GENERAL TNFORMATTON SHEET
(cts)
FORTHEYEAR 2014
srocKcoRF6nRloru
GENERAL INSTRUCTIONS:
1. FoR
USER
coRPoMTloN: THls Gls SHoULD BE SUBMITTED wtTHlN THtRTy (30) CALENDA|R I
ffi
STOCKHOLDERS' MEETING. DO NOT LEAVE ANY ITEM BLANK. WRITE "N.A.' IF THE TNFORMATION
CORPORATION OR 'NONE' IF THE INFORMATION IS NON-EXISTENT. IF THE ANNUAL STOCKHOLDE
MEETIIUS IS HELD ON A
THAN THAT STATED lN THE BY-LAWS, THE GtS SHALL BE suBMlfiED WITH|N THTRTY (30) CALEN
DAYS
THE AN NUAL STOCKHOLDERS' MEETING.
IF NO MEETING IS HELD, THE CORPOMTION SHALL SUBMTT THE GIs NoT IiTER THAN JANUARY 30 oF THe
HOWEVER. SHOULD AN ANNUAL STOCKHOLDERS'MEETING BE HELD THEREAFTER, A NEW GIS ,SHALL BE SUBMITTED/FILED. U
THIS GIS SHALL BE ACCOMPLISHED tN ENGLISH AND CERTIFIED AND SWORN TO BY THE CORPCIRATE SECRETARY OF THE CORPORATION.
I
TdI-I-oTiffiTffi
'
THE SEC SHOULD BE TIMELY APPRISED OF RELEVANT CHANGES IN THE SUBMITTED INFORMATION AS THEY ARISE. FOR CHANGES
RESULTING FROM ACTIONS THAT AROSE BETWEEN THE ANNUAL MEETINGS, THE CORPORi.TION SHALL SUBMIT ONLY THE AFFECTEE
PAGE oF THE GIS THAT RELATES TO THE NEW INFoRI,|AT|ON TOGETHER WITH A cOVER LETTER SIGNED By THE CoRpoRATE
SEoRETARY oF THE CORPORATIoN. THE PAGE oF THE GtS AND coVER LETTER SHALL BE SUBMTTTED WITHIN SEVEN
C4 ORys nrren
SUCH CHANGE OCCURRED OR BECAME EFFECTIVE.
SUBMIT FOUR
({) COPIES OF THE GIS TO THE CENTRAL RECEIVING SECTION. GROUND FLOOR, SEC BLDG., EDSA,
IT4ANDALUYONG CITY.
l!L_c_9rl!s_ gHtLt_uNlFoRMtY BE oN A4 oR IETTER€IZED PAPER WrrH A STANDARD coVER PAGE. THE pAGEs oF AIL coptEs SHALL
usE oNLY ONE FIDE. CoRPoRATIONS SUBMITTING A coPY oF THEIR Gts oNLtNE OR VtA INTERNET SHALL SUBMIT ONE (1)
HARD copy oF
THE GIS' TOGETHER WITH A CERTIFICATION UNDER OATH BY ITs coRPoMTE SECRETARY THAT THE copv stJTJuTTED
oNLINE
CONTAINS THE EXACT DATA IN THE HARD COPY.
oNLY THE GIS
4CCOMPUSHED tN ACCORDANCE tiflTH THESE TNSTRUCTTONS SHALL BE CONSTDERED As HAVTNG BEEN F|LED.
7. THIS GIS MAY BF USED AS EVIDENCE AGAINST THE CORPORATION AND ITS RESPONSIBLE DIRECTORS/OFFICERS
FOR ANY VIOIATION OF
EXISTING LAWSI RULES AND REGULATIONS
CORPORATE I{AME:
DATE REGISTERED:
FORTUNE UFE INSURANCE CO., INC.
una1984
FISOAL YEAR END:
FORTUNE LIFE INSURANCE CO., tNC.
