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General Information Sheet (Gis) : Stock Corporation General Instructions

This document provides general instructions for completing a General Information Sheet for a stock corporation for the year 2015. It outlines 6 steps for completing the form, including submitting it within 30 days of the annual stockholders' meeting or by January 30 if no meeting is held. It must be certified and sworn by the corporate secretary. The form requests information such as the corporate name, address, date of registration, external auditor, primary purpose, and affiliations.

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Aldrin Aguas
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0% found this document useful (0 votes)
4K views7 pages

General Information Sheet (Gis) : Stock Corporation General Instructions

This document provides general instructions for completing a General Information Sheet for a stock corporation for the year 2015. It outlines 6 steps for completing the form, including submitting it within 30 days of the annual stockholders' meeting or by January 30 if no meeting is held. It must be certified and sworn by the corporate secretary. The form requests information such as the corporate name, address, date of registration, external auditor, primary purpose, and affiliations.

Uploaded by

Aldrin Aguas
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLS, PDF, TXT or read online on Scribd
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GENERAL INFORMATION SHEET (GIS)

FOR THE YEAR 2015


STOCK CORPORATION
GENERAL INSTRUCTIONS:
1 FOR USER CORPORATION: THIS GIS SHOULD BE SUBMITTED WITHIN THIRTY (30) CALENDAR DAYS FROM THE DATE OF THE ANNUAL
STOCKHOLDERS' MEETING. DO NOT LEAVE ANY ITEM BLANK. WRITE "N.A." IF THE INFORMATION REQUIRED IS NOT APPLICABLE TO THE
CORPORATION OR "NONE" IF THE INFORMATION IS NON-EXISTENT. IF THE ANNUAL STOCKHOLDERS' MEETING IS HELD ON A DATE OTHER THAN
THAT STATED IN THE BY-LAWS, THE GIS SHALL BE SUBMITTED WITHIN THIRTY (30) CALENDAR DAYS FROM THE ACTUAL DATE OF THE ANNUAL
STOCKHOLDERS' MEETING.
2 IF NO MEETING IS HELD, THE CORPORATION SHALL SUBMIT THE GIS NOT LATER THAN JANUARY 30 OF THE FOLLOWING YEAR. HOWEVER,
SHOULD AN ANNUAL STOCKHOLDERS' MEETING BE HELD THEREAFTER, A NEW GIS SHALL BE SUBMITTED/FILED.
3 THIS GIS SHALL BE ACCOMPLISHED IN ENGLISH AND CERTIFIED AND SWORN TO BY THE CORPORATE SECRETARY OF THE CORPORATION.
4 THE SEC SHOULD BE TIMELY APPRISED OF RELEVANT CHANGES IN THE SUBMITTED INFORMATION AS THEY ARISE. FOR CHANGES RESULTING
FROM ACTIONS THAT AROSE BETWEEN THE ANNUAL MEETINGS, THE CORPORATION SHALL SUBMIT ONLY THE AFFECTED PAGE OF THE GIS THAT
RELATES TO THE NEW INFORMATION TOGETHER WITH A COVER LETTER SIGNED BY THE CORPORATE SECRETARY OF THE CORPORATION. THE
PAGE OF THE GIS AND COVER LETTER SHALL BE SUBMITTED WITHIN SEVEN (7) DAYS AFTER SUCH CHANGE OCCURRED OR BECAME EFFECTIVE.

5 SUBMIT FOUR (4) COPIES OF THE GIS TO THE CENTRAL RECEIVING SECTION, GROUND FLOOR, SEC BLDG., EDSA, MANDALUYONG CITY. ALL
COPIES SHALL UNIFORMLY BE ON A4 OR LETTER-SIZED PAPER WITH A STANDARD COVER PAGE. THE PAGES OF ALL COPIES SHALL USE ONLY ONE
SIDE. CORPORATIONS SUBMITTING A COPY OF THEIR GIS ONLINE OR VIA INTERNET SHALL SUBMIT ONE (1) HARD COPY OF THE GIS, TOGETHER
WITH A CERTIFICATION UNDER OATH BY ITS CORPORATE SECRETARY THAT THE COPY SUBMITTED ONLINE CONTAINS THE EXACT DATA IN THE
HARD COPY.
6 ONLY THE GIS ACCOMPLISHED IN ACCORDANCE WITH THESE INSTRUCTIONS SHALL BE CONSIDERED AS HAVING BEEN FILED.
7 THIS GIS MAY BE USED AS EVIDENCE AGAINST THE CORPORATION AND ITS RESPONSIBLE DIRECTORS/OFFICERS FOR ANY VIOLATION OF
EXISTING LAWS, RULES AND REGULATIONS
================================ PLEASE PRINT LEGIBLY =====================================

