monetary and exchange rate policies by the Government of Canada.

Others:

Confidential when completed.

Please make a copy for your records.

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Authority

This survey is conducted under the authority of the Statistics Act, Revised Statutes of Canada, 1985, Chapter S19.
Completion of this questionnaire is a legal requirement under the Statistics Act.

Confidentiality

Statistics Canada is prohibited by law from releasing any information it collects which could identify any person, business, or organization, unless consent has been given by the respondent or as permitted by the Statistics Act. Statistics Canada will use the information from this survey for statistical purposes.

Record linkage

To enhance the data from this survey, Statistics Canada may combine it with
information from other surveys or from administrative sources.

Security of emails and faxes

If you choose to transmit the questionnaire to Statistics Canada by facsimile or other electronic transmission, please be advised that there could be a risk of disclosure during the communication. 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.

Return procedures

A completed copy of this questionnaire should be returned within four weeks of receipt to Statistics Canada, International Accounts and Statistics Division, 100 Tunney's Pasture Driveway, Ottawa, Ontario, K1A OT6. Please return the completed form to us in the enclosed envelope or fax it at 613-951-9031. If you need any clarification about reporting, please telephone toll free number 1-866-765-8143 or e-mail: bop.surveys@statcan.gc.ca

1) Company information

Please provide name of foreign reporting company and country of residence:

Name:

Country:

Remarks:


Date:
Telephone :
Facsimile :
E-mail :
Name and title of responsible officer:
Signature

Data for end of last calendar year, if possible, or most recent fiscal year: DD MM YY

2) From the Balance Sheet of the Canadian reporting entity

Please report for the following items, the value as shown in most recent consolidated balance sheet converted to Canadian dollars and the approximate per cent held by residents of Canada

Liabilities

1) Long-term debt

2) Approximate per cent (%)held by residents of Canada

Shareholders' Equity

Capital stock (issued and fully paid):

1) Preferred shares:

- Value in thousandss of Canadian dollars (Cdn. $'000) of Preferred shares and

- Approximate per cent (%)held by residents of Canada


2) Common shares:

- Value in thousands of Canadian dollars (Cdn. $'000) of Common shares and

- Approximate per cent (%)held by residents of Canada

3) Paid-in (or Capital) surplus

4) Retained earnings

5) Total dividends paid last year to shareholders resident in Canada (Cdn. $'000)

Thank you!

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