GENERAL INSTRUCTIONS:1.2.3.4.5.6.7.BUSINESS/TRADE NAME:WEBSITE/URL ADDRESS:INDUSTRY CLASSIFICATION:ONLY THE GIS ACCOMPLISH...
NUMBER OFSHARESTOTAL TOTAL PF I L I P I N ONO. OFSTOCK-HOLDERSNUMBER OFSHARESNUMBER OFSHARES INTHE HANDS OFTHE PUBLIC **PA...
INCR BOARDSTOCKHOLDEROFFICEREXEC.COMM.TAX IDENTIFICATION NO.(TIN) FOR FILIPINOS orPASSPORT NO. FORFOREIGNERS1.2.3.4.5.6.7....
NO. OF STOCKHOLDERS WITH 100 OR MORE SHARES EACH:TYPE NUMBERAMOUNT(PhP)% OFOWNER-SHIP1.TOTAL2.TOTAL3.TOTAL4.TOTAL5.TOTAL6....
TOTAL NUMBER OF STOCKHOLDERS: NO. OF STOCKHOLDERS WITH 100 OR MORE SHARES EACH:TYPE NUMBERAMOUNT(PhP)% OFOWNER-SHIP8.TOTAL...
TOTAL NUMBER OF STOCKHOLDERS: NO. OF STOCKHOLDERS WITH 100 OR MORE SHARES EACH:TYPE NUMBERAMOUNT(PhP)% OFOWNER-SHIP15.TOTA...
1.1.11.21.31.41.52.3.4.5. DIVIDENDS DECLARED DURING THE IMMEDIATELY PRECEDING YEAR:5.1 CASH5.2 STOCK5.3 PROPERTY6.AMOUNT (...
(POSITION)__________________________(SIGNATURE)DOC. NO: :PAGE NO. :BOOK NO. :SERIES OF :Roll of Attorney Number __________...
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Gis stock05 (1)

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Gis stock05 (1)

  1. 1. GENERAL INSTRUCTIONS:1.2.3.4.5.6.7.BUSINESS/TRADE NAME:WEBSITE/URL ADDRESS:INDUSTRY CLASSIFICATION:ONLY THE GIS ACCOMPLISHED IN ACCORDANCE WITH THESE INSTRUCTIONS SHALL BE CONSIDERED AS HAVING BEEN FILED.THIS GIS MAY BE USED AS EVIDENCE AGAINST THE CORPORATION AND ITS RESPONSIBLE DIRECTORS/OFFICERS FOR ANY VIOLATION OFEXISTING LAWS, RULES AND REGULATIONSIF NO MEETING IS HELD, THE CORPORATION SHALL SUBMIT THE GIS TOGETHER WITH AN AFFIDAVIT OF NON-HOLDING OF MEETING WITHINTHIRTY (30) CALENDAR DAYS FROM THE DATE OF THE SCHEDULED ANNUAL MEETING (AS PROVIDED IN THE BY-LAWS). HOWEVER, SHOULD ANANNUAL STOCKHOLDERS MEETING BE HELD THEREAFTER, A NEW GIS SHALL BE SUBMITTED/FILED.THIS 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 IN THE SUBMITTED INFORMATION AS THEY ARISE. FOR CHANGES RESULTINGFROM ACTIONS THAT AROSE BETWEEN THE ANNUAL MEETINGS, THE CORPORATION SHALL SUBMIT ONLY THE AFFECTED PAGE OF THE GISTHAT RELATES TO THE NEW INFORMATION TOGETHER WITH A COVER LETTER SIGNED BY THE CORPORATE SECRETARY OF THE CORPORATION.THE PAGE OF THE GIS AND COVER LETTER SHALL BE SUBMITTED WITHIN SEVEN (7) DAYS AFTER SUCH CHANGE OCCURRED OR BECAMEEFFECTIVE.SUBMIT FIVE (5) COPIES OF THE GIS TO THE CENTRAL RECEIVING SECTION, GROUND FLOOR, SEC BLDG., EDSA, MANDALUYONG CITY. ALLCOPIES SHALL UNIFORMLY BE ON A4 OR LETTER-SIZED PAPER WITH A STANDARD COVER PAGE. THE PAGES OF ALL COPIES SHALL USE ONLYONE 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 ITS CORPORATE SECRETARY THAT THE COPY SUBMITTED ONLINE CONTAINS THE EXACTDATA IN THE HARD COPY.CORPORATE TAXIDENTIFICATION NUMBER(TIN)GEOGRAPHICAL CODE:COMPLETE PRINCIPAL OFFICE ADDRESS:FAX NUMBER:SEC ACCREDITATION NUMBER (ifapplicable):================================ INTERCOMPANY AFFILIATIONS =======================================TELEPHONE NUMBER(S):PARENT COMPANY SEC REGISTRATION NO.ACTUAL DATE OF ANNUAL MEETING:PRIMARY PURPOSE/ACTIVITY/INDUSTRY PRESENTLY ENGAGED IN:NAME OF EXTERNAL AUDITOR & ITS SIGNING PARTNER:E-MAIL ADDRESS:COMPLETE BUSINESS ADDRESS:DATE OF ANNUAL MEETING PER BY-LAWS:GENERAL INFORMATION SHEET (GIS)GENERAL INFORMATION SHEET (GIS)FOR THE YEAR _______________________FOR USER CORPORATION: THIS GIS SHOULD BE SUBMITTED WITHIN THIRTY (30) CALENDAR DAYS FROM THE DATE OF THE ANNUALSTOCKHOLDERS MEETING. DO NOT LEAVE ANY ITEM BLANK. WRITE "N.A." IF THE INFORMATION REQUIRED IS NOT APPLICABLE TO THECORPORATION OR "NONE" IF THE INFORMATION IS NON-EXISTENT.STOCK CORPORATION================================ PLEASE PRINT LEGIBLY =====================================DATE REGISTERED:CORPORATE NAME:SEC REGISTRATION NUMBER:FISCAL YEAR END:SUBSIDIARY/AFFILIATE SEC REGISTRATION NO. ADDRESSADDRESSNOTE: USE ADDITIONAL SHEET IF NECESSARYGIS_STOCK(v.2005) Page 1
  2. 2. NUMBER OFSHARESTOTAL TOTAL PF I L I P I N ONO. OFSTOCK-HOLDERSNUMBER OFSHARESNUMBER OFSHARES INTHE HANDS OFTHE PUBLIC **PAR/STATEDVALUEAMOUNT (PhP)% OFOWNERSHIPTOTAL TOTAL TOTAL PF O R E I G N(INDICATE BYNATIONALITY)NO. OFSTOCK-HOLDERSNUMBER OFSHARESNUMBER OFSHARES INTHE HANDS OFTHE PUBLIC **PAR/STATEDVALUEAMOUNT (PhP)% OFOWNERSHIPTOTAL TOTAL TOTAL PF I L I P I N ONO. OFSTOCK-HOLDERSNUMBER OFSHARESAMOUNT (PhP)% OFOWNERSHIPTOTAL TOTAL PF O R E I G N(INDICATE BYNATIONALITY)NO. OFSTOCK-HOLDERSNUMBER OFSHARESAMOUNT (PhP)% OFOWNERSHIPTOTAL TOTAL PTOTAL PAID-UP PAUTHORIZED CAPITAL STOCKCORPORATE NAME:SUBSCRIBED CAPITALTOTAL SUBSCRIBED PPAR/STATED VALUE** Other than Directors, Officers, Shareholders owning 10% of outstanding shares.PAID-UP CAPITALPAR/STATED VALUEPAR/STATED VALUENOTE: USE ADDITIONAL SHEET IF NECESSARY* Common, Preferred or other classificationAMOUNT (PhP)(No. of shares X Par/Stated Value)GENERAL INFORMATION SHEETSTOCK CORPORATION==================================== PLEASE PRINT LEGIBLY ==================================CAPITAL STRUCTURETYPE OF SHARES *TYPE OF SHARES *TYPE OF SHARES *TYPE OF SHARES *TYPE OF SHARES *Percentage of Foreign Equity :GIS_STOCK (v.2005) Page 2
  3. 3. INCR BOARDSTOCKHOLDEROFFICEREXEC.COMM.TAX IDENTIFICATION NO.(TIN) FOR FILIPINOS orPASSPORT NO. FORFOREIGNERS1.2.3.4.5.6.7.8.9.10.11.12.13.14.15.FOR OFFICER COLUMN, INDICATE PARTICULAR POSITION IF AN 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 NOMINATIONAND ELECTION COMMITTEE. ADDITIONALLY WRITE "C" AFTER SLASH IF CHAIRMAN AND "M" IF MEMBER.FOR INCR COLUMN, PUT "Y" IF AN INCORPORATOR, "N" IF NOT.FOR STOCKHOLDER COLUMN, PUT "Y" IF A STOCKHOLDER, "N" IF NOT.GENERAL INFORMATION SHEETINSTRUCTIONS:FOR BOARD COLUMN, PUT "C" FOR CHAIRMAN, "M" FOR MEMBER, "I" FOR INDEPENDENT DIRECTOR.NAME, NATIONALITY ANDCURRENT RESIDENTIAL ADDRESSSTOCK CORPORATION================================ PLEASE PRINT LEGIBLY ================================CORPORATE NAME:D I R E C T O R S / O F F I C E R SGIS_STOCK (v.2005) Page 3
