bullbullbull Canada Revenue Agence du revenu Employers name - Nom de temployeur Agency du Canada T4

STATEMENT OF REMUNERAnON PAIDYORK UNIVERSITY Year ETAT DE LA REMUNERAnON PAYEEAnnee 20094700 KEELE STREET

Employment income - Ime 101 Income lax dedllcted - jine (~ 37TORONTO ON M3J 1 P3 Revenus demploi -ligne 101 Imp6t Sur Ie revenu relenu -I qnc 43 7

155901 39 47631 14 Payrol l Account Number (15 characters) Province of employment Employees CPP contributions - line 308 El insurable iarllH1gs

Numero de comple de elenues (15 caracleres) Province demploi Cotisal ions de remploye au RPC - ligne 308 Gams nssurables (j AE

~ ON ~ sect 42300 00 Social insurance nurnber Exempt - Exemption Employment code Employees app contnbulions - l ine 308 CPPOPP pensionable earnings

Numero dassurance sociale CPPOP P EI PPIP Code demploi CaUsations de Iemploye au RRO - ligne 308 Gains ouvrent droit R pensIon - RPCRRO

438 413 643 sectx ~ sect RPCRRQ AE RPAP Employees EI premiums - line 31 2 UnIOn dues - line 2 12

Cotisations de lemploy~ a rAE - 1I9ne 3 12 Colisaflons syndrcales - ligna 2 12 Employees name and address - Nom at adresse de Iemploye

Ftrst nSrQ8 - Prenom hloltlw - IMIales 731 79 1711 61 RP P contributions - line 207 Charitable donations - see over ~ JAZAIRI NURI T Cotisations aun RPA - li9ne 207 Dons de bienfalsance - vOjr au verso

102 LYDON BLVD 8641 67TORONTO ON M4R 1L4

Pension adjustment - line 206 RPP or DPSP registration number Facteur dequivalence - ligne 206 W dagroment dun RPA au dun RPD8

sect17543 00 0329763 Employees PPIP premiums - see over PPIP insurabe earnings

Cotisations de Iemploye au RPA P - voir au verso Gains assurables du RPAP

~ ~ Box - CaseBox -Case Amount - Montant Box - Case Amount - Montant Amount - Montan Other infonnation

(see over) 40 297 95 Autres

Box - Case Amount - Montant Box - Case Amount - Montant Box - Case Amount - Monlant renseignements (voir au verso)

T4 (09)

(03 -001 4471 1

bull Government Gouvernement of Canada du Canada

~O BOX CP 5100 STN SUCC D SCARBOROUGH ON M1R SC8

LANADA

~CPOAT-01 06574146 l OS10 II 719 26(0)

JAZAIRI NURIT 102 LYTTON BOULEVARD TORONTO ONT M4R 1L4

J12978-J12102

Protected when completed - B Protege une fois rempli - B

This is your Canada Pension Plan T4A (P) You will need this when you file your income tax return

Voici votre T4A (P) du Regime de pensions du Canada Vous en aurez besoin pour votre declaration de revenu

bullbullbull Canada Revenue Agence du revenu STATEMENT OF CANADA PENSION PLAN BENEFITS T4A (P)Agency du Canada ETAT DES PRESTATIONS DU REGIME DE PENSIONS DU CANADA

Year Income tax ~ Social insurance Onset or RetirementTaxable 111 Number of ~ ~ ~ CPP benefits months deducted number ~ Effective date benefitI

2009 1081872 12 438 413 643 0901 1081872 Prestations Nombre Impet sur Ie Numero dassurance Date de debut ou Prestation

Annee imposables du RPC de mois revenu relenu sociale dentree en vigueur de retraile ~

Survivor Disability benefit ~ benefit

Issued by Service Canada ~ Emis par Service Canada

I Prestation Preslation BCPOAT-01 06574146 de survivant dinvaliditeI OS101

Child benefit Death benefit ~ ll Prestation Prestation

pour enfant de decesJAZAIRI NURIT 102 LYTTON BOULEVARD Benefit number 438413643 20TORONTO ONT M4R 1L4 N de preslation IL ~

RC-09-946

T4A (P) (07) Attach this copy to your federal return ISPQ136nal-10-09 Joignez cette copie II votre declaration federale Canada

bull Government Gouvernement of Canada du Canada

~O BOX CP 5100 STN SUCC D SCARBOROUGH ON M1R SC8

LANADA

~CPOAT-01 06574146 l OS10 II 719 26(0)

JAZAIRI NURIT 102 LYTTON BOULEVARD TORONTO ONT M4R 1L4

J12978-J12102

Protected when completed - B Protege une fois rempli - B

This is your Canada Pension Plan T4A (P) You will need this when you file your income tax return

Voici votre T4A (P) du Regime de pensions du Canada Vous en aurez besoin pour votre declaration de revenu

bullbullbull Canada Revenue Agence du revenu STATEMENT OF CANADA PENSION PLAN BENEFITS T4A (P)Agency du Canada ETAT DES PRESTATIONS DU REGIME DE PENSIONS DU CANADA

Year Income tax ~ Social insurance Onset or RetirementTaxable 111 Number of ~ ~ ~ CPP benefits months deducted number ~ Effective date benefitI

2009 1081872 12 438 413 643 0901 1081872 Prestations Nombre Impet sur Ie Numero dassurance Date de debut ou Prestation

Annee imposables du RPC de mois revenu relenu sociale dentree en vigueur de retraile ~

Survivor Disability benefit ~ benefit

Issued by Service Canada ~ Emis par Service Canada

I Prestation Preslation BCPOAT-01 06574146 de survivant dinvaliditeI OS101

Child benefit Death benefit ~ ll Prestation Prestation

pour enfant de decesJAZAIRI NURIT 102 LYTTON BOULEVARD Benefit number 438413643 20TORONTO ONT M4R 1L4 N de preslation IL ~

RC-09-946

T4A (P) (07) Attach this copy to your federal return ISPQ136nal-10-09 Joignez cette copie II votre declaration federale Canada

bull bullbull

bullbullbull

Government Gouvernement Protected when completed - B of Canada du Canada

~O BOX CP 5100 STN SUCC D SCARBOROUGH ON M1R 5C8

~ANADA

~CPOAT-01 81 II

MR NURI T JAZAI RI 102 LYTTON BOULEVARD TORONTO M4 R 1L4

J 1 2 978- J 1 2 102

Canada Revenue Agence du revenu

Protege une fois rempli - B

This is your Old Age Security T4A (OAS) You will need this when you file your income tax return

Voici votre T4A (OAS) de la Securite de la vieillesse Vous en aurez besoin pour votre declaration de revenu

STATEMENT OF OLD AGE SECURITYAgency du Canada T4A (OAS) RELEVE DE LA SECURITE DE LA VIEILLESSE

Year

2009

Annee

~ Taxable pension paid

620352

Versement de pension imposable

~ Gross pension paid

620352

Versement brut de pension

sect Overpayment recovered

00

Paiement en trap recouvre

I~ Net supplements paid

00

Versement net des supplements

~ Income tax deducted

413568

Imp6t sur Ie revenu retenu

ill Quebec income tax deducted

00

Imp6t sur Ie revenu du Quebec retenu

Issued by Service Canada Emis par Service Canada

IsCPOAT-01 06574146

MR NURI T JAZAI RI 10 2 LYTTON BOULEVARD

4 C II 81 II

~ Social insurance number

438 413 643

Numero dassurance sociale

~ Old Age Security number

438413643

Numero de la Securite de la vieillesse

RC-09-946L20 RONTO M4R 1L4

Keep this copy for your recordsT4A (OAS) (08) Conservez cene copie pour vos dossiers CanadaISP-OI37nat-10-09

Agence du revenu+ Canada Revenue T5 Aaencv du Canada

Year STATEMENT OF INVESTMENT INCOME Federal credit

~ Actual amount of e~gible dMdends ~ r axable amount of ek9lb~e dtlird~nds ~ Dtlndeond tn credit for ~glDle ~dends

