111212014001897 wl.l -'l - synergy grid gis 2014.pdf · gis-stock (v.2013) pas64 stcck...

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,r":'"i:l]}\ !-' :\ ,'j' -""'l tr:. wl.l t-'., ,i r' t's -;,t {.*.. -i+' ar,;_.:.--r" Barcode Page illlililIIil ilil tilil ilffi illil ilIil tilil |ilil tllllllillilllllm ilil ffilllillllil 111212014001897 SEOURITIES AND EXGHANGE COMM|SSION SECBuilding,EDsA,Greenhllls,MandaluyongCity,lttratroMenlla,Philippine$ Tel:(632) 726{93 1 to39 F8rc(632) 72542e3 Email: [email protected] The followlng documem hag boen rccoiyed: Recelving Offlcer/Encodler : Amapoia Da$o Receivlng Branoh : SEC Head Office Recelpt Date and Tlmo : November 2'1, 2014 04:02:45 PM Received From : Head Offtce Company Representative Dw Source Company lnlormation SEC Registration No. 0000041376 Companyh.lame SiYNERGY GRID & DEVELOPMENT PHIL$., lNC. lndustry Classification Company Type S,tock Corporation Document lnfotmation Document lD 111212014001897 DocumentType GENERAL INFORMATION SHEET Document Code GIS Period Covered 0ctobsr23,2014 No. of Dayt Late 0 Department C;ED/CFD/CRIID/MRD ' Remarks with CD

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Page 1: 111212014001897 wl.l -'l - Synergy Grid GIS 2014.pdf · GIS-STOCK (v.2013) pas64 STCCK CORPORATION wlTH 1OO OR NORE SHARE8 SASED ON UTESTAUDITED FINANCIAL STATE,{ENTEI PhPI24IO'4EO

,r":'"i:l]}\!-' :\,'j' -""'l

tr:. wl.lt-'., ,i r't's -;,t{.*.. -i+'ar,;_.:.--r"

Barcode Page

illlililIIil ilil tilil ilffi illil ilIil tilil |ilil tllllllillilllllm ilil ffilllillllil111212014001897

SEOURITIES AND EXGHANGE COMM|SSIONSECBuilding,EDsA,Greenhllls,MandaluyongCity,lttratroMenlla,Philippine$

Tel:(632) 726{93 1 to39 F8rc(632) 72542e3 Email: [email protected]

The followlng documem hag boen rccoiyed:

Recelving Offlcer/Encodler : Amapoia Da$oReceivlng Branoh : SEC Head Office

Recelpt Date and Tlmo : November 2'1, 2014 04:02:45 PM

Received From : Head Offtce

Company Representative

Dw Source

Company lnlormation

SEC Registration No. 0000041376

Companyh.lame SiYNERGY GRID & DEVELOPMENT PHIL$., lNC.

lndustry Classification

Company Type S,tock Corporation

Document lnfotmation

Document lD 111212014001897

DocumentType GENERAL INFORMATION SHEET

Document Code GIS

Period Covered 0ctobsr23,2014No. of Dayt Late 0

Department C;ED/CFD/CRIID/MRD' Remarks with CD

Page 2: 111212014001897 wl.l -'l - Synergy Grid GIS 2014.pdf · GIS-STOCK (v.2013) pas64 STCCK CORPORATION wlTH 1OO OR NORE SHARE8 SASED ON UTESTAUDITED FINANCIAL STATE,{ENTEI PhPI24IO'4EO

FOR THE YEAR 2014

STOCK CORPORATION

1, FOR USER CORPORATION; THIS GIS SHOULD BE SUBMITIED WITHIN THIRTY ($O) CALENDAR DAYS FROM THE DATE oF THESTOCKHOLDERS' MEETING. OO NOT LEAVE AHY ITEM BLA}IK. WRITE "N.A.' iF TFIE INFISRMATION REQUIRED IS NOT APPLICABLE TOCORPOF{ATION OR 'NONE' IF THE INFORMATION IS NON.EXISTENT. IF THE ANNUAIL STOCKHOLDERS' MEETING IS HELD ON A DATE O1THAN T}-IAT STATED IN IHE BY{AWS, THE GIS SHALL EE SUBMITTED WTTHIN THIRTY (30) CALENDAR DAYS FROM THE ACTUAL OATE OFANNUAL STOCfiHOLDERS' MEETING,

2. IF NO MEETING IS HELD, THE CORPORJ{TION SHALL SUBIiITT T.tr-IE GIS NOT LATER THAN JANUARY 30 oF THE FoLLowING YEAR.SHOULD AN ANNUAL STOCKHOLDERS' MEETING BE HELD THEREAFTER, A NEW GIS TiHALt BE SUEMITTEDMFILED.