CORPORATE NAME: DATE REGISTERED:


SAINT PAUL AMERICAN SCHOOL INC.
BUSINESS/TRADE NAME: December 2, 2009
SAINT PAUL AMERICAN SCHOOL INC.
FISCAL YEAR END:
SEC REGISTRATION NUMBER: December 31
CS200918429

DATE OF ANNUAL MEETING PER BY-LAWS: CORPORATE TAX


IDENTIFICATION NUMBER
EVERY 26TH DAY OF OCTOBER (TIN): 007-495-519-000

ACTUAL DATE OF ANNUAL MEETING: WEBSITE/URL ADDRESS:


November 12, 2014
N/A
COMPLETE PRINCIPAL OFFICE ADDRESS:
CLARK CENTER 4, BERTHAPHIL 111 CLARK CENTER, CLARK FREEPORT ZONE, PAMPANGA, PHIL. E-MAIL ADDRESS:

COMPLETE BUSINESS ADDRESS:


FAX NUMBER:
CLARK CENTER 4, BERTHAPHIL 111 CLARK CENTER, CLARK FREEPORT ZONE, PAMPANGA, PHIL.
715-9838
NAME OF EXTERNAL AUDITOR & ITS SIGNING PARTNER: SEC ACCREDITATION NUMBER (if TELEPHONE NUMBER(S):
applicable): N/A
CHARMAGNE P. REFUGIO

PRIMARY PURPOSE/ACTIVITY/INDUSTRY PRESENTLY ENGAGED IN: INDUSTRY CLASSIFICATION: GEOGRAPHICAL CODE:

EDUCATIONAL INSTITUTION/LEARNING CENTER

================================ INTERCOMPANY AFFILIATIONS =======================================


PARENT COMPANY SEC REGISTRATION NO. ADDRESS
***NONE***
SUBSIDIARY/AFFILIATE SEC REGISTRATION NO. ADDRESS
***NONE***

NOTE: USE ADDITIONAL SHEET IF NECESSARY

GIS_STOCK(v.2013) Page 1
GENERAL INFORMATION SHEET
STOCK CORPORATION
================================ PLEASE PRINT LEGIBLY ================================
Corporate Name:
A. Is the Corporation a covered person under the Anti Money Laundering
Yes No
Act (AMLA), as amended? (Rep. Acts. 9160/9164/10167/10365)
Please check the appropriate box:
1.
a. Banks
Jewelry dealers in precious metals, who, as a
b. Offshore Banking Units 4.
business, trade in precious metals
c. Quasi-Banks
d. Trust Entities
e. Non-Stock Savings and Loan Associations
f. Pawnshops
g. Foreign Exchage Dealers Jewelry dealers in precious stones, who, as a
5.
h. Money Changers business, trade in precious stone
i. Remittance Agents
j. Electronic Money Issuers
k. Financial Institutions which Under Special Laws are subject to
Bangko Sentral ng Pilipinas' (BSP) supervision and/or regulation,
including their subsidiaries and affiliates. Company service providers which, as a business,
6.
provide any of the following services to third parties:
2
a. Insurance Companies
b. Insurance Agents a. acting as a formation agent of juridical persons
c. Insurance Brokers b. acting as (or arranging for another person to act as)
d. Professional Reinsurers a director or corporate secretary of a company, a
partner of a partnership, or a similar position in
e. Reinsurance Brokers
relation to other juridical persons
f. Holding Companies
g. Holding Company Systems
h. Pre-need Companies c. providing a registered office, business address or
i. Mutual Benefit Association accommodation, correspondence or administrative
address for a company, a partnership or any other
j. All Other Persons and entities supervised and/or regulated by legal person or arrangement
the Insurance Commission (IC)
3
a. Securities Dealers d. acting as (or arranging for another person to act as)
b. Securities Brokers a nominee shareholder for another person
c. Securities Salesman 7. Persons who provide any of the following services:
d. Investment Houses a. managing of client money, securities or other assets
e. Investment Agents and Consultants
f. Trading Advisors b. management of bank, savings or securities
g. Other entities managing Securities or rendering similar services accounts
h. Mutual Funds or Open-end Investment Companies c. organization of contributions for the creation,
i. Close-end Investment Companies operation or management of companies
j. Common Trust Funds or Issuers and other similar entities
k. Transfer Companies and other similar entities d. creation, operation or management of juridical
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

