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AROSE OCWUEN TH ANNUAL METINGS, THE CORPORATION SHALL SUBMIT ONLY THI AFFECTED PACE GF TIE CRS THAT RILATES TO THE NEW INPORGA7IO6)
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_ e206 Pat"GENERAL INFORMATION SHEET
‘STOCK CORPORATION
PLEASE PRINT LEGIBLY
TOLLIGEE FOODS CORFORATION
‘A Is the Corporation a covered person under the Anti Money Laundering Act (AMLA),
as amended? (Rep. Acts. 9160/9164/10167/10365)
[Please check the appropriate box:
Pe See eae eee Heese eee -eCeLeeaeeSeEeeee
Tanke
Offshore Banking Units
(Quas-Banks
‘Trust Entities
'Non-Stock Savings and Loan Assoclations
Pawnshops
Foreign Exchage Dealers
Money Changers
Remittance Agents
Blectronic Money Issuers
Financia Institutions which Under Special Laws are subject to
Bangko Sentral ng Pilipinas’ (BSP) supervision and/or regulation,
Juding their subsidiaries and affiliates,
TT] = Taswrance Companies
6 iexiranen ages
(5) insurance Brokers
5 Professional insurers
IE] e Reinsurance Brokers
€ Hotang companies
[time ran Som
1
i
“) h. Preneed Companies
TE] 1 sunua Benet association
=|. lotr Persons and entities supervised and/or regulated bythe
Insurance Commission (1)
a. Securities Dealers
bs, Securities Brokers
. Securities Salesm:
4. Investment Houses
Investment Agents and Consultants
Trading Advisors
8, Other entities managing Securities or rendering similar services
fh Mutual Punds or Open-end Investment Companies
i. Close-end Investment Companies
oC
j. Common Trust Funds or tssuers and other similar entities
k Transfer Companies and other similar entities
1. Other entities administering or otherwise dealing in currency,
‘commodities of financial derivatives based there on
aluable objects
OOOO
o
1m, Entities administering of otherwise dealing
oo
regulated by the Securities and Exchange Commission (SEC)
1, Entities administering or otherwise dealing in cash Substitutes and
‘other siilar monetary instruments or property supervised and/or
[-] Jewelry dealers in precious metals, who, as a busines
+0 trade in precious metals
Jewelry dealers in precious stones, who, asa business]
sl trade is precious stone
Company service providers which,as a business,
6 provide any ofthe following services to third parties:
Ll] = acting asa formation agent of urldical persons
[1b acting as (or arranging for another person to act 2s) a
director or corporate secrotary ofa company, a
partner of a partnership, ora similar position in
relation to other juridical persons
C1 € providing a registered ofice business adress or
accommodation, correspondence or administrative
address for a company, partnership or any other
legal person or arrangement
[114 acting as (or arranging for another person to actas) a
nominee shareholder for another person
[1b management of bank, savings or securities accounts
C « organization of contributions for the creation,
‘operation or management of companies
[1 a creation, operation or management of juridical
persons or arrangements, and buying and selling
business entitios
Describe
meee
fase
B. Has the Corporation complied with the requirements on Gustomer Due Diligence
(CDP) or Know Your Customer (KYO), record-keeping, and submission of reports
under the AMLA as amended, since the last filing ofits GIS?
rs sTocK(v2016) 1AGENERAL INFORMATION SHEET
‘STOCK CORPORATION
PLEASE PRINT LEGIBLY. ===
[conronare name: JoLLMEE FOODS CORPORATION
CARTTAL STRUCTURE
UTTORITED CAPITAL STOGR
NowenRoF | panysrava vawue [AMOUNT (PHF)
rreeorsuanes> | NUMBER (Wo-afsnaree X Par/Stated Vas)
son} TH]
aoan0 00 Tora Tapa
TSC RED CATAL
wo.oF wovsxor staves erne| anysrareo sxor
snuvino | srooe | -vrcorsuus+ | SUMEERO npr amour nr) — | gy ap
souoens
as
Tora, —yans97 320] TOTAL Tora F) Tens sao] 7
nunmenor {suaKesin'rHe] eaxysraren
‘suanis |MANDSOF THE] VALUE
roreicn | no.or
cpeatzay | srocx. | TreEoFstanss +
arionauiry | HOLDERS
‘AMOUNT (PRP)
aco
‘cOMNON
congas” [a] “connon sisi9 sal
Percentage of orci tay "TOTAL 300210000] TOTAL Tora 7 300.210,088.00] 27733
“TOTAL STSERINED P| Tiosz807.0800] 200.0%
PAID UP CAPITAL,
FILipiNo . ‘pan/STaTED VALUE AAwoure 0) ee
{PE OF SHARES: ai oo ae oe
Taz aaenl
Tora] Tora F| asa] —— Ra
cwoncaTe av wr suanes* PARSTATED VALE re we
if ‘vor or sass o amour ene) | gyneesuie
i
6000
TOTAL 300.2100 Tora 300.210.4509
ToTALFA-P_P nu2.07 403.09
"NOTE USE ADDITIONAL SHEET IF WECESSARY
asafjune 50,2017
I Conmon. rtred or ether dassietion
[Other tan Directors, cers, harbolcorqwaing TOR of oad ae
«1s sro (72018) Page