Registrar-General's Department Date 22-Aug-19

Accra-Ghana
Form 3
THE COMPANIES ACT, 1963 (ACT 179)

Part - I Company Details

Company Registration CS556632015 TIN : C0004566254

Company Type Private Limited

Company Name WESTERN PREMIUM COMPANY LIMITED

Date Of lnr.orporation 30-Jan-15

RGD Office Accra

Date Of Commencement 02-Feb-15

Principal Activity SUPPLIERS OF GENERAL GOODS.OFFICE EQUIPMENT.STATIONERY,
CLEANING AND SANITARY PRODUCTS.FURNITURE, MEDICAL
CONSUMABLES.FOOD PRODUCTS,'COMPUTER AND ITS PRODUCTS

Nature Of Business Commerce - SUPPLIERS OF GENERAL GOODS.OFFICE

EQUIPMENT.STATIONERY, CLEANING AND SANITARY
PRODUCTS,FURNITURE,.MEDICAL CONSUMABLES.FOOD
PRODUCTS.COMPUTER AND ITS PRODUCTS,
PRINTING CONSUMABLES SUPPLY
Part - II Industrial Classification
ISIC Code ISIC Description Primary
4719 Other retail sale in non-specialized stores Yes

Part - Ill Address Details

Principal Place of Business

House/Building/Flat No. HNO. 31
Street OFF 7TH DRIVE, NEAR CARL REINDORF RES. SSNIT
City ACCRA
District Accra
Region GREATER ACCRA
P O Box NO/PMB/DTD P. 0. BOX 11366, ACCRA
Country Ghana

Registered Address
House/Building/Flat No. HNO. 31
Street OFF 7TH DRIVE, NEAR CARL REINDOR~ RESiDENCE,
City ACCRA
District Accra
Region GREATER ACCRA
P O Box NO/PM8/DTD P. 0 . BOX 11366, ACCRA
Country Ghana

Pa9e 1 of 3
 Postal Address of Business

House/Building/Flat No. HNO. 31

Street OFF 7TH DRIVE, NEAR CARL REINDORF RES , SSNIT
City ACCRA
District Accra
Region GREATER ACCRA
P.O Box NO/PMB/DTD P. 0. BOX 11366, ACCRA

Country Ghana

Part-IV Contact Details

Phone No. 1

Phone No. 2

Phone No. 3

Mobile No. 1 0208171965

Mobile No. 2 0542123687
Mobile No. 3

Fax No.

Email

URL

Part - V Company Officers.Details

TIN Name Address Nationality · Date Of Birth Designation
Director Details :

P0004510356 ALLAN 31,OFF ,7,TH DRIVE NEAR CARL Ghanaian 01 -May-1983 Director
BERNARD, REl ~0,0LF
VAN- · ,~ESIO,s NCE,DANSOMAN SSNIT
Fl.l\:f~,Accra,GREATER
SEGBEF-I1,>;,,
ACCffi\,Ghana
P0002517949 SAMUEL VAN H/NO 13,OFF 7TH DRIVE CACAS Ghanaian 04-Jan-1996 Director
SEGBEFIA STREET-
DANSOMAN,ACCRA,Accra, GREATE
R ACCRA.Ghana
P0004510577 VERf. 31,OFF 7TH FRIVE NEAR CARL Ghanaian 20-Mar-1962 Director
SEGBEFIA REINDOLF
RESIDENCE,DANSOMAN SSNIT
FLATS,Accra,GREATER
ACCRA.Ghana
Secretary Details :

P0002517949 SAMUEL VAN H/NO 13,OFF 7TH DRIVE CACAS Ghanaian 04-jan-1996 Secretary
SEGBEFIA STREET-
DANSOMAN,ACCRA,Accra,GREATE
R ACCRA.Ghana
Part - VI Auditor Details
i. TIN C0002435365

ii. Registration No

iii. Name EDDIE NIKOI ACCOUNTING CONSUL TANGY

Page 2 of 3
 iv. Address HNO. 9 TRUST HOSPITAL AREA OSU,17TH
LANE,ACCRA,GREATER ACCRA.Ghana

Part - VII Capital Details

i. Currency of Capital GHS

ii. Authorized Shares 1,000,000

iii. Amount of Stated Capital 1,000.00
iv. Issue Shares 1,000
v. Issue of Shares

Paid Unpaid Due

a. Ordinary Shares 1,000 0 0

b. Preference Shares 0 0 0
c. Debenture 0 0 0

vi. Treasury Shares 0

Page 3 of 3
 Form No. 4
THE COMPANIES ACT, 1963 (ACT 179)

DECLARATION THAT CONDITIONS OF SECTION 28 OF THE COMPANIES ACT,

1963, (ACT 179) HAVE BEEN COMPLIED WITH

WESTERN PREMIUM COMPANY LIMITED

Presented by:

To the Registra r of Companies . P. 0 . Box 118, Accra

WESTERN PREMIUM COMPANY LIMITED

bei ng Directors and Secretary respectively of WESTERN PREMIUM COMPANY LIMITED

do solemnly and sincerely declare:-

That there has been paid to the Company for the issue of its shares consideration to the value of at least five
hu ndred Ghana Cedis , of which at least one hundred Ghana Cedis have been paid in cash within the meaning of
section 45 of the Companies Act.

And we make this solemn declaration conscientiously believing the same to be true and by virtue of the
provisions of the Statutory Declarations Act, 1971 .

SAMUEL VAN SEGBEFIA Director Signed

VERA SEGBEFIA Director Signed

ALLAN BERNARD VAN-SEGBEFIA Director Signed

SA MUEL VAN SEGBEFIA Secretary Signed

Declared at 22"d the day of AUGUST 2019 before me

To be signed by all Directors and Secretary of the Company.

SAMUEL KORLETEY AMARTEY

Commissior,er of Oaths