Вы находитесь на странице: 1из 1

PROXY TO VOTE IN STOCKHOLDERS MEETING

KNOW ALL MEN BY THESE PRESENTS:

That I, _Aileen Joy B. Padilla Filipino, of legal age, married, and a resident of __29, Orbiter
St., Moonwalk Village, Las Pinas City_, Philippines, do hereby constitute and appoint Allen Joey
B. Padilla, who is also of legal age, Filipino, married, and a resident of _29, Orbiter St., Moonwalk
Village, Las Pinas City_, Philippines, to represent me and vote the __Fifty Thousand____
(__50,000__) shares of the capital stock appearing in my name at the Annual Stockholders Meeting
of PADILLA FOODS INC, to be held on July 5, 2017_.
IN WITNESS WHEREOF, I have hereunto set my hand this _3rd_, day of _July_, 2017,
at the City of _Las Pinas_, Philippines.

(STOCKHOLDER)

Accepted by:

(PROXY)

SIGNED IN THE PRESENCE OF:

____________________ ____________________

ACKNOWLEDGMENT

On the day of _July 3_ 2017, personally appeared before me who exhibited Drivers
License issued at _Land Transportation Office Las Pinas_ on _December 16, 2014__ acting in
his/her capacity as stockholder of PADILLA FOODS INC. known to me to be the same person
who executed the foregoing instrument and acknowledged to me that the same is free and voluntary
act and deed of the Corporation/Association and that he/she is duly authorized to sign the same.
Witness my hand and seal on the date and place above written.

ATTY. JUAN FRANCISCO


Notary Public for Las Pinas
Unit 1, C Building, Las Pinas City
Appointment No. 234, Until December 31, 2017
IBP No. 123456. 01/10/15 Las Pinas
PTR. No. 1234567; 01/10/15 Las Pinas
Roll No. 12345; 4/20/06
MCLE No. I-001234; 9/09/14
MCLE No. II-05678; 9/09/14
Serial no. of Commission M 123

Doc. No. _22_


Page No. _33_
Book No. _V_
Series of _2017_.

Вам также может понравиться