Printed: June 24, 2009

DATA TO BE TRANSMITTED TO THE CANADIAN ORGANIC OFFICE

This information is required by the Canadian Organic Office and needs to be completed by the certified operator. Please complete one form for each Certified Entity, Certified Location or Additional Participant.

QUESTIONS

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ANSWERS

1. Legal (corporate) name of operator.
2. Name of person in charge of operations resulting in company's products:
3. Full address of company’s head office:
4. Phone number of company’s head office:
5. Fax number of company’s head office:
6. Company’s e-mail address (if exists):
7. Company’s website (if exists):
8. All names and codes used to identify the company on labels of certified products:
9. Type of license granted by certifier: (please check one)
Individual licensed operator;
Subcontractor or operator affiliated exclusively with another operator;
Operator deprived of license due to abandonment or withdrawal of certification (including date of decision)..
10. Status of all of the company’s products: (please check all that apply)
Conventional products;
Certified products (70% and more ingredients compliant with standards);
Products for which certification is currently suspended; (including date of suspension)
Verified products (less than 70% of ingredients in compliance with standards);
Approved services.
11. Type(s) of operation(s) from which certified products on each operation site come from: (please check all that apply)
Crop production
Livestock production;
Maple growing production;
Specialized production (beekeeping, aquaculture, etc.);
Farm preparation;
Cottage preparation (equivalent to 5 or less full-time employees);
Industrial preparation (equivalent to 6 or more full-time employees);
Repackaging by distributors/merchants;
Repackaging by retail operations;
Brokerage (including sales agencies).
12. Generic name(s) of the certified product(s) for each identified operations site, as registered on the compliance certificate. Please attach one label sample.
13. All certified product trademarks (including those belonging to distributors under contract with the operator). If no distinct trademark exists then the name of the company will be considered as the standard trademark.

AESOP 9769; ISSUE 1; STATUS-PUBLISHED; EFFECTIVE 24 JUN 2009; AUTHORITY SKROL

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