3. THIS GIS SHALI. BE ACCOMPLISHED IN ENGLISH ANO CERT'FIED AND SWORN TO BY THE CORPORATE SECRETARY OF THE COFIPORATION.4. THE SEC SHOULD BE TIMELY APPRI$ED OF RELEVANI CHANGES IN THE SUEMITTED INFORMATIOiT AS THEY ARISE. FOR

RESULTING FROM I'CTIOHS THAT AROSE BETWEEN THE ANNUAL MEETINGS. THE CORPCTRATION SHALL SUBMTT ONLY THE AFFECTEDOF THE GIS TH,AT RELATES TO THE NEW INFORMATION TOGETHER WITH A COVER LETTER SIGNED BY THE CORPORATE SECRETARY OFcoRPorlATloN. Tl{E PAGE OF THE GIS AND COVER LETTER S}{,ALL BE SUBMITTED WfTHtN SEVEN (7) DAYS AFTER SUCH CHAi{GEOR BEC,AME EFFECTIVE.

6. SUBMIT FOUR (4) COPIES OF THE GIS TO THE CENTRAL RECEIVING SECTION, GROUND FI-OOR, SEC BLDG,, EDSA. MANDALI.IYONG CITY- ALCOPIES SHALL UNIFORMLY BE ON A4 OR LETTER-SIZEO PAPER WITH A STANDARO COVER IPAGE. THE PAGES OFALL COPIES SHALL USE ONLoNE SIDE. CORPC'RATIONS SuBMlrlNG A COPY OF THE|R G/S ONLTNE OR VrA |M'ERNET SHALL SUBMIT ONE (1) HAFrD COpy OF THETOGETHER WITH A CERTIFICATION UNDER OATH BY ITS CORPORATE SEGRETARY TIIAT THE COPY SUBMITTED ONLINE CONIA'NS THE E)DATA IN THE HARD COPY.

6' ONLY THE GIS AGCOMPUSHED IN ACCORDANSE }VITH THESE INSTRUCTIOI{S SHALL EE GOilSIDERED A8 HAVINO BEEI{ FILED.7. IHIS GIS MAY BE USED AS EVIDENCE AGAINST THE CORPORATION AND ITS RESPONSIBLE DIRECTORSiOFFICERS FOR ANY VIOLATION

EXISTING LAWS, RULES AND REGUTATIONS

SYNERGY GRID & DEVELOPilENT PHILS., ING."'

BUSIT{ESS ADDRESS:

1807 l8lh Floor Tycoon Buslnesg Centcr BIdg. Condomlnlum, Pgarl Drlve, Parig Clty, Matrro ftlanita

P URPOSE/ACTIWTY/INDUSTRY PRESENTLY EilGAGED Iili

HOWEVE

PLEIA€PRXT

DATE RESISTERED:

6/1/1070]U$IXESS/TRADE NAUE, SYNEEGY GRIO & DEVELOPUENT P}IIL8., IHG.*

irl3?8

..:,{.;AL IEATT EI{D:)acembcr 31

.tAt E (,r ilha(i l.Efi

9rd Morday of ilayi(,RF(,'IATE TAI DEI'YIFICATENrur.ER rnx) 000-593-2/t0{00

23{cn'14

M6tro Manila, Phlllppines E*lAlL AOORESS: Nono

:AX NUiIBER:5843830

I'AiIE C'F EIIEXIIAL AUUII(J'< i IIU UIGI{INGtltcla Columbr.6)

R.G. lf,antb.tt & Go. (lrls, sEc AccRErfrTAnoN NUHBER (t1

appllcablr):(02)584-3930

Holdlng comprny

INDUETRY CIASSIFICATION: OEOGRAFHISAL COOE;

INTERCO*IPANY AFFIUATIONS

ADOREAS

AOOREAS

lPleaao roc Annex A

Prga t

Page 3: 111212014001897 wl.l -'l - Synergy Grid GIS 2014.pdf · GIS-STOCK (v.2013) pas64 STCCK CORPORATION wlTH 1OO OR NORE SHARE8 SASED ON UTESTAUDITED FINANCIAL STATE,{ENTEI PhPI24IO'4EO

GEilERAL I]{FORMATIOil SHEETSTOCK CORPORATION

:Et=Ei-rmE==rG=:!Er-=c=EE-ru PLEABE PRI}IT LEGlBlf =r===ur==;-rEtcErrrlE=iilrE=rEri.rESYIIIERGY GRID & DEVELOP}IENT PHILS.orpor{s Hame: lNrC.

