This document is a registration statement for the issuance of securities. It provides information about the issuer such as its name, address, directors, capitalization, use of proceeds, expenses, and consideration for securities. Attached documents include the security document, prospectuses, articles of incorporation, and a certified balance sheet. The registrant signs that the information provided is true and correct.
This document is a registration statement for the issuance of securities. It provides information about the issuer such as its name, address, directors, capitalization, use of proceeds, expenses, and consideration for securities. Attached documents include the security document, prospectuses, articles of incorporation, and a certified balance sheet. The registrant signs that the information provided is true and correct.
This document is a registration statement for the issuance of securities. It provides information about the issuer such as its name, address, directors, capitalization, use of proceeds, expenses, and consideration for securities. Attached documents include the security document, prospectuses, articles of incorporation, and a certified balance sheet. The registrant signs that the information provided is true and correct.
This document is a registration statement for the issuance of securities. It provides information about the issuer such as its name, address, directors, capitalization, use of proceeds, expenses, and consideration for securities. Attached documents include the security document, prospectuses, articles of incorporation, and a certified balance sheet. The registrant signs that the information provided is true and correct.
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REGISTRATION STATEMENT
of
___________________________ (Name of issuer/dealer)
Pursuant to the provisions of the Revised Securities Act ( Batas Pambansa Blg. 178), requiring registration of securities, I ____________________, of legal age, single/married, after being duly sworn in accordance with law, depose and say that:
1. The name of the issuer is (and if incorporated, state also the place of incorporation); ______________________;
2. The issuer’s principal business office is (and if such issuer is a non-resident or
its place of office is outside of the Philippines, state the name and address of its agent in the Philippines authorized to receive notice) ___________________________;
3. The names and addresses of the directors (or persons performing similar functions), and the chief executive, financial and accounting officers (if the issuer be a corporation) are as follows, to wit:
3. Paid-up: _________________________________________________ (b) Number and classes of shares into which the capital stock is divided: ____________________________________________________________
(c) Par value of shares (or, if it has no par value, the state or assigned value thereof);
(d) Description of voting rights, preferences, conversion and exchange rights,
rights to dividends, profits, or capital of each class, including the retirement and liquidation rights and values thereof: _________________
7. The specific purposes in detail and the approximate amounts to be devoted to
such purposes (so far as determinable) for which the security to be offered is to supply funds are: _______________________; (and if the funds are to be raised in part from other sources, state the amounts and the sources thereof.)
8. The amounts of the issuer’s income, operating expenses, and fixed charges during the last fiscal year, are as follows, to wit:
(If in actual business for less than one year, then state only such amount for such time as the issuer has been in actual business, specifying the period covered).
9. The remuneration paid (or estimated to be paid) by the issuer (or its predecessor, directly or indirectly), during the past year and ensuing year to the directors (or persons performing similar functions) and its officers and other persons, is as follows:
(a) To the directors (or persons performing similar functions); During the past year: (state amount actually paid); During the ensuing year: (state amount estimated to be paid);
(b) To its officers and other persons. During the ensuing year. (state amount estimated to be paid.)
10. The amount of issue of the security to be offered is : _______________
PESOS;
11. The estimated net proceeds to be derived from the security to be offered is ________________________ PESOS (P______________); 12. The price at which such security is to be sold is _________________ PESOS (P_______________); and the maximum amount of commission or other form of remuneration to be paid in cash (or otherwise, directly or indirectly) for or in connection with the sale or offering for sale of such security is ________________ PESOS (P_______________);
13. The amount (or estimated amounts) other than commissions specified in the next preceding paragraph, incurred (or to be borne) by or for the account of the issuer in connection with the sale of the security to be offered is itemized as follows:
(b) Capital stock to be set aside and disposed of as promotion stock _______ __________________
(Stocks issued from time to time as promotion stock not previously registered with the Commission should be registered before such issue)
16. Attached hereto and made parts of this registration statement are the following:
(a) Three copies of
(1) the security for which registration is applied for; (2) every circular, prospectus, advertisements, letter, or communication to be used for the public offering of the security; (3) the articles of incorporation of the issuer, with all amendments thereof and its existing by-laws or instruments corresponding thereto. (If the issuer is not a corporation, or if copies thereof brought up to date have previously been filed and registered with the Commission, copies thereof need not be attached); (4) all instruments by which the trust is created or declared and in which it is accepted and acknowledged (but these need not be attached, if the issuer is not a trust, or if copies thereof brought up to date have previously been filed with the Commission); (5) the articles of partnership or association of the issuer and all papers pertaining to its organization (if the issuer is a partnership, unincorporated association, joint stock company, syndicate, or any other form of organization).
(b) A balance sheet duly certified by a certified public accountant, showing the amount and general character of its assets and liabilities on a day not more than 60 days prior to the date of such balance sheet;
(c) (In case of speculative securities issued by a person, engaged in the business of developing, exploiting or operating mineral claims, the following must be submitted; (1) A complete list of the mining properties acquired and/or developed by the issuer showing the names of mining claims, location of same, names of locators and/or owners, and dates of their location and registration; (2) A certificate from the Director of Forestry showing that the mining properties in question are not located in any forest reservation, communal forest or national park; (3) A certified copy of the agreement of contract between the issuer (corporation or association) and the claim owners acknowledged and ratified before a notary public; (4) A preliminary report under oath of a duly licensed mining engineer showing the names of the mining claims, their location and accessibility, topography and geology, their ore possibility and the probable cost of extracting it, as it may be practicable to estimate the same, certifying that the claims are mineralized, and recommending further exploration and/or development of same.)
Dated at _____________________________, 200_.
________________________ (Affiant) SUBSCRIBED and sworn to before me, in the city/municipality of _______________, this _______ day of _____________, 200_ by ____________ with Community Tax Certificate No. _________________ issued at ________________ on __________, 200_.
NOTARY PUBLIC
Doc No. ______;
Page No. ______; Book No. ______; Series of 200__.
