PLATINUM EQUITIES CLASS ACTION OPT-OUT FORM
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1 PLATINUM EQUITIES CLASS ACTION OPT-OUT FORM THIS IS NOT A CLAIM FORM. Sign this form if you wish to EXCLUDE yourself from the Platinum Equities Class Action litigation and any settlements or judgments related to that litigation. For more information on the Platinum Class Action, please visit: A completed opt-out form must be submitted to Class Counsel, postmarked no later than September 30 th, 2015, at the following address: McGuigan Nelson 300, th Street S.W. Calgary, Alberta T2R 1K1 Kevin@mnllp.ca Phone: Fax: Re: Platinum Equities Class Action Please provide the following personal information. This will allow us to correctly register your decision to opt-out of the Platinum Class Action. Last Name: Middle Initial First Name Company Name (if investment purchased through a corporation) Telephone Number: (W) (C) address: Mailing address: Unit Street City Province Postal Code Agreement and Understanding: I understand that the Platinum Equities Class Action is brought on behalf of all persons who invested in one or more of the following real estate investment schemes, excluding all persons who divested this investment and had their investment funds returned in full (the Investors ):
2 1. Qualia 1 Plaza 14 ( th Street NW, Calgary, Alberta) 2. Qualia 2 First Street Plaza (138 4th Avenue SE, Calgary, Alberta) 3. Qualia 3 Eleven Eleven ( th Avenue SW, Calgary, Alberta) 4. Qualia 4 926/Parallel (926 5 th Avenue SW and th Avenue SW, Calgary, Alberta.) 5. Qualia 5 Dominion ( th Avenue SW, Calgary, Alberta) 6. Qualia 6 Sunpark/Pemberton (40 Sunpark Plaza Calgary, Alberta and 744 West Hastings Street, Vancouver, British Columbia) 7. Qualia 7 Ithacan (614 6 th Avenue SW, Calgary, Alberta) 8. Qualia 8 Optima (744 4th Avenue SW, Calgary, Alberta) 9. Barron Building (610 8 th Street SW, Calgary, Alberta) 10. Deerfoot Court ( th Avenue NE, Calgary, Alberta) 11. Fish Creek West (37 th Street and 146 th Avenue SW, Calgary, Alberta) 12. Franklin Crossing ( rd Street NE, Calgary, Alberta) 13. Greenbriar (222 Greenbriar Place NW, Calgary, Alberta.) 14. Greenwich Park (17 th Avenue & 85 th Street SW, Calgary, Alberta) 15. Langdon (Condominium Plan , Units 1, 5, 6, and 7) 16. Leben REIT (534 17th Avenue SW, Calgary, Alberta) 17. Lucaya (1161 Sunset Drive, Kelowna, British Columbia) 18. Platinum Investment Trust 19. Platinum Lands (Meridian 4, Range 27, Township 23, Section 8; SW/NE/SE quarters 9, 17, NW/SW quarters 20. PMIC PMIC 2 I understand that, in this class definition, "person" includes any individual partnership, corporation, cooperative, communal organization, trust, band or other association that invested in the above investment projects, but excludes the Defendants, or parties related to the Defendants (including a subsidiary, parent corporation, officer or director of one of the defendant companies, relative of an individual defendant, and so forth). I certify that I am an Investor. I certify that I currently hold, either personally or through a legal entity that I control (complete as applicable to you):
3 Qualia 1 Plaza 14 (811 14th Street NW, Calgary, Alberta) Units of Qualia Real Estate Investment Fund Limited Partnership Shares of Qualia Real Estate Investment Fund Ltd. Qualia 2 First Street Plaza (138 4th Avenue SE, Calgary, Alberta) Units of Qualia Real Estate Investment Fund II Limited Partnership Qualia 3 Eleven Eleven ( th Avenue SW, Calgary, Alberta) Units of Qualia Real Estate Investment Fund III Limited Partnership Shares in Trust Haven Inc. Qualia 4 926/Parallel (926 5th Avenue SW and th Avenue SW, Calgary, Alberta) Units of Qualia Real Estate Investment Fund IV Limited Partnership Shares in Citi Centre Investments Inc. Qualia 5 Dominion (906-12th