UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM6-K
Report of Foreign Private Issuer
Pursuant to Rule13a-16 or15d-16
of the Securities Exchange Act of 1934
For the month of March, 2020
Commission File Number1-10928
INTERTAPE POLYMER GROUP INC.
9999 Cavendish Blvd., Suite 200, Ville St. Laurent, Quebec, Canada, H4M 2X5
Indicate by check mark whether the registrant files or will file annual reports under cover of Form20-F or Form40-F:
Form 20-F ☒ Form40-F ☐
Indicate by check mark if the registrant is submitting the Form6-K in paper as permitted by RegulationS-T Rule 101(b)(1): ☐
Indicate by check mark if the registrant is submitting the Form6-K in paper as permitted by RegulationS-T Rule 101(b)(7): ☐
SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.
INTERTAPE POLYMER GROUP INC. | ||||||
Date: March 13, 2020 | By: | /s/ Jeffrey Crystal | ||||
Jeffrey Crystal, Chief Financial Officer |
FORM13-502F1
CLASS 1 AND CLASS 3B REPORTING ISSUERS -
PARTICIPATION FEE
MANAGEMENT CERTIFICATION
I, Jeffrey Crystal, an officer of the reporting issuer noted below have examined thisForm 13-502F1 (the Form) being submitted hereunder to the Ontario Securities Commission and certify that to my knowledge, having exercised reasonable diligence, the information provided in the Form is complete and accurate.
/s/ Jeffrey Crystal | March 13, 2020 | |||||
Name: Jeffrey Crystal | Date: | |||||
Title: Chief Financial Officer |
Reporting Issuer Name: | Intertape Polymer Group Inc. | |
End of date of previous financial year: | December 31, 2019 | |
Type of Reporting Issuer: | ☒ Class 1 reporting issuer | |
☐ Class 3B reporting issuer | ||
Highest Trading Marketplace: | Toronto Stock Exchange | |
(refer to the definition of “highest trading marketplace” under OSC Rule 13-502Fees) |
Market value of listed or quoted equity securities
(in Canadian Dollars - refer to section 7.1 of OSC Rule13-502Fees)
Equity Symbol | ITP | |||||||||||
1st Specified Trading Period(dd/mm/yy) | January 1, 2019 | to | March 31, 2019 | |||||||||
(refer to the definition of “specified trading period” under OSC Rule13-502Fees) | ||||||||||||
Closing price of the security in the class or series on the last trading day of the specified trading period in which such security was listed or quoted on the highest trading marketplace | $ | 18.15 | (i) | |||||||||
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Number of securities in the class or series of such security outstanding at the end of the last trading day of the specified trading period | 58,667,810 | (ii) | ||||||||||
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Market value of class or series | (i) x (ii) | $ | 1,064,820,752 | (A) | ||||||||
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2nd Specified Training Period(dd/mm/yy) | April 1, 2019 | to | June 30, 2019 | |||||||||
Closing price of the security in the class or series on the last trading day of the specified trading period in which such security was listed or quoted on the highest trading marketplace | $ | 18.41 | (iii) | |||||||||
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Number of securities in the class or series of such security outstanding at the end of the last trading day of the specified trading period | 58,877,185 | (iv) | ||||||||||
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Market value of class or series | (iii) x (iv) | $ | 1,083,928,976 | (B) | ||||||||
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3rd Specified Trading Period(dd/mm/yy) | July 1, 2019 | to | September 30, 2019 | |||||||||
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Closing price of the security in the class or series on the last trading day of the specified trading period in which such security was listed or quoted on the highest trading marketplace | $ | 17.25 | (v) | |||||||||
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Number of securities in the class or series of such security outstanding at the end of the last trading day of the specified trading period | 58,877,185 | (vi) | ||||||||||
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Market value of class or series | (v) x (vi) | $ | 1,015,631,441 | (C) | ||||||||
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4th Specified Trading Period(dd/mm/yy) | October 1, 2019 | to | December 31, 2019 | |||||||||
Closing price of the security in the class or series on the last trading day of the specified trading period in which such security was listed or quoted on the highest trading marketplace | $ | 16.62 | (vii) | |||||||||
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Number of securities in the class or series of such security outstanding at the end of the last trading day of the specified trading period | 59,009,685 | (viii) | ||||||||||
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Market value of class or series | (vii) x (viii) | $ | 980,740,965 | (D) | ||||||||
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5th Specified Trading Period(dd/mm/yy) | N/A | to | N/A | |||||||||||
Closing price of the security in the class or series on the last trading day of the specified trading period in which such security was listed or quoted on the highest trading marketplace | $ | (ix) | ||||||||||||
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Number of securities in the class or series of such security outstanding at the end of the last trading day of the specified trading period | (x) | |||||||||||||
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Market value of class or series | (ix) x (x) | $ | (E) | |||||||||||
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Average Market Value of Class or Series (Calculate the simple average of the market value of the class or series of security for each applicable specified trading period (i.e. A through E above)) | $ | 1,036,280,533 | (1) | |||||||||||
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(Repeat the above calculation for each other class or series of equity securities of the reporting issuer (and a subsidiary pursuant to paragraph 2.8(1)(c) of OSC Rule13-502Fees, if applicable) that was listed or quoted on a marketplace at the end of the previous financial year)
Fair value of outstanding debt securities: (See paragraph 2.8(1)(b), and if applicable, paragraph 2.8(1)(c) of OSC Rule13-502Fees) | $ | N/A | (2) | |||||||||||||
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(Provide details of how value was determined) | ||||||||||||||||
Capitalization for the previous financial year | (1) + (2) | $ | 1,036,280,533 | |||||||||||||
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Participation Fee | $ | 59,350 | ||||||||||||||
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(For Class 1 reporting issuers, from Appendix A of OSC Rule13-502Fees, select the participation fee) | ||||||||||||||||
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(For Class 3B reporting issuers, from Appendix A.1 of OSC Rule13-502Fees, select the participation fee) | ||||||||||||||||
Late Fee, if applicable (As determined under section 2.7 of OSC Rule13-502Fees) | $ | N/A | ||||||||||||||
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Total Fee Payable (Participation Fee plus Late Fee) | $ | 59,350 | ||||||||||||||
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