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Securities ons Exchange. Commission SEC MEMORANDUM CIRCULAR No. 18. Series of 2016, TO ALL CONCERNED SUBJECT REVISION OF THE GENERAL INFORMATION SHEET (GIS) and NOTIFICATION UPDATE FORM (NUF) Date 26 SEPTEMBER 2016 ‘The Commission En Banc, in its meetings of June 21 and 30, 2016 and September 14, 2016, resolved to approve the following revisions in the General Information Sheet (GIS) and Notification Update Form (NUF): 1. In the GIS, the Tax Identification Numbers (TIN) of the Board of Directors/Trustees, Officers and Stockholders of domestic corporations and Resident Agent and Officers in the Philippines of foreign corporations shall be indicated in a separate sheet designated as the TIN Page; 2, In the NUF for foreign corporations, the TIN of Officers shall be accomplished in a separate sheet designated as the TIN Page; 3. The residential addresses of the Directors/Trustees, Officers and Stockholders on pages 3 and 4 of the GIS for stock and non-stock corporations and Resident Agent and Officers in the NUF for foreign corporations shall likewise be indicated in the TIN Page; and 4. The Corporate Secretary's Certification of the GIS for stock and non-stock corporations shall read as follows: "___, CORPORATE SECRETARY OF THE ABOVE-MENTIONED CORPORATION, DECLARE UNDER THE PENALTY OF PERJURY, THAT ALL MATTERS SET FORTH IN THIS GENERAL INFORMATION SHEET CONSISTING OF. (__} PAGES HAVE BEEN MADE IN GOOD FAITH, DULY VERIFIED BY ME AND TO THE BEST OF MY KNOWLEDGE AND BELIBE, ARE TRUE AND CORRECT. | HEREBY CERTIFY THAT THE PERSONS INDICATED AS MEMBERS OF THE BOARD OF DIRECTORS/TRUSTEES AND OFFICERS OF THE CORPORATION HAD CONSENTED TO BE NOMINATED AND ELECTED. | UNDERSTAND THAT THE FAILURE OF THE CORPORATION TO FILE THIS GIS FOR FIVE (5) CONSECUTIVE YEARS SHALL BE CONSTRUED AS NON-OPERATION OF THE CORPORATION AND A GROUND FOR THE REVOCATION OF ITS CERTIFICATE OF INCORPORATION. IN THIS EVENTUALITY, THE CORPORATION HEREBY WAIVES 17S RIGHT T0 A HEARING FOR THE SAID REVOCATION.” All covered corporations are directed to use the Revised General Information Sheet and Notification Update Form starting January, 2017, 28 september 2016. Mandaluyong City, Philippines FOR THE COMMISSION: 2. ow ‘TERESITA J. HERBOSA Chairperson’ ‘GENERAL INFORMATION SHEET (GIS) FORTHE YEAR ‘Tock CORPORATION “GENERAL INSTRUCTIONS FOR USER CORPORATION: THIS GIS SHOULD BE SUBMITTED WITKIN THIRTY (80) CALENDAR DAYS FROM THE DATE OF THE ANNUA| STOCKHOLDERS’ MEETING. OO NOT LEAVE ANY ITEM BLANK. WRITE “NA” IF THE INFORMATION REQUIRED 1S NOT APPLICABLE TO Tr] CORPORATION OR "NONE" IF THE INFORMATION IS NON-EXISTENT. IF THE ANNUAL STOCKHOLDERS’ MEETING IS HELD ON A DATE OTHER THAN ‘THAT STATED IN THE BY-LAWS, THE CIS SHALL BE SUBMITTED WITHIN THIRTY (30) CALENDAR DAYS FROM THE ACTUAL DATE OF THE AXKUAI| STOCKHOLD=RS' NETIC. 2 IF NO MEETING IS HELD, THE CORPORATION SHALL SUBMIT THE CIS NOT LATER THAN JANUARY 30 OF THEFOLLOWING YEAR, HOWEVER, SHOULD] [AN ANNUAL STOCKHOLDERS'M=ETING BE HELD THEREAFTER A NEW GIS SHALL Be SUBMITTED FILED. ‘THI GIS SHALL BE ACCOMPLISHED IN ENGLISH AND CERTIFIEO AND SWORN TO BY THE CORPORATE SECRETARY OF THE CORPORATION THE SECSHOULD BE TIMELY APPRISED OF RELEVANT CHANGESIN THE SUBMITTED INFORMATION AS THEY ARISE. FOR CHANGES RESULTING FROM ACTIONS TH/CT AROSE SETWEEN THE ANNUAL. MEETINGS, THE CORPORATION SHALL SUMIT ONLY THE AFFECTED PAGE OF THE CIS THAT RELATES ‘TO THE NEW INFORMATION TOGETHER WITH A COVER LETTER SIGNED BY THE CORPORATE SECRETARY OF THE CORPORATION. THE PAGE OF TH] ‘Is aND COV LETTER SHALL BE SUBMITTED WITHIN SEVEN (7) DAYS ATER SUCH CHANGE OCCURRED OR BECAME EFFECTIVE. SUBMIT FOUR (4) COPIES OF THE GIS TO THE CENTRAL RECEIVING SECTION, GROUND FLOOR, SEC BLDC, 2DSA, MANDALUYONG CITY. ALL CoP SHALL UNIFOROMLY BE ON A+ OR LETTER-SIZED PAPER WITH A STANDARD COVER PAGE. THE PAGES OF ALL COPIES SHALL USE ONLY OWE si0B| (CORPORATIONS SUBMITTING A COPY OF THEIR GIS ONLINE OR VIA INTERNET SHALL SUBMIT ONE (1) HARD COPY OF THE Gis, TOGETHER WITH A] [CERTIFICATION UNDER OATH BY 13 CORPORATE SECRETARY THAT THE COPY SUBMITTED ONLINE CONTAINS THE EXACT DAT IN THE HARD COPY. © ONLY THEGis ACCOMPLISHED IN ACCORDANCE WITH THESE INSTRUCTIONS SHALL BE CONSIDERED AS HAVING BEEN FILED, THIS GIS MA” 8E USED AS EVIDENCE AGAINST THE CORPORATION AND FTS RESPONSIBLE DIRECTORS/OFFICERS FOR ANY VIOLATION OF EXISTING| LAWS, RULES AND REGULATIONS [conPORATENANE [bATE REGISTERED: BUSINESS /ERADENANE: isc vent: SEC REGISTRATION NUMBER: IDATEOF ANNUAL NEETING PER OV-LAWS SRR Ta TRTETION sea cr) [ACTUAL DATE OF ANNUAL MEETING: | aSSTEORL ADORE [COMPLETE PRINCIVRC OFFICE RUDRESSS ERD COMPLETE BUSINESS ADDRESS: RE NAME OF ERTERT AL AUDITOR & TS STONING PARTNER: EER CREDITOR WOMEN | FEOTTORE KOREA [PRIRCARY PURPOSE ACTIVITY INDUSTRY PRESENTLY