Dividends from Canadian corporations ~ nIeregt from CanadIan ~ourcps _LCbullbull ~n dMdtnd

57805210200 304790 ~ AcbJai amount of dMdeoamp other than ~ Talaele amourt of dMdends othltT 3JpMdend tall crrdd for dIVIdends ether Riport code rRPient idennumb rRreligible dMdend than eIIQlble dMde~d5 IMn Ilig ble ohtdends ~ ~middote

0 438-413-643 Other Information (see the baCk) c=J 1 1 c=J 1 1 c=J 1 1

Belt Amoonl Belt Amount Bolt Amount

CAD 1 ~ 220-54028 1 604 Q02l1 ~ Foreign CUITc Transit Rec~ent AccolOl

Recipients name and address Payers name and address

PROF NURI JAZAIRI BMO InvestorLne Inc 102 LYTTON BLVD 1 Frst Canadan Place TORONTO ON M4R 1L4 20th floor

Toronto OntaroM5X 1A1

TS(09)

~ o

o U laquo

bull For Recipientmiddot Allach to your Income Tax Return For information see the back ~

+ Canada Revenue Agence du revenu T5 Aaencv du Canada

Year STATEMENT OF INVESTMENT INCOME Dividends t rom Canadian corporations Federal creel it

~ Actual amount of ellglblr dividends ~ T llIilble amoUllt of tllglble dMde-nds ~~d tal( c redll for ehgtb~ dMdends ~ Inlere~1 from Canadian ources FCap~ bullbull dMdd

57805210200 304790 ~ Actual amount r dividends other han ~ Tgable amounl of dIVIdends othel ~~dend talC credd for dnndends olht r Reportcode rPIOnl entm9n n rR~nt ~pltelgable IiMdf1lds thlf1 ekgible dMdendthan ellgtble dMdend~ ~

0 438-413-643 Other info rmation (see the back) c=J 1 1 c=J I 1 c=J 1 ]

Be Amounl Belt Amount B Amount

CAD 1 sectL] ~ 220-540281 604 Q02l1 Foreign Currency Trans Recipient Account

Recipients name and address Payers name and address

PROF NURI JAZAIRI BMO InvestorLne Inc 102 LYTTON BLVD 1 First Canadan Place TORONTO ON M4R 1L4 20th floor

Toronto OntaroM5X 1A1

T5(09l L-- ----- bull For Recipient - Keep for your records For information see the back

The Statements of Investment Income printed above

should be used when preparing your Income Tax Return

copy 2 is to be attached to your Income Tax Return and copy 3 should be kept with your records

SCG4 a OI a02RElRF P 00001687 C 18629

1+1 Canada Revenue Agence du revenu STATEMENT OF INVESTMENT INCOME T5 Agency du Canada ETAT DES REVENUS DE PLACEMENTS

I Dividends rom Canadian corporations - Dividendes de ociete canadienne Federal credit Credit rederal

~ Aclual a~~i~~~~li9ibl ~ Tbl am3~~~~~ligble gJ Dividend tax credit for 1lJ Intnst from Canadian sources ~ Capital gains dividendseligible dividends

Montant itt des dividendls Montlnt mposabl d dividndlS ditminis detmlnis

Actual amount of dividends Taxable amount of dividendsill~ other than eligible dividends othr than eligible dividends

Montant riel des dividendes lUll Montant impollblt dIS dividndlS que dIS dividndes d6tvrminis autus qUI des dividendts determines

Year - Annee

Recipient - Beneficiaire 1 2009 I

JI TR45PB-E55211S-00036781

8680 Cridit d impot pour dividendls

d erminis In~rits d source canadienne Dividndn sur gains In capital

Dividend tax credit for dividends ~ Rl cipiont~ ~ Recipient identification numbr~ Report codeother than eligible dividends typo

438 413 643 10 Crdit dimpot pou dividend Numiro dMIntification bj~lfimiddotc~r autrts que des divldendts dtermines Code du fluittet du binificiaire

Other information Iee the back)

Autres renseignements 1 1 (voir au verso) BoxC AmounUmontant BoxCase AmounUMontant

0 0 [ I Payer s name and addressmiddot Nom et adresse du payeurMR NURI T JAZAIRI 0252

102 LYTTON BLVD TORONTO ON

M4R lL4 T5 (09)

Foreign CurrencySee information below Voir 19s renseignements ci-dessous 2 ITq CAD I

Devise strangerss

~drn~FtYru~ts slip for your records and attach the other copy to your incoma lax

For information on how to report your income see your tax guide

Under the Income Tax Act you helVe to give your social insurance number ISIN) on

~~qfhjtstl~p~nla~r~~~~~gt ~~P~~ran~n~or~~rJ~oitsUpy~~rl~~fJaov~ aS~~~~ ynoo~ ~~i~ apply for one at any Service Canada Centre

ho~~ ~~b~~ 1a1~dT~~ die~d~~x~endr1~vhui~lhh~ itcti~i~ou~Jai~ ~t~tle~ i~ t~~~~ount in box 12 For more information see lines 120 and 425 in your tax guide

Boxes 13 and 15 for information on how to report this amount on your return see line 121 in your tax quide

Bdx 16 - We use this amount to calculate your foreign tax credit For more information sea line 405 of your tax guide

Box 18 - Enter this amount line 174 of Schedule 3 Capital Gains (or Losscs)

Box 19 - This llmount is the earnings part of a general annuity If you were 65 or

~~~~~ ~~ ~u~~~~~s~rc~~~o~r~~ ~~e~~dr~hpeo~nthi~~l7u~~~~ I~~fseorry~~r return Otherwise enter this amount on line 121 or your return

Box 21 bull Report code - The code in this box indicates that this slip is the original O an amended IA ) or a cancelied slip IC)

Box 22 - Ir you llre an individual (other than a trust) the number in this box is your SIN In all other cases the number is your Business Number

Box 23 - The code in this box indicates ir the amount was paid to an individllill 1) a joint account (2)~ a corporation (3-) an association trust club or other (4 0 a govenment 15 )

r~ rn4b~~ 5~ di~e~~xn~e~~~v~hi~lh~~ i~i~ou~lai~ ~~t~t~~ i~ t~ho~i~nt box 26 For more inrormation see lines 120 and 425 in your tax guide

~~~~ ~~~arn~I~~~st~ea~r~~~tta~~_~5~~~f~e information vi1tit

TO MORTGAGE CORPORATION BRANCH CONTACT 1677 AVENUE ROAD NORTH ON M5M 3Y3

TD TERM DEPOSITGIC DEPOT A TERMEICPG TD

Conseltez votra guide d impot pour en aavoir dossiars at joignez Iautre a votre declaration de r evenue et de ~rstation~

Consultez votre guide d impot pour en selvoir plus sur la fel~on de declarer votre revenu

Selon 10 Lo de fimpot sur Ie rcvcnu vous devez fournir sur demande votre numero d assurance sociale (NASJ a toute personne qui etablit un feuillet de renseignements a votre nom Si votre NAS ne figure pns sur ce feuillet communiquez avec Ie payeur pour Ie lui fournir Si vous navez pas de NAS vous devez en obtenir un aupres dun Centre Service Canada

Cases 10 11 et 12 - Le mantant qu un particulier do it declarer comme ravenu est Ie montant

~s~ 1cS~01Jr~ ~~e~ii~ ~I~~~i~~~sdi~~~~en~~~la~~ fi~~cSu~~o td~~tJ~~~r uide dimpot

Cases 13 et 15middot lisez les renseignements a la ligna 121 da votre guide d impot pour savoir comment ind iquar ce montnnt dans votre declarntion

Case 16 Ce montiJnt sert acaleuler votre cradit pour impot itmoger Pour en savoir plus lisez les renseignements a la ligna 0405 votre guide d impat

Cas 18middot Inscrivez ce montant a la ligna 174 de Iannexe 3 Gain5 (ou pcrtc5) cn capital

