TO: [The appropriate securities regulatory authorities]
FROM: [Name of principal distributor] (the “Distributor”)
RE: Compliance Report on National Instrument 81-102
For the year ended [insert date]
FOR: [Name(s) of the mutual fund (the “Fund[s]”)]
We hereby confirm that we have complied with the applicable requirements of Parts 9, 10 and 11 of National Instrument 81-102 in respect of the Fund[s] for the year ended [insert date] [except as follows:]
[list exceptions, if any].
[NAME of the Distributor]
Signature
Name and office of the person executing this report
Date