ENGAGED TN: INDUSTRY CLASSIFICATION —— GEOGRAPHICAL CODE INTERCOMPANY AFFILIATIONS wsxeescreencneeszon —FaRENT COMPANY SECREGISTRATIONNG: SUUSIDARY/AFAILATE ‘SEC REGISTRATION: ADDRES ~ GENERAL INFORMATION SHEET (GIS) FORTHE YBAR STOCK CORPORATION ‘GENERAL INSTRUCTIONS: FOR USER CORPORATION: THIS GIS SHOULD BE SUBMITTED WITHIN THIRTY (30) CALENDAR DAYS FROM THE OATE OF THE ANNUAL) STOCKHOLDERS’ MEETING. DO NOT LEAVE ANY ITEM BLANK. WRITE "NA" IP THE INFORMATION REQUIRED IS NOT APPLICABLE TO THE| ‘CORPORATION! OR "NONE" [° THE INFORMATION 18 NON-EXISTENT. [F THE ANNUAL STOCKHOLDERS’ MEETING Is HELD ON A DATE OTHER THAN] "TWAT STATED IN THE BY-LAWS, THE GIS SHALL BE SUBMITTED WITHIN THIRTY (20) CALENDAR DAYS FROM THE ACTUAL DATE OF THE ANNUAL STOCKHOLDERS’ MEETING. 2 IP NO MEETING Is HELD, THE CORPORATION SHALL SUBMIT THE GIS NOT LATER THAN JANUARY 30 OF THE FOLLOWING YEAR. HOWEVER, SHOULD} {AN ANNUAL STOCKHOLDERS’ MEETING BE HELD THEREAFTER, A NEW CIS SHALL BC SUSMITTED/FILED. ‘TAS GIS SHALL BE ACCOMPLISHED IN ENGLISH AND CERTIFIED AND SWORN TO BY THE CORPORATE SECRETARY OF THE CORPORATION. ‘THE SEC SHOULD BE TIMELY APPRISED OF RELEVANT CHANGES INTHE SUBMITTED INFORMATION AS THEY ARISE. FOR CHANGES RESULTING FROV| ACTIONS THAT AROSE BETWEEN THE ANNUAL MEETINGS, THE CORPORATION SHALL SUBMIT ONLY THE AFFECTED PAGE OF THE GIS THAT RELATES ‘TO THE NEV, FORMATION TOGETHER WITH A COVER LETTER SIGNED BY THE CORPORATE SECRETARY OF THE CORPORATION. THE PAGE OF THE] (Is AND COVER LETTER SHALL. BE SUBMITTED WITHIN SEVEN (7) DAYS AFTER SUCH CHANGE OCCURRED OR BECAME EFFECTIVE. SUBMIT FOUR (4) COPIES OF THE GIS TO THE CENTRAL RECEIVING SECTION, GROUND FLOOR, SEC'HLDG, EDSA, MANDALUYONG CITY. ALL COPIES SHALL UNIFORMLY BE ON A¢ OR LETTERSIZED PAPER WITH A STANDARD COVER PAGE. THE PAGES OF ALL COPIES SHALL. USE ONLY ONE SIDE (CORPORATIONS SUBMITTING A COPY OF THEIR GIS ONLINE OR VIA INTERNET SHALL SUBMIT ONE (1) HARD COPY OF THE Gis, TOGETHER WITH a] (CERTIFICATION UNDER OATH BY TS CORPORATE SECRETARY THAT THE COPY SUBMITTED ONLINE CONTAINS THE EXACT DATA IN THE HARD COPY. {© ONLY THE 618 ACCOMPLISHED IN ACCORDANCE WITH THESE INSTRUCTIONS SHALL BE CONSIDERED AS HAVING SEEN FILED. ‘THs GIS MAY BE USED AS EVIDENCE AGAINST THE CORPORATION AND ITS RESPONSIBLE DIRECTORS OFFICERS FOR ANY VIOLATION OF exisTiNo| LAWS, RULES AND REGULATIONS [cORPORATENANE [DATE REGISTERED: BUSINESS TRADE NAME Fiscai VeAR END, SEC REGISTRATION NOWBER [DATE OF ANNUAL MEETING PERBVLAWS ROA ETICRTION ‘Noweex rn [ACTUAL DATE OF ANNUAL MEETING: wena DRE | COMPLETE PRINCIFAL OFFICE AUDTESS ERAT ART [COMPLETE BUSINESS ADDRESS RE NAME OF EXTERNAL AUDITOR & 1S STONING FARTHER ‘EAC OR TOWN Tapp | CONE NORTE [FRINTRRY PURPOSE ACTIVITY INDUSTRY PRESENTLY ENCRGED THDUSTRY CLASSIFICATION: | CEOCRAPHICAT CODE INTERCOMPANY AFFILIATIONS. ===0=s==e=eoscoseeseasessessovewson FARERT COMPANY TSEC REGISTRATION. “ADDRESS Sys aRYar SECRECISTRATIONNS: ADDRESS EE OE EA Banks bP cor oS C (Cd) or Offshore Banking Units Quasi-Banks ‘Trust Entities Non-Stock Savings and Loan Assodatlons Pawnshops Foreign Sxchage Dealers Money Changers Remittance Agents Electronic Money Issuers Financis! Instieutions which Under Special Laws are subject to Bangk Sentral ng tipinas' (BSP) supervision and/or regulation, Insurance Companie Insurance Agents Oo jurance Brokers 4, Professional Reinsurers «Reinsurance Brokers £ Holding Companies ] & Holding Company Systems Companies Cc providing a registered office, business address or ‘accommodation, correspondence or administrative address for@ company, a partnership or any other legal person or arrangement (1. Mutua! Senent Association (1s, allotner Persons and entities supervised and/or regulated by the ibe Dealers Securities Brokers urities Salesman 5 4, Investment Houses J. Commen Trust Funds or Issuers and other similar enti lar entities (114 creation, operation or management of juridical persons or arrangements, and buying and selling Kc Transfer Companies and other Other entities administering or otherwise dealing in currency, cial derivatives based there on business entities None ofthe ove tes or fi Clim, Entities saminitering of ocherwise dealing invaluable objects Gn. Entities administering or otherwise dealing in cash Substitutes and Describe ‘ther similar monetary instruments or property supervised nature of and/or regulated by the Securities and Exchange Commission | business (se0) B. Has tho Corporation complied with the requirements on Customer Due Diligence under the AMLA, as amended, since the last filing of ts GIS? GENERAL INFORMATION SHEET STOCK CORPORATION PLEASE PRINT LEGIBLY ====m: ‘Is the Corporation a covered person under the Anti Money Laundering Act (AMLA), as amended? (Rep. Acts, 9160/9164/10167/10365) [Please check the appropriate box: ‘Commission (1C) jow Your Customer (KY0), record-keeping, and submission of reports ss) Fewelry deaters inp Yes @No business trade in precious metals ‘business trade In precious stone Company service providers which, as a bus provide any ofthe following services to third parties TB acting ava formation agent or juridical persons actingas (or arranging for another person to acts) a irector or corporate secretary of a company, partner ofa partnership, or similar pos relation to other Juridical persons Jewelry dealers in precious metals, who, asa us stones, who, asa (4. acting as (or arranging for another person to act 2s) 3 nominee shareholder for another person Persons who provide any of the following services ‘aniaging of client mony, Securities OF Other assets gq Oe it Agents and Consultants a visors [1b management of bank savings or securities accounts Q managing Securities or rendering similar services (] i. Mutual Funds or Open-end Investment Companies CO ¢ organization of contributions for the creation, (1 4. Ghose-end investment Companies ‘operation or management of companies C GENERAL INFORMATION SHEET ‘STOCK CORPORATION = PLEASE PRINT LEGIBLY = [CORPORATE NAM: ‘CAPITAL STRUCTURE [AUTHORIZED CAPITAL STOCK | summer oF ean ‘AMOUNT (PhP) ee SHARES Se AE (Wo. ofshares X Par/Stated Value) SuaseRED cP PUBLIC zi TOTAL IFOTAL ToraL_F| roreicn | Ko.oF ea Foner eee «| sumser or |stanesin tue] panystareD ee wor pea TYPROT ARTS snares |HANDSOFTHE| VALUE ANODE OWNERSHIP NaTIONALITY) } HOLDERS pis ofr Percentage of Forder EGU TOTAL [rorar Tora "TOTAL SUBSCRIBED P| PAID-UP CAPITAL NO.OF ritteing | sroce. | TyPeorsHares+ | NUMBER OF PAR/STATED VALUE AMOUNT (PRP) me Laem SHARES OWNERSHIP Tora] Tara FOREIGN | \0OF NUMBER OF 208 anpicateny | stock | TYPEOF SHARES: PAR/STATED VALUE AMOUNT (PRP) ownane NATIONALITY) | HOLDERS SHARES TOTAL Toran) TOTALPRIDUP ROTE-USE ADDITONAL SHEET IF NECESSARY Fe other han Diresors,Cfcors Share lees owning 10H of ouwanding hares hak GENERAL INFORMATION SHEET ‘STOCK CORPORATION seaeesessss= PLEASE PRINT LEGIBLY [CORPORATE NAME: DIRECTORS / OFFICERS STOCK Hower | OFFICER EXEC. COMM. NAME AND NATIONALITY INCR | BOARD | SEX 17 7 7 Th INSTRUCTION FOR SEX COLUMN, PUT "F" FOR FEMALE,‘ FOR MALE FOR BOARD COLUIAN,PUT"C” FOR CHAIRMAN, "We FOR MEMBER, °Y FOR INDEPENDENT DIRECTOR FORING'R COLUMN, BUT" I AN INCORPORATOR. “NF NOT FOR STOCKHOLOE® COLLIN, PUT "IFA STOCKHOLOER, "NF NOT, FOR OFFICER COLUMN, INDICATE PARTICULAR POSITION IF AN OFFICER, FROM VP UP INCLUDING THE POSITION OF THE TREASURER, ‘SECRETARY, COMPLIANCE OFFICER ANDIOR ASSOCIATED PERSON, FOR EXECUTIVE COMMITTEE. INDICATE "CF MEMBER OF THE COMPENSATION COWAMTTEE: "A" FOR AUDIT COMMITTEE; "NW FOR NOMINATION {AND ELECT ON COMIMITTEE_ ADDITIONALLY WRITE °C” AFTER SLASH F CHAIRNAN AND Mf IF MEMBER GENERAL INFORMATION SHEET STOCK CORPORATION ‘CORPORATE NAME: PLEASE PRINT LEGIBLY ‘TOTALNUMBER OF STOCKHOLDERS ey {TOTAL ASSETS BASED OV LATEST AUDITED FINANCIAL STATEMENTS: ‘STOCKHOLDER'S INFORMATION ‘SHARES SUBSCRIBED a AMOUNT PAID NAMB AND NATIONALITY ro amount | {Wor Wir (eur) a Tora] TOTAL | TOTAL Tora ToTaL| z TOTAL} ToTat} TOTAL AMOUNT OF SUBSCRIBED CAPITAL 0.00%4| ane TOTAL AMOUNT OF PAID-UP CAPITAL is TNSTRUCTION. SPECIFY THE TOP 20 STOCKHOLDERS AND INDICATE THE REST AS OTHERS rarate show i nsesse. as Far BORG Nomis irladed the it pleas Indicate frter the benefice ners own mare than 5% of any lass of the companys voli HGF Far GENERAL INFORMATION SHEET ‘STOCK CORPORATION 1t_PLEASE PRINT LEGIBLY SORPORATE NAME: {OTAL NUMBER OF STOCKHOLDERS [oes anemone {TAL ASSETS WASED OW LATEST AUDITID FS ‘STOCKHOLDER'S INFORMATION “SHARES SUBSCRIBED : AMOUNT PAID NAME AND NATIONALITY % oF ree | wunper AMOUNT | ovine. ene) ene) oe TOTAL ‘ = TOTAL TOTAL i 7 TOTAL TOTAL TOTAL TOTAL "TOTAL AMOUNT OF SUBSCRIBED CAPITAL 0.005% 0.00 TOTAL AMOUNT OF PAID-UP CAPITAL T INSTRUCTION SPECIFY THE TOP 20 STOCKHOLDERS Alb INDICATE THE REST AS OTHERS ae: For POTE Nominee Ta a the st plenae indicate further the beneficial ewrers owning more than 5% ofan clas of te company svaingtaurTTek, Ata separale ee necessary GENERAL INFORMATION SHEET ‘STOCK CORPORATION leseusee_PLEASE PRINT LEGIBLY ‘CORPORATE NAM: [Fotarwntaeh or noomrouonns [TOTAL ASSETS BASID ON LATEST AUDITED Fs {STOCKHOLDERS INFORMATION ‘SHARES SUBSCRIBED NAME AND NATIONALITY is AMOUNT PAID ontoen (ene) (ney FT OTTERS Tani he mamber oF he Fema oceneet) TOTAL ‘TOTAL AMOUNT OF SUBSCRIBED CAPITAL (0.0086 "TOTAL AMOUNT OF PAID-UP CAPITAL INSTRUCTION: SPECIFY THE TOP 20 STOCKHOLDERS AND INDICATE THE REST AS OTHERS [Notes Far POTE Nowe uded a eas met rier he Bena owners wang Te an 5% Of nj ase Ne compan s Veg WALID A GENERAL INFORMATION SHEET STOCK CORPORATION CORPORATE NAME: PUEASE PRINT LEGIELY Hi. INVESTMENT OF CORPORATE FUNDSIN ANOTHER CORPORATION "AMOUNT (PRP) DATE OF BOARD RESOLUTION 11 STOCKS TZ BONDS/COMMERCIAL PAPER (Issued by Private Corporations) 13 LOANS/ CREDITS/ ADVANCES Ta GOVERNMENT TREASURY BILLS 1S OTHERS 2. INVESTME SECONDARY PURPOSES (PLEASE SPECIFY!) OF CORPORATE FUNDS IN ACTIVITIES UNDER ITS DATE OF BOARD DATE OF RESOLUTION STOCKHOLDERS RATIFICATION... 