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SCHEDULE 2(Subsections 10(1) and 11(1) and (3) to (5))Terrorist Group or Listed Person Property Report

PART A

Information With Respect to Reporting Person or Entity and Place of Business Where Transaction Is Conducted or Proposed To Be Conducted

  • 1* 
    Person’s or entity’s name
  • 2* 
    Type of person or entity, as described in any of paragraphs 5(a) to (h.1) and (k) of the Act, or, if person or entity is referred to in paragraph 5(i), (j) or (l) of the Act, type of prescribed business, profession or activity referred to in that paragraph
  • 3 
    Identification number assigned to person or entity by Centre
  • 4* 
    Number that identifies place of business
  • 5* 
    Address of place of business
  • 6* 
    Contact person’s name
  • 7 
    Contact person’s email address
  • 8* 
    Contact person’s telephone number

PART B

Reason for Filing Report

  • 1* 
    Reason for filing report
  • 2* 
    Indication of how reporting person or entity came to know that property in question owned or controlled by or on behalf of terrorist group or listed person
  • 3* 
    Indication of how reporting person or entity identified terrorist group or listed person
  • 4* 
    Name of terrorist group or listed person
  • 5 
    Address of terrorist group or listed person
  • 6 
    Telephone number of terrorist group or listed person
  • 7* 
    Name of person or entity that owns or controls the property on behalf of terrorist group or listed person
  • 8* 
    Person’s or entity’s address
  • 9 
    Person’s or entity’s email address
  • 10 
    Person’s or entity’s telephone number
  • 11 
    Person’s or entity’s URL

PART C

Information with Respect to Property

  • 1* 
    Type of property
  • 2* 
    Means used to identify property and every number of, or associated with, that property
  • 3 
    [Repealed, SOR/2019-240, s. 20]
  • 4* 
    Approximate or actual value of property
  • 5 
    Description of property

PART D

Information with Respect to Transaction or Proposed Transaction

  • 1* 
    Date of transaction or proposed transaction or night deposit indicator
  • 2* 
    Time of transaction or proposed transaction
  • 3 
    Posting date, if different from date of transaction or proposed transaction
  • 4* 
    Type and amount or value of funds or other assets involved, other than virtual currency
  • 5* 
    Type and amount of each fiat currency or virtual currency involved
  • 6* 
    Method by which transaction conducted or proposed to be conducted
  • 7 
    Exchange rates used
  • 8* 
    In the case of a transaction or proposed transaction involving virtual currency, transaction identifiers, including sending and receiving addresses
  • 9 
    Purpose of transaction or proposed transaction
  • 10 
    Source of funds or virtual currency involved
  • 11* 
    Name of every person or entity that is source of funds or virtual currency involved and their account number or policy number and name of the person or entity with which the account or policy is held or, if no account number or policy number, identifying number and name of the person or entity that issued it
  • 12* 
    Following details of remittance of, or in exchange for, funds, virtual currency or other assets received:
    • (a) 
      method of remittance
    • (b) 
      if remittance is in funds, type and amount of each type of funds involved
    • (c) 
      if remittance is in virtual currency, type and amount of each virtual currency involved
    • (d) 
      if remittance is not in funds or virtual currency, type of remittance and its value, if different from amount of funds, virtual currency or other assets received
    • (e) 
      name of every person or entity involved and their account number or policy number and name of the person or entity with which the account or policy is held or, if no account number or policy number, identifying number and name of the person or entity that issued it

PART E

Account and Reference Number Information

  • 1* 
    Every account number or other equivalent reference number connected to transaction or proposed transaction
  • 1.1* 
    Name of person or entity with which the account is held or of person or entity that issued the reference number
  • 2* 
    Type of account
  • 3* 
    Branch number, institution number and similar numbers connected to account or reference number
  • 4* 
    Name of each account holder
  • 5* 
    Type of fiat currency or virtual currency of account
  • 6 
    Date account opened
  • 7 
    Date account closed
  • 8* 
    Status of account

PART F

Information with Respect to Person or Entity That Conducts or Proposes To Conduct Transaction

