<SEC-DOCUMENT>0001062993-23-023286.txt : 20231229
<SEC-HEADER>0001062993-23-023286.hdr.sgml : 20231229
<ACCEPTANCE-DATETIME>20231229171559
ACCESSION NUMBER:		0001062993-23-023286
CONFORMED SUBMISSION TYPE:	F-X
PUBLIC DOCUMENT COUNT:		1
FILED AS OF DATE:		20231229
DATE AS OF CHANGE:		20231229
EFFECTIVENESS DATE:		20231229

SUBJECT COMPANY:	

	COMPANY DATA:	
		COMPANY CONFORMED NAME:			CYBIN INC.
		CENTRAL INDEX KEY:			0001833141
		STANDARD INDUSTRIAL CLASSIFICATION:	PHARMACEUTICAL PREPARATIONS [2834]
		ORGANIZATION NAME:           	03 Life Sciences
		IRS NUMBER:				000000000
		STATE OF INCORPORATION:			A6
		FISCAL YEAR END:			0331

	FILING VALUES:
		FORM TYPE:		F-X
		SEC ACT:		1933 Act
		SEC FILE NUMBER:	333-276333
		FILM NUMBER:		231528580

	BUSINESS ADDRESS:	
		STREET 1:		100 KING STREET WEST
		STREET 2:		SUITE 5600
		CITY:			TORONTO
		STATE:			A6
		ZIP:			M5X 1C9
		BUSINESS PHONE:		(908) 764-8385

	MAIL ADDRESS:	
		STREET 1:		100 KING STREET WEST
		STREET 2:		SUITE 5600
		CITY:			TORONTO
		STATE:			A6
		ZIP:			M5X 1C9

FILED BY:		

	COMPANY DATA:	
		COMPANY CONFORMED NAME:			CYBIN INC.
		CENTRAL INDEX KEY:			0001833141
		STANDARD INDUSTRIAL CLASSIFICATION:	PHARMACEUTICAL PREPARATIONS [2834]
		ORGANIZATION NAME:           	03 Life Sciences
		IRS NUMBER:				000000000
		STATE OF INCORPORATION:			A6
		FISCAL YEAR END:			0331

	FILING VALUES:
		FORM TYPE:		F-X

	BUSINESS ADDRESS:	
		STREET 1:		100 KING STREET WEST
		STREET 2:		SUITE 5600
		CITY:			TORONTO
		STATE:			A6
		ZIP:			M5X 1C9
		BUSINESS PHONE:		(908) 764-8385