5. TREASURY SHARES % ASTOTHE TOTAL, MO: DESHARES NO. OF SHARES ISSUED 4" UNRESTRICTED /UNAPPROPRIATED RETAINED EARNINGS AS OF END OF LAST FISCAL YEAR DIVIDENDS DECLARED DURING THE IMMEDIATELY PRECEDING YEAR: ‘TYPE OF DIVIDEND. AMOUNT (PHP) DATE DECLARED S.A CASH 52 STOCK 5.3 PRO TY TOTAL [é. ADDITION i, SIARES ISSUED DURING THE PERIOD: DATE NO. OF SHARES “AMOUNT as iCENSE/REGISTRATION WITH SEC AND OTHER GOV'T AGENCY: [NAME OF AGENCY: SEC BSP TC rrvPE OF License/ReGn DATE ISSUED: [DATE START! JOPERATIONS: l TOTAL ANNUAL COMPENSATION OF DIRECTORS DURING THE PRECEDING FISCAL YEAR (in PhP) TOTALNO. OF OFFICERS TOTAL NO. OF RANK & FILE EMPLOYEES TOTAL MANPOWER COMPLEMENT. CORPORATESECRETARY OFTHE ABOVE-MENTIONED DECLARE UNDER THE PENALIY OF PERJURY, THAT AUL-MATTERS SET FORTS IN THIS GENERAL FORMATION sWHET WICH CONSISTS OF (PAGES HAVE BEEN M¢ADEIN GOOD FAITH, DULY VERIFIED BY a AND TO TH: BEST OF sty KNOWLEDGE AND BELIEF, ARE TRUE AND CORRECT. ‘HEREBY CERTIFY THAT THE PERSONS INDICATED AS MEMBERS OF THE BOARD OF DIRECTORS AND OFFICERS OF THE CORPORATION JMAD CONSENTED IN WAITING TO SE NOMINATED AND ELECTED. {UNDERSTAND THAT THE FAILUR# OF THE CORPORATION To FILE THIS GS FOR FIVE (5) CONSECUTIVE YEARS SHALL BE CONSTRUED AS NON] JoPERATION OF THE CORPORATION AND A GROUND FOR THE REVOCATION OF THE CORPORATIONS CERTIFICATE OF INCORPORATION. 1 iis EvENTUALITY. THE CORPORATION HEREBY WAIVES ITS RIGHT TOA HEARING FOR THE SAID REVOCATION, Day oF +20 Ww one THIS GrGRATUREY SUBSCRIBED AND SWORN TO BEFOREMEIN CITY /PROVINcE, PHILIPPINES ON “_AFFIANT PERSONALLY APPEARED BEFORE ME AND EXHIBITED TO WEIS/HER COMPETENT leviDeNCE OF IDEWTITY ISSUED AT on : Nototal Commission No Commission expires on December Rel of Aarney Number PTR NG, TP ve, Office Address | lsook nos ——— seRues oF GENERAL INFORMATION SHEET STOCK CORPORATION NOT FOR UPLOADING PLEASE PRINT LEGIBLY ======: — IST OF SOCRATES IRECTOTS AND OFFICES ‘TAX IDENTIFICATION NO. (TIN) INFORMATION NAME AND CURRENT RESIDENTIAL ADDRESS NATIONALITY POSITION TIN We : | FOR POSITION COLUMN, PUT THE FOLLOWING IF APPLICABLE: NOTE: USE ADDITIONAL SHEET IF NECESSARY. (GENERAL INFORMATION SHEET (GIS) FOREIGN CORPORATION FOR THE YEAR “GENERAL INSTRUCTIONS: FOR USER CORPORATION: THs CISSHOULD BE SUBMITTED WITTIN THIRTY (30) CALENDAR DAYS FROM THE ANNIVERSARY DATE OF THE ISSUANCE OT THE SEC LICENSE. DO NOT LEAVE ANY ITEM BLANK. WRITE "WA IP THE INFORMATION REQUIRED IS NOT APPLICABLE OR "NONE” IF THE INFORMATION S NON-EXISTENT. 2 THIS Gis SHALL BF ACCOMPLISHED IN ENGLISH AND CERTIFIED AND SWORN TO BY THE RESIDENT AGENT OF THE CORPORATION. 5. SUBMIT FOUR (4) COPIES OF THE GIS TO THE CENTRAL RECEIVING SECTION, GROUND FLOOR, SEC BLDG, EDSA, MANDALUYONG CITY. ALL COPIES SHALL UNIFORMLY B3 OW A4 OR LETTEN-SIZED PAPER WITH A STANDARD COVER PAGE, THE PAGES OF ALL COPIES SHALL USE ONLY ONESIDE. CORPORATIONS SUBMITTING A SOFT COPY OF THEIR Gis SHALL SUBMIT FOUR (4) HARD COPIES OF THE Gis, TOGETHER WITH A CERTIFICATION UNDER CATH BY Is RESIDENT AGEN? "HAT THE COPY CONTAINS EXACT DATA INTHE HARD COPIES 4 ONLY THE GIS ACCOMPLISHED 16 ACCORDANCE WITH THESE INSTRUCTIONS SHALL BE CONSIDERED AS HAVING BEEN FILED, THs GiS MAY 82 USED AS EVIDENCE AGAINST THE MULTINATIONAL COMPANY AND ITS RESPONSIBLE OFFICERS FOR ANY VIOLATION OF ExIsTINC LAWS, RULES AND RECULATIONS 7 Bioran Ome 7% Raprecertatve Ooo 7 s10% aa DOMESTIC MARKET ENTERPRISE stock TF BX°ORT SRKET ENTERPRISE 1 Now-stocx [RawE OF FOREIGN CORPORATION: BOSNESS TRADE WATE scat vean eno: sec ACENSE NOME [ccaronare Tax WoENTInCATION unser rn [couNTRY WHERE ORGANIZED: [weesrre un. ADDRESS [assicneD caPiraL fewaic ADDRESS [coNPLETE omrice ASoRESSINTHE [TELEPHONE/FAK NUMBER(S utuieines: [comPtere naMe Jor THE RESIDENT Avenr; [reLErnone/eax NumBenis) lousiness as SrareD 1v THE SHC LICENSE: frovat secunrTies pxvostreD: ner PROFIT (Loses) leerore Tax DURING | He PRECEEDING kanp or s2cunrries amount [raxaste vEAR MUTUAL FUND rocks BONDS L “TECOMULATED INCO"E/ FOND BATANCE TO BEFILIED UP BY SEC PERSONNEL BASED ON THE FINANCIAL STATEMENT OF TRDosTRY "THE PRECEDING FISCAL YEAR CLASSIFICATION CODE) NATIONAL GEOGRAPHILEAL CODE. (nec) GENERAL INFORMATION SHEET FOREIGN CORPORATION Giporate Namen ‘A Is the Corporation a covered person under the Anti Money Laundering Act (AML/), a8 amended? (Rep. Acts. 9160/9164/10167/10365) Please check che app:opriate box: 7 =a eee eed (Bb. offshore Banking Units g a 00000! a o o Qo ‘Transfe: Companies and Quasi Bankes Trust Bees Non-Stack Savings and Loan Associations Pawnshops Foreign Sxchage Dealers Money Changers