QUMETE CVU AAT IGT TET AT 101272017000668 SECURITIES AND EXCHANGE COMMISSION ‘SECBulding,EDSA, Greenhills MandaluyongCity MetroMenila Philppines Tel (632)726-0931 to39Fax (632) 725.5293Email mis@sec.gov.ph Barcode Page The following document has been received: Receiving Officer/Encoder : Marites S. Guevarra 1g Branch SEC Head Office Date and Time : January 27, 2017 10:59:29 AM Received From Head Office Company Representative Doc Source Company Information SEC Registration No, 199609543 ‘Company Name ANGELES CITY CABLE TELEVISION NETWORK INC. Industry Classification Company Type Stock Corporation Document Information Document ID 101272017000668 Document Type GENERAL INFORMATION SHEET Document Code cis Period Covered January 03, 2017 No. of Days Late ° Department (CEDICFD/CRMD/MRD Remarks“GENERAL INFORMATION SHEET (GIS) FORTHEVEAR 2016 ‘Stock CORFORATION ‘GENERAL INSTRUCTIONS: 1. FOR USER CORPORATION: THIS GIS SHOULD HE SUBMITTED WITHIN THIRTY (30) CALENDAR DAYS FROM THE DATE OF THE ANMuAt| STOCKHOLDERS’ MEETING DO NOT LEAVE ANY ITEM. BLANK. WRITE “NA” IF THE INFORMATION REQUIRED IS NOT APPLICABLE TO THG| CORPORATION OR "NONE" If THE INFORMATION IS NON-EXISTENT. IF THE ANNUAL STOCKHOLDERS MEETING IS HELD ON A DATE OTHER THAN] ‘THAT STATED INTHE BY-LAWS, THE GIS SHALL BE SUBMITTED WITHIN THIRTY (30) CALENDAR DAYS FROM THE ACTUAL DATE OF THE ANNUAL 2. IENO MEETINGIS HELD, THE CORPORATION SHALL SUBMIT THE GIS NOT LATER THAN JANUARY 30 OF THE FOLLOWING YEAR. HOWEVER sHoULD} [AN ANMUAL STOCKHOLDERS MERTING HE HELD THEREAFTER, A NEW GS SHALL BE SUBMITTED PILED. ‘THISGIS SHALL BE ACCOMPLISHED IN ENGLISH AND CERTIFIED AND SWORN TO BY THE CORPORATE SECRETARY OFTHE CORPORATION. |< THESEC SHOULD RE TIMELY APPRUSED OF RELEVANT CHANGES IN TE 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 THA1 [RELATES TO THE NEW INFORMATION TOGETHER WITH A COVER LETTER SIGNED BY THE CORPORATE SECRETARY OF THE CORPORATION. THE PAGE| ‘OFTHE Gis ANO COVER LETTER SHALL BE SUBMITTED WITHIN SEVEN (7) DAYS AFTER SUCH CHANGE OCCURRED OR BECAME EFFECTIVE. ‘. SUBMIT FOUR (4) COPIES OF THE Gi TO THE CENTRAL RECEIVING SECTION, GROUND FLOOR, SEC BLDG, EDSA, MANDALUYONG cITY. ALL coPiEs} SHALL UNIFORMLY BE ON A4 OR LEFTERSIZED PAPER WITH A STANDARD COVER PAGE. THE PAGES OF ALL. COPIES SHALL USE ONLY ONE siDe CORPORATIONS SUBMITTING A COPY OF THEIR GS ONLINE OR VIA INTERNET SHALL SUBMIT ONE (1) HARD COPY OF THE Gis, TOGETHER WITH af ‘CERTIFICATION UNDER OATH BY FS CORPORATE SECRETARY THAT THE COPY SUBMITTED ONLINE CONTAINS THE EXACT DATA IN THE HARD COP. {6 ONLY THE Gis ACCOMPLISHED IN ACCORDANCE WETH THESE INSTRUCTIONS SHALL BE CONSIDERED AS WAVING BEEN FILED. 