general information sheet (gis) for the …....~ general information sheet stock corporation p...

GENERAL INFORMATION SHEET (GIS) FOR THE YEAR 2019

STOCK CORPORATION GENERAL INSTRUCTIONS:

1. FOR USER CORPORATION: THIS GIS SHOULD BE SUBMITTED WITHIN THIR1Y (30) CALENDAR DAYS FROM THE NOT LEAVE ANY ITEM BLANK. WRITE 'N.A.' IF THE INFORMATION REQUIRED IS NOT APPLICABLE TO THE EXISTENT. IF THE ANNUAL STOCKHOLDERS' MEETING IS HELD ON A DATE OTHER THAN THAT STATED IN THE THIR1Y (30) CALENDAR DAYS FROM THE ACTUAL DATE OF THE ANNUAL STOCKHOLDERS' MEETING.

2. IF NO MEETING IS HELD, THE CORPORATION SHALL SUBMIT THE GIS NOT LATER THAN JANUARY 30 OF THE FOLLOWING YEAR. STOCKHOLDERS' MEETING BE HELD THEREAFTER, A NEW GIS SHALL BE SUBMITTEDfILED.

3. THIS GIS SHALL BE ACCOMPLISHED IN ENGLISH AND CERTIFIED AND SWORN TO BY THE CORPORATE SECRETARY OF THE CORPORATION. 4. THE SEC SHOULD BE TIMELY APPRISED OF RELEVANT CHANGES IN THE SUBMITIED INFORMATION AS THEY ARISE. FOR CHANGES RESULTING FROM ACTIONS

AROSE BETWEEN THE ANNUAL MEETINGS, THE CORPORATION SHALL SUBMIT ONLY THE AFFECTED PAGE OF THE GIS THAT RELATES TO THE NEW TOGETHER WITH A COVER LETTER SIGNED BY THE CORPORATE SECRETARY OF THE CORPORATION. THE PAGE OF THE GIS AND COVER LETTER SHALL SUBMITTED WITHIN SEVEN (7) DAYS AFTER SUCH CHANGE OCCURRED OR BECAME EFFECTIVE.

5. SUBMIT FOUR (4) COPIES OF THE GIS TO THE CENTRAL RECEIVING SECTION, GROUND FLOOR, SEC BLDG., EDSA, MANDALUYONG CIW ALL COPIES UNIFORMLY BE ON A4 OR LETTER-SIZED PAPER WITH A STANDARD COVER PAGE. THE PAGES OF ALL COPIES SHALL USE ONLY ONE SIDE. CORPORA 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 CORPORATE SECRETARY THAT THE COPY SUBMITTED ONLINE CONTAINS THE EXACT DATA IN THE HARD COPY.

6. ONLY THE GIS ACCOMPLISHED IN ACCORDANCE WITH THESE INSTRUCTIONS SHALL BE CONSIDERED AS HAVING BEEN FILED. 7. THIS GIS MAY BE USED AS EVIDENCE AGAINST THE CORPORATION AND ITS RESPONSIBLE DIRECTORs{)FFICERS FOR ANY VIOLATION OF EXISTING LAWS, RULES

REGULATIONS

4936

PRUDENTIAL GUARANTEE AND ASSURANCE, INC. 02l21Y1950

1-:-:-::-:"::=::::-:-=-=-~~-=- ---iFISCAL YEAR END: REGISTRATION NUMBER:

NONE

DECEMBER 31ST

INSURANCE N.A.

OF ANNUAL MEETING PER BY-LAWS:

2ND MONDAY OF MARCH DATE OF ANNUAL MEETING:

APRIL 29,2019

COYIUTO HOUSE, 119 C. PALANCA STREET, LEGASPI VILLAGE, MAKATI CITY

COYIUTO HOUSE, 119 C. PALANCA STREET, LEGASPI VILLAGE, MAKATI CITY

OF EXTERNAL AUDITOR & ITS SIGNING PARTNER:

TO ENGAGE IN THE BUSINESS AND OPERATION OF ALL KINDS OF INSURANCE, REINSURANCE, ETC., ...

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

NONE NONE NONE

NONE NONE NONE

GIS _ STOCK(v.2018)

GENERAL INFORMATION SHEET STOCK CORPORATION

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

CORPORATE NAME: PRUDENTIAL GUARANTEE AND ASSURANCE, INC. A. Is the Corporation a covered person under the Anti Money laundering Act (AMLA), as r. Yes

amended? (Rep. Acts. 916Ml164110167110365) r: No

Please check the appropriate box: 1. o a. Banks o b. Offshore Banking Units o c. Quasi-Banks o d. Trust Entities o e. Non-Stock Savings and Loan Associations o f. Pawnshops o g. Foreign Exchage Dealers o h. Money Changers o i. Remittance Agents o j. Electronic Money Issuers

k. Financial Institutions which Under Special Laws are subject to Bangko o Sentral ng Pilipinas' (BSP) supervision and1Jr regulation, including their

subsidiaries and affiliates.