Remittance Agents Electronic Money Issuers Finaneial institutions which Under Special Laws are subject to Bangko Sentral ng Plpinas' (SP) supervision and/or regulation, tnlading their subsidiaries ad afites Insurance agents Insurance Brokers Professiaral Reinsurer Reinsurance Brokers Holding Companies Holding, Company Systems Presneed Companies ‘Mutual Renefi Association All Other Persons and enitles supervised and/or regulated by the Inguran:e Commission ({C) Deslers Ter Securities Securtias Salesman Investment Houses Investment Agents and Consul Trading Advisors Other entities managing Securities or rendering similar services lose-end investment Companies Issuers and other similar entitles lr similar entities ‘ends oF Open-ond Investment Companies Commo Trust Funds or Other entities administering or otherwise dealing in currency, commodities or inanclal derivatives based there on Entities administering of otverwise dealing invaluable objects rites aciministering or othorwise dealing in cash Swosttutes and lar monstoryinst-uments or property supervised and/or ission (SEC) regulate! by the Securities and Exchange Com Tas the Corporation complied with the requirements on Customer Due Diligence jow Your Customer (KY), record-keeping, and submission of reports (cop) or under the AMLA, as amended, nee the last Bling of ts GIS? PLEASE PRINT LEGIBLY +O so Oe el) Describe ature of business: Yes Jewelry dealers in precious metals, who, asa business, trade in precious metals Jewelry dealers in precous stones, who, 25a business, ‘trade n precious stone Company service providers which, a8 a business, provide any of che following services to third partes ‘cling aya Tormation agent of juridical persons acting as (or arranging for another person t9 acts) 2 director or corporate Secretary of company, a partner of 8 partnership, ora sill position in relation to other Juridial pecsons providing a registered office, busines address or Accommodation, correspondence or administrative address fora company, a partnership or any other legal person or arrangement acting as (or arranging for another person t act as) nominee shareholder for another person Persons who provide any of the folowing services managing ofelent money, securities or other asset management of bank, savings or securities accounts organization of contributions forthe ereation, operation or management of companies creation, operation or management of juridical persons or arrangements, and ouying and selling business entities None ofthe above GENERAL INFORMATION SHEET. FOREIGN CORPORATION PLEASE PRINT LEGIBLY = NAME OF FOREIGN CORPORATION: [OFRTCERS IN TE TES iE ae Position /riTae sex NaTioNausty Resident Agent of DECLARE UNDER THE PENALTY OF PERJURY, THAT ALL MATTERS SET FORTH IN THIS GENERALINFORMATION SHEET WHICH CONSISTS OF TWO 2} PAGES HAVE BEEN MADE IN GOOD FAITH, DULY VERIFIED BY ME AND , ARE TRUE AND CORRECT BASED ON MY PERSONAL KNOWLEDGE AND ON AUTHENTIC RECORDS AT HAND. UNDERSTAND THAT THE FAILURE OF THE CORPORATION 70 FILE THIS GIS FOR FIVE (5) CONSECUTIVE YEARS SHALL BE CONSTRUED AS NON-OPERATION OF THE CORPORATION AND A GROUND FOR THE REVOCATION OF THE CORPORATIONS’ SEC LICENSE TO DO BUSINESS IN| ‘THE PHILIPPINES. IN THIS EVENTUALITY, THE CORPORATION HEREBY WAIVES ITS RIGHT TO A HEARING FOR THE SAID REVOCATION, DONETHISDavOR__20__IN SIGNATURE SUBSCRIBE AND SWORN TO BEFORE MEIN, PHILIPPINES ON, APTIANT PERSONALLY APPEARED BEFORE ME AND EXHIBIT TO ME KIS/HER COMPETENT EVIDENCE OF IDENTITY. ISSUEDAT____ ow NOTARY PUBLIC FOR Notarial Commision ‘Commision Expires on December 37, Roll of attorney Number | PTR No, = BP No, ofce Address oc no. PAGE NOs BOOK NO SERIES OF GENERAL INFORMATION SHEET FOREIGN CORPORATION NOT FOR UPLOADING = PLEASE PRINT LECTBLY NAME OF FOREIGN CONPORATION: NAME OF RESIDENT AGENT, [Fin Nor [COMPLETE ADDRESS forricns rae mLaTINES "TAX IDENTIFICATION NO, (TiN) INFORMATION rosionsru CURRENT, COMPLETE RESIDENTIAL ADDRESS ‘NOTE: USE ADDITIONAL SHEET IF NECESSARY GENERAL INFORMATION SHEET (GIS) REGIONAL OPFRATING HEADQUARTERS AND REGIONAL HEADQUARTERS OF MULTINATIONAL COMPANIES FORTHE YEAR GENERAL INSTRUCTIONS: FORUSER CORPORATION: THIS cs SHOULD BE SUBMITTED. '8) WITHIN THIRTY (20) DAYS AFTER THE ISSUANCE OF THE SEC CERTIFICATS OF REGISTRATION AND LICENSE AND 'b) WITAIN THIRTY (20) DAYS FROM THE ANNIVERSARY DATE OF THE ISSUANCE OF THE SEC CERTIFICATE OF REGISTRATION AND LICENSE, DO NOT LEAVE ANY ITEM BLANK. WRITE "NA" IF THE INFORMATION REQUIRED 1S NOT APPLICABLE OR "NONE" IF THE INFORMATION IS NOW. pusteNT, ‘THIS GIS SHALL BE ACCOMPLISHED IN ENGLISH AND CERTIFIED AND SWORN TO BY THE CORPORATE SECRETARY OF THE CORPORATION SUBMIT FOUR (4) COPIES OF THE GIS 70 THE CENTRAL RECEIVING SECTION, GROUND FLOOR, SEC BLDG, EDSA, MANDALUYONG CITY. ALL COPIES SHALL| UNIFORMLY BE O14 OR LETTER SIZED PAPER WITH A STANDARD COVER PAGE. THE PAGES OF ALL COPIES SHALL USE ONLY ONE SIDE. CORPORATIONS| SUBMITTING A COPY OF THEIR GIS ONLINE OR VIA INTERNET SEALL SUBMIT ONE (2) HARD COPY OF THE GIS, TOGETHER WITH A CERTIFICATION UNDE (OATH BY ITS CORFORATS SECRETARY THAT THE COPY SUBMITTED ONLINE CONTAINS THE EXACT DATA IN THE HARD COPY, 6 ONLY THE GIS ACCOMPLISHED IN ACCORDANCE WITH THESE INSTRUCTIONS SHALL BE CONSIDERED AS HAVING BEEN FILED. 