I – GENERAL INSTRUCTIONS – PLEASE READ CAREFULLY

THIS CLAIM FORM IS DIRECTED TO EVERYONE WHO ACQUIRED SECURITIES OF BELEAVE INC. (“BELEAVE”) [CSE: BE (DELISTED), OTCQX: BLEVF, CUSIP: 077561108, ISIN: CA 0775611084] FROM AND INCLUDING APRIL 24, 2018, TO AND INCLUDING NOVEMBER 26, 2018 (THE “BELEAVE CLASS MEMBERS”).

IF YOU ARE NOT A MEMBER OF THE CLASS, PLEASE DO NOT SUBMIT A CLAIM.

FAILURE TO SUBMIT A PROPERLY COMPLETED CLAIM MAY RESULT IN YOUR CLAIM BEING REJECTED AND YOU MAY BE PRECLUDED FROM RECEIVING ANY OF THE NET SETTLEMENT FUNDS (AS DEFINED BELOW) FROM THE SETTLEMENT.

A SEPARATE CLAIM MUST BE SUBMITTED FOR EACH ACCOUNT IN WHICH BELEAVE COMMON SHARES WERE HELD.

SUBMISSION OF A CLAIM DOES NOT ASSURE THAT YOU WILL SHARE IN THE NET SETTLEMENT FUNDS.

II – KEY DEFINITIONS

“ACTION” MEANS TIETZ V BRIDGEMARK FINANCIAL CORP. ET AL. FILED IN THE SUPREME COURT OF BRITISH COLUMBIA (VANCOUVER REGISTRY), ACTION NO. S-197731.

“ELIGIBLE BELEAVE SHARES” MEANS BELEAVE COMMON SHARES PURCHASED DURING THE CLASS PERIOD.

“EXCLUDED PERSONS” HAS THE MEANING GIVEN IN THE NOTICE OF CIVIL CLAIM IN THE SUPREME COURT OF BRITISH COLUMBIA (“COURT”) DATED JULY 11, 1019 (“NOTICE OF CIVIL CLAIM”) AVAILABLE AT WWW.BELEAVESECURITIESLITIGATION.COM.

FAILURE TO SUBMIT YOUR CLAIM BY AUGUST 8, 2022 MAY RESULT IN YOUR CLAIM BEING REJECTED AND PRECLUDE YOU RECEIVING ANY MONEY IN CONNECTION WITH THE SETTLEMENT OF THIS ACTION. DO NOT MAIL OR DELIVER YOUR CLAIM TO THE COURT OR TO ANY OF THE PARTIES OR THEIR COUNSEL, AS ANY SUCH CLAIM WILL BE DEEMED NOT TO HAVE BEEN SUBMITTED. SUBMIT YOUR CLAIM ONLY TO THE ADMINISTRATOR