	MAIL ADDRESS:	
		STREET 1:		100 KING STREET WEST
		STREET 2:		SUITE 5600
		CITY:			TORONTO
		STATE:			A6
		ZIP:			M5X 1C9
</SEC-HEADER>
<DOCUMENT>
<TYPE>F-X
<SEQUENCE>1
<FILENAME>formfx.htm
<DESCRIPTION>FORM F-X
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    <title>Cybin Inc.: Form F-X - Filed by newsfilecorp.com</title>
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    <hr width="100%" size="3" color="black" noshade="noshade"><a name="page_1"></a>
    <p style="margin-bottom: 0pt; text-align: center;"><font style="font-size: 18pt;"><b>UNITED STATES</b></font></p>
    <p style="margin-top: 0pt; text-align: center;"><font style="font-size: 18pt;"><b>SECURITIES AND EXCHANGE COMMISSION</b></font><br><b>Washington, D.C. 20549 </b></p>
    <p style="text-align: center;"><font style="font-size: 18pt;"><b>FORM F-X</b></font></p>
    <p style="text-align: center;"><b>APPOINTMENT OF AGENT FOR SERVICE OF PROCESS</b><br><b>AND UNDERTAKING </b></p>
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            <td style="margin-top: 0pt; margin-bottom: 0pt; width: 1%; white-space: nowrap; padding-right: 15pt; vertical-align: top;">A.</td>
            <td style="margin-top: 0pt; margin-bottom: 0pt; width: 49%; vertical-align: top;">Name of issuer or person filing ("Filer"):</td>
            <td style="margin-top: 0pt; margin-bottom: 0pt; vertical-align: top;"><b>Cybin Inc. </b></td>
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        <tr>
            <td style="margin-top: 0pt; margin-bottom: 0pt; width: 1%; white-space: nowrap; padding-right: 15pt; vertical-align: top;">&#160;</td>
            <td style="margin-top: 0pt; margin-bottom: 0pt; width: 49%; vertical-align: top;">&#160;</td>
            <td style="margin-top: 0pt; margin-bottom: 0pt; vertical-align: top;">&#160;</td>
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            <td style="margin-top: 0pt; margin-bottom: 0pt; width: 1%; vertical-align: top;">&#160;</td>
            <td style="margin-top: 0pt; margin-bottom: 0pt; width: 49%; vertical-align: top;">&#160;</td>
            <td style="margin-top: 0pt; margin-bottom: 0pt; vertical-align: top;">&#160;</td>
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            <td style="margin-top: 0pt; margin-bottom: 0pt; width: 1%; vertical-align: top;">B.</td>
            <td style="margin-top: 0pt; margin-bottom: 0pt; vertical-align: top;" colspan="2">(1)<font style="display: inline-block; width: 10pt;">&#160;</font>This is [check one]:</td>
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            <td style="margin-top: 0pt; margin-bottom: 0pt; width: 1%; vertical-align: top;">&#160;</td>
            <td style="margin-bottom: 0pt; vertical-align: top; padding-left: 4pt;" colspan="2">&#160;</td>
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            <td style="margin-top: 0pt; margin-bottom: 0pt; width: 1%; vertical-align: top;">&#160;</td>
            <td style="margin-bottom: 0pt; vertical-align: top; padding-left: 4pt;" colspan="2">&#9746;<font style="display: inline-block; width: 10pt;">&#160;</font>an original filing for the Filer</td>
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            <td style="margin-top: 0pt; margin-bottom: 0pt; width: 1%; vertical-align: top;">&#160;</td>
            <td style="margin-top: 0pt; margin-bottom: 0pt; vertical-align: top; padding-left: 4pt;" colspan="2">&#160;</td>
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            <td style="margin-top: 0pt; margin-bottom: 0pt; width: 1%; vertical-align: top;">&#160;</td>
            <td style="margin-top: 0pt; margin-bottom: 0pt; vertical-align: top; padding-left: 4pt;" colspan="2">&#9744;<font style="display: inline-block; width: 10pt;">&#160;</font>an amended filing for the Filer</td>
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            <td style="margin-top: 0pt; margin-bottom: 0pt; width: 1%; vertical-align: top;">&#160;</td>
            <td style="margin-top: 0pt; margin-bottom: 0pt; vertical-align: top; padding-left: 24pt; text-indent: -24pt;" colspan="2">&#160;</td>
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            <td style="margin-top: 0pt; margin-bottom: 0pt; width: 1%; vertical-align: top;">&#160;</td>
            <td style="margin-top: 0pt; margin-bottom: 0pt; vertical-align: top; padding-left: 24pt; text-indent: -24pt;" colspan="2">(2)<font style="display: inline-block; width: 10pt;">&#160;</font>Check the following box if you are filing the Form F-X in paper in accordance with Regulation S-T Rule 101(b)(9)&#160; &#160; &#9744;</td>
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            <td style="margin-top: 0pt; margin-bottom: 0pt; width: 1%; vertical-align: top;">&#160;</td>
            <td style="margin-top: 0pt; margin-bottom: 0pt; width: 49%; vertical-align: top;">&#160;</td>
            <td style="margin-top: 0pt; margin-bottom: 0pt; vertical-align: top;">&#160;</td>
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            <td style="margin-top: 0pt; margin-bottom: 0pt; width: 1%; vertical-align: top;">&#160;</td>
            <td style="margin-top: 0pt; margin-bottom: 0pt; width: 49%; vertical-align: top;">&#160;</td>
            <td style="margin-top: 0pt; margin-bottom: 0pt; vertical-align: top;">&#160;</td>
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            <td style="margin-top: 0pt; margin-bottom: 0pt; width: 1%; vertical-align: top;">C.</td>
            <td style="margin-top: 0pt; margin-bottom: 0pt; vertical-align: top;" colspan="2">Identify the filing in conjunction with which this form is being filed:</td>
        </tr>
        <tr>
            <td style="margin-top: 0pt; margin-bottom: 0pt; width: 1%; vertical-align: top;">&#160;</td>
            <td style="margin-top: 0pt; margin-bottom: 0pt; width: 49%; vertical-align: top;">&#160;</td>