A. ls the Corporation a covorod penson und6r the Antl Money Launderlng Act(AMLA), as arnended? (Rep. Acta. 91 60/91 B4lti 01 67/1 0365)

Pleasc check lhe appropriete bor:

No

t.

Jewelry dealers in precious metals, who, as abusiness, trade in predous metals

Jewelry dealers ln preciuls stonas, u,tp, as abuslness, trade in precious stone

Company senrlce pnoviders which, as a bueiness,provide any of the following sorvlces to thirdpartles:

k-a. acting ae a formation ag6nt d juridical personsb. actlng as (or ananglng for another person to act

as) a dlrector or corporate socretary of a company,a partrer of a partnershlp, or a simllar posltion inrelation to othor jurldical persons

prwidirp a rogistored o'ffice, buslnoss addrese oraccommodation, correspondence or admlnlstratlveaddress for a company, 6 partn€rehip or any olhertregal person or anangement

acting as (or arrangirp br another 1:erson to actas) a nomineo eharoholder for another person

4.

5,

a. Etranl€

b. Offshort Banking Unitrc. Quasi-Banksd. Truot Enlllies

Non€tod( Sflvings and Loan As€ociationsPawnsh@s

g. Foregn Exchage Dealersh. MoneyChangersi, Remltance Ag€ntsj. Elactronic Monry lssuers

k. Finandal lnstituthns whlch Under Special Larrc arc subject toBangko $entral rq Plllpines (BSP) rupervlslon andor regulation,indudiru their subsirdiariea and afflliates.

e,f.

2-

a'. lnsuranca Companies

b. lnsuranceAgentsc. lnsurancs &tkersd. Prsfoeslcnal Relnsurerse. Reinsiranca Brckersf, Holding Conpanles r', brut nota covor€d lnsttutlon undarAMLAg. Holding Company $yEtemsh. Pre-nasd CompaniesL Mutual Benaflt Associationj. All Ot\er Perrons and entitles supaMeed andlor rugulated by the

lnsumnce Commhslon (lC)3.

a. securitles D€€lenr

b. Socur;ties Brokers

c. Seo.rrities Salesmand. lnveslmsnt Housase. lnveetment Agenta and Consultantsf. Tradlng Advisorsg. Otherentlties maneging Securttles or renderlng dmilar sorviceah. Mrduul Funds or Operrend lnvestment Companiesi. Clos+end lnvestrnort Companierj. Common Trust Funds or lssuerg and otfier slmllar enttlesk. Transfer Corripanles and othor eimilar entifiesl. Otherentities adminlsterirE or otherwlse dealing in cunEncy,

eomrxoditilo8 orfinancial derivalives based there onm. Entftios admlnistering of otherwixr deallng in rraluable obJects

n. EnUtles administering or otherwlse deallng in cash Substltutes andother slmllar monatsry instruments or property supeMsed and/orregulated by the Seouritles and Exchange Commiesion (SEC)

7. Perrons who provide any of thea. managingof d'iont@

ass€t6b. manegemsnt qf bank, savlngs or sercurlties

acoountg

o. organlzaflon of contributiong for the creation,operatirn or msnagement of companies

d. creatlon, operaflon or management of juridlcalp€raons or snEngements, and buyinrg and aelling

l

8. NoneoftheaboveD6sc.ibe nature of bualness:

B, Has the Corporation complled vtrlth tho roqulrsmsntr on CuetomCr Due lDiliga-io(GDD) or Know Your Customer ('KYC), recod.teeplng, and submlssion of roportunder the AilILA,, ac amqnded, slncc the lart flllng of ltl GIS? nla

!