Avenue SW, Calgary, Alberta) Units of Qualia Real Estate Investment Fund V Limited Partnership Shares in Building 906 Investments Ltd. Qualia 6 Sunpark/Pemberton (40 Sunpark Plaza Calgary, Alberta and 744 West Hastings Street, Vancouver, British Columbia) Units of Qualia Real Estate Investment Fund VI Limited Partnership Shares in Qualia VI Investments Ltd. Qualia 7 Ithacan (614 6th Avenue SW, Calgary, Alberta) Units of Qualia Real Estate Investment Fund VII Limited Partnership Qualia 8 Optima (744 4th Avenue SW, Calgary, Alberta) Units of Qualia Real Estate Investment Fund VIII Limited Partnership
4 Barron Building (610 8th Street SW, Calgary, Alberta) Units of Barron Building Redux Ltd. Deerfoot Court ( th Avenue NE, Calgary, Alberta) Units of Deerfoot Court Real Estate Income Fund Limited Partnership Shares of Deerfoot Court Registered Investments Ltd. Fish Creek West (37th Street and 146th Avenue SW, Calgary, Alberta) Units of Fish Creek West Investments Limited Partnership Class B Common Shares of Fish Creek West RRSP Investments Ltd. Franklin Crossing ( rd Street NE, Calgary, Alberta) Units of Franklin Industrial Limited Partnership Greenbriar (222 Greenbriar Place NW, Calgary, Alberta) Units of Greenbriar Real Estate Investment Fund Limited Partnership Greenwich Park (17th Avenue & 85th Street SW, Calgary, Alberta) Units of Platinum 5 Acres And A Mule Limited Partnership Class B Shares of Greenwich Registered Investments Ltd. Bonds of Greenwich Registered Capital Ltd. Langdon (Condominium Plan , Units 1, 5, 6, and 7) Units of Langdon Crossing Limited Partnership Leben REIT (534 17th Avenue SW, Calgary, Alberta) Units of Leben Real Estate Investment Trust Lucaya (1161 Sunset Drive, Kelowna, British Columbia) Shares of Lucaya Registered Investments Ltd. Bonds of Lucaya Registered Capital Ltd. Units of Lucaya Limited Partnership
5 Platinum Investment Trust Units of Platinum Investment Trust Platinum Lands (Meridian 4, Range 27, Township 23, Section 8; SW/NE/SE quarters 9, 17, NW/SW quarters) Class B shares of Platinum Lands Registered Investment Corporation Bonds of Platinum Lands Registered Capital Corporation PMIC 1 Class C shares of Platinum Mortgage Investment Corporation Investments Ltd. PMIC 2 Class C shares of Platinum Mortgage Investment Corporation Investments II Ltd. NOTE: IF YOU BELIEVE YOU HAVE INVESTED IN ANY OF THE ABOVE PROJECTS BUT THE CORPORATION, PARTNERSHIP, OR TRUST FUND YOU INVESTED IN IS NOT LISTED ABOVE, YOU MAY STILL BE A CLASS MEMBER. PROVIDE ALL SUPPORTING DOCUMENTATION DETAILING YOUR INVESTMENT IN THE APPLICABLE PROJECT I certify that I have enclosed all supporting documentation for my Investment in my possession or control with this opt-out form. I acknowledge and agree that the Class Counsel may disclose all information relating to this opt out to the Alberta Court of Queen's Bench and the lawyers for the parties in the Platinum Equities Class Action. I certify that the information provided and the representations made in this opt-out form are true and correct to the best of my knowledge, information and belief; I understand that by signing this form I am opting-out of the Platinum Equities Class Action. This means that: A. I do not want to be a part of the Platinum Equities Class Action; B. I will not be bound by any outcomes of the Platinum Equities Class Action; and C. I will be excluded from any settlements that may arise as a result of the Platinum Equities Class Action. I understand that by signing this form I take full responsibility for obtaining my own legal advice with respect to any claim I may have against the Defendants.
6 I choose to OPT-OUT of the Platinum Equities Class Action: Signature of the person completing this opt-out form Date Signed:
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