Professional Documents
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NOV2i: Year Srocx
NOV2i: Year Srocx
NOV2i: Year Srocx
l HE INI;ORl'4ATI0N IS NON'ExISTENT. lF THE ANNUAL STOCKHOLDERS' IqEETINC lS HELD ON A DATE oTHeR THA HE
GIS SHALL 8E SUBMITTED WITHlN THIRTY (30) CALENDAR DAYS FROlvl THEACTUAL DATE OFTHEANNUALSTOCKHOLDERS'ME ING
]F NO MEETINC IS HELD, THE CORPORATION SHALL SUBMIT THE 615 NOT LATER THAN IANUARY 30 OFTHE FOLLOWINC YEAR, EVTR, SHOULD AN
ANNUAL STOCKHOLDTRS' MEETIN6 8E HTLD THERIAF-IER, A NEW GIS SHALL BE SUEMITTED/FILED.
3 THISGISSHALLBEACCOMPLISHEDINEN6LISHANDCERTIFIEDANDSWORNTOEYTHECORPORATESECRETARYOFTHECORPORA ON
THE SEC SHOULD BE TlMELY APPRISED OF RELEVANT CHANGES iN THE SUBMITTED INFORMAT]ON AS THEY ARISE. FOR CHANCES RESULTINC FROM
AC1'IONS THAl AROSE EETWIEN THE ANNUAL MEETINCS, THE CORPORATION SHALL SUEMIT ONLY THE AFFECTED PACE OF THE C!S THAT RELA'IES
TO THE NIW INFORMATION TOCETHER WITH A COVER LETTER SIGNED BY THE CORPORATE SECRETARY OF THE CORPORATION. THE PACE OF THE CI5
AND COVER LETTER SHALL 8I SUBMITTED WITHIN sEVEN (7] DAYS AFTER SUCH CHANCE OCCURRED OR EECAI'48 EFFECTIVE.
SUEMIT IOUR [4) COPIES OF THg CIS TO THE CENTRAL RECEIVINC SECTION, GROUND FLOOR, SEC 8LDC,, EDSA, MANDALUYON6 CITY, ALL COPIES SHALL
UNIFORMLY 8g ON A4 OR LETTER.SIZED PAPER WITH A STANDARD COVER PACE, THg PAGES OF ALL COPIES SHALL USE ONLY ONE SIDE,
CORPORATIONS SUEMITTING A COPY OF THEIR GIS ONLINE OR VIA INTERNTT SHALL SUBMIT ONE (1) HARD COPY OF THE CIS, TOCETHER WII'H A
CERTIFICATION UNDER OATH BY ITS CORPORATS SECRE'TARY THAT THE COPY SUBMITTED ONLINE CONTAINS l'HE EXACT DATA IN THE HARD COPY,
6. ONLY THE GIS ACCOMPLISHED IN ACCORDANCE WITH THESE INSTRUCTIONS SHALL AE CONSIDERED AS HAVING BEEN FILED.
7 THIS GIS MAY BE USED AS EVIDENCE ACAINST THE CORPORATION ANO ITS RESPONSIBLE DIRECTORS/OFFICERS FOR ANY VIOLATION OF EXISTINC
LAWS, RULESAND REGULATIONS
A199609165 Oecember 31
www prominenceorooertres co
31 Oct 18
0.p!
ffi IE.MATLADDREss,
115 G/F Tycoon Centre Pearl Drive, Ortigas Center, Pasig City, Phlllppines oromrnenceorcoedv(Avahoo c
115 C/F Tycoon Centre Pearl Drive, OrtiSas Center, Pasig City, Phlllppin€s 706-1176Ioc 1l I
NAME Of EXTERNALAUDITOR & lTsslcNlNC PARTNERT sEc accREDITATTOI{ ilUMAtR (it TELEPH O NE NUM AER(S]
GIS_SIOCK(v 2016)
GENERAT INFORMATION SHEET
STOCK CORPORATION
=== PLEASE PRINT LEGIBLY
Corporate Name:
A. Is the Corporation a covered person under the Anti Money Laundering Act ri
f- Yes No
IAMLA), as amended? [ReD. Acts. 9160 /9164110767 /103651
Please check the appropriate b0x:
1.