I

GIS_STOCK(v.2013) 1-A

Page 4: 111212014001897 wl.l -'l - Synergy Grid GIS 2014.pdf · GIS-STOCK (v.2013) pas64 STCCK CORPORATION wlTH 1OO OR NORE SHARE8 SASED ON UTESTAUDITED FINANCIAL STATE,{ENTEI PhPI24IO'4EO

GEHERAL INFORiNATIO}I AHEETSTOCKCORPORATrcN

LEGIBLY

GIS

Page 5: 111212014001897 wl.l -'l - Synergy Grid GIS 2014.pdf · GIS-STOCK (v.2013) pas64 STCCK CORPORATION wlTH 1OO OR NORE SHARE8 SASED ON UTESTAUDITED FINANCIAL STATE,{ENTEI PhPI24IO'4EO

GENER/IL ]],IFORMATION SHEETSTOCK CORPORATIONPLEASE PRINT LEGIBLY

DIRECTORS I OFFICERS

NAME, NATIONALITY ATTID

CURRENT RESIDETflAL ADDRESS

1OlF L.V. Locsin Bldg. 6752 Ayala Ave.,

201 Epifanio delos Sentos Ave., Mandalulong

704 Acacia Street, Ar"ala Alabang, Muntlnlupa

1. JOSEPH FERDINAHD 'II.13 Quince St., Roxas Dbfict, Quezon City

7 Layang Layang Sffeet, Mlra Nlla Homes,Queon City

6. VICENTE D. GEROCHI IV4/F SyCipLaw Center, 105 Pasao de Roxas,

8944 Washlngton St., Bgy. Plo del Pllar,Makatl City

38 A. Gen. Capinpin St., BSy. San Antonlo,Pasig Clty

3/F SyCiplaw Center, 105 Paseo cle Rorcas,

MakatiCity

11.

TRUGTONS:

FOR SEX COLUMN, PUT T" FOR FEMALE,'I\/l' FOR MALE.

FOR BOARD COLUMN, PUT'C'FOR CHAIRMAN, 'II' FOR MEMBER, 1'FOR INDEPENDENT OIRECTORFOR INC'RCOLU['{N, PUT Y IFAN INCOfiPORATOR, ! r lF HOT.FOR STOCKHOLDER GOLUMI{. PUT Y IF A STOCKHOLDER. TN'IFNOT.FOR OFFICER COLUMN. INDICATE PARTICULAR pOSITIOH lF AN OFFICER, FRO{tl VP UP INCLUDING THE POSlTlClt{ OF THE TREASURER

SECREIARY, COMPLIANCE OFFICER AND/OR A6SOCIATED PERSON,FOR EXECUTIVE COUMrrTEE, INDICATE 'C'lF MEMBER OF THE COMFENSAT|oN eOMMITTEEi ?' FOR AUDIT COMMITTEEi'l'1" FOR NOITII.IATION

Page 6: 111212014001897 wl.l -'l - Synergy Grid GIS 2014.pdf · GIS-STOCK (v.2013) pas64 STCCK CORPORATION wlTH 1OO OR NORE SHARE8 SASED ON UTESTAUDITED FINANCIAL STATE,{ENTEI PhPI24IO'4EO

I

CENERAL INFORMATIO|| $HEET

*See Annex rd

pald-ln capltal.*All frrts r$l! t0od.d by $a ComFny !o conhcr ihr 3M$oldBn ard/or lD obt ln Ulr tlx ldanilflcilbn numb.IE bul tfi60c cm.b wuE not ucoa8.t l.

GIS-STOCK (v.2013) pas64

STCCK CORPORATION

wlTH 1OO OR NORE SHARE8

SASED ON UTESTAUDITED FINANCIAL STATE,{ENTEI PhPI24IO'4EO AT Of

TAX loENIIFlCATlOlil N o,oril) FoR FtuPtNoS AND

FORI:IGNERA

NA}IE, ilATIONALITYAIOGURRENT RESIDENTI,AL ADPRESE

FILIPINO

10rF L.V. Locsin Bldg., 6762 A)rale

Makad Clty

FIUPINO

12e LP. t€vlst€ St Salc€do Vllhgp,crv

*f;S Jalar 217, 487co Petallng Jaya, Salagor,

MALAYCO, IT{C.

FTLIPtNO

151 Psseo de Roxag, iiiakai, Metro Manih

FILIPINO

34 Pres- Agulneldo St., IrdusHslSubdlvlsbn, ir€rlkim

78 P. Fbran ino SL, Oueon Clty

FIUPINO

6 G, Araneta Avenue, Oueon Ctty

TOTAL AHOUNT OF EUBSCRIBED CAP]TAL

TOTAL AMOUNT OF PAII).UP GAPITAL

TOP 20 STCCKHOLDERS AND INDICATE THE REST AS

\

i

;i

i

I

I

ii

!

