MC No. 16 s. 2016 - Revision of the General Information Sheet and Notification Update Form
SEC MEMORANDUM CIRCULAR NO. 1 6 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 (CIS) 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: "1, 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 BELIEF, ARE TRUE AND CORRECT. I HEREBY CERTIFY THAT THE PERSONS INDICATED AS MEMBERS OF THE HAD BOARD OF DIRECTORS/TRUSTEES AND OFFICERS OF THE CORPORATION CONSENTED TO BE NOMINA TED AND ELECTED. Published: Philippine Star, October 4, 2016 Manila Standard, Llctober 4, 2016
/ UNDERSTAND THA T THE FAILURE OF THE CORPORA TION TO FILE THIS GIS FOR THE FIVE (5) CONSECUTIVE YEARS SHALL BE CONSTRUED AS NON-OPERATION OF OF ITS CORPORATION AND A GROUND FOR THE REVOCATION OF ITS CERTIFICATE INCORPORATION. IN THIS EVENTUALITY, THE CORPORATION HEREBY WAIVES RIGHT TO 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. ^ September 2016. Mandaluyong City, Philippines. FOR THE COMMISSION: TERESITAJ. HERBOSA Chairperson
GENERAL INFORMATION SHEET (GIS) FOR THE YEAR STOCK CORPORATION GENERAL INSTRUCTIONS: 1. FOR USER CORPORATION: THIS GIS SHOULD BE SUBMITTED W I T H I N THIRTY (30) CALENDAR DAYS FROM THE DATE OF THE A N N U A L STOCKHOLDERS' MEETING. DO N O T LEAVE A N Y I T E M B L A N K . W R I T E " N . A . " IF THE INFORMATION REQUIRED IS NOT APPLICABLE TO THE CORPORATION OR " N O N E " IF THE INFORMATION IS NON-EXISTENT. IF T H E A N N U A L STOCKHOLDERS' MEETING IS HELD ON A DATE OTHER THAN T H A T STATED IN T H E BY-LAWS, T H E GIS SHALL BE SUBMITTED W I T H I N THIRTY ( 3 0 ) CALENDAR DAYS FROM THE ACTUAL DATE OF THE A N N U A L STOCKHOLDERS' MEETING. 2. IF NO MEETING IS HELD, THE CORPORATION SHALL S U B M I T THE GIS N O T LATER T H A N JANUARY 30 OF THE FOLLOWING YEAR. HOWEVER, SHOULD A N A N N U A L STOCKHOLDERS' MEETING BE HELD THEREAFTER, A NEW GIS SHALL BE SUBMITTED/FILED. 3. THIS GIS S H A L L BE ACCOMPLISHED IN ENGLISH A N D CERTIFIED AND SWORN TO BY THE CORPORATE SECRETARY OF T H E CORPORATION. 4. T H E SEC SHOULD BE TIMELY APPRISED OF RELEVANT CHANGES IN T H E S U B M I T T E D INFORMATION AS THEY ARISE. FOR CHANGES RESULTING FROM ACTIONS T H A T AROSE BETWEEN THE ANNUAL MEETINGS, THE CORPORATION SHALL SUBMIT ONLY THE AFFECTED PAGE OF THE CIS T H A T RELATES TO T H E NEW INFORMATION TOGETHER W I T H A COVER LETTER SIGNED BY T H E CORPORATE SECRETARY OF THE CORPORATION. THE PAGE OF THE GIS A N D COVER LETTER SHALL BE SUBMITTED W I T H I N SEVEN (7) DAYS AFTER SUCH CHANGE OCCURRED OR BECAME EFFECTIVE. 5. S U B M I T FOUR (4) COPIES OF T H E GIS TO THE CENTRAL RECEIVING SECTION, GROUND FLOOR, SEC BLDG., EDSA, MANDALUYONG CITY. A L L COPIES SHALL U N I F O R M L Y BE ON A 4 OR LETTER-SIZED PAPER W I T H A S T A N D A R D COVER PAGE. T H E PAGES OF A L L COPIES SHALL USE ONLY ONE SIDE. CORPORATIONS SUBMITTING A COPY OF THEIR GIS ONLINE OR VIA I N T E R N E T SHALL SUBMIT ONE (1) HARD COPY OF THE GIS, TOGETHER W I T H A CERTIFICATION UNDER OATH BY ITS CORPORATE SECRETARY T H A T T H E COPY SUBMITTED ONLINE CONTAINS THE EXACT DATA IN T H E HARD COPY. 6. ONLY THE CIS ACCOMPLISHED IN ACCORDANCE W I T H THESE INSTRUCTIONS SHALL BE CONSIDERED AS HAVING BEEN FILED. 7. THIS GIS MAY BE USED AS EVIDENCE AGAINST T H E CORPORATION A N D ITS RESPONSIBLE DIRECTORS/OFFICERS FOR ANY V I O L A T I O N OF EXISTING LAWS, RULES AND REGULATIONS ,,=,,=�=,,,TM,,,,�s===,,,,,,,, PLEASE PRINT LEGIBLY CORPORATE NAME: DATE REGISTERED: BUSINESS/TRADE NAME: FISCAL YEAR END: SEC R E G I S T R A T I O N N U M B E R : DATE OF A N N U A L MEETING PER BY-LAWS; CORPORATE TAX IDENTIFICATION NUMBER (TIN) ACTUAL DATE OF ANNUAL MEETING: WEBSITE/URL ADDRESS: COMPLETE PRINCIPAL OFFICE ADDRESS: E-MAIL ADDRESS: COMPLETE BUSINESS ADDRESS: FAX NUMBER: NAME OF EXTERNAL A U D I T O R * ITS SIGNING PARTNER: SEC ACCREDITATION NUMBER (If applicable): TELEPHONE NUMBER(S): PRIMARY PURPOSE/ACTIVITY/INDUSTRY PRESENTLY ENGAGED I N : INDUSTRY CLASSIFICATION: GEOGRAPHICAL CODE: PARENT COMPANY SEC R E G I S T R A T I O N NO. ADDRESS SUBSIDIARY/AFFILIATE SEC R E G I S T R A T I O N NO. ADDRESS NOTE: USE ADDITIONAL SHEET IF NECESSARY GIS_STOCK(v 2016) Page 1
GENERAL INFORMATION SHEET (GIS) FOR THE YEAR STOCK CORPORATION GENERAL INSTRUCTIONS: 1. FOR USER CORPORATION: THIS GIS SHOULD BE SUBMITTED W I T H I N THIRTY (30} CALENDAR DAYS FROM T H E DATE OF T H E A N N U A L STOCKHOLDERS' MEETING. DO N O T LEAVE A N Y I T E M B L A N K . W R I T E " N . A . " IF T H E INFORMATION REQUIRED IS N O T APPLICABLE TO THE CORPORATION OR " N O N E " IF THE INFORMATION IS NON-EXISTENT. IF T H E A N N U A L STOCKHOLDERS' MEETING IS HELD ON A DATE OTHER T H A N T H A T STATED IN T H E BY-LAWS, T H E GIS SHALL BE SUBMITTED W I T H I N THIRTY (30) CALENDAR DAYS FROM T H E ACTUAL DATE OF T H E A N N U A L STOCKHOLDERS' MEETING. 2. IF NO MEETING IS H E L D , THE CORPORATION SHALL S U B M I T T H E GIS N O T LATER T H A N JANUARY 30 OF THE FOLLOWING YEAR. HOWEVER, SHOULD A N A N N U A L STOCKHOLDERS' MEETING BE HELD THEREAFTER, A N E W GIS SHALL BE SUBMITTED/FILED. 3. THIS GIS SHALL BE ACCOMPLISHED IN ENGLISH A N D CERTIFIED A N D SWORN TO BY THE CORPORATE SECRETARY OF T H E CORPORATION. 4. T H E SEC SHOULD BE T I M E L Y APPRISED OF RELEVANT CHANGES I N T H E S U B M I T T E D INFORMATION AS THEY ARISE. FOR CHANGES RESULTING FROM ACTIONS T H A T AROSE BETWEEN T H E A N N U A L MEETINGS, T H E CORPORATION SHALL S U B M I T ONLY T H E AFFECTED PAGE OF T H E GIS T H A T RELATES TO T H E NEW I N F O R M A T I O N TOGETHER W I T H A COVER LETTER SIGNED BY T H E CORPORATE SECRETARY OF THE CORPORATION. THE PAGE OF THE GIS A N D COVER LETTER SHALL BE SUBMITTED W I T H I N SEVEN (7) DAYS AFTER SUCH CHANGE OCCURRED OR BECAME EFFECTIVE. 