2. THIS Gis MAY BE USED AS EVIDENCE AGAINST THE CORPORATION AND IT RESPONSIBLE DIRECTORS/OFFICERS FOR ANY VIOLATION OF EXISTING LAWS, RULES AND REGULATIONS [conroware Naame: [DATE REGISTERED: ANGELES CTY CABLE TELEVISION NETWORK INC. a BUSINESS TRADE NAME: ANGELES CITY CABLE TELEVISION NETWORK. INC. PIscAL YEAR ENO: Ato960950 December 31 [DATE OF ANNUAL MEETING PER BY-LAWS: Seren moro LAST FRIDAY OF DECEMBER OF EACH YEAR [ACTUAL DATE OF ANOUAL MEETING: es :44AN17 (DECEMBER 20,2016. REGULAR HOLIDAY) G/F NEW STREET BLDG, MC ARTHUR HL-WAY, BALIBAGO, ANGELES CITY COMPLETE BUSINESS ADDRESS a (G/F NEW STREET BLDG, MC ARTHUR HLWAY, BALIBAGO, ANGELES CTY [NAME OF EXTERNAL AUDITOR A TTS GNING PARTNER EARN RIN ea TT | PRINEARY PURPOSE] ACTIVITY INDUSTRY PRESENTLY ENCCED IN ————— INDUSTRY CLASSIFICATION: | GEOGHAPHICAT CODE} {CABLE OPERATIONGENERAL INFORMATION SHEET STOCK CORPORATION [seperate Name: ANGELES GRY CANLF TELEVISION NETWORKING] Ts the Corporation a covered person under the Anti Moncy Laundering Act Yoo @ No (AMLA), as amended? (Rep. Acts. 9160/9164/10167/10365) [Picase check the appropriate box; ee ais stocK(s2016) 1) b, ofshore Banking Units CO cuasi-banks CO a Trust Entities . € Non-Stock Savings and Loan Associations CO & Pawnshops 1 & Foreign Exchage Dealers 5 h, Money Changers I 4 Remittance Agents 1 ji, Electronic Money tssuers 5 k, Financal institutions which Under Special Laws are subject to Bangko Sentral ng Pilipinas’ (BSP) supervision and/or regulation, ding ther subsidiaries and affliats. Tasurance Companies by insurance Agents 1 ¢ insurance Brokers (Fd Professional Reinsurers CG d Reinsurance Brokers (B& Hotding Companies Holding Company systems (by Pre-need Companies Qa | Maal es fit Association 14 Allother Persons and entities supervised and/or regulated by the Insurance Commission (IC) Securities Dealers Fy & Securities Brokers (1 ¢ Securities Salesman 1 4 investment Houses 1 4 investment Agents and Consultants { Trading Advisors Cher enites managing Secures or rendering simlar services Mutual Funds or Oer-end Investment Companies Close-end investment Companies Common Trust Fund or Issuers an other similar enties Transfer Companies and other similar ens { other entities administering or otherwise dealing i currency, commoaites or nancial derivatives based there on a Emtes administering otherwise dealing in valuable objects Tn Entities administering or otherwise dealing in cash Substitutes and other similar monetary instruments or property supervised and/or regulated by the Securities and Exchange Commission (SEC) Jewelry dealers in precious metals, who, asa business, trade in precious metals 40 Jewelry dealers in precious stones, who, asa business; trade in precious stone sO ‘Company service providers which, asa business, provide any ofthe following services to third parties: Br acting ava formation agent of juridical persons 5b. actingas (or arranging for another person to act as) a director or corporate secretary of a company, a partner of partnership, ora similar position in relation to other juridical persons C1 c providing registered ofice, business address or fccommodation, correspondence or