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GENERAL INFORMATION SHEET (GIS

)
FOR THE YEAR
STOCK CORPORATION
GENERAL INSTRUCTIONS:
1. FOR USER CORPORATION: THIS GIS SHOULD BE SUBMITTED WITHIN THIRTY (30) CALENDAR DAYS FROM THE DATE OF THE ANNUAL
STOCKHOLDERS' MEETING. DO NOT LEAVE ANY ITEM BLANK. WRITE "N.A." IF THE INFORMATION REQUIRED IS NOT APPLICABLE
TO THE 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 GIS SHALL BE SUBMITTED WITHIN THIRTY (30) CALENDAR DAYS FROM THE
ACTUAL DATE OF THE ANNUAL STOCKHOLDERS' MEETING.
2. IF 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 GIS SHALL BE SUBMITTED/FILED.
3. THIS GIS SHALL BE ACCOMPLISHED IN ENGLISH AND CERTIFIED AND SWORN TO BY THE CORPORATE SECRETARY OF THE
4. CORPORATION.
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 CORPORATION SHALL SUBMIT ONLY THE AFFECTED
PAGE OF THE GIS THAT 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 BECAME EFFECTIVE.
5. SUBMIT FOUR (4) COPIES OF THE GIS TO THE CENTRAL RECEIVING SECTION, GROUND FLOOR, SEC BLDG., EDSA, MANDALUYONG
CITY. ALL COPIES SHALL UNIFORMLY BE ON A4 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 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 EXACT DATA IN THE HARD COPY.
6. ONLY THE GIS ACCOMPLISHED IN ACCORDANCE WITH THESE INSTRUCTIONS SHALL BE CONSIDERED AS HAVING BEEN
7. FILED.
THIS GIS MAY BE USED AS EVIDENCE AGAINST THE CORPORATION AND ITS RESPONSIBLE DIRECTORS/OFFICERS FOR ANY VIOLATION
OF EXISTING LAWS, RULES AND REGULATIONS
================================ PLEASE PRINT LEGIBLY =====================================

CORPORATE NAME: DATE REGISTERED:

BUSINESS/TRADE NAME:
FISCAL YEAR END:

SEC REGISTRATION NUMBER:

DATE OF ANNUAL 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 AUDITOR & ITS SIGNING PARTNER: SEC ACCREDITATION NUMBER (if TELEPHONE NUMBER(S):
applicable):

PRIMARY PURPOSE/ACTIVITY/INDUSTRY PRESENTLY ENGAGED IN: INDUSTRY CLASSIFICATION: GEOGRAPHICAL CODE:

================================ INTERCOMPANY AFFILIATIONS =======================================
PARENT COMPANY SEC REGISTRATION NO. ADDRESS

SUBSIDIARY/AFFILIATE SEC REGISTRATION NO. ADDRESS

NOTE: USE ADDITIONAL SHEET IF NECESSARY

GIS_STOCK(v.2016) Page 1

GIS_STOCK(v.2016) Page 1 .

Other entities administering or otherwise dealing in juridical persons or arrangements. managing of client money. None of the above n. a. Non-Stock Savings and Loan Associations f. Securities Brokers act as) a nominee shareholder for another person Persons who provide any of the following c. and currency. Is the Corporation a covered person under the Anti Money Yes No Laundering Act (AMLA). as a b. Offshore Banking Units 4.Close-end Investment Companies operation or management of companies j. Insurance Brokers b. Banks Jewelry dealers in precious metals. affiliates.Trading Advisors b. correspondence j. Pawnshops g. Transfer Companies and other similar entities d. Holding Companies persons g. Reinsurance Brokers company. i. persons acting as (or arranging for another person to d. who. 9160/9164/10167/10365) Please check the appropriate box: 1. who. Quasi-Banks d. services Mutual Funds or Open-end Investment Companies c. Securities Salesman 7. operation or management of l. a. record-keeping. trade in precious metals c. commodities or financial derivatives based buying and selling business entities m.Common Trust Funds or Issuers and other similar entities k. Investment Agents and Consultants assets f. provide any of the following 2. Insurance Companies b. a regulated by the Insurance Commission (IC) partnership or any other legal person or arrangement 3. as amended? (Rep. acting as (or arranging for another person to b. creation. savings or securities g. Mutual Benefit Association address or accommodation. a partner of a partnership.2016) 1-A . Professional Reinsurers act as) a director or corporate secretary of a e. business. services to third parties: a. there onadministering of otherwise dealing in valuable Entities 8. or a similar position in relation to other juridical f. business. securities or other e. including their subsidiaries and 6. All Other Persons and entities supervised and/or or administrative address for a company. Electronic Money Issuers k. as a and/or regulation. Holding Company Systems h. Investment Houses a. since the last filing of its GIS? GIS_STOCK(v. Financial Institutions which Under Special Laws are subject to Bangko Sentral ng Pilipinas' (BSP) supervision Company service providers which. GENERAL INFORMATION SHEET STOCK CORPORATION ================================ PLEASE PRINT LEGIBLY ================================ Corporate Name: A. organization of contributions for the creation. services: d. as amended. Money Changers business. Trust Entities e. acting as a formation agent of juridical c. Insurance Agents a. Other entities managing Securities or rendering similar accounts h. as a 5. Has the Corporation complied with the requirements on Customer Due Diligence (CDD) or Know Your Customer (KYC). Securities Dealers d. Foreign Exchage Dealers Jewelry dealers in precious stones. objects Entities administering or otherwise dealing in cash Describe Substitutes and other similar monetary instruments or nature of property supervised and/or regulated by the Securities business: and Exchange Commission (SEC) B. Yes No and submission of reports under the AMLA. h. Remittance Agents j. trade in precious stone i. Pre-need Companies c. management of bank. Acts. providing a registered office. business i.