2. THMS Gis MAY BE USED AS EVIDENCE AGAINST THE MULTINATIONAL COMPANY AND ITS RESPONSIBLE OFFICERS FOR ANY VIOLATION OF EXISTING LAWS| | RULES AND REGULATIONS (© REGIONAL OPERATING HEADQUARTERS | REGIONAL HEADQUARTERS TARE OF MULTINATIONAL COMPANY ‘BUSINESS TRADENANE ean ‘DATE OF ISSUANCE OF SECLICENGE: [conromare vax neNPInCATION frontce cri ‘GOUNTRY WHERE ORCAMIEED: [veesrre/ont none FISCAL YEAR END: ca ADRESS ‘COMPLETE OFFICE ADORESSIN [FELEPHONE Ax NUMBER(S) [BUSINESS AS STATED IN THE SEC LICENSE: T PreterioNe/rax numBeR«s) COMPLETE NAME OF THE RESPONSIBLE OFFICER TO WHOM SUMMONS MAY 8 SeRveD INWARD REMITANCE AS OF THE END OF “THE FISCAL YEAR amount ave ACCUMULATED INCOME/FOND BALANCE BASED ON THE FINANCIAL STATEMENT OF THE| PRECEDING FISCAL YEAR ASSIGNED CAPITAL (For ROH): GENERAL INFORMATION SHEET "RATING HEADQUARTERS AND REGIONAL HEADQUARTERS OF MULTINATIONAL COMPANIES ssceesee=e PLEASE PRINT LEGIBLY REGIONAL OP Saiporate Name: Is the Corporation a covered person under the An Money Laundering AC’ _~ vey @ No (AMLA), 25 amended? (Rep. Acts. 9160/9164/10167/10365 Fiease check the appiopriate box Ty Fe oftbel wsiasspuns [Mel dates impress mers who ars busines, rae Oe Quasi " Ca trustéotivies Ce. Non-Stock Savings and Loan Associations DB & Pawnshons oe foreign cha el 0) ‘eto dtr precoursns, wha ad Di: Remittance agents |, Blectronic Money Issuers Dk. Financia! tnstitutions which Under Special Laws are subjectto Bango Sontra ng Piipuas' (BSP) supervision and/or regulation, inchading chair subsidiaries and afflates. Company service providers which, as a busiuess, provide any ofthe following services t tira parties: Taaurance Companies b, Insurance gents Ti) & sting ara formation agent of juridical parsons «. Insurance Brokers . acting as (or arranging for another person wo actas) a Professions! Reinsurers director or corporate secretary of s company, partner of 2 «, Reinsurance Brokers partnership, or a similar postion in relation to other CF Holding Companies juridical persons Fo Holding company systems Bn, Presnese Companies 1 c providing a registered office, business address or Gt Mutual Benen Association ‘accomadation, correspondence or administrative address G5 attower Persons and entities supervised and/or regulated by the fora company, a partnership or any other legal person or o arrangement z Securities Dealers 4. acting as (or arranging for another person to act as) a 1b, Securities Brokers nominee shareholder for another person ye secures slesmar 1a. investment Houses "e managing of client money, securities or other assets, Co. investmene Agents anc Consultants Cd & trading Advisors OD g otherenctics managing Securities or rendering similar services (1h. Mutuat Funds or Open-end investment Companies 1 1 close-end Investment Companies {Common TruscFunds or ksvers and othe sar entes 1] &. management ofbank, savings or securities acounts 1 ¢ organization of contributions for the creation, operation or management of eompanies Di kc Transfer Companies and other simlar entities (1 2 ocherensiies administering or otherwise dealing in currency, commodities or financial derivatives based there on [hm Botitiesediinstering of stnerwise dealing in valuable objects (Gn. entities aciinstering or otherviae dealing in cash Substicutes and ther sin ar monetary istruments or property supervised and/or regulated bythe Securities and Exchange Commission (SEC) 1 4 cretion, operation or management of juridical persons or scrangements, and buying an selling business entities ETT None ofthe above Describe nature of business TB. Has the Corporation complied with the requirements on Customer Due Diligence (COD) or Kaow Your Customer (KYC), record-keeping, and submission of reports under the ANLA, as amended, since the lasting of ts GIS? (GENERAL INFORMATION SHEET TRGTOWAT OPERATING HEADQUARTERS AND AECIONAL HEADQUARTERS OF MULTINATIONAL COMPANIES aaa PEASE PAINT LEIBLY =vannee [RAME OF MULTINATTONAL COMPANY. ImeanquaRTeseciovaL HEADQUARTERS so-oricens x0 mr ne PeasoNt [Tora ser a ox TERT OTD RL SRE rosmowrme | sex | maniosaury sauany L - Resident Agent ‘DECLARE UNDER 112 PENALTY OF PERJURY, THAT ALLMATTERS SET PORTA IN THIS CENERALNFORMATION SHEET WHICH CONSISTS OF TWO 2.) PAGES "RAVE BEEN WADEN COOD FAITH, DLY VERIFIED BY ME AND, ARE TAUE AND CORRECT BASED ON HY PERSONAL KNOWLEDGE ANO ON AUTHENTIC RECORDS AT J UNORRSTAN® THAT THE FAILURE OF 7H