administrative address fora company, a partnership or any ather legal person or arrangement (la acting as (or arranging for another person to act as) a nominee sharcholder for another person, Persons who provide any of the following services: Tl a managing of client money, securities r other assets C1 b, management of bank, savings or securities accounts Cc organization of contributions for the creation, ‘operation oF management of companies Ca ereation, operation or management of juridical persons or arrangements, and buying and selling business entities Describe nature of business: il Has the Corporation complied with the requirements on Customer Due Diligence | (€DD) or Know Your Customer (KYO), record-keeping, and submission of reports under the AMLA, as amended, since the last filing ofits GIS? 1A Yes @NoGENERAL INFORMATION SHEET ‘STOCK CORPORATION ‘= PLEASE PRINT LEGIBLY = [CORPORATE NAME: ANGELES CITY CABLE TELEVISION NETWORK, INC. CAPITAL STRUCTURE Inuriontznd carrvat sock | Num oF [AMOUNT (a) rreorsuanes> | NU PAR/STATED VALLE aw, coun, 0 T0009 FE pORTOOHT [SUBSCRIBED CAPITAL Noor NUMBER OF | numperor |suaesin THE] paR/STATED % OF ag ae SHARES | HANDSOF-THE| — VALUE ecco ae OWNERSHIP HOLDERS PuBLIC** 2736] aaa PRE NuMBER OF rorsicn | xo.or | umoenor sttaresiv mie] eanystarea wor mearafr | stock. | TvPmor: ‘wants, |iaxpsor me) VALUE Amour en ownnsir uu TR Ta cere Ferengi Foreign Bauza} Toran ———saeahrora Ta Saezo07| Tar srescRD | oe so FAD UFCARTTAL | | remarnor wor riuieino | stoce | rvreorsuamss | MOBO | pyaysraTEDvALuE amount cen) — | oye sowens 70009 Feo — rasa 7 Ts anmDtRoF mor nocareby | Sioa | rreorsiness | Mumener | ranstaen vane amour ror) | ymin Tea To Tazo ‘CHINES! TOTAL eats Foray | 321620000] FOTALPAID.UP_P 725,000,000.00] ‘NOTE: USE ADDITONAL SHEET IF NECESSARY | Common, Prefered or other dassifcation [= Orher than Directors, ices, Shareholders oring 10 of outstanding ares cis Frock (2016) Page 2GENERAL INFORMATION SHEET STOCK CORPORATION eneeeceeneenenenennemensnnnsns_ PLEASE PRINT LEGIBLY [CORPORATE NAME: ANGELES CITY CABLE TELEVISION NETWORK. NC. DIRECTORS 7 OFFICERS NAMEAND NATIONALITY nen | nonno | sex | STOR Torrcen| __execcown, TDRNS AHO TY nasibeN FILBINO yo foc fu} oy |r TARRY TAR Su es THR ARNOTT muito re T ALAN RSTORIERTOUY FILIPINO: Y M u Y N/A THONG WONG mre 2 oa | aa ee NOTHING FOLLOWS 70 Ti 7% cr 77 7% INSTRUCT For’ f re ‘COLUMN, PUT“F* FOR FEMALE, ‘MF FOR MALE, [BOARD COLUMN, PUT "C" FOR CHAIRMAN, °° FOR MEMBER, “I FOR INDEPENDENT DIRECTOR INCR COLUMN, PUT"Y"IF AN INCORPORATOR. “WF NOT ‘STOCKHOLDER COLUMN, PUT" FA STOCKHOLDER, "N"IF NOT. COFFIGER COLUMN, INDICATE PARTICULAR POSITION IF AN OFFICER, FROM VP UP INCLUDING THE POSITION OF THE TREASURER, ‘SECRETARY, COMPLIANCE OFFICER ANDIOR ASSOCIATED PERSON, FOR EXECUTIVE COMMITTEE. INDICATE" IF MEMBER OF THE COMPENSATION COMMTTEE “A°FOR AUDIT COMMITTEE; “N° FOR NOMINATION "AND ELECTION