iii I I - Canadian Charity Law

REGISTERED CANADIAN AMATEUR

•

ATHLETIC ASSOCIATION INFORMATION

RETURN ⁰⁰⁰⁰¹²

Return for Fiscal Period Ending

Ig ID I / I L

I 1 OI S

Year Month Day

Is this the first return filed by this association?

Yes / No

If 'No', has the fiscal period changed from theZyetum filed?

Yes / No

Is this the final return to be filed by this associatio .

Yes / No

If 'Yes', please attach an explanation.

Ite I &nada Revenue

Agency Agence du revenu du Canada

OTTAWA ON MA OL5

CANADIAN KODOKAN BLACK BELT ASSOCIATION

JUDO CANADA

212-1725 ST LAURENT BLVD OTTAWA ON K1G 3V4

If the name or address shown above is incorrect or a more permanent address can be provided, print the necessary corrections below:

NOTE:

To minimize the possibility of the annual mailing of the

personalized Registered Canadian Amateur Athletic Association Information Return going astray, it is important that, where possible, a permanent mailing address be provided (i.e., address of the actual, physical location of the association or permanent P.O.

Box number).

orrected name

l

Corrected address (Number, Street, Apt. No., P.O. Box or R.R. No.)

City

P:,ovince or territory Postal code

I I I

iii 1111 iii ^{I I}

15 107552895 RR 0001 2014-03-31 0495333

F5 0 00 00 3 42 26 6 9

ns

that the name and address are correct. To correct pre-printed information on this form, use the area provided. Any changes (except to the contact information above) must be ed in an attachment to this return.

?te the boxes (above right) to indicate the end of the association's fiscal period.

FINANCIAL STATEMENTS for the fiscal period covered by this return. These should include -nent of revenue and expenditures for the fiscal period and a statement of assets and liabilities

e end of the fiscal period. The statements should indicate the different sources of revenue in nt detail to show how funds were spent or invested.

a list of the names, addresses, and occupations or lines of business of the association's directors.

a list of the names and the official positions of the people who are authorized to issue official for the association.

a note that fully explains what replacement procedure is foIlowed in the event of lost or receipts.

,/

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7. Within six months from the end of the fiscal period of the association,inail Or qeliver aTOmpleted return and all required documents to:

Charities Directorate Canada Revenue Agency Ottawa ON MA OL5

T2052 E (06)

Judo Canada's Board of Directors — March 2014

President Michael R. Tamura

Vice-president Roger des Champs

Treasurer General Allan Sattin

Secretary General Daniel De Angelis

Women's Leadership Representative

Shu-Tai Cheng

Athletes' Representative Alexis Morin-Martel

Atlantic Director Tim Lohnes

QC & NU Director Alexandru Ciupe

ON Director Kevin Doherty

Prairies & NT Director Garry Yamashita

BC & YK Director Alexander Kent

People authorized to issue official receipts for Judo Canada:

- Adrien Landry, Executive Director

Replacement procedure in the event of a spoiled or lost receipt:

- A new receipt will be issued that will clearly be marked with "DUPLICATE".

- The receipt will have the same number as the original receipt.

- A letter will accompany the receipt stating that it is a replacement.