Case 19 Ce montant est la partie revenu des rentes ordinaires Si vous aviez 65 ans ou plus a It) fin de ranne au 51 vous avez recu des paiements de rentes en raison du daces de votre epoux 011 conjoint de fait declarez ce montant a 10 li]ne 115 de votre declaration Autrement inscrivezmiddot le a la l igna 121

~~~u~~t ~od~t fa )~ ~~se~i~~n~~~ I~ ~~slet est roriginal ( 0 )

Casa 22 middot Si vbuS etes un particulier (autre qu une riducie) ca numero est votre NAS Dans tous les autres eas il s agit de votre numero dentreprise

Case 23 - La code dans catte case indique si Ie montant a ete pays it un particulier (1) a un comrte en commun (bull2) iI un~ societe (3 ) a una association une fiducia un c lub ou autre 1 4 ou un gouvrnement 1 5) Cases 24 25 et 26 - Le montant qu un particuJiar doh declarer comme revenu est Ie montant de la case 25 Le credit d impot pour dividendss auquel un pnrticulier a droit figure a la case 26 Pour en savoi r plus lisez res renseignments DUX lignes 120 at 425 de votre guide dimpOt

II se peut que vous daviez payer votre impot par acomptes provisionnell Pour an savoir plus visitez Ie www arc gccaacomptalprovlsionnels ou appelez nous au 1-800middot959-7383

1+1 Canada Revenue Agence du revenu STATEMENT OF INVESTMENT INCOME TS AQency dlJ Canada FTAT-Deg RE~ENUS DE RLACEMENTS --- (l2 5863-4584-Divideniis from Canadinn corporations - Dividendes de societes can1diennes Federat eredit - Credit federal

I ~ Actual amount of eligible 1sectJ Tablbullbullmount 0 ligbl gJ Dtvidend tax credit for 1lJ Intenst frlm Clnadiln sources llJ Cpital gin dividenddividends dividends eligible dividends

8680 Montnt hi dOl dividnd Montant imposable des dividendes Cridit dimpot pour dividendts

determinis determinesd6tmini Intrits de source canadienne Oividlndu gin In capital

1QJ Aclual mount of dividond J Taxable amount of dividends Dividend tal( credit for dividends ~ Recipient~ ~ Report cod ~ Recipient identification numberother thlfi eligible dividends other than eligibl diYidnd other thin eligLble dividends type

0 438 413 643 1 Montnt iel des dividend autu Montant impo~a~l des dividenl$es Credit dimpot pour dividndes Numiro didentificationque des dividendls diterminis autras quI dIS dIVIdend diternilnis lutU que dIS dividends ditermines Codo du euillet b6~lfi~du bnificiair

Year - Annee Other infofmation

Recipient - Beneficiaire Ise the back)11 2009 Autras renseignements 1 1I 0 D I I

JITR45PB- E552118-00036781 Ivoir au verso) BogtltlC ArrIounUmootilnt BoxCast AmounUMontant

MR NURI T JAZAIRI 102 LYTTON BLVD TORONTO ON

0252 Payer s name and addressmiddot Nom at adresse du payeur

TO MORTGAG~ CORPORATION BRANCH CONTACT 1677 AV~NUE ROAD NORTH ON M5M 3Y3

T5 (09)

M4R lL4 TD TERM DEPOSiTGIC DEPOT A TERMEICPG TD

For recipientmiddot Keep for your records Pour Ie beneficiaire bull Conservez dans lOS dossiers 3 See information abovemiddot Voir les renseignements cimiddotdessus

Foreign Currency

Lyenq CAD Devise etrangeres

Agence du revenu+ Canada Revenue T5 Aaencv du Canada

Year STATEMENT OF INVESTMENT INCOME Federal credit

~ Actual amount of e~gible dMdends ~ r axable amount of ek9lb~e dtlird~nds ~ Dtlndeond tn credit for ~glDle ~dends

Dividends from Canadian corporations ~ nIeregt from CanadIan ~ourcps _LCbullbull ~n dMdtnd

57805210200 304790 ~ AcbJai amount of dMdeoamp other than ~ Talaele amourt of dMdends othltT 3JpMdend tall crrdd for dIVIdends ether Riport code rRPient idennumb rRreligible dMdend than eIIQlble dMde~d5 IMn Ilig ble ohtdends ~ ~middote

0 438-413-643 Other Information (see the baCk) c=J 1 1 c=J 1 1 c=J 1 1

Belt Amoonl Belt Amount Bolt Amount

CAD 1 ~ 220-54028 1 604 Q02l1 ~ Foreign CUITc Transit Rec~ent AccolOl

Recipients name and address Payers name and address

PROF NURI JAZAIRI BMO InvestorLne Inc 102 LYTTON BLVD 1 Frst Canadan Place TORONTO ON M4R 1L4 20th floor

Toronto OntaroM5X 1A1

TS(09)

~ o

o U laquo

bull For Recipientmiddot Allach to your Income Tax Return For information see the back ~

+ Canada Revenue Agence du revenu T5 Aaencv du Canada

Year STATEMENT OF INVESTMENT INCOME Dividends t rom Canadian corporations Federal creel it

~ Actual amount of ellglblr dividends ~ T llIilble amoUllt of tllglble dMde-nds ~~d tal( c redll for ehgtb~ dMdends ~ Inlere~1 from Canadian ources FCap~ bullbull dMdd

57805210200 304790 ~ Actual amount r dividends other han ~ Tgable amounl of dIVIdends othel ~~dend talC credd for dnndends olht r Reportcode rPIOnl entm9n n rR~nt ~pltelgable IiMdf1lds thlf1 ekgible dMdendthan ellgtble dMdend~ ~

0 438-413-643 Other info rmation (see the back) c=J 1 1 c=J I 1 c=J 1 ]

Be Amounl Belt Amount B Amount

CAD 1 sectL] ~ 220-540281 604 Q02l1 Foreign Currency Trans Recipient Account

Recipients name and address Payers name and address

PROF NURI JAZAIRI BMO InvestorLne Inc 102 LYTTON BLVD 1 First Canadan Place TORONTO ON M4R 1L4 20th floor

Toronto OntaroM5X 1A1

T5(09l L-- ----- bull For Recipient - Keep for your records For information see the back

The Statements of Investment Income printed above

should be used when preparing your Income Tax Return

copy 2 is to be attached to your Income Tax Return and copy 3 should be kept with your records

SCG4 a OI a02RElRF P 00001687 C 18629

1+1 Canada Revenue Agence du revenu STATEMENT OF INVESTMENT INCOME T5 Agency du Canada ETAT DES REVENUS DE PLACEMENTS

I Dividends rom Canadian corporations - Dividendes de ociete canadienne Federal credit Credit rederal

~ Aclual a~~i~~~~li9ibl ~ Tbl am3~~~~~ligble gJ Dividend tax credit for 1lJ Intnst from Canadian sources ~ Capital gains dividendseligible dividends

Montant itt des dividendls Montlnt mposabl d dividndlS ditminis detmlnis

Actual amount of dividends Taxable amount of dividendsill~ other than eligible dividends othr than eligible dividends

Montant riel des dividendes lUll Montant impollblt dIS dividndlS que dIS dividndes d6tvrminis autus qUI des dividendts determines

Year - Annee

Recipient - Beneficiaire 1 2009 I

JI TR45PB-E55211S-00036781

8680 Cridit d impot pour dividendls

d erminis In~rits d source canadienne Dividndn sur gains In capital

Dividend tax credit for dividends ~ Rl cipiont~ ~ Recipient identification numbr~ Report codeother than eligible dividends typo

438 413 643 10 Crdit dimpot pou dividend Numiro dMIntification bj~lfimiddotc~r autrts que des divldendts dtermines Code du fluittet du binificiaire

Other information Iee the back)

Autres renseignements 1 1 (voir au verso) BoxC AmounUmontant BoxCase AmounUMontant

0 0 [ I Payer s name and addressmiddot Nom et adresse du payeurMR NURI T JAZAIRI 0252

102 LYTTON BLVD TORONTO ON

M4R lL4 T5 (09)

Foreign CurrencySee information below Voir 19s renseignements ci-dessous 2 ITq CAD I

Devise strangerss

~drn~FtYru~ts slip for your records and attach the other copy to your incoma lax

For information on how to report your income see your tax guide

Under the Income Tax Act you helVe to give your social insurance number ISIN) on

~~qfhjtstl~p~nla~r~~~~~gt ~~P~~ran~n~or~~rJ~oitsUpy~~rl~~fJaov~ aS~~~~ ynoo~ ~~i~ apply for one at any Service Canada Centre

ho~~ ~~b~~ 1a1~dT~~ die~d~~x~endr1~vhui~lhh~ itcti~i~ou~Jai~ ~t~tle~ i~ t~~~~ount in box 12 For more information see lines 120 and 425 in your tax guide

Boxes 13 and 15 for information on how to report this amount on your return see line 121 in your tax quide

Bdx 16 - We use this amount to calculate your foreign tax credit For more information sea line 405 of your tax guide

Box 18 - Enter this amount line 174 of Schedule 3 Capital Gains (or Losscs)

Box 19 - This llmount is the earnings part of a general annuity If you were 65 or

