ANNEX A

CDA Certificate of Registration (If amen

amendment based on issue

Name of Cooperative Registered

Branch
Count Region Province Address /Branch
Code
based on CDA registration Registered Address
No.0000- Original Date of
00000000 Registration

A B C D E AGRARIAN
NEW ABACHANAN F G H
1 0 VII BOHOL REFORM ABACHANAN, SIERRA 9520-07014722 14-Mar-07
REFORM BENEFECIARIES BULLONES, BOHOL
COOPERATIVE

Prepared By: Verified/Validated By: Attested By:

ARNIEL T. DAGANGON MA. CRISTINA M. DUCAO LORETA N. LADRA

Compliance Officer/Accountant Manager/Chief Executive Officer Chairperson
 istration (If amended, post the latest date of
Certificate of Tax Exemption
ent based on issued latest COR)
Taxpayer
Identification
No.
000-000-000- With CTE
Latest Date of 000
Latest Amendment (Y/N) Date Issued
Amendment CTE No. Status of CTE
No. Just write Y (mm/dd/yy)
(mm/dd/yy)
or N

I J K L M N O
9520-07014722-2 26-Jul-19 251-275-868-000 Y COOP-22-21-RR-13-RDO-84 22-Feb-21 VALID
 Type of Transactions
ption Business Activities (members only, non -
(Business Activity- members or both)
singular only, so it
Category of
Type of Cooperative will not be lump)
Cooperative
Start of Effectivity End of Effectivity (breakdown each
business undertaking Members &
Date of Tax Date of Tax Members
per main/branch) Non
Exemption (first Exemption Only
Members
issued CTE) (latest CTE issued)

P Q R S T U V
4-Nov-14 22-Feb-26 Agrarian Reform Beneficiaries Primary Member Savings Operation Y
Multipurpose Lending Y
Consumer Y
Palay Trading Y
 Net Sale / Services / Interest Income (Total
Number of (one line only))
Cooperatives Gross Sales/Receipts (Net Sales = Gross Sales - Sales Returns and
Allowances and Sales Discounts)
(Branches) (copy and General Reserve
paste per line of Fund
activity) (in main (accumulated)
office one line only) (as of Dec 31,
(no need to input 2021) Non- Total Total
number in the Members Members Non-members
members (Y+Z=AA) (AB+AC=AD)
branch/es rows)

W X Y Z AA AB AC AD
1 ₱ 549,818.00 n/a n/a
n/a n/a
₱ 9,500,142.00 ₱ 9,500,142.00 ₱ 1,849,382.00 ₱ 1,849,382.00
 Gross Revenue (include Other Income) (one
Cost of Sales / Services Expenses
liner)
(To apportioned based on the percentage of Y (To apportioned based on the
(Net Sales/Services/Interest Income - Cost
and Z) percentage of Y and Z)
Sales/Services + Other Income)

Total
(AE+AF=AG) Non- Total Non- Total
Members Non-members Members Members
members (AH+AI= AJ) members (AK+AL= AM)

AE AF AG AH AI AJ AK AL AM
n/a n/a n/a
n/a n/a n/a
₱ 7,650,760.00 ₱ 7,650,760.00 ₱ 2,525,491.17 ₱ 2,525,491.17 ₱ 1,743,239.30 n/a ₱ 1,743,239.30
- - n/a
 Net surplus for Allocation Allocations for statutory distribution
Allocation for
Interest on Allocation for Patronage
Share Capital Refund (PR)
for (ISC)
for
for General Education
Non- Total Community for Optional
Members Reserve and
members (AN+AO= AP) Developme Fund
Fund Training
nt Fund
Fund
Members Members Non-Members
AN AO AP AQ AR AS AT AU AV AW
n/a ₱ 57,899.36 ₱ 57,899.36 ₱ 17,369.81 ₱ 40,529.55 ₱ 202,647.77 ₱ 202,647.77 ₱0.00
n/a
₱ 578,993.63 ₱ 578,993.63
-
 TOTAL
Actual Income Actual Vat
ISCPR tax paid Payments
(AU+AV+AW)

