· fe p. palileo n m y nia 222 t. evangelista sl. phase 3 bf homes. paranaque city 1700 9. jose...
TRANSCRIPT
GENERAL INFORMATION SHEET STOCK CORPORJ\TION
--------� -------:-------:=•--- PLEASE PRINT LEGIBLY ••=••====-==•=•====••••••====•:--- - -·------- --- -·--- ---
CORPORATE NAME:P-H-0-E-N•I-X PETROLEUM PHILIPPINES, INC.
DI R EC TOR S I OFFICE RS
NAME, NATIONALITY AND CURRENT RESIDENTIAL ADDRESS
INC'R BOARD STOCK
OFFICER HOLDER
1. DENNIS A. UY y M y Pre$ideni &
Penthouse 8, Valero Tower, 122 Valero St.,Chief Exec.
Of.:, Salcedo Villaoe, Makatl City
2. DOMINGO T. UY y C y CMitman
Misamis St., Insular Village. Pna,e 2, Lanan9,
Davao CityROMEO B. OE GUZMANLot 6 Blk 2 Brighton St., H llborough, A•abang
N M y NiA
Village, Munlinlupa City4. SOCORRO ERMAC CABREROS N y Corpo:a�c
223 V. Mapa SL, Barangay 1 OA. Davao CitySec.
5. J,V. EMMANUEL A OE DIOS N M y NIA
95 A Melchi,r Sl, Loyola Heights, Quezon City
6. RICARDO$. PASCUAN M y NlA
16 Solar St., Bel-Air Ill. Makati City, Metro Manila
7. MONICO V. JACOB N M y NfA
447 Duke Street. Greenhill; East, MandaluyongCity
8. FE P. PALILEO N M y NIA
222 T. Evangelista Sl. Phase 3 BF Homes.Paranaque City 1700
9. JOSE MANUEL R QUIMSON28 Osme/\a St., Xav1e1Vdlc Ill. Loyola Heights.
N y Tr�,H-uer
Quezon City10.
11.
12.
13.
14.
NSTRUCTIONS·
rOR BOA..'-\-OCOllJMN, PUl -c· FC•f'lC:iAJ"iUA..� 'M" FOR ,.1ev3ER. ... FOF! Nl:F.Pe,,c-C.NT D REClOR.
fCR INCR COLl.rn; PUT -y- ic: , .. J{ �NCO�PCR•\iOR ·,r iF UOi
EXEC. COMM.
TAX IDENTIFICATION NO. (TIN} FOR FILIPINOS or PASSPORT NO. FOR
FOREIGNERS
FILIPINO
FILIPINO
FILIPINO
FILIPINO
FILIPINO
FILIPINO
- FILIPINO
FILIPINO
. ' ,,-: -
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FOR sro::.vio·.o:R Ct,-L'..WJ,, P.WT �- FA S.iOCK�CLt.ER, -�r F ,er
FOR orr.CEH COL't.JPm. l�D:::AtF ?A=rn:-.J_:,R i-JOSm:.r: F ;.N Cr·F1::�R FRC\1 V? 9-P ,�.:i.v:i·N:..; r--1:: �os·- .0�4 o= iHt f'RE.AS•JP.::R,
StCRETAAY, CC\t�L.W�•:� ceFICI-P: At�C.'CR ASSOG!ATEO p-;::t.£OP.:
FOR E)(�CUTIVt CO\.WJT re:,,�:,:::.; TE ·c- IF MtM3ER Ct- n-E COWP�N¢A 1 ION C0!,1\,ifflEF �,,.- fCR AJ:>IT CCW,<JTTEC: ·tr =cR rl-0!.t.NATIOU
;.Jm eu-cnc,u COMflrT 1 EE AOCITION'.N..LY \-.•.;.11: 'C" Al-i:R SLASH IF cn..:.JRt.fAA ;..NO 'i.,• t.1- M:.t.�acri.
GIS_STOCK (v.2005) Page 3
FILIPINO
GENERAL INFORMATION SHEET STOCK CORPORATION
---·-.s•s---------·-s•5·---·---··-:--• PLeASE PRINT LEG18L Y ---=•••5------------s••�-------
CORPORATE NAME: P-H•O·E-N-1-X PETROLEUM PHILIPPINES, INC.