~~~~~ ~~ ~u~~~~~s~rc~~~o~r~~ ~~e~~dr~hpeo~nthi~~l7u~~~~ I~~fseorry~~r return Otherwise enter this amount on line 121 or your return

Box 21 bull Report code - The code in this box indicates that this slip is the original O an amended IA ) or a cancelied slip IC)

Box 22 - Ir you llre an individual (other than a trust) the number in this box is your SIN In all other cases the number is your Business Number

Box 23 - The code in this box indicates ir the amount was paid to an individllill 1) a joint account (2)~ a corporation (3-) an association trust club or other (4 0 a govenment 15 )

r~ rn4b~~ 5~ di~e~~xn~e~~~v~hi~lh~~ i~i~ou~lai~ ~~t~t~~ i~ t~ho~i~nt box 26 For more inrormation see lines 120 and 425 in your tax guide

~~~~ ~~~arn~I~~~st~ea~r~~~tta~~_~5~~~f~e information vi1tit

TO MORTGAGE CORPORATION BRANCH CONTACT 1677 AVENUE ROAD NORTH ON M5M 3Y3

TD TERM DEPOSITGIC DEPOT A TERMEICPG TD

Conseltez votra guide d impot pour en aavoir dossiars at joignez Iautre a votre declaration de r evenue et de ~rstation~

Consultez votre guide d impot pour en selvoir plus sur la fel~on de declarer votre revenu

Selon 10 Lo de fimpot sur Ie rcvcnu vous devez fournir sur demande votre numero d assurance sociale (NASJ a toute personne qui etablit un feuillet de renseignements a votre nom Si votre NAS ne figure pns sur ce feuillet communiquez avec Ie payeur pour Ie lui fournir Si vous navez pas de NAS vous devez en obtenir un aupres dun Centre Service Canada

Cases 10 11 et 12 - Le mantant qu un particulier do it declarer comme ravenu est Ie montant

~s~ 1cS~01Jr~ ~~e~ii~ ~I~~~i~~~sdi~~~~en~~~la~~ fi~~cSu~~o td~~tJ~~~r uide dimpot

Cases 13 et 15middot lisez les renseignements a la ligna 121 da votre guide d impot pour savoir comment ind iquar ce montnnt dans votre declarntion

Case 16 Ce montiJnt sert acaleuler votre cradit pour impot itmoger Pour en savoir plus lisez les renseignements a la ligna 0405 votre guide d impat

Cas 18middot Inscrivez ce montant a la ligna 174 de Iannexe 3 Gain5 (ou pcrtc5) cn capital

Case 19 Ce montant est la partie revenu des rentes ordinaires Si vous aviez 65 ans ou plus a It) fin de ranne au 51 vous avez recu des paiements de rentes en raison du daces de votre epoux 011 conjoint de fait declarez ce montant a 10 li]ne 115 de votre declaration Autrement inscrivezmiddot le a la l igna 121

~~~u~~t ~od~t fa )~ ~~se~i~~n~~~ I~ ~~slet est roriginal ( 0 )

Casa 22 middot Si vbuS etes un particulier (autre qu une riducie) ca numero est votre NAS Dans tous les autres eas il s agit de votre numero dentreprise

Case 23 - La code dans catte case indique si Ie montant a ete pays it un particulier (1) a un comrte en commun (bull2) iI un~ societe (3 ) a una association une fiducia un c lub ou autre 1 4 ou un gouvrnement 1 5) Cases 24 25 et 26 - Le montant qu un particuJiar doh declarer comme revenu est Ie montant de la case 25 Le credit d impot pour dividendss auquel un pnrticulier a droit figure a la case 26 Pour en savoi r plus lisez res renseignments DUX lignes 120 at 425 de votre guide dimpOt

II se peut que vous daviez payer votre impot par acomptes provisionnell Pour an savoir plus visitez Ie www arc gccaacomptalprovlsionnels ou appelez nous au 1-800middot959-7383

1+1 Canada Revenue Agence du revenu STATEMENT OF INVESTMENT INCOME TS AQency dlJ Canada FTAT-Deg RE~ENUS DE RLACEMENTS --- (l2 5863-4584-Divideniis from Canadinn corporations - Dividendes de societes can1diennes Federat eredit - Credit federal

I ~ Actual amount of eligible 1sectJ Tablbullbullmount 0 ligbl gJ Dtvidend tax credit for 1lJ Intenst frlm Clnadiln sources llJ Cpital gin dividenddividends dividends eligible dividends

8680 Montnt hi dOl dividnd Montant imposable des dividendes Cridit dimpot pour dividendts

determinis determinesd6tmini Intrits de source canadienne Oividlndu gin In capital

1QJ Aclual mount of dividond J Taxable amount of dividends Dividend tal( credit for dividends ~ Recipient~ ~ Report cod ~ Recipient identification numberother thlfi eligible dividends other than eligibl diYidnd other thin eligLble dividends type

0 438 413 643 1 Montnt iel des dividend autu Montant impo~a~l des dividenl$es Credit dimpot pour dividndes Numiro didentificationque des dividendls diterminis autras quI dIS dIVIdend diternilnis lutU que dIS dividends ditermines Codo du euillet b6~lfi~du bnificiair

Year - Annee Other infofmation

Recipient - Beneficiaire Ise the back)11 2009 Autras renseignements 1 1I 0 D I I

JITR45PB- E552118-00036781 Ivoir au verso) BogtltlC ArrIounUmootilnt BoxCast AmounUMontant

MR NURI T JAZAIRI 102 LYTTON BLVD TORONTO ON

0252 Payer s name and addressmiddot Nom at adresse du payeur

TO MORTGAG~ CORPORATION BRANCH CONTACT 1677 AV~NUE ROAD NORTH ON M5M 3Y3

T5 (09)

M4R lL4 TD TERM DEPOSiTGIC DEPOT A TERMEICPG TD

For recipientmiddot Keep for your records Pour Ie beneficiaire bull Conservez dans lOS dossiers 3 See information abovemiddot Voir les renseignements cimiddotdessus

Foreign Currency

Lyenq CAD Devise etrangeres

1+1 Canada Revenue Agence du revenu STATEMENT OF INVESTMENT INCOME T5 Agency du Canada ETAT DES REVENUS DE PLACEMENTS

I Dividends rom Canadian corporations - Dividendes de ociete canadienne Federal credit Credit rederal

~ Aclual a~~i~~~~li9ibl ~ Tbl am3~~~~~ligble gJ Dividend tax credit for 1lJ Intnst from Canadian sources ~ Capital gains dividendseligible dividends

Montant itt des dividendls Montlnt mposabl d dividndlS ditminis detmlnis

Actual amount of dividends Taxable amount of dividendsill~ other than eligible dividends othr than eligible dividends

Montant riel des dividendes lUll Montant impollblt dIS dividndlS que dIS dividndes d6tvrminis autus qUI des dividendts determines