5. S U B M I T FOUR ( 4 ) COPIES OF THE GIS TO T H E CENTRAL RECEIVING SECTION, CROUND FLOOR, SEC*BLDG., EDSA, M A N D A L U Y O N G CITY. A L L COPIES S H A L L UNIFORMLY BE ON A 4 OR LETTER-SIZED PAPER W I T H A S T A N D A R D COVER PAGE. T H E PAGES OF A L L COPIES SHALL USE ONLY ONE SIDE. CORPORATIONS SUBMITTING A COPY OF THEIR GIS O N L I N E OR VIA I N T E R N E T SHALL S U B M I T ONE ( 1 ) HARD COPY OF THE GIS, TOGETHER W I T H A CERTIFICATION UNDER OATH BY ITS CORPORATE SECRETARY T H A T T H E COPY SUBMITTED ONLINE CONTAINS T H E EXACT DATA IN T H E HARD COPY. 6. O N L Y T H E CIS A C C O M P L I S H E D I N ACCORDANCE W I T H THESE I N S T R U C T I O N S S H A L L BE CONSIDERED AS H A V I N G BEEN F I L E D . 7 THIS GIS MAY BE USED AS EVIDENCE AGAINST T H E CORPORATION A N D ITS RESPONSIBLE DIRECTORS/OFFICERS FOR ANY V I O L A T I O N OF EXISTING LAWS, RULES AND REGULATIONS ================rr========s===== PLEASE PRINT LEGIBLY CORPORATE NAME: DATE REGISTERED: BUSINESS/TRADE NAME: FISCAL YEAR END: SEC R E G I S T R A T I O N N U M B E R : DATE OF A N N U A L MEETING PER BY-LAWS: CORPORATE TAX IDENTIFICATION NUMBER (TIN) ACTUAL DATE OF ANNUAL MEETING: WEBSITE/URL ADDRESS: COMPLETE PRIN C1PAL OFFICE ADDRESS: E-MAIL ADDRESS: COMPLETE BUSINESS ADDRESS: FAX NUMBER: NAME OF EXTERNAL AUDITOR & ITS SIGNING PARTNER: SEC ACCREDITATION NUMBER (if applicable): TELEPHONE NUMBER(S): PRIMARY PURPOSE/ACTIVITY/INDUSTRY PRESENTLY ENGAGED IN: INDUSTRY CLASSIFICATION: GEOGRAPHICAL CODE: ================================ INTERCOMPANY AFFILIATIONS ======================================= PARENT COMPANY SEC R E G I S T R A T I O N NO. ADDRESS SUBSIDIARY/AFFILIATE SEC R E G I S T R A T I O N N O . ADDRESS NOTE: USE ADDITIONAL SHEET IF NECESSARY GIS_STOCK(v tOIG) Page 1
GENERAL INFORMATION SHEET STOCK CORPORATION ======= P L E A S E P R I N T L E G I B L Y =================== Corporate Name: C Yes f No A. I s the C o r p o r a t i o n a c o v e r e d p e r s o n u n d e r the A n t i M o n e y L a u n d e r i n g Act (AM LA), as amended? (Rep. Acts. 9160/9164/10167/10365) Please check the appropriate box: I I a. Banks Jewelry dealers i n p r e c i o u s metals, w h o , as a I | b. Offshore Banking Units business, trade in precious metals I | c. Quasi-Banks � d. Trust Entities 5.D Jewelry dealers i n precious stones, w h o , as a | 1 e. Non-Stock Savings and Loan Associations business, trade in precious stone I I f. Pawnshops | | g. Foreign Exchage Dealers 6. Company service p r o v i d e r s w h i c h , as a business, | | h. Moneychangers provide any of the following services to third parties | | i . Remittance Agents | | j . Electronic Money Issuers J a. acting as a formation agent of juridical persons I | b. acting as (or arranging for another person to act as) a C ] k. Financial Institutions which Under Special Laws are subject to Bangko Sentral n g Pilipinas' (BSP) supervision and/or regulation, director or corporate secretary of a company, a including their subsidiaries and affiliates. partner of a partnership, or a similar position in relation to other juridical persons 2. I I c. providing a registered office, business address or Insurance Companies accommodation, correspondence or administrative address for a company, a partnership or any other � Insurance Agents legal person or arrangement � Insurance Brokers � Professional Reinsurers I | d. acting as (or arranging for another person to act as) a � Reinsurance Brokers- nominee shareholder for another person � Holding Companies �� * H o l d i n g Company Systems 7. Persons who provide any of the following services: � h. Pre-need Companies n Mutual Benefit Association i . All Other Persons and entities supervised and/or regulated by the � J. I n s u r a n c e C o m m i s s i o n (1C) 3. [ 1 a. Securities Dealers [ j b. Securities Brokers LJ c. Securities Salesman d. Investment Houses ] a. managing of client money, securities or other assets � e. I n v e s t m e n t Agents and Consultants � f. T r a d i n g Advisors | I b. management of bank, savings or securities accounts L J g. Other entities managing Securities or rendering similar services � h. Mutual Funds or Open-end Investment Companies I | c. organization of contributions for the creation, [_1 i . Close-end Investment Companies operation or management of companies EH j . Common Trust Funds or Issuers and other similar entities [_] k. Transfer Companies and other similar entities I | d. creation, operation or management of juridical � 1. O t h e r entities a d m i n i s t e r i n g o r o t h e r w i s e d e a l i n g i n c u r r e n c y , persons or arrangements, and buying and selling business entities commodities or financial derivatives based there on LZ] m . Entities administering o f otherwise dealing in valuable objects 8. L J None of the abov f~1 n. Entities administering or otherwise dealing in cash Substitutes and Describe other similar monetary instruments or property supervised nature of and/or regulated by the Securities and Exchange Commission business: (SEC) B. Has the Corporation complied with the requirements on Customer Due Diligence r Yes �� No (CDD) or Know Your Customer (KYC), record-keeping, and submission of reports under the AMLA, as amended, since the last filing of its GIS? GIS_STOCK(v.2016) 1-A
