0001654954-18-013295.txt : 20181128 0001654954-18-013295.hdr.sgml : 20181128 20181128161244 ACCESSION NUMBER: 0001654954-18-013295 CONFORMED SUBMISSION TYPE: 6-K PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20181123 FILED AS OF DATE: 20181128 DATE AS OF CHANGE: 20181128 FILER: COMPANY DATA: COMPANY CONFORMED NAME: DENISON MINES CORP. CENTRAL INDEX KEY: 0001063259 STANDARD INDUSTRIAL CLASSIFICATION: MISCELLANEOUS METAL ORES [1090] IRS NUMBER: 000000000 STATE OF INCORPORATION: A6 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 6-K SEC ACT: 1934 Act SEC FILE NUMBER: 001-33414 FILM NUMBER: 181205753 BUSINESS ADDRESS: STREET 1: 40 UNIVERSITY AVE., SUITE 1100 CITY: TORONTO STATE: A6 ZIP: M5J 1T1 BUSINESS PHONE: (416) 979-1991 MAIL ADDRESS: STREET 1: 40 UNIVERSITY AVE., SUITE 1100 CITY: TORONTO STATE: A6 ZIP: M5J 1T1 FORMER COMPANY: FORMER CONFORMED NAME: INTERNATIONAL URANIUM CORP DATE OF NAME CHANGE: 19980603 6-K 1 Form6k.htm FORM 6-K DATED NOVEMBER 28, 2018 Blueprint
 

 
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
 
 
 
FORM 6-K
 
 
 
Report of Foreign Private Issuer
Pursuant to Rule 13a-16 or 15d-16
of the Securities Exchange Act of 1934
 
Date: November 28, 2018
Commission File Number: 001-33414
 
 
 
Denison Mines Corp.
(Translation of registrant’s name into English)
 
 
 
1100-40 University Avenue, Toronto Ontario, M5J 1T1 Canada
(Address of principal executive offices)
 
 
 
Indicate by check mark whether the registrant files or will file annual reports under cover Form 20-F or Form 40-F.
 
Form 20-F  ☐            Form    40-F   ☒
 
Indicate by check mark if the registrant is submitting the Form 6-K in paper as permitted by Regulation S-T Rule 101(b)(1):  ☐
Indicate by check mark if the registrant is submitting the Form 6-K in paper as permitted by Regulation S-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.
 
 
 
 
 
 
 
 
 
 
 
 
Denison Mines Corp.
 
 
 
 
 
 
 
/s/ Amanda Willett
Date November 28, 2018
 
 
 
Amanda Willett
 
 
 
 
Corporate Counsel and Corporate Secretary
 
 
 
 
 
EXHIBIT INDEX
 
Exhibit Number
  
Description
 
 
99.1
 
 
 
EX-99.1 2 denison-reportofexemptdis.htm FORM 45-106F1 REPORT OF EXEMPT DISTRIBUTION DATED NOVEMBER 28, 2018 Blueprint
  Exhibit 99.1

 
Form 45-106F1 Report of Exempt Distribution
 
BCSC EDER Reference Number 8668777
Item 1 – Report Type
 
 
 
x
New report
 
 
 
Amended report
If amended, provide filing date of report that is being amended.
 
 
 
(YYYY-MM-DD)
 
 
Item 2 – Party Certifying the Report
 
Indicate the party certifying the report (select only one). For guidance regarding whether an issuer is an investment fund, refer to section 1.1 of National Instrument 81-106 Investment Fund Continuous Disclosure and the companion policy to NI 81-106.
 
 
Investment fund issuer
 
 
x
Issuer (other than an investment fund)
 
 
 
Underwriter
 
 
 
Item 3 – Issuer Name and Other Identifiers
 
Provide the following information about the issuer, or if the issuer is an investment fund, about the fund.
 
Full legal name
Denison Mines Corp.
 
 
Previous full legal name
 
 
If the issuer’s name changed in the last 12 months, provide most recent previous legal name.
 
Website
www.denisonmines.com
(if applicable)
 
If the issuer has a legal entity identifier, provide below. Refer to Part B of the Instructions for the definition of “legal entity identifier”.
Legal entity identifier
 
 
 
If two or more issuers distributed a single security, provide the full legal name(s) of the co-issuer(s) other than the issuer named above.
Full legal name(s) of co-issuer(s)
 
(if applicable)
 
 
Item 4 – Underwriter Information
 
If an underwriter is completing the report, provide the underwriter’s full legal name and firm NRD number.
 