  • 1 
    Person’s or entity’s name
  • 2 
    Person’s or entity’s address
  • 3 
    Person’s or entity’s email address
  • 4 
    Person’s or entity’s telephone number
  • 5 
    Person’s or entity’s URL
  • 6 
    Nature of person’s or entity’s principal business or their occupation
  • 7 
    Identification number assigned to person or entity by reporting person or entity
  • 8 
    Type of document or other information used to identify person or entity, or to verify their identity under the Proceeds of Crime (Money Laundering) and Terrorist Financing Regulations, and number of document or number associated with information
  • 9 
    Jurisdiction and country of issue of document or other information
  • 10 
    Type of device used by person or entity that conducts transaction online
  • 11 
    Number that identifies device
  • 12 
    Internet Protocol address used by device
  • 13 
    Person’s or entity’s user name
  • 14 
    Date and time of person’s or entity’s online session in which transaction is conducted
  • 15 
    In the case of a person,
    • (a) 
      their alias
    • (b) 
      their date of birth
    • (c) 
      their country of residence
    • (d) 
      their citizenship
    • (e) 
      their employer’s name
    • (f) 
      their employer’s business address
    • (g) 
      their employer’s business telephone number
  • 16 
    In the case of an entity,
    • (a) 
      name of each person — up to three — who is authorized to bind entity or to act with respect to account
    • (b) 
      its registration or incorporation number and jurisdiction and country of issue of that number
    • (c) 
      information respecting ownership, control and structure of entity
    • (d) 
      name of each person who directly or indirectly owns or controls 25% or more of entity
    • (e) 
      if entity is a corporation,
      • (i) 
        name of each director
      • (ii) 
        address of each director
      • (iii) 
        telephone number of each director
      • (iv) 
        name of each person who directly or indirectly owns or controls 25% or more of shares of corporation
    • (f) 
      if entity is a trust
      • (i) 
        name of each trustee
      • (ii) 
        address of each trustee
      • (iii) 
        telephone number of each trustee
      • (iv) 
        name of each settlor of trust
      • (v) 
        address of each settlor of trust
      • (vi) 
        telephone number of each settlor of trust
      • (vii) 
        name of each beneficiary of trust, other than widely held or publicly traded trust
      • (viii) 
        address of each beneficiary of trust, other than widely held or publicly traded trust
      • (ix) 
        telephone number of each beneficiary of trust, other than widely held or publicly traded trust
      • (x) 
        name of each person who directly or indirectly owns or controls 25% or more of units of widely held or publicly traded trust
      • (xi) 
        address of each person who directly or indirectly owns or controls 25% or more of units of widely held or publicly traded trust
      • (xii) 
        telephone number of each person who directly or indirectly owns or controls 25% or more of units of widely held or publicly traded trust

PART G

Information with Respect to Person or Entity on Whose Behalf Transaction Is Conducted or Proposed To Be Conducted

  • 1 
    Person’s or entity’s name
  • 2 
    Person’s or entity’s address
  • 3 
    Person’s or entity’s email address
  • 4 
    Person’s or entity’s telephone number
  • 5 
    Person’s or entity’s URL
  • 6 
    Nature of person’s or entity’s principal business or their occupation
  • 7 
    Identification number assigned to person or entity by reporting person or entity
  • 8 
    Type of document or other information used to identify person or entity, or to verify their identity under the Proceeds of Crime (Money Laundering) and Terrorist Financing Regulations, and number of document or number associated with information
  • 9 
    Jurisdiction and country of issue of document or other information
  • 10 
    Relationship of person or entity to person or entity conducting or proposing to conduct transaction
  • 11 
    In the case of a person,
    • (a) 
      their alias
    • (b) 
      their date of birth
    • (c) 
      their country of residence
    • (d) 
      their citizenship
    • (e) 
      their employer’s name
    • (f) 
      their employer’s business address
    • (g) 
      their employer’s business telephone number
  • 12 
    In the case of an entity,
    • (a) 
      name of each person — up to three — who is authorized to bind entity or to act with respect to account
    • (b) 
      its registration or incorporation number and jurisdiction and country of issue of that number
    • (c) 
      information respecting ownership, control and structure of entity
    • (d) 
      name of each person who directly or indirectly owns or controls 25% or more of entity
    • (e) 
      if entity is a corporation,
      • (i) 
        name of each director
      • (ii) 
        address of each director
      • (iii) 
        telephone number of each director
      • (iv) 
        name of each person who directly or indirectly owns or controls 25% or more of shares of corporation
    • (f) 
      if entity is a trust,
      • (i) 
        name of each trustee
      • (ii) 
        address of each trustee
      • (iii) 
        telephone number of each trustee
      • (iv) 
        name of each settlor of trust
      • (v) 
        address of each settlor of trust
      • (vi) 
        telephone number of each settlor of trust
      • (vii) 
        name of each beneficiary of trust, other than widely held or publicly traded trust
      • (viii) 
        address of each beneficiary of trust, other than widely held or publicly traded trust
      • (ix) 
        telephone number of each beneficiary of trust, other than widely held or publicly traded trust
      • (x) 
        name of each person who directly or indirectly owns or controls 25% or more of units of widely held or publicly traded trust
      • (xi) 
        address of each person who directly or indirectly owns or controls 25% or more of units of widely held or publicly traded trust
      • (xii) 
        telephone number of each person who directly or indirectly owns or controls 25% or more of units of widely held or publicly traded trust

PART H[Repealed, SOR/2019-240, s. 21]

 

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