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COMPANY NAMI!

COVER SHEET
for

AUDITED FINANCIAL STATEMENTS

SEC ritlntion  Number

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PRINCIPAL OFFICI! (No.I Strt«IEWangoy/City/Townll'rovinN)
FormTYJIO Dopartmont nquiring dlo '"flOrl
Secondo'}' Ucenoe Tn>e,H A4>plioable

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COMPANY INFORMATION
MobOe Number
No. of Stocldlolde11 Annual Meeting {110ft1111 Doy) 1'"11.,.;1Year (Month Day)
Name of C.ontact POISon
CONTACT PI!RSON INFORMAnON
The designated contact person !lJ/H be an Offtter of the CorpomiOn
EmailAddreu Tel'fl"one Numborls
Mobile Number

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CONTACT PI!RSON'a ADDRI!SS
NOT6 11 Itt cas, of death, resignetion w.cesNtion of ofrtee of the olficM dtesignated as confliCt person, such incident shell be reported to the
Commission wlthfn UJfrthy (30} calendar days from the oc uran« thereof with information and complete contKt det l:s of the contact person
fhtsigrnrted.
2 1 All Boxes must be properly and completoly fil·up.Foilure lo do so shallcouse 1Mdelay in updating lite corporstion's records with the CommisSio
or non..receipt f!( Notice of Deftciencies. Further, non·receipf of Notic• of Del'teienCies shall not &Kcuse the cOtp«iltion from liability follts -lonclos.

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