I

lEHrlrrrlEilrc:EEclEtH PLEA8E PRINT i-E61BLY tltGEffif,Hrrelt:[::ORPORATE NAME: SYNERGY ORID & DEVELOP! E}{T PH|L8., INC'

roilLilulrsen oF rToGxHotDERS: 14

STOCKHOLDER'8 IN FORTIATIONI

AUOUI{T PAID(PhP)*

TYPE T.UHBERAMOUNT

(PhP)

*oFOWI{ER-

SHIP

Common 2Z.D14,ZAt -22p"t4,ZU,i,.V 4.1 4,o142ffi.U 10&215-22

TOTAI 22..01l,X z\o11,ant,u

21,271,45i ?1,271,45a,01 43_u( 21,2f 1,4AZ.V\ 2q.1A8-718

TOTAI 21,Zttlai azflls?-ol

1,477,4T1 1,472,4T t.Ol 2.* 1,4tz,4rt,U Sec nolD bclo,/.'-

TOTAI uf2ln 1,4tZ,1Tt.Ot

I,677,5:(, 1,U//,51(,,Ut 2.11 1,077,520.0( 0O3-159r?O2

TOTAT 1,qfi.tat 1,Ur7,fia0,Ot

640,0(x 840,0m.fl ,.7't ilo,(m.g S@ notr balo/r,'-

IqTA! f40,og ta{t,(x)o.(x

Eixr,oo{ 830,000.q 1.8 830.000.u s6e nofi! bdow."'

TOTAI 6fr,00l E:r0,o0o.o{

bmmor 830,OU auu,{xxJ.u 1.8t 8{t0,000.fr Ss no&t bclot!.*

TOTAT E30,0tx tit0,00o,q

48 335.737.0(

48,336,737.rX

Page 7: 111212014001897 wl.l -'l - Synergy Grid GIS 2014.pdf · GIS-STOCK (v.2013) pas64 STCCK CORPORATION wlTH 1OO OR NORE SHARE8 SASED ON UTESTAUDITED FINANCIAL STATE,{ENTEI PhPI24IO'4EO

GENERAL INFORMA:TION SHIEETSTOCK CORPOFLATION

PLEASE PRINT LEGIBLY

AFILIPINO

4th Floor FNCB Bnd;., Juan Lufle St., Manila

GOOUILAYe CO., lttlC.

F[-IPhERm, 719 Dolirnb}rn Cenbr Bldg,,Pa.Edes, Manih

SYNERGYGRD & DEI'ELOPME}T HIL8., If{C.

TAX IDENTITIICATION NO.(TlN) FOR FilUPtNOSA^ID

FOREIGI{ERA

T{AHE, NATK'T{ALITY AIIDCURREI,IT RESDENTIAL AIrtlRESg

FGD l{Ol'llNEE ggPP0PnflOil (F}FILIPINOcfF l,iaketi Stock Exdrange Bldg., 6787Avenu6

urctA SPAr(oyrrSKtFILIPINOdo John Spako'rwki. 731 AuroraQuezon CIty

LI,| HIIAIIIN, BERKTEY U.AIIJ|ERICAN

6080 Llklnl St., PH 1'15 Honolulu, Ha^raii96818

AMERIGAN

1,4 Urdansta Avonua, Mskatl [$I

FtLtPtllo731 Aurora Blvd.. Q,rezgn Clty

TOTAL AMOUNT OF SUBSCRIBEO CAPNAL

TOTAL AIIOUNT OF PAID{'P CAPTTAL

of .ddltlofltl

antnerc ovnlng mdalh.n 5%d rt y chac dtl,d compmyE. vollng

*'AI affort8 war8 oxortod by th. Company b conEot tha slod(holders 8nd/or b ousln th€ 1rr idsrtlflcation numbers but lhesa eflorls were not srccasaful.

GIS_STOCK (v.2013) Pag6 5

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orf, ERAL r r{FORt$ATrOl{ S!{EITSTOCK CORPORATION

PLEAEE PRIIIIT L*OIBLY

CORPORATE t{AIt{E: SYXEROY GRID & DEVELOPMENT PH|L8" lNC.

rOTAL xUUBEn OF STOCKIIOLDERST {,14I xo. oF STocrGoLoERs WITH 10o oR roRE SHAREB EACH: l!'l

rot^l. AIEETA BAEED O{l LATEST AUDTE9 FE: PhP1ZIl0i60 rr ot O.c?mb.r 31, ,Pt3

ETOCI(HOLDER,S IIUFOfi TANOH

NAIiTE, AIATIO.'IALITY ANDCUnRENT RESIDEITITIAL ADORESS

SHAREA SUIBSCRIBED

AIU(IJNT PAID(PhF)*

TAX DEI{NFICATrcTT ilo'MilI FOR FIUPfiO8 AIID

FOREKiI{ERSTYPE t{UI'BERA'tlCIUI,IT

{PhP)

r( oFOWNER.