m. Entities administering of otherwise dealing in valuable objects 8. None of the above


c n. Entities administering or otherwise dealing in cash Substitutes Describe nature of business:
and other similar monetary instruments or property supervised EDUCATIONAL INSTITUTION/LEARNING CENTER
and/or regulated by the Securities and Exchange Commission
(SEC)

B. Has the Corporation complied with the requirements on Customer Due Diligence
(CDD) or Know Your Customer (KYC), record-keeping, and submission of Yes No
reports under the AMLA, as amended, since the last filing of its GIS?

GIS_STOCK(v.2013) 1-A
GENERAL INFORMATION SHEET
STOCK CORPORATION
==================================== PLEASE PRINT LEGIBLY ==================================
CORPORATE NAME: SAINT PAUL AMERICAN SCHOOL INC.

CAPITAL STRUCTURE
AUTHORIZED CAPITAL STOCK
AMOUNT (PhP)
NUMBER OF
TYPE OF SHARES * PAR/STATED VALUE (No. of shares X Par/Stated
SHARES
Value)
Common 25,000 100 2,500,000.00

TOTAL 25,000 TOTAL P 2,500,000.00


SUBSCRIBED CAPITAL

NUMBER OF
NO. OF
NUMBER OF SHARES IN THE PAR/STATED % OF
FILIPINO STOCK- TYPE OF SHARES * AMOUNT (PhP)
SHARES HANDS OF THE VALUE OWNERSHIP
HOLDERS
PUBLIC **

1 Common 15,000 100.00 1,500,000.00

TOTAL 15,000 TOTAL TOTAL P 1,500,000.00 60.00

NUMBER OF
FOREIGN NO. OF
NUMBER OF SHARES IN THE PAR/STATED % OF
(INDICATE BY STOCK- TYPE OF SHARES * AMOUNT (PhP)
SHARES HANDS OF THE VALUE OWNERSHIP
NATIONALITY) HOLDERS
PUBLIC **

American 2 Common 10,000 100.00 1,000,000.00


Korean 2

Percentage of Foreign Equity :% TOTAL 10,000 TOTAL TOTAL P 1,000,000.00 40.00


TOTAL SUBSCRIBED P 2,500,000.00
PAID-UP CAPITAL
NO. OF
NUMBER OF % OF
FILIPINO STOCK- TYPE OF SHARES * PAR/STATED VALUE AMOUNT (PhP)
SHARES OWNERSHIP
HOLDERS
1 Common 15,000 100 1,500,000.00

TOTAL 15,000 TOTAL P 1,500,000.00 60.00

FOREIGN NO. OF
NUMBER OF % OF
(INDICATE BY STOCK- TYPE OF SHARES * PAR/STATED VALUE AMOUNT (PhP)
SHARES OWNERSHIP
NATIONALITY) HOLDERS

American 2 Common 10,000 100 1,000,000.00


Korean 2

100.00 % TOTAL 10,000 TOTAL P 1,000,000.00 40.00


TOTAL PAID-UP P 2,500,000.00

NOTE: USE ADDITIONAL SHEET IF NECESSARY


* Common, Preferred or other classification
** Other than Directors, Officers, Shareholders owning 10% of outstanding shares.

GIS_STOCK (v.2013) Page 2


GENERAL INFORMATION SHEET
STOCK CORPORATION
================================ PLEASE PRINT LEGIBLY ================================
CORPORATE NAME:
SAINT PAUL AMERICAN SCHOOL INC.

