Information Sheet

SEC information sheet for financing company head office

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INFORMATION SHEET
I.

Organizational Profile:
1. Name of Company
2. Term of Existence
3. End of Fiscal Year
4. Date of Annual Stockholder’s Meeting
5. Type of Financing Company Activity/ies
to be Undertaken

6. Other Business Activity/ies
to be Undertaken

7. Capital Structure
Class of
Shares

No. of Shares

Par/Stated
Value
(PhP)

Aggregate
Value/Amount
(PhP)

Authorized Capital
Stock
Subscribed Capital
Stock
Paid-up Capital

8. Stockholders*

Name

Citizenship

Residence

Shares
Subscribed

Amount
Paid

% of
Shareholdings

*Attach additional sheet if needed

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FINANCING COMPANY – HEAD OFFICE
9. Directors and Officers*
Name

Citizenship

Residence

Position

Specimen Signature

10. Parent Company*
Name of Entity

Nature of Business

Type of Sharing Owned

Amount

Nature of Business

Type of Sharing Owned

Amount

Nature of Business

Type of Sharing Owned

Amount

Nature of Business

Type of Sharing Owned

Amount

11. Branch/Extension Office*
Name of Entity

12. Subsidiary*
Name of Entity

13. Affiliate*
Name of Entity

_________________________
*Attach additional sheet if needed.
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FINANCING COMPANY – HEAD OFFICE

14. Interlocking Director/Officer*
Name of Entity

II.

Nature of Business

Name of Common
Director/Officer

% of Shareholdings

Company’s Plan of Operation
15. Company’s corporate goals within the next three (3) years*
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16. Company’s financial internal control procedures*
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_________________________
*Attach additional sheet if needed.

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FINANCING COMPANY – HEAD OFFICE

17. Company’s marketing program (i.e., target market, market plan, promotion, distribution)*
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
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18. Company’s credit and collection policies*

Type of Loan

Minimum/Maximum
Loan Value
(PhP)

Rate of
Interest

Term of Loan

Mode of Payment

19. Source of additional operating capital
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________

__________________________
*Attach additional sheet if needed.
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FINANCING COMPANY – HEAD OFFICE

I hereby certify that all the information set forth in the above report is true and correct of my
own knowledge and belief.

Signature of the President over Printed Name

REPUBLIC OF THE PHILIPPINES
IN THE CITY OF

)
) S.S.

SUBSCRIBED AND SWORN TO before me this ____ day of ______________, _____ the above
affiant exhibiting to me his/her Tax Identification Number ______________ issued at
____________________ on ____________________.

NOTARY PUBLIC

Doc. No. __________
Page No. __________
Book No. __________
Series of __________

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