CORPORATION TO FILE THI GS FOR IVE (5) CONSECUTIVE YEARS HALL BE CONSTRUED_AS NON-OPERATION OF ‘Tig REGIONALOFLRATING MEADQUARTERS/RBCIONAL HEADQUARTERS AND A CROUNO FOR THE REVOCATION OF THEREGIONAL OPERATING EADQUARTERS/RE ONAL HEADQUARTERS SECLICENSBT0_D0 BUSINESS IN THEPHILIPPINES. IN THIS QVENTUALIT, THE CORPORATION HEREBY WAIVESITS ICI TO AMEARING °08 THE SAID REVOCATION ‘sioRaTORE SUISCBE AND SWORN TO SEFORE MEN PHILIPPINES on APPIAIT PERSONALLY APPEARED BEFORE ME AND EXHBET TO ME IS/HER COMPETENT EVIDENCE OFIDENTIEY. tice Aarne i vocno, GENERAL INFORMATION SHEET ‘REGIONAL OPERATING HEADQUARTERS AND REGIONAL HEAD QUARTERS OF MULTINATIONAL COMPANIES NOT FOR UPLOADING ‘LEASE PRINT EEGIBLY NAME OF MULTINATIONAL COMPANY NAME OF RESIDENT/LOCAL AGENT: Twn, [COMPLETEADDS H! [OPICENS AND PEXSCRNEL OF THE RGLION WL OPERATING NEADQUATERS/RECIONAL NEADGUAATARRS [No OFFICERS AND TASONEL [FOTAUASSETS BASED ov LATEST AUDITED RNANGIL STATEMENTS: "TAX IDENTIFICATION NO, (TIN) INFORMATION Nae osrionsrmie ‘nwo. ‘CURLER, COMPLETE RESIDENTIAL ADDRESS (NOTE: USE ADDITIONAL SHEET IF NECESSARY GENERAL INFORMATION SHEET (GIS) NON-STOCK CORPORATION FOR THE YEAR (GENERAL INS FRUCTIONS: 1, FOR USER CORPORATION: THIS GIS SHALL BE SUBMITTED WITHIN THIRTY (30) CALENDAR DAYS FROM THE DATE OF TRE ANNUAL. MEMBERS IMBETING AS STATED IN-THE BY-LAWS DO NOT LEAVE ANY ITEM BLANK. WRITE"N.A"IP THE INFORMATION REQUIRED IS NOT APPLICABLE TO THE CORPORATION OR "NONE" F THE INFORMATION 1S NON-EXISTENTIP THE ANNUAL MEMBERS’ MEETING IS HELD ON A DATE OTHER THAT THAT STATED INTHE BY-LAWS, THE GS SHALL BE SUBMITTED WITHIN THIRTY (30) CALENDAR DAYS FROM THE ACTUAL DATE OF THE ANNUAL MEMBERS gerine 2. IF NO MEETING |S HELD, THE CORPORATION SHALL SUBMIT THE GIS NOT LATER THAN JANUARY 30 OF THE FOLLOWING YEAR. HOWEVER, SHOULD [AN ANNUAL MEMBERS MEETING BE HELD THEREAFTER, ANEW GIS SHALL BE SUBMITTED FILED. 5. ‘THIS Gis SHALL BE ACCOMPLISHED IN ENGLISH AND CERTIFIED AND SWORN TO BY THE CORPORATE SECRETARY OF THE CORPORATION. 4. ALL CHANGES ARISING BETWEEN ANNUAL MEETINGS AND AFFECTING THE INFORMATION STATED IN THE Gis, SUCH AS THE DEATH, RESIGNATION OR ‘CESSATION OF HOLDING OF OFFICE OF A DIRECTOR, TRUSTEE, OR OFFICER, SHALL BE REFLECTED IN AN AMENDED CIS LABELED AS SUCH AND THE ‘CHANGES CLESKLY FIGHLIGHTED, THE AMENDED GIS SHALL BE SUEMITTED WITHIN THIRTY [30] DAYS AFTER SUCH CHANGES OCCURRED OR BECAME EFFECTIVE SUBMIT FOUR (4) COPIES OF THE GIS TO THE CENTRAL RECEIVING SECTION, GROUND FLOOR SEC BLDG, EDSA, MANDALUYONG CITY. ALL COPIES SHALL BEON 44 ORLETTER-SZE PAPER WITH THE STANDARD COVER SHEET. THE PAGES OF ALL COPIES SHALL USE ONLY ONE SIDE, CORPORATIONS SUBMITTING ) SOFT COPY OF THEIR GIS SHALL SUBMIT THREE (2) HARD COPIES OF THE GIS, TOGETHER WITH A CERTIFICATION UNDER OATH BY TS PRESIDENT, CUES EXECUTIVE OFFICER OR CORPORATE SECRETARY THAT THE SOFT COPY CONTAINS THE EXACT DATA IN THE HARD COPIES, 6 ONLY THE Gis ACCOMPLISHED IN ACCORDANCE WITH THESE INSTRUCTIONS SHALL HE CONSIDERED AS COMPLIANT WITH EXISTING RULES AND REGULATIONS. 7. ‘THIS Gis NAY DE USED AS EVIDENCE AGAINST THE CORPORATION AND 1TS RESPONSIBLE DIRECTORS/TRUSTEES/OFFICERS FOR ANY VIOLATION OF EXISTING LAWS, RULES AND REGULATIONS. = PLEASE PRINT LEGIELY — = CORPORATE NATE DATE REGISTERED: BUSINESS] FISCAL YEAR END: ‘TRADE NAME ee [secrecistaation CORPORATE TAK IDENTIFICATION NUMBER: NUMBER(TIN DATEOFANNUAL ‘WEDSITE/URL ADDRESS ‘MEETING PER BY-LAWS aaa = DATE ORACTIA EMAIL ADDRESS: MEETING: =< : COMPLETE PRINCIPAL "TELEPHONE NUMBER(S): OFFICE ADDRESS COMPLETE BUSINESS ADDRESS: FAX NUMBERS), [PRIMARY PURIOSE ENGAGED IN: NAME OF EXTERNAL AUDITOR & SIGNING. PARTNER: sec accREDITATION NUMBER: ‘TELEPHONE NUMBER(S): [ro Be FILLED UP BY SEC PERSONNEL. npustay NATIONAL GEOGRAPHICAL IF ENGAGED IN MIC ROFINANGE BUSINESS, CHECK SERVICES Deposits oumnnen Insurance Products Loans oon PaYment Services Money Transfer oe others crassinicarion cove: cope eg) oO oo0000 ooo0at qi o Qa Qo Oo Q Q Qa Qo o ooo O GO 00000 000 = Ee Offshore Banking Units © Quasi-Banks 4, Trust Eneidies ¢. Non-Stock Savings and Losn Associations £, Pawnshops Foreign Exchage Deslers h, Money Changers i. Remittance Agents J. Electronic Money Issuers ic. Financial institutions which Under Special Laws are subject to ‘Bangko Sontral ngPiljonas’ (BSP) supervision andor regulation, luding their subsidiaries and afiats. " Tasurance Companies », Insurance Agents «Insurance Brokers 4, Professional Reinsurers Reinsurance Brokers £. Holding Companies 4. Holding Company Systems h Pre-need Companies 1. Mutual denefit Assocation |. Al Other Persons and oncties supervised and/or regulated by the lasurance Commission (IC) Tecuriins Dealers euritios Brokers «, Securities Salesman 4, Investment Houses Investment Agents and £. Trading Advisors fg, Other entiies managing Securities or rendering