            <td style="margin-top: 0pt; margin-bottom: 0pt; vertical-align: top;">&#160;</td>
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            <td style="margin-top: 0pt; margin-bottom: 0pt; width: 1%; vertical-align: top;">&#160;</td>
            <td style="margin-top: 0pt; margin-bottom: 0pt; width: 49%; vertical-align: top;">Name of Registrant:</td>
            <td style="margin-top: 0pt; margin-bottom: 0pt; vertical-align: top;"><b>Cybin Inc.</b></td>
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        <tr>
            <td style="margin-top: 0pt; margin-bottom: 0pt; width: 1%; vertical-align: top;">&#160;</td>
            <td style="margin-top: 0pt; margin-bottom: 0pt; width: 49%; vertical-align: top;">&#160;</td>
            <td style="margin-top: 0pt; margin-bottom: 0pt; vertical-align: top;">&#160;</td>
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            <td style="margin-top: 0pt; margin-bottom: 0pt; width: 1%; vertical-align: top;">&#160;</td>
            <td style="margin-top: 0pt; margin-bottom: 0pt; width: 49%; vertical-align: top;">Form type:</td>
            <td style="margin-top: 0pt; margin-bottom: 0pt; vertical-align: top;"><b>Registration Statement on Form F-10</b></td>
        </tr>
        <tr>
            <td style="margin-top: 0pt; margin-bottom: 0pt; width: 1%; vertical-align: top;">&#160;</td>
            <td style="margin-top: 0pt; margin-bottom: 0pt; width: 49%; vertical-align: top;">&#160;</td>
            <td style="margin-top: 0pt; margin-bottom: 0pt; vertical-align: top;">&#160;</td>
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            <td style="margin-top: 0pt; margin-bottom: 0pt; width: 49%; vertical-align: top;">File Number (if known):</td>
            <td style="margin-top: 0pt; margin-bottom: 0pt; vertical-align: top;"><b>333-276333</b></td>
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            <td style="margin-top: 0pt; margin-bottom: 0pt; width: 1%; vertical-align: top;">&#160;</td>
            <td style="margin-top: 0pt; margin-bottom: 0pt; width: 49%; vertical-align: top;">&#160;</td>
            <td style="margin-bottom: 0pt; vertical-align: top;">&#160;</td>
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            <td style="margin-top: 0pt; margin-bottom: 0pt; width: 49%; vertical-align: top;">Filed by:</td>
            <td style="margin-bottom: 0pt; vertical-align: top;"><b>Cybin Inc.</b></td>
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        <tr>
            <td style="margin-top: 0pt; margin-bottom: 0pt; width: 1%; vertical-align: top;">&#160;</td>
            <td style="margin-top: 0pt; margin-bottom: 0pt; width: 49%; vertical-align: top;">&#160;</td>
            <td style="margin-top: 0pt; margin-bottom: 0pt; vertical-align: top;">&#160;</td>
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            <td style="margin-top: 0pt; margin-bottom: 0pt; width: 1%; vertical-align: top;">&#160;</td>
            <td style="margin-top: 0pt; margin-bottom: 0pt; width: 49%; vertical-align: top;">Date Filed<br>(if filed concurrently, so indicate):</td>
            <td style="margin-top: 0pt; margin-bottom: 0pt; vertical-align: top;"><b>December 29, 2023 (filed concurrently)</b></td>
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            <td style="margin-top: 0pt; margin-bottom: 0pt; width: 1%; vertical-align: top;">&#160;</td>
            <td style="margin-top: 0pt; margin-bottom: 0pt; width: 49%; vertical-align: top;">&#160;</td>
            <td style="margin-top: 0pt; margin-bottom: 0pt; vertical-align: top;">&#160;</td>
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            <td style="margin-top: 0pt; margin-bottom: 0pt; width: 1%; vertical-align: top;">&#160;</td>
            <td style="margin-top: 0pt; margin-bottom: 0pt; width: 49%; vertical-align: top;">&#160;</td>
            <td style="margin-top: 0pt; margin-bottom: 0pt; vertical-align: top;">&#160;</td>
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            <td style="margin-top: 0pt; margin-bottom: 0pt; width: 1%; vertical-align: top;">D.</td>
            <td style="margin-bottom: 0pt; text-align: justify; vertical-align: top;" colspan="2">The Filer is incorporated or organized under the laws of Ontario, Canada and has its principal place of business at <b>100 King Street West, Suite 5600, Toronto, Ontario, M5X 1C9</b>,<b> </b>telephone <b>(908) 764-8385.</b></td>
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            <td style="margin-top: 0pt; margin-bottom: 0pt; width: 1%; vertical-align: top;">&#160;</td>
            <td style="margin-top: 0pt; margin-bottom: 0pt; width: 49%; vertical-align: top;">&#160;</td>
            <td style="margin-top: 0pt; margin-bottom: 0pt; vertical-align: top;">&#160;</td>
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            <td style="margin-top: 0pt; margin-bottom: 0pt; width: 1%; vertical-align: top;">&#160;</td>
            <td style="margin-top: 0pt; margin-bottom: 0pt; width: 49%; vertical-align: top;">&#160;</td>
            <td style="margin-top: 0pt; margin-bottom: 0pt; vertical-align: top;">&#160;</td>
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        <tr>
            <td style="margin-top: 0pt; margin-bottom: 0pt; width: 1%; vertical-align: top;">E.</td>
            <td style="vertical-align: top; text-align: justify;" colspan="2">The Filer designates and appoints <b>C T Corporation System ("Agent"), </b>located at<b> 1015 15th Street N.W., Suite 1000</b>, <b>Washington, DC 20005</b>,<b> </b>telephone<b> (202) 572-3133 </b>as the agent of the Filer upon whom may be served any process, pleadings, subpoenas, or other papers in:</td>