GENERAL INFORMATION SHEET STOCK CORPORATION ==================================== PLEASE PRINT LEGIBLY CORPORATE NAME: CAPITAL STRUCTURE AUTHORIZED CAPITAL STOCK NUMBER OF PAR/STATED VALUE AMOUNT (PhP) TYPE OF SHARES * SHARES (No. of shares X Par/Stated Value) TOTAL TOTAL P SUBSCRIBED CAPITAL FILIPINO NO. OF TYPE OF SHARES* NUMBER OF NUMBER OF PAR/STATED AMOUNT (PhP) % OF STOCK- SHARES SHARES IN THE VALUE OWNERSHIP HOLDERS HANDS OF THE PUBLIC �* TOTAL TOTAL TOTAL P TYPE OF SHARES * FOREIGN MO. OF NUMBER OF NUMBER OF PAR/STATED AMOUNT (PhP) % OF (INDICATE BY STOCK- SHARES SHARES IN THE VALUE OWNERSHIP NATIONALITY) HOLDERS HANDS OF THE PUBLIC** Percentage of Foreign Equity : TOTAL TOTAL TOTAL P TOTAL SUBSCRIBED P PAID-UP CAPITAL FILIPINO NO. OF TYPE OF SHARES * NUMBER OF PAR/STATED VALUE AMOUNT (PhP) %OF STOCK- SHARES OWNERSHIP HOLDERS TOTAL TOTAL P TYPE OF SHARES * FOREIGN NO. OF NUMBER OF PAR/STATED VALUE AMOUNT (PhP) %OF (INDICATE BY STOCK- SHARES OWNERSHIP NATIONALITY! HOLDERS TOTAL TOTAL P TOTAL PAID-UP P NOTE: USE ADDITIONAL SHEET I F NECESSARY * Common, Preferred or other classification ** Other than Directors, Officers, Shareholders owning 10% of outstanding shares. GJS_STOCK(v2016) Page 2
=======Z:=======Z:====~=T:========: GENERAL INFORMATION SHEET CORPORATE NAME: STOCK CORPORATION P L E A S E P R I N T L E G I B L Y ===========*==========*========= DIRECTORS / OFFICERS NAME AND NATIONALITY INC'R BOARD SEX STOCK OFFICER EXEC. COMM. 1. HOLDER 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. INSTRUCTION: FOR SEX COLUMN, PUT "F" FOR FEMALE, " M " FOR MALE. FOR BOARD COLUMN, PUT "C" FOR CHAIRMAN, "M" FOR MEMBER, " I " FOR INDEPENDENT DIRECTOR. FOR INC'R C O L U M N , PUT "Y" IF A N INCORPORATOR, " N " IF N O T FOR S T O C K H O L D E R C O L U M N , PUT "Y" IF A S T O C K H O L D E R , " N " IF NOT. FOR OFFICER COLUMN, INDICATE PARTICULAR POSITION IF A N OFFICER, FROM VP UP INCLUDING THE POSITION OF THE TREASURER, SECRETARY, COMPLIANCE OFFICER AND/OR ASSOCIATED PERSON, FOR EXECUTIVE COMMITTEE, INDICATE "C" IF MEMBER OF THE COMPENSATION COMMITTEE; " A " FOR AUDIT COMMITTEE; " N " FOR NOMINATION A N D E L E C T I O N COMMITTEE. ADDITIONALLY W R I T E " C " AFTER S L A S H IF C H A I R M A N A N D " M " IF MEMBER. GIS.STOCK (v.2016) Page 3
GENERAL INFORMATION SHEET STOCK CORPORATION CORPORATE NAME: TOTAL NUMBER OF STOCKHOLDERS: NO. OF S T O C K H O L D E R W I T H 100 OR MORE SHARES EACH: TOTAL ASSETS BASED ON LATEST AUDITED FINANCIAL STATEMENTS; STOCKHOLDER'S INFORMATION SHARES SUBSCRIBED NAME AN D NATIONALITY TYPE NUMBER AMOUNT %OF AMOUNT PAID 1. (PhP) OWNER- (PhP) SHIP TOTAL 2. TOTAL 3. TOTAL 4. TOTAL 5. TOTAL 6. TOTAL 7, TOTAL TOTAL A M O U N T OF SUBSCRIBED CAPITAL 0.00% TOTAL A M O U N T OF PAID-UP CAPITAL 0.00 tote: For PDTC Nominee Included INSTRUCTION: SPECIFY THE TOP 2 0 STOCKHOLDERS A N D INDICATE THE REST AS OTHERS voting securities. Attach epurute sheet. If necessary. in the list, please indicate further the beneficial owners owning more than 5% of any class of the company's GIS.STOCK (v.2016) Page 4
GENERAL INFORMATION SHEET STOCK CORPORATION PLEASE PRINT LEGIBLY CORPORATE NAME: NO. OF STOCKHOLDERS WITH 100 OR MORE SHARES EACH: TOTAL NUMBER OF STOCKHOLDERS: T O T A L ASSETS B A S E D 0?,' L A T E S T A U D f T E D FS: STOCKHOLDER'S INFORMATION SHARES SUBSCRIBED NAME AND NATIONALITY AMOUNT %OF AMOUNT PAID TYPE NUMBER (PhP) OWNER- (PhP) SHIP TOTAL TOTAL 10. TOTAL 11 TOTAL 11 TOTAL 13. TOTAL 14 TOTAL TOTAL A M O U N T OF SUBSCRIBED CAPITAL 0.00% 0.00 TOTAL A M O U N T OF PAID-UP CAPITAL ote: For PDTC Nominee included IN SI RUCTION: SPECIFY THE TOP 2 0 STOCKHOLDERS A N D INDICATE THE REST AS OTHERS voting securities. Attach separate heec, if necessary. In the list, please indicate further the beneficial owners owning more than 5% of any class of the company's GIS.STOCK (v.2016) Page 5
GENERAL INFORMATION SHEET STOCK CORPORATION ===== PLEASE P R I N T LEGIBLY = = = = = = CORPORATE NAME: NO. OFSTOCKHOLDERSWITH 100 ORMORESHARES EACH: TOTAL NUMBER OF STOCKHOLDERS: TOTAL ASSETS BASKD ON LATEST A U D I T E D FS: STOCKHOLDER'S INFORMATION SHARES SUBSCRIBED NAME AND NATIONALITY 15. TYPE NUMBER AMOUNT %OF AMOUNT PAID (PhP) OWNER- (PhP) SHIP TOTAL 16. TOTAL 17. TOTAL 18. TOTAL 19. TOTAL 20. TOTAL 2 1 . OTHERS (Indicate the number o f the remaining stockholders) TOTAL TOTAL AMOUNT OF SUBSCRIBED CAPITAL 0.00% 0.00 TOTAL AMOUNT OF PAID-UP CAPITAL Note; For PDTC Nominee Included INSTRUCTION: SPECIFY THE TOP 20 STOCKHOLDERS A N D INDICATE THE REST AS OTHERS voting securities. Attach separate sheet, If necessary. in the list, please indicate further the beneficial owners owning more than S% of any class of the company's GIS.STOCK (v.2016) Page 6
GENERAL INFORMATION SHEET STOCK CORPORATION ::::::::::::::::::::::::::::::::::::: PLEASE PRINT LEGIBLY CORPORATE NAME: 1. I N V E S T M E N T OF C O R P O R A T E AMOUNT (PhP) DATE OF BOARD RESOLUTION FUNDS IN ANOTHER CORPORATION 1.1 S T O C K S 1.2 B O N D S / C O M M E R C I A L P A P E R (Issued by Private Corporations) 1.3 LOANS/ C R E D I T S / ADVANCES 1.4 GOVERNMENT T R E A S U R Y BILLS 1.5 O T H E R S 2. INVESTMENT OF CORPORATE FUNDS IN ACTIVITIES UNDER ITS DATE OF BOARD DATE OF SECONDARY PURPOSES (PLEASE SPECIFY:) RESOLUTION STOCKHOLDERS RATIFICATION 3. T R E A S U R Y SHARES % AS TO THE TOTAL NO. OF SHARES ISSUED NO. OF SHARES 4. U N R E S T R I C T E D / U N A P P R O P R I A T E D RETAINED EARNINGS AS OF END OF LAST FISCAL YEAR 5. DIVIDENDS D E C L A R E D DURING T H E IMMEDIATELY P R E C E D I N G Y E A R : TYPE OF DIVIDEND AMOUNT (PhP) DATE DECLARED 5.1 CASH 5.2 S T O C K 5.3 PROPERTY TOTAL P 6. A D D I T I O N A L SHARES ISSUED DURING T H E P E R I O D : DATE NO. OF SHARES AMOUNT SECONDARY LICENSE/REGISTRATION WITH SEC AND OTHER GOV'T AGENCY: NAME OF AGENCY: SEC BSP IC TYPE OF LICENSE/REGN. DATE ISSUED: DATE STARTED TOTAL NO. OF OFFICERS T O T A L NO. OF RANK & TOTAL MANPOWER OPERATIONS: FILE EMPLOYEES COMPLEMENT TOTAL ANNUAL COMPENSATION OF DIRECTORS DURING THE PRECEDING FISCAL YEAR (in PhP) I -- ~ N 6 f E : U5K A b D l t i f t h l A L SiHJiET IF NECKSA'RT GIS.STOCK (v.2016) Page 7
