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1 Instruction page for completion of Identity verification, third party determination and politically exposed foreign persons (PEFP) form (Life insurance) Complete this form for all universal life and permanent life insurance products. For non-registered investment and wealth products: accumulation annuities (including segregated funds), guaranteed investment certificates (GICs), payout annuities, mutual funds and linked deposit notes, complete form E4105. To be completed with the understanding that Sun Life Financial will rely on the information to conduct customer due diligence required under the Proceeds of Crime (Money Laundering) and Terrorist Financing Act and to satisfy applicable regulatory requirements. In order to be exempt from completing the E4104, an entity must meet the following criteria as stated in Sections 62(2)(m) and (n) of the Proceeds of Crime (Money Laundering) and Terrorist Financing Regulations: (m) The entity must be a public body, or a corporation that has minimum net assets of $75 million on its last audited balance sheet and whose shares are traded on a Canadian stock exchange or a stock exchange designated under subsection 262(1) of the Income Tax Act (Canada), and operates in a country that is a member of the Financial Action Task Force; or (n) The entity is a subsidiary of a public body or a corporation referred to in paragraph (m) and the financial statements of the entity are consolidated with the financial statements of that public body or corporation; From Section 1(2) of the Proceeds of Crime (Money Laundering) and Terrorist Financing Regulations, public body means: (a) any department or agent of Her Majesty in right of Canada or of a province; (b) an incorporated city, town, village, metropolitan authority, township, district, county, rural municipality or other incorporated municipal body or an agent of any of them; and (c) an organization that operates a public hospital and that is designated by the Minister of National Revenue as a hospital authority under the Excise Tax Act, or any agent of such an organization. If the entity is exempt, check the YES checkbox and complete sections 5, 6 and 7 of the E4104, as applicable. If the entity is not exempt, check the NO checkbox and complete all sections of the form that apply to the type of applicant/owner on the application. Refer to the diagram on page 5 for an example of how to complete this form for the multiple layers of ownership of the entity applicant. If completing a paper form and additional space is needed for any section of this form, complete the applicable sections on a new E4104 form, along with sections 5, 6 and 7 of that same E Identity verification 1.1 Individual, sole proprietor or signing officers of a corporation/partnership/not-for-profit entity/other non-corporate entity (including trust or estate) Complete if the applicant/owner is an individual, which includes a sole proprietor, including the FATCA self-certification question 'Are you a U.S. resident for tax purposes (which includes a U.S. citizen)?'. Complete for signing officers of a corporation, partnership, not for profit entity or other non-corporate entity (including trusts or estates). Completion of the International tax classification for an entity (4545-E) form is mandatory. Acceptable documents to view can be a driver s licence, birth certificate, passport or permanent resident card. A valid document is an original (not a copy), has a unique identifying number, has not expired (if document has an expiry date) and is issued by a Canadian federal, provincial or territorial government for that individual. The document must include all of the following: individual s name photo ID address date of birth document number place of issue. Page 1 of 6

2 1 Identity verification (continued) Examples of unacceptable documents include, but are not limited to: baptismal certificate Social Insurance Number (SIN) card provincial health card for PEI, Ontario, Nova Scotia or Manitoba. In Quebec, you cannot request to see a client s health card but you may accept it if the client wants to use it for identification purposes. firearms licence reference to another policy/application. The address should be the residential address of the applicant/owner/signing officer (include the street, city, province, country and postal code). PO Box or General Delivery is not acceptable. For 'Detailed occupation/principal business', a detailed occupation or job title is required. Examples: Manager of Customer Service or Salesperson of Office Equipment. If 'Retired' is provided as the occupation, include details of the pre-retirement occupation. If there are more than 3 signing officers that will have signing authority over this contract/policy, then the identity of only 3 signing officers is required. 1.2 Corporation Complete section 1.1 for signing officers. Complete sections a) through d) if the applicant/owner is a corporation. Submit the Certificate of incumbency (E4207) form, the International tax classification for an entity (4545-E) form and paper copies of all relevant corporate documents (i.e. articles of incorporation, annual returns and shareholder agreements, etc.). 1.2 a) Corporation Complete name, detailed principal business (for example, Office Equipment Leasing or Residential Landscaping), registration number, date of incorporation and where the corporation was registered. Indicate the not for profit status of the corporation. Select either NO or YES. If YES, indicate whether the not for profit solicits public contributions, is registered with CRA and record the CRA registration number. 1.2 b) Directors of the board Complete if the applicant/owner is a corporation including not for profit corporations. For 'Detailed occupation/principal business', a detailed occupation or job title is required. Examples: Manager of Customer Service or Salesperson of Office Equipment. If 'Retired' is provided as the occupation, include details of the pre-retirement occupation. 1.2 c) Individual shareholders that own all or a portion of the entity applicant Record the name of each individual who has an ownership interest in the entity applicant. Each individual owner must be asked if they own 25% or more of the entity applicant. In each case where the individual does own 25% or more of the entity applicant, the detailed occupation (for example, Manager of Customer Service or Salesperson of Office Equipment) and address sections must be completed in addition to the name section. If 'Retired' is provided as the occupation, include details of the pre-retirement occupation. Examples: Retired Building Contractor or Retired Teacher. 1.2 d) Is the corporation identified above in section 1.2 a) owned in whole or in part by another entity? Select either NO or YES. If there are any entities with ownership in the entity applicant, complete section 1.5 for each entity. 1.3 Partnership Complete section 1.1 for signing officers. Complete sections a) through c) if the applicant/owner is a partnership. Submit the Certificate of incumbency (E4207) form, the International tax classification for an entity (4545-E) form and paper copies of all relevant partnership documents including the partnership agreement. 1.3 a) Partnership Complete with name of the partnership, detailed principal business (for example, Accounting Services, Optometrists) and partnership registration details. Page 2 of 6

