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6 ONLY THE GIS ACCOMPLISHED IN ACCORDANCE WITH THESE INSTRUCTIONS SHALL BE CONSIDERED AS HAVING BEEN FILED.
7 THIS GIS MAY BE USED AS EVIDENCE AGAINST THE CORPORATION AND ITS RESPONSIBLE DIRECTORS/OFFICERS FOR ANY VIOLATION OF
EXISTING LAWS, RULES AND REGULATIONS
NAME OF EXTERNAL AUDITOR & ITS SIGNING PARTNER: SEC ACCREDITATION NUMBER (if TELEPHONE NUMBER(S):
applicable): 706-338
Page 1
GIS_STOCK(v.2005)
AL INFORMATION SHEET (GIS)
EAR ____________2008______________
STOCK CORPORATION
UBMITTED WITHIN THIRTY (30) CALENDAR DAYS FROM THE DATE OF THE ANNUAL
M BLANK. WRITE "N.A." IF THE INFORMATION REQUIRED IS NOT APPLICABLE TO THE
N-EXISTENT.
UBMIT THE GIS TOGETHER WITH AN AFFIDAVIT OF NON-HOLDING OF MEETING WITHIN
SCHEDULED ANNUAL MEETING (AS PROVIDED IN THE BY-LAWS). HOWEVER, SHOULD AN
TER, A NEW GIS SHALL BE SUBMITTED/FILED.
RTIFIED AND SWORN TO BY THE CORPORATE SECRETARY OF THE CORPORATION.
CHANGES IN THE SUBMITTED INFORMATION AS THEY ARISE. FOR CHANGES RESULTING
MEETINGS, THE CORPORATION SHALL SUBMIT ONLY THE AFFECTED PAGE OF THE GIS
THER WITH A COVER LETTER SIGNED BY THE CORPORATE SECRETARY OF THE
ETTER SHALL BE SUBMITTED WITHIN SEVEN (7) DAYS AFTER SUCH CHANGE OCCURRED
AL RECEIVING SECTION, GROUND FLOOR, SEC BLDG., EDSA, MANDALUYONG CITY. ALL
D PAPER WITH A STANDARD COVER PAGE. THE PAGES OF ALL COPIES SHALL USE ONLY
THEIR GIS ONLINE OR VIA INTERNET SHALL SUBMIT ONE (1) HARD COPY OF THE GIS,
S CORPORATE SECRETARY THAT THE COPY SUBMITTED ONLINE CONTAINS THE EXACT
DATE REGISTERED:
08 SEPTEMBER 2008
CORPORATE TAX
IDENTIFICATION NUMBER
(TIN) 007-115-222
WEBSITE/URL ADDRESS:
E-MAIL ADDRESS:
FAX NUMBER:
TELEPHONE NUMBER(S):
706-338
GEOGRAPHICAL CODE:
Page 1
GIS_STOCK(v.2005)
GENERAL INFORMATION SHEET
STOCK CORPORATION
==================================== PLEASE PRINT LEGIBLY ==================================
CORPORATE NAME: PAN ASIA INTERNATIONAL MULTI-DEVELOPMENT GROUP INC.
CAPITAL STRUCTURE
AUTHORIZED CAPITAL STOCK
AMOUNT (PhP)
NUMBER OF
TYPE OF SHARES * PAR/STATED VALUE (No. of shares X Par/Stated
SHARES
Value)
COMMON 400,000 100 40,000,000
DIRECTORS / OFFICERS
TAX IDENTIFICATION NO.