Year - Annee

Recipient - Beneficiaire 1 2009 I

JI TR45PB-E55211S-00036781

8680 Cridit d impot pour dividendls

d erminis In~rits d source canadienne Dividndn sur gains In capital

Dividend tax credit for dividends ~ Rl cipiont~ ~ Recipient identification numbr~ Report codeother than eligible dividends typo

438 413 643 10 Crdit dimpot pou dividend Numiro dMIntification bj~lfimiddotc~r autrts que des divldendts dtermines Code du fluittet du binificiaire

Other information Iee the back)

Autres renseignements 1 1 (voir au verso) BoxC AmounUmontant BoxCase AmounUMontant

0 0 [ I Payer s name and addressmiddot Nom et adresse du payeurMR NURI T JAZAIRI 0252

102 LYTTON BLVD TORONTO ON

M4R lL4 T5 (09)

Foreign CurrencySee information below Voir 19s renseignements ci-dessous 2 ITq CAD I

Devise strangerss

~drn~FtYru~ts slip for your records and attach the other copy to your incoma lax

For information on how to report your income see your tax guide

Under the Income Tax Act you helVe to give your social insurance number ISIN) on

~~qfhjtstl~p~nla~r~~~~~gt ~~P~~ran~n~or~~rJ~oitsUpy~~rl~~fJaov~ aS~~~~ ynoo~ ~~i~ apply for one at any Service Canada Centre

ho~~ ~~b~~ 1a1~dT~~ die~d~~x~endr1~vhui~lhh~ itcti~i~ou~Jai~ ~t~tle~ i~ t~~~~ount in box 12 For more information see lines 120 and 425 in your tax guide

Boxes 13 and 15 for information on how to report this amount on your return see line 121 in your tax quide

Bdx 16 - We use this amount to calculate your foreign tax credit For more information sea line 405 of your tax guide

Box 18 - Enter this amount line 174 of Schedule 3 Capital Gains (or Losscs)

Box 19 - This llmount is the earnings part of a general annuity If you were 65 or

~~~~~ ~~ ~u~~~~~s~rc~~~o~r~~ ~~e~~dr~hpeo~nthi~~l7u~~~~ I~~fseorry~~r return Otherwise enter this amount on line 121 or your return

Box 21 bull Report code - The code in this box indicates that this slip is the original O an amended IA ) or a cancelied slip IC)

Box 22 - Ir you llre an individual (other than a trust) the number in this box is your SIN In all other cases the number is your Business Number

Box 23 - The code in this box indicates ir the amount was paid to an individllill 1) a joint account (2)~ a corporation (3-) an association trust club or other (4 0 a govenment 15 )

r~ rn4b~~ 5~ di~e~~xn~e~~~v~hi~lh~~ i~i~ou~lai~ ~~t~t~~ i~ t~ho~i~nt box 26 For more inrormation see lines 120 and 425 in your tax guide

~~~~ ~~~arn~I~~~st~ea~r~~~tta~~_~5~~~f~e information vi1tit

TO MORTGAGE CORPORATION BRANCH CONTACT 1677 AVENUE ROAD NORTH ON M5M 3Y3

TD TERM DEPOSITGIC DEPOT A TERMEICPG TD

Conseltez votra guide d impot pour en aavoir dossiars at joignez Iautre a votre declaration de r evenue et de ~rstation~

Consultez votre guide d impot pour en selvoir plus sur la fel~on de declarer votre revenu

Selon 10 Lo de fimpot sur Ie rcvcnu vous devez fournir sur demande votre numero d assurance sociale (NASJ a toute personne qui etablit un feuillet de renseignements a votre nom Si votre NAS ne figure pns sur ce feuillet communiquez avec Ie payeur pour Ie lui fournir Si vous navez pas de NAS vous devez en obtenir un aupres dun Centre Service Canada

Cases 10 11 et 12 - Le mantant qu un particulier do it declarer comme ravenu est Ie montant

~s~ 1cS~01Jr~ ~~e~ii~ ~I~~~i~~~sdi~~~~en~~~la~~ fi~~cSu~~o td~~tJ~~~r uide dimpot

Cases 13 et 15middot lisez les renseignements a la ligna 121 da votre guide d impot pour savoir comment ind iquar ce montnnt dans votre declarntion

Case 16 Ce montiJnt sert acaleuler votre cradit pour impot itmoger Pour en savoir plus lisez les renseignements a la ligna 0405 votre guide d impat

Cas 18middot Inscrivez ce montant a la ligna 174 de Iannexe 3 Gain5 (ou pcrtc5) cn capital