1, CORPORATE SECRETARY OF THE ABOVE-MENTIONED DECLARE UNDER T H E PENALTY OF PERJURY, T H A T ALL MATTERS SET FORTH IN THIS GENERAL I N F O R M A T I O N SHEET W H I C H CONSISTS OF ( ) PAGES H A V E BEEN M A D E IN GOOD FAITH, DULY VERIFIED BY ME A N D TO THE BEST OF MY KNOWLEDGE AND BELIEF, ARE TRUE AND CORRECT. I HEREBY CERTIFY T H A T THE PERSONS INDICATED AS MEMBERS OF T H E BOARD OF DIRECTORS AND OFFICERS OF THE CORPORATION HAD CONSENTED IN W R I T I N G TO BE NOMINATED A N D ELECTED. I UNDERSTAND T H A T T H E FAILURE OF THE CORPORATION TO FILE THIS GIS FOR FIVE (5) CONSECUTIVE YEARS SHALL BE CONSTRUED AS NON OPERATION OF T H E CORPORATION A N D A GROUND FOR T H E REVOCATION OF T H E CORPORATION'S CERTIFICATE OF INCORPORATION. IN THIS EVENTUALITY, THE CORPORATION HEREBY WAIVES ITS RIGHT TO A HEARING FOR THE SAID REVOCATION. DONE THIS DAY OF ,20 IN � (SIGNATURE) SUBSCRIBED AND SWORN TO BEFORE ME IN CITY/PROVINCE, PHILIPPINES ON ,AFF1ANT PERSONALLY APPEARED BEFORE ME AND EXHIBITED TO ME HIS/HER COMPETENT EVIDENCE OF IDENTITY ISSUED A T ON NOTARY PUBLIC FOR Notarial Commission No. Commission expires on December 31, Roll of Attorney Number PTR No. IBP No. Office Address: DOC. NO.: PAGE NO.: BOOK NO.: SERIES OF.: GIS.STOCK (v.2016) Page 8
GENERAL INFORMATION SHEET STOCK CORPORATION NOT FOR UPLOADING CORPORATE NAME: LIST OF STOCKHOLDERS .DIRECTORS AND OFFICERS TAX IDENTIFICATION NO. (TIN) INFORMATION NAME AND CURRENT RESIDENTIAL ADDRESS NATIONALITY POSITION TIN 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. INSTRUCTION; FOR POSITION COLUMN. PUT THE FOLLOWING IF APPLICABLE: "C" for Chairman, " M " for Member. "1" for Independent Director; and/or Indicate the Particular Position, If Officer (e.g. President, Treasurer, Corporate Secretary, etc.); and/or "S" for Stockholder. NOTE: USE ADDITIONAL SHEET IF NECESSARY GIS.STOCK fv.2016)
GENERAL INFORMATION SHEET (GIS) FOREIGN CORPORATION FORTHE YEAR GENERAL INSTRUCTIONS: 1. FOR USER CORPORATION; THIS CIS SHOULD BE SUBMITTED W I T H I N THIRTY ( 3 0 ) CALENDAR DAYS FROM THE ANNIVERSARY DATE OF THE ISSUANCE OT T H E SEC LICENSE. DO N O T LEAVE A N Y I T E M B L A N K . W R I T E "N.A." IF T H E INFORMATION REQUIRED IS NOT APPLICABLE OR " N O N E " IF THE I N F O R M A T I O N IS NON-EXISTENT. 2. THIS GIS SHALL B E ACCOMPLISHED IN ENGLISH A N D CERTIFIED A N D SWORN TO BY T H E RESIDENT AGENT O F T H E CORPORATION. 3. SUBMIT POUR ( 4 ) COPIES OF THE GIS TO THE CENTRAL RECEIVING SECTION, GROUND FLOOR, SEC BLDG., EDSA, MANDALUYONG CITY. A L L COPIES SHALL UNIFORMLY BE ON A 4 OR LETTER-SIZED PAPER W I T H A STANDARD COVER PAGE. T H E PAGES OF A L L COPIES SHALL USE ONLY ONE SIDE. CORPORATIONS S U B M I T T I N G A SOFT COPY OF THEIR GIS SHALL SUBMIT FOUR (4) HARD COPIES OF T H E GIS, TOGETHER W I T H A CERTIFICATION UNDER OATH BY ITS RESIDENT AGENT T H A T THE COPY CONTAINS EXACT DATA IN THE HARD COPIES. 4. ONLY T H E GIS ACCOMPLISHED I N ACCORDANCE W I T H THESE INSTRUCTIONS SHALL BE CONSIDERED AS HAVING BEEN FILED. 5. THIS GIS MAY BE USED AS EVIDENCE AGAINST THE M U L T I N A T I O N A L COMPANY A N D ITS RESPONSIBLE OFFICERS FOR ANY VIOLATION OF EXISTING LAWS, RULES AND REGULATIONS r Bianch Office (? Representative Office r STOCK r~ STOCK f? DOMESTIC MARKET ENTERPRISE P NON-STOCK 1~ EXPORT MARKET ENTERPRISE 1 " NON-STOCK PLEASE PRINT LEGIBLY .�..��..���.����..�.���n.U DATE OF ISSUANCE OF SEC LICENSE: NAME OF FOREIGN CORPORATION: BUSINESS/TRADE NAME; FISCAL YEAR END: SEC LICENSE N U M B E R : COUNTRY WHERE 0 RGANIZED: CORPORATE TAX I N D E N T 1 F I C A T I O N NUMBER (TIN): WEBSITE/URL ADDRESS: ASSIGNED CAPITAL: EMAIL ADDRESS: COMPLETE OFFICE ADDRESS IN THE TELEPHONE/FAX NUMBER(S): TELEPHONE/FAX NUMBER(S); PHIL1PINES: COMPLETE NAME OF THE RESIDENT AGENT: BUSINESS AS S T A T E D I N T H E SEC LICENSE: TOTAL SECURITIES DEPOSITED: AMOUNT NET PROFIT (LOSES) BEFORE TAX DURING KIND OF SECURITIES THE PRECEEDING TAXABLE YEAR MUTUAL FUND STOCKS TO BE FILLED UP BY SEC PERSONNEL BONDS INDUSTRY CLASSIFICATION CODE NATIONAL GEOGRAPHILCAL CODE ACCUMULATED INCOME/FUND BALANCE (NGC) BASED ON T H E FINANCIAL STATEMENT OF THE PRECEDING FISCAL YEAR GIS_FOREIGN(v.20!6) Page 1
GENERAL INFORMATION SHEET FOREIGN CORPORATION ============= ==== = = =========================== P L E A S E P R I N T L E G I B L Y =========== <* N o Corporate Name; A. I s the C o r p o r a t i o n a c o v e r e d p e r s o n u n d e r t h e A n t i M o n e y L a u n d e r i n g A c t r Yes (AM LA), as amended? fRep. Acts. 9160/9164/10167/10365) Please check the appropriate box: [_] a. Banks Jewelry dealers in precious metals, w h o , as a business, I I b. Offshore Banking Units trade in precious metals f_] c Quasi-Banks � d. Trust Entities Jewelry dealers in precious stones, w h o , as a business, d ] e. Non-Stock Savings and Loan Associations trade in precious stone I I f. Pawnshops I I g. Foreign Exchage Dealers Company service providers w h i c h , as a business, provide I I h. Money Changers any of the following services to third parties: L~~J i . Remittaace Agents I | j . Electronic Money Issuers a. acting as a formation agent of juridical persons [J k. Financial Institutions which Under Special Laws are subject to "2 b. acting as (or arranging for another person to act as) a Bangko Sentral ng Pilipinas' (BSP) supervision and/or regulation, director or corporate secretary of a company, a partner of including their subsidiaries and affiliates. a