COMMITTEE, ADDITIONALLY WRITE °C” AFTER SLASH IF CHARMAN AND "MIF MEMBER. STOCK (v.2016) PageGENERAL INFORMATION SHEET STOCK Cor )RPORATION "== PLEASE PRINT LEGIBLY ======= coRroRATE NAME [ANGELES CITY CABLE-TELEVISION NETWORK INC [TAL Nob oF sToCRNOLDERS 5 Se z [TOTAL ASSET BASED ON LATEST AUDITED ANANGAL STATEMENTS STOCKHOLDER’ INFORMATION SHARES SUBSCRIBED Amount PAID NAME AND NATIONALITY ‘AMOUNT. hehe (PhP) ree | wonnee mount | ote TREATY ba aa] ay ruuo a 1558390000 Tarai] Tea] TET THR RETIN ar Tae TUT uo sao 1 asno0n00 Toa a TTR RC WORE [a FH Ea) 10008 sona0080 ct AAT STORTERTT joer TE TH ruro sao sasnoon00 Tora] Tao] Tone aE ear a TE uo som 125090000 Tora] Tama] T9009 TTR a saa TRH ra00% 121620000 oral] sawae] are 20009 Tora] TOTAL AMOUNT OF suBScuBED cAPrTAL | p50000000) —a00dW vewoo 00.00 TOTAL AMOUNT OF PAID-UP CAPITAL INSTRUCTION: SPECIFY THE TOP 20 STOCKHOLDERS AND INDICATE THE REST AS OTHERS [Roce For POTE Waminee included athe ist, please indicate farther the benefidel owners owning more han 5% of any class of the companys voting series. Atach leparate sheet i necessary. ‘is $TOCK (v.2016) Page|GENERAL INFORMATION SHEET STOCK CORPORATION = PLEASE PRINTLEGIBLY =: [CORPORATE NAME: [ANGELES CITY CABLE TELEVISION NETWORK, INC. [TOTAL MUMIER OF STOCKHOLDERS: é [TOTAL ASSETS BASED ON LATEST AUDITED FS: ‘STOCKHOLDER'S INFORMATION NAME AND NATIONALITY ‘SHARES SUBSCRIBED AMOUNT (PnP) oF su AMOUNT PAID, (rhe) TOTAL 0.00 TOTAL TOTAL 7 TOTAL rs TOTAL TOTAL TOTAL "TOTAL AMOUNT OF SUBSCRIBED CAPITAL "TOTAL AMOUNT OF PAID-UP CAPITAL TNSTRUCTION: SPECIFY THE TOP 20 STOCKHOLDERS AND INDICATE THE REST AS OTHERS Note: For PO sheet mines Tnhaded the ist please indicate further te beneficial owners owning more than 5% of any lass ofthe company's voting secures. Attach separate rock (2016) PagesGENERAL INFORMATION SHEET ANGELES CITY CABLE TELEVISION NETWORK, INC [Fora ASSETS WASH ONLATEST AUDITED ‘STOCKHOLDERS INFORMATION SHARES SUBSCRIBED [NAME AND NATIONALITY pas a awout | oom, ro cary C5 FERS (diate ie waar ae emg ovkters) Tora ‘TOTAL AMOUNT OF SUBSCRIBED CAPTTAL 00% oa ‘TOTAL AMOUNT OF PAID-UF CAPITAL INSTRUCTION SPECIFY THE TOP 20 STOCKHOLDERS AND INDICATE THE REST AS OTHERS se as sjock wane) Far PR oe lesen fer nial overs wing mar an fy lof he compan sting ares aeGENERAL INFORMATION SHEET ‘STOCK CORPORATION PLEASE PRINT LEGTBLY "ANGELES CITY CABLE TELEVISION NETWORK, INC. i [OVEST WENT OF CORPORATE GTR AFT DaTEOF BOARD RESOLTTON [FUNDS I ANOTHER CORPORATION toa STOeRS "2 BONDS/COMMERCIAL PAPER (Issued by Private Corporations) "3 LOANS/ CREDITS/ ADVANCES "A GOVERNMENT TREASURY BILLS "1S OTHERS INVESTMENT OF CORPORATE FUNDS IN ACTIVITIES UNDER ITS DATE OF BOARD DATE OF SECONDARY PURPOSES (PLEASE SPECIFY: RESOLUTION ‘STOCKHOLDERS a 3. TREASURY SHARES % ASTO THE TOTAL ean NO. OF SHARES ISSUED [&-_ UNRESTRICTED /UNAPPROPRIATED RETAINED EARNINGS AS OF END OF LAST FISCAL YEAR 5._DIVIDENDS