COVBR SHEET
4 0 9 7 9 SEC Registration Number
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(Company's Full Name)
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(Business Address: No. Street Citv./Torvn/province)
ARLAN P. PROF'ETA
637-2917
(Contact Person)
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(Company Telephone \umber)
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EE 14onth
(Fiscal Year)
Day
(Arnual N,leeting)
(Secondary License Type, If Applicable)
Dept. Requiring this Doc
Amended Articles
N umber/Section
Total Amount of Bonotvings
Total No. ol Srockholders
Domestic
Foreign
To be accomplished by SEC Personnel concerned
LCU
Docunent ID
Cashier
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