Attachment to BIR Form 1601-EQ

QUARTERLY ALPHABETICAL LIST OF PAYEES SUBJECTED TO EXPANDED WITHHOLDING TAX & PAYEES WHOSE INCOME PAYMENTS A
FOR THE QUARTER ENDING DECEMBER, 2019

TIN : 203139533-0000
WITHHOLDING AGENT'S NAME: COSTALLES JR., ANTONIO STA ANA

SEQ TAXPAYER
NO IDENTIFICATION
NUMBER
(1) (2)
------------------------------ ------------------------------
1 724-080-866-0001
1 743-994-582-0000
1 217-310-963-0000
2 444-414-645-0000
2 267-174-807-0000
2 724-080-866-0001
3 444-414-645-0000
3 724-080-866-0001
3 743-994-580-0000
4 724-080-866-0001
4 009-140-527-0000
4 743-994-580-0000
5 007-644-871-0000
5 724-080-866-0001
5 743-994-580-0000
6 223-642-612-0000
6 724-080-866-0001
6 444-414-645-0000
7 444-414-645-0000
7 009-140-527-0000
8 773-277-656-0000
8 484-715-106-0000
9 101-879-547-0000
9 405-597-413-0000
10 000-280-423-0001
11 007-363-268-0000
12 009-568-151-0000
13 000-164-321-0000
14 724-080-866-0001
15 724-080-866-0001
16 009-140-527-0000
17 484-715-106-0000
18 000-782-142-0000
 19 004-008-166-0000
20 000-279-461-0000
21 405-597-413-0000
22 405-597-413-0000
23 201-277-095-0000
24 007-644-871-0000
25 007-644-871-0000
26 205-392-470-0000
27 223-642-612-0000
28 223-642-612-0000
29 431-081-084-0000

Grand Total :

END OF REPORT
TO EXPANDED WITHHOLDING TAX & PAYEES WHOSE INCOME PAYMENTS ARE EXEMPT

CORPORATION
(Registered Name)

(3)
------------------------------
JINZO CARE PHARMACEUTICAL AND MEDICAL SUPPLIES
CEA ACTIVE MEDICAL SUPPLIES
A-Z MARKET ENTERPRISE
DARWIN D MEDICAL SUPPLIES
AQN GAS LU CORP
JINZO CARE PHARMACEUTICAL AND MEDICAL SUPPLIES
DARWIN D MEDICAL SUPPLIES
JINZO CARE PHARMACEUTICAL AND MEDICAL SUPPLIES
CEA ACTIVE MEDICAL SUPPLIES
JINZO CARE PHARMACEUTICAL AND MEDICAL SUPPLIES
JL DIALMED TRADING CO
CEA ACTIVE MEDICAL SUPPLIES
QMM HEALTH CARE PHIL. CORP
JINZO CARE PHARMACEUTICAL AND MEDICAL SUPPLIES
CEA ACTIVE MEDICAL SUPPLIES
ST TYKE INC
JINZO CARE PHARMACEUTICAL AND MEDICAL SUPPLIES
DARWIN D MEDICAL SUPPLIES
DARWIN D MEDICAL SUPPLIES
JL DIALMED TRADING CO
FERNANDEZ Z PETROL SHOP
JVB MEDICAL SUPPLIES

OPTIMA MARKETING
GET Z BROS PHIL INC
GREEN SUN AUTOMOTIVE ENTERPRISE
HANZO MEDICAL CORP
IMPEXCOS CO
JINZO CARE PHARMACEUTICAL AND MEDICAL SUPPLIES
JINZO CARE PHARMACEUTICAL AND MEDICAL SUPPLIES
JL DIALMED TRADING CO
JVB MEDICAL SUPPLIES
LBC EXPRESS
MAGIC APPLIANCE CENTER
NATIONAL BAZAAR
OPTIMA MARKETING
OPTIMA MARKETING
PUREGOLD PRICE CLUB
QMM HEALTH CARE PHIL. CORP
QMM HEALTH CARE PHIL. CORP
RBGM MEDICAL EXPRESS SALES INC
ST TYKE INC
ST TYKE INC
TRAVELITE HOTEL
MENTS ARE EXEMPT