SHIP

16. EOUFIELE iEGURITTEE {PHILS,} tt{C.

FIUPNO

Sfi Cscho-Gon,alcs Bd!. 101 A€uiEe SL, Le0acpVunee, t skrd

Comilon 27.00( 27.000.0( 0.0t 27.000.0( 000n 16-703

TOTAL 2?,0{r0 2,000.000. ffilrllIg ntHlDEt,{;(,., RG.

FXJPf..IQ

do A?C S€aflte!. ha. 10'16-1016 Tow 1 E ExoNr

AyalaAvr, Makad

Cffimon 2A,N 26,200.0( 0.0t 28300.0( 000-739-221

TOTAL 8,20{ rrr00.0{

17. Pl{LlFP.tHE RErilt ttTlCO. rilC.

FILIPI|'IO

2t1l5.A Prsorg TEmo Erd{ }lsk!tl, Msfo MEnllt

Csnmr 21,000 21,000.0c 0.0,{ 2l,000.00 000137{04

TOTAL 21.000 21,om.o(

18 A5gAD, ABLA tAoDounFruPtio50T8reitu Sr., Fab93 Part Makrff, iroto M!nI.

Cmmm 20.40( 20,,r00.0( 0.0,( 20,lxro.0( ,64-56E-663

TOTAL 21,4@ t0i00r0

IA. LOR'ErIERFRHE

F[-lPll!O/+90 RcilrE sdr. cor. Mrbi,l, ErmllE, l/Lnlla

Conmoi 20,@0 20,{mo.00 0.0,t 20,000-00 Se6 notl below."'

TOTAL 20r0t r0,mo.0{

20. R, H. r,AC|{ADO lC(I, ilC,FILIPNT

Rm 12rE Emtb Cflt€r 8ldg., Roxss Blvd., E.nrfta,Msrile

Cornftm 20,00t 20,000.0( 0.0,{ 20,000.00 Sm nols bslow,'

TOTAL 20,0{,0 20,q00.0(

21. onrERs{1251 Commil806,3f: 508r,t3.0( 1.0i 600,€40.0(

TOTAL t08,343 r0634:t 0{

TOTAL AflOUNT OF EUBSCRIBED GAPITAL 840 s41-001

8a0,0{1,0{TOTALAMOUNT OF PAIO.{JP CAPITAL

INSTRUCTION; SPECIFY THE TOP 20 STOC,$OLDERS AND INDICATE THE REST AS OTHERS

Lc,!t ForF}TCNffitnatficlad.dlnthe fi.Zptmac,ntlk tfurb*lttobcne{rfl.loffi.t3ownl,garffirhrnS'6ofaDychsdt,,ecoalF,,wltydlng,,cudtter"adlrcrt radrll rrr..t llmcEnfr-

GIS_STOCK (v.2013) Prgc B

Page 9: 111212014001897 wl.l -'l - Synergy Grid GIS 2014.pdf · GIS-STOCK (v.2013) pas64 STCCK CORPORATION wlTH 1OO OR NORE SHARE8 SASED ON UTESTAUDITED FINANCIAL STATE,{ENTEI PhPI24IO'4EO

GE]II ERAL I NFOIRIIIATIOH SHEET

i

STOCK CORPORATION

PLEASE PRINT LEOIBLY

ffiffilt{c.

t. INVESTMENTOF CORPORATEFUND9 IN ANOTHER CORPORANON

ArlO,UiTT (PhP) DATE OF BOARD RESOLUNON

1.1 sTocKs

1.2 BONIIS/COMIiERGI,AL I'APER (lsruedbv Pr{vete CorooraUonrl

1.3 LOAI{S/CRED'T8/ADVANCES

{.. GOVERNMENT TRFJSI,J}RY BILLS

f,5 oTl'rERs

TNVESTHENT OF CORPORA" E FUNDS Iil ACTIVITIEE UNDER ITS

SECOT{DARY PURPOSES (PI-EASE SPECIFY:}OATE OF BOARD

RESOLUTIONDATE OF

STOCKHOLDEREtp_x.-......