LI a. Banl6
Jewelry dealers in precious metals, who, as a
T b. Offshore Bankint Units 4.tr business, trade in precious metals
tr c. Quasi-Banks
tr d. Trust Entities
n e. Non-Stock Savings and Loan Associations
tr I Pawnshops
I g. Foreign Exchage Dealers
s.E lewelry dealers in precious stones, who, as a
tr h, Money Changers business, trade in precious stone
D i. Remittance Agents
I i, Electronic Money Issuers
tr k. Financial lnstitutions which Under Special Laws are sublect to
Bangko Sentral ng Pilipinas' (BSP) supervision and/or regulation,
Company service providers which, as a business,
in.l,,.lino rheir c,,hcidi,ripc rn.l rffili.rac 6.
provide any of the following se.vices to tlri.d parties
2
tr a. lnsurance Companies
tr b. lnsurance Agents Fa acting asi rormation agent of juridical persons
n c. Insurance Brokers I b. acting as (or arranging for another person to act as) a
tr d. Professional Reinsurers director or corporate secretary ofa company, a
tr e. Reinsurance Brokers partner of a partnership, or a similar position in
tr f. Holding Companies relation to other iuridical persons
tr I. Holding Company Systems
n h. Pre-need Companies E c. providing a registered office, business address or
n i. Mutual Benefit Association accommodation, correspondence or administrative
tr j. All 0ther Persons and entities supervised and/or regulated by the address for a company, a partnership or any other
Insurance Commission fl C) legal person or arrangement
3
tr a. Securities Dealers ! d. acting as (or arranging for another person to act as) a
tr b. Securities Brokers nominee shareholder for another person
tr c. Securities Salesman 7. Persons who provide any ofthe following services
i x h. Mutual Funds or Open-end lnvestment Companies n c. organization ofcontributions for the creation,
n i. Close-end lnvestment Companies operdtion or manaEemenr of companies
tr i. Common Trust Funds or Issuers and other similar entities
n lc Transfer Companies and other similar entities ! d. creation, operation or management of juridical
tr l, Other entities administering or otherwise dealing in currency, persons or arrangements, and buying and selling
commodities or financial derivatives based there on business entities
T m. Entities administering of otherwise dealing in valuable objects &If No,,e of the abou"
tr n. Entities administering or otherwise dealing in cash Substitutes and Describe
other similar monetary instruments or property supervised nature of
and/or regulated by the Securities and Exchange Commission business:
TSEC)
B. Has the Corporation complied with the requirements on Customer Due Diligence
[CDD) or Know Your Customer (I(YC), record'keeping, and submission of reports c Yes oNo
under the AMLA. as amended. since the last filins of its GIS?
