Amended Annual and Transition Report (foreign Private Issuer) (20-f/a)
31 May 2013 - 6:05AM
Edgar (US Regulatory)
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
FORM
20-F/A
(Amendment No. 1)
(Mark
One)
[ ]
REGISTRATION STATEMENT PURSUANT TO SECTION 12(b) OR (g)
OF THE SECURITIES EXCHANGE ACT OF 1934 OR
[ x ]
ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE
SECURITIES EXCHANGE ACT OF 1934
For the fiscal year ended December 31, 2012 OR
[ ]
TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE
SECURITIES EXCHANGE ACT OF 1934
For the transition period from ____________to
____________________
OR
[ ]
SHELL COMPANY REPORT PURSUANT TO SECTION 13 OR 15(d) OF
THE SECURITIES EXCHANGE ACT OF 1934
Date of event requiring this shell company report:
Commission file number 000-32981
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QWICK MEDIA INC.
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(Exact name of Registrant as specified in its charter)
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Not Applicable
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(Translation of Registrants name into English)
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The Cayman Islands
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(Jurisdiction of incorporation or organization)
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3162 Thunderbird Crescent
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Burnaby, British Columbia, Canada V5A 3G4
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(Address of principal executive offices)
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Ross Tocher, President
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Telephone: 778.370.1715
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Facsimile: 778-370-1720
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3162 Thunderbird Crescent
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Burnaby, British Columbia
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Canada, V5A 3G4
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(Name, Telephone, E-mail and/or Facsimile number and
Address of Company Contact Person)
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Securities registered or to be registered pursuant to Section
12(b) of the Act.
Title of each class
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Name of each exchange on which registered
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Not Applicable
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Not Applicable
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Securities registered or to be registered pursuant to Section
12(g) of the Act.
Common Shares Without Par Value
(Title of Class)
Securities for which there is a reporting obligation pursuant to
Section 15(d) of the Act.
Not Applicable
(Title of Class)
Indicate the number of outstanding shares of each of the
issuers classes of capital or common stock as of the close of the period
covered by the annual report:
71,128,456 common shares as of December 31,
2012
Indicate by check mark if the registrant is a well-known
seasoned issuer, as defined in Rule 405 of the Securities Act.
[ ]YES[ x
]NO
If this report is an annual or transition report, indicate by
check mark if the registrant is not required to file reports pursuant to Section
13 or 15(d) of the Securities Exchange Act of 1934.
[ ]YES[ x ]NO
Indicate by check mark whether the registrant (1) has filed all
reports required to be filed by Section 13 or 15(d) of the Securities Exchange
Act of 1934 during the preceding 12 months (or for such shorter period that the
registrant was required to file such reports), and (2) has been subject to such
filing requirements for the past 90 days.
[ x ]YES[ ]NO
Indicate by check mark whether the registrant has submitted
electronically and posted on its corporate Web site, if any, every Interactive
Data File required to be submitted and posted pursuant to Rule 405 of Regulation
S-T (§232.405 of this chapter) during the preceding 12 months (or for such
shorter period that the registrant was required to submit and post such
files).
[ x ]YES[ ]NO
Indicate by check mark whether the registrant is a large
accelerated filer, an accelerated filer, or a non-accelerated filer. See
definition of accelerated filer and large accelerated filer in Rule 12b-2 of
the Exchange Act. (Check one):
Large accelerated filer [ ]
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Accelerated filer [ ]
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Non-accelerated filer [ x ]
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Indicate by check mark which basis of accounting the registrant
has used to prepare the financial statements included in this filing:
U.S. GAAP [ x ]
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International Financial Reporting
Standards as issued
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Other [ ]
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by the International Accounting
Standards Board [ ]
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If Other has been checked in response to the previous
question, indicate by check mark which financial statement item the registrant
has elected to follow.
[ ]Item 17[ ]Item 18
If this is an annual report, indicate by check mark whether the
registrant is a shell company (as defined in Rule 12b-2 of the Exchange
Act).
[ ]YES[ x ]NO
(APPLICABLE ONLY TO ISSUERS INVOLVED IN BANKRUPTCY PROCEEDINGS
DURING THE PAST FIVE YEARS)
Indicate by check mark whether the registrant has filed all
documents and reports required to be filed by Sections 12, 13 or 15(d) of the
Securities Exchange Act of 1934 subsequent to the distribution of securities
under a plan confirmed by a court.
[ ]YES[ ]NO
Explanatory Note
The purpose of this Amendment No. 1 to Qwick Media Inc. Annual
Report on Form 20-F for the year ended December 31, 2012, filed with the
Securities and Exchange Commission on May 1, 2013 (the Form 20-F), is solely
to furnish Exhibit 101 to the Form 20-F in accordance with Rule 405 of
Regulation S-T. Exhibit 101 to this report provides the consolidated financial
statements and related notes from the Form 20-F formatted in XBRL (eXtensible
Business Reporting Language).