Case 19 Ce montant est la partie revenu des rentes ordinaires Si vous aviez 65 ans ou plus a It) fin de ranne au 51 vous avez recu des paiements de rentes en raison du daces de votre epoux 011 conjoint de fait declarez ce montant a 10 li]ne 115 de votre declaration Autrement inscrivezmiddot le a la l igna 121

~~~u~~t ~od~t fa )~ ~~se~i~~n~~~ I~ ~~slet est roriginal ( 0 )

Casa 22 middot Si vbuS etes un particulier (autre qu une riducie) ca numero est votre NAS Dans tous les autres eas il s agit de votre numero dentreprise

Case 23 - La code dans catte case indique si Ie montant a ete pays it un particulier (1) a un comrte en commun (bull2) iI un~ societe (3 ) a una association une fiducia un c lub ou autre 1 4 ou un gouvrnement 1 5) Cases 24 25 et 26 - Le montant qu un particuJiar doh declarer comme revenu est Ie montant de la case 25 Le credit d impot pour dividendss auquel un pnrticulier a droit figure a la case 26 Pour en savoi r plus lisez res renseignments DUX lignes 120 at 425 de votre guide dimpOt

II se peut que vous daviez payer votre impot par acomptes provisionnell Pour an savoir plus visitez Ie www arc gccaacomptalprovlsionnels ou appelez nous au 1-800middot959-7383

1+1 Canada Revenue Agence du revenu STATEMENT OF INVESTMENT INCOME TS AQency dlJ Canada FTAT-Deg RE~ENUS DE RLACEMENTS --- (l2 5863-4584-Divideniis from Canadinn corporations - Dividendes de societes can1diennes Federat eredit - Credit federal

I ~ Actual amount of eligible 1sectJ Tablbullbullmount 0 ligbl gJ Dtvidend tax credit for 1lJ Intenst frlm Clnadiln sources llJ Cpital gin dividenddividends dividends eligible dividends

8680 Montnt hi dOl dividnd Montant imposable des dividendes Cridit dimpot pour dividendts

determinis determinesd6tmini Intrits de source canadienne Oividlndu gin In capital

1QJ Aclual mount of dividond J Taxable amount of dividends Dividend tal( credit for dividends ~ Recipient~ ~ Report cod ~ Recipient identification numberother thlfi eligible dividends other than eligibl diYidnd other thin eligLble dividends type

0 438 413 643 1 Montnt iel des dividend autu Montant impo~a~l des dividenl$es Credit dimpot pour dividndes Numiro didentificationque des dividendls diterminis autras quI dIS dIVIdend diternilnis lutU que dIS dividends ditermines Codo du euillet b6~lfi~du bnificiair

Year - Annee Other infofmation

Recipient - Beneficiaire Ise the back)11 2009 Autras renseignements 1 1I 0 D I I

JITR45PB- E552118-00036781 Ivoir au verso) BogtltlC ArrIounUmootilnt BoxCast AmounUMontant

MR NURI T JAZAIRI 102 LYTTON BLVD TORONTO ON

0252 Payer s name and addressmiddot Nom at adresse du payeur

TO MORTGAG~ CORPORATION BRANCH CONTACT 1677 AV~NUE ROAD NORTH ON M5M 3Y3

T5 (09)

M4R lL4 TD TERM DEPOSiTGIC DEPOT A TERMEICPG TD

For recipientmiddot Keep for your records Pour Ie beneficiaire bull Conservez dans lOS dossiers 3 See information abovemiddot Voir les renseignements cimiddotdessus

Foreign Currency

Lyenq CAD Devise etrangeres

2009

233400 338430 64185

O 438-413-643 1

CAD 76LB06 RMTA Y01

PROF NURI JAZAIRI TD WATERHOUSE 102 LYTTON BLVD 77 BLOOR STREET WEST TORONTO ON M4R 1L4 PO BOX 5999 STATION F TORONTO ONTARIO M4Y 2T1

2009

233400 338430 64185

O 438-413-643 1

CAD 76LB06 RMTA Y01

PROF NURI JAZAIRI TD WATERHOUSE 102 LYTTON BLVD 77 BLOOR STREET WEST TORONTO ON M4R 1L4 PO BOX 5999 STATION F TORONTO ONTARIO M4Y 2T1

MCDKEY=IDXY01_RMTA_T5IIR _2009_1970-01-01_E_ _76LB06CAD _R_438413643 _20100208_

2009

O 438-413-643 1

15 5182 16 777

USD 76LB06 RMTA Y01

PROF NURI JAZAIRI TD WATERHOUSE 102 LYTTON BLVD 77 BLOOR STREET WEST TORONTO ON M4R 1L4 PO BOX 5999 STATION F TORONTO ONTARIO M4Y 2T1

2009

O 438-413-643 1

15 5182 16 777

USD 76LB06 RMTA Y01

PROF NURI JAZAIRI TD WATERHOUSE 102 LYTTON BLVD 77 BLOOR STREET WEST TORONTO ON M4R 1L4 PO BOX 5999 STATION F TORONTO ONTARIO M4Y 2T1

MCDKEY=IDXY01_RMTA_T5IIR _2009_1970-01-01_E_ _76LB06USD _R_438413643 _20100208_

2009 51106 74104 14054 5103

15031

25 1560 34 04 SEE SUMMARY FOR BOX 42 DETAILS 42 7623 Y01 76LB06E RMTA CAD PROF NURI JAZAIRI 102 LYTTON BLVD TORONTO ON M4R 1L4

438413643 O 1

2009 51106 74104 14054 5103

15031

25 1560 34 04 SEE SUMMARY FOR BOX 42 DETAILS 42 7623 Y01 76LB06E RMTA CAD PROF NURI JAZAIRI 102 LYTTON BLVD TORONTO ON M4R 1L4

438413643 O 1

MCDKEY=IDXY01_RMTA_T3ENG _2009_1970-01-01_ _76LB06E _ _2_438413643 _20100304_

+ Canada Revenue Agence du revenu STATEMENT OF TRUST INCOME ALLOCATIONS AND DESIGNATIONS - T3Agency du Canada

ACttUU amount 01 Truulble elftOlllt Of Dividend tel( c~lt fOfYEAR etgible dividends eU9bJ dlvldetJds eligible dividends

j deglr-- 153Mmiddotmiddotmiddotmiddotmiddot 51 I2009 105ftl 5 ~ =L_____

Aetual amount 01 dividends TeQbt aMOunt 01 dividends ottef than eligible dividends other then eligible dividends Other income Trust year end

231321l 28[ 4 ~J earCJ _c=J BO Amount Footnote

Other information ~ (see the baCk) CJ Q02 22054028 BD4

RUN1

Recipient name Oat name first) and-addressmiddot Trust name and address

PROF HURl JAZAIRI SMO Investorl ine Inc 102 LYTTON BLVD 1 First Canadian Place TORONTO ON M4R 1L4 20th Floor

Toronto Ontario M5X 1A1

Report Beneficiary Recipient iden1l11catlon number Account number code code16[=Q] 18C]121 438413643 bull For Recipient - Attach to your Income Tax Return

For information see the back T3(OS)

+ Canada Revenue A1encedo~ STATEMENT OF TRUST INCOME ALLOCATIONS AND DESIGNATIONS - T3Agency du Canada

AC1U1lil amount Of Ta-aole 4fIOUnt OfYEAR eUrJlble divldMOS eli91ble dividends

2009 49 1

Actual atIIOUM ot dividends T4l(8ble emoun1 of dividends othet than eligible dividends ot tbatI ellQibe dlvideOds

231)1 32____~__-~

80 Amount

Other information (see the back) ~

D Recipient name (last name first) and address

PROF HURl JAZAIRI 102 LYTTON BLVD TORONTO ON M4R 1L4

Recipient IdentifiCation number Account nu~r

12 -I_4_3_8_4_1_3_6_4_3_-lr 41 T

Report code

16~

Beneficiary COde

18~

Other income Trust year end

4~~j bullbullbullCJ-c=J Footnotes

rshy0Q02 22054028 6D4 ampRUN1 Z a

Trust name and address

BMO Investorline Inc 1 First Canadian Place 20th Floor Toronto OntariO M5X 1A1

bull For Recipientmiddot Keep this slip lor your records For information see the back

T3(08)

001 002RE3CB P 00007719 C 1 7949 sc

T3(08)

+ Canada Revenue Agency

Agence du revenu du Canada STATEMENT OF TRUST INCOME ALLOCATIONS AND DESIGNATIONS - T3

2009

Recipient Identlttce110n numbet Account number

121 438413643

Taxable amount Of dividends otnw than eligible dlvkHnds

Report cOltle

16~

capital gein eUglble tor deduction

traquovldetld tax credit for dividendS otMt than eligible dlvtdends Other Income

Beneficiary cOltle

18[IJ

BMO Investorl t ne Inc 1 First Canadian Place 20th Floor Toronto Ontario M5X 1A1

bull For Recipient - Attach to your Income Tax Return For information see the back

+ Canada Revenue Agency

Agence durevenu du Canada STATEMENT OF TRUST INCOME ALLOCATIONS AND DESIGNATIONS - T3

YEAR

2009

Attull~ amount of eligible dividends

Actuel 8tIKMIt of dividends aU than eftble dividends

231 l 321

Other information (see themiddot back)

Amount

Recipient name (laot name first) and addres

PROF NURI uAZAIRI 102 LYTTON BLVD TORONTO ON M4R 1L4