OF SHARES IN % OF (INDICATE BY NUMBER OF PAR/STATED STOCK. Preferred or other classification ** Other than Directors. GENERAL INFORMATION SHEET STOCK CORPORATION ================================= PLEASE PRINT LEGIBLY ================================== CORPORATE NAME: CAPITAL STRUCTURE AUTHORIZED CAPITAL STOCK AMOUNT (PhP) NUMBER OF TYPE OF SHARES * PAR/STATED VALUE (No.TYPE OF SHARES * PAR/STATED VALUE AMOUNT (PhP) OWNERSHI NATIONALITY SHARES HOLDERS P ) TOTAL TOTAL P TOTAL PAID-UP P NOTE: USE ADDITIONAL SHEET IF NECESSARY * Common. GIS_STOCK (v. of shares SHARES X Par/Stated Value) TOTAL TOTAL P SUBSCRIBED CAPITAL NUMBER OF NO.TYPE OF SHARES * PAR/STATED VALUE AMOUNT (PhP) OWNERSHI SHARES HOLDERS P TOTAL TOTAL P FOREIGN NO. OF SHARES IN % OF NUMBER OF PAR/STATED F I L I P I N O STOCK. OF % OF NUMBER OF FILIPINO STOCK. OF % OF (INDICATE BY NUMBER OF STOCK.2016) Page 2 . Shareholders owning 10% of outstanding shares.TYPE OF SHARES * THE HANDS AMOUNT (PhP) OWNERSHI NATIONALITY SHARES VALUE HOLDERS OF THE P ) PUBLIC ** Percentage of Foreign Equity : TOTAL TOTAL TOTAL P TOTAL SUBSCRIBED P PAID-UP CAPITAL NO. Officers. TYPE OF SHARES * THE HANDS AMOUNT (PhP) OWNERSHI SHARES VALUE HOLDERS OF THE P PUBLIC ** TOTAL TOTAL TOTAL P NUMBER OF FOREIGN NO.

5. FOR BOARD COLUMN. ADDITIONALLY WRITE "C" AFTER SLASH IF CHAIRMAN AND "M" IF MEMBER. "N" IF NOT. 9. 7. 4. "I" FOR INDEPENDENT DIRECTOR. R 1. INDICATE PARTICULAR POSITION IF AN OFFICER. "M" FOR MALE. PUT "Y" IF AN INCORPORATOR. FROM VP UP INCLUDING THE POSITION OF THE TREASURER. 13.2016) Page 3 . PUT "Y" IF A STOCKHOLDER. "A" FOR AUDIT COMMITTEE. "M" FOR MEMBER. FOR STOCKHOLDER COLUMN. 8. "N" IF NOT. 6. PUT "F" FOR FEMALE. PUT "C" FOR CHAIRMAN. COMM. FOR INC'R COLUMN. 3. GIS_STOCK (v. COMPLIANCE OFFICER AND/OR ASSOCIATED PERSON. "N" FOR NOMINATION AND ELECTION COMMITTEE. 2. ### ### 12. 15. SECRETARY. INDICATE "C" IF MEMBER OF THE COMPENSATION COMMITTEE. GENERAL INFORMATION SHEET STOCK CORPORATION ================================ PLEASE PRINT LEGIBLY ================================ CORPORATE NAME: DIRECTORS /OFFICERS STOCK NAME AND NATIONALITY INC'R BOARD SEX HOLDE OFFICER EXEC. INSTRUCTION: FOR SEX COLUMN. FOR OFFICER COLUMN. 14. FOR EXECUTIVE COMMITTEE.

