0001062993-22-024385.txt : 20221222 0001062993-22-024385.hdr.sgml : 20221222 20221222122927 ACCESSION NUMBER: 0001062993-22-024385 CONFORMED SUBMISSION TYPE: F-X PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20221222 DATE AS OF CHANGE: 20221222 EFFECTIVENESS DATE: 20221222 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: Galiano Gold Inc. CENTRAL INDEX KEY: 0001377757 STANDARD INDUSTRIAL CLASSIFICATION: MINING, QUARRYING OF NONMETALLIC MINERALS (NO FUELS) [1400] IRS NUMBER: 000000000 STATE OF INCORPORATION: A1 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: F-X SEC ACT: 1933 Act SEC FILE NUMBER: 333-268945 FILM NUMBER: 221481000 BUSINESS ADDRESS: STREET 1: 680 - 1066 WEST HASTINGS STREET CITY: VANCOUVER STATE: A1 ZIP: V6E 3X2 BUSINESS PHONE: 604 683 8193 MAIL ADDRESS: STREET 1: 680 - 1066 WEST HASTINGS STREET CITY: VANCOUVER STATE: A1 ZIP: V6E 3X2 FORMER COMPANY: FORMER CONFORMED NAME: Asanko Gold Inc. DATE OF NAME CHANGE: 20130311 FORMER COMPANY: FORMER CONFORMED NAME: Keegan Resources Inc. DATE OF NAME CHANGE: 20061006 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: Galiano Gold Inc. CENTRAL INDEX KEY: 0001377757 STANDARD INDUSTRIAL CLASSIFICATION: MINING, QUARRYING OF NONMETALLIC MINERALS (NO FUELS) [1400] IRS NUMBER: 000000000 STATE OF INCORPORATION: A1 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: F-X BUSINESS ADDRESS: STREET 1: 680 - 1066 WEST HASTINGS STREET CITY: VANCOUVER STATE: A1 ZIP: V6E 3X2 BUSINESS PHONE: 604 683 8193 MAIL ADDRESS: STREET 1: 680 - 1066 WEST HASTINGS STREET CITY: VANCOUVER STATE: A1 ZIP: V6E 3X2 FORMER COMPANY: FORMER CONFORMED NAME: Asanko Gold Inc. DATE OF NAME CHANGE: 20130311 FORMER COMPANY: FORMER CONFORMED NAME: Keegan Resources Inc. DATE OF NAME CHANGE: 20061006 F-X 1 formfx.htm FORM F-X Galiano Gold 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"): Galiano Gold Inc.


B.

(1) 

This is [check one]:


 

[X]

an original filing for the Filer.

 

[  ]

an amended filing for the Filer.


 

(2)

Check the following box if you are filing the Form F-X in paper in accordance with Regulation S-T Rule 101(b)(9) [ ]


C.

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


 

Name of registrant:

Galiano Gold Inc.

 

Form type:

Form F-10 Registration Statement

 

File Number (if known):

333-268945

 

Filed by:

Galiano Gold Inc.

 

Date Filed (if filed concurrently, so indicate):

December 22, 2022 (concurrent herewith)

     
D. The Filer is incorporated or organized under the laws of: Province of British Columbia, Canada.
  The Filer has its principal place of business at:
     
    1640 – 1066 West Hastings Street
    Vancouver, British Columbia
    Canada V6E 3X1
    Tel: (604) 683-8193
     
E. Each Filer designates and appoints Puglisi & Associates (the "Agent"), located at:
     
    850 Library Avenue, Suite 204
    Newark, Delaware
    United States 19711
    Tel: (302) 738-6680

as 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 any offering made or purported to be made in connection with the securities registered or qualified by the Filer on Form F-10 on December 22, 2022 or any purchases or sales of any security in connection therewith. 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 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 issuer of the securities to which such Forms and Schedules relate 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 F-10; the securities to which the Form F-10 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 Vancouver, Province of British Columbia, Country of Canada this 21st day of December, 2022.

 

GALIANO GOLD INC.

 

 

 

 

By:

 

 

 

/s/ Matt Badylak

 

Name:  

Matt Badylak

 

Title:

President and Chief Executive Officer



This statement has been signed by the following person in the capacity and on the date indicated.

 

PUGLISI & ASSOCIATES

 

 

 

 

By:

 

 

 

/s/ Donald J. Puglisi

 

Name: 

Donald J. Puglisi

 

Title:

Managing Director

 

Date:

December 21, 2022