No other changes have been made
to the Form 20-F. This Amendment No. 1 to the Form 20-F speaks as of the
original filing date of the Form 20-F, does not reflect events that may have
occurred subsequent to the original filing date, and does not modify or update
in any way disclosures made in the original Form 20-F.
Pursuant to Rule 406T of
Regulation S-T, the interactive data files on Exhibit 101 hereto are deemed not
filed or part of a registration statement or prospectus for purposes of Sections
11 or 12 of the Securities Act of 1933, as amended, are deemed not filed for
purposes of Section 18 of the Securities Exchange Act of 1934, as amended, and
otherwise are not subject to liability under those sections.
The following exhibits are being filed as part of this annual
company report, or are incorporated by reference where indicated:
Exhibit
Number
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Description of Exhibit
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1.1
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Memorandum of Association (incorporated by reference from
Exhibit 3.1 to our current report on Form 8-K as filed with the SEC on
August 5, 2009)
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1.2
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Articles of Association (incorporated by reference from
Exhibit 3.2 to our current report on Form 8-K as filed with the SEC on
August 5, 2009)
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4.1
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Promissory Note with In Touch Digital Media Inc. dated
February 18, 2009
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4.2
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Promissory Note with In Touch Digital Media Inc. dated
March 31, 2009 (incorporated by reference from Exhibit 10.5 to our
registration statement on Form S-4 as filed with the SEC on April 9, 2009)
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4.3
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Promissory Note with In Touch Digital Media Inc. dated
May 8, 2009 (incorporated by reference from Exhibit 10.9 to our quarterly
report on Form 10-Q as filed with the SEC on May 15, 2009)
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4.3
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Form of Debt Settlement and Subscription Agreement,
effective as of September 30, 2009 (incorporated by reference from our
Annual Report on Form 20-F as filed with the SEC on April 29, 2010)
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4.4
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Share Exchange Agreement with Qeyos Ad Systems Inc. dated
January 28, 2011 (incorporated by reference from our Annual Report on Form
20-F as filed with the SEC on February 3, 2011)
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4.6
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Debt Settlement and Subscription Agreement dated January
28, 2011 with R. J. Tocher Holdings Ltd. (incorporated by reference from
our Annual Report on Form 20-F as filed with the SEC on February 3, 2011)
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4.7
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Form of Private Placement Subscription Agreement
(incorporated by reference from our Annual Report on Form 20-F as filed
with the SEC on February 3, 2011)
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4.8
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2011 Stock Option Plan (incorporated by reference from
our Annual Report on Form 20-F as filed with the SEC on February 3, 2011)
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8.1
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Significant subsidiaries of our Company: Qeyos Ad Systems
Inc., a British Columbia corporation, all of the shares of which are owned
by our company, and Wuxi Xun Fu Information Technology Co., Ltd., a
company incorporated under the laws of the Peoples Republic of China, all
of the shares of which are owned by Qeyos.
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11.1
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Code of Ethics (incorporated by reference from our
Registration Statement on Form 20-F, as amended, filed on March 30, 2004).
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12.1
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Certification of Chief Executive Officer pursuant to
Section 302 of the Sarbanes-Oxley Act of 2002 (incorporated by reference
from our Annual Report on Form 20-F filed on May 1, 2013)
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12.2
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Certification of Chief Financial Officer pursuant to
Section 302 of the Sarbanes-Oxley Act of 2002 (incorporated by reference
from our Annual Report on Form 20-F filed on May 1, 2013)
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13.1
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Certification of Chief Executive Officer pursuant to 18
U.S.C. Section 1350, as adopted pursuant to Section 906 of the
Sarbanes-Oxley Act of 2002 (incorporated by reference from our Annual
Report on Form 20-F filed on May 1, 2013)
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13.2
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Certification of Chief Financial Officer pursuant to 18
U.S.C. Section 1350, as adopted pursuant to Section 906 of the
Sarbanes-Oxley Act of 2002 (incorporated by reference from our Annual
Report on Form 20-F filed on May 1, 2013)
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101.DEF*
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XBRL Taxonomy Extension Definition Linkbase Document
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101.INS*
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XBRL Instance Document
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101.SCH*
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XBRL Taxonomy Extension Schema Document
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101.CAS*
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XBRL Taxonomy Extension Calculation Linkbase Document
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101.LAB*
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XBRL Taxonomy Extension Label Linkbase Document
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101.PRE*
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XBRL Taxonomy Extension Presentation Linkbase Document
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101.DEF*
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XBRL Taxonomy Extension Definition Linkbase
Document
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* Filed herewith.
SIGNATURES
The registrant hereby certifies that it meets all of the
requirements for filing on Form 20-F and that it has duly caused and authorized
the undersigned to sign this annual report on its behalf.
QWICK MEDIA INC.
By:
/s/ Ross Tocher
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Ross J. Tocher,
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President and Chief Executive Officer
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(Principal Executive Officer)
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Date: May 30, 2013
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By:
/s/ Kevin Kortje
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Kevin Kortje
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Chief Financial Officer
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(Principal Financial Officer
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and Principal Accounting Officer)
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Date: May 30, 2013
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