3. TREAI$URY SHARESNOI. OF SHARES

%A,sTOTHE TOTALNO. OF SHARES

ISgUED

t. 0unesrrucTED JNAppRoplRlATEo RETAINED Et\RHlilGs As oF END oF t,Asr FlScAt YE/IR: deficlt of PhP37,370,845basad on AFS as of 12t31113

B. DN,IDENDS DECLARED DURIING THE ITIIMEDIATELY PRECEDING YEAR: N/A

TYPE OF DIVIDEilD AMOUNT (PhP) DATE DECLARED

5,1 GASH

i.2 srocK5.3 PROPERW

TOTAL P

$. ADDITIOML SHARES ISSUEIO DURING T}IE PERIOD:

DATE NO. OF SHARES AMOUNT

sEcoxdAnv LTENsE/REGISTFLATIoN wrrH sEc AllD orHER GoYT !Q!NCY:IIAME OF AGENCY: sEc . BSP lcIYPEOFLICENSE'REGN.

Perrnit b s€ll s€curitiGs

DATE ISSUED: 21-N)g-70

DATE STARTEDOPEFATIONS:

1-Jun-70

torru ANNUALCOilPENSATION OF

DIRECTORS DURING THE PIIECEDINGFtsCAL YEAR (ln Phl')

nono

TOTAL NO. OF OFFICERSITOTAL NO. OF RANK tr

I FILE EMPLoYEES

TOTAL MANPOWERGOHPLEMENT

6

GIS_$TOCK (v.2013) Page 7

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I, VICENTE D. GEROCHI IV. Cornuate Sesraterv OF SY{ERGY GRID & DB/ELOPMENT PHILS., INC.(irAr,E) (PoSrTroN)

UNDER THE PENALW OF PERJURY, THAT ALL MATTERS Sfi FORTH ]N THIS GENERAL INFORi'ASHEET WHICH OONSISTS OF EIGHT (8) PAGES HA\/E BEEN MADE lN GOOD FAITH, DULY VER|FIED BY tr{E AND

BEST OF MY KNOWLEDGE /IND BELIEF, ARE TRUE AND CORRECT.*

I UNDERSTAND THAT THr= FAILURE OF THE CORPORATTON TO FILE TH|S ct$ FOR FME (5)sHALL BE coNSTRUED As NoN-opERATroN oF THE coRpoRATloN AND A GRbuND FoR

OF THE CORFORATIONS CERTIFICATE OF INCORPORATION. ]N THIS EVENTUALIry.,TION HEREBY WAIVEE; ITS RIGHTTO A HEARING FOR THE SAID REVOCANON.

,o*, o,$l01, 2 bril&, NOVEMBER 2014 II\I MAKAT CIry,

VICENTE D. GEROCHI IV

on ccrporah ccordasnd lnftrnrdbn pftruldd !y ths fipqaffon

Flov 2 i 20ltSUBSCRIBED AI{D STUORIII TO BEFORE ME IN MAKATICITY. PHILIPPINES OH _ NOVEMBER 2014, AFFIANT

Y APPEARED BEFOFIE ME AND PfiIBtTED TO ME HIS PASSPOIRT WffH NO. )0€394573 ISSUED AT DF,

ON JANUARY 28,2O1O.

-t+wytrylf.{ '*".'

2O'i 'tNO TY;NC,. -if-:no. Jfi,s ornffi=

i

GIS_STOCK (v.2013)Page B

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ANNEX A: Discussion on the Share Srrap Transactlon

pricr to November 5, 2010, l-{enry $y, Jr. and East Fleming Holding Corp, were the two major stockholdere ofSynergy Grid & Development Fhils,, inc. ("SGF or'lhe'Corpomfion). Their sharehotsings are broken down, aB

follcws:

i

(

On Novgmber 5, 2010, SGP'a Board of Directors reso,ved and approved the increase in the authorized capital stockof tl',e Corporation from P5O milllon io P215 million, with the incnsaae of P165 rnllllon to be divlded into 100 millioncommon sharas al a par value of Pl per share and 65 mllllon non-votlng, non-.cumulalive prafened straree at a parvalue of PI per share with othor terms and cordltlon to be determined by the Board. On November 9, 20't0, ffreBoard approved the rsmoval of the non-curnulatiw fealure of the 65 milliion prefuned Bhares and resolved hat theolher terms end c-ondltlons of suctr preferred shares, including the dMdend rate and wlrether such sharss will havs acumulatirre or non-cumulative bratrrre at the tlme of ieeue, shall be determin€d by the Board at a later dato.

On November 5 and 9, anC D€sember 14,2010, the Board considersd and approved the Amendment of the Artlclesof lncorporation and By-Laws of the Corpgratlon for tho putpoee of, among other thlngs, implemendng the lncrease inauthcrized ca6rital stock refened to above. The stockholders approved au{oh lncr€as€ and amendment on December21,2510.