SEC REGISTRATION NUMBER:
t652tA
December
)ATE OF ANNUAL MEETING PER BY.I.AWS:
Last Thursday In Aprll of each year
@-4.t€52{00
ACTUAL DATE OF ANNUAL MEETTNO:
|T'EBSFETRLADDRESS:
2&Apr-14
gVIITE
I E TI.(JN!'ITAL
vwt riv.fortunellfe,
L'FFIIjE AUUIIESS:
COMPLETEBUSINESSADDRESS:
ET.T,NAL
ufe Building,
BEFI:
162 Legazpl
I IVI I Y'INDUSTRY
Llfe
8923297
Stree! Legazpr Milage, {229 Makati city
AUUIIOTT & ITS SIG'NINGI PARTNER:
T!,KT(,SE'A[;
[email protected]
.
sEc Ac€REDrrATtolt
appllcablel:
Punongbayan & Araullo - Romualdo V. Murcla llt
TFUUIA'1I
com
5.MAILADDRESS:
Fortune Lrfe Building, 162 Legazpi street, Legazpl Vittage, 1229 Makati Gity
Fortune
3l
JUK!,IJNA I E TAtr IDENTIFICATION
IUMBER (nN)
NuMaen]n-
/NE NVtrtpEtrl!r:
Parhen #06ZorAR-2 (uilll sept 6, 2016),
Ftrm: S002fR3 (unfl Jan. tS, 2OlE)
PRESENTLY EN
892-9E41 to 49
eEve|wnl9A|-
lnsurance
|
,nsurance
tiuuE:
1229
INTERCOMPANY AFFILIATIONS
KENI qOMPAN
SEC REGISTMTION NO.
N.A"
N.A"
N.A
r
N.A.
I\(J
I
b: UiJE AUUI I IONAL SHEET
ADDRES.S
N.A.
N.A.
IF NECESSAR
clS_STocK(v.2013)
Page
1
GENERAL INFORMATION SHEET
STOCK CORPORATION
PLEASE PRINT LEGIBLY
FORTUNE L]FE ]NSURANCE CI)., INC.
Sorporate Name:
A. ls the Corporation a covered person under the Anti Money Laundering
Act (AMLA), as amended? (Rep. Acts. 91 60/9 164110167 | 10365)
rlease check the appropriate box:
(t yes
lT No
1.
LJ a. BanlG
fl
!
!
n
!
I
fl
I
!
!
U. Ofsnore Banking Units
c. Quasi-Banks
t l-1
'' r-r
Jewelry dealers in precious metals, who, as a
business, trade in precious metals
e
l--l
v'.-
Je'lrelry dealers in precious stones, who, as a
business, trade in precious stone
O. Trust Entities
e. Non-Stock Savings and Loan Associations
f. Pawnshops
g. Foreign Exchage Dealers
n. Uoney Changers
i. RemittanceAgents
1.
k.
etearonic Money lssuers
pinancifl Institutions wtrich Under Special Laws are subject to
Bangko $entral ng Pilipinas' (BSP) supeMsion and/or regulation,
includinq their subsidiaries and afftliates.
o
Company service providers which, as a business,
provide any of the following services to third parties:
2.
lll
f]
I
!
I
!
n
!
n
f]
a. Insuran@ uompantes
b. Insurance Agents
LJ a. acting as
c. lnsurance Brokers
d. erofessional Reinsurers
e. Reinsurance Brokers
a formation agent of juridical persons
I
O.
n
c. providing a registered office, business address or
aaing as (or ananging for another percon to act as)
a director or @rporate secretiary of a company, a
parhef of a partnership, or a similar position in
relatioh to other juridical persons
f. Hotoing Companies
g. Holding Company Systems
h. Pre.need Companies
i. MutualBenefitAssociation
accomrmodaflon, correspondence or administrative
address for a company, a partnership or any other
legal prerson or anangement
j. All Other Persons and entities supeMsed and/or regulated by
the Insurqnce Commission (lC)
3.
IJ
tr
!
