You are on page 1of 3

SECURITIES AND EXCHANGE COMMISSION SEC FORM 17-IS INFORMATION STATEMENT PURSUANT TO SECTION 17.

1(b) OF THE SECURITIES REGULATION CODE 1. Check the appropriate box: [ ] Preliminary Information Statement [ ] Definitive Information Statement 2. 3. 4. 5. 6. 7. 8. 9. 10. Name of Registrant as specified in its charter _______________________________ _____________________________________________________________________ Province, country or other jurisdiction of incorporation or organization SEC Identification Number ___________________ BIR Tax Identification Code __________________ ____________________________________________________ Address of principal office Postal Code Registrants telephone number, including area code __________________________ __________________________________________________________________ Date, time and place of the meeting of security holders Approximate date on which the Information Statement is first to be sent or given to security holders _____________________________________ Securities registered pursuant to Sections 8 and 12 of the Code or Sections 4 and 8 of the RSA (information on number of shares and amount of debt is applicable only to corporate registrants): Title of Each Class Number of Shares of Common Stock Outstanding or Amount of Debt Outstanding ________________________________________________________________________ ______________________________________________________________________ 11. Are any or all of registrant's securities listed on a Stock Exchange? Yes _______ No _______

If yes, disclose the name of such Stock Exchange and the class of securities listed therein: _______________________________________________________________________ INFORMATION REQUIRED IN INFORMATION STATEMENT Item 1. Information Required by Items of SEC Form 20

Except for Items 2, 4 and 5 thereof, furnish the information called for by all of the items of SEC Form 20 which would be applicable to any matter to be acted upon at the meeting. Item 2. Statement That Proxies are Not Solicited

The following statement shall be set forth on the first page of the information statement in boldface type: SEC Form 17-IS February 2001 1

WE ARE NOT ASKING YOU FOR A PROXY AND YOU ARE REQUESTED NOT TO SEND US A PROXY Item 3. Interest of Certain Persons in or Opposition to Matters to be Acted Upon

(a) Describe briefly any substantial interest, direct or indirect, by security holdings or otherwise, of each of the following persons in any matter to be acted upon, other than elections to office: (1) (2) (3) Each person who has been a director or officer of the registrant at any time since the beginning of the last fiscal year; Each nominee for election as a director of the registrant; Each associate of any of the foregoing persons.

(b) Give the name of any director of the registrant who has informed the registrant in writing that he intends to oppose any action to be taken by the registrant at the meeting and indicate the action which he intends to oppose. SIGNATURES Pursuant to the requirements of the Securities Regulation Code, the issuer has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized. ............................................................. Issuer Date ...................................... ............................................................. Signature and Title*

* Print name and title of the signing officer under the signature.

SEC Form 17-IS February 2001

SEC Form 17-IS February 2001

You might also like