DECLARED DURING THE IMMEDIATELY PRECEDING YEAR: ‘TYPE OF DIVIDEND AMOUNT (PhP) DATE DECLARED [Sa _ CASH [s2_sTock [53 _PROPERTY T ToraL_| "ADDITIONAL SHARES ISSUED DURING THE PERIOD: DATE ‘NO. OF SHARES ‘AMOUNT | L T [SECONDARY LICENSE/REGISTRATION WITH SEC AND OTHER GOV'T AGENCY: INAME OF AGENCY: SEC. BSP Te EOF LICENSE/REGN. ‘TOTAL ANNUAL COMPENSATION OF JRECTORS DURING THE PRECEDING FISCAL YEAR (in PhP) ‘TOTAL MANPOWER COMPLEMENT. ‘TOTALNO. OF RANK & TOTALNO. OF OFFICERS | OTT ee tens DOMTONAL SHEET TF NECESSARY)ecu nor ME a 1 nab 10 IS boc pace: 00 ser JBSCRIBED AND SWORN'TO BEFORE MEIN J AFFIANT PERSONALLY APPEARED BEFORE ME AND EX FeviDENCEOFIDENTITY —_TIN: 206-639-086 ISSUED AT CORPORATE SECRETARY OF THE ABOVE-MENTIONED IRE UNDER THE PENALTY OF PERJURY, THAT ALL MATTERS SET FORTH INTHIS GENERAL {ATION SHEET WHICH CONSISTS OF TEN_(10) PAGES HAVE BEEN MADE IN GOOD FAITH, DULY VERIFIED BY 1D TO THE BEST OF MY KNOWLEDGE AND BELIEF, ARE TRUE AND CORRECT. ;REBY CERTIFY THAT THE PERSONS INDICATED AS MEMBERS OF THE BOARD OF DIRECTORS AND OFFICERS OF THE CORPORATION JONSENTED IN WRITING TO BE NOMINATED AND ELECTED. \DERSTAND THAT THE FAILURE OF THE CORPORATION TO FILE THIS GIS FOR FIVE (5) CONSECUTIVE YEARS SHALL BE CONSTRUED AS NON} JOPERATION OF THE CORPORATION AND A GROUND FOR THE REVOCATION OF THE CORPORATION'S CERTIFICATE OF INCORPORATION. IN EVENTUALITY, THE CORPORATION HEREBY WAIVES ITS RIGHT TO A HEARING FOR THE SAID REVOCATION JONE THIS JAN 2 6 201Bavor 20 Ww PASIG CITY CITY/PROVINCE, PHILIPPINES ON ED TO ME HIS/HER COMPETENT. on NOTARY PUBLIC FOR Notarial CommissigkWiC, A JUAN, PATEROS Commision expires dv siguborer 3, OTE | Roll of Attorney NufBee AF vor Pasig City Hatt, ha HN ee | UPN BIR, 2siororosct Peas Si— | ore naar T.8. 2 . TBP Not MCLE, CouspiaeweeNorseou2002 “Appointment 0. PGontact No, 0529-7158339 0. NO. OF.(GENERAL INFORMATION SHEET STOCK CORPORATION NOT FOR UPLOADING PLEASE PRINT LEGIBLY ===22=2=: [ORPORATE NAME: ANGELES CITY CABLE TELEVISION NETWORK, INC. TIST OF STOCKHOLDERS DIRECTORS AND OFFICERS "TAX IDENTIFICATION NO. (TIN) INFORMATION NAME AND CURRENT RESIDENTIAL ADDRESS NATIONALITY POSITION TIN DENNIS ANTHONY OY FILIPINO PRESIDENT: 103-502-349 SAVER'S MALL, BALIBAGO, ANGELES CITY MARIA GRACE YOY SAVER'S MALI, BALIBAGO, ANGELES CITY FILIPINO ‘TREASURER, 129-457-903 MA. MINNIE UY-VAO DONA GLORIA AVE. VILLA GLORIA SUBD, FILIPINO corp. sec, 208-639-886 ANGELES CITY ALLAN CHRISTOPHER UY DORA GLORIA AVE, VILLA GLORIASUBD., FILIPINO MEMBER 103-502-332 ANGELES CITY. ‘CHUN CHING WONG. SAVERS MALL, BALIBAGO, ANGELES CITY FILIPINO MEMBER 103-502-381 THANG HUANG RELIANCE CENTER, #99 €. RODRIGUEZ JR CHINESE. SHAREHOLDER 240-113-969, AVE, UGONG, PASIG CITY NOTHING FOLLOWS "Cfor chair." fo Member. fr ndependent Dror and/or Inet the Paral oso, Otic (eg President Treaster Corporate Secretary): and/or NOTE: USE ADDITIONAL SHEET IF NECESSARY 15 STOCK (¥.2016)