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GUIDE TO FILLING OUT THE "KNOW YOUR CLIENT" QUESTIONNAIRE
Welcome to Durham Asset Management Inc. Securities regulations require that we gather a significant amount of information from each investor and update this information on an annual basis. Your information will always be kept strictly confidential and will be shared with no one except a Canadian securities regulator if required.
The purpose of this document is to guide you through the process of filling out the accompanying Know Your Client questionnaire (KYC). It is very important that the KYC be filled out correctly. It helps to ensure that Durham Asset Management Inc. is in compliance with applicable rules and regulations and assists us in understanding who you are, what your current financial situation is, and what your investment objectives and constraints are.
The information below should help you in filling out the forms.
Should you have any inquiries, please contact Durham Asset Management Inc. Toll-Free: +1-800-444-DAMI or info@durhamasset.ca
PRIMARY CONTACT DETAILS
Required
LEGAL ADDRESS
Residential Address
This address will determine your place of residency for regulatory purpose.
" FINANCIAL ASSET" VERSUS "NET ASSETS"
The Ontario Securities Commission (OSC) differentiates between “financial assets” and “net assets” as follows:Financial assets include (i) cash, (ii) securities, or (iii) a contract of insurance, deposit or an evidence of a deposit that is not a security for the purposes of securities legislation. The value of an investor’s personal residence or other real estate is not included in the calculation of financial assets.By comparison, net assets include all of the investor’s assets, minus all of his or her liabilities, and so could include an investor’s personal residence and other real estate.
NET FINANCIAL ASSETS
FINANCIAL INSTITUTION:
ASSETS HELD:
VALUE:
Illiquid Assets (Estimated current value)
Home, Investment Property, Other real estate
Mortgage, Debt related to above properties
Alternative Assets
Private Equity or Debt
Total
Traditional Assets Including Registered Accounts
Cash or Cash equivalent
Public Equities - Including mutual fund
Public Bonds - Including mutual fund
GICs and Certificate of Deposits
Other Liquid assets
Financial Assets
Net Assets
INCOME INFORMATION
Individual Annual Income:
Combine Annual Income:
INVESTOR KNOWLEDGE, RISK, AND TIME HORIZON
VARIFICATION OF IDENTITY Please upload valid, government issed photo ID
CLIENT QUESTIONNAIRE: CONTROL PERSON
CLIENT QUESTIONNAIRE: POLOTICALLY EXPOSED PERSON
CLIENT QUESTIONNAIRE: POLITICALLY EXPOSED PERSON
The Money Laundering Act of Canada, as amended and effective June 23, 2008, now requires us as a financial institution to determine if our clients may be a Politically Exposed Person (PEP) or Head of an International Organization (HIO). As such, we are required to ask such clients the following questions.
Do you or any members of your family (Defined below) hold or have held one of the following offices or positions in or on behalf of a foreign state?
Family means Immediate Family, including Spouse or common-law partner; Mother or father; Child; Brother, sister, half-brother or half-sister; or Spouse’s or common-law partner’s mother or father.
A. THIRD-PARTY DETERMINATION: In opening this account, are you acting on the instructions of or on behalf of a third party?
B. Head of an International Organization (HIO): Are you or anyone you know the head of an international Organization (HIO) or a close associate of an HIO?
If the answer to any of these questions is yes, please provide details of such positions and the parties involved (Plsease send us email with details).
FAMILY, FRIENDS AND ASSOCIATES RELATIONSHIP
CLIENT ACKNOWLEDGEMENT
By signing this form, the Client(s) certify that all information disclosed in this form is complete and true and acknowledge that such information shall be deemed complete, true and unchanged until such time as Durham Asset Management Inc. is advised in writing by the Client(s) of any change pertaining thereto. The Client(s) certify that it is their responsibility to notify Durham Asset Management Inc. of any changes to the above information