partnership, or a similar position in relation to other juridical persons | | a. Insurance Companies I | b. Insurance Agents L_] C. providing a registered office, business address or [J" c. insurance Brokers accommodation, correspondence or administrative | | d. Professional Reinsurers address for a company, a partnership or any other legal I I e. Reinsurance Brokers person or arrangement L~_~) f. Holding Companies [_] g. Holding Company Systems f I h. Pre-need Companies ( | i . Mutual Benefit Association [~J j . A l l Other Persons and entities supervised and/or regulated by the Insurance Commission (IC) � a. Securities Dealers | | d. acting as (or arranging for another person to act as) a � b. Securities Brokers nominee shareholder for another person � c. Securities Salesman � d. Investment Houses 7. Persons who provide any of the following services: � e. Investment Agents and Consultants � f. Trading Advisors 1 a. managing of client money, securities o r o t h e r assets � g. Other entities managing Securities or rendering similar services | | b. management of bank, savings or securities accounts � h. Mutual Funds or Open-end Investment Companies � i . Close-end Investment Companies |~1 c. organization of contributions for the creation, operation � I- Common Trust Funds or Issuers and other similar entities or management of companies � k. Transfer Companies and other similar entities � I- Other entities administering or otherwise dealing in currency, [J" d. creation, operation or management of juridical persons or arrangements, and buying and selling business entities commodities or financial derivatives based there on � m. Entities administering of otherwise dealing in valuable objects 8. CD None of the above � n. Entities administering or otherwise dealing in cash Substitutes and Describe other similar monetary instruments or property supervised and/or nature of regulated by the Securities and Exchange Commission (SEC) business: B. H a s t h e C o r p o r a t i o n c o m p l i e d w i t h t h e r e q u i r e m e n t s o n C u s t o m e r Due D i l i g e n c e (CDD) ur K n o w Your Customer (KYC), record-keeping, a n dsubmission o f reports r Yes No u n d e r the A M L A , as a m e n d e d , since t h e last f i l i n g o f its GIS? GIS.FOREIGN (v.2016)
NAME OF FOREIGN CORPORATION: GENERAL INFORMATION SHEET SEX NATIONALITY OFFICERS IN THE 1 HILIPPINES: FOREIGN CORPORATION NAME 1. POSITION/TITLE 2. 3, 4. 5. I. . Resident Agent o f DECLARE UNDER THE PENALTY OF PERJURY, THAT ALL MATTERS SET FORTH IN THIS GENERAL INFORMATION 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. I 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 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. DONE THIS D A Y OF , 2 0 IN . SIGNATURE SUBSCRIBE AND SWORN TO BEFORE ME IN , PHILIPPINES ON , AFFIANT PERSONALLY APPEARED BEFORE ME AND EXHIBIT TO ME HIS/HER COMPETENT EVIDENCE OF IDENTITY. ISSUED AT ON ., NOTARY PUBLIC FOR Notarial Commision Commision Expires on December 31, Roll of Attorney Number ZZZ PTR No. IBP No, Office Address DOC NO.: _ PAGE N O . : _ BOOKNO.L. SERIES OR: CIS.FOREIGN (v.2016) Page 2
GENERAL INFORMATION SHEET FOREIGN CORPORATION NOT FOR UPLOADING NAME OF FOREIGN CORPORATION: TIN NO.: NAME OF RESIDENT AGENT: TIN NO. COMPLETE ADDRESS: OFFICERS IN THE PHILIPPINES TAX IDENTIFICATION NO. (TIN) INFORMATION NAME POSITION/TITLE CURRENT, COMPLETE RESIDENTIAL ADDRESS 1. 2. 3. 4. 5. NOTE: USE A D D I T I O N A L SHEET IF NECESSARY GIS.FOREIGN (v.2316)
GENERAL INFORMATION SHEET (GIS) R E G I O N A L O P E R A T I N G HEADQUARTERS AND REGIONAL HEADQUARTERS OF MULTINATIONAL COMPANIES FOR T H E YEAR GENERAL INSTRUCTIONS: 1. FOR USER CORPORATION: T H I S GIS SHOULD BE S U B M I T T E D : a.) W I T H I N T H I R T Y ( 3 0 ) DAYS A F T E R T H E ISSUANCE OF THE SEC CERTIFICATE OF REGISTRATION A N D LICENSE A N D b.) W I T H I N T H I R T Y ( 3 0 ) DAYS FROM T H E ANNIVERSARY D A T E OF T H E ISSUANCE OF T H E SEC CERTIFICATE OF R E G I S T R A T I O N A N D LICENSE, D O N O T L E A V E A N Y I T E M B L A N K . W R I T E " N . A , " IF T H E I N F O R M A T I O N REQUIRED IS N O T APPLICABLE OR " N O N E " IF T H E I N F O R M A T I O N IS NON- EXISTENT. 2. THIS GIS SHALL BE ACCOMPLISHED I N ENGLISH AND CERTIFIED A N D SWORN TO BY T H E CORPORATE SECRETARY OF T H E CORPORATION. 3. S U B M I T FOUR (4) COPIES OF T H E GIS T O T H E C E N T R A L RECEIVING SECTION, GROUND FLOOR, SEC B L D G , EDS A, M A N D A L U Y O N G CITY. A L L COPIES SHALL U N I F O R M L Y BE ON A4 OR LETTER-SIZED PAPER W I T H A STANDARD COVER PAGE. T H E PAGES OF A L L COPIES SHALL USE ONLY ONE SIDE. CORPORATIONS S U B M I T T I N G A COPY OF T H E I R GIS ONLINE OR VIA I N T E R N E T SHALL S U B M I T ONE (1) HARD COPY OF T H E GIS, TOGETHER W I T H A CERTIFICATION UNDER O A T H BY ITS CORFCRATE SECRETARY T H A T THE COPY SUBMITTED ONLINE CONTAINS THE EXACT DATA IN T H E HARD COPY, 6. O N L Y T H E GIS A C C O M P L I S H E D IN ACCORDANCE W I T H THESE I N S T R U C T I O N S S H A L L BE CONSIDERED AS H A V I N G BEEN F I L E D . 7. T H I S GIS M A Y BE USED AS EVIDENCE AGAINST T H E M U L T I N A T I O N A L COMPANY A N D ITS RESPONSIBLE OFFICERS FOR ANY V I O L A T I O N OF EXISTING LAWS, RULES A N D REGULATIONS C REGIONAL OPERATING HEADQUARTERS f ; REGIONAL HEADQUARTERS p L E A S E PRINT LEGIBLY NAME OF MULTINATIONAL COMPANY: BUSINESS/TRADE NAME: SEC LICENSE NUMBER: D A T E OF ISSUANCE OF SEC LICENSE: COUNTRY WHERE ORGANIZED: CORPORATE TAX INDENTIFICATION NUMBER (TIN): WEBSITE/URL ADDRESS: FISCAL YEAR END: EMAIL ADDRESS: COMPLETE OFFICE ADDRESS IN TELEPHONE/FAX NUMBER(S): THE PHILIPINES: BUSINESS AS S T A T E D I N T H E SEC LICENSE: COMPLETE NAME OF THE RESPONSIBLE AMOUNT TELEPHONE/FAX NUMBER(S): OFFICER TO W H O M SUMMONS MAY BE DATE SERVED: I N W A R D REMITANCE AS OF T H E END OF THE FISCAL YEAR: ASSIGNED CAPITAL (For ROHZ): ACCUMULATED INCOME/FUND BALANCE BASED ON T H E GIS_FOREIGN(v.2016) FINANCIAL S T A T E M E N T OF T H E PRECEDING FISCAL YEAR NOTE: USE ADDITIONAL SHEET IF NECESSARY Page 1
