COVER SHEET for AUDITED FINANCIAL ST STA ATEMENTS SEC Registration Number
Company Name
Principal Office (No!S"ree"!#aran$ay!Ci"y!To%n!Pro&ince'
Form Type
A
Department requiring the report
F S
C
F
R
Secondary License Type, If pp!icab!e
D
COMPAN INFORMATION Company"s Emai! ddress
Company"s Te!ephone Number#s
$obi!e Number
No& of Stoc'ho!ders
nnua! $eeting
Fisca! (ear
$onth#Day
$onth#Day
CONTACT CONT ACTperson PERSON PER MUST SON be INFORMA INFO RMATION TION The designated contact be an /fficer of the Corporation Name of Contact )erson
Emai! ddress
Te!ephone Number#s
$obi!e Number
Contact )erson"s ddress
No"e No"e00 1& In case of death, resignation or cessation of office of the officer designated as contact person, such incident sha!! be reported to the Commission *ithin thirty 234 ca!endar days from the occurrence therof *ith information and comp!ete contact detai!s of the ne* contact person designated&
+& !! -o.es must be proper!y proper!y and comp!ete!y fi!!ed fi!!ed up& Fai!ure to do so sha!! cause the de!ay in updating the corporation"s records *ith the Commission and # or non%receipt of Notice of
Deficiencies& Further, Further, non%receipt of Notice of Deficiencies sha!! not e.cuse the corporation from !iabi!ity for its its deficiencies&
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