F-X 1 formfx.htm FORM F-X Olympus Pacific Minerals Inc.: Form F-X - Filed by newsfilecorp.com

UNITED STATES
SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

________________________

FORM F-X

APPOINTMENT OF AGENT FOR SERVICE OF
PROCESS AND UNDERTAKING
________________________

A.

Name of issuer or person filing (“Filer”): Olympus Pacific Minerals Inc.

   
B.

This is (check one):


  [X] An original filing for the Filer.
     
  [  ]

An amended filing for the Filer.


C.

Identify the filing in conjunction with which this form is being filed:


  Name of registrant: Olympus Pacific Minerals Inc.
      
  Form type: Form CB
      
  File number (if known): 005-83655
      
  Filed by: Olympus Pacific Minerals Inc.
      
  Date filed (if filed concurrently, so indicate): Filed Concurrently

D.

The Filer is incorporated or organized under the laws of

Canada

and has its principal place of business at

Suite 500 - 10 King Street East. Toronto, ON M5C 1C3

E.

The Filer designates and appoints CT Corporation (“Agent”) located at:

111 Eighth Avenue, New York, NY 10011 (800) 624-0909

as the agent (the “Agent”) of the Filer upon whom may be served any process, pleadings, subpoenas, or other papers in:

  (a)

any investigation or administrative proceeding conducted by the Commission; and

     
  (b)

any civil suit or action brought against the Filer or to which the Filer has been joined as defendant or respondent, in any appropriate court in any place subject to the jurisdiction of any state or of the United States, or of any of its territories or possessions or of the District of Columbia, where the investigation, proceeding or cause of action arises out of or relates to or concerns (i) any offering made or purported to be made in connection with the securities registered or qualified by the Filer on Form CB on November 7, 2012 or any purchases or sales of any security in connection therewith; (ii) the securities in relation to which the obligation to file an annual report on Form 40-F arises, or any purchases or sales of such securities; (iii) any tender offer for the securities of a Canadian issuer with respect to which filings are made by the Filer with the Commission on Schedule 13E-4F, 14D-1F or 14D-9F; or (iv) the securities in relation to which the Filer acts as trustee pursuant to Rule 10a-5 under the Trust Indenture Act of 1939. The Filer stipulates and agrees that any such civil suit or action or administrative proceeding may be commenced by the service of process upon, and that the service of an administrative subpoena shall be effected by service upon such agent for service of process, and that the service as aforesaid shall be taken and held in all courts and administrative tribunals to be valid and binding as if personal service thereof had been made.




F.

The Filer stipulates and agrees to appoint a successor agent for service of process and file an amended Form F-X if the Filer discharges the Agent or the Agent is unwilling or unable to accept service on behalf of the Filer at any time until six years have elapsed from the date the Filer has ceased reporting under the Exchange Act. The Filer further undertakes to advise the Commission promptly of any change to the Agent's name or address during the applicable period by amendment of this Form, referencing the file number of the relevant form in conjunction with which the amendment is being filed.

   
G.

The Filer undertakes to make available, in person or by telephone, representatives to respond to inquiries made by the Commission staff, and to furnish promptly, when requested to do so by the Commission staff, information relating to the Form 40-F, the securities to which the Form 40-F relates and the transactions in such securities.

The Filer certifies that it has duly caused this power of attorney, consent, stipulation and agreement to be signed on its behalf by the undersigned, thereunto duly authorized, in the city of Toronto, province of Ontario, country of Canada, on November 6, 2012.

  Olympus Pacific Minerals Inc.
   
   
   
   
  By:   /s/ Jeffrey Klam                                                         
         Name: Jeffrey Klam   
        Title: General Counsel & Corporate Secretary


This statement has been signed by the following person in the capacity indicated on November __, 2012.

  CT CORPORATION
   
   
   
  By: /s/ Curt Kreisel                                                               
         Name: Curt Kreisel
         Title: Assistant Secretary