AX AY AZ
₱ 405,295.54 ₱0.00 ₱0.00
ANNEX A

CDA Certificate of Registration (If amend

amendment based on issued

Name of Cooperative Registered

Branch
Count Region Province Address /Branch
Code
based on CDA registration Registered Address
No.0000- Original Date of
00000000 Registration

A B C D E AGRARIAN
NEW ABACHANAN F G H
1 0 VII BOHOL REFORM ABACHANAN, SIERRA 9520-07014722 14-Mar-07
REFORM BENEFECIARIES BULLONES, BOHOL
COOPERATIVE

Prepared By: Verified/Validated By: Attested By:

ARNIEL T. DAGANGON MA. CRISTINA M. DUCAO LORETA N. LADRA

Compliance Officer/Accountant Manager/Chief Executive Officer Chairperson
stration (If amended, post the latest date of
Certificate of Tax Exemption
nt based on issued latest COR)
Taxpayer
Identification
No.
000-000-000- With CTE
Latest Date of 000
Latest Amendment (Y/N) Date Issued
Amendment CTE No.
No. Just write Y (mm/dd/yy)
(mm/dd/yy)
or N

I J K L M N
9520-07014722-2 26-Jul-19 251-275-868-000 Y COOP-22-21-RR-13-RDO-84 22-Feb-21
ficate of Tax Exemption Business Activities
(Business Activity-
singular only, so it
Category of
Type of Cooperative will not be lump)
Cooperative
Start of Effectivity End of Effectivity (breakdown each
Date of Tax Date of Tax business undertaking
Status of CTE per main/branch)
Exemption (first Exemption
issued CTE) (latest CTE issued)

O P Q R S T
VALID 4-Nov-14 22-Feb-26 Agrarian Reform Beneficiaries Primary Member Savings Operation
Multipurpose Lending
Consumer
Palay Trading
 Net Sale / Services / Inter
Type of Transactions Number of (one line on
(members only, non - Cooperatives Gross Sales/Receipts (Net Sales = Gross Sales - S
members or both) (Branches) (copy and General Reserve
Allowances and Sales
paste per line of Fund
activity) (in main (accumulated)
office one line only) (as of Dec 31,
Members & (no need to input 2021)
Members Non- Total
Non number in the Members Members
Only members (Y+Z=AA)
Members branch/es rows)

U V W X Y Z AA AB
Y 1 ₱ 491,920.00 n/a
Y n/a
Y ₱ 11,816,368.50 ₱ 11,816,368.50 ₱ 1,849,163.68
Y
/ Services / Interest Income (Total
(one line only))
les = Gross Sales - Sales Returns and
llowances and Sales Discounts)
Gross Revenue (include Other Income) (one
Cost of Sales / Services
liner)
(To apportioned based on the percentage of Y
(Net Sales/Services/Interest Income - Cost
and Z)
Sales/Services + Other Income)

Total
Total (AE+AF=AG) Non- Total
Non-members Members Non-members Members
(AB+AC=AD) members (AH+AI= AJ)

AC AD AE AF AG AH AI AJ
n/a n/a n/a
n/a n/a n/a
₱ 1,849,163.68 ₱ 9,967,204.82 ₱ 9,967,204.82 ₱ 2,493,507.67 ₱ 2,493,507.67
- -
 Expenses
(To apportioned based on the Net surplus for Allocation Allocations for statutory distribution
percentage of Y and Z)

for
for
for General Education
Non- Total Non- Total Community
Members Members Reserve and
members (AK+AL= AM) members (AN+AO= AP) Developme
Fund Training
nt Fund
Fund

AK AL AM AN AO AP AQ AR AS
n/a n/a ₱ 65,108.04 ₱ 65,108.00 ₱ 19,532.41
n/a n/a
₱ 1,842,427.25 n/a ₱ 1,842,427.25 ₱ 455,756.29 ₱ 455,756.29
n/a -
distribution
Allocation for
Interest on Allocation for Patronage TOTAL
Actual Income Actual Vat
Share Capital Refund (PR) ISCPR tax paid Payments
(ISC) (AU+AV+AW)
for Optional
Fund