INDIVIDUAL ATC CODE

(Last Name, First Name, Middle Name)

(4) (5)
------------------------------ ------------------------------
WI158
WI158
WI158
WI158
WI158
WI158
WI158
WI158
WI158
WI158
WI158
WI158
WI158
WI158
WI158
WI158
WI158
WI158
WI158
WI158
WI158
WI158
GALVAN, NELLIE MARINAS WI010
WI158
WI158
WI158
WI158
WI158
WI158
WI158
WI158
WI158
WI160
WI158
WI158
WI158
WI158
WI158
WI158
WI158
WI158
WI158
WI158
WC160
 1ST MONTH OF THE QUARTER
NATURE OF PAYMENT AMOUNT OF
INCOME PAYMENT

(6)
------------------------------ ------------------------------
Income payments made by top withholding agents to their local/resident supplier of 89750
Income payments made by top withholding agents to their local/resident supplier of 0
Income payments made by top withholding agents to their local/resident supplier of 0
Income payments made by top withholding agents to their local/resident supplier of 0
Income payments made by top withholding agents to their local/resident supplier of 0
Income payments made by top withholding agents to their local/resident supplier of 43750
Income payments made by top withholding agents to their local/resident supplier of 0
Income payments made by top withholding agents to their local/resident supplier of 16500
Income payments made by top withholding agents to their local/resident supplier of 0
Income payments made by top withholding agents to their local/resident supplier of 0
Income payments made by top withholding agents to their local/resident supplier of 134642.86
Income payments made by top withholding agents to their local/resident supplier of 0
Income payments made by top withholding agents to their local/resident supplier of 67500
Income payments made by top withholding agents to their local/resident supplier of 0
Income payments made by top withholding agents to their local/resident supplier of 0
Income payments made by top withholding agents to their local/resident supplier of 85714.29
Income payments made by top withholding agents to their local/resident supplier of 0
Income payments made by top withholding agents to their local/resident supplier of 0
Income payments made by top withholding agents to their local/resident supplier of 0
Income payments made by top withholding agents to their local/resident supplier of 0
Income payments made by top withholding agents to their local/resident supplier of 0
Income payments made by top withholding agents to their local/resident supplier of 0
Professionals (Lawyers, CPAs, Engineers, etc.) - If the current year’s gross income did not 0
Income payments made by top withholding agents to their local/resident supplier of 0
Income payments made by top withholding agents to their local/resident supplier of 0
Income payments made by top withholding agents to their local/resident supplier of 0
Income payments made by top withholding agents to their local/resident supplier of 0
Income payments made by top withholding agents to their local/resident supplier of 0
Income payments made by top withholding agents to their local/resident supplier of 0
Income payments made by top withholding agents to their local/resident supplier of 0
Income payments made by top withholding agents to their local/resident supplier of 0
Income payments made by top withholding agents to their local/resident supplier of 0
Income payments made by top withholding agents to their local/resident supplier of 0
Income payments made by top withholding agents to their local/resident supplier of 0
Income payments made by top withholding agents to their local/resident supplier of 0
Income payments made by top withholding agents to their local/resident supplier of 0
Income payments made by top withholding agents to their local/resident supplier of 0
Income payments made by top withholding agents to their local/resident supplier of 0
Income payments made by top withholding agents to their local/resident supplier of 0
Income payments made by top withholding agents to their local/resident supplier of 0
Income payments made by top withholding agents to their local/resident supplier of 0
Income payments made by top withholding agents to their local/resident supplier of 0
Income payments made by top withholding agents to their local/resident supplier of 0
Income payments made by top withholding agents to their local/resident supplier of 0
------------------
437,857.15
 2ND MONTH OF THE QUARTER
TAX RATE AMOUNT OF AMOUNT OF
TAX WITHHELD INCOME PAYMENT