Recipient Identification number Account number

121 __ 4_3_8_4_1_3_6_43_--1 141 T

Toeoble atIOUtIt Of 1191018 dividends

Taxable amount Of dividends Ottw man eligible dlviltMnd$

Dividend tel( credi1 10r dividends other thCIn eligible dividends Other income Trust year end

II 391---------== bullbull =Itl~26_= ====3=1=~J _nat= ===-- _01=====-1-1 Footnotes BOx Amount

Report code

16~

Beneficiary cOltIe

18~

Q02 22054028 604 RUN2

~----------~~~~ Trust name and address

BMO Investorline Inc 1 First Canadian Place 20th Floor Toronto Ontario M5X 1A1

bull For Recipientmiddot Keep this slip for your records For information see the back

T3(08)

001 oo2RE3JB P 00001881 C 04580

~i

o

SCG5

2009

O 438-413-643 1

15 5182 16 777

USD 76LB06 RMTA Y01

PROF NURI JAZAIRI TD WATERHOUSE 102 LYTTON BLVD 77 BLOOR STREET WEST TORONTO ON M4R 1L4 PO BOX 5999 STATION F TORONTO ONTARIO M4Y 2T1

2009

O 438-413-643 1

15 5182 16 777

USD 76LB06 RMTA Y01

PROF NURI JAZAIRI TD WATERHOUSE 102 LYTTON BLVD 77 BLOOR STREET WEST TORONTO ON M4R 1L4 PO BOX 5999 STATION F TORONTO ONTARIO M4Y 2T1

MCDKEY=IDXY01_RMTA_T5IIR _2009_1970-01-01_E_ _76LB06USD _R_438413643 _20100208_

2009 51106 74104 14054 5103

15031

25 1560 34 04 SEE SUMMARY FOR BOX 42 DETAILS 42 7623 Y01 76LB06E RMTA CAD PROF NURI JAZAIRI 102 LYTTON BLVD TORONTO ON M4R 1L4

438413643 O 1

2009 51106 74104 14054 5103

15031

25 1560 34 04 SEE SUMMARY FOR BOX 42 DETAILS 42 7623 Y01 76LB06E RMTA CAD PROF NURI JAZAIRI 102 LYTTON BLVD TORONTO ON M4R 1L4

438413643 O 1

MCDKEY=IDXY01_RMTA_T3ENG _2009_1970-01-01_ _76LB06E _ _2_438413643 _20100304_

+ Canada Revenue Agence du revenu STATEMENT OF TRUST INCOME ALLOCATIONS AND DESIGNATIONS - T3Agency du Canada

ACttUU amount 01 Truulble elftOlllt Of Dividend tel( c~lt fOfYEAR etgible dividends eU9bJ dlvldetJds eligible dividends

j deglr-- 153Mmiddotmiddotmiddotmiddotmiddot 51 I2009 105ftl 5 ~ =L_____

Aetual amount 01 dividends TeQbt aMOunt 01 dividends ottef than eligible dividends other then eligible dividends Other income Trust year end

231321l 28[ 4 ~J earCJ _c=J BO Amount Footnote

Other information ~ (see the baCk) CJ Q02 22054028 BD4

RUN1

Recipient name Oat name first) and-addressmiddot Trust name and address

PROF HURl JAZAIRI SMO Investorl ine Inc 102 LYTTON BLVD 1 First Canadian Place TORONTO ON M4R 1L4 20th Floor

Toronto Ontario M5X 1A1

Report Beneficiary Recipient iden1l11catlon number Account number code code16[=Q] 18C]121 438413643 bull For Recipient - Attach to your Income Tax Return

For information see the back T3(OS)

+ Canada Revenue A1encedo~ STATEMENT OF TRUST INCOME ALLOCATIONS AND DESIGNATIONS - T3Agency du Canada

AC1U1lil amount Of Ta-aole 4fIOUnt OfYEAR eUrJlble divldMOS eli91ble dividends

2009 49 1

Actual atIIOUM ot dividends T4l(8ble emoun1 of dividends othet than eligible dividends ot tbatI ellQibe dlvideOds

231)1 32____~__-~

80 Amount

Other information (see the back) ~

D Recipient name (last name first) and address

PROF HURl JAZAIRI 102 LYTTON BLVD TORONTO ON M4R 1L4

Recipient IdentifiCation number Account nu~r

12 -I_4_3_8_4_1_3_6_4_3_-lr 41 T

Report code

16~

Beneficiary COde

18~

Other income Trust year end

4~~j bullbullbullCJ-c=J Footnotes

rshy0Q02 22054028 6D4 ampRUN1 Z a

Trust name and address

BMO Investorline Inc 1 First Canadian Place 20th Floor Toronto OntariO M5X 1A1

bull For Recipientmiddot Keep this slip lor your records For information see the back

T3(08)

001 002RE3CB P 00007719 C 1 7949 sc

T3(08)

+ Canada Revenue Agency

Agence du revenu du Canada STATEMENT OF TRUST INCOME ALLOCATIONS AND DESIGNATIONS - T3

2009

Recipient Identlttce110n numbet Account number

121 438413643

Taxable amount Of dividends otnw than eligible dlvkHnds

Report cOltle

16~

capital gein eUglble tor deduction

traquovldetld tax credit for dividendS otMt than eligible dlvtdends Other Income

Beneficiary cOltle

18[IJ

BMO Investorl t ne Inc 1 First Canadian Place 20th Floor Toronto Ontario M5X 1A1

bull For Recipient - Attach to your Income Tax Return For information see the back

+ Canada Revenue Agency

Agence durevenu du Canada STATEMENT OF TRUST INCOME ALLOCATIONS AND DESIGNATIONS - T3

YEAR

2009

Attull~ amount of eligible dividends

Actuel 8tIKMIt of dividends aU than eftble dividends

231 l 321

Other information (see themiddot back)

Amount

Recipient name (laot name first) and addres

PROF NURI uAZAIRI 102 LYTTON BLVD TORONTO ON M4R 1L4

Recipient Identification number Account number

121 __ 4_3_8_4_1_3_6_43_--1 141 T

Toeoble atIOUtIt Of 1191018 dividends

Taxable amount Of dividends Ottw man eligible dlviltMnd$

Dividend tel( credi1 10r dividends other thCIn eligible dividends Other income Trust year end

II 391---------== bullbull =Itl~26_= ====3=1=~J _nat= ===-- _01=====-1-1 Footnotes BOx Amount

Report code

16~

Beneficiary cOltIe

18~

Q02 22054028 604 RUN2

~----------~~~~ Trust name and address

BMO Investorline Inc 1 First Canadian Place 20th Floor Toronto Ontario M5X 1A1

bull For Recipientmiddot Keep this slip for your records For information see the back

T3(08)

001 oo2RE3JB P 00001881 C 04580

~i

o

SCG5

2009 51106 74104 14054 5103

15031

25 1560 34 04 SEE SUMMARY FOR BOX 42 DETAILS 42 7623 Y01 76LB06E RMTA CAD PROF NURI JAZAIRI 102 LYTTON BLVD TORONTO ON M4R 1L4

438413643 O 1

2009 51106 74104 14054 5103

15031

25 1560 34 04 SEE SUMMARY FOR BOX 42 DETAILS 42 7623 Y01 76LB06E RMTA CAD PROF NURI JAZAIRI 102 LYTTON BLVD TORONTO ON M4R 1L4

438413643 O 1

MCDKEY=IDXY01_RMTA_T3ENG _2009_1970-01-01_ _76LB06E _ _2_438413643 _20100304_

+ Canada Revenue Agence du revenu STATEMENT OF TRUST INCOME ALLOCATIONS AND DESIGNATIONS - T3Agency du Canada

ACttUU amount 01 Truulble elftOlllt Of Dividend tel( c~lt fOfYEAR etgible dividends eU9bJ dlvldetJds eligible dividends

j deglr-- 153Mmiddotmiddotmiddotmiddotmiddot 51 I2009 105ftl 5 ~ =L_____

Aetual amount 01 dividends TeQbt aMOunt 01 dividends ottef than eligible dividends other then eligible dividends Other income Trust year end

231321l 28[ 4 ~J earCJ _c=J BO Amount Footnote

Other information ~ (see the baCk) CJ Q02 22054028 BD4

RUN1

Recipient name Oat name first) and-addressmiddot Trust name and address

PROF HURl JAZAIRI SMO Investorl ine Inc 102 LYTTON BLVD 1 First Canadian Place TORONTO ON M4R 1L4 20th Floor

Toronto Ontario M5X 1A1

Report Beneficiary Recipient iden1l11catlon number Account number code code16[=Q] 18C]121 438413643 bull For Recipient - Attach to your Income Tax Return

For information see the back T3(OS)

+ Canada Revenue A1encedo~ STATEMENT OF TRUST INCOME ALLOCATIONS AND DESIGNATIONS - T3Agency du Canada

AC1U1lil amount Of Ta-aole 4fIOUnt OfYEAR eUrJlble divldMOS eli91ble dividends

2009 49 1

Actual atIIOUM ot dividends T4l(8ble emoun1 of dividends othet than eligible dividends ot tbatI ellQibe dlvideOds

231)1 32____~__-~

80 Amount

Other information (see the back) ~

D Recipient name (last name first) and address

PROF HURl JAZAIRI 102 LYTTON BLVD TORONTO ON M4R 1L4

Recipient IdentifiCation number Account nu~r

12 -I_4_3_8_4_1_3_6_4_3_-lr 41 T

Report code

16~

Beneficiary COde

18~

Other income Trust year end

4~~j bullbullbullCJ-c=J Footnotes

