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Information Sheet
SEC information sheet for lending company head office
Your Browser Doesn't Support Canvas. Showing the Text Content of the PDF Instead: LENDING COMPANY – HEAD OFFICE
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 Lending 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
Amount
Subscribed
Amount
Paid
% of
Shareholdings
*Attach additional sheet if needed.
Page 1 of 4
LENDING 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.
Page 2 of 4
LENDING 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 marketing program (i.e., target market, market plan, promotion, distribution)*
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
16. Company’s credit and collection policies*
Type of Loan
Minimum/Maximum
Loan Value
(PhP)
Rate of
Interest
Term of Loan
Mode of Payment
____________________________
*Attach additional sheet if needed.
Page 3 of 4
LENDING COMPANY – HEAD OFFICE
17. Source of additional operating capital
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
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 __________
Page 4 of 4