!
a. Securities Dealers
b. Securities Brokers
c. Securities Salesman
n d. Investment Houses
u e. lnvestme4t Agents and Consultants
n f. Trading Advisors
n g. Other entities managing Securities or rendering similar seMces
n h. Mufual Funds or Open-end Invesfnent Companies
u i. Close-end lnvestment Companies
n j. Common Trust Funds or lssuers and other similar entities
n k. Transfer 0ompanies and other similar entities
n l. Other entifies administering or othenrise dealing in cunenry,
n
fl
O.
T.
Persons who provide any of the following services:
Ll
a. managng of client money, securities or other assets
!
b. managBment of bank, savings or securities
D
c. organization of contributions forthe creation,
operation or management of companies
f]
d. creatiol'r, operation or management of juridicat
accounts
persons or amangements, and buying and selling
busineqs
entiges
commodi{es or financial derivatives based there on
m. Entities administering of othenrise deating in valuable objects
n. Entities administering or othenrise dealing in cash Substitutes
L'escnDe
and other similar monetary instruments or property supervised
and/or regulated by the Securities and Exchange Commission
nafure of
business:
(sEc)
aaing as (or ananging for another person to act as)
a nominee shareholder for another person
8.
ll
None cf the above
B. Has the dorporation complG
(CDD) or Know Your Customer (KYC), record-keeplng, and submisslon of reportf
the AU!A, as amended, slnce the last filinq of lts GIS?
_qnder
GIS_STocK(v.2013)
1-A
tS
Yes fi
No
I
GENERAL INFORMATION SHEET
STOCK CORPORATION
PLEASE PRINT LEGIBLY
CORPOMTE NAME:
FORTUNE LIFE INSURANCE CO., INC.
CAPITAL STRUCTURE
AUTHORIZED CAPITAL STOGK
TYPE OF SHARES T
Common Stock
NUMBER OF
5,000,000
TOTAL
AMOUNT(PhP)
(No. of shares X Par/Stated Value)
PAR'STATED VALUE
SHARES
100
500,000,000.00
TOTAL
5.000.000
F
500,000,000.00
5UT'UGItIT'ED CAPITAL
FILIPINO
NO. OF
sTocK-
TYPE OF SHARES'
HOLDERS
NUMBEROF
SHARES
NUMtsEK 9F
SHARES IN
THE HANDS
OFTHE
PAR'STATED
VALUE
AMOUNT (PhP)
%oF
OUUI{ERSHIP
PUBUCb
83 Common Stock
TOTAL
FOREIGN
Itlo.
oF
ONDICATE BY
srocK-
NANONALITY]
HOLDERS
100.0(
_9,5!Q,_0gq
TVPE OF SHARES T
TOTAL
3.500.000 rOTAL
NUMBER OF
SHARES
NUMBER OF
SHARES IN
THE HANDS
OF THE
F
PAR'STATED
VALUE
350.000.000.0(
100-00
350,000,000.0(
100.0(
AMOUNT (PhP)
%oF
OWNERSHIP
PUBLICff
NA
ercenrage or Foretgn
tsqu[y:
TOTAL
rOTAL
TOTAL
P
I
TOTALSUBSCRIBED
FILIPINO
NO. OF
sTocK-
TYPE OF SHARES
HOLDERS
83 Common
'
Stck
NUMBER OF
SHARES
PAR'STATEDVALUE
3,133,354
350,000,000.00
AMOUNT(PhP)
YoOF
OWNERSHIP
100.0(
313.335.400.00
TOTAL
FORE IG
N
3,133,3&
TOTAL
F
313,33s.'rc0.0t
100.00
NO"OF
(rNDrcATE BY
sTocK-
NATONALITN
HOLDERS
TYPE OF SHARES T
NUMBEROF
SHARES
PAR'STATED VALUE
AMOUNT (PhP)
olo
OF
OUVITIERSHIP
N.A"
TOTAL
TOTAL
TOTAL
PAID.UP
P
P
313.335.400.00
100.00
Lrrreqors, (,mcers, Snareholders oj/ning 10% of outstanding shares.
clS_sTocK (v.2013)
Page 2
GENERAL INFORMATION SHEET
STOCK CORPORATION
PLEASE PRINT LEGIBLY
FORTUNE LIFE INSURANCE CO,, INC.
