General Information Sheet 2014 Sample

2014

GENERAL INSTRUCTIONS:1.

2.

3.

4.

5.

6.

7.

BUSINESS/TRADE NAME:

30-Jun

WEBSITE/URL ADDRESS:

INDUSTRY CLASSIFICATION:

N.A.

FISCAL YEAR END:

008-568-057

CONSULTANCY 1227

FAX NUMBER:

6th Floor, Cambridge Center, Tordesillas corner Gallardo Streets, Salcedo Village, Makati City

GEOGRAPHICAL CODE:

N.A.N.A.

SEC ACCREDITATION NUMBER (if

applicable):

PRIMARY PURPOSE/ACTIVITY/INDUSTRY PRESENTLY ENGAGED IN:

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.

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.

CORPORATE TAX IDENTIFICATION

NUMBER (TIN)DATE OF ANNUAL MEETING PER BY-LAWS:

THIS GIS MAY BE USED AS EVIDENCE AGAINST THE CORPORATION AND ITS RESPONSIBLE DIRECTORS/OFFICERS FOR ANY VIOLATION OF

EXISTING LAWS, RULES AND REGULATIONS

NOTE: USE ADDITIONAL SHEET IF NECESSARY

TELEPHONE NUMBER(S):

ONLY THE GIS ACCOMPLISHED IN ACCORDANCE WITH THESE INSTRUCTIONS SHALL BE CONSIDERED AS HAVING BEEN FILED.

COMPLETE BUSINESS ADDRESS:

ACTUAL DATE OF ANNUAL MEETING: No meeting

PARENT COMPANY

NAME OF EXTERNAL AUDITOR & ITS SIGNING PARTNER:

Providing advisory services, training, documentation, and other similar endeavors

pretaining to marketing and sales of companies.

N.A.

N.A.

N.A.

N.A. N.A.

SUBSIDIARY/AFFILIATE SEC REGISTRATION NO.

GENERAL INFORMATION SHEET (GIS)

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.

STOCK CORPORATION

TERRAFIRMA, INC.

TERRAFIRMA, INC.

C5201312804

FOR THE YEAR

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.

THIS GIS SHALL BE ACCOMPLISHED IN ENGLISH AND CERTIFIED AND SWORN TO BY THE CORPORATE SECRETARY OF THE CORPORATION.

================================ PLEASE PRINT LEGIBLY =====================================

DATE REGISTERED:

December 31

CORPORATE NAME:

SEC REGISTRATION NUMBER:

7/5/2013

ADDRESS

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

6th Floor, Cambridge Center, Tordesillas corner Gallardo Streets, Salcedo Village, Makati City

E-MAIL ADDRESS:

N.A.

N.A.

ADDRESS

N.A. N.A.

SEC REGISTRATION NO.

COMPLETE PRINCIPAL OFFICE ADDRESS:

GIS_STOCK(v.2013) Page 1

A.

1.

a.

b.

c.

d.

e.

f.

g.

h.

i.

j.

k.

2.

a.

b. a.

c. b.

d.

e.

f.

g.

h. c.

i.

j.

3.

a. d.

b.

c.7.

d. a.

e.

f. b.

g.

h. c.

i.

j.

k. d.

l.

m. 8.

n. Describe

nature of

business:

B.

Persons who provide any of the following services:

Professional Reinsurers

Reinsurance Brokers

None of the above

organization of contributions for the creation,

operation or management of companies

Securities Salesman

Other entities managing Securities or rendering similar services

Investment Houses

Investment Agents and Consultants

Trading Advisors

Holding Company Systems

Pre-need Companies

Common Trust Funds or Issuers and other similar entities

Transfer Companies and other similar entities

Other entities administering or otherwise dealing in currency,

commodities or financial derivatives based there on

Entities administering of otherwise dealing in valuable objects

Consultancy

management of bank, savings or securities

accounts

Entities administering or otherwise dealing in cash Substitutes

and other similar monetary instruments or property supervised

and/or regulated by the Securities and Exchange Commission

(SEC)