Full legal name
 
 
 
Firm NRD number
 
 
 
 
 
 
 
(if applicable)
 
If the underwriter does not have a firm NRD number, provide the head office contact information of the underwriter.
Street address
 
 
 
Municipality
 
Province/State
 
 
 
Country
 
Postal code/Zip code
 
 
 
Telephone number
 
Website
 
(if applicable)
 
 
 
 

 
 
Item 5 – Issuer Information
 
If the issuer is an investment fund, do not complete Item 5. Proceed to Item 6.
a) Primary industry
Provide the issuer’s North American Industry Classification Standard (NAICS) code (6 digits only) that in your reasonable judgment most closely corresponds to the issuer’s primary business activity.
NAICS industry code
2
1
2
2
9
1
 
 
If the issuer is in the mining industry, indicate the stage of operations. This does not apply to issuers that provide services to issuers operating in the mining industry. Select the category that best describes the issuer’s stage of operations.
 
x
Exploration
 
Development
 
Production
 
Is the issuer’s primary business to invest all or substantially all of its assets in any of the following? If yes, select all that apply.
 
 
Mortgages
 
Real estate
 
Commercial/business debt
 
Consumer debt
 
Private companies
 
 
 
Cryptoassets
 
 
 
 
 
 
 
b) Number of employees
 
Number of employees:
 
 
0 – 49
 
x
 
50 – 99
 
 
100 – 499
 
 
500 or more
 
 
c) SEDAR profile number
Does the issuer have a SEDAR profile?
 
 
No
x
Yes
If yes, provide SEDAR profile number
0
0
0
0
8
2
8
8
 
 
If the issuer does not have a SEDAR profile complete Item 5(d) – (h).
 
d) Head office address
 
Street address
 
Province/State
 
 
 
Municipality
 
Postal code/Zip code
 
 
 
Country
 
Telephone number
 
 
 
e) Date of formation and financial year-end
 
Date of formation
 
 
 
Financial year-end
 
 
 
 
YYYY
MM
DD
 
MM
DD
 
 
f) Reporting issuer status
 
Is the issuer a reporting issuer in any jurisdiction of Canada?
 
No
 
Yes
If yes, select the jurisdictions of Canada in which the issuer is a reporting issuer.
 
 
 
All
 
AB
 
BC
 
MB
 
NB
 
NL
 
NT
 
 
 
NS
 
NU
 
ON
 
PE
 
QC
 
SK
 
YT
 
g) Public listing status
If the issuer has a CUSIP number, provide below (first 6 digits only).
CUSIP number
 
 
 
 
 
 
 
 
If the issuer is publicly listed, provide the name of the exchange on which the issuer’s equity securities primarily trade. Provide only the name of an exchange and not a trading facility such as, for example, an automated trading system.
Exchange name
 
 
 
 
 
 
h) Size of issuer’s assets
Select the size of the issuer’s assets based on its most recently available annual financial statements (Canadian $). If the issuer has not prepared annual financial statements for its first financial year, provide the size of the issuer’s assets at the distribution end date.
 
 
$0 to under $5M
 
$5M to under $25M
 
$25M to under $100M
 
 
 
$100M to under $500M
 
$500M to under $1B
 
$1B or over
 
 
 
 
Item 6 – Investment Fund Issuer Information
 
If the issuer is an investment fund, provide the following information.
b) Investment fund manager information
 
Full legal name
 
 
 
Firm NRD Number
 
 
 
 
 
 
 
(if applicable)
 
If the investment fund manager does not have a firm NRD number, provide the head office contact information of the investment fund manager.
Street Address
 
 
 
Municipality
 
Province/State
 
 
 
Country
 
Postal code/Zip code
 
 
 
Telephone number
 
Website (if applicable)
 
 
 
c) Type of investment fund
 
Type of investment fund that most accurately identifies the issuer (select only one).
 
 
Money market
 
Equity
 
Fixed income
 
Balanced
 
 
 
 
Alternative strategies
 
Cryptoasset
 
Other (describe)
 
 
 
Indicate whether one or both of the following apply to the investment fund.
 
 
Invests primarily in other investment fund issuers
 
 
 
Is a UCITs Fund1
 
1Undertaking for the Collective Investment of Transferable Securities funds (UCITs Funds) are investment funds regulated by the European Union (EU) directives that allow collective investment schemes to operate throughout the EU on a passport basis on authorization from one member state.
 
d) Date of formation and financial year-end of the investment fund
 
Date of formation
 
 
 
Financial year-end
 
 
 
 
YYYY
MM
DD
 
MM
DD
 
 
e) Reporting issuer status of the investment fund
 
Is the investment fund a reporting issuer in any jurisdiction of Canada?
 
No
 
Yes
If yes, select the jurisdictions of Canada in which the investment fund is a reporting issuer.
 
