(1) a sworn declaration duly completed on the form provided by the Order containing the following information:(a) the partnership or joint-stock company name and any other names used in Québec by the partnership or joint-stock company within which the occupational therapists carry on professional activities, and the registration number assigned to it by the competent authority;
(b) the legal form of the partnership or joint-stock company;
(c) in the case of a joint-stock company:i. the address of the head office of the company and the addresses of its establishments in Québec;
ii. the names of the shareholders referred to in paragraph 1 of section 1, their percentage of shares with voting rights, the Order or professional association of which they are members and their permit number;
iii. the names of the directors of the company, the Order or professional association of which they are members, if applicable, and their permit number;
(d) in the case of a limited liability partnership:i. the addresses of the establishments of the partnership in Québec, specifying the address of the principal establishment;
ii. the names of the partners referred to in paragraph 1 of section 1, their percentage of partnership units, the Order or professional association of which they are members and their permit number;
iii. the names of the partnership’s managers, the Order or professional association of which they are members, if applicable, and their permit number;
(e) the occupational therapist’s name, permit number, and status within the partnership or joint-stock company;
(f) a certificate to the effect that the shares or units held, the rules of administration of the partnership or company, and the articles of the joint-stock company or the contract of the limited liability partnership comply with the conditions set out in this Regulation;