GORPORATENAME:
DIREC
NAME, NATIONALIYAND
CURRENT RESTDENTTAL ADDRESS
INC'R
roRs / oFFtcERs
BOARD
sEx
TAX IDENTIFICATION NO.
STOCK
EXEC.
OFFICEF
FoR FtLtPtNOSAND
HOLDER
COMM. orN)
FOREIGNERS
1. Antonio L. Cabangon Chua, Filipino
980 Stanford cor. Harvard, Wack-Wack 2
N
M
M
Y
N"A
N/C
100-1 16-791
N
c
M
Y
N.r\
N.A.
fi2{,26-100
N
M
M
Y
Treas[rer
c/M
112-826.118
N
M
M
Y
Preslclent
c/c&
Nil
13G88&315
M
Y
Nlr
N/M
126-91+780
NA.
112€,2e-175
Mllage, Mandaluyong City
2. D. Alfred A. Cabangon, Filipino
Unit 3&A, 8 Wack-Wack Road Condominium
Wack-Wack Road, Mandaluyong Crty
3. J. Antonio A. Gabangon, Jr., Filipino
68 Zodiac Street, Bel-air lV Mltage, Makati City
u. Amotct A. gabangon, Filipino
?2Taurus comer Libra Streets, Bel-AirMllage,
Makati City
5. Roberto B. Abat, Filipino
No.26 Bulletin Street WestTriangle, euezon
City
N
o. Evelyn T- Carada, Filipino
35 Lanuza Bay Drive, South Bay Gardens,
Paranaque City
7. Juan P. Dayang, Filipino
411 Gagarin Stne! Moonwalk Mllage,
Parafiague City
N
M
F
Y
EVP &
General
Manager
N
I
M
Y
N,!r
/Ar/I|
12
18&249
enrite,FNpino-
8. Benjamin c.
244 Aldin St, Moonwalk, paranaque City
N
M
Y
N.A,
NA
113-38&928
9. Loretta C. Galadg, Flliplno
2 San Bartolome, Capitol 8, pasig City
N
F
Y
NA
NA
135-793-003
10. Thomas e.
UantongatTilipino-
28 Mangyan St, La Msta Subd., euezon City
N
I
M
Y
NA
NC
147-255-475
89 k.10 Street, Qamlas Road, euezon City
12. Rowena May R. Suttano,
N
I
M
Y
NA
c/il|
11ffi90€35
20lfugao St, La Msta Subd., euezon Cig
N
F
Y
NA
A/M
10$.943S95
M
Y
NA
NA
061-963{00
r1. Kamon L. sin, Fllipino
ntipino-
Filipino-
13. Gerardo M. Teruel,
5545 Boyle St, Palanan, Makati City
N
I
14. Vacant
15. Vacant
rNDrt(uuiluN:
FOR SD( COLUMN, 4uT -F. FOR FEMALE 1r FoR MALE.
FoR BOARD coLiJMN' PUT'C' FoR ct{AlRIrnAN, 1tvt" FoR MEMBER. .r
FoR TNDEpENDENT DIREcToR
FOR INCR COLUMN, PUTh/" IFAN INCORPORATOR.
"M IF NOT.
FOR STOCKHOI.DER COLUMN, PUTY IFASTOCKHOLDER.'!f
IF NOT.
FoR oFFlcER coLUMN, INDICATE PARTICUI-AR PosmoN lF AN oFFlcER.
FRoM VP UP INCLUDING THE posfnoN of THE .TREA5URER,
FOMPLIANCE oFFICER AND/oR AssocIATED
-.-1!9]!ETARX
FoR EXECUTIVE qoMMrTEE, lNDlcArE 'c" lF MEMBER oF THE
coMPENsAIoN
9_9YY.[F_Ei-'1"FoR AuDtT coMMTIEE; "rf FoR NoMtNlArloN
AND EI"EOTIOI]{ COMMITTEE. ADDflONJ,ALLY wRm .c"
AFTER sI.AsH rr
PERsoN.