 
 
All
 
AB
 
BC
 
MB
 
NB
 
NL
 
NT
 
 
 
NS
 
NU
 
ON
 
PE
 
QC
 
SK
 
YT
 
f) Public listing status of the investment fund
If the investment fund has a CUSIP number, provide below (first 6 digits only).
CUSIP number
 
 
 
 
 
 
 
 
If the investment fund is publicly listed, provide the name of the exchange on which the investment fund’s securities primarily trade. Provide only the name of an exchange and not a trading facility such as, for example, an automated trading system.
Exchange name
 
 
 
 
 
 
g) Net asset value (NAV) of the investment fund
Select the NAV range of the investment fund as of the date of the most recent NAV calculation (Canadian $).
 
 
$0 to under $5M
 
$5M to under $25M
 
$25M to under $100M
 
 
 
$100M to under $500M
 
$500M to under $1B
 
$1B or over
Date of NAV calculation:
 
 
 
 
 
YYYY
MM
DD
 
 
 
 

 
 
Item 7 – Information About the Distribution
 
If an issuer located outside of Canada completes a distribution in a jurisdiction of Canada, include in Item 7 and Schedule 1 information about purchasers resident in that jurisdiction of Canada only. Do not include in Item 7 securities issued as payment of commissions or finder’s fees in connection with the distribution, which must be disclosed in Item 8. The information provided in Item 7 must reconcile with the information provided in Schedule 1 of the report.
a) Currency
Select the currency or currencies in which the distribution was made. All dollar amounts provided in the report must be in Canadian dollars.
 
x
Canadian dollar
 
US dollar
 
Euro
Other (describe)
 
 
 
b) Distribution date(s)
State the distribution start and end dates. If the report is being filed for securities distributed on only one distribution date, provide the distribution date as both the start and end dates. If the report is being filed for securities distributed on a continuous basis, include the start and end dates for the distribution period covered by the report.
 
Start date
2018
11
23
 
    End date
2018
11
23
 
 
 
YYYY
MM
DD
 
 
YYYY
MM
DD
 
 
c) Detailed purchaser information
Complete Schedule 1 of this form for each purchaser and attach the schedule to the completed report.
d) Types of securities distributed
Provide the following information for all distributions reported on a per security basis. Refer to Part A(12) of the Instructions for how to indicate the security code. If providing the CUSIP number, indicate the full 9-digit CUSIP number assigned to the security being distributed.
 
 
Canadian $
 
 
Security code
CUSIP number
(if applicable)
Description of security
Number of securities
Single or lowest price
Highest price
Total amount
 
 
C
M
S
248356883
Flow-Through Shares
4,945,495
1.01
 
4,994,949.95
 
 
C
M
S
248356107
Flow-Through Shares
5,000
1.01
 
5,050
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
e) Details of rights and convertible/exchangeable securities
If any rights (e.g. warrants, options) were distributed, provide the exercise price and expiry date for each right. If any convertible/exchangeable securities were distributed, provide the conversion ratio and describe any other terms for each convertible/exchangeable security.
 
Convertible / exchangeable security code
Underlying security code
Exercise price
(Canadian $)
Expiry date
(YYYY-MM-DD)
Conversion ratio
Describe other terms (if applicable)
 
Lowest
Highest
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
f) Summary of the distribution by jurisdiction and exemption
State the total dollar amount of securities distributed and the number of purchasers for each jurisdiction of Canada and foreign jurisdiction where a purchaser resides and for each exemption relied on in Canada for that distribution. However, if an issuer located outside of Canada completes a distribution in a jurisdiction of Canada, include distributions to purchasers resident in that jurisdiction of Canada only.
This table requires a separate line item for: (i) each jurisdiction where a purchaser resides, (ii) each exemption relied on in the jurisdiction where a purchaser resides, if a purchaser resides in a jurisdiction of Canada, and (iii) each exemption relied on in Canada, if a purchaser resides in a foreign jurisdiction.
For jurisdictions within Canada, state the province or territory, otherwise state the country.
 
Province or country
Exemption relied on
Number of unique purchasers2a
Total amount (Canadian $)
 
 
Ontario
NI 45-106 2.3 [Accredited Investor]
20
$4,883,849.95
 
 
Ontario
NI 45-106 2.24 [Employee, executive officer, director and consultant]
1
$65,650
 
 
Saskatchewan
NI 45-106 2.3 [Accredited Investor]
1
$45,450
 
 
British Columbia
NI 45-106 2.24 [Employee, executive officer, director and consultant]
1
$5,050
 
 
Total dollar amount of securities distributed
$4,999,999.95
 
 
Total number of unique purchasers2b
23
 
 
2aIn calculating the number of unique purchasers per row, count each purchaser only once. Joint purchasers may be counted as one purchaser.
2bIn calculating the total number of unique purchasers to which the issuer distributed securities, count each purchaser only once, regardless of whether the issuer distributed multiple types of securities to, and relied on multiple exemptions for, that purchaser.
 