3 1 Identity verification (continued) 1.3 b) Individual partners that own all or a portion of the entity applicant Record the name of each individual who has an ownership interest in the entity applicant. Each individual owner must be asked if they own 25% or more of the entity applicant. In each case where the individual does own 25% or more of the entity applicant, the detailed occupation (for example, Manager of Customer Service or Salesperson of Office Equipment) and address sections must be completed in addition to the name section. If 'Retired' is provided as the occupation, include details of the pre-retirement occupation. Examples: Retired Building Contractor or Retired Teacher. 1.3 c) Is the partnership indicated in section 1.3 a) above owned in whole or in part by another entity? Select either NO or YES. If there are any entities with ownership in the entity applicant, complete section 1.5 for each entity. 1.4 Other non-corporate entities, including trusts, estates and unincorporated not for profit entities Complete section 1.1 for signing officers. Complete sections a) through d) if the applicant/owner is one of the entities listed above. Submit the Certificate of incumbency (E4207) form, the International tax classification for an entity (4545-E) form and paper copies of all relevant documents (i.e. trust deed, estate documents, etc.). 1.4 a) Other non-corporate entities, including trusts, estates and unincorporated not for profit entities Complete with name, detailed principal business (for example, Housing Cooperative, Union, Neighbourhood Association), tick the box to indicate type of entity and provide information about the establishment of the entity. Indicate the not for profit status of the non-corporate entity. Select either NO or YES. If YES, indicate whether the not for profit solicits public contributions, is registered with CRA and record the CRA registration number. List Directors of the board (not for profit entity). 1.4 b) Trustees/trust beneficiaries/trust settlor (payor)/estate executor/estate beneficiaries Complete name, address and detailed occupation (for example, Manager of Customer Service or Salesperson of Office Equipment), for each trustee or estate executor. If 'Retired' is provided as the occupation, include details of the pre-retirement occupation. Complete name, address and detailed occupation (for example, Manager of Customer Service or Salesperson of Office Equipment) for each trust beneficiary or estate beneficiary. If 'Retired' is provided as the occupation, include details of the pre-retirement occupation. Complete name, address and detailed occupation (for example, Manager of Customer Service or Salesperson of Office Equipment) or type of business for each trust settlor. If 'Retired' is provided as the occupation, include details of the pre-retirement occupation. Attach paper copies of trust deed or estate documents. 1.4 c) Individuals that own or control all or a portion of the entity applicant (not applicable for trusts, estates, and unincorporated not for profit entities) Record the name of each individual who has an ownership in the entity applicant. Each individual owner must be asked if they own 25% or more of the entity applicant. In each case where the individual does own 25% or more of the entity applicant, the detailed occupation (for example, Manager of Customer Service or Salesperson of Office Equipment) and address sections must be completed in addition to the name section. If 'Retired' is provided as the occupation, include details of the pre-retirement occupation. Examples: Retired Building Contractor or Retired Teacher. 1.4 d) Is the non-corporate entity indicated in section 1.4 a) above owned in whole or in part by another entity (not applicable for trusts, estates and unincorporated not for profit entities)? Indicate whether there is an entity with any ownership interest in the entity applicant. If there are any entities with ownership in the entity applicant, complete section 1.5 for each entity. Page 3 of 6

