ANNEX “A”

SECURITIES AND EXCHANGE COMMISSION

SEC FORM 17-EX

NOTIFICATION OF SUSPENSION OF DUTY TO FILE

REPORTS UNDER SECTION 17 OF THE SECURITIES REGULATION CODE

1. SEC Identification Number ______________ 2. BIR Tax Identification No. _______________

3. _______________________________________________________
Exact Name of Registrant as Specified in its Charter.

4. ________________________ 5. (SEC Use Only)

Province, Country or other jurisdiction of incorporation Industry Classification Code

6. ____________________________ _________________

Address of Principal Office Postal Code

7. _________________________________

Registrant’s telephone number, including area code

8. N/A

Former name or former address if changed since last report

9. Securities registered pursuant to Section 8 and 12 of the SRC

Title of Each Class Number of Shares of Common Stock

Outstanding and Amount of Debt Outstanding

_________________________________ _______________________________

10. Are any or all of these securities listed on the Philippine Stock Exchange?

Yes [ ] No [X]

11. __________________________________________________

Number of shareholders (record and beneficial) of each class of securities as of the Report date.

12. ________________________________

Peso value of assets held by registrant

13. State why registrant it is no longer required to make filings pursuant to Section 17 of the SRC and SRC
Rule 17 thereunder.

_____________________________________________________________________

Pursuant to the requirements of the Securities Regulation Code and SRC Rule 17 thereunder
_____________________________________ has caused this notification of suspension of duty to file
reports under Section 17 of the SRC to be signed on its behalf by the undersigned duly authorized
person.

Date ................................................... By: ....................................................................

Title

Instruction

The registrant shall file with the Commission five (5) copies of this SEC Form 17-EX, one of which shall be
manually signed by an officer of the registrant, by counsel or by another duly authorized person. The name
and title of the person signing shall be typed or printed.