(7) (8) (9)

------------------------------ ------------------------------ ------------------------------
1 897.5 0
0 0 26000
0 0 0
0 0 6419
0 0 0
1 437.5 0
0 0 19709.82
1 165 0
0 0 0
0 0 26000
1 1346.43 0
0 0 0
1 675 0
0 0 13000
0 0 0
1 857.14 0
0 0 53500
0 0 0
0 0 0
0 0 212008.92
0 0 0
0 0 7500
0 0 0
0 0 1696.43
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
 0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
------------------ ------------------ ------------------
6.00 4,378.57 365,834.17
 3RD MONTH OF THE QUARTER
TAX RATE AMOUNT OF AMOUNT OF
TAX WITHHELD INCOME PAYMENT

(10) (11) (12)

------------------------------ ------------------------------ ------------------------------
0 0 0
1 260 0
0 0 58035.71
1 64.19 0
0 0 29932.45
0 0 0
1 197.1 0
0 0 0
0 0 17544.64
1 260 0
0 0 0
0 0 2901.79
0 0 0
1 130 0
0 0 3660.71
0 0 0
1 535 0
0 0 10624.01
0 0 59750.72
1 2120.09 0
0 0 39934.37
1 75 0
0 0 15000
1 16.96 0
0 0 42857.14
0 0 36826.78
0 0 19642.86
0 0 22869.48
0 0 26000
0 0 301411
0 0 181428.58
0 0 181428.58
0 0 2974.12
 0 0 44072.32
0 0 16392.86
0 0 3482.14
0 0 26875.01
0 0 34285.71
0 0 67500
0 0 339423.94
0 0 120714.3
0 0 214284.7
0 0 257142.86
0 0 28872.32
------------------ ------------------ ------------------
9.00 3,658.34 2,205,869.10
================== ==================
 TOTAL FOR THE QUARTER
TAX RATE AMOUNT OF TOTAL
TAX WITHHELD INCOME PAYMENT

(13) (14) (15)

------------------------------ ------------------------------ ------------------------------
0 0 89750
0 0 26000
1 580.36 58035.71
0 0 6419
1 299.32 29932.45
0 0 43750
0 0 19709.82
0 0 16500
1 175.45 17544.64
0 0 26000
0 0 134642.86
1 29.02 2901.79
0 0 67500
0 0 13000
1 36.61 3660.71
0 0 85714.29
0 0 53500
1 106.24 10624.01
1 597.51 59750.72
0 0 212008.92
1 399.34 39934.37
0 0 7500
5 750 15000
0 0 1696.43
1 428.57 42857.14
1 368.27 36826.78
1 196.43 19642.86
1 228.69 22869.48
1 260 26000
1 3014.11 301411
1 1814.29 181428.58
1 1814.29 181428.58
2 59.48 2974.12
 1 440.72 44072.32
1 163.93 16392.86
1 34.82 3482.14
1 268.75 26875.01
1 342.86 34285.71
1 675 67500
1 3394.24 339423.94
1 1207.14 120714.3
1 2142.85 214284.7
1 2571.43 257142.86
2 577.45 28872.32
------------------ ------------------ ------------------
35.00 22,977.17 3,009,560.42
TOTAL
TAX WITHHELD

(16)
------------------------------
897.5
260
580.36
64.19
299.32
437.5
197.1
165
175.45
260
1346.43
29.02
675
130
36.61
857.14
535
106.24
597.51
2120.09
399.34
75
750
16.96
428.57
368.27
196.43
228.69
260
3014.11
1814.29
1814.29
59.48
 440.72
163.93
34.82
268.75
342.86
675
3394.24
1207.14
2142.85
2571.43
577.45
------------------
31,014.08