4. 0 Jewelry dealers in precious metals, who, as a business, trade in precious metals

5. 0 Jewelry dealers in precious stones, who, as a business, trade in precious stone

6. Company service providers which, as a business, provide any of the following services to third parties:

2. G a. Insurance Companies o b. Insurance Agents o o o o o o o o

o a. acting as a formation agent of juridical persons o b. 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

c. Insurance Brokers d. Professional Reinsurers e. Reinsurance Brokers f. Holding Companies g. Holding Company Systems h. Pre-need Companies i. Mutual Benefit Association

o c. providing a registered office, business address or accommodation, correspondence or administrative address for a company, a partnership or any other legal person or arrangement

j. All Other Persons and entities supervised anoor regulated by the Insurance Commission (I C)

3. o a. Securities Dealers o b. Securities Brokers

o c. Securities Salesman

o d. Investment Houses o e. Investment Agents and Consultants o f. Trading Advisors o g. Other entities managing Securities or rendering similar services o h. Mutual Funds or Open-end Investment Companies o i. Close-end Investment Companies OJ. Common Trust Funds or Issuers and other similar entities o k. Transfer Companies and other similar entities o I. other entities administering or otherwise dealing in currency, commodities

or financial derivatives based there on o m. Entities administering of otherwise dealing in valuable objects o n. Entities administering or otherwise dealing in cash Substitutes and other

similar monetary instruments or property supervised anonr regulated by the Securities and Exchange Commission (SEC)

o d. acting as (or arranging for another person to act as) a nominee shareholder for another person

7. Persons who provide any of the following services:

o a. managing of client money, securities or other assets

o b. management of bank, savings or securities accounts

o c. organization of contributions for the creation, operation or management of companies

o d. creation, operation or management of juridical persons or arrangements, and buying and selling business entities

8. L J None of the above Describe nature of business: N.A.

B. 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 AM LA, as amended, r. Yes since the last filing of its GIS?

c No

(Wl GIS _ STOCK(v.2018)

, . GENERAL INFORMATION SHEET

<

STOCK CORPORATION

= = = = = = = = = = = = = = = = = = = = = = = = = = = = = PLEASE PRINT lEGIBLY = = = = = = = = = = = = = = = = = = = = = = = = = = = = = =

CORPORATE NAME: PRUDENTIAL GUARANTEE AND ASSURANCE, INC.

CAPITAL STRUCTURE AUTHORIZED CAPITAL STOCK

TYPE OF SHARES * NUMBER DF PAR/STATED VALUE AMOUNT (PhP) SHARES (No. of shares x Pali'Stated Value)

COMMON __ !5)~.0_g!,.OQQ __ 100.00 1,500,000,000.00 ---------- - - --- ------------------- ------------------------------- ---------- - - --- ----------- -------------------- ------------------------------- ---------- - - --- ----------- ------------------- -------------------------------

TOTAL 15,000,000 TOTAL P 1,500,000,000.00 SUBSCRIBED CAPITAL

NO. OF NUMBER OF PAR/ FILIPINO STOCK- TYPE OF SHARES * NUMBER OF SHARES IN THE STATED AMOUNT (PhP) %OF

SHARES HANDS OF THE OWNERSHIP HOLDERS PUBLIC ** VALUE

15 COMMON __ §!,.OQQ,QQ.O ___ 0 100.00 _____ ~Q.0.!.O_OQ,_gQ!!:QO ______ -------- ---------- - ---- ---------. ------- --------- -------- ---------- -- --- ----------- ---------- ------- -------------------- --------- -------- ---------- - ---- ----------- ----------- ------- -------------------- ----------

TOTAL 6,000,000 TOTAL TOTAL P 600,000,000.00

FOREIGN NO. OF NUMBER OF PAR/ (INDICATE BY STOCK- TYPE OF SHARES * NUMBER OF SHARES IN THE STATED AMOUNT (PhP) %OF

SHARES HANDS OFTHE OWNERSHIP NATIONALITY) HOLDERS PUBLIC ** VALUE

0 NONE 0 0 0 ________ ~J9 _________ -------_. ---------- -------- ---------- - - --- ----------- ----------- ------- ---------- -------- ---------- - - --- ----------- ----------- ------- ==================== =========. ---------- -------- ---------- -- --- ----------- ----------- ------- -------------------- -------- Percentage of Foreign Equity : TOTAL TOTAL TOTAL P