 
 
 
g) Net proceeds to the investment fund by jurisdiction
If the issuer is an investment fund, provide the net proceeds to the investment fund for each jurisdiction of Canada and foreign jurisdiction where a purchaser resides.3 If an issuer located outside of Canada completes a distribution in a jurisdiction of Canada, include net proceeds for that jurisdiction of Canada only. For jurisdictions within Canada, state the province or territory, otherwise state the country.
 
 
Province or country
Net proceeds (Canadian $)
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Total net proceeds to the investment fund
 
 
3“Net proceeds” means the gross proceeds realized in the jurisdiction from the distributions for which the report is being filed, less the gross redemptions that occurred during the distribution period covered by the report.
 
h) Offering materials – This section applies only in Saskatchewan, Ontario, Québec, New Brunswick and Nova Scotia.
If a distribution has occurred in Saskatchewan, Ontario, Québec, New Brunswick or Nova Scotia, complete the table below by listing the offering materials that are required under the prospectus exemption relied on to be filed with or delivered to the securities regulatory authority or regulator in those jurisdictions.
In Ontario, if the offering materials listed in the table are required to be filed with or delivered to the Ontario Securities Commission (OSC), attach an electronic version of the offering materials that have not been previously filed with or delivered to the OSC.
 
 
Description
Date of document or other material
(YYYY-MM-DD)
Previously filed with or delivered to regulator? (Y/N)
Date previously filed or delivered
(YYYY-MM-DD)
 
1.
 
 
 
 
 
2.
 
 
 
 
 
3.
 
 
 
 
 
 
 
 
 

 
 
Item 8 – Compensation Information
 
Provide information for each person (as defined in NI 45-106) to whom the issuer directly provides, or will provide, any compensation in connection with the distribution. Complete additional copies of this page if more than one person was, or will be, compensated.
Indicate whether any compensation was paid, or will be paid, in connection with the distribution.
 
 
No
x
Yes
If yes, indicate number of persons compensated.
5
 
 
a) Name of person compensated and registration status
Indicate whether the person compensated is a registrant.
 
 
No
x
Yes
If the person compensated is an individual, provide the name of the individual.
 Full legal name of individual
 
 
 
 
 
Family name
First given name
Secondary given names
 
If the person compensated is not an individual, provide the following information.
Full legal name of non-individual
Cantor Fitzgerald Canada Corporation
 
 
Firm NRD number
 
 
2
4
3
9
0
(if applicable)
Indicate whether the person compensated facilitated the distribution through a funding portal or an internet-based portal.
 
x
No
 
Yes
 
 
b) Business contact information
If a firm NRD number is not provided in Item 8(a), provide the business contact information of the person being compensated.
Street address
 
 
 
Municipality
 
Province/State
 
 
 
Country
 
Postal code/Zip code
 
 
 
Email address
 
Telephone number
 
 
 
c) Relationship to issuer or investment fund manager
Indicate the person’s relationship with the issuer or investment fund manager (select all that apply). Refer to the meaning of “connected” in Part B(2) of the Instructions and the meaning of “control” in section 1.4 of NI 45-106 for the purposes of completing this section.
 
 
Connected with the issuer or investment fund manager
 
 
 
Insider of the issuer (other than an investment fund)
 
 
 
Director or officer of the investment fund or investment fund manager
 
 
 
Employee of the issuer or investment fund manager
 
 
x
None of the above
 
d) Compensation details
Provide details of all compensation paid, or to be paid, to the person identified in Item 8(a) in connection with the distribution. Provide all amounts in Canadian dollars. Include cash commissions, securities-based compensation, gifts, discounts or other compensation. Do not report payments for services incidental to the distribution, such as clerical, printing, legal or accounting services. An issuer is not required to ask for details about, or report on, internal allocation arrangements with the directors, officers or employees of a non-individual compensated by the issuer.
Cash commissions paid
$150,000
 
 
Value of all securities distributed as compensation4
 
Security codes
Security code 1
Security code 2
Security code 3
 
 
 
 
 
 
 
 
 
 
 
 
Describe terms of warrants, options or other rights
 
 
 
Other compensation5
 
Describe
 
 
 
Total compensation paid
$150,000
 
 
 
 
Check box if the person will or may receive any deferred compensation (describe the terms below)
 
 
 
4Provide the aggregate value of all securities distributed as compensation, excluding options, warrants or other rights exercisable to acquire additional securities of the issuer. Indicate the security codes for all securities distributed as compensation, including options, warrants or other rights exercisable to acquire additional securities of the issuer.
5Do not include deferred compensation.
 