CAPITAL STRUCTURE
AI.IIHORIZED CAPITAL STOCK
NUMBER OF
NO, OF
NUMBER OF SHARES IN THE PAR/STATED o/o OF
ItLtPtNo STOCK. TYPE OF SHARES' AMOUNT (PhP)
SHARES HANDS OF TIII VAI,IIE OWNERSHIP
HOLDERS I*
PUBLIC
NUMBER OF
FOREICN NO. OF o/o
NUMBER OF SHARES IN THE PAR/STATED OF
(!NDICATE BY sTocK- TYPE OF SHAR[S ' SHARES HANDS OF THE VALUE
AMOUNT (PhP)
OWNERSHIP
NATIONALITY) HOLDERS T'
PUBLIC
i
N/A
I
,I'OI'AL
Peicentage of Foreign Equity 1'O'I'AL TOTAL P
TOTAL SUBSCRIAED P 200,000,000.00
PN ID,UP CAPITAL
NO, OF o/o
NUMBER OF OF
ITILIPINO STOCK, TYPE OF SHARES +
PAR/STATED VALUE AMOUNT (PhP)
SHARES OWNERSHIP
HOLDERS
- N/A
-F - - - - - -
F
GENERAL INFORMATION SHEET
STOCK CORPORATION
== PLEASE PRINT LEGIBLY
CORPORATE NAME:
l0
9
ttl
11
t-Tt
12
13
tllt
[l
14
T5
I[ISTRUcTIoN:
FOR SEX COLUMN PUT "F" FOR FEMALE, "M" FOR MALE
ttll
FOR EOARO COLUMN, PUT'C" FOR CHAIRMAN, "M" FOR MEMBER,'1" FOR INDEPENDENT DIRECTOR
: FOR INC'R COLUMN, PUT "Y" IF AN INCORPORATOR, "N' IF NOT,
FOR STOCKHOLOER COLUMN, PUT "Y' IT A STOCKHOLOER, "N" IF NOT.
FOR OFFICER COLUMN, INOICATE PARTICULAR POSITION IF AN OFFICER, FROM VP UP INCLUOING THE POSITION OF THE TREASURER,
. SECRETARY. COMPLIANCE OFFICER AND/OR ASSOCIATED PERSON
1 ron Executtvg coMMlrrEE, rNorcATE "c" rF MEMBER oF THE cor\,tpENsATloN co[,lMtrrEEi "A" FoR AUDtr cot4tvtrrEEi 'N" FoR NoMINATIoN
AND ELECTION COT/IMITTEE ADDITIONALLY WR TE "C' AFTER SLASH IF CHAIRMAN AND "M' IF i/lEM8ER
;
GENERAL INFORMATION SHEET
STOCK CORPORATION
PLEASE PRINT LECIBLY
STOCKHOLDER'S INFORMATION
SHARES SUBSCRIBED
o/o AMOUNT PAID
NAM I AND NATIONALITY AMOUNT
OF
(PhP)
TYPI NUM 8 [R OWNER.
tPhP) SHIP
1. lirANtTo L DY, FtLtPLNO
400,000 40,000,000 00
20 000k 40,000,000.00
400,000 40,000,000.00
20 000k 40,000,000.00
400,000 40.000,000 00
20 000/a 40.000,000 00
L
TOTAL 400,000 40,000,000.00
200,000 20,000,000.00
10.00oi6 20,000,000 00
200,000 20,000,000.00
10 000,6 20,000,000.00
INSTRUCTION: SPECIFY THE TOP 20 SToCKHOLDERS AND INDICATE THE REST AS 0THER s
funher the benelicial owners owning more thon 5o/o oJ ony cldss ofthe co pony'svoting securities. Attoch separote
Note: For PDTC Nominee included tn the tisq pleose indicate
Page 4
CIS,STOCK (v 20r6)
{
GENERAL INFORMATION SHEET
STOCK CORPORATION
STOCKHOLDER'S INFORMATION
SHARES SUBSCRIBED
o/o OF
AMOUNT PAID
NAME AND NATIONALITY AMOUNT
TYPE NU I{ AER OWNER. (PhP)
(PhP)
SHIP
8 II N/A
TOTAL
9
,l
I-T--]
TOTAL
=
10
1'OTAL
1l
I
TOTAL
t2
H
-----E
TOTAL
L3 I
- TOTAL
14 I
--T-_l
---T----l
TOTAL
STOCKHOLDER'S INFORMATION