TOTAL SUBSCRIBED P 600,000,000.00 PAID-UP CAPITAL

NO. OF NUMBER OF %OF FILIPINO STOCK- TYPE OF SHARES * SHARES PAR/STATED VALUE AMOUNT (PhP) OWNERSHIP HOLDERS 15 COMMON __ §!,.OQQ,QQ.O ___ 100.00 _____ ~Q.0.!.O_OQ,_gQ!!:QO ______ -------- ---------- ----- ------------------- ---------

-------- ---------- -- --- ----------- -------------------- -------------------- --------- -------- ---------- - ---- ----------- ------------------- -------------------- --------

TOTAL 6,000,000 TOTAL P 600,000,000.00 FOREIGN NO. OF NUMBER OF %OF (INDICATE BY STOCK- TYPE OF SHARES * SHARES PAR/STATED VALUE AMOUNT (PhP) OWNERSHIP NATIONALITY) HOLDERS

0 NONE 0 0.00 0.00 ---------- -------- ---------- -- --- ------------ ------------------- -------------------- --------- ---------- -------- ---------------- ----------- -------------------- ------------------_. -------_. ---------- -------- ---------- - - --- ---------- -------------------- ---------

0.00% TOTAL TOTAL P 0.00 TOTAL PAID-UP P 600,000,000.00

NOTE: USE ADDITIONAL SHEET IF NECESSARY * Common, Preferred or other classification ** Other than Directors, Officers, Shareholders owning 10% of outstanding shares.

GIS STOCK (v.2018) (VIl

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.' GENERAL INFORMATION SHEET STOCK CORPORATION

F============================ PLEASE PRINT LEGIBLY ============================= CORPORATE NAME: PRUDENTIAL GUARANTEE AND ASSURANCE, INC.

DIRECTORS I OFFICERS

NAME/CURRENT RESIDENTIAL ADDRESS NATIONALITY INC'R BOARD GENDER STOCK OFFICER EXEC. TAX IDENTIFICATION HOLOER COMM. NUMBER

1. ROBERT COYIUTO, JR. 1385 Palm Avenue, Dasmarifias Village, Filipino N C M Y N.A. N.A. 104-728-734 Makati City

2. JAMES G. COYIUTO Deputy 492 Marta Crtstina Street comer Caliraya Street. Filipino N M M Y Chairman & CI C 104-728-700 Ayala Alabang, Muntinlupa City Treasurer

3. CELESTINO L. ANG Deputy 11 Tejeran Street, Merville Park, Filipino N M M Y AI M 104-728-215 Parariaqus City Chairman

4. ANTHONY G. SY President & 25B One McKinley Place, 26th Street, Filipino N M M Y C.E.O. N.A. 104-730-319 Bonifacio Global City, Fort Bonifacio, Taguig City

5. SAMUEL G. COYIUTO Executive 801-A Ritz Tower, 6745 Ayala Avenue, Filipino N M M Y Vice- NI M 104-728-741 Makati City President

6. PETER G. COYIUTO 20 Mahogany Road, Forbes Park, Filipino N M M Y N.A. N.A. 104-728-726 Makati City

7. ROBERTO T. COYIUTO III 1385 Palm Avenue, Dasmarinas Village, Filipino N M M Y N.A. N.A. 209-680-778 Makati City

8. BENEDICTO T. COYIUTO 1385 Palm Avenue, Dasmarifias Village, Filipino N M M Y N.A. N.A. 214-664-328 Makati City

9. PRUDENCIO T. COYIUTO Senior Asst. 1385 Palm Avenue, Dasmarifias Village, Filipino N M M Y Vice- N.A. 224-327-653 Makati City President

10. EMMANUEL C. ALCANTARA 115 Kanlaon Street, Ayala Alabang Village, Filipino N I M Y N.A. AI C 102-079-888 Muntinlupa City

11. JOVENCIO F. CINCO NI M 1270 Acacia Street, Dasmarfias Village, Filipino N I M Y N.A. 126-809-713 Makati City CI M

12. CESAR C. CRUZ 2259 Avocado Street, Dasmarlnas Village, Filipino N I M Y N.A. NI C 132-422-924 Makati City

13. RAMON M. GARCIA AI M 33 10th Street, Legaspi Village, Filipino N I M Y N.A. 115-327-328 Makati City CI M

14. CRISTINE CUISIA-REMOLLO SeniorV.P. 123 Gomez Street, Ayala Southvale, Filipino N N.A. F N & Corp. N.A. 138-716-138 Bacoor, Cavite Secretary

15. GUIA MAGDALENA LAGUIO-FLAMINIANO First V.P. 14 Melantic Street, Filipino N N.A. F N & Asst. N.A. 144-102-114 San Lorenzo Village, Makati City Corp. Sec.