  4. 4. NO. OF STOCKHOLDERS WITH 100 OR MORE SHARES EACH:TYPE NUMBERAMOUNT(PhP)% OFOWNER-SHIP1.TOTAL2.TOTAL3.TOTAL4.TOTAL5.TOTAL6.TOTAL7.TOTALNote: For PDTC Nominee included in the list, please indicate further the beneficial owners owning more than 5% of any class of the companys voting securities.Attach separate sheet, if necessary.INSTRUCTION: SPECIFY THE TOP 20 STOCKHOLDERS AND INDICATE THE REST AS OTHERSTOTAL AMOUNT OF SUBSCRIBED CAPITALTOTAL AMOUNT OF PAID-UP CAPITALTOTAL NUMBER OF STOCKHOLDERS:STOCKHOLDERS INFORMATIONAMOUNT PAID(PhP)TAX IDENTIFICATION NO.(TIN) FOR FILIPINOS orPASSPORT NO. FORFOREIGNERSSHARES SUBSCRIBEDNAME, NATIONALITY ANDCURRENT RESIDENTIAL ADDRESSTOTAL ASSETS BASED ON LATEST AUDITED FINANCIAL STATEMENTS:GENERAL INFORMATION SHEETSTOCK CORPORATION================================ PLEASE PRINT LEGIBLY ================================CORPORATE NAME:GIS_STOCK (v.2005) Page 4
  5. 5. TOTAL NUMBER OF STOCKHOLDERS: NO. OF STOCKHOLDERS WITH 100 OR MORE SHARES EACH:TYPE NUMBERAMOUNT(PhP)% OFOWNER-SHIP8.TOTAL9.TOTAL10.TOTAL11.TOTAL12.TOTAL13.TOTAL14.TOTALGENERAL INFORMATION SHEETSTOCK CORPORATIONCORPORATE NAME:TOTAL ASSETS BASED ON LATEST AUDITED FS:STOCKHOLDERS INFORMATIONNAME, NATIONALITY ANDCURRENT RESIDENTIAL ADDRESSSHARES SUBSCRIBEDAMOUNT PAID(PhP)TAX IDENTIFICATION NO.(TIN) FOR FILIPINOS orPASSPORT NO. FORFOREIGNERSTOTAL AMOUNT OF PAID-UP CAPITALINSTRUCTION: SPECIFY THE TOP 20 STOCKHOLDERS AND INDICATE THE REST AS OTHERSNote: For PDTC Nominee included in the list, please indicate further the beneficial owners owning more than 5% of any class of the companys voting securities.Attach separate sheet, if necessary.==================================== PLEASE PRINT LEGIBLY ==================================TOTAL AMOUNT OF SUBSCRIBED CAPITALGIS_STOCK (v.2005) Page 5
  6. 6. TOTAL NUMBER OF STOCKHOLDERS: NO. OF STOCKHOLDERS WITH 100 OR MORE SHARES EACH:TYPE NUMBERAMOUNT(PhP)% OFOWNER-SHIP15.TOTAL16.TOTAL17.TOTAL18.TOTAL19.TOTAL20.TOTAL21. OTHERS (Indicate the number of the remainingstockholders)TOTALNote: For PDTC Nominee included in the list, please indicate further the beneficial owners owning more than 5% of any class of the companys voting securities.Attach separate sheet, if necessary.INSTRUCTION: SPECIFY THE TOP 20 STOCKHOLDERS AND INDICATE THE REST AS OTHERSTOTAL AMOUNT OF SUBSCRIBED CAPITALTOTAL AMOUNT OF PAID-UP CAPITALTOTAL ASSETS BASED ON LATEST AUDITED FS:STOCKHOLDERS INFORMATIONAMOUNT PAID(PhP)TAX IDENTIFICATION NO.(TIN) FOR FILIPINOS orPASSPORT NO. FORFOREIGNERSSHARES SUBSCRIBEDNAME, NATIONALITY ANDCURRENT RESIDENTIAL ADDRESSGENERAL INFORMATION SHEETSTOCK CORPORATION==================================== PLEASE PRINT LEGIBLY ==================================CORPORATE NAME:GIS_STOCK (v.2005) Page 6
