COVER SHEET

COMPANY REGISTRATION AND MONITORING DEPARTMENT

Nature of Application SEC Registration Number

AMENDMENT C N 2 0 1 6 1 9 4 6 5

COMPANY NAME
S C H O E N S T A T T I N T E G R A T E D S C H O O L

I N C .

PRINCIPAL OFFICE ( No. / Street / Barangay / City / Town / Province)

0 8 6 7 H A N G G A S A N I S I D R O I I

P A O M B O N G B U L A C A N

ZIP CODE
3 0 0 1

COMPANY INFORMATION
Company's Email Address Company's Telephone Number Mobile Number

sis.edu.ph@gmail.com 09430065471 / 09192566768

CONTACT PERSON INFORMATION

The designated person MUST be a Director/Trustee/Partner/Officer/Resident Agent of the Corporation
Name of Contact Person Email Address Telephone Number/s Mobile Number

Mendelson G. Cruz cruz_mendelson@yahoo.com (044) 896-1438 09351293372

CONTACT PERSON's ADDRESS

FRG Building Halang San Pablo, Hagonoy, Bulacan 3002

To be accomplished by CRMD Personnel

Date Signature

Assigned Processor:

Document I.D.

Received by Corporate Filing and Records Division (CFRD)

Forwarded to:
Corporate and Partnership Registration Division
Green Lane Unit
Financial Analysis and Audit Division
Licensing Unit