Mutual Funds or Open-end Investment Companies

Close-end Investment Companies

providing a registered office, business address or

accommodation, correspondence or administrative

address for a company, a partnership or any other

legal person or arrangement

acting as a formation agent of juridical persons

Company service providers which, as a business,

provide any of the following services to third

parties:

GENERAL INFORMATION SHEET

STOCK CORPORATION

================================ PLEASE PRINT LEGIBLY ================================

Please check the appropriate box:

Corporate Name: MONCESTINE VALLEY, INC.

acting as (or arranging for another person to act as)

a nominee shareholder for another person

All Other Persons and entities supervised and/or regulated by

the Insurance Commission (IC)

Is the Corporation a covered person under the Anti Money Laundering

Act (AMLA), as amended? (Rep. Acts. 9160/9164/10167/10365)

acting as (or arranging for another person to act as)

a director or corporate secretary of a company, a

partner of a partnership, or a similar position in

relation to other juridical persons

Securities Brokers

Insurance Brokers

Mutual Benefit Association

Securities Dealers

Foreign Exchage Dealers

Money Changers

Remittance Agents

Offshore Banking Units

Quasi-Banks

Trust Entities

Non-Stock Savings and Loan Associations

Has the Corporation complied with the requirements on Customer Due

Diligence (CDD) or Know Your Customer (KYC), record-keeping, and

submission of reports under the AMLA, as amended, since the last filing of its

creation, operation or management of juridical

persons or arrangements, and buying and selling

business entities

managing of client money, securities or other

assets

Banks

Pawnshops

Insurance Agents

4.Jewelry dealers in precious metals, who, as a

business, trade in precious metals

5.Jewelry dealers in precious stones, who, as a

business, trade in precious stone

6.

Electronic Money Issuers

Insurance Companies

Financial Institutions which Under Special Laws are subject to

Bangko Sentral ng Pilipinas' (BSP) supervision and/or

regulation, including their subsidiaries and affiliates.

Holding Companies

GIS_STOCK(v.2013) 1-A

NUMBER OF

SHARES

COMMON 100,000 1

TOTAL 100,000 TOTAL P

F I L I P I N O

NO. OF

STOCK-

HOLDERS

NUMBER OF

SHARES

NUMBER OF

SHARES IN

THE HANDS

OF THE

PUBLIC **

PAR/STATED

VALUEAMOUNT (PhP)

% OF

OWNERSHIP

10 COMMON 60,375 1.00 60,375.00 60.38

TOTAL 60,375 TOTAL TOTAL P 60,375.00 60.38

F O R E I G N

(INDICATE BY

NATIONALITY)

NO. OF

STOCK-

HOLDERS

NUMBER OF

SHARES

NUMBER OF

SHARES IN

THE HANDS

OF THE

PUBLIC **

PAR/STATED

VALUE AMOUNT (PhP)

% OF

OWNERSHIP

American 1 COMMON 2,500 1.00 2,500.00 2.50

TOTAL 2,500 TOTAL TOTAL P 2,500.00 2.50

62,875.00 62.88

F I L I P I N O

NO. OF

STOCK-

HOLDERS

NUMBER OF

SHARESAMOUNT (PhP)

% OF

OWNERSHIP

8 COMMON 60,375 1 60.38

TOTAL 60,375 TOTAL P 15,093.75 60.38

F O R E I G N

(INDICATE BY

NATIONALITY)

NO. OF

STOCK-

HOLDERS

NUMBER OF

SHARESAMOUNT (PhP)

% OF

OWNERSHIP

American 1 COMMON 2,500 1 625.00 2.50

3.98 % TOTAL 2,500 TOTAL P 625.00 2.50

TOTAL PAID-UP P 15,718.75 62.88

TYPE OF SHARES *

SUBSCRIBED CAPITAL

100,000.00

PAR/STATED VALUE

100,000.00

AMOUNT (PhP)

