6-K 1 o13193e6vk.txt FOR THE MONTH OF MAY 18, 2004 OMB APPROVAL OMB Number: 3235-0116 Expires: August 31, 2005 Estimated average burden hours per response...6.20 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 UNDER THE SECURITIES EXCHANGE ACT OF 1934 For the month of May 18, 2004. Commission File Number _________ DOMAN INDUSTRIES LIMITED -------------------------------------------------------------------------------- (Translation of registrant's name into English) 3rd Floor, 435 Trunk Road, Duncan, British Columbia Canada V9L 2P9 -------------------------------------------------------------------------------- (Address of principal executive office) 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):___ NOTE: Regulation S-T Rule 101(b)(1) only permits the submission in paper of a form 6-K if submitted solely to provide an attached annual report to security holders. 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):___ NOTE: Regulation S-T Rule 101(b)(7) only permits the submission in paper of a Form 6-K if submitted to furnish a report or other document that the registrant foreign private issuer must furnish and make public under the laws of the jurisdiction in which the registrant is incorporated, domiciled or legally organized (the registrant's "home country"), or under the rules of the home country exchange on which the registrant's securities are traded, as long as the report or other document is not a press release, is not required to be and has not been distributed to the registrant's security holders, and, if discussing a material event, has already been the subject of a Form 6-K submission or other Commission filing on EDGAR. Indicate by check mark whether the registrant by furnishing the information contained in this Form is also thereby furnishing the information to the Commission pursuant to Rule 12g3-2(b) under the Securities Exchange Act of 1934. Yes [ ] No [x] If "Yes" is marked, indicate below the file number assigned to the registrant in connection with Rule 12g3-2(b): 82- ______. 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. DOMAN INDUSTRIES LIMITED ___________________________________ (Registrant) /s/ Philip G. Hosier Date May 18, 2004 By _______________________________ (Signature)* Philip G. Hosier Vice President, Finance * Print the name and title under the signature of the signing officer. PERSONS WHO ARE TO RESPOND TO THE COLLECTION OF SEC 1815 (11-02) INFORMATION CONTAINED IN THIS FORM ARE NOT REQUIRED TO RESPOND UNLESS THE FORM DISPLAYS A CURRENTLY VALID OMB CONTROL NUMBER. FEE RULE FORM 13-502F1 ANNUAL PARTICIPATION FEE FOR REPORTING ISSUERS ________________________________________________________________________________ REPORTING ISSUER NAME: DOMAN INDUSTRIES LIMITED FINANCIAL YEAR ENDING, USED IN CALCULATING THE PARTICIPATION FEE: DECEMBER 31, 2003 COMPLETE ONLY ONE OF 1, 2 OR 3: 1. CLASS 1 REPORTING ISSUERS (CANADIAN ISSUERS - LISTED IN CANADA AND/OR THE U.S.) Market value of equity securities: Total number of equity securities of a class or series outstanding at the end of the issuer's most recent financial year __________ Simple average of the closing price of that class or series as of the last trading day of each of the months of the financial year (under paragraph 2.5(a)(ii)(A) or (B) of the Rule) X __________ Market value of class or series = __________ See attached Schedule (A) (Repeat the above calculation for each class or series of equity securities of the reporting issuer that are listed and posted for trading, or quoted on a marketplace in Canada or the United States of America at the end of the financial year) ________(A)_ Market value of corporate debt or preferred shares of Reporting Issuer or Subsidiary Entity referred to in Paragraph 2.5(b)(ii): See attached [PROVIDE DETAILS OF HOW DETERMINATION WAS MADE.] Schedule (B) (Repeat for each class or series of corporate debt or preferred shares) ________(B)_ TOTAL CAPITALIZATION (ADD MARKET VALUE OF ALL CLASSES AND SERIES OF EQUITY SECURITIES AND MARKET VALUE OF DEBT AND PREFERRED SHARES) (A) + (B) = ____337,011_ TOTAL FEE PAYABLE IN ACCORDANCE WITH APPENDIX A OF THE RULE _____25,000_ Reduced fee for new Reporting Issuers (see section 2.8 of the Rule) ____________ Total Fee Payable x Number of entire months remaining in the issuer's financial year ---------------------------------------- 12 Late Fee, if applicable ____________ (please include the calculation pursuant to section 2.9 of the Rule) 2. CLASS 2 REPORTING ISSUERS (OTHER CANADIAN ISSUERS) Financial Statement Values (use stated values from the audited financial statements of the reporting issuer as at its most recent audited year end): Retained earnings or deficit ____________ Contributed surplus ____________

