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2129/23, 8:24 AM ‘Gmail- Mandatory Disclosures for SEC Registered Non-Stock Corporations (Gmail karl anthony vilanueva Mandatory Disclosures for SEC Registered Non-Stock Corporations Google Forms ‘Thu, Feb 23, 2023 at 8:12 AM To: attyvillanuevakarianthony@gmail.com Le:Google Forms Thanks for filling out Mandatory Disclosures for SEC Registered Non-Stock Corporations Here's what was received. SETS Mandatory Disclosures for SEC Registered Non-Stock Corporations Pursuant to its regulatory powers under Republic Act No. 11232 otherwise known as the Revised Corporation Code of the Philippines and the Securities Regulation Code, the ‘Commission, in its efforts to combat money laundering and terrorist financing, deems it necessary to require additional information from existing SEC registered Non-Stock Corporations. In this regard, the President or any other officer duly authorized under a board resolution is INSTRUCTIONS: Do not leave any blanks unfilled. If an item is not applicable, please note this as “NIA.” Incomplete details will be deemed as failure of submission and hence a violation of Section 9.5 of the Memorandum Circular No, 25, Series of 2019 or "2019 NPO Guidelines" which provides for revocation of registration of the Non-Stock Corporation, “**H you will receive an incomplete form, kindly inform us by requesting for a paf copy of the form you filed out and submitted online. Please email your request to amid-mdf@sec.gov.ph Email * attyvillanuevakarlanthony@gmail.com ‘oil C:RsersiserDawnioads/Gmall - Mandatory Disciosures for SEC Registered Non-Stock Corporations hi 129 2123123, 8:24 AM Gmail- Mandatory Disclosures for SEC Registered Non-Stock Corporations leaGmail karl anthony villanueva Mandatory Disclosures for SEC Registered Non-Stock Corporations Google Forms Thu, Feb 23, 2023 at 8:12 AM To: attyvillanuevakarlanthony@gmail.com [e:Google Forms Thanks for filling out Mandatory Disclosures for SEC Registered Non-Stock Corporations Here's what was received. Mandatory Disclosures for SEC Registered Non-Stock Corporations Pursuant to its regulatory powers under Republic Act No. 11232 otherwise known as the Revised Corporation Code of the Philippines and the Securities Regulation Code, the Commission, in its efforts to combat money laundering and terrorist financing, deems it necessary to require additional information from existing SEC registered Non-Stock Corporations. In this regard, the President or any other officer duly authorized under a board resolution is hereby mandated to accomplish the following form by supplying all the information required herein. INSTRUCTIONS: Do not leave any blanks unfilled. if an item is not applicable, please note this as ‘NIA” Incomplete details will be deemed as failure of submission and hence a violation of Section 9.5 of the Memorandum Circular No, 25, Series of 2019 or "2019 NPO Guidelines” which provides for revocation of registration of the Non-Stock Corporation. ***If you will receive an incomplete form, kindly inform us by requesting for a pdf copy of the form you filed out and submitted online. Please email your request to amid-mdf@sec.gov.ph Email * attyvillanuevakarlanthony@gmail.com fla:/C:Agor/User!Downicads/Gmall - Mandatory Disclosures for SEC Registered Non-Stock Corporations. html 428 2123123, 824. AM ‘Gmail - Mandatory Disclosures for SEC Registered Non-Stock Corporations Confirm Email address * attyvillanuevakarlanthony@gmail.com |. Have you submitted a Mandatory Disclosure Form on or before July 31, 20197 * Yes @ No {fan item is not applicable, please note this as “N/A. Corporate Name * ALBAY BROTHERHOOD OF PARAGON BUSINESSMEN AND PROFESSIONALS, INC. Business/Trade Name * I not applicable, please note this as “N/A. NIA. SEC Registration No, * 2023010083019-01 Complete Principal Office Address * LAKANDULA DRIVE, BRGY. 40-CRUZADA, LEGAZPI CITY Complete Business Address * ‘le: fC:/UsersUser/Downloads/Gmail - Mandatory Disclosures for SEC Recistered Non-Stock Corporations 229 2129029, 0:24AM ‘Gmail- Mandatory Disclosures for SEC Registered Non-Stock Corporations not applicable, please note this as “N/A” LAKANDULA DRIVE, BRGY. 40-CRUZADA, LEGAZPI CITY No. of Branch Office * {not applicable, please note this as “0” Branch Office/s Addresses * NATIONAL CAPITAL REGION (NCR) REGION | (ILOCOS REGION) REGION Il (CAGAYAN VALLEY) REGION Ill (CENTRAL LUZON) REGION IV-A (CALABARZON) REGION IV-B (MIMAROPA) (© Recion v @IcoL REGION) REGION VI (WESTERN VISAYAS) REGION VII (CENTRAL VISAYAS) REGION Vill (EASTERN VISAYAS) REGION IX (ZAMBOANGA PENINSULA) REGION X (NORTHERN MINDANAO) REGION XI (DAVAO REGION) REGION XIl (SOCCSKSARGEN) REGION Xill (CARAGA) CORDILLERA ADMINISTRATIVE REGION (CAR) [7] AuToNoMOUS REGION IN MUSLIM MINDANAO (ARMM) ‘lexf:/Users/UseriDownioads/(Gmal - Mandatory Disclosures for SEC Registered Non-Stock Corporations. html 328 2123123, 8:24AM ‘Gmail- Mandatory Disclosures for SEC Registered Non-Stock Corporations NA A. Area or location of operations/activities: Area of Operation/Activities * NATIONAL CAPITAL REGION (NCR) ] REGION I (ILOCOS REGION) REGION II (CAGAYAN VALLEY) REGION Ill (CENTRAL LUZON) REGION IV-A (CALABARZON) { REGION IV-B (MIMAROPA) (0) Resin ico REGION) REGION VI (WESTERN VISAYAS) REGION VII (CENTRAL VISAYAS) REGION Vill (EASTERN VISAYAS) REGION IX (ZAMBOANGA PENINSULA) REGION X (NORTHERN MINDANAO) REGION XI (DAVAO REGION)’ REGION XII (SOCCSKSARGEN) REGION Xill (CARAGA) CORDILLERA ADMINISTRATIVE REGION (CAR) AUTONOMOUS REGION IN MUSLIM MINDANAO (ARMM) PE ESR B. Primary Purpose * AAs Stated in Articles of Incorporation ‘eC: /Users/UseriDownloads/Gmail - Mandatory Disclosures for SEC Registered Non-Stock Corporation 2123023, 8:24 AM ‘Gmail - Mandatory Disclosures for SEC Registered Non-Stack Corporations Alumni Associations Athletic Condominium Associations Cultural ) Environmental Fratemal Housing Literary Microfinancing © Professional ) Sectoral (women's associations, senior citizens, PWD, etc.) © Transportation Charitable Educational Religious Scientific Social Welfare Tourism Other: Secondary Purpose * As Stated in Articles of Incorporation. Check all applicable. Alumni Associations Athletic ] Condominium Associations ‘les /UsersiUseriDownioads/Gmal- Mandatory Disclosures for SEC Registered Non-Stock Corporations.Niml 5129 2123023, 8:24 AM (Gmail- Mandatory Disclosures for SEC Registered Non-Stock Corporations Cultural Environmental (2) Fraternal | Housing Microfinancing (2) titerary Professional ‘Sectoral (women's associations, senior citizens, PWD, etc.) ‘Transportation | Charitable Educational Religious Scientific Social Welfare } Tourism Other: Ian item is not applicable, please note this as *N/A". Bureau of Internal Revenue (BIR) * Wf not applicable, please choose “No” No ¥ BIR Registration/License/Accreditation/Permit No. * file: Asers{UseriDownloads/Gmail - Mandatory Disclosures for SEC Registered Non-Stock Corporations html 223723, 8:24 AM Gmail - Mandatory Disclosures for SEC Registered Non-Stock Corporations not applicable, please note this as "N/A". N/A, Date of Issuance MM DD vv. tot Validity Commission on Higher Education ("CHED") * It not applicable, please choose “No”. CHED Registration/License/Accreditation/Permit No. * {not applicable, please note this as “N/A” NIA Date of Issuance MM DD Yvvy Validity {if sersfseriDownloads/Gmail - Mandatory Disclosures for SEC Registered Non-Stock Corporations him 2123023, 8:24 AM ‘Gmail- Mandatory Disclosures for SEC Registered Non-Stock Corporations Department of