similar services nultants Mutual Funds or Open end Lavestment Companies Close-euid Investment Companies bs 1 J, Commos Trust Funds or Issuers and other sina entities k lar entities Other entiies administering or otherwise dealing in currency, commodities or financial derivatives based there on 1m, Entities administering of otherwise dealing in valuable objects Transfe: Compantes and other si 1, Entities administering or otherwise dealing In cash Substitutes and other similar monetary’ instraments or property supervised and/or by the Socurities and Exchange Commission (SEC) Fast ‘GENERAL INFORMATION SHEET. NOW-STOCK CORPORATION PLEASE PRINT LEGIBLY_ = ‘A. Is the corporation a covered person under the Anti Money LaunderingACt vey @ No as amended? (Rep. Acts, 9160/9164/10167/10365) Please check the appropriate box: +0 sO Describe poration vonap Tod with th requirements on Contomer Due Diligence (COD) tor Know Your Customer (KYC), record-keeping and submission of reports under the Jewelry dealers n precious metals, who, asa business, ‘rade in precious metals Jewelry dealers in precious stones, who, asa business, trade in precious stone Company service providers which, as a business, provide any ofthe following services to third partes: acting a5 a Tormation agent of frTdical persons acting as (or arranging for another person to act as) a director or corporate secretary ofa company, a partner ofa partnership, ora similar position in relation to other juridical persons providing a registered office, business address or accommodation, correspondence or administrative address fora company, a partnership or aay other legal person or arrangement acting as (or arranging for another person to acts) 8 nominee shareholder for another person Persons who provide any ofthe following services ‘anaging of lent money, securities or other asses ‘management of bank, savings or securities accounts organization of contsfbutions forthe creation, operation or management of companies operation or management of juriical persons or arrangements, and buying and seling business entities None ofthe above GENERAL INFORMATION SHEET NON-STOCK CORPORATION vase PLEASE PRINT! LecioLy CORPORATE NAN: DIRECTORS OFFICERS [NATIONALITY orncer GENERAL INFORMATION SHEET ‘NON-STOCK CORPORATION = PLEASE PRINT LEGIDLY === [CORPORATE NAME: f WWTERCOMPANY AFFILIATIONS PARENT COMPANY T SECRECNO, AODRESS AFRLATE SECREG. NO. ADDRESS, ‘NOTE: USE ADDITIONAL SUCET IF NECESSARY fa INVESTMENT OF CORPOMATE ‘AMOUNT (In PRP) | DaTEOF BOARD RESOLUTION EUNDS IN ANOTHER CORPORATION BA STOCKS 22 BONDS/COMMERCIAL PAPER (sued by private corporations) ZE_LOANS/ CREDITS) ADVANCES Za GOVERNMENT TREASURY BILLS BS OTS Fy INVESTNI HT OF CORPORATE FUNDS INACTIVT DATE OF BOARD RESOLUTION DATEOF MEMBERS SECONDARY PURPOSES (PLEASE SPECIFY.) RATIFICATION 3a EPs ay aa 3 [i FUND BAL INCE fn PHP [5 SECONDAIY LICENSE/REGISTRATION/AUTHORITY/ACOREDITATION OTHER GOVERNMENT AGENCY: Ta pr RamCN comssiovon beraxraenr oF soa, S2_DATENSSUED: ‘BS DATESTARTED OPERATIONS: [STOTAL ANNUAL COMPENSATION OF JoinecToRs/1RUSTEES DURING THE PRECEDING FISCAL YEAR (in PhP) ‘SOTOTAL MANPOWER ‘COMPLEMENT. ‘ETOTALNO,OF RANK & FILE __ EMPLOYEES 7 TOTAUNO. OF OFFICERS 'NOTE; USE ADDITIONAL SHEET IF NECESSARY (GENERAL INFORMATION SHEET NON-STOCK CORPORATION CORPORATE SECRETARY OF a frosition) Tearportond JOECLARE UNDER THE PENALTY OF PERJURY, THAT ALLMATTERS SET FORTH IN THIS GENERAL INFORMATION SHEET WHICH! CONSISTS OF (_) PAGES HAVE BEEN MADE IN GOOD FAITH, DULY VERIFIED BY ME AND 0 THE BEST OF MY KNOWLEDGE AND BELIEF, ARE TRUE AND CORRECT. I HEREBY CERTIFY THAT THE PERSONS LISTED AS MEMBERS OF THE BOARD OF TRUSTEES AND OFFICERS OF THE CORPORATION HAD CONSENT2D IN WRITING TO BE NOMINATED AND ELECTED. | UNDERSTAND THAT THE FAILURE OF THE CORPORATION TO FILE TIS GIS FOR FIVE (5) CONSECUTIVE YEARS SHALL 8 ICONSTRUED AS NON-OPERATION OF THE CORPORATION AND A GROUND FOR THE REVOCATION OF THE CORPORATION'S [CERTIFICATE OF INCORPORATION. IN THIS EVENTUALITY, THE CORPORATION HEREBY WAIVES ITS RIGHT TO A HEARING FOR HE SAID REVOCATION, DONE THIS SUBSCRIBED AND SWORN TO BEFORE MEIN PHILIPPINES OW ‘AFFIANT PERSONALLY APPEARED BEFORE ME AND EXHIBITED TO ME AIS/HER COMPETENT EVIDENCE OF IDENTITY ssuED AT on NOTARY PUBLIC FOR Notarial Commission No. Commission expires on December 31, Roll of Attorney Number PTR No, IBP No. Office address GENERAL INFORMATION SHEET NON-STOCK CORPORATION NOT FOR UPLOADING == PLEASE PRINT LEGIBLY, CORPORATE NAME NAME AND CURRENT RESIDENTIAL ; Annee NATIONALITY — | POSITION, INSTRUCTION (OR POSITION COLUMN, PUT THE FOLLOWING IF APPLICABLE: for Chaiemn,°M" for Member; andor [dicate the Parucular Position, fOMcer (eg. President, Treasucer, Corporate Secretery etc) OR BOARD COLUMN, PUT “Y" IF MEMBER AND "N" IF NOT NOTE: USE ADDITIONAL SHEET IF NECESSARY