INSTRUCTION: FOR SEX COLUMN, PUT'P FOR FEMALE, "M' FOR MALE,

FOR BOARD COLUMN, PUT 'C' FOR CHAIRMAN, 'M" FOR MEMBER, "I" FOR INDEPENDENT DIRECTOR. FOR INC'R COLUMN, PUT "Y' IF AN INCORPORATOR, "N' IF NOT. FOR STOCKHOLDER COLUMN, PUT"'(' IF A STOCKHOLDER, 'N' IF NOT.

FOR OFFICER COLUMN, INDICATE PARTICULAR POSITION IF AN OFFICER, FROM VP UP INCLUDING THE POSITION OF THE TREASURER, SECRETARY, COMPLIANCE OFFICER ANOOR 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.

GIS_STOCK (v.2018) W

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.~ GENERAL INFORMATION SHEET STOCK CORPORATION

p============================ PLEASE PRINT LEGIBLY ============================= CORPORATE NAME: PRUDENTIAL GUARANTEE AND ASSURANCE, INC.

DIRECTORS / OFFICERS

NAME/CURRENT RESIDENTIAL ADDRESS NATIONALITY INC'R BOARD GENDER STOCK OFFICER EXEC. TAX IDENTIFICATION HOLDER COMM. NUMBER

16. JUAN A. AVELINO Senior Vice- 2 Armi Barbara Crespo Street, BF Resort Filipino N N.A. M N President N.A. 108-134-253 Village, Talon Dos, Las Piiias City

17. EDGARDO V. BETITO Senior Vice- 118 Sparrow's POint, Diamond Park, Filipino N N.A. M N President N.A. 106-921-403 Victoria Homes, Tunasan, Muntinlupa City

18. MARISSA H. DELA CRUZ Senior Vice- 11 J Greenbelt Chancellor, 112 Rada Street, Filipino N N.A. F N President N.A. 104-148-647 Legaspi Village, Makati City

19. LUCIO A. FERNANDEZ Senior Vice- 8B Hyacinth Drive, Beverly Hills Subdivision, Filipino N N.A. M N President N.A. 1 04-729-043 Taytay, Rizal

20. JUAN ITO I. HERNANDEZ Senior Vice- 15 Jaime Laya Street, BF Homes, Filipino N N.A. M N President N.A. 115-738-564 Paraiiaque City

21. RAMON E. KILAYKO Senior Vice-

Moran-Arellano Streets, Lupit Subdivision, Filipino N N.A. M N President N.A. 104-067-765 Barangay 40, Bacolod City

22. HECTOR D. RAMOS Senior Vice-

U-2 Marian 3 Townhomes, 2553 Consuelo Filipino N N.A. M N N.A. 107-770-450 Street, Sing along, Manila President

23. ANGELES V. BETITO First Vice-

24 Evelyn Camus Street, BF Resort Village, Filipino N N.A. M N N.A. 123-323-979 Talon Dos, Las Piiias City President

24. FLORISH M. GIANAN First Vice-

40B Estacio Subdivision, Martirez del 96, Filipino N NA F N N.A. 123-361-542 Pateros, Metro Manila President

25. ROSITA I. ALBERTO Vice- 27 Iceland Street, Better Living Subdivision, Filipino N N.A. F N President N.A. 104-728-187 Paraiiaque City

26. RAUL E. ALEJANDRINO Vice- Block 11 Lot 4 Casimiro Townhomes, Filipino N N.A. M N N.A. 106-921-372 Barangay Queens Row East, Bacoor, Cavite President

27. KlAN LAM C. ANG Vice- Unit 8 N-O, Axis Residences, Pioneer Street, Chinese N N.A. M N N.A. 107-767-540 Mandaluyong City President

28. JOEL Z. BELARDO Vice- 148 Dr. Zavalla Street, Filipino N N.A. M N N.A. 107-767 -826 Santa Rosa, Laguna President

29. FELICISIMO T. GATCHALlAN, JR. Vice- Dasia Marketing, General Santos Park, Filipino N N.A. M N President N.A. 104-078-087 General Santos City

30. HELEN L. GOCHUICO Vice- 2521 Augusto Villalon Drive, Filipino N N.A. F N President N.A. 106-971-322 Capitol Site, Cebu City

INSTRUCTION: FOR SEX COLUMN, PUT "F' FOR FEMALE, 'M" FOR MALE.