GENERAL INFORMATION SHEET REGIONAL OPERATING HEADQUARTERS AND REGIONAL HEADQUARTERS OF MULTINATIONAL COMPANIES Corporate Name: A. I s t h e C o r p o r a t i o n a c o v e r e d p e r s o n u n d e r t h e A n t i M o n e y L a u n d e r i n g A c t r Yes No (AMLA), as amended? (Rep. Acts. 9160/9164/10167/10365) Please check the appropriate box: 1 | a, Banks I -- | Jewelry dealers in precious metals, w h o , as a business, trade I I b. Offshore Banking Units in precious metals CH c. Quasi-Banks � d. Trust Entities S. � Jewelry dealers in precious stones, w h o , as a business, trade I I e. Non-Stock Savings and Loan Associations in precious stone I I f. Pawnshops I 1 g. Foreign Exchage Dealers 6. Company service providers which, as a business, provide I I h. Money Changers LZ1 i . Remittance Agents any of the following services to third parties: O j . Electronic Money Issuers D k. Financial Institutions winch Under Special Laws are subject to Bangko Sentral ng Pilipinas' [BSP) supervision and/or regulation, including their subsidiaries and affiliates. | I a. Insurance Companies f n a. acting as a formation agent of juridical persons IZ1 b. Insurance Agents f_~J b. acting as (or arranging for another person to act as) a 0 c. Insurance Brokers [I] d Professional Reinsurers director or corporate secretary of a company, a partner of a | I e. Reinsurance Brokers partnership, or a similar position in relation to other 1 I f. Holding Companies juridical persons I I g. Holding Company Systems � h. Pre-need Companies I I c. providing a registered office, business address or I I i. Mutual Benefit Association accommodation, correspondence or administrative address � j . All Other Persons and entities supervised and/or regulated by the for a company, a partnership or any other legal person or arrangement Insurance Commission ClcT TTI Securities Dealers CD d. acting as (or arranging f o r another person to act as) a Securities Brokers nominee shareholder for another person � b. Securities Salesman n c. Investment Houses 7. Persons who provide any of the following services: � d. Investment Agents and Consultants � e. Trading Advisors [ j a. managing of client money, securities or other assets � f. ~2 b. management o f bank, savings o r securities accounts � g. Other entities managing Securities or rendering similar services- � h. Mutual Funds or Open-end Investment Companies I I c. organization of"contributions for the creation, operation or management of companies � i . Close-end Investment Companies � i. Common T r u s t Funds or Issuers and other similar entities � k. Transfer Companies and other similar entities I I d. creation, operation or management of juridical persons or arrangements, and buying and selling business entities � 1. Other entities administering o r otherwise dealing in currency, 8. | | None of the above commodities or financial derivatives based there on � m. Entities administering of otherwise dealing in valuable objects Describe nature of � n. Entities administering or otherwise dealing in cash Substitutes and business: other similar monetary instruments or property supervised and/or regulated by the Securities and Exchange Commission (SEC) B. Has the Corporation complied with the requirements on Customer Due Diligence (CDD) or Know Your Customer (KYC), record-keeping, and submission of reports r Yes No u n d e r the AMLA, as amended, since the last filing of its GIS? IS.FOREICN (v.2016) 1-A
GENERAL INFORMATIONSHEET REGIONAL OPERATING HEADQUARTERS A N D REGIONAL HEADQUARTERS OF M U L T I N A T I O N A L COMPANIES u u a � n � > � n � a u u � � a u u a � PLEASE PRINT LEGIBLY ================================ N A M E OF M U L T I N A T I O N A L COMPANY: NO. OFFICERS AND PERSONEL: OFFICERS AND PERSONNEL OFTI1E REGIONAL OPERATING HEADQUARTES/REGIONAL HEADQUARTERS: TOTAL ASSETS BASE!) ON LATEST AUDITED FINANCIAL STATEMENTS: POSITION/TITLE SEX NATIONALITY SALARY NAME 1. 2. 3. 4. 5. I, , Resident Agent of DECLARE UNDER THE PENALTY OF PERJURY, T H A T A L L MATTERS SET FORTH IN THIS GENERAL INFORMATION SHEET WHICH CONSISTS OF T W O ( 2 ) PAGES HAVE BEEN MADE IN GOOD FAITH, DULY VERIFIED BY ME A N D , ARE TRUE AND CORRECT BASED ON MY PERSONAL KNOWLEDGE AND ON AUTHENTIC RECORDS AT HAND. I U N D E R S T A N D T H A T T H E FAILURE OF T H E CORPORATION TO FILE THIS GIS FOR FIVE (5) CONSECUTIVE YEARS SHALL BE CONSTRUED AS N O N - O P E R A T I O N OF T H E REGIONAL OPERATING HEADQUARTERS/REGIONAL HEADQUARTERS AND A GROUND FOR T H E REVOCATION OF THE REGIONAL OPERATING H E A D Q U A R T E R S / R E G I O N A L H E A D Q U A R T E R S ' SEC LICENSE TO DO BUSINESS IN T H E P H I L I P P I N E S . I N THIS E V E N T U A L I T Y , T H E CORPORATION HEREBY W A I V E S ITS RIGHT TO A HEARING FOR THE SAID REVOCATION. DONE THIS DAY OF , 20 IN . SIGNATURE SUBSCRIBE AND SWORN TO BEFORE ME IN , PHILIPPINES ON AFFIANT PERSONALLY APPEARED BEFORE ME AND EXHIBIT TO ME HIS/HER COMPETENT EVIDENCE OF IDENTITY. ISSUED AT 0N NOTARY PUBLIC FOR Notarial Commision Commision Expires on December 31, Roll of Attorney Number PTR No. IBP No. Office Address DOCNO.:_ PACENO.;_ BOOK NO :_ SERIES OF.:. GIS.FOREIGN(v.2015) Page 2