DIRECTORS / OFFICERS
NAME, NATIONALITY AND TAX IDENTIFICATION NO.
STOCK EXEC.
CURRENT RESIDENTIAL INC'R BOARD SEX OFFICER (TIN) FOR FILIPINOS AND
HOLDER COMM.
ADDRESS FOREIGNERS
1. GRAHAM SALZER
American
N C M Y President C 428-698-663
Clark Center 4, Berthaphil Clark Center, J. Abad
Santos Ave., CFZ, Pampanga
2 SHIM JONG IL
Korean MM
Y M Y N/A M 280-828-076
E-1 Morning Calm Village, Rio Grande, Clark
Freeport Zone, Pampanga
3 JAMES LUKO
American
N M M Y N/A N/A 289-381-599
Clark Center 4, Berthaphil Clark Center, J. Abad
Santos Ave., CFZ, Pampanga
4 JERLYN VEROLA LLURAG
Filipino
N M F Y Treasurer N/A 454-123-934
B49 PH5 Lot 2 & 3, Margot Deca Clark, Angeles
City,Pampanga
5 LEONIDES C. DE LUMEN
Filipino
N M M N Corp. Sec. M 191-519-328
Unit 304 UC Bldg. Gardenville Condo, Sta. Mesa,
Manila

6 EOHM JAEHO
Korean
N M M Y N/A M 249-035-858
3/F Baegang B/D 685-14 Shinsa-dong Gangnam-
gu, Seoul
7

10

11

12

13

14

15

INSTRUCTIONS:
FOR SEX COLUMN, PUT "F" FOR FEMALE, "M" FOR MALE.
FOR BOARD COLUMN, PUT "C" FOR CHAIRMAN, "M" FOR MEMBER, "I" FOR INDEPENDENT DIRECTOR.
FOR INC'R COLUMN, PUT "Y" IF AN INCORPORATOR, "N" IF NOT.
FOR STOCKHOLDER COLUMN, PUT "Y" IF A STOCKHOLDER, "N" IF NOT.
FOR OFFICER COLUMN, INDICATE PARTICULAR POSITION IF AN OFFICER, FROM VP UP INCLUDING THE POSITION OF THE TREASURER,
SECRETARY, COMPLIANCE OFFICER AND/OR ASSOCIATED PERSON.
FOR EXECUTIVE COMMITTEE, INDICATE "C" IF MEMBER OF THE COMPENSATION COMMITTEE; "A" FOR AUDIT COMMITTEE; "N" FOR NOMINATION
AND ELECTION COMMITTEE. ADDITIONALLY WRITE "C" AFTER SLASH IF CHAIRMAN AND "M" IF MEMBER.

GIS_STOCK (v.2013) Page 3


GENERAL INFORMATION SHEET
STOCK CORPORATION
================================ PLEASE PRINT LEGIBLY ================================
CORPORATE NAME: SAINT PAUL AMERICAN SCHOOL INC.

TOTAL NUMBER OF STOCKHOLDERS: FIVE (5) NO. OF STOCKHOLDERS WITH 100 OR MORE SHARES FIVE (5)

TOTAL ASSETS BASED ON LATEST AUDITED FINANCIAL STATEMENTS:

STOCKHOLDER'S INFORMATION

SHARES SUBSCRIBED
TAX IDENTIFICATION NO.
NAME, NATIONALITY AND % OF
AMOUNT PAID
(TIN) FOR FILIPINOS AND
CURRENT RESIDENTIAL ADDRESS AMOUNT (PhP)
TYPE NUMBER OWNER- FOREIGNERS
(PhP) SHIP

1. GRAHAM SALZER Common 2,500 250,000.00


American
428-698-663
Clark Center 4, Berthaphil Clark Center, J. Abad Santos
Ave., CFZ, Pamapanga
TOTAL
2 SHIM JONG IL Common 2,500 250,000.00
Korean
280-828-076
E-1 Morning Calm Village, Rio Grande, Clark Freeport
Zone, Pampanga
TOTAL
3 JAMES LUKO Common 2,500 250,000.00
American
289-381-599
Clark Center 4, Berthaphil Clark Center, J. Abad Santos
Ave., CFZ, Pamapanga
TOTAL
4 JERLYN VEROLA LLURAG Common 15,000 1,500,000.00
Filipino
454-123-934
B49 PH5 Lot 2 & 3, Margot Deca Clark, Angeles City,
Pampanga

5 EOHM JAEHO Common 2,500 250,000.00


Korean
249-035-858
3/F Baegang B/D 685-14 Shinsa-dong Gangnam-gu,
Seoul
TOTAL
6

TOTAL
7 Common

TOTAL 25,000

TOTAL AMOUNT OF SUBSCRIBED CAPITAL 2,500,000.00 100


TOTAL AMOUNT OF PAID-UP CAPITAL

INSTRUCTION: SPECIFY THE TOP 20 STOCKHOLDERS AND INDICATE THE REST AS OTHERS
Note: For PDTC Nominee included in the list, please indicate further the beneficial owners owning more than 5% of any class of the company's voting securities. Attach
separate sheet, if necessary.

