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COVER SHEETfor

AUDITED FINANCIAL STATEMENTS

SEC Registration Number

Compan Name

!rin"ipa# O$"e %No&'Street'(aranga'Cit'To)n*!ro+in"e*

Form Tpe partment re,uiring t-e rep e"on.ar Li"ense Tpe/ If App#i"ab#

COM!AN0 INFORMATION

Compan1s Emai# A..ress mpan1s Te#ep-one Number Mobi#e Number

No& of Sto"2-o#.ers Annua# Meeting Fis"a# 0earon a on a

ONTACT !ERSON INFORMATION

Name of Conta"t !erson Emai# A..ress Te#ep-one Number's Mobi#e Number

Conta"t !erson1s A..ress

The designated contact person MUSTbe an Ofcer o the Corporation

Note 1: In case of death, resignation or cessation of oce of the ocer designated as contact person, such incident shall be reported tothe Commimission within thirt !"#$ calendar das from the occurrence thereof with information and complete contact details of thenew contact person designated%

&: 'll (o)es must be properl and completel *lled+up% ailure to do so shall cause the dela in updating the corporation-s recordswith the Commission and.or non+receipt of Notice of /e*ciencies% uther, non+receipt of Notice of /efeciencies shall not e)cuse thecorporation from liabilit for its de*ciencies%

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