Agrarian Reform ("DAR") * ‘If not applicable, please choose “No”. DAR Registration/License/Accreditation/Permit No. * If not applicable, please note this as "N/A". N/A Date of Issuance MM DD yyw. tor Validity Department of Agriculture - Agricultural Training Institute ("DA-ATI") * lf not applicable, please choose “No’. No ¥ DA-ATI Registration/License/Accreditation/Permit No. * 'fnot applicable, please note this as "NIA". NIA Date of Issuance fe:C:AUsers{UsertDownloads/Gmeil - Mandatory Disciosures for SEC Registered Non-Stock Corporations html 823 2123123, 8:24AM, ‘Gmail - Mandatory Disclosures for SEC Registered Non-Stock Corporations MM DD YY eee Validity Department of Education (“DepEd”) * If not applicable, please choose "No". No Y DepEd Registration/License/Accreditation/Permit No. * {not applicable, please note this as "N/A" NIA Date of Issuance Validity Department of Environment and Natural Resources (DENR) * If not applicable, please choose “No”. No . fle:IC:AlgorsUserIDownloadslGmail - Mandatory Disclosures for SEC Registered Non-Stock Corporations hil 9i29 2123/23, 8:24 AM DENR Registration/License/Accreditation/Permit No. * not applicable, please note this as “N/A” NA Date of Issuance MM DD YvYY tot Validity Department of Health (‘DOH”) * not applicable, please choose *No" DOH Registration/License/Accreditation/Permit No. * not applicable, please note this as "N/A", NA Date of Issuance MM DD Yyvy Valicity Sle C:?JsereUser/Downloads/Gmail- Mandatory Disclosures for SEC Registered Non-Stock Corporations! ‘Gmail- Mandatory Disclosures for SEC Registered Non-Stock Corporations 10129 2123123, 8:24 AM Gmail - Mandatory Disclosures for SEC Registered Non-Stock Corporations Department of Labor and Employment ("DOLE") * if not applicable, please choose “No” DOLE Registration/License/Accreditation/Permit No. * I not applicable, please note this as “N/A NA Date of Issuance MM DD Yvvy mot Validity Department of Social Welfare and Development (“DSWD”) * I not applicable, please choose “No” DSWD Registration/License/Accreditation/Permit No. * not applicable, please note this as “N/A. NA. Sil: C:AUsersUser!Downloads/Gmai - Mandatory Disclosures for SEC Registered Non-Stock Corporations imi 1028 2123/28, 8:24AM. Date of Issuance MM DD YYvy G20 Validity Local Government Units (LGUs) * I¥not applicable, please choose “No*. No ¥ LGUs Registration/License/Accreditation/Permit No. * If not applicable, please note this as “N/A* NIA. Date of Issuance MM DD Yyvy mor Validity Microfinance NGO Regulatory Council * If not applicable, please choose "No". Ale: ?sersUseriDownloads/Gmail - Mandatory Disclosures for SEC Registered Non-Stock Corporations.htmi ‘Gmail - Mandatory Disclosures for SEC Registered Non-Stock Corporations 12128 2123123, 8:24AM, Microfinance NGO Regulatory Council Registration/License/Accreditation/Permit No No. * not applicable, please note this as “N/A” NA ‘Gmail - Mandatory Disclosures for SEC Registered Non-Stock Corporations Date of Issuance MM DD vy 1 Validity National Commission for Culture and the Arts (NCCA) * {not applicable, please choose “No. No NCCA Registration/License/Accreditation/Permit No. * not applicable, please note this as “N/A” N/A. Date of Issuance MM oD ww ! Sle: AsersUseriDownloads/Gmail - Mandatory Disclosures fr SEC Registered Non-Stock Corporations.himl 13729 2123/23, 8:24 AM (Gmail - Mandatory Disclosures for SEC Registered Non-Stock Corporations Validity National Commission on Indigenous Peoples (*NCIP") * If not applicable, please choose “No'. NCIP Registration/License/Accreditation/Permit No. * If not applicable, please note this as “N/A” NIA. Date of Issuance MM DD YyYY rot Validity National Commission on Muslim Filipinos ("NCMF") * Hf not applicable, please choose "No". NCMF Certificate of