 
 
 
 
 
Item 8 – Compensation Information
 
Provide information for each person (as defined in NI 45-106) to whom the issuer directly provides, or will provide, any compensation in connection with the distribution. Complete additional copies of this page if more than one person was, or will be, compensated.
Indicate whether any compensation was paid, or will be paid, in connection with the distribution.
 
 
No
x
Yes
If yes, indicate number of persons compensated.
5
 
 
a) Name of person compensated and registration status
Indicate whether the person compensated is a registrant.
 
 
No
x
Yes
If the person compensated is an individual, provide the name of the individual.
 Full legal name of individual
 
 
 
 
 
Family name
First given name
Secondary given names
 
If the person compensated is not an individual, provide the following information.
Full legal name of non-individual
Haywood Securities Inc.
 
 
Firm NRD number
 
 
 
1
6
3
0
(if applicable)
Indicate whether the person compensated facilitated the distribution through a funding portal or an internet-based portal.
 
x
No
 
Yes
 
 
b) Business contact information
If a firm NRD number is not provided in Item 8(a), provide the business contact information of the person being compensated.
Street address
 
 
 
Municipality
 
Province/State
 
 
 
Country
 
Postal code/Zip code
 
 
 
Email address
 
Telephone number
 
 
 
c) Relationship to issuer or investment fund manager
Indicate the person’s relationship with the issuer or investment fund manager (select all that apply). Refer to the meaning of “connected” in Part B(2) of the Instructions and the meaning of “control” in section 1.4 of NI 45-106 for the purposes of completing this section.
 
 
Connected with the issuer or investment fund manager
 
 
 
Insider of the issuer (other than an investment fund)
 
 
 
Director or officer of the investment fund or investment fund manager
 
 
 
Employee of the issuer or investment fund manager
 
 
x
None of the above
 
d) Compensation details
Provide details of all compensation paid, or to be paid, to the person identified in Item 8(a) in connection with the distribution. Provide all amounts in Canadian dollars. Include cash commissions, securities-based compensation, gifts, discounts or other compensation. Do not report payments for services incidental to the distribution, such as clerical, printing, legal or accounting services. An issuer is not required to ask for details about, or report on, internal allocation arrangements with the directors, officers or employees of a non-individual compensated by the issuer.
Cash commissions paid
$75,000
 
 
Value of all securities distributed as compensation4
 
Security codes
Security code 1
Security code 2
Security code 3
 
 
 
 
 
 
 
 
 
 
 
 
Describe terms of warrants, options or other rights
 
 
 
Other compensation5
 
Describe
 
 
 
Total compensation paid
$75,000
 
 
 
 
Check box if the person will or may receive any deferred compensation (describe the terms below)
 
 
 
4Provide the aggregate value of all securities distributed as compensation, excluding options, warrants or other rights exercisable to acquire additional securities of the issuer. Indicate the security codes for all securities distributed as compensation, including options, warrants or other rights exercisable to acquire additional securities of the issuer.
5Do not include deferred compensation.
 
 
 
 
 
Item 8 – Compensation Information
 
Provide information for each person (as defined in NI 45-106) to whom the issuer directly provides, or will provide, any compensation in connection with the distribution. Complete additional copies of this page if more than one person was, or will be, compensated.
Indicate whether any compensation was paid, or will be paid, in connection with the distribution.
 
 
No
x
Yes
If yes, indicate number of persons compensated.
5
 
 
a) Name of person compensated and registration status
Indicate whether the person compensated is a registrant.
 
 
No
x
Yes
If the person compensated is an individual, provide the name of the individual.
 Full legal name of individual
 
 
 
 
 
Family name
First given name
Secondary given names
 
If the person compensated is not an individual, provide the following information.
Full legal name of non-individual
Cormark Securities Inc.
 
 
Firm NRD number
 
 
1
0
0
9
0
(if applicable)
Indicate whether the person compensated facilitated the distribution through a funding portal or an internet-based portal.
 
x
No
 
Yes
 
 
b) Business contact information
If a firm NRD number is not provided in Item 8(a), provide the business contact information of the person being compensated.
Street address
 
 
 
Municipality
 
Province/State
 
 
 
Country
 
Postal code/Zip code
 
 
 
Email address
 
Telephone number
 
 
 
c) Relationship to issuer or investment fund manager
Indicate the person’s relationship with the issuer or investment fund manager (select all that apply). Refer to the meaning of “connected” in Part B(2) of the Instructions and the meaning of “control” in section 1.4 of NI 45-106 for the purposes of completing this section.
 