TOTAL NUMSER OF STOCKHOLDERS: 39 NO. OF STOCKHOLOERS VilTH 100 OR MORE SHA..'tE 34
TOTAL ASSETS HASEO ON LATES1 AUOtTeO FIN:ANCIAL STATEMENTS· PO,OOl,412.942.00
STOCKHOLDER"S INFORMATION
SHARES SUBSCRIBED TAX IDENTIFICATION NO, NAME, NATIONALITY ANO
CURRENT RESIDENTIAL ADDRESS TYPE NUMBER
I. PHOENIX PETROLEUM HOtDINGS, INC. Cm 142,870,000
FlLIPlNO
S�t.Aa H-zoo Rey� Road-, so. P ampa.nQa. Lan.a()(]Oavoo City TOTAL 142,670,000
2. PCD N-Ominee Colpo<atoO Cm 7S,592.lo9
FILIPINO
37r,: The En�tfp(<Sa Ccn·e-r 676-5 A�la A-.·e M.a\a� C-ty TOTAL 75,692.169
3. UOENNA COHPORATION Cr.-. 3�.9-:-1,m
f!IUPINO
s��.la H.zon Re)'H Re.ad, 8o Par.-1i:,anr�. L3n.)ngOavaoC:ty
TOTAL 35,9'4,99<)
4. UUENNA M,o\N-"GEM:NT 3 RE.SOVRCES CORP. Cm 9.100,000
FIUIPiNO
S:e: .. .a Hizoo Ro-1-es R� 8o, Pa-n.pJ.nga, La.nang,Oa-r.K>Cit1
TOTAL 9,100,000
s PCO Nomiooe Cocpor3:ion Cm 1,723.720
Noo-ft.pi:',o
37,'F TM En:e(prise Cente< 6766 Ayata A,•e r.<o"<.):iC•ty TOTAL 1,728.720
6 ANA GO&/ GO Kl1,1 ..,A c,,, 1 �-x.. c,c-:1
I', ;,no M� Oe: Barico, KacioMl, l"f.eza L�. s�. Cr>Jz, M31"4) l 00-3
1,200 000
7, OENN1S A UY Cm 1, 12-' 7&!
FILIPINO
PerthOt.1!.e 6, Vaiero Tc-.-.-er. 122 Ve'Atro St &'cede Vl.:a;.e. Makat1 c·t1
TOTAL 1,124,760
TOTAL AMOUNT OF SUBSCRIBED CAPITAL
•1, OF AMOUNT PAID (TIN) FOR FILIPINOS or AMOUNT
OWNEH-(PhP) SHIP 142,870,000 00 53.0Wilc
142,670,000.00
75,592.1$9.00 <SOV.%
75,6�2. \69,00
3!>,9-!� S'!'C CtO 1�.3>4�:
35,9-14,990.00
9.100,000.00 �aW,<,
9,100,000.00
1, 728.720.00 0.6"2�,
1,728.720,00
I Z0,),003 C-J Q.:46%
1 200.000.00 1, 12L,760.00 0�1$1/,
1,124,760.00
267,560,639.00
(PhP)
'42,870,000 00
75,592,169 00
25 S-t4.�9',.00
.µ ,i.., • 1-J<b
9,100,000 00 -�·�
. �
.c. 1,728,720,•�
·p'W "-
i;.
• , 200 C-00 C-:l
1,124,760.00
PASSPORT NO. FOR FOREIGNERS
(-
'{�·,-y; • . I
t :1
I� :,
.... . :· .
1·• .0.t . ., 11.,. • I,, ; � . -
,
TOTAL AMOUNT OF PAID-UP CAPITAL 267,SS0.639.00
INSTRUCTION: SPECIFY THE TOP 20 STOCKHOLOERS ANO INDICATE THE REST AS OTHERS Hort: For POTC Nomintt In eluded ill the Usi. please ind.icate funhtr the bCflefici,1/ owner, owning mort thin ,r: of 3flY clas.s of the comp.4ny's voting ncuriUes . .Artach up1rate slltcr. if nt<unry.
GIS _ STOCK (v.2005)
GENERAL INFORMATION SHEET STOCK CORPORATION
__ -.:;; _______________________ �----�-- PLEASE PRINT LEGIBLY ---=---••,s:;;;-------------·••s;-------
CORPORATE NAME: PHOENIX PETROLEUM PHILIPPINES, INC.
TOTAL NUMBER OF STOCKHOLDERS: 39 NO. OF STOCKHOLDERS WITH 100 OR MORE SHARES EACH: 34
TOTAL ASSETS BASED ON LATEST AUDITED FS: PS,003,412,942 .00
STOCKHOLDER'S INFORMATION
SHARES SUBSCRIBED NAME, NATIONALITY AND 9
/• OF AMOUNT PAID CURRENT RESIDENTIAL ADDRESS TYPE NUMBER AMOUNT OWNER• \PhP)
(PhP) SHIP 8. UOENCO CORPOM TION Cm 454,998 454,998.00 0.16S% 454,998.00
FILIPINO Stella H,ion Reyes Road, Bo. Pam pang a. Lanans. Davao City TOTAL
454,998 464,998.00
9. DENNIS A, UY &/OR CHERYLYN C. UY Cm 309,400 309.400.00 0.115% 309.400.00
TAX IDENTIFICATIONNO. (TIN) FOR FILIPINOS or
PASSPORT NO. FOR
FILIPINO Phoenix Bull< Oepot Lanang, Davao City
309,400 309,400.00
10. DOMINGO T. UY Cm 182,001 162,001.00 0.068½ 182.001.00 FILIPINO M1samis St , lr.sular Vd'age. Lanang, oavao Crty TOTAL
182,001 182,001.00 .J
11, EDGAROOAALERTA Cm i5-',S,OO 15.t.,800.00 0058% 154,800 O< - 1FILIPINO . cJ 1037•1 A:ellano SL Davao City 'D ... , -: .