(No. of shares X Par/Stated Value)TYPE OF SHARES *


15,093.75

** Other than Directors, Officers, Shareholders owning 10% of outstanding shares.

* Common, Preferred or other classification

PAID-UP CAPITAL

PAR/STATED VALUE

PAR/STATED VALUE

TYPE OF SHARES *

TYPE OF SHARES *

TYPE OF SHARES *

TOTAL SUBSCRIBED P

Percentage of Foreign Equity :

AUTHORIZED CAPITAL STOCK

TERRAFIRMA, INC.


STOCK CORPORATION

==================================== PLEASE PRINT LEGIBLY ==================================

CAPITAL STRUCTURE

CORPORATE NAME:

GIS_STOCK (v.2013) Page 2

CORPORATE NAME:

INC'R BOARD SEXSTOCK

HOLDEROFFICER

EXEC.

COMM.

TAX IDENTIFICATION NO.

(TIN) FOR FILIPINOS AND

FOREIGNERS1.

2.

3.

4. SANTOS JOHN A. MARFORI

5.

6.

Canelar Moret, Zamboanga City

7.

8.

9.

10.

11.

12.

13.

14.

15.

FOR SEX COLUMN, PUT "F" FOR FEMALE, "M" FOR MALE.

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.

N.A.

N.A.

N.A.

N.A.

N.A.

291-258-796

251-437-544

421-334-449

268-059-893

224-961-221

107-505-816

917-461-704

300-354-740

237-321-998

N.A.

N.A.

FOR INC'R COLUMN, PUT "Y" IF AN INCORPORATOR, "N" IF NOT.

FOR STOCKHOLDER COLUMN, PUT "Y" IF A STOCKHOLDER, "N" IF NOT.


INSTRUCTION:

FOR BOARD COLUMN, PUT "C" FOR CHAIRMAN, "M" FOR MEMBER, "I" FOR INDEPENDENT DIRECTOR.

N.A.

N.A.

PAULUS MIGUEL G. SORIANON Y

Corporate

Secretary

Y M YM

M

RONALD D. VELOSO

B7, L38, Arizona Street, Camella Homes Ridgeway

1, Tunasan, Muntinlupa

MICHAEL KELLY P. TIU LIM

Y M Y N.A.

803 Crystal Mansion South, Brgy. Paligsahan,

Quezon City

ERICKSON V. BECO

Y M YM

M

N.A.

Phase 4, S. Marquez Street, Gatchalian Subdivision,

Las Pinas City

N.A.Canelar Moret, Zamboanga City

OLIVER CHRISTIAN G. PENA

N M Y N.A.MARGARET JANE L. TIU LIM

N M YM

M

N.A.

N.A.

N.A.

F

M

F

M

BRADLEY ERIC GEISERY M YUnit 1103 Two Salcedo Place, Tordesillas Street,

Salcedo Village, Makati City

Y TreasurerB4 L31 Olympia San Vicente, San Pedro, Laguna

SARA MARIA M. ALVAREZYBlock 27, Lot 18, Hamilton Heights, Las Pinas City

Y M

M Y

STOCK CORPORATION


D I R E C T O R S / O F F I C E R S

NAME, NATIONALITY AND

CURRENT RESIDENTIAL ADDRESS

N.A.

TERRAFIRMA, INC.

CRISTINA AMOR MACLANGY CUnit 1103 Two Salcedo Place, Tordesillas Street,

Salcedo Village, Makati City

Y 157-037-484N.A.


