General Information Sheet (Gis) : Stock Corporation General Instructions
General Information Sheet (Gis) : Stock Corporation General Instructions
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
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GIS_STOCK(v.2013) Page 1
GENERAL INFORMATION SHEET
STOCK CORPORATION
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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
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
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 **
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 **
FOREIGN NO. OF
NUMBER OF % OF
(INDICATE BY STOCK- TYPE OF SHARES * PAR/STATED VALUE AMOUNT (PhP)
SHARES OWNERSHIP
NATIONALITY) HOLDERS
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.
TOTAL NUMBER OF STOCKHOLDERS: FIVE (5) NO. OF STOCKHOLDERS WITH 100 OR MORE SHARES FIVE (5)
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
TOTAL
7 Common
TOTAL 25,000
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.
5.1 CASH
5.2 STOCK
5.3 PROPERTY
TOTAL
6. ADDITIONAL SHARES ISSUED DURING THE PERIOD: N.A.
DATE NO. OF SHARES AMOUNT
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
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.
__________________________
(SIGNATURE)
DOC. NO: :
PAGE NO. :
BOOK NO. :
SERIES OF 2015 :