 
Connected with the issuer or investment fund manager
 
 
 
Insider of the issuer (other than an investment fund)
 
 
 
Director or officer of the investment fund or investment fund manager
 
 
 
Employee of the issuer or investment fund manager
 
 
x
None of the above
 
d) Compensation details
Provide details of all compensation paid, or to be paid, to the person identified in Item 8(a) in connection with the distribution. Provide all amounts in Canadian dollars. Include cash commissions, securities-based compensation, gifts, discounts or other compensation. Do not report payments for services incidental to the distribution, such as clerical, printing, legal or accounting services. An issuer is not required to ask for details about, or report on, internal allocation arrangements with the directors, officers or employees of a non-individual compensated by the issuer.
Cash commissions paid
$30,000
 
 
Value of all securities distributed as compensation4
 
Security codes
Security code 1
Security code 2
Security code 3
 
 
 
 
 
 
 
 
 
 
 
 
Describe terms of warrants, options or other rights
 
 
 
Other compensation5
 
Describe
 
 
 
Total compensation paid
$30,000
 
 
 
 
Check box if the person will or may receive any deferred compensation (describe the terms below)
 
 
 
4Provide the aggregate value of all securities distributed as compensation, excluding options, warrants or other rights exercisable to acquire additional securities of the issuer. Indicate the security codes for all securities distributed as compensation, including options, warrants or other rights exercisable to acquire additional securities of the issuer.
5Do not include deferred compensation.
 
 
 
 
 
Item 8 – Compensation Information
 
Provide information for each person (as defined in NI 45-106) to whom the issuer directly provides, or will provide, any compensation in connection with the distribution. Complete additional copies of this page if more than one person was, or will be, compensated.
Indicate whether any compensation was paid, or will be paid, in connection with the distribution.
 
 
No
x
Yes
If yes, indicate number of persons compensated.
5
 
 
a) Name of person compensated and registration status
Indicate whether the person compensated is a registrant.
 
 
No
x
Yes
If the person compensated is an individual, provide the name of the individual.
 Full legal name of individual
 
 
 
 
 
Family name
First given name
Secondary given names
 
If the person compensated is not an individual, provide the following information.
Full legal name of non-individual
TD Securities Inc.
 
 
Firm NRD number
 
 
 
5
8
6
0
(if applicable)
Indicate whether the person compensated facilitated the distribution through a funding portal or an internet-based portal.
 
x
No
 
Yes
 
 
b) Business contact information
If a firm NRD number is not provided in Item 8(a), provide the business contact information of the person being compensated.
Street address
 
 
 
Municipality
 
Province/State
 
 
 
Country
 
Postal code/Zip code
 
 
 
Email address
 
Telephone number
 
 
 
c) Relationship to issuer or investment fund manager
Indicate the person’s relationship with the issuer or investment fund manager (select all that apply). Refer to the meaning of “connected” in Part B(2) of the Instructions and the meaning of “control” in section 1.4 of NI 45-106 for the purposes of completing this section.
 
 
Connected with the issuer or investment fund manager
 
 
 
Insider of the issuer (other than an investment fund)
 
 
 
Director or officer of the investment fund or investment fund manager
 
 
 
Employee of the issuer or investment fund manager
 
 
x
None of the above
 
d) Compensation details
Provide details of all compensation paid, or to be paid, to the person identified in Item 8(a) in connection with the distribution. Provide all amounts in Canadian dollars. Include cash commissions, securities-based compensation, gifts, discounts or other compensation. Do not report payments for services incidental to the distribution, such as clerical, printing, legal or accounting services. An issuer is not required to ask for details about, or report on, internal allocation arrangements with the directors, officers or employees of a non-individual compensated by the issuer.
Cash commissions paid
$30,000
 
 
Value of all securities distributed as compensation4
 
Security codes
Security code 1
Security code 2
Security code 3
 
 
 
 
 
 
 
 
 
 
 
 
Describe terms of warrants, options or other rights
 
 
 
Other compensation5
 
Describe
 
 
 
Total compensation paid
$30,000
 
 
 
 
Check box if the person will or may receive any deferred compensation (describe the terms below)
 
 
 
4Provide the aggregate value of all securities distributed as compensation, excluding options, warrants or other rights exercisable to acquire additional securities of the issuer. Indicate the security codes for all securities distributed as compensation, including options, warrants or other rights exercisable to acquire additional securities of the issuer.
5Do not include deferred compensation.
 