4 1 Identity verification (continued) 1.5 a) Entities that own all or a portion of the entity applicant or that own all or a portion of an entity that owns the entity applicant. If completing a paper form, completion of an additional form with sections 1.5, 5, 6 and 7 is required for every entity that owns all or a portion of the entity applicant, or, owns all or a portion of any entity that owns the entity applicant. Record the entity name that owns all or a portion of the entity applicant or all or a portion of an entity that owns the entity applicant. Indicate whether the entity is exempt from providing ownership information under the regulations as stated on the first page of this instruction form. Select either NO or YES. Where the entity does own 25% or more, indicate YES and: If the entity is a corporation: Record the detailed principal business of the entity (for example, Office Equipment Leasing or Residential Landscaping) and incorporation details. Record the registration details of the corporation. If the entity responds YES to the Is this entity not for profit question, complete all fields in the line of boxes below the question. Record the names and detailed occupations (for example, Manager of Customer Service or Salesperson of Office Equipment) of all Directors of the board. If 'Retired' is provided as the occupation, include details of the pre-retirement occupation. OR If the entity with an ownership interest in the applicant is a partnership: Record the detailed principal business of the entity (for example, Office Equipment Leasing or Residential Landscaping). Record the ownership and registration details of the partnership. OR If the entity is a non-corporate entity, including trust, estate or unincorporated not for profit entity: Record the detailed principal business of the entity (for example, Minor Sports Association or Neighbourhood Association). If the entity responds YES to the Is this entity not for profit question, complete all fields in the line of boxes below the question. Record the names and detailed occupations (for example, Manager of Customer Service or Salesperson of Office Equipment) of all Directors of the board (if applicable). If 'Retired' is provided as the occupation, include details of the pre-retirement occupation. 1.5 b) Individual shareholders/partners or individuals who own all or a portion of the entity identified above in section 1.5 a) (not applicable for trusts and estates) List the name of each individual with an ownership interest in the entity listed in section 1.5 a). Determine whether the individual owns 25% or more of the entity. Select either NO or YES. In each case where the individual does own 25% or more, the detailed occupation (for example, Manager of Customer Service or Salesperson of Office Equipment) and address sections must be completed in addition to the name section. If 'Retired' is provided as the occupation, include details of the pre-retirement occupation. 2 Third party determination A third party is any person or entity, that is not the owner, who may give instructions, make use of or make payments to the contract/policy. Some examples of third parties include: a power of attorney acting on behalf of the applicant/owner. a person or entity paying for the policy who is not the applicant/owner. A NO or YES answer must be given to the third party question. It cannot be left blank. If YES, provide additional information about the third party. The address should be the residential/business address of the third party (include the street, city, province, country and postal code). PO Box or General Delivery is not acceptable. For 'Detailed occupation/principal business', a detailed occupation or job title is required. Examples: Manager of Customer Service or Salesperson of Office Equipment. If 'Retired' is provided as the occupation, include details of the pre-retirement occupation. Page 4 of 6

5 3 Politically exposed foreign persons (PEFP) Applicable to individuals and sole proprietors only. Indicate if the applicant/owner or any of their close relatives (living or deceased) ever held one of the listed positions or offices in or on behalf of a country other than Canada. Refer to the form (E4104) for details. A NO or YES answer must be given to the PEFP question. It cannot be left blank. If YES, provide additional information about the PEFP. 4 Source of payment and purpose of product 4.1 Source of payment Complete to identify how the money being deposited to the contract was obtained. 4.2 Purpose and intended use of the product applied for Select the most appropriate option from the list provided. 5 Applicant/owner declaration Each applicant/owner or if applicable, signing officers must review the answers recorded, sign and date this section with the understanding that Sun Life Financial will rely on the information. 6 Entity (corporation/partnership/trust/not for profit, etc.) signing officer certification Complete this certification for corporations, partnerships, trusts, not for profit entities, estates and non-corporate entities. The individuals who are authorized to act on behalf of the entity applicant (i.e. signing officers) must review the answers recorded, sign and date this section with the understanding that Sun Life Financial will rely on the information. 7 Applicant/owner declaration The advisor must complete this section to confirm that the necessary identity verification documents have been viewed. If the client is the advisor, this section must be completed by another licenced advisor or a financial centre manager. Page 5 of 6

6 The advisor has the responsibility to collect all required information with respect to entities and/or individuals who directly or indirectly have control of entity applicant ABC Dawn Lewis owns 100% of PQR (Corporation). Complete sections 1.5 b), 5, 6 and 7 on the new* E4104 form that was completed for PQR. Scott DaSilva owns 50% of MNO (Corporation). Complete sections 1.5 b), 5, 6 and 7 on the new* E4104 form that was completed for MNO. PQR (Corporation) owns 50% of MNO (Corporation). Complete sections 1.5, 5, 6 and 7 on a new* E4104 form. Angela Jones owns 5% of DEF (Corporation). Complete section 1.5 b) on existing E4104 form. Bob Martin owns 5% of DEF (Corporation). Complete section 1.5 b) on existing E4104 form. JKL (Corporation) owns 5% of DEF (Corporation). Complete sections 1.5 a) (name only), 5, 6 and 7 on a new* E4104 form. MNO (Corporation) owns 85% of DEF (Corporation). Complete sections 1.5, 5, 6 and 7 on a new* E4104 form. Mike Smith owns 20% of ABC (Corporation). Complete section 1.2 c) (name only) on existing E4104 form. DEF (Corporation) owns 80% of ABC (Corporation). Complete section 1.5 on existing E4104 form. ABC (Corporation) ENTITY APPLICANT Complete sections 1.1 (signing officers), 1.2, 2, 3, 4, 5, 6 and 7. Submit the Certificate of incumbency form (E4207), the International tax classification for an entity (4545-E) form and paper copies of all relevant corporate documents. *A new E4104 is required if completing by paper form. Page 6 of 6