UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM F-X
APPOINTMENT OF AGENT FOR SERVICE OF PROCESS
AND UNDERTAKING
A. |
| Name of issuer or person filing ("Filer"): |
| Alpine Summit Energy Partners, Inc. |
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B. |
| (1) This is [check one]: | ||
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☒ an original filing for the Filer | ||
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Regulation S-T Rule 101(b)(9) ☐ | ||||
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C. |
| Identify the filing in conjunction with which this form is being filed: | ||
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| Name of Registrant: |
| Alpine Summit Energy Partners, Inc. |
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| Form type: |
| Registration Statement on Form 40-F |
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| File Number (if known): |
| 000-56354 |
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| Filed by: |
| Alpine Summit Energy Partners, Inc. |
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| Date Filed |
| October 12, 2021 (filed concurrently) |
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D. |
| The Filer is incorporated or organized under the laws of Ontario, Canada and has its principal place of business at 2200 HSBC Building, 885 West Georgia Street, Vancouver, BC V6C 3E8, telephone (346) 264-2900. | ||
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E. |
| The Filer designates and appoints Cogency Global Inc. ("Agent"), located at 122 E 42nd Street, 18th Floor, New York, NY 10168, telephone (202) 572-3133 as the agent of the Filer upon whom may be served any process, pleadings, subpoenas, or other papers in: | ||
(a) any investigation or administrative proceeding conducted by the Commission; and |
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F. |
| The Filer stipulates and agrees to appoint a successor agent for service of process and file an amended Form F-X if the Filer discharges the Agent or the Agent is unwilling or unable to accept service on behalf of the Filer at any time until six years have elapsed from the date the Filer has ceased reporting under the Exchange Act. The Filer further undertakes to advise the Commission promptly of any change to the Agent's name or address during the applicable period by amendment of this Form, referencing the file number of the relevant form in conjunction with which the amendment is being filed. |
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G. |
| The Filer undertakes to make available, in person or by telephone, representatives to respond to inquiries made by the Commission staff, and to furnish promptly, when requested to do so by the Commission staff, information relating to the forms, schedules, and offering statements described in General Instructions I.(a), I.(b), I.(c), I.(d) and I.(f) of this Form, as applicable; the securities to which such forms, schedules and offering statements relate, and the transaction in such securities.. |
The Filer certifies that it has duly caused this power of attorney, consent, stipulation and agreement to be signed on its behalf by the undersigned, thereto duly authorized, in the City of Calgary, Country of Canada, this 12th day of October, 2021.
| ALPINE SUMMIT ENERGY PARTNERS, INC. | ||
By: | /s/ Darren Moulds | ||
Name: Darren Moulds | |||
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| Title: Chief Financial Officer |
This statement has been signed by the following person in the capacity and on the date indicated: | ||
COGENCY GLOBAL INC. | ||
By: | /s/ Colleen A De Vries | |
Name: Colleen A De Vries | ||
Title: Sr. Vice president on behalf of Cogency Global Inc. | ||
| Dated: October 12, 2021 |