COVER SHEET

COMPANY REGISTRATION AND MONITORING DEPARTMENT

Nature of Application SEC Registration Number
REGISTRATION - ESPARC

COMPANY NAME

ANTIPOLO UPPER FIREWORKS ASSOCIATION INC.

Principal Office (No./Street/Barangay/City/Town/Province)
335 BEVERLY HILLS AVENUE BEVERLY HILLS SUBDIVISION BEVERLY HILLS , CITY OF
ANTIPOLO, RIZAL, REGION IV-A (CALABARZON), 1870

COMPANY INFORMATION
Industry Code Industry Description
G478 Retail sale via stalls and markets

Company's
Company's Email Company's Mobile Number
Telephone Number/s
nessgoloso@gmail.com 09505597142
CONTACT PERSON INFORMATION
Name of Contact Email Address Telephone Number/s Mobile Number/s
DIONEL CANET
nessgoloso@gmail.com 09505597142
GOLOSO

To be accomplished by CRMD Personnel

Assigned Date Signature
________________________________________________ ______________________ ______________________
________________________________________________ ______________________ ______________________
________________________________________________ ______________________ ______________________

Document I.D.

Received by Corporate Filing and Records Division: ______________________ ______________________

Forwarded to:
Corporate and Partnership Registration ______________________ ______________________
Green Lane Unit ______________________ ______________________
Financial Analysis and Audit Division ______________________ ______________________
Licensing Unit ______________________ ______________________

System generated by the Page 1 of 1

SEC-ESPARC