CAPITAL STOCK STRUCTURE

Authorized Capital Stock: ____________________________________

A B C D E F
Name Nationality1 Number of Par Value per Amount Amount Paid-
Shares Share2 Subscribed3 in4
Subscribed

TOTAL:

Note: If a stockholder is a juridical entity, kindly provide copies of Certificate of Incorporation, most
recent Articles of Incorporation, By-laws and GIS of the juridical entity.

1
For corporations, please indicate its place of incorporation.
2
A par value of PhP 100.00 is usual in Philippine corporations.
3
Column C multiplied by Column D. The total should be at least 25% of the Authorized Capital Stock.
4
The total should be at least 25% of the total Subscribed Capital Stock.