FOR BOARD COLUMN, PUT "C' FOR CHAIRMAN, 'M' FOR MEMBER, "I" FOR INDEPENDENT DIRECTOR. FOR INC'R COLUMN, PUT "Y" IF AN INCORPORATOR, 'N'IF NOT. FOR STOCKHOLDER COLUMN, PUT 'Y' IF A STOCKHOLDER, 'N' IF NOT.


FOR EXECUTIVE COMMIITEE, INDICATE 'C'IF MEMBER OF THE COMPENSATION COMMITIEE; 'A' FOR AUDIT COMMITIEE; 'N' FOR NOMINATION AND ELECTION COMMITIEE. ADDITIONALLY WRITE 'C' AFTER SLASH IF CHAIRMAN AND 'M'IF MEMBER.

GIS_STOCK (v.2018) Page 4.2

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.' GENERAL INFORMATION SHEET STOCK CORPORATION

============================= PLEASE PRINT LEGIBLY ============================= CORPORATE NAME: PRUDENTIAL GUARANTEE AND ASSURANCE, INC.

DIRECTORS / OFFICERS

NAME/CURRENT RESIDENTIAL ADDRESS NATIONALITY INC'R BOARD GENDER STOCK OFFICER EXEC. TAX IDENTIFICATION HOLDER COMM. NUMBER

31. LEA P. GONZALES Vice-

2907 Building C, Jazz Residences, Nicanor Garcia Filipino N N.A. F N President

N.A. 147-983-299 corner Metropolitan Avenue. Bel-Air, Makati City

32. ALLAN JOHN JOSEPH A. KILAYKO Vice-

Moran-Arellano Streets, Lupit Subdivision, Filipino N N,A. M N President

N.A. 900-507-899 Barangay 40, Bacolod City

33. ANGELINA P. MAGBOJOS Vice-

1321 Borman Street, Moonwalk Subdivision, Filipino N N.A. F N President

N.A. 175-410-453 Paraiiaque City

34. JOAQUIN JOVENTINO R. RILLO Vice-

9 London Avenue, Capitol Homes Subdivision, Filipino N N.A. M N President

N.A. 121-000-243 Quezon City

35. ALVIN LORENZO D. TAN Vice-

44 Sta. Catalina Street, Sta. Mesa Heights, Filipino N N.A. M N President

N.A. 154-075-533 Quezon City

36. YASUO TAKATSUGU Vice-

Unit 41-B, One Legaspi Park, 121 Rada Street, Japanese N N.A. M N President

N.A. 234-525-078 Legaspi Village, Makati City

37. MARIA ROSALINA T. COYIUTO Asst. V.P. & 1385 Palm Avenue, Dasmariaas Village, Rlipino N N.A. F N Asst. N.A. 304-175-363 Makati City Treasurer

38. RON ERRICK R. LOYOLA Compliance

2027 Rada Regency, Rada comer Dela Rosa Filipino N N.A. M N N.A. 406-843-576 Street, Legaspi Village, Makati City Officer

39. ---NOTHING FOLLOWS---

40.

41.

42.

43.

44.

45.

INSTRUCTION: FOR SEX COLUMN, PUT 'P FOR FEMALE, 'M" FOR MALE.

FOR BOARD COLUMN, PUT 'C' FOR CHAIRMAN, 'M" FOR MEMBER, 'I' FOR INDEPENDENT DIRECTOR. FOR INC'R COLUMN, PUT "Y" IF AN INCORPORATOR, "N" IF NOT. FOR STOCKHOLDER COLUMN, PUT "Y' IF A STOCKHOLDER, "N' IF NOT.


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.

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." GENERAL INFORMATION SHEET STOCK CORPORATION

-------------------------- PLEASE PRINT LEGIBLY ========================== -------------------------- CORPORATE NAME: PRUDENTIAL GUARANTEE AND ASSURANCE, INC.

TOTAL NUMBER OF STOCKHOLDERS: 15 STOCKHOLDERS NO. OF STOCKHOLDERS WITH 100 I. 7 STOCKHOLDERS OR MORE SHARES EACH: TOTAL ASSETS BASED ON 15,278,135,306.00 LATEST AUDITED FINANCIAL STATEMENTS (PhP):

STOCKHOLDER'S INFORMATION

SHARES SUBSCRIBED TAX NAME, NATIONALITY, AND CURRENT AMOUNT PAID IDENTIFICATION RESIDENTIAL ADDRESS TYPE NUMBER AMOUNT %OF (PhP) (PhP) OWNERSHIP NUMBER

1. ROBERT COYIUTO, JR. Common 3,345,011 334,501,100.00 Filipino

55.75018% 334,501,100.00 104-728-734 1385 Palm Avenue, Dasmarifias Village, Makati City TOTAL 3,345,011 334,501,100.00