Share capital or owners' equity, options, warrants and preferred shares (whether such shares are classified as debt or equity for financial reporting purposes) ____________ Long term debt (including the current portion) ____________ Capital leases (including the current portion) ____________ Minority or non-controlling interest ____________ Items classified on the balance sheet between current liabilities and shareholders' equity (and not otherwise listed above) ____________ Any other item forming part of shareholders' equity and not set out specifically above ____________ TOTAL CAPITALIZATION ____________ TOTAL FEE PAYABLE PURSUANT TO APPENDIX A OF THE RULE ____________ Reduced fee for new Reporting Issuers (see section 2.8 of the Rule) Total Fee Payable x Number of entire months remaining in the issuer's financial year ---------------------------------------- ____________ 12 Late Fee, if applicable (please include the calculation pursuant to section 2.9 of the Rule) ____________ 3. CLASS 3 REPORTING ISSUERS (FOREIGN ISSUERS) Market value of securities: If the issuer has debt or equity securities listed or traded on a marketplace located anywhere in the world (see paragraph 2.7(a) of the Rule): Total number of the equity or debt securities outstanding at the end of the reporting issuer's most recent financial year _________ Simple average of the published closing market price of that class or series of equity or debt securities as of the last trading day of each of the months of the financial year on the marketplace on which the highest volume of the class or series of securities were traded in that financial year X __________ Percentage of the class registered in the name of an Ontario person X __________ (Repeat the above calculation for each class or series of equity or debt securities of the reporting issuer) = ____________ CAPITALIZATION (ADD MARKET VALUE OF ALL CLASSES AND SERIES OF SECURITIES) ____________ Or, if the issuer has no debt or equity securities listed or traded on a marketplace located anywhere in the world (see paragraph 2.7(b) of the Rule): Financial Statement Values (use stated values from the audited financial statements of the reporting issuer as at its most recent audited year end): Retained earnings or deficit ____________ Contributed surplus ____________ Share capital or owners' equity, options, warrants and preferred shares (whether such shares are classified as debt or equity for financial reporting purposes) ____________ Long term debt (including the current portion) ____________

Capital leases (including the current portion) ____________ Minority or non-controlling interest ____________ Items classified on the balance sheet between current liabilities and shareholders' equity (and not otherwise listed above) ____________ Any other item forming part of shareholders' equity and not set out specifically above ____________ Percentage of the outstanding equity securities registered in the name of, an Ontario person X ____________ CAPITALIZATION ____________ TOTAL FEE PAYABLE PURSUANT TO APPENDIX A OF THE RULE ____________ Reduced fee for new Reporting Issuers (see section 2.8 of the Rule) Total Fee Payable x Number of entire months remaining in the issuer's financial year ---------------------------------------- ____________ 12 Late Fee, if applicable (please include the calculation pursuant to section 2.9 of the Rule) ____________

NOTES AND INSTRUCTIONS 1. This participation fee is payable by reporting issuers other than investment funds that do not have an unregistered investment fund manager. 2. The capitalization of income trusts or investment funds that have no investment fund manager, which are listed or posting for trading, or quoted on, a marketplace in either or both of Canada or the U.S. should be determined with reference to the formula for Class 1 Reporting Issuers. The capitalization of any other investment fund that has no investment fund manager should be determined with reference to the formula for Class 2 Reporting Issuers. 3. All monetary figures should be expressed in Canadian dollars and rounded to the nearest thousand. Closing market prices for securities of Class 1 and Class 3 Reporting Issuers should be converted to Canadian dollars at the [daily noon] in effect at the end of the issuer's last financial year, if applicable. 4. A reporting issuer shall pay the appropriate participation fee no later than the date on which it is required to file its annual financial statements. 5. The number of listed securities and published market closing prices of such listed securities of a reporting issuer may be based upon the information made available by a marketplace upon which securities of the reporting issuer trade, unless the issuer has knowledge that such information is inaccurate and the issuer has knowledge of the correct information. 6. Where the securities of a class or series of a Class 1 Reporting Issuer have traded on more than one marketplace in Canada, the published closing market prices shall be those on the marketplace upon which the highest volume of the class or series of securities were traded in that financial year. If none of the class or series of securities were traded on a marketplace in Canada, reference should be made to the marketplace in the United States on which the highest volume of that class or series were traded. 7. Where the securities of a class or series of securities of a Class 3 Reporting Issuer are listed on more than one exchange, the published closing market prices shall be those on the marketplace on which the highest volume of the class or series of securities were traded in the relevant financial year. Form 13-502F1 Calculation of Annual Participation Fee ('000) December 31, 2003 DOMAN INDUSTRIES LIMITED

DOMAN INDUSTRIES LIMITED REPORT UNDER SECTION 114 OF THE REGULATIONS RESPECTING SECURITIES (QUEBEC) 1. Doman Industries Limited reports that it did not distribute any securities in Quebec required to be reported pursuant to the above section of the Regulations of the Quebec Securities Act for the year ended December 31, 2003. 2. Options granted to Quebec residents: Nil The report is filed for the year ended December 31, 2003. DOMAN INDUSTRIES LIMITED By: "PHILIP G. HOSIER" -------------------------------- Authorized Signatory

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