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    <p style="margin-top: 0pt; margin-bottom: 0pt; text-indent: -18pt; margin-left: 45pt; text-align: justify;">(a)<font style="display: inline-block; width: 7pt;">&#160;</font>any investigation or administrative proceeding conducted by the Commission; and</p>
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    <hr style="page-break-after: always; text-align: center;" width="100%" size="5" color="black" noshade="noshade"><a name="page_2"></a>
    <p style="text-indent: -18pt; margin-left: 45pt; text-align: justify;">(b)<font style="display: inline-block; width: 6.5pt;">&#160;</font>any civil suit or action brought against the Filer or to which the Filer has been joined as defendant or respondent, in any appropriate court in any place subject to the jurisdiction of any state or of the United States or of any of its territories or possessions or of the District of Columbia, where the investigation, proceeding or cause of action arises out of or relates to or concerns (i) any offering made or purported to be made in connection with the securities registered or qualified by the Filer on Form F-10 on December 22, 2023<b> </b>or any purchases or sales of any security in connection therewith (iii) any tender offer for the securities of a Canadian issuer with respect to which filings are made by the Filer with the Commission on Schedule 13E-4F, 14D-1F or 14D-9F; or (iv) the securities in relation to which the Filer acts as trustee pursuant to an exemption under Rule 10a-5 under the Trust Indenture Act of 1939. The Filer stipulates and agrees that any such civil suit or action or administrative proceeding may be commenced by the service of process upon, and that service of an administrative subpoena shall be effected by service upon such agent for service of process, and that service as aforesaid shall be taken and held in all courts and administrative tribunals to be valid and binding as if personal service thereof had been made.</p>
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            <td style="vertical-align: top; text-align: justify;">The Filer stipulates and agrees to appoint a successor agent for service of process and file an amended Form F-X if the Filer discharges the Agent or the Agent is unwilling or unable to accept service on behalf of the Filer at any time until six years have elapsed from the date the Filer has ceased reporting under the Exchange Act. The Filer further undertakes to advise the Commission promptly of any change to the Agent's name or address during the applicable period by amendment of this Form, referencing the file number of the relevant form in conjunction with which the amendment is being filed.</td>
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            <td style="margin-top: 0pt; margin-bottom: 0pt; vertical-align: top; width: 1%;">&#160;</td>
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            <td style="margin-top: 0pt; margin-bottom: 0pt; vertical-align: top; width: 1%;">G.</td>
            <td style="vertical-align: top; text-align: justify;">The Filer undertakes to make available, in person or by telephone, representatives to respond to inquiries made by the Commission staff, and to furnish promptly, when requested to do so by the Commission staff, information relating to the forms, schedules, and offering statements described in General Instructions I.(a), I.(b), I.(c), I.(d) and I.(f) of this Form, as applicable; the securities to which such forms, schedules and offering statements relate, and the transaction in such securities..</td>
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    <p style="text-align: justify;">The Filer certifies that it has duly caused this power of attorney, consent, stipulation and agreement to be signed on its behalf by the undersigned, thereto duly authorized, in the City of Toronto, Country of Canada, this<b> </b>29<sup>th</sup> day of December, 2023.</p>
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            <td colspan="2"><b>CYBIN INC.</b></td>
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            <td>&#160;</td>
            <td style="width: 5%;">&#160;</td>
            <td>&#160;</td>
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            <td>By:</td>
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            <td>&#160;</td>
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            <td>Name: Greg Cavers</td>
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            <td>&#160;</td>
            <td>&#160;</td>
            <td>Title:&#160; Chief Financial Officer</td>
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    <p style="margin-left: 0pt; text-indent: 36pt;">This statement has been signed by the following person in the capacity and on the date indicated:</p>
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            <td colspan="2"><b>C T CORPORATION SYSTEM</b><br>(Agent for Service)</td>
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            <td>&#160;</td>
            <td style="width: 5%;">&#160;</td>
            <td>&#160;</td>
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            <td>By:</td>
            <td style="border-bottom: 0.75pt solid #000000;">/<i>s/ Candice Pignataro</i></td>
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            <td>&#160;</td>
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            <td>Name: Candice Pignataro</td>
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            <td>&#160;</td>
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            <td>Title:&#160; Assistant Secretary</td>
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            <td>&#160;</td>
            <td>&#160;</td>
            <td>&#160;</td>
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            <td colspan="2">Dated: December 29, 2023</td>
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</DOCUMENT>
</SEC-DOCUMENT>