 
 
 
 
Item 8 – Compensation Information
 
Provide information for each person (as defined in NI 45-106) to whom the issuer directly provides, or will provide, any compensation in connection with the distribution. Complete additional copies of this page if more than one person was, or will be, compensated.
Indicate whether any compensation was paid, or will be paid, in connection with the distribution.
 
 
No
x
Yes
If yes, indicate number of persons compensated.
5
 
 
a) Name of person compensated and registration status
Indicate whether the person compensated is a registrant.
 
 
No
x
Yes
If the person compensated is an individual, provide the name of the individual.
 Full legal name of individual
 
 
 
 
 
Family name
First given name
Secondary given names
 
If the person compensated is not an individual, provide the following information.
Full legal name of non-individual
Eight Capital
 
 
Firm NRD number
 
 
5
5
1
8
0
(if applicable)
Indicate whether the person compensated facilitated the distribution through a funding portal or an internet-based portal.
 
x
No
 
Yes
 
 
b) Business contact information
If a firm NRD number is not provided in Item 8(a), provide the business contact information of the person being compensated.
Street address
 
 
 
Municipality
 
Province/State
 
 
 
Country
 
Postal code/Zip code
 
 
 
Email address
 
Telephone number
 
 
 
c) Relationship to issuer or investment fund manager
Indicate the person’s relationship with the issuer or investment fund manager (select all that apply). Refer to the meaning of “connected” in Part B(2) of the Instructions and the meaning of “control” in section 1.4 of NI 45-106 for the purposes of completing this section.
 
 
Connected with the issuer or investment fund manager
 
 
 
Insider of the issuer (other than an investment fund)
 
 
 
Director or officer of the investment fund or investment fund manager
 
 
 
Employee of the issuer or investment fund manager
 
 
x
None of the above
 
d) Compensation details
Provide details of all compensation paid, or to be paid, to the person identified in Item 8(a) in connection with the distribution. Provide all amounts in Canadian dollars. Include cash commissions, securities-based compensation, gifts, discounts or other compensation. Do not report payments for services incidental to the distribution, such as clerical, printing, legal or accounting services. An issuer is not required to ask for details about, or report on, internal allocation arrangements with the directors, officers or employees of a non-individual compensated by the issuer.
Cash commissions paid
$15,000
 
 
Value of all securities distributed as compensation4
 
Security codes
Security code 1
Security code 2
Security code 3
 
 
 
 
 
 
 
 
 
 
 
 
Describe terms of warrants, options or other rights
 
 
 
Other compensation5
 
Describe
 
 
 
Total compensation paid
$15,000
 
 
 
 
Check box if the person will or may receive any deferred compensation (describe the terms below)
 
 
 
4Provide the aggregate value of all securities distributed as compensation, excluding options, warrants or other rights exercisable to acquire additional securities of the issuer. Indicate the security codes for all securities distributed as compensation, including options, warrants or other rights exercisable to acquire additional securities of the issuer.
5Do not include deferred compensation.
 
 
 
 
 
 
Item 9 – Directors, Executive Officers and Promoters of the Issuer
 
If the issuer is an investment fund, do not complete Item 9. Proceed to Item 10.
Indicate whether the issuer is any of the following (select the one that applies – if more than one applies, select only one).
 
x
Reporting issuer in any jurisdiction of Canada
 
 
 
Foreign public issuer
 
 
 
Wholly owned subsidiary of a reporting issuer in any jurisdiction of Canada6
Provide name of reporting issuer
 
 
 
 
 
Wholly owned subsidiary of a foreign public issuer6
Provide name of foreign public issuer
 
 
 
 
 
Issuer distributing only eligible foreign securities and the distribution is to permitted clients only7
 
If the issuer is at least one of the above, do not complete Item 9(a) – (c). Proceed to Item 10.
6An issuer is a wholly owned subsidiary of a reporting issuer or a foreign public issuer if all of the issuer’s outstanding voting securities, other than securities that are required by law to be owned by its directors, are beneficially owned by the reporting issuer or the foreign public issuer, respectively.
7Check this box if it applies to the current distribution even if the issuer made previous distributions of other types of securities to non-permitted clients. Refer to the definitions of “eligible foreign security” and “permitted client” in Part B(1) of the Instructions.
 
 
 
If the issuer is none of the above, check this box and complete Item 9(a) – (c).
 
a) Directors, executive officers and promoters of the issuer
Provide the following information for each director, executive officer and promoter of the issuer. For locations within Canada, state the province or territory, otherwise state the country. For “Relationship to issuer”, “D” – Director, “O” – Executive Officer, “P” – Promoter.
 