TOTAL 7. GIS_STOCK (v.00% 0. OF STOCKHOLDERS WITH 100 OR MORE SHARES EACH: TOTAL ASSETS BASED ON LATEST AUDITED FINANCIAL STATEMENTS: STOCKHOLDER'S INFORMATION SHARES SUBSCRIBED % OF AMOUNT PAID NAME AND NATIONALITY AMOUNT TYPE NUMBER OWNER.2016) Page 4 . TOTAL TOTAL AMOUNT OF SUBSCRIBED CAPITAL 0. TOTAL 4. TOTAL 3. (PhP) (PhP) SHIP 1. if necessary. TOTAL 2. GENERAL INFORMATION SHEET STOCK CORPORATION ================================ PLEASE PRINT LEGIBLY ================================ CORPORATE NAME: TOTAL NUMBER OF STOCKHOLDERS: NO.00 TOTAL AMOUNT OF PAID-UP CAPITAL INSTRUCTION: SPECIFY THE TOP 20 STOCKHOLDERS AND INDICATE THE REST AS OTHERS Note: For PDTC Nominee included in the list. Attach separate sheet. TOTAL 6. TOTAL 5. please indicate further the beneficial owners owning more than 5% of any class of the company's voting securities.

please indicate further the beneficial owners owning more than 5% of any class of the company's voting securities. TOTAL 10. TOTAL 11. GENERAL INFORMATION SHEET STOCK CORPORATION ==================================== PLEASE PRINT LEGIBLY ================================== CORPORATE NAME: TOTAL NUMBER OF STOCKHOLDERS: NO.00 TOTAL AMOUNT OF PAID-UP CAPITAL INSTRUCTION: SPECIFY THE TOP 20 STOCKHOLDERS AND INDICATE THE REST AS OTHERS Note: For PDTC Nominee included in the list. TOTAL TOTAL AMOUNT OF SUBSCRIBED CAPITAL 0.00% 0. TOTAL 13. OF STOCKHOLDERS WITH 100 OR MORE SHARES EACH: TOTAL ASSETS BASED ON LATEST AUDITED FS: STOCKHOLDER'S INFORMATION SHARES SUBSCRIBED NAME AND NATIONALITY % OF AMOUNT PAID AMOUNT (PhP) TYPE NUMBER OWNER- (PhP) SHIP 8. GIS_STOCK (v. TOTAL 12. Attach separate sheet.2016) Page 5 . TOTAL 14. TOTAL 9. if necessary.

please indicate further the beneficial owners owning more than 5% of any class of the company's voting securities. TOTAL 16. if necessary. OTHERS (Indicate the number of the remaining stockholders) TOTAL TOTAL AMOUNT OF SUBSCRIBED CAPITAL 0. TOTAL 18. (PhP) (PhP) SHIP 15. OF STOCKHOLDERS WITH 100 OR MORE SHARES EACH: TOTAL ASSETS BASED ON LATEST AUDITED FS: STOCKHOLDER'S INFORMATION SHARES SUBSCRIBED % OF AMOUNT PAID NAME AND NATIONALITY AMOUNT TYPE NUMBER OWNER. TOTAL 17. TOTAL 21. TOTAL 20.2016) Page 6 . GIS_STOCK (v.00% 0. TOTAL 19. GENERAL INFORMATION SHEET STOCK CORPORATION ==================================== PLEASE PRINT LEGIBLY ================================== CORPORATE NAME: TOTAL NUMBER OF STOCKHOLDERS: NO. Attach separate sheet.00 TOTAL AMOUNT OF PAID-UP CAPITAL INSTRUCTION: SPECIFY THE TOP 20 STOCKHOLDERS AND INDICATE THE REST AS OTHERS Note: For PDTC Nominee included in the list.