Recognition/Registration/License/Accreditation/Permit No. * not applicable, please note this as "N/A. ‘eu:AJsers/UseriDovnioads/Gmail - Mandatory Disclosures for SEC Registered Non-Stock Corporations.html 14720 2729723, 8:24 AM (Gmai- Mandatory Disclosures for SEC Registered Non-Stock Corporations. NIA Date of Issuance MM DD YYYY Validity Philippine Council for NGO Certification (“PCNC”) * fot applicable, please choose *No" No ’ PCNC Registration/License/Accreditation/Permit No. * lf not applicable, please note this as “N/A”. NIA Date of Issuance MM 0D Yvvy Technical Education and Skills Development Authority ("TESDA") * ‘lex :/UsersUser)Downloads/Gmail - Mandatory Disclosure for SEC Registered Non-Stock Corporations him! 18120 2129123, 8:24 AM (Gmail - Mandatory Disclosures for SEC Registered Non-Stack Corporations not applicable, please choose “No” No ¥ TESDA Certificate of Recognition/Registration/License/Accreditation/Permit No. * If not applicable, please note this as "N/A’. NIA Date of Issuance MM DD YvYY t t Validity Others (Please Specify) * If not applicable, please note this as “N/A” NIA Reference/Control No. (Registration/ License/Accreditation) * not applicable, please note this as "N/A" NA Date of Issuance MM DD Yvvy file: /Users/UseriDownloads/Gmail - Mandatory Disclosures for SEC Registered Non-Stock Corporations hi 16128 2123/23, 8:24 AM ‘Gmail- Mandatory Disclosures for SEC Registered Non-Stock Corporations Validity Please choose applicable activities. PARTICULARS * Yes Raising funds for charitable purposes Raising funds for religious purposes Raising funds for cultural purposes Raising funds for educational purposes (except tuition fees) Raising funds for social purposes Raising funds for fraternal purposes ©®©® © © © ©? Raising funds for other types of good works Ifyou answered yes to raising funds for other types of good works, specify/indicate the type of “good works" referred to: * If not applicable, please not this as "NIA. NIA PARTICULARS Yes No ® {le:1C/Users/User/Downlcads/Gmal- Mandatory Disclosures for SEC Registered Non-Stock Corporations. ml 17129 Disbursing funds for charitable purposes 2123723, 8:24 AM ‘Gmail- Mandatory Disclosures for SEC Registered Non-Stock Corporations Disbursing funds for religious purposes > © Disbursing funds for cultural purposes Disbursing funds for educational purposes Disbursing funds for social purposes Disbursing funds for fraternal purposes. ®©®©®®® © Disbursing funds for the carrying out of other types of "good works” Hf you answered yes to disbursing funds for the carrying out of other types of “good works", specifylindicate the type of “good works" referred to: * If not applicable, please note this as "N/A". NIA a mc TEESE, Are you a newly registered corporation with Certificate of Registration issued on January 1, 2020 onwards? * @ Yes ) No ae a ERASE E. Please indicate the total amount of donations, contributions and grants received by the corporation annually for the past five (5) years (inclusive of non-monetary items received): * Please choose the appropriate amount: 8, 000, cote eae Er aoa ce oat Pon oOn 500,000 1,000.00 1° p10,000.00 50,000.00 Cand NIA o-$:000,000 a aoa fle:/C:AUserstUser'Dawnlosds/Gmsi - Mandatory Disclosures for SEC Registered Non-Stock Corporationshiml 18729 2123128, 8:24AM ‘Gmail - Mandatory Disclosures for SEC Registered Non-Stock Corporations 2021 ) C Oo C C 2020 O C >) oO > 2019 Oo O O Oo Oo 2018 0 O O ) O 2017 ) ) ©@G®GO® © F. Please indicate the total amount of funds used by the corporation annually for its projects and programs for the past five (5) years: * Please choose the appropriate amount 500,001 Pi 500.001 4 999 99 P5000,001 10,000.00 36 oan 9 Foto ° ito 7 er) Pe P 500,000 PH,000.00 5 50.445 10,000.00 50,000.00 2 ° ° ° 