On Fabruary n6, 201 1 and in connec'tlon with the resolutons approvod by the Board on Novembor 5 and 9, 2010rel€ting to the lncreaee in the authorizBd capital etock of the Corporatlon and a proposed shart $Arap with thestoclfiolders of Pacifica 21 Holdings, lnc, (Paa7fr61 and One Telpan Holdingo, lnc, ("One Taipan\. the Boardauthorlzed the Corporation to issue, out of the P105 million increag€ in tha authorized capi,tal etodq 100,000,000common ehares at a price ol PZO per strarc lo the stockholders of One Talpan and Pacifloa in exchange for theirrespectivo sharee in those companies, aa follows:

The Corprrration's stockholders approved the share shrap on Decernber2l,2010.

On March 20, 2.011 , the Securities and Exchange Ccmmission ('SEg) approved the sharc swap and incmase in theCorporatlon's authorizsd capital stock as described above. However, thre shares isflred out of suc{ increase toHen4, Sy, Jr. and Robert Coyiuto, Jr. are held ln escrow by the SEC pursuant to the March 28,2011 SEC approval ofthe ir:crease in authorized capital stock

One Esplanade, Seaside cor. JWDiokno Blvd., tiM Mal{ of Asla

Complex, Pasay Clty, Philipplnes

Stockholder, Director, President andChairman of the Board

Henry $y, Jr.

128 L.P. Leviste St,, Salcedo Village,Makati City, Phlllppinas

Name of Subscdber Nunber of Comman $harcs to bo Subscrlbcd fromthe lnctteseol Ca{fr,l

Henry Sy Jr. 63,630,000

Robert Coyiuto, Jr. 36,370,000

Total 100,000,000

r Natuie of owrershlp 16 lndiceted as (R) for record owner and (B) for beneflclal orvnere.

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Funner, the ahare swep agrc€ment has not yet been completed pending delivery of all conditions as agread upon bythe pariles thereto. Accordlngly, the Corporation is taklng the position that the Ehares iseued out of the increase inautiorlzed capital stock should not yet be reffected in iis booke and stock cartmcatgs cannot yet be lsoued for thoseshares.

Onca the share srvap becornes effectlve, the Corporatirn will own 68.34% of Pacifica and 1007o of One Taipan. lnfum, Henry Sy, Jr. will becorne the ragistnrcd and benefioial owner of 86,915,740 common shareE of the Corporationrepresenting 58.15% of the outganding capltal stoc-k, and Rob€rt Coylulo, Jr. will become the registered andbenaficial ormrer of 36,370,000 oommon shares constituling 24.33oh of the outstanding capttal stock.

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ilSECRETARY'S CERT'IFICATE

\

I, 11ICENTts D. GEROCHI fV, of legal age, Filipino, and with address at the 4/F

dyCipLu* Center, 105 Paseo de Roxas, Makafi City, after being sworn in accordance

with law, hereby certifr thc:

1. I m the corporate secr*ary of SYNERGY GRID & DE\rELOPIUENTpHILS", tr{C.l (the "Corporation'), a mrporation duly otganized and existing rmder and

by virtue of ths taws of the Republic of the Philippines with SEC Certificate ofRegishation No. 41376;

Z. The copy of the General Infoflnetion Sheet ('GIS') in the compact disc submitted

contains tte enxact dg1a stated inthe hard copies of the GIS ofthe Corporation;

3. I aur executing this certific*io,n to attest to the tnrth of the foregoing and ineompliance wittrthe reportorial requirements ofthe SEC.

ifov 2 I 20i,iIN WITNESS WHEREOF, this Certificate was signed this day of November 2Al4 *.Ivlaksti City.

_r'U-VICENTE D. GE'R,OCHI IV

Corporate Secrctary

REPUBLIC OF TI{E PHILIPPINES)CITY OF MAKATI ) SS.

Befole me, a notary public in md for the city named above, personally appeared:

Competent Evidence Date/Place oflssuanceoflduttity

pasrportNo.)off3e4s73'*'*ffij,1"'0'DFA

*-ho is personalty known to me to be the lrame pefinn who prresented the foregoing

instrumsnt ma signea the instnrurent in my presence, and uiho took an oalh before me as

to suchinstument.

Name

VICENTE D. GEROCEI TV

witness my hand and seal ,hlTtl &v%fflffi""11rro 2ol4 ur l,Iakati City.

Doc. No. )l ;PageNo.;[-;BookNo. avr:Series otioT+.

20,",

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