2 BONDS/COMMERCIAL PAPER (Issued by Private 1. DIVIDENDS DECLARED DURING THE IMMEDIATELY PRECEDING YEAR: TYPE OF DIVIDEND AMOUNT (PhP) DATE DECLARED 5. OF TOTAL NO. INVESTMENT OF CORPORATE AMOUNT (PhP) DATE OF BOARD FUNDS IN ANOTHER CORPORATION RESOLUTION 1. 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 OPERATIONS: TOTAL ANNUAL COMPENSATION OF TOTAL NO. OF SHARES ISSUED 4.2 STOCK 5. UNRESTRICTED/UNAPPROPRIATED RETAINED EARNINGS AS OF END OF LAST FISCAL YEAR 5. ADDITIONAL SHARES ISSUED DURING THE PERIOD: DATE NO. GENERAL INFORMATION SHEET STOCK CORPORATION PLEASE PRINT LEGIBLY CORPORATE NAME: 1. INVESTMENT OF CORPORATE FUNDS IN ACTIVITIES DATE OF BOARD DATE OF UNDER ITS SECONDARY PURPOSES (PLEASE SPECIFY:) RESOLUTION STOCKHOLDERS RATIFICATION 3.1 CASH 5.3 Corporations) LOANS/ CREDITS/ ADVANCES 1.5 OTHERS 2. TREASURY SHARES % AS TO THE TOTAL NO. OF SHARES NO.3 PROPERTY TOTAL P 6.1 STOCKS 1.2016) Page 7 . OF TOTAL MANPOWER DIRECTORS DURING THE PRECEDING RANK & FILE OFFICERS COMPLEMENT FISCAL YEAR (in PhP) EMPLOYEES NOTE: USE ADDITIONAL SHEET IF NECESSARY GIS_STOCK (v.4 GOVERNMENT TREASURY BILLS 1.

: PAGE NO. DONE DAY OF . Office Address: DOC. I. NO. THE CORPORATION HEREBY WAIVES ITS RIGHT TO A HEARING FOR THE SAID REVOCATION. THAT ALL MATTERS SET FORTH IN THIS GENERAL INFORMATION SHEET WHICH CONSISTS OF ( ) PAGES HAVE BEEN MADE IN GOOD FAITH. IBP No.: BOOK NO. I HEREBY CERTIFY THAT THE PERSONS INDICATED AS MEMBERS OF THE BOARD OF DIRECTORS AND OFFICERS OF THE CORPORATION HAD CONSENTED IN WRITING TO BE NOMINATED AND ELECTED. ### IN . PHILIPPINES ON . ARE TRUE AND CORRECT.AFFIANT PERSONALLY APPEARED BEFORE ME AND EXHIBITED TO ME HIS/HER COMPETENT EVIDENCE OF IDENTITY ISSUED AT ON . IN THIS EVENTUALITY.: GIS_STOCK (v.: SERIES OF.2016) Page 8 . CORPORATE SECRETARY OF THE ABOVE-MENTIONED (Name) (Position) DECLARE UNDER THE PENALTY OF PERJURY. Commission expires on December 31 Roll of Attorney Number PTR No. 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 CORPORATION'S CERTIFICATE OF INCORPORATION. NOTARY PUBLIC FOR Notarial Commission No. DULY VERIFIED BY ME AND TO THE BEST OF MY KNOWLEDGE AND BELIEF. THIS (SIGNATURE) SUBSCRIBED AND SWORN TO BEFORE ME IN CITY/PROVINCE.

(TIN) INFORMATION NAME AND CURRENT RESIDENTIAL NATIONALITY POSITION TIN ADDRESS 1. Corporate Secretary.g. and/or Indicate the Particular Position. "M" for Member. 5. 4. GENERAL INFORMATION SHEET STOCK CORPORATION NOT FOR UPLOADING =============================== PLEASE PRINT LEGIBLY =============================== CORPORATE NAME: LIST OF STOCKHOLDERS . PUT THE FOLLOWING IF APPLICABLE: "C" for Chairman. ### ### ### ### ### ### INSTRUCTION: FOR POSITION COLUMN. etc. 8.2016) . 2. 7. Treasurer. "I" for Independent Director.). 6. and/or "S" for Stockholder. if Officer (e. President. 3. NOTE: USE ADDITIONAL SHEET IF NECESSARY GIS_STOCK (v. 9.DIRECTORS AND OFFICERS TAX IDENTIFICATION NO.

2016) .================== TIN GIS_STOCK (v.