2021 O oO C O : O 2020 oO ) 7 oO C 2019 oO C O : 2018 C C C oot = O 5 . C i. As to person/entity: * Please check all that apply Fillpino citizen in the Philippines Filipino citizen outside the Philippines () Foreign individual in the Philippines Al:C:1UsersUUsoriDownloads/Gmail- Mandatory Disclosures for SEC Ragitered Non-Stock Corporations. NA ©®O®9®O® 912 2123723, 624 AM ‘Gmail Mandatory Disclosures fr SEC Registered Non-Stock Corporations _) Foreign individual outside the Philippines Public officer of the Philippine government Public officer ofa foreign government Politically Exposed Person or PEP Close Associate (domestic or foreign) Philippine national government Philippine local govemment Foreign government Private institution/business/company in the Philippines Private institution/business/company outside the Philippines Philippine government financial institution Foreign government financial institution or their equivalent (-) Philippine government owned and controlled corporations Foreign government owned and controlled corporations or their equivalent Intemational foreign funding institutions (e.g., Canada Intemational Development Agency (CIDA), Australian Goverment Overseas Aid Program (AUSAID), New Zealand International Aid and Development Agency (NZAID), Japan Intemational Cooperation Agency (JICA), United Nations System Organizations (such as UNICEF, WTO, ILO) United States Agency for International Development (USAID), etc,) (© other: Membership dues Please specify the country if you answer Filipino citizen outside the Philippines. * tf not applicable, please choose “NIA N/A, ¥ Please specify the country if you answer Foreign individual outside the Philippines. {not applicable, please choose "N/A" ‘ef: ?UsersiUseriDownloads/Gmail - Mandatory Disclosures for SEC Registered Non-Stock Corporations htm 2028 2123128, 8:24AM ‘Gmail- Mandatory Disclosures for SEC Registered Non-Stock Corporations NA Y Please specify the country if you answer Public officer of a foreign government. * If not applicable, please choose “NI/A* NIA Y Please specify the country if you answer Foreign government, * Inet applicable, please choose “NIA” NIA ’ Please specify the country if you answer Foreign government owned and controlled corporations or their equivalent. * If not applicable, please choose "NIA. NIA ¥ Please specify the foreign funding institutions if you answer International foreign funding institutions (e.g., Canada Intemational Development Agency (CIDA), Australian Government Overseas Aid Program (AUSAID), New Zealand International Aid and Development Agency (NZAID), Japan International Cooperation Agency (JICA), United Nations System Organizations (such as UNICEF, WTO, ILO) United States Agency for International Development (USAID), etc,).* ‘If not applicable, please note this as “N/A”. NA ii, As to geography: ‘sf: 7UsersUser/Downioads/Gmail - Mandatory Disclosures for SEC Registered Non-Stock Corporationshim! 21129 2128128, 8:24 AM ‘Gmail - Mandatory Disclosures for SEC Registered Non-Stock Corporations Country 1:* Philippines ’ Country 2: * not applicable, please choose “Ni NIA ~ Country 3: * Hf not applicable, please choose "N/A NIA v Country 4: * If not applicable, please choose “N/A". NIA ’ Country 5: * If not applicable, please choose "N/A". NA ¥ i. As to person/entity: * Please check al that apply (Artisanal her fo sei YusertiserDowneatsGmal- Mandaary Disdosues for SEC Retr Nor-Sack Corporations 2123023, 8:24 AM oO O (Gmail - Mandatory Disclosures for SEC Registered Non-Stock Corporations Children Differentiy-abled persons/Persons with disability Educational institutions Farmer-peasant Indigenous peoples and cultural communities Informal settlers Lepta+ Overseas workers Refugees Religious groups/sects Senior citizens/Elderly ‘Transportation groups Urban poor Vendor Associations Veterans Vietims of calamities and disasters Women Workers in the formal sector and migrant workers Workers in the informal sector Youth and students Other: As to geography: Within the Philippines (e:/C:/UsersUser/DownloadsiGmail- Mandetory Disclosures for SEC Registered Non-Stock Corporations html 23128 2123/23, 8:24 AM ‘Gmail - Mandatory Disclosures for SEC Registered Non-Stock Corporations NATIONAL CAPITAL REGION (NCR) REGION I (ILOCOS REGION) REGION Il (CAGAYAN VALLEY) | REGION Ill (CENTRAL LUZON) ) REGION IV-A (CALABARZON) REGION IV-B (MIMAROPA) (REGION v BICOL REGION) REGION VI (WESTERN VISAYAS) REGION Vil (CENTRAL VISAYAS) REGION Vill (EASTERN VISAYAS) REGION IX (ZAMBOANGA PENINSULA) REGION X (NORTHERN MINDANAO) REGION XI (DAVAO REGION) REGION XIl (SOCCSKSARGEN) REGION Xill (CARAGA) CORDILLERA ADMINISTRATIVE REGION (CAR) AUTONOMOUS REGION IN MUSLIM MINDANAO (ARMM) By Country Country 1: * Philippines 4 Country 2: * If not applicable, please choose "N/A". ‘ei/Users/User/DounioadsiGmail - Mandatory Disclosures for SEC Registered Non-Stock Corporations. 24129 2129128, 8:24 AM ‘Gmail- Mandatory Disclosures for SEC Registered Non-Stack Corporations NIA. ¥ Country 3: * not applicable, please choose "NIA" N/A. ¥ If your answer is "YES" or “NO,” whereby "YES" means that the item currently appliesiis observed or in place. If you answered “Yes” to any of the items below, please provide a brief description of iis detalls. Declarations made herein may be subject to validation/audit by the Commission, 1, Do you have written guidelines prior to accepting donations/funding/endowments/ grants/contributions? * If not applicable, please choose "No". No ¥ If "YES", provide details/brief description below * ¥ not applicable, please note this as "N/A". N/A. 2. Do you have predetermined criteria in the selection of your beneficiaries/grantees/recipients? * Hot applicable, please choose "No". If "YES", provide details/brief description below * fe://C:/UsersUser/Downloads! Gmail - Mandatory Disclosures for SEC Registered Non-Stock Corporation. itmi 25:29 2123023, 8:24 AM ‘Gmail - Mandatory Disclosures for SEC Registered Non-Stock Corporations If not applicable, please note this as “N/A” NIA. 3. Do you have any individual, Technical Working Group (TWG) or Committee within your organization that is responsible for regulatory compliance? * If not applicable, please choose 'No" No ’ If “YES”, provide details/brief description below * If not applicable, please note this as "N/A". NIA. 4, Do you have any individual, body or committee within your organization that is responsible for intemal controls to ensure that resources and funds are appropriately identified, utilized, and accounted for? * I not applicable, please choose "No". Yes Y if "YES", provide details/brief description below * If not applicable, please note this as *N/A" TREASURER AND AUDITOR 5. Does your organization have a financial budget plan for allocating resources to specific programs/activities at least on an annual basis? * If not applicable, please choose “No* No Y ‘lo: sUsere/UseriDowrioads/Gmal- Mendatory Disclosures for SEC Registered Non-Stock Corporations hn 26120 2123123, 8:24AM. ‘Gmail - Mandatory Disclosures for SEC Registered Non-Stock Corporations If "VES", provide details/brief description below * I not applicable, please note this as "N/A" N/A, 6. Is your organization affiliated with any umbrella organization with respect to the purpose for which your organization was established (ex. Caucus of Development NGO Networks “CODE-NGO")? * It not applicable, please choose “No” No ¥ If YES", provide details/brief description below * not applicable, please note this as “N/A” NIA. 7. Do you have criteria for the selection