2. JAMES G. COYIUTO Common 1,014,318 10J ,431 ,800.0.0 Filipino

16.90530% 101,431,800.00 104-728- 700 492 Maria Cristina Street Gomer Caliraya Street, Ayala Alabang, Muntinlupa City TOTAL 1,014,318 101,431,800.00

3. PETER G. COYIUTO Common 824,652 82,465,200.00 Filipino

13.74420% 82,465,200.00 104-728- 726 20 Mahogany Road, Forbes Park, Makati City TOTAL 824,652 82,465,200.00

4. SAMUEL G. COYIUTO Common 719,867 71,986,700.00 Filipino

11.99778% 71,986,700.00 104-728-741 801-A Ritz Tower, 6745 Ayala Avenue, Makati City TOTAL 719,867 71,986,700.00

5. JANE COYIUTO-CUYEGKENG Common 82,502 8,250,200.00 Filipino

1.37503% 8,250,200.00 109-902-615 35 8th Street, New Manila, Quezon City TOTAL 82,502 8,250,200.00

6. CAROLYN COYIUTO-SY Common 13,404 1,340,400.00 Filipino

0.22340% 1,340,400.00 100-417-488 1396 Palm Avenue, Dasmarifias Village, Makati City TOTAL 13,404 1,340,400.00

7. CELESTINO L. ANG Common 100 10,000.00 Filipino

0.00167% 10,000.00 104-728-215 11 Tejeran Street, Merville Park, Paranaque City TOTAL 100 10,000.00

TOTAL AMOUNT OF SUBSCRIBED CAPITAL 599;985,400.00 99.99757% TOTAL AMOUNT OF PAID-UP CAPITAL

599,985,400.00

INSTRUCTION: SPECIFY THE TOP 20 STOCKHOLDERS AND INDICATE THE REST AS OTHERS Note: For POTe 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 necessal}'.

GIS_STOCK (v.2018)

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TOTAL NUMBER OF STOCKHOLDERS: 15 STOCKHOLDERS NO. OF STOCKHOLDERS WITH I 7 STOCKHOLDERS 100 OR MORE SHARES EACH: - -- - , -- -- . - - - -

TOTAL ASSETS BASED ON 15,278,135,306.00 LATEST AUDITED FINANCIAL STATEMENTS (PhP):


SHARES SUBSCRIBED NAME, NATIONALITY AND CURRENT AMOUNT PAID TAX IDENTIFICATION

RESIDENTIAL ADDRESS TYPE NUMBER AMOUNT %OF (PhP) NUMBER (PhP) OWNERSHIP

8. ROBERTO T. COYIUTO III Common 40 4,000.00 Filipino

1385 Palm Avenue, Dasrnarinas Village. 0.00067% 4,000.00 209-680-778

Makati City TOTAL 40 4,000.00

9. BENEDICTO T. COYIUTO Common 40 4,000.00 Filipino

1385 Palm Avenue. Dasrnaririas Village, 0.00067% 4,000.00 214-664-328


10. PRUDENCIO T. COYIUTO Common 40 4,000.00 Filipino

1385 Palm Avenue, Dasmaririas Village, 0.00067% 4,000.00 224-327 -653


11. ANTHONY G. SY Common 15 1,500.00 Filipino

25B One McKinley Place, 26th Street, 0.00025% 1,500.00 1 04- 730-319

Bonifacio Global City, Fort Bonifacio, Taguig City TOTAL 15 1,500.00

12. CESAR C. CRUZ Common 5 500.00 Filipino

2259 Avocado Street, Dasrnarlnas Village, 0.00008% 500.00 132-422-924 Makati City TOTAL 5 500.00

13. EMMANUEL C. ALCANTARA Common 2 200.00 Filipino

115 Kanlaon Street, Ayala Alabang Village, 0.00003% 200.00 102-079-888

Muntinlupa City TOTAL 2 200.00

14. JOVENCIO F. CINCO Common 2 200.00 Filipino

1270 Acacia Street, Dasmarinas Village, 0.00003% 200.00 126-809-713

Makati City TOTAL 2 200.00

TOTAL AMOUNT OF SUBSCRIBED CAPITAL 0.00240% 14,400.00 TOTAL AMOUNT OF PAID-UP CAPITAL

INSTRUCTION: SPECIFY THE TOP 20 STOCKHOLDERS AND INDICATE THE REST AS OTHERS Note: For POTe Nominee included in the liSt, please indicate further the beneficial owners owning more than 5% of any class of the company's voting securities. Allach separate sheet, if necessary.