SHARES SUBSCRIBED
AI\,IOUNT PAID
NA]I,IE AND NATIONALITY AMOUNT
TYPE NUMBER OWNER. (PhP)
t5
____r___- tPhP) SHIP
TOTAL
rlt
TOTAL
TOTAL
roTOTAL
f1TOTAL
20
r-___T____-
TOTAL
-+
[---T----r
TOTAL
INSl RUCTlON: SPECIFY THE TOP 20 STOCKHOLDERS AND INDICATE THE REST AS OTHERS
Notet For PDTC Nominee in.luded in the list please i icat.furthet rhe beneJi.ial oenerc owning hote than So/o olant class oIthe eo pon!\ loting seerities, Attoch
s eDoro te s h ee t if n eces so N,
CIS,STOCK (v.20161
GENERAL INFORMATION SHEET
STOCK CORPORATION
CORPORATE NAME
N/A N/A
4. UNRESTRICTED/UNAPPROPRIATED RETAINED EARNINGS AS oF END oF LAST FISCAL YEAR Php 45,865,166.85
5, DIVIDENDS DECLARED DURING THE IMMEDIATELY PRECEDING YEAR:
TYPE OF DIVIDEND AMOUNT (PhP) DATE DECI,ARED
5.1 cAsH
5,2 STOCK
5.3 PROPERTY N/A
TOTAL P
6. ADDITIONAL SHARES ISSUED DURING THE PERIOD
DATE NO, OF SHARES AMOUNT
DATE STARTED
N/A N/A
OPERATIONS:
TOTAL ANNUAL COMPENSATION OI
TOTAL NO, OF RANK & TOTAL MANPOWER
DIRECTORS DURING THE PRECEDING FISCAL TOTAL NO, OF OFFICERS
FILE EMPLOYEES COMPLEMENT
YEAR (in PhP)
N/A 7 42 49
/ \,r:)r,, |i |t ",
DECLARE UNDER THE PENALTY OF PERIURY, THAT ALL MATTERS SET FORTH IN THIS CENERAL
INFoRMATI0N SH EET WHICH CoNSISTS OF _lSL(10)PACESHAVEBEENMADEINCoODrAITH,DULYVERIFIEDBY
},18 AND TO THE BEST OF MY KNOWLEDGE AND BELIEF. ARE TRUE AND CORRECT,
I HEREBY CERTIFY THAT THE PERSONS INDICATED AS MEMBERS OF THE BOARD OF DIRECTORS AND OFFICERS OF THE CORPORATION HAD
CONSENTED IN WRITING TO BE NOMINATED AND ELECTED.
I UNDERSTAND THAT THE FAILURE OF THE CORPORATION TO FILE THIS CIS FOR FIVE (5) CONSECUTIVE YEARS SHALL BE CONSTRUED AS NON.
OPERATION OF THE CORPORATION AND A GROUND FOR THE REVOCATION OF THE CORPORATION'S CERTIFICATE OF INCORPORATION, IN THIS
EVENTUALITY, THE CORPORATION HEREBY WAIVES ITS R A HEARINC FOR THE SAID REVOCATION
'trl$u
DONE THIS r0\l t1
DAY OF 20 ]N
{'Of I}|AKATI
-, f^
I
frf*.Ula4rt}a^J
uanla snerm Io.rer\l
' ISTGNATURE)
')
00c. N0.:
PACE NO.:
lx
BOOK NO,:
SERIES OF.:
+t
9, CARMELYN C. MALIFICIADO
86L2B Louisiana St., Valley View Royale, Brgy FILIPI NO TREASURY MANACER 225-03t-246
San Juan Cainta Rizal
10, ]\4ARICEL B. ESAAC
BUSlNESS DEVELOPMENT
32 Louisiana St., Valley View Royale, Brgy. San FILI PI NO 207-781-777
MANAGER
11, RUBY T. PALMA
ACCOUNT MANAGEMENT
410 Craig St., Sampaloc, Manila FI LI PI NO 184-0+B-785
MANAGER
12, AR ]ASON HERNANDEZ
ARCHITECTURAL &
144 Dangay St., Project 7, Quezon City FI LIPIN O 252-404-666
ENCINEERING MANACER
15.
INSTRUCTIONI
CIS_ST0CK (v.2016J
l
I