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Fond action Suite 103 2175 De Maisonette Boulevard East Montreal, Quebec H2K 4S3 Telephone: 514 5255505 1 800 2536665 info.actionnaires@fondaction.comSHAREPURCHASEREQUESTBYFONDACTION FORCAPITALINJECTION(FORABUSINESSOPERATINGFORMORETHANONEYEARANDCURRENTLYIN FINANCIALDIFFICULTY) (CLASSASHARESSERIES1REGISTEREDACCOUNTORSERIES2NONREGISTEREDACCOUNT)SECTION1:IDENTIFICATION SHAREHOLDER

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