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TOTAL NUMBER OF STOCKHOLDERS: I 15 STOCKHOLDERS NO. OF STOCKHOLDERS WITH 7 STOCKHOLDERS 100 OR MORE SHARES EACH: -- .. - - --- - -

TOTAL ASSETS BASED ON 15,278,135,306.00 LATEST AUDITED FINANCIAL STATEMENTS (PhP):


SHARES SUBSCRIBED NAME, NATIONALITY AND CURRENT AMOUNT PAID TAX IDENTIFICATION

RESIDENTIAL ADDRESS TYPE NUMBER AMOUNT %OF (PhP) NUMBER (PhP) OWNERSHIP

15. RAMON M. GARCIA Common 2 200.00 Filipino

33 10th Street, Legaspi Village, 0.00003% 200.00 115-327 -328

Makati City TOTAL 2 200.00

16. ---NOTHING FOLLOWS---

TOTAL

17. NONE

TOTAL

18. NONE

TOTAL

19. NONE

TOTAL

20. NONE

TOTAL

21. OTHERS (Indicate the number of remaining stockholders.)

TOTAL

TOTAL AMOUNT OF SUBSCRIBED CAPITAL 0.00003% 200.00 TOTAL AMOUNT OF PAID~UI' CAPITAL

INSTRUCTION: SPECIFY THE TOP 20 STOCKHOLDERS AND INDICATE THE REST AS OTHERS Nole: For POTe Nominee included in the list, please indicate furlher Ihe beneficial owners owning more than 5% of any class of the company's voting securities. AI/ach separate sheet, if necessalY.

GIS_STOCK (v.2018)

• *.'" GENERAL INFORMATION SHEET STOCK CORPORATION

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


1. INVESTMENT OF CORPORATE AMOUNT (PhP) DATE OF BOARD RESOLUTION FUNDS IN ANOTHER CORPORATION

1.1 STOCKS 577,011,677.00 VARIOUS

1 2 BONDS/ COMMERCIAL PAPER 253,792,261.23 VARIOUS . (Issued by Private Corporations)

1.3 LOANS/ CREDITS/ ADVANCES 31,243,150.00 VARIOUS

1.4 GOVERNMENT TREASURY BILLS 419,052,169.01 VARIOUS

1.5 OTHERS (SHORT-TERM INVESTMENTS) 283,658,842.00 VARIOUS

INVESTMENT OF CORPORATE FUNDS IN ACTIVITIES DATE OF

2. UNDER ITS SECONDARY PURPOSES (PLEASE SPECIFY:) DATE OF BOARD RESOLUTION STOCKHOLDERS' RATIFICATION

NONE N.A. N.A.

NUMBER OF SHARES % AS TO THE TOTAL

3. TREASURY SHARES NUMBER OF SHARES ISSUED

NONE NONE

4. UNRESTRICTED/UNAPPROPRIATED RETAINED EARNINGS AS OF END OF LAST FISCAL YEAR 927,899,245.00 5. DIVIDENDS DECLARED DURING THE IMMEDIATELY PRECEDING YEAR:

TYPE OF DIVIDEND AMOUNT (PhP) DATE DECLARED

5.1 CASH 0.00 N.A. 5.2 STOCK 0.00 N.A. 5.3 PROPERTY 0.00 N.A.

TOTAL 0.00 6. ADDITIONAL SHARES ISSUED DURING THE PERIOD:

DATE NO. OF SHARES AMOUNT N.A. NONE 0.00

SECONDARY LICENSE/REGISTRATION WITH SEC AND OTHER GOVERNMENT AGENCY: NAME OF AGENCY: SEC BSP IC TYPE OF LlCENSEtREGN. NONE NONE CERTIFICATE OF AUTHORITY

(NON-LIFE INSURANCE) - NO. 2019/52-R DATE ISSUED: N.A. N.A. RENEWED APRIL 12, 2019

(EFFECTIVE JANUARY 01, 2019) DATE STARTED N.A. N.A. MAY01,1950 OPERATIONS:

TOTAL ANNUAL COMPENSATION OF DIRECTORS TOTAL NO. OF OFFICERS TOTAL NO. OF RANK & TOTAL MANPOWER DURING THE PRECEDING FISCAL YEAR (in PhP) FILE EMPLOYEES COMPLEMENT

1,625,000.00 222 308 530

NOTE: USE ADDITIONAL SHEET IF NECESSARY

GIS_STOCK (v.2018)


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

CORPORATE NAME: PRUDENTIAL GUARANTEE AND ASSURANCE, INC. BENEFICIAL OWNERSHIP DECLARATION

A. Natural person who ultimately owns or controls the corporation: COMPLETE NAME %OF TAX IDENTIFICATION (Surname, Given Name, Middle Name, Name SPECIFIC RESIDENTIAL ADDRESS NATIONALITY

OWNERSHIP NO. Extension [Le., Jr., Sr., III])

COYIUTO, ROBERT, GO, JR. 1385 Palm Avenue, Dasmarifias Village, Filipino 55.75018% 104-728-734 Makati City

B. Natural person who exercises ultimate effective control(1] over the corporation: COMPLETE NAME %OF TAX IDENTIFICATION (Surname, Given Name, Middle Name, Name SPECIFIC RESIDENTIAL ADDRESS NATIONALITY

Extension [Le., Jr., Sr., III]) OWNERSHIP NO.

