Sec Form 10-1 - Notice Of Exempt Transaction Under 10.1(K)/ Application For Confirmation Under Section 10.1 Of The Securities Regulation Code

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__________________________________________________
_________________
Name of issuer whose securities are being offered for sale or sold
Date
SECURITIES AND EXCHANGE COMMISSION
SEC FORM 10-1
NOTICE OF EXEMPT TRANSACTION UNDER 10.1(k)/ APPLICATION FOR CONFIRMATION
UNDER SECTION 10.1 OF THE SECURITIES REGULATION CODE
Check Applicable Box:
Notice of Exempt Transaction under 10.1(k).
Application for Commission confirmation that the transaction qualifies as an exempt
transaction under Section 10.1 of the Securities Regulation Code (Code).
1.
Where the Commission confirmation is being requested, state the provision of Section 10.1 of the
Code under which confirmation is being requested:
____________________________________________________________________________________
2.
Information about the securities for which this Notice/Application has been filed:
(a) Title of class of securities being offered for
sale/sold
(b) Number and price/value of the securities being
offered for sale/sold
(c) Are any of the issuer’s securities listed on the
Philippine Stock Exchange and, if so, describe which
class is listed and latest trading price.
(d) Are the securities traded on any other trading
market and, if so, disclose latest trading price
3.
Additional information about the securities where this notice is filed by the issuer thereof:
(a) Exact name of issuer as specified in its charter
(b) Place (province, country or other jurisdiction of
incorporation) and date thereof
(c) SEC Identification Number
(d) BIR Tax Identification Number
(e) Address of principal office
(f) Issuer’s telephone number,including area code
(g) Former name or former address, if any,
since filing of last report with the SEC
(h) Are any of the issuer’s securities listed on the
Philippine Stock Exchange and, if so, describe which
class is listed and latest trading price.
SEC Form 10-1
Date ________
1

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