I
c@
clS_SToCK (v.2013)
Page 3
GENERAL TNFORMATION SFIEET
STOCK CORPORATION
PLEASE PRINT LEGIBLY
FORTUNE LIFE INSURANCE CO.,INC.
CORPORATE NAME:
DIRECTORS / OFFICERS
NAME, MTIONALITYAND
CURRENT RESIDENTIAL ADDRESS
INC'R
BOARD
sEx
STOCK
HOLDER
N
N.A.
F
N
EXEC.
COMM.
TAX IDENTIFICATION NO.
(TlN) FOR F|LTPINOS AND
FOREIGNERS
N.A.
151-340-111
N.A.
116-889-795
N.A.
11140&{.19
N.A.
112{,25493
16. Ambrocia G. Cancio, Filipino
4 Ford St., Filinvest ll, Batasan Hi[s,
Quezon City
Corporale
Govgmanc€
Compnancs
Offcar
17. Benjamin V. Ramos, Fitipino
Complanc€
36 Tamblot St., Project 4, Quezon City
N
N.A
M
Y
Oftcer
/
Corporate
18. Virgilio S. Aquino, Fitipino
10 Matahong St., Brgy. San Agustin,
Malabon City
FVP.
N
N.A.
M
N
N
N.A
M
N
Marl(oling &
Saleg
19. Raygraciano O. Abuel, Filipino
VP.EMD'
126 Princeton St., Provident Mllage,
Marikina City
AMLC
Complanco
Offcsr
zu. Emma M. Abad, Fllipino
143-A Manueldela Fuente SL, Sta. Mesa,
Manila
N
N.A.
F
N
VP-Flnance
N.A
112{,25-868
N
N.A
M
N
VPdctuarlsl
N.A
165-1 16-087
21. Anacleto S. Nepomuceno, Jr.,Filipino
11-E Escaler St, Loyola Heights,
Quezon City
--*
Nothing FollQws
--
INSTRUCTION:
FOR SD( COLUMN,
pul'F"
FoR BOARD coLUMNl
FOR FEMALE,
PUT'c'FoR
'M'FOR MALE.
CHAIRIUAN, "M" FoR MEMBER,
*r"
.t'FoR TNDEeENDENT DtREcroR.
FOR |NC,R COLUMN, 4UT
tF AN |NCORPORATOR, "N' tF NOT.
FoR SToCKHoLDER cotUMN, PUT.r" lF A sTocKHoLDER, ,N. IF NoT.
FOR OFFICER COLUMN, |NDICATE PARTTCULAR POSITION IF AN OFFICER, FROM VP
UP INCLUOING THE POSITION OF THE TREASURER.
SECRETARY, COMPLTANCE OFFICER AND/OR ASSOCIATED PERSON.
FOR EXECUTIVE COMMITTEE, INDICATE'C' lF MEMBER OF THE COMPENSATTON
COMMITTEE; 'A'FOR AUDtr coMMlrfEE; "N'FOR NOM1MTION
AND ELECTION COMMTTTEE. ADDTTIONALLY WRITE "C" AFTER SLASH IF CHAIRTI/IAN
AND'N/T IF MEMBER.
Grs_sTocK (v.2013)
Page4
GENERAL INFORMATION SHEET
STOCK CORPORATION
FORTUNE LIFE INSURANCE CO., INC.
ASSETS BASED ON LATESTAUDTTEO
Rnnncru SrerettEttrs:
NAIllE, NAT|ONAUTYAND
CURRENT RESIDENTTAL ADDRESS
TA)( IDENNFICANON NO.