Organization or company name
Family name
First given name
Secondary given names
Business location of non-individual or residential jurisdiction of individual
Relationship to issuer
(select all that apply)
 
 
Province or country
D
O
P
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
b) Promoter information
If the promoter listed above is not an individual, provide the following information for each director and executive officer of the promoter. For locations within Canada, state the province or territory, otherwise state the country. For “Relationship to promoter”, “D” – Director, “O” – Executive Officer.
 
Organization or company name
Family name
First given name
Secondary given names
Residential jurisdiction of individual
Relationship to promoter
(select one or both if applicable)
 
 
Province or country
D
O
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
c) Residential address of each individual
Complete Schedule 2 of this form providing the full residential address for each individual listed in Item 9(a) and (b) and attach to the completed report. Schedule 2 also requires information to be provided about control persons.
 
 
 
 
 
Item 10 – Certification
 
Provide the following certification and business contact information of an officer, director or agent of the issuer or underwriter. If the issuer or underwriter is not a company, an individual who performs functions similar to that of a director or officer may certify the report. For example, if the issuer is a trust, the report may be certified by the issuer's trustee. If the issuer is an investment fund, a director or officer of the investment fund manager (or, if the investment fund manager is not a company, an individual who performs similar functions) may certify the report if the director or officer has been authorized to do so by the investment fund.
The certification may be delegated, but only to an agent that has been authorized by an officer or director of the issuer or underwriter to prepare and certify the report on behalf of the issuer or underwriter. If the report is being certified by an agent on behalf of the issuer or underwriter, provide the applicable information for the agent in the boxes below.
If the individual completing and filing the report is different from the individual certifying the report, provide the name and contact details for the individual completing and filing the report in Item 11.
The signature on the report must be in typed form rather than handwritten form. The report may include an electronic signature provided the name of the signatory is also in typed form.
 
Securities legislation requires an issuer or underwriter that makes a distribution of securities under certain prospectus exemptions to file a completed report of exempt distribution.
 
By completing the information below, I certify, on behalf of the issuer/underwriter/investment fund manager, to the securities regulatory authority or regulator, as applicable, that I have reviewed this report and to my knowledge, having exercised reasonable diligence, the information provided in this report is true and, to the extent required, complete.
 
Name of issuer/underwriter/
investment fund manager/agent
Denison Mines Corp.
 
 
Full legal name
Willett
Amanda
 
 
 
Family name
First given name
Secondary given names
 
 
Title
Corporate Counsel and Corporate Secretary
 
 
Telephone number
416-979-1991
Email address
awillett@denisonmines.com
 
 
Signature
“signed”
Date
2018
11
28
 
 
 
 
YYYY
MM
DD
 
 
 
Item 11 – Contact Person
 
Provide the following business contact information for the individual that the securities regulatory authority or regulator may contact with any questions regarding the contents of this report, if different than the individual certifying the report in Item 10.
 
 
 
Same as individual certifying the report
 
Full legal name
Everett
Ryan
 
Title
Associate
 
 
Family name
First given name
Secondary given names
 
 
 
 
Name of company
Blake, Cassels & Graydon LLP
 
 
Telephone number
604-631-3346
Email address
ryan.everett@blakes.com
 
 
 
 
 
Notice – Collection and use of personal information
The personal information required under this form is collected on behalf of and used by the securities regulatory authority or regulator under the authority granted in securities legislation for the purposes of the administration and enforcement of the securities legislation.
If you have any questions about the collection and use of this information, contact the securities regulatory authority or regulator in the local jurisdiction(s) where the report is filed, at the address(es) listed at the end of this form.
The attached Schedules 1 and 2 may contain personal information of individuals and details of the distribution(s). The information in Schedules 1 and 2 will not be placed on the public file of any securities regulatory authority or regulator. However, freedom of information legislation may require the securities regulatory authority or regulator to make this information available if requested.
By signing this report, the issuer/underwriter confirms that each individual listed in Schedule 1 or 2 of the report who is resident in a jurisdiction of Canada:
 
a) has been notified by the issuer/underwriter of the delivery to the securities regulatory authority or regulator of the information pertaining to the individual as set out in Schedule 1 or 2, that this information is being collected by the securities regulatory authority or regulator under the authority granted in securities legislation, that this information is being collected for the purposes of the administration and enforcement of the securities legislation of the local jurisdiction, and of the title, business address and business telephone number of the public official in the local jurisdiction, as set out in this form, who can answer questions about the security regulatory authority’s or regulator’s indirect collection of the information, and
 
b) has authorized the indirect collection of the information by the securities regulatory authority or regulator.