11

TYPE NUMBERAMOUNT

(PhP)

% OF

OWNER-

SHIP

1. CRISTINA AMOR MACLANG COMMON 18,125 18,125.00

Filipino

TOTAL 18,125 18,125.00

2. BRADLEY ERIC GEISER COMMON 2,500 2,500.00

American

TOTAL 2,500 2,500.00

3. SARA MARIA M. ALVAREZ COMMON 750 750.00

Filipino

TOTAL 750 750.00

4. SANTOS JOHN A. MARFORI COMMON 250 250.00

Filipino

TOTAL 250 250.00

5. MICHAEL KELLY P. TIU LIM COMMON 18,125 18,125.00

Filipino

TOTAL 18,125 18,125.00

6. MARGARET JANE L. TIU LIM 2,500 2,500.00

Filipino

TOTAL 2,500 2,500.00

7. OLIVER CHRISTIAN G. PENA 625 625.00

Filipino

TOTAL 625 625.00

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.

INSTRUCTION: SPECIFY THE TOP 20 STOCKHOLDERS AND INDICATE THE REST AS OTHERS

TOTAL AMOUNT OF SUBSCRIBED CAPITAL

TOTAL AMOUNT OF PAID-UP CAPITAL

237-321-998Phase 4, S. Marquez Street, Gatchalian Subdivision,

Las Pinas City

156.250.63%

107-505-816B4 L31 Olympia San Vicente, San Pedro, Laguna

917-461-704Canelar Moret, Zamboanga City

300-354-740Canelar Moret, Zamboanga City

62.50

4,531.25

625.00

0.25%

18.13%

2.50%

157-037-484Unit 1103 Two Salcedo Place, Tordesillas St., Makati

City

268-059-893Unit 1103 Two Salcedo Place, Tordesillas St., Makati

City

224-961-221Block 27, Lot 18, Hamilton Heights, Las Pinas City

4,531.25

625.00

187.50

18.13%

2.50%

0.75%

AMOUNT PAID

(PhP)



FOREIGNERS

11

SHARES SUBSCRIBED



N.A.


STOCK CORPORATION


TOTAL NUMBER OF STOCKHOLDERS:

STOCKHOLDER'S INFORMATION

CORPORATE NAME: TERRAFIRMA, INC.

NO. OF STOCKHOLDERS WITH 100 OR MORE SHARES EACH:

TOTAL ASSETS BASED ON LATEST AUDITED FINANCIAL STATEMENTS:


11

TYPE NUMBERAMOUNT

(PhP)

% OF

OWNER-

SHIP

8. ERICKSON V. BECO 625 625.00

Filipino

TOTAL625 625.00

9. RONALD D. VELOSO 625 625.00

Filipino

TOTAL625 625.00

10. PAULUS MIGUEL G. SORIANO 625 625.00

Filipino

TOTAL625 625.00

11. GEISERMACLANG MARKETING COMMUNICATIONS, INC. 18,125 18,125.00

Filipino

TOTAL18,125 18,125.00

12.

TOTAL

13.

TOTAL

14.

TOTAL

62,875 62.88%

CORPORATE NAME: TERRAFIRMA, INC.

TOTAL NUMBER OF STOCKHOLDERS: 11

TOTAL ASSETS BASED ON LATEST AUDITED FS: N.A.

NO. OF STOCKHOLDERS WITH 100 OR MORE SHARES EACH:

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.

15,718.75

INSTRUCTION: SPECIFY THE TOP 20 STOCKHOLDERS AND INDICATE THE REST AS OTHERS

TOTAL AMOUNT OF SUBSCRIBED CAPITAL

TOTAL AMOUNT OF PAID-UP CAPITAL

156.25 421-334-449Blk 4 Lot 78 Canary St. East 1 Camella Springville,

Molino 3, Cavite 4102

4,531.25 243-317-587-0006/F Cambridge Center Bldg., Tordesillas cor.

Gallardo Sts., Salcedo Village, Makati City

0.63%

18.13%

156.25 291-258-796B7, L38, Arizona Street, Camella Homes Ridgeway

1, Tunasan, Muntinlupa

156.25 251-437-544803 Crystal Mansion South, Brgy. Paligsahan,

Quezon City

0.63%

0.63%


STOCK CORPORATION

==================================== PLEASE PRINT LEGIBLY ==================================

STOCKHOLDER'S INFORMATION

AMOUNT PAID

(PhP)



FOREIGNERS

SHARES SUBSCRIBED




CORPORATE NAME:

1.

