UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 6-K
Report of Foreign Private Issuer
Pursuant to Rule 13a-16 or 15d-16 of
the Securities Exchange Act of 1934
For the month of November, 2015
Commission File Number 1-10928
INTERTAPE POLYMER GROUP INC.
9999 Cavendish Blvd., Suite 200, Ville St. Laurent, Quebec, Canada, H4M 2X5
Indicate by check mark whether the registrant files or will file annual reports under cover of Form 20-F or Form 40-F:
Form 20-F x Form 40-F ¨
Indicate by check mark if the registrant is submitting the Form 6-K in paper as permitted by Regulation S-T Rule 101(b)(1): ¨
Indicate by check mark if the registrant is submitting the Form 6-K in paper as permitted by Regulation S-T Rule 101(b)(7): ¨
SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.
| INTERTAPE POLYMER GROUP INC. | ||||||
| Date: November 30, 2015 | By: | /s/ Jeffrey Crystal | ||||
| Jeffrey Crystal, Chief Financial Officer | ||||||
Form 51 – 102F3
Material Change Report
| 1. | Name and Address of Company |
Intertape Polymer Group Inc.
9999 Cavendish Blvd.
Suite 200
St. Laurent, Québec H4M 2X5
| 2. | Date of Material Change |
November 30, 2015.
| 3. | News Release |
Intertape Polymer Group Inc. (“Intertape”) issued a press release with respect to the material change described below on November 30, 2015 via Marketwired.
| 4. | Summary of Material Change |
Ms. Mary Pat Salomone has been appointed to the Board of Directors of Intertape.
| 5. | Full Description of Material Change |
| 5.1. | Full Description of Material Change |
At a meeting of the Board of Directors of Intertape held on November 30, 2015, Ms. Mary Pat Salomone was appointed to the Board of Directors of Intertape.
Ms. Salomone is currently on the Board of Directors of TransCanada Corporation, where she serves on the Audit as well as the Health, Safety and Environment Committees. She’s also a director of the Youngstown State University Foundation.
From 2010 to 2013, Ms. Salomone was Senior Vice President & Chief Operating Officer of the Babcock & Wilcox Company (“B&W”), with over 23,000 employees and 30 locations worldwide. Prior to that, she held several senior positions with B&W including Manager of Business Development and Manager of Strategic Acquisitions. From 1998 through 2007, Ms. Salomone was an officer of Marine Mechanical Corporation, which B&W acquired in 2007, including her term as President and Chief Executive Officer from 2001 through 2007.
Ms. Salomone has a Bachelor of Engineering in Civil Engineering from Youngstown State University and a Master of Business Administration from Baldwin Wallace College. She completed the Advanced Management Program at Duke University’s Fuqua School of Business in 2011.
| 5.2. | Disclosure for Restructuring Transactions |
Not applicable.
| 6. | Reliance on subsection 7.1(2) of National Instrument 51-102 |
Not applicable.
| 7. | Omitted Information |
Not applicable.
| 8. | Executive Officer |
The senior officer who can answer questions regarding this report is Mr. Gregory Yull, President and Chief Executive Officer of Intertape. Mr. Yull can be reached at (866) 202-4713.
| 9. | Date of Report |
November 30, 2015.