Appendix A – Sample Disclosure for Consolidated Portfolio Reports

Information relevant to the Guidance Note topic as follows:

This [portfolio summary] is prepared from information received from sources we believe to be reliable. It is not an official statement of your positions at [name of Dealer Member]. Some of the positions shown in this statement may be held at other financial institutions where they are not covered by the Canadian Investor Protection Fund.

Please consult the monthly statements you receive from [name of Dealer Member] to determine which positions are eligible for protection by the Canadian Investor Protection Fund, including information as to which positions are held in segregation.

If there are any discrepancies between the transactions or positions shown on the monthly statements you receive from [name of Dealer Member] and those shown in this [portfolio summary] as being transacted or held at [name of Dealer Member], please report them to [contact name or department].