1 GENERAL INFORMATION SHEET REGIONAL OPERATING HEADQUARTERS AND REGIONAL HEADQUARTERS OF MULTINATIONAL COMPANIES NOT FOR UPLOADING NAME OF MULTINATIONAL COMPANY: TIN NO.: NAME OF RESIDENT/LOCAL AGENT: TIN NO. COMPLETE ADDRESS: OFFICERS AND PERSONNEL OF THE REGIONAL OPERATING HEADQUATERS/REG10NAL HEADQUARTERRS: NO. OFFICERS AND PERSONEL: TOTAL ASSETS B A S E D ON LATEST AUDITED FINANCIAL STATEMENTS: TAX IDENTIFICATION NO. (TIN) INFORMATION NAME POSITION/TITLE CURRENT, COMPLETE RESIDENTIAL ADDRESS 1. 2. 3. 4. 5. NOTE: USE A D D I T I O N A L SHEET IF NECESSARY GIS_FOREIGN (v.2016) Page 3
GENERAL INFORMATION SHEET (GIS) NON-STOCK CORPORATION FOR THE YEAR GENERAL INSTRUCTIONS: 1 . FOR USER CORPORATION: THIS GIS SHALL BE SUBMITTED W I T H I N THIRTY ( 3 0 ) CALENDAR DAYS FROM T H E DATE OF T H E A N N U A L MEMBERS' MEETING AS STATED IN T H E BY-LAWS. D O N O T LEAVE A N Y I T E M B L A N K . W R I T E " N . A . " IF T H E INFORMATION REQUIRED IS N O T APPLICABLE TO THE CORPORATION OR " N O N E " IF T H E INFORMATION IS NON-EXISTENT.IF T H E A N N U A L MEMBERS' MEETING IS HELD ON A DATE OTHER T H A T T H A T STATED I N T H E BY-LAWS, THE GIS SHALL BE SUBMITTED W I T H I N THIRTY ( 3 0 ) CALENDAR DAYS FROM THE ACTUAL DATE OF T H E A N N U A L MEMBERS' MEETING. 2. IF NO MEETING IS HELD, THE CORPORATION SHALL S U B M I T THE GIS NOT LATER T H A N JANUARY 3 0 OF THE FOLLOWING YEAR. HOWEVER, SHOULD A N A N N U A L MEMBERS' MEETING BE HELD THEREAFTER, A N E W GIS SHALL BE SUBMITTED/FILED. 3. THIS GIS SHALL BE ACCOMPLISHED IN ENGLISH A N D CERTIFIED A N D SWORN TO BY THE CORPORATE SECRETARY OF T H E CORPORATION. 4. A L L CHANGES ARISING BETWEEN A N N U A L MEETINGS A N D AFFECTING T H E I N F O R M A T I O N STATED IN THE GIS, SUCH AS T H E D E A T H , RESIGNATION OR CESSATION OF HOLDING OF OFFICE OF A DIRECTOR, TRUSTEE, OR OFFICER, SHALL BE REFLECTED IN AN AMENDED CIS LABELED AS SUCH A N D T H E CHANGES CLEARLY HIGHLIGHTED, T H E A M E N D E D GIS SHALL BE S U B M I T T E D W I T H I N THIRTY [ 3 0 ] DAYS AFTER SUCH CHANGES OCCURRED OR BECAME EFFECTIVE. 5. S U B M I T FOUR ( 4 ) COPIES OF T H E GIS TO T H E CENTRAL RECEIVING SECTION, GROUND FLOOR, SEC BLDG., EDSA, M A N D A L U Y O N G CITY. A L L COPIES S H A L L BE ON A 4 OR LETTER-SIZE PAPER W I T H THE STANDARD COVER SHEET. THE PAGES OF A L L COPIES SHALL USE ONLY ONE SIDE, CORPORATIONS S U B M I T T I N G A SOFT COPY OF THEIR GIS SHALL SUBMIT THREE ( 3 ) HARD COPIES OF THE GIS, TOGETHER W I T H A CERTIFICATION UNDER OATH BY ITS PRESIDENT, CHIEF EXECUTIVE OFFICER, OR CORPORATE SECRETARY T H A T THE SOFT COPY CONTAINS THE EXACT DATA IN THE HARD COPIES. 6. O N L Y T H E GIS A C C O M P L I S H E D IN ACCORDANCE W I T H THESE I N S T R U C T I O N S S H A L L BE CONSIDERED AS C O M P L I A N T W I T H EXISTING RULES A N D REGULATIONS. 7. THIS GIS MAY BE USED AS EVIDENCE AGAINST THE CORPORATION A N D ITS RESPONSIBLE DIRECTORS/TRUSTEES/OFFICERS FOR ANY VIOLATION OF EXISTING LAWS, RULES AND REGULATIONS CORPORATE NAME: DATE REGISTERED: BUSINESS/ FISCAL YEAR END; TRADE NAME CORPORATE TAX IDENTIFICATION SEC R E G I S T R A T I O N NUMBER (TIN}: NUMBER; DATE OF ANNUAL WEBSITE/URL ADDRESS: MEETING PER BY-LAWS: EMAIL ADDRESS: TELEPHONE NUMBER(S): DATE OFACTUAL FAX NUMBER(S): MEETING: COMPLETE PRINCIPAL OFFICE ADDRESS: COMPLETE BUSINESS i ADDRESS: PRIMARY PURPOSE ENGAGED IN: NAME OF EXTERNAL SEC A C C R E D I T A T I O N TELEPHONE AUDITOR & SIGNING NUMBER: NUMBER(S): PARTNER: IF ENGAGED IN MICROFINANCE BUSINESS, CHECK SERVICES TO BE FILLED UP BY SI:C PERSONNEL: Deposits Insurance Products INDUSTRY NATIONAL GEOGRAPHICAL Loans Payment Services CLASSIFICATION CODE: CODE(NGC): Money Transfer Others GIS- NON-STOCK(v.2016) Paget
GENERAL INFORMATION SHEET NON-STOCK CORPORATION ================================ P L E A S E P R I N T L E G I B L Y ==== ======= ===================== Corporate Name: A. i s t h e C o r p o r a t i o n a c o v e r e d p e r s o n u n d e r t h e A n t i M o n e y L a u n d e r i n g A c t r Yes No (AMLA), as amended? fRep. Acts. 9160/9164/10167/10365) Please check the appropriate box: ����� Banks 4,D Jewelry dealers i n precious metals, w h o , as a business, Offshore Banking Units trade in precious metals Quasi-Banks Trust Entities Non-Stock Savings and Loan Associations � f. Pawnshops � g. Foreign Exchage Dealers Jewelry dealers i n precious stones, w h o , as a business, � h. Money Changers trade in precious stone � i. Remittance Agents � j . Electronic Money Issuers Company service p r o v i d e r s w h i c h , as a business, � k. Financial Institutions which Under Special Laws are subject to Bangko Sentral ngPilipinas' (BSP) supervision and/or regulation, including their subsidiaries and affiliates. 6. provide any of the following services to third parties: |~~] a. Insurance Companies a, acting as a f o r m a t i o n agent of j u r i d i c a l persons Q b. Insurance Agents � b. acting as (or a r r a n g i n g f o r another person to act as) a | I c. Insurance B r o k e r s I I d. Professional Reinsurers director orcorporate secretary of a company, a partner I I e. Reinsurance Brokers of a partnership, or a similar position in relation to I I f. Holding Companies other juridical persons | | g. Holding Company Systems I | h. Pre-need Companies | | c. p r o v i d i n g a registered office, business address or I | i . Mutual Benefit Association accommodation, correspondence or administrative I | j . All Other Persons and entities supervised and/or regulated by the address for a company, a partnership or any other legal person or arrangement Insurance Commission (IC) |~~| d . acting as ( o r a r r a n g i n g f o r another person to act as) a a. Securities Dealers nominee shareholder