Members Members Non-Members

AT AU AV AW AX AY AZ
₱ 45,575.63 ₱ 227,878.15 ₱ 227,878.15 ₱ 455,756.29 ₱ - ₱ -
ANNEX A

CDA Certificate of Registration (If amend

amendment based on issued

Name of Cooperative Registered

Branch
Count Region Province Address /Branch
Code
based on CDA registration Registered Address
No.0000- Original Date of
00000000 Registration

A B C D E F G H
1 0 VII BOHOL NEW ABACHANAN AGRARIAN ABACHANAN, SIERRA 9520-07014722 14-Mar-07
REFORM BENEFECIARIES BULLONES, BOHOL
COOPERATIVE

Prepared By: Verified/Validated By: Attested By:

ARNIEL T. DAGANGON MA. CRISTINA M. DUCAO LORETA N. LADRA

Compliance Officer/Accountant Manager/Chief Executive Officer Chairperson
stration (If amended, post the latest date of
Certificate of Tax Exemption
nt based on issued latest COR)
Taxpayer
Identification
No.
000-000-000- With CTE
Latest Date of 000
Latest Amendment (Y/N) Date Issued
Amendment CTE No. Status of CTE
No. Just write Y (mm/dd/yy)
(mm/dd/yy)
or N

I J K L M N O
9520-07014722-2 26-Jul-19 251-275-868-000 Y COOP-22-21-RR-13-RDO-84 22-Feb-21 VALID
 Type of Transactions
ption Business Activities (members only, non -
(Business Activity- members or both)
singular only, so it
Category of
Type of Cooperative will not be lump)
Cooperative
Start of Effectivity End of Effectivity (breakdown each
business undertaking Members &
Date of Tax Date of Tax Members
per main/branch) Non
Exemption (first Exemption Only
Members
issued CTE) (latest CTE issued)

P Q R S T U V
4-Nov-14 22-Feb-26 Agrarian Reform Beneficiaries Secondary Member Savings Operation Y
Multipurpose Lending Y
Consumer Y
Palay Trading Y
 Net Sale / Services / Interest Income (Total
Number of (one line only))
Cooperatives Gross Sales/Receipts (Net Sales = Gross Sales - Sales Returns and
Allowances and Sales Discounts)
(Branches) (copy and General Reserve
paste per line of Fund
activity) (in main (accumulated)
office one line only) (as of Dec 31,
(no need to input 2020) Non- Total
number in the Members Members Non-members
members (Y+Z=AA)
branch/es rows)

W X Y Z AA AB AC
1 426,811.00 n/a n/a
n/a n/a
11,579,580.50 11,727,040.00 11,579,580.50
147,459.50 147,459.50
terest Income (Total Gross Revenue (include Other
only)) Cost of Sales / Services Income) (one liner) Expenses
- Sales Returns and (To apportioned based on the percentage of Y (Net Sales/Services/Interest (To apportioned based on the
ales Discounts) and Z) Income - Cost Sales/Services + percentage of Y and Z)
Other Income)

Total
Total Total
Total (AE+AF=AG) Non- Non-
Members Non-members Members (AH+AI= Members (AK+AL=
(AB+AC=AD) members members
AJ) AM)

AD AE AF AG AH AI AJ AK AL AM
n/a n/a n/a
n/a n/a n/a
11,727,040.00 7,795,453.50 7,942,913.00 4,029,517.50 4,176,977.00 1,841,049.00 n/a 1,841,049.00
147,459.50 147,459.50 n/a
n/a
 Net surplus for Allocation Allocations for statutory distribution
Allocation
for Interest
Allocation for Patronage
on Share
Refund (PR)
for for Capital
Total for General Education Communit for (ISC)
Non-
Members (AN+AO= Reserve and y Optional
members
AP) Fund Training Developm Fund
Fund ent Fund
Members Members Non-Members
AN AO AP AQ AR AS AT AU AV AW
n/a 233,593.00 233,592.00 70,078.00 163,515.00 817,575.00 817,575.00
n/a
2,188,468.50 2,335,928.00
147,459.50
 TOTAL
Actual Income Actual Vat
ISCPR tax paid Payments
(AU+AV+AW)

AX AY AZ
1,635,150.00 0 0