NAME, NATIONALITY AND STOCK
EXEC. (TIN) FOR FILIPINOS or
CURRENT RESIDENTIAL INC'R BOARD HOLDE OFFICER
COMM. PASSPORT NO. FOR
ADDRESS R
FOREIGNERS
1. YE GUO LIN , Chinese Y C Y PRESIDENT G150150117
No. 15D Boardwalk Tower Metropolitan Park,
Roxas Blvd., Pasay City
TOTAL NUMBER OF STOCKHOLDERS: 5 NO. OF STOCKHOLDERS WITH 100 OR MORE SHARES EACH: 2
STOCKHOLDER'S INFORMATION
SHARES SUBSCRIBED
NAME, NATIONALITY AND AMOUNT TAX IDENTIFICATION NO. (TIN) FOR
CURRENT RESIDENTIAL AMOUNT % OF PAID FILIPINOS or PASSPORT NO. FOR
ADDRESS TYPE NUMBER OWNER- (PhP) FOREIGNERS
(PhP) SHIP
1 CUI PING LIPANA Common 192,000 19,200,000.00
Filipino
Filipino
INSTRUCTION: SPECIFY THE TOP 20 STOCKHOLDERS AND INDICATE THE REST AS OTHERS
TOTAL NUMBER OF STOCKHOLDERS: NO. OF STOCKHOLDERS WITH 100 OR MORE SHARES EACH:
STOCKHOLDER'S INFORMATION
TOTAL 1 100.00
TOTAL 1 100.00
TOTAL 1 100.00
11
TOTAL
12
TOTAL
13
TOTAL
14
TOTAL
INSTRUCTION: SPECIFY THE TOP 20 STOCKHOLDERS AND INDICATE THE REST AS OTHERS
TOTAL NUMBER OF STOCKHOLDERS: NO. OF STOCKHOLDERS WITH 100 OR MORE SHARES EACH:
STOCKHOLDER'S INFORMATION
SHARES SUBSCRIBED
TAX IDENTIFICATION NO.
NAME, NATIONALITY AND % OF
AMOUNT PAID (TIN) FOR FILIPINOS or
CURRENT RESIDENTIAL ADDRESS AMOUNT (PhP) PASSPORT NO. FOR
TYPE NUMBER OWNER-
(PhP) SHIP
FOREIGNERS
15
TOTAL
16
TOTAL
17
TOTAL
18
TOTAL
19
TOTAL
20
TOTAL
TOTAL
INSTRUCTION: SPECIFY THE TOP 20 STOCKHOLDERS AND INDICATE THE REST AS OTHERS
TOTAL NUMBER OF STOCKHOLDERS: NO. OF STOCKHOLDERS WITH 100 OR MORE SHARES EACH:
STOCKHOLDER'S INFORMATION
SHARES SUBSCRIBED
TAX IDENTIFICATION NO.
NAME, NATIONALITY AND % OF
AMOUNT PAID (TIN) FOR FILIPINOS or
CURRENT RESIDENTIAL ADDRESS AMOUNT (PhP) PASSPORT NO. FOR
TYPE NUMBER OWNER-
(PhP) SHIP
FOREIGNERS
Note: For PDTC Nominee included in the list, please indicate further the beneficial owners owning more than 5% of any class of the company's voting securities.
Attach separate sheet, if necessary.
TOTAL ANNUAL COMPENSATION OF TOTAL NO. OF OFFICERS TOTAL NO. OF RANK TOTAL MANPOWER
DIRECTORS DURING THE PRECEDING & FILE EMPLOYEES COMPLEMENT
FISCAL YEAR (in PhP) N/A 0 0
3
CORPORATION DECLARE UNDER THE PENALTY OF PERJURY, THAT ALL MATTERS SET FORTH IN THIS GENERAL
INFORMATION SHEET WHICH CONSISTS OF ( 8 ) PAGES HAVE BEEN MADE IN GOOD FAITH, DULY VERIFIED BY
ME AND TO THE BEST OF MY KNOWLEDGE AND BELIEF, ARE TRUE AND CORRECT.
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 CORPORATIONS CERTIFICATE OF INCORPORATION. IN THIS EVENTUALITY, THE
CORPORATION HEREBY WAIVES ITS RIGHT TO A HEARING FOR THE SAID REVOCATION.
SUBSCRIBED AND SWORN TO BEFORE ME IN PASIG CITY, PHILIPPINES ON 17TH OCTOBER 2008, AFFIANT
PERSONALLY APPEARED BEFORE ME AND EXHIBITED TO ME HER COMMUNITY TAX CERTIFICATE NO. 23746806
ISSUED AT PASIG CITY ON 28 FEBRUARY 2008.