for another person � b. Securities Brokers 7. Persons who provide any of the following services: ��� c. Securities Salesman I I a. managing of client money, securities o r other assets d. Investment Houses f~J b. management of bank, savings or securities accounts � e. I n v e s t m e n t Agents and Consultants � f. T r a d i n g Advisors � g. Other entities managing Securities or rendering similar services I I h. Mutual Funds or Open-end Investment Companies | | c. organization of c o n t r i b u t i o n s for t h e creation, operation I I i . Close-end Investment Companies or management of companies LJ j . C o m m o n T r u s t Funds or Issuers and other s i m i l a r entities Q k. Transfer Companies and other similar entities Q d. creation, operation or management of juridical persons O I. Other entities administering or otherwise dealing in currency, or arrangements, and buying and selling business entities commodities or financial derivatives based there on d m. Entities administering of otherwise dealing in valuable objects 8 . L J None of the above � n . Entities administering or otherwise dealing in cash Substitutes and Describe other similar monetary instruments orproperty supervised and/or nature of regulated by the Securities and Exchange Commission (SEC) business: B. Has the Corporation complied with the requirements on Customer Due Diligence (CDD) or Know Your Customer (KYC), record-keeping, and submission of reports under the Yes f No M i | A M L A ( as amended, since t h H a ^ f i H ^ u ^ g f ^ ^ ^ S ? t m M i i -- -- �� GIS-NON-STOCKfv.2013) 1-A
r GENERAL INFORMATION SHEET rflRPDRATR NAME: NON-STOCK CORPORATION NAME DIRECTORS / OFFICERS 1. 2. NATIONALITY INCORPORATOR BOARD SEX OFFICER 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13 14. 15. INSTRUCTIONS: FORSEX COLUMN, PUT " P FOR FEMALE,HM" FOR MALE. FOR I N C O R P O R A T O R C O L U M N , P U T ' Y " I F AN I N C O R P O R A T O R , "N" IF NOT. FOR BOARD COLUMN. P U T T " FOR CHAIRMAN, "M" FOR MEMBER. FOR OFFICER COLUMN, INDICATE PARTICULAR POSITION IF AN OFFICER. SUCH AS: PRE-PRESIDENT CEO - C H E F E X E C OFFICER CFO - T R E A S U R E R N - NONE COO - CHIEF OPERATING OFFICER COS - CORPORATE SECRETARY LEG - LECiALCOUNSEL AUO - EXTERNAL Al PITQR GOV � GOVERNMENT REPRESENTATIVE OTR - OTHERS GIS- NON-STOCK (v.2016) Page 2
> CORPORATE NAME: GENERAL INFORMATION SHEET ADDRESS 1. INTERCOMPANY AFFILIATIONS ADDRESS NON-STOCK CORPORATION PARENT COMPANY SEC REG. N O . AFFILIATE SEC REG. N O . 2, INVESTMENT OF CORPORATE N O T E : USE A D D I T I O N A L SHEET IF NECESSARY DATE OF BOARD RESOLUTION FUNDS IN ANOTHER CORPORATION A M O U N T (in P h P ) 2.1 STOCKS DATE OF MEMBERS' RATIFICATION 2.2 BONDS/COMMERCIAL PAPER (issued b y private c o r p o r a t i o n s ) 2.3 LOANS/CREDITS/ADVANCES 2.4 GOVERNMENT TREASURY BILLS 2.5 OTHERS 3. INVESTM1 i\T OF CORPORATE FUNDS IN ACTIVITIES UNDER ITS DATE OF BOARD RESOLUTION SECONDARY PURPOSES (PLEASE SPECIFY:) 3.1 3.2 3.3 3.4 3.5 4 . F U N D B A L A N C E (in PhP) : S. S E C O N D A R Y L I C E N S E / R E G I S T R A T I O N / A U T H O R I T Y / A C C R E D I T A T I O N O T H E R G O V E R N M E N T AGENCY: 5.1 NAME OF AGENCY: COMMISSION ON DEPARTMENT OF SOCIAL HIGHER WELFARE AND BANGKO SENTRAL INSURANCE DEPARTMENT OF TECHNICAL EDUCATION AND DEVELOPMENT NCPIL1PINAS COMMISSION EDUCATION EDUCATION SKILLS DEVELOPMENT AUTHORITY 5.2 DATE ISSUED: 7. T O T A L NO. OF OFFICERS 8. T O T A L NO. OF 9. T O T A L MANPOWER RANK & FILE COMPLEMENT 5.3 DATE STARTED EMPLOYEES OPERATIONS: 6.TOTAL ANNUAL COMPENSATION OF DIRECTORS/TRUSTEES DURING THE PRECEDING FISCAL YEAR ..(in PhP) NOTE: USE A D D I T I O N A L SHEET I F NECESSARY GIS- NON-STOCK (v.2016) Page 3
GENERAL INFORMATION SHEET NON-STOCK CORPORATION CORPORATE SECRETARY OF /; j (. . �>�� , . j (Corporation) DECLARE UNDER THE PENALTY OF PERJURY, T H A T A L L MATTERS SET FORTH I N THIS GENERAL INFORMATION SHEET WHICH CONSISTS OF ________ C _ 3 PAGES HAVE BEEN MADE IN G 0 0 D ' F A I T H DULY VERIF1ED BY M E AND TO T H E BEST OF MY KNOWLEDGE AND BELIEF, ARE TRUE A N D CORRECT. I HEREBY CERTIFY T H A T THE PERSONS LISTED AS MEMBERS OF THE BOARD OF TRUSTEES AND OFFICERS OF THE CORPORATION H A D CONSENTED IN WRITING TO BE NOMINATED AND ELECTED. 1 UNDERSTAND T H A T THE FAILURE OF T H E CORPORATION TO FILE THIS GIS FOR FIVE (5) CONSECUTIVE YEARS SHALL BE CONSTRUED AS NON-OPERATION OF THE CORPORATION A N D 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 THE SAID REVOCATION. DONE THIS DAY OF , 20 IN (SIGNATURE) SUBSCRIBED AND SWORN TO BEFORE ME IN PHILIPPINES ON AFFIANT PERSONALLY APPEARED BEFORE ME AND EXHIBITED TO ME HIS/HER COMPETENT EVIDENCE OF IDENTITY ISSUED A T ON ~~ DOC. NO: NOTARY PUBLIC FOR PAGE NO. Notarial Commission No. BOOK NO. Commission expires on December 31, SERIES OF Roll of Attorney Number PTRNo. IBP No. Office Address: CIS- NON-STOCK ( v . 2 0 1 6 ) Page 4
GENERAL INFORMATION SHEET NON-STOCK CORPORATION NOT FOR UPLOADING ============================== PLEASE PRINT LEGIBLY ================================ CORPORATE N A M E : LIST OF T R U S T E E S AND OFFICERS TAX IDENTIFICATION NO. (TIN) INFORMATION NAME A N D CURRENT RESIDENTIAL NATIONALITY POSITION BOARD TIN ADDRESS 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 INSTRUCTION: FOR POSITION COLUMN, PUT THE FOLLOWING IF APPLICABLE: "C" for Chairman, " M " for Member; and/or Indicate the Particular Position, if Officer (e.g. President, Treasurer, Corporate Secretery, etc.) FOR BOARD COLUMN, PUT "Y" IF MEMBER A N D " N " IF NOT NOTE: USE ADDITIONAL SHEET I F NECESSARY GIS-NON-STOCK(v.2016)
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