1.1

1.2

1.3

1.4

1.5

2.

3.

4.

5. DIVIDENDS DECLARED DURING THE IMMEDIATELY PRECEDING YEAR: N.A.

5.1 CASH

5.2 STOCK

5.3 PROPERTY

6.

AMOUNT (PhP) DATE OF BOARD RESOLUTION

N.A. N.A.

N.A.

N.A.

N.A.

PTOTAL

TREASURY SHARES: N.A.

TYPE OF DIVIDEND

NO. OF SHARES

% AS TO THE TOTAL

NO. OF SHARES

ISSUED

N.A.

N.A. N.A.

N.A.

N.A.

N.A. N.A.N.A.

N.A.

DATE ISSUED:N.A.

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

NAME OF AGENCY: I CSEC B S P

TYPE OF

LICENSE/REGN.

TOTAL ANNUAL COMPENSATION OF

DIRECTORS DURING THE PRECEDING

FISCAL YEAR (in PhP): None

TOTAL NO. OF OFFICERS

1

TOTAL NO. OF RANK &

FILE EMPLOYEES

INVESTMENT OF CORPORATE FUNDS IN ACTIVITIES UNDER ITS

SECONDARY PURPOSES (PLEASE SPECIFY:)

N.A.

N.A.

DATE NO. OF SHARES AMOUNT

DATE OF BOARD

RESOLUTION

DATE OF

STOCKHOLDERS

RATIFICATION

N.A.

N.A.

N.A.DATE STARTED

OPERATIONS:N.A. N.A.

N.A. N.A.

N.A.

N.A. N.A.

N.A.



STOCK CORPORATION

PLEASE PRINT LEGIBLY

N.A.

N.A.

OTHERS

TOTAL MANPOWER

COMPLEMENT

INVESTMENT OF CORPORATE

FUNDS IN ANOTHER CORPORATION

N.A.

UNRESTRICTED/UNAPPROPRIATED RETAINED EARNINGS AS OF END OF LAST FISCAL YEAR: N.A.

STOCKS

BONDS/COMMERCIAL PAPER

(Issued by Private Corporations)

LOANS/ CREDITS/ ADVANCES

GOVERNMENT TREASURY BILLS

AMOUNT (PhP)

N.A.

N.A.

DATE DECLARED

N.A.

TERRAFIRMA, INC.

ADDITIONAL SHARES ISSUED DURING THE PERIOD:

N.A.


I,

INFORMATION SHEET WHICH CONSISTS OF PAGES HAVE BEEN MADE IN GOOD FAITH, DULY VERIFIED BY

, 20 IN .

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

,

Notarial Commission No.

Roll of Attorney Number

PTR No.

IBP No.

Office Address:

DOC. NO.:

PAGE NO.:

BOOK NO.:

SERIES OF.:

PAULUS MIGUEL G. SORIANO CORPORATE SECRETARY

ISSUED AT

OF THE ABOVE-MENTIONED

DAY OF

(Name) (Position)

DECLARE UNDER THE PENALTY OF PERJURY, THAT ALL MATTERS SET FORTH IN THIS

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

CORPORATION'S CERTIFICATE OF INCORPORATION. IN THIS EVENTUALITY, THE CORPORATION HEREBY WAIVES ITS RIGHT

TO A HEARING FOR THE SAID REVOCATION.

EIGHT (8)

ME AND TO THE BEST OF MY KNOWLEDGE AND BELIEF, ARE TRUE AND CORRECT.

DONE THIS

(SIGNATURE)

Commission expires on December 31,

,AFFIANT PERSONALLY APPEARED BEFORE ME AND EXHIBITED TO ME HIS

NOTARY PUBLIC FOR

ON


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General Information Sheet 2014 Sample