COYIUTO, ROBERT, GO, JR. 1385 Palm Avenue, Dasmarifias Village, Filipino 55.75018% 1 04-728-734 Makati City

CORPORATE STOCKHOLDERS:[2] ULTIMATE BENEFICIAL OWNER [3]

CORPORATE NAME COMPLETE NAME

AND BUSINESSifRADE (Surname, Given Name, Middle SPECIFIC RESIDENTIAL ADDRESS NATIONALITY %OF TAX IDENTIFICATION

NAME Name, Name Extension[Le., Jr., OWNERSHIP NO.

Sr., III]) NONE NONE N.A. N.A. N.A. N.A.

OTHER STOCKHOLDERS: A. PARTNERSHIPS

ULTIMATE BENEFICIAL OWNER [4] COMPLETE NAME

PARTNERSHIP NAME (Surname, Given Name, Middle SPECIFIC RESIDENTIAL ADDRESS NATIONALITY %OF TAX IDENTIFICATION Name, Name Extension[Le., Jr., OWNERSHIP NO.

Sr., III]) NONE NONE NA N.A. N.A. N.A.

8. TRUSTS

ULTIMATE BENEFICIAL OWNER [5] COMPLETE NAME

NAME (Surname, Given Name, Middle SPECIFIC RESIDENTIAL ADDRESS NATIONALITY %OF TAX IDENTIFICATION Name, Name Extension[Le., Jr., OWNERSHIP NO.

Sr., III])

NONE NONE N.A. N.A. N.A. N.A.

1. Refer to the definition of ultimate effective control under Section 2.2. of SEC Memorandum Circular No. 17, series of 2018. 2. Indicate the intermediate layers of the company's ownership structure, if any, in a separate sheet and attach an ownership chart clearly showing the intermediate

layers with their respective ownership amounts. 3. Refer to the definition of beneficial owner under Sections 2.1 and 2.2. of SEC Memorandum Circular No. 17, series of 2018. 4. Refers to the natural person who ultimately owns or controls the partnership or who exercises ultimate effective control over the partnership. 5. Identity of the persons who control the trust and make the investment decisions, trust beneficiaries and the trustee, and individuals who furnish funds into the trust.

GIS _ STOCK(v.2018) ~ Page 9

· . ._


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

I, CRISTINE CUISIA-REMOLLO, Corporate Secretary of PRUDENTIAL GUARANTEE AND ASSURANCE, INC., declare under penalty of perjury that all matters set forth in this GIS have been duly verified by me and to the best of my knowledge and belief are true and correct.

By indicating herein the personal information of the incorporators, stockholders, directors, officers, beneficial owners, external auditor, notary public, and their agents, I attest that the aforementioned persons authorize the SEC to: (1) collect, process, and store their personal information through the GIS forms and related documents, for the period allowed under the applicable laws and regulations; and (2) share with and make available the GIS to interested parties in order to pursue lawful purposes and legitimate interests, and comply with legal mandate.

I also attest that the company and the aforementioned persons authorized the undersigned to file this GIS with SEC, and the information provided herein are true, accurate, timely, and complete.

I further attest that they are aware of their rights under the Data Privacy Act, including the right to be informed, to access, to object, to erasure or blocking, to damages, to file a complaint, to rectify, and to data portability, and understand that there are procedures, conditions, and exceptions to be complied with in order to exercise or invoke such rights.

I likewise 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 corporations' certificate of incorporation in this eventuality, the corporation hereby waives its right to hearing for the said revocation.

Done this __ M_A_IY_2_9___:2:..:.0...:.,:19=---- __ in Makati City.

SUBSCRIBED AND SWORN to before me in Makati City on ----:-:::---:::-_M_1/.-:-''{---:-2:--9-:-:-:2~Q_:_::19~---, affiant who personally appeared before me and exhibited to.me her Unified Multi-Purpose 1.0., with number 0111-5965428-3.

, . Doc No. 2. q<t Page No. Jl) C

Book No. ;(.XXII Series of 2019.

, ,

\' , ' \' -

GIS_STOCK (v.2018) Page 10

general information sheet (gis) for the …....~ general information sheet stock corporation p...

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