rshy0Q02 22054028 6D4 ampRUN1 Z a

Trust name and address

BMO Investorline Inc 1 First Canadian Place 20th Floor Toronto OntariO M5X 1A1

bull For Recipientmiddot Keep this slip lor your records For information see the back

T3(08)

001 002RE3CB P 00007719 C 1 7949 sc

T3(08)

+ Canada Revenue Agency

Agence du revenu du Canada STATEMENT OF TRUST INCOME ALLOCATIONS AND DESIGNATIONS - T3

2009

Recipient Identlttce110n numbet Account number

121 438413643

Taxable amount Of dividends otnw than eligible dlvkHnds

Report cOltle

16~

capital gein eUglble tor deduction

traquovldetld tax credit for dividendS otMt than eligible dlvtdends Other Income

Beneficiary cOltle

18[IJ

BMO Investorl t ne Inc 1 First Canadian Place 20th Floor Toronto Ontario M5X 1A1

bull For Recipient - Attach to your Income Tax Return For information see the back

+ Canada Revenue Agency

Agence durevenu du Canada STATEMENT OF TRUST INCOME ALLOCATIONS AND DESIGNATIONS - T3

YEAR

2009

Attull~ amount of eligible dividends

Actuel 8tIKMIt of dividends aU than eftble dividends

231 l 321

Other information (see themiddot back)

Amount

Recipient name (laot name first) and addres

PROF NURI uAZAIRI 102 LYTTON BLVD TORONTO ON M4R 1L4

Recipient Identification number Account number

121 __ 4_3_8_4_1_3_6_43_--1 141 T

Toeoble atIOUtIt Of 1191018 dividends

Taxable amount Of dividends Ottw man eligible dlviltMnd$

Dividend tel( credi1 10r dividends other thCIn eligible dividends Other income Trust year end

II 391---------== bullbull =Itl~26_= ====3=1=~J _nat= ===-- _01=====-1-1 Footnotes BOx Amount

Report code

16~

Beneficiary cOltIe

18~

Q02 22054028 604 RUN2

~----------~~~~ Trust name and address

BMO Investorline Inc 1 First Canadian Place 20th Floor Toronto Ontario M5X 1A1

bull For Recipientmiddot Keep this slip for your records For information see the back

T3(08)

001 oo2RE3JB P 00001881 C 04580

~i

o

SCG5

+ Canada Revenue Agence du revenu STATEMENT OF TRUST INCOME ALLOCATIONS AND DESIGNATIONS - T3Agency du Canada

ACttUU amount 01 Truulble elftOlllt Of Dividend tel( c~lt fOfYEAR etgible dividends eU9bJ dlvldetJds eligible dividends

j deglr-- 153Mmiddotmiddotmiddotmiddotmiddot 51 I2009 105ftl 5 ~ =L_____

Aetual amount 01 dividends TeQbt aMOunt 01 dividends ottef than eligible dividends other then eligible dividends Other income Trust year end

231321l 28[ 4 ~J earCJ _c=J BO Amount Footnote

Other information ~ (see the baCk) CJ Q02 22054028 BD4

RUN1

Recipient name Oat name first) and-addressmiddot Trust name and address

PROF HURl JAZAIRI SMO Investorl ine Inc 102 LYTTON BLVD 1 First Canadian Place TORONTO ON M4R 1L4 20th Floor

Toronto Ontario M5X 1A1

Report Beneficiary Recipient iden1l11catlon number Account number code code16[=Q] 18C]121 438413643 bull For Recipient - Attach to your Income Tax Return

For information see the back T3(OS)

+ Canada Revenue A1encedo~ STATEMENT OF TRUST INCOME ALLOCATIONS AND DESIGNATIONS - T3Agency du Canada

AC1U1lil amount Of Ta-aole 4fIOUnt OfYEAR eUrJlble divldMOS eli91ble dividends

2009 49 1

Actual atIIOUM ot dividends T4l(8ble emoun1 of dividends othet than eligible dividends ot tbatI ellQibe dlvideOds

231)1 32____~__-~

80 Amount

Other information (see the back) ~

D Recipient name (last name first) and address

PROF HURl JAZAIRI 102 LYTTON BLVD TORONTO ON M4R 1L4

Recipient IdentifiCation number Account nu~r

12 -I_4_3_8_4_1_3_6_4_3_-lr 41 T

Report code

16~

Beneficiary COde

18~

Other income Trust year end

4~~j bullbullbullCJ-c=J Footnotes

rshy0Q02 22054028 6D4 ampRUN1 Z a

Trust name and address

BMO Investorline Inc 1 First Canadian Place 20th Floor Toronto OntariO M5X 1A1

bull For Recipientmiddot Keep this slip lor your records For information see the back

T3(08)

001 002RE3CB P 00007719 C 1 7949 sc

T3(08)

+ Canada Revenue Agency

Agence du revenu du Canada STATEMENT OF TRUST INCOME ALLOCATIONS AND DESIGNATIONS - T3

2009

Recipient Identlttce110n numbet Account number

121 438413643

Taxable amount Of dividends otnw than eligible dlvkHnds

Report cOltle

16~

capital gein eUglble tor deduction

traquovldetld tax credit for dividendS otMt than eligible dlvtdends Other Income

Beneficiary cOltle

18[IJ

BMO Investorl t ne Inc 1 First Canadian Place 20th Floor Toronto Ontario M5X 1A1

bull For Recipient - Attach to your Income Tax Return For information see the back

+ Canada Revenue Agency

Agence durevenu du Canada STATEMENT OF TRUST INCOME ALLOCATIONS AND DESIGNATIONS - T3

YEAR

2009

Attull~ amount of eligible dividends

Actuel 8tIKMIt of dividends aU than eftble dividends

231 l 321

Other information (see themiddot back)

Amount

Recipient name (laot name first) and addres

PROF NURI uAZAIRI 102 LYTTON BLVD TORONTO ON M4R 1L4

Recipient Identification number Account number

121 __ 4_3_8_4_1_3_6_43_--1 141 T

Toeoble atIOUtIt Of 1191018 dividends

Taxable amount Of dividends Ottw man eligible dlviltMnd$

Dividend tel( credi1 10r dividends other thCIn eligible dividends Other income Trust year end

II 391---------== bullbull =Itl~26_= ====3=1=~J _nat= ===-- _01=====-1-1 Footnotes BOx Amount

Report code

16~

Beneficiary cOltIe

18~

Q02 22054028 604 RUN2

~----------~~~~ Trust name and address

BMO Investorline Inc 1 First Canadian Place 20th Floor Toronto Ontario M5X 1A1

bull For Recipientmiddot Keep this slip for your records For information see the back

T3(08)

001 oo2RE3JB P 00001881 C 04580

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T3(08)

+ Canada Revenue Agency

Agence du revenu du Canada STATEMENT OF TRUST INCOME ALLOCATIONS AND DESIGNATIONS - T3

2009

Recipient Identlttce110n numbet Account number

121 438413643

Taxable amount Of dividends otnw than eligible dlvkHnds

Report cOltle

16~

capital gein eUglble tor deduction

traquovldetld tax credit for dividendS otMt than eligible dlvtdends Other Income

Beneficiary cOltle

18[IJ

BMO Investorl t ne Inc 1 First Canadian Place 20th Floor Toronto Ontario M5X 1A1

bull For Recipient - Attach to your Income Tax Return For information see the back

+ Canada Revenue Agency

Agence durevenu du Canada STATEMENT OF TRUST INCOME ALLOCATIONS AND DESIGNATIONS - T3

YEAR

2009

Attull~ amount of eligible dividends

Actuel 8tIKMIt of dividends aU than eftble dividends

231 l 321

Other information (see themiddot back)

Amount

Recipient name (laot name first) and addres

PROF NURI uAZAIRI 102 LYTTON BLVD TORONTO ON M4R 1L4

Recipient Identification number Account number

121 __ 4_3_8_4_1_3_6_43_--1 141 T

Toeoble atIOUtIt Of 1191018 dividends

Taxable amount Of dividends Ottw man eligible dlviltMnd$

Dividend tel( credi1 10r dividends other thCIn eligible dividends Other income Trust year end

II 391---------== bullbull =Itl~26_= ====3=1=~J _nat= ===-- _01=====-1-1 Footnotes BOx Amount

Report code

16~

Beneficiary cOltIe

18~

Q02 22054028 604 RUN2

~----------~~~~ Trust name and address

BMO Investorline Inc 1 First Canadian Place 20th Floor Toronto Ontario M5X 1A1

bull For Recipientmiddot Keep this slip for your records For information see the back

T3(08)

001 oo2RE3JB P 00001881 C 04580

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