(nN) FOR FIUP|NOS AND
FOREIGNERS
Fillplno
980 Stanford comer Harvard,
Man&luyug Ctty
Wack_Wac*
Fmpfro
22 Taurus corner Lbra Stsets,
ctv
BefAk\dlagq
Fmpho
68 Zodlac
st,
Bst-Ak
tvvilaga, lilakat| ctty
Fmpho
Room 303 part@to Condomhlum
-Deta
Rosa SUeoicomersalcsdo Strget, Mat(E[
Clty
2113 Chho Roces Awnus cor. D€la Rosa
tvlakad CIV
Domestlc
Domhga Bddhg 1,606 Shatu Bouloyard, paslg
Cny
Fillplno
!nlt, l4O7 Tower A Arttel S€avlew
Boularard, Mardta Clty
Tq,ver,
TOTALAMOUNT OF PAID-UP CAPTTAL
owners owrtng moreuan
eteot@
GIS_STOCK (v.2013)
Page 5
GENERAL INFORMATION SHEET
STOCKCORPOMTION
PLEASE PRINT LEGIBLY
FORTUNE LIFE INSURANCE CO.. tNC.
NUMBEROFSTOCKHOLDERS:
TOTAL ASSETS BASED ON LATEST AUDTTED
FS:
03
oF
srocrc|olDER3lllll]l tfn On UoRE BflAnEs
EAictt
42
3,003,896,23200
NAME, NANONALITYAND
CURRENT RESIDENNAL ADDRESS
TAXIDENNFIGANON NO.
(nN) FOR FIUPINOS AND
FOREIGNERS
Domestic
Dominga Building l, 606 Shaw Boulevard, paslg City
Filipino
980 Stanford comer Harvard, Wack-Wack
Mandaluyong City
Filipino
12-A Pinacle Condominium, Wack-Wack
Mandaluyong City
12 Riviera Street,
St
lgnauus Village. euezon City
28 Oakville Street, White ptains, euezon City
Filipino
28 Oakville Sbeet White plains, euezon City
AMOUNT OF SUBSCRIBED CAPITAL
TOTAL AMOUNT OF PAID.UP CAPITAL
INSTRUC
Note. For PDTC Nomlnee
ln the
(t'€ch sepante sheel lf nec*sary.
lisl
TOP 20
lndlcate
INDICA
ownerc ownlng more than
5o/o
class of the companl/s votng
GIS_STOCK (v.2013)
Page 6
GENERAL INFORMATION SHEET
STOCK CORPORATION
PLEASE PRINT LEGIBLY
FORTUNE LIFE INSURANCE CO.,INC,
ASSETSBASEDONLATESTAUDITEDFS:
3,003,898,232.00
TA(IDENNHCATION NO.
fnN) FoR FTUPTNOS AND
NAME, NATIONAL]TYAND
CURRENT RESIDENTIAL ADDRESS
FOREIGNERS
Filipino
2 San Barlolome. Capilot 8, Paslg
Cfi
Filipino
28 Mangyan Slrc€t La Vi.sta SubdMsion,
City
E[plno
244 Alddn Strest, Moorualq Parafiaque City
Domeslic
Domtnga Bulldlng l, 606 Shaw Boutevard, Pastg
Ffrpino
26 Bu[edn StreEt West Triangte, euezon City
Ffrplno
5&l Boyle Stre€t, Pahnan, Maka0 City
21. OTHERS 0nd|cane tho number of the
stockholdoF)
63
TOTALAMOUNT OF PAID.UP CAPTIAL
INSTRUCTION: SPECIFY
fiE
TOp 20 STOCKHOLDERS AND |ND|CATE THE
please lndtcate further
GIS_STOCK (v.2013)
he
benefrclat ownerc
PageT
GENERAL INFORMATION SHEET
STOCKCORPOMTION
===========::====:=::===::::::::=:===:PLEAsEPR|NTLEG
NAME:
CORPOMTE
FORTUNE LIFE INSURANCE CO.;INC.
INVESTMENT OF CORPORATE
FUNDS IN ANOTHER CORPORATION
AI,IOUNT (PhP)
l.l
sTocKs
12
BONDSTCOMMERGIAL PAPER (tssuer
I.3
bv Pfitate Comoratlonsl
LOANS' CREDITS'ADVANCES
1.4
GOVERNMENTTREASURY BILLS
{.5
OTHERS
DATE OF BOARD RESOLUTION
315,607,160.00
283,327,498.OO
396,285,154.00
NA.