of the members of your board of trustees? !f not applicable, please choose "No™ Yes ~ If "YES", provide details/brief description below * W not applicable, please note this as “NIA. Must be a professional or engage in business who are residents of Albay province 8. Have any of your representatives or intended trustees or officers attended/participated in any seminar or symposium relating to the establishment and/or operation of an NPO? * |fnot applicable, please choose "No" ‘eu/Usere/UseriDownioads/Gmall - Mandatory Disclosures for SEC Registered Non-Stock Corporations hil 27129 2123028, 8:24AM, ‘Gmail - Mandatory Disclosures for SEC Registered Non-Stock Corporations If ‘YES”, provide details/brief description below * lf not applicable, please note this as *N/A™ NIA 9. In raising funds, do you deposit and course them through an institution/entity supervised and/or regulated by the Bangko Sentral ng Pilipinas such as banks, E- Money Issuers (EMIs), remittance centers, etc.? * ‘if not applicable, please choose "No". No ¥ If °YES", provide details/brief description below * If not applicable, please note this as "N/A, NIA 10. In disbursing funds, do you course them through an institution/entity supervised andlor regulated by the Bangko Sentral ng Pilipinas such as banks, E- Money Issuers (EMIs), remittance centers, etc. * If not applicable, please choose "No: If *YES", provide details/brief description below * {not applicable, please note this as “N/A NA ‘le /Users/UseriDownloads/Gmail - Mendatory Disclosures for SEC Registered Non-Stock Corporations him 28129 2123123, 8:24AM ‘Gmail- Mandatory Disclosures for SEC Registered Non-Stock Corporations PRIVACY NOTICE ‘SEC is committed to ensuring that any personal data collected are protected and secured. We only use such personal data for regulatory and risk assessment purposes and to provide additional measures pursuant to the regulatory and supervisory powers of this Commission and pursuant to its mandate to protect Non-Profit Organizations (NPOs) from money laundering and terrorist financing abuse, Our privacy policy values and protects your personal data under the Data Privacy Act of 2012, For our privacy policy, please refer to hio:/www.sec.gov.phiprivacy-policyl CONSENT FORM You are aware of your rights under the Data Privacy Act, including the right to be informed, to access, to object, to erasure or blocking, to damages, to file a complaint, to rectify and to data portability, and understand that there are procedures, conditions and exceptions to be complied with in order to exercise cr invoke such rights. FEEDBACK For more information, suggestion and feedback on this Privacy Notice, please send your email to our Data Protection Officer at cpo@sec.gov.ph Privacy Notice and Consent Form * © Ihave read and agree Undertaking * J undertake to submit the printed and notarized copy of the MDF within five (5) days from the © time the Enforcement and Investor Protection Department requires its submission through personal or other allowed means of fling. Create your own Google Form Report Abuse sui SWORN TO before me aE eee ee te ene veeaey cy ‘hitippines, affiant(s) having exhibited to me ‘his/her /their competent evidence of identity writen helo bese ls /her/thele name(s) ATTY. CHARINA C. ROBLES oe. No SS aon Notary Public Bese ‘°F and in the City of Legazpi and Province of Albay BS Until December 31, 2023 Book No. Attorney Roll No. 81164 ladle, PTR No. 01295060/3 January 2023; Legazpi City IBP No. 264003/3 January 2023 MCLE: Nevrly Admitted: May 21, 2022 Unit 3,0 & N Building, Washington Drive, Legazpi Ci fle:fC:/Ucere/Ueer/Downloads/Gmail- Mandatory Disclosures for SEC Registered Non-Stock Corporations nual Legazpi City aer9

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