TOTAL1-1
154,800 154,800.00 _;
12. JOSE MANUEL ROQUE QUIMSON Cm 100,001 100,001.00 0.037% 100,001,IJ<FILIPINO
t ·126F Fort Legend Tower 3rd Ave Cor 31st TOTAL ' :
-�100,001 100,001.00 - . , .
13. EMMANUEL M. CABUSAO Cm 53,200 53,200.00 0.020¼ 53,200.0I. FILIPINO I.., I,; I 1·109 Ferrer st Annex 1618, Levi Town Better � \ .�' JLMl'\9, P3ranaqua 1711 TOTAL
63,200 53,200.00 ..
14. ZENAIDA CHAN VY Cm 42,000 42,000.00 0.016% 42,000.00 FILIPINO305 Mi$amiS Slee-et, West lnsuk\r VillagePhase 2. Oavao Ci:y TOTAL
42,000 42,000.00
TOTAL AMOUNT OF SUBSCRIBED CAPITAL 268,857,039.00 TOTAL AMOUNT OF PAID-UP CAPITAL 268,857,039.00
INSTRUCTION: SPtCIFY THE TOP 20 STOCKHOLDERS AND INDICATE THE REST AS OTHERS Note: For PDTC Nominee ;nclud&d in the list. plea.se Indicate further the beneficial owners owning more than 5% of any class of tha company's
voting se<uritics. Attach separate sheet, if necessa,y.
GIS_STOCK (v.2005) Pag•S
GENERAL INFORMATION SHEET STOCK CORPOJ:lr'\TION
---�-----m::-------::-e:••= Pl.EASE PRINT LEGIBLY s•as;:-:=-=--=-=-==�--==--:-:.::-• --- - - -- --- - - -- - -
CORPORATE NAME: P-H-0-E•N•l•X PETROLEUM PHILIPPINES, INC.
TOtAI. NUMBER OF STOCKHOLDERS: 39 NO. OF STOCKHOLOERS WITH 100 OR MORE: 34
TOTAL ASSETS BASED ON LATEST AUDITEO FS: PS,003,412,942.00
SHARES SUBSCRIBED AMOUNT PAID NAME, NATIONALITY ANO
CURRENT RESIDENTIAL ADDRESS
15. REBECCA Pil.AR C. CATERIO
FIUPINO 6.5 Wi:�-l SQu..ue St .. Maiga,i:J. Village. Ba;.aOOo.a ... aoCit>'
16. ORLANOO LANSANGAN
FILIPINO
COfia Socon'O St, 6ef11ano Heigha
Lcnang, Davao City
17. SOCORRO ERI.V<C CABREROS
FILIPINO
n3 V. Mapa ST. Davao Cify
18, AI.Bi:RTO 0. ALCID
FILIPINO
Sobd ..
Do/la soeotro SL. eeto:,Jrio Helghi's S,.,bd .. Lanang, o-.vao City
19. IGNACIA SYJUCO BRAGA IV
FILIPiNO
TYPE
Cm
TOTAL
Cm
TOTAL
Cm
TOTAL
Cm
TOTAL
cm
KM 14.5 oa ... ao-Bt.1!6d,"'f0(1 Rd, f.'.otal Davao City TOTAL
20. CHKYSS ALFONSUS V. OA.'.\UY Cm
FILIPINO
PH2.BlK07.Lot7 .W�:ts;>rin9 Higt'.tand, Subd C.,131.>nan Peque<'>o Davao Cit, TOTAL
21. 20 other ,toekholdets cm
TOTAL
%OF NUMBER AMOUNT
OWNER· (PhP)
SHIP
�1.SlO 41.830.00 Q.016%
41,830 41,830.00
3S.4C.0 ,.;,oo.oo 0014�)
36,400 36,400.00
29,101 29,101.00 0.011¼
29,101 29,101.00
29,100 29,100.00 0.01 ,,,,
29,100 29,100.00
20.000 20.000.00 O.OOi�';-
20.000 20.000.00
20.000 20.C-00.00 0.007¼
20,000 20,000.00
127,205 127,205.00 0.046¾
127,205 127,205.00
TOTAL AMOUNT OF SUBSCRIBED CAPITAL 269,160,675.00
TOTAL AMOUNT OF PAID-UP CAPITAL
(PhP)
,u:io.oo
36.•c-o.c,o
TAX IDENTIFICATION NO. (TIN) FOR FILIPINOS or PASSPORT
NO. FOR FOREIGNERS
29.101.00
29.100.00
20,000.00
-.J r.: •.
y.)
�co ' C>
20.000.00 - . ..
1iHr.; . ,,_,
� C;-l -1:.
·' '127,205.00 �
-,:,
\:: I.< I w 1 1\,/ / ..., . ' . .
.,. 1 • •.
269,16-0,675.00
l�STRUCTION. SPECIFY THE TOP 20 �TOCKHOlDERS AND l�OICATE THF RJ!ST AS OTHERS
Nott: for PDTC Homlnte included In tht U$t, ptNs& Indicate further the bt11eficial ow11er.s owning mote than 5¼ of any class of tht company's voting ......
GIS_STOCK (v.2005)