Sec Form-Cp Is - Exempt Commercial Paper Transactions Page 2

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4. I
F
R
SSUER
S
INANCIAL
ATIOS
Current Ratio of at least 1:1*
Debt to Equity Ratio of not more than 3:1*
Total Asset to Total Liability Ratio of at least 1:1*
Disclose the financial ratios and/or other
regulatory ratios that must be met and maintain
Financial Covenant
*
For Financing and Lending companies
5. U
P
D
SE OF
ROCEEDS AND
ISBURSEMENT
Disclose in details for which the proceeds of the offering will be used, indicating therein the following:
Approximate amount intended to
Schedule of
Purpose of the Offer
be used for each purpose
Disbursement
1.
2.
3.
If material amount of proceeds will discharge debt, state the interest rate and maturity. If that debt was incurred within one (1)
year, describe the use of the proceeds of that debt.
Explain if any of the proceeds are to be used to reimburse any officer, director, employee or shareholder for services rendered,
assets previously transferred, money loaned or advanced or otherwise.
If any material amount of the proceeds is to be used to acquire assets or finance