GIS_STOCK (v.2013) Page 4


GENERAL INFORMATION SHEET
STOCK CORPORATION
PLEASE PRINT LEGIBLY
CORPORATE NAME: SAINT PAUL AMERICAN SCHOOL INC.

1. INVESTMENT OF CORPORATE AMOUNT (PhP) DATE OF BOARD RESOLUTION


FUNDS IN ANOTHER CORPORATION
1.1 STOCKS N.A.

1.2 BONDS/COMMERCIAL PAPER (Issued N.A.


by Private Corporations)
1.3 LOANS/ CREDITS/ ADVANCES N.A.

1.4 GOVERNMENT TREASURY BILLS N.A.

1.5 OTHERS N.A.

2. INVESTMENT OF CORPORATE FUNDS IN ACTIVITIES UNDER ITS DATE OF BOARD DATE OF


SECONDARY PURPOSES (PLEASE SPECIFY:) RESOLUTION STOCKHOLDERS
RATIFICATION
N.A.

3. TREASURY SHARES N.A. % AS TO THE TOTAL


NO. OF SHARES NO. OF SHARES
ISSUED

4. UNRESTRICTED/UNAPPROPRIATED RETAINED EARNINGS AS OF END OF LAST FISCAL YEAR: P9,056


5. DIVIDENDS DECLARED DURING THE IMMEDIATELY PRECEDING YEAR: N/A
TYPE OF DIVIDEND AMOUNT (PhP) DATE DECLARED

5.1 CASH
5.2 STOCK
5.3 PROPERTY
TOTAL
6. ADDITIONAL SHARES ISSUED DURING THE PERIOD: N.A.
DATE NO. OF SHARES AMOUNT

SECONDARY LICENSE/REGISTRATION WITH SEC AND OTHER GOV'T AGENCY: N.A.


NAME OF AGENCY: SEC BSP IC
TYPE OF
LICENSE/REGN.
DATE ISSUED:

DATE STARTED
OPERATIONS:
TOTAL ANNUAL COMPENSATION OF TOTAL NO. OF OFFICERS TOTAL NO. OF RANK & TOTAL MANPOWER
DIRECTORS DURING THE PRECEDING 4 FILE EMPLOYEES COMPLEMENT
FISCAL YEAR (in PhP) 5
N/A

NOTE: USE ADDITIONAL SHEET IF NECESSARY

GIS_STOCK (v.2013) Page 5


I, LEONIDES DE LUMEN, Corporate Secretary OF THE ABOVE-MENTIONED
(NAME) (POSITION)

CORPORATION DECLARE UNDER THE PENALTY OF PERJURY, THAT ALL MATTERS SET FORTH IN THIS GENERAL
INFORMATION SHEET WHICH CONSISTS OF ( 7 ) PAGES HAVE BEEN MADE IN GOOD FAITH, DULY VERIFIED BY ME AND
TO THE BEST OF MY KNOWLEDGE AND BELIEF, ARE TRUE AND CORRECT.

I UNDERSTAND THAT THE FAILURE OF THE CORPORATION TO FILE THIS GIS FOR FIVE (5) CONSECUTIVE YEARS
SHALL BE CONSTRUED AS NON-OPERATION OF THE CORPORATION AND A GROUND FOR THE REVOCATION OF
THE CORPORATIONS CERTIFICATE OF INCORPORATION. IN THIS EVENTUALITY, THE CORPORATION HEREBY
WAIVES ITS RIGHT TO A HEARING FOR THE SAID REVOCATION.

DONE THIS _______DAY OF ____________________, 20 ___ IN ________________________.

__________________________
(SIGNATURE)

SUBSCRIBED AND SWORN TO BEFORE ME IN _________________________CITY/PROVINCE, PHILIPPINES ON


____________________, AFFIANT PERSONALLY APPEARED BEFORE ME AND EXHIBITED TO ME HIS BUREAU OF
INTERNAL REVENUE IDENTIFICATION WITH TIN: 191-519-328.

DOC. NO: :
PAGE NO. :
BOOK NO. :
SERIES OF 2015 :

GIS_STOCK (v.2013) Page 6

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