NA.
INVESTMENT OF CORPORATE FUNDS tN ACTVMES IJNDER ITS
SECONDARY PURPOSES (PLEASE SPECIFY'
DATE OF BOARD
RESOLUNOftI
DATE OF
STOCKHOLDERS
RATIFICATION
N.A"
t{-4"
N.A"
3. TREASURYSHIIRES
7o
NO. OFSHARES
AS T0 TtlE TOTAL
NO. OF SHARES
ISSUED
NA
1. UNFESTRIGTED'UNAPPROPRI'ITED RETAINED EARNINGS AS OF END OF LAST FISCAI
,ENeo eEer.At(EL' LrUl{tN\t I Htr |MMEU|ATELY PREGEDIIIG YEAR:
TYPE OF DMDEND
AMOUNT (PhP)
5.1 cAsH
E2 STOGK
5.3 PROPERTY
TOTAL
AI'PITION'IL SHI\RES ISSUED DURING THE PERIOD:
DATE
DATE DECLARED
N-4.
N.A.
N.A"
N.A"
N.A"
-N.4"
P
NO. OFSHARES
Ni.
\M
AMOUNT
N.A.
N.A"
LICENSE'REGISTRANOil WTTH SEC AND O-HER GO\fT AGEiICN
'ECONDARY
NA,TIE
OFAGENCY:
rYPE OF
JCENSE'REGN.
sEc
-r-----E
tc
DATE ISTiUED:
l,AI E U IAITTED
)PERATIONS:
TOTAL AI{NUAL COMPENSANON OF
DIRECTORS DURING THE PRECEDING
FISCALYEAR (tn php)
13,205,659.00
TOTALNO.OF OFFICERS
TOTAL NO. OF RANK
& FILE EMPLO'fEES
t8
249
I
I
TOTAL tUANpOltyER
COMPLEMENT
267
NOffi
GIS_STOCK (v.2013)
Page
I
CORPORATE SECRETARY OF THE ABOVE-MENTIONED CORPOMTION
(Pasition)
MR. BENJAMINV. RAMOS
(Nane)
UNDER THE PENALTY OF PER^'URY, THAT ALL MAfiERS SET FORTH IN TH]S GENERAL
oR[4ATION SHEETWHICH CONSISTS
TEN .(10) PAGES HAVE BEEN I,ADE tN GOOD trAlrH, DULYVERIF|ED By
AND TO THE BEST OF MY KNOWLEDGE AND BEIIEF, ARE TRUE AND CORRECT.
OF
I UNDERSTAND THAT
fiE
FAILURE OF THE CORPORATION TO FILE THIS GIS FOR FNIE (5) CONSECUTIVE YEARS SHALL
NON-OPERATION OF THE CORPORATION AND A GROUND FOR THE TIEVOCANON OF THE CORPORA'
TE OF INCORPOMTION. IN THIS EVENTUALITY, THE CORPORAT]ON HEREBY WAIVES ITS RIGFTT TO A HEARING
AS
SAID REVOCATION.
DONEfiIS
DAYOF
[4AY
SUBSCRIBED AND SWORN TO BEFORE ME IN
AFFIANT PERSONALLY APPEARED BEFORE
OF IDENTITY TIN 116889795000 TSSUED AT
CITY/PROII/INCE, PHIL|PPINES ON
TO ME HlS COMPETENT
BlR, QUEZON CITY
ON
MAY 17
NOTARY PUBUC FOR
Notarial Commisslon l[o.
Commission
Roll of Attomey
PTR No.
IBP No.
ffice
NO.:
NO.:
NO.:
oF.:
Address:
t{i?-l4Makati City
945935/t2=lGl3lcamar;nes n .,tlc
TIN No. 9EJ.{Xi2-790Bnll No 54653
Doming+BlCg$r?Jl3-Chino
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