C-26, r. 201.2 - Regulation respecting the practice of physiotherapy within a partnership or a joint-stock company

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3. The member must also send to the secretary of the Order a sworn declaration duly made on the form provided by the Order and containing
(1)  the name of the partnership or joint-stock company and any other names used in Québec by the partnership or joint-stock company within which the member practises and the business number assigned to it by the competent authority;
(2)  the legal form of the partnership or joint-stock company;
(3)  in the case of a joint-stock company, the address of the head office of the company and establishments in Québec, the name and home address of the directors and the name and home address of the officers, and the order or professional association of which they are members, if applicable;
(4)  in the case of a limited liability partnership, the address of the establishments of the partnership in Québec, specifying the address of the principal establishment, the names and home addresses of the partners, the names and home addresses of the directors, and the order or professional association of which they are members, if applicable;
(5)  the member’s name, member number, status within the partnership or joint-stock company and professional activities carried on within the partnership or joint-stock company;
(6)  an attestation certifying that the shares held and the rules of administration of the partnership or joint-stock company comply with the conditions set out in this Regulation.
O.C. 131-2015, s. 3.