  7. 7. 1.1.11.21.31.41.52.3.4.5. DIVIDENDS DECLARED DURING THE IMMEDIATELY PRECEDING YEAR:5.1 CASH5.2 STOCK5.3 PROPERTY6.AMOUNT (PhP) DATE OF BOARD RESOLUTIONTOTAL NO. OF RANK &FILE EMPLOYEESDATE ISSUED:SECONDARY LICENSE/REGISTRATION WITH SEC AND OTHER GOVT AGENCY:NAME OF AGENCY: I CSEC B S PTYPE OFLICENSE/REGN.PAMOUNT (PhP) DATE DECLAREDTOTALTREASURY SHARESTYPE OF DIVIDENDNO. OF SHARES% AS TO THE TOTALNO. OF SHARESISSUEDUNRESTRICTED/UNAPPROPRIATED RETAINED EARNINGS AS OF END OF LAST FISCAL YEAROTHERSSTOCKSBONDS/COMMERCIAL PAPER (Issuedby Private Corporations)LOANS/ CREDITS/ ADVANCESGOVERNMENT TREASURY BILLSINVESTMENT OF CORPORATE FUNDS IN ACTIVITIES UNDER ITSSECONDARY PURPOSES (PLEASE SPECIFY:)DATE NO. OF SHARES AMOUNTDATE OF BOARDRESOLUTIONDATE OFSTOCKHOLDERSRATIFICATIONDATE STARTEDOPERATIONS:TOTAL ANNUAL COMPENSATION OFDIRECTORS DURING THE PRECEDINGFISCAL YEAR (in PhP)TOTAL MANPOWERCOMPLEMENTTOTAL NO. OF OFFICERSGENERAL INFORMATION SHEETSTOCK CORPORATIONPLEASE PRINT LEGIBLYCORPORATE NAME:INVESTMENT OF CORPORATEFUNDS IN ANOTHER CORPORATIONNOTE: USE ADDITIONAL SHEET IF NECESSARYADDITIONAL SHARES ISSUED DURING THE PERIOD:GIS_STOCK (v.2005) Page 7
  8. 8. (POSITION)__________________________(SIGNATURE)DOC. NO: :PAGE NO. :BOOK NO. :SERIES OF :Roll of Attorney Number __________________________________PTR No. _______________________________________________IBP No. ________________________________________________Office Address: _________________________________________NOTARY PUBLIC FOR ______________________ CITY/PROVINCENotarial Commission No. _________________________________Commission expires on December 31, ______________________SUBSCRIBED AND SWORN TO BEFORE ME IN _________________________CITY/PROVINCE, PHILIPPINES ON____________________, AFFIANT PERSONALLY APPEARED BEFORE ME AND EXHIBITED TO ME HIS/HER COMMUNITYTAX CERTIFICATE NO. ___________________ ISSUED AT ________________________ ON ______________, 200___.I UNDERSTAND THAT THE FAILURE OF THE CORPORATION TO FILE THIS GIS FOR FIVE (5) CONSECUTIVE YEARSSHALL BE CONSTRUED AS NON-OPERATION OF THE CORPORATION AND A GROUND FOR THE REVOCATION OFTHE CORPORATIONS CERTIFICATE OF INCORPORATION. IN THIS EVENTUALITY, THE CORPORATION HEREBYWAIVES ITS RIGHT TO A HEARING FOR THE SAID REVOCATION.DONE THIS _______DAY OF ____________________, 20 _______ IN _______________________________.(NAME)CORPORATION DECLARE UNDER THE PENALTY OF PERJURY, THAT ALL MATTERS SET FORTH IN THIS GENERALINFORMATION SHEET WHICH CONSISTS OF ( ) PAGES HAVE BEEN MADE IN GOOD FAITH, DULY VERIFIED BY MEAND TO THE BEST OF MY KNOWLEDGE AND BELIEF, ARE TRUE AND CORRECT.I, ___________________________________________________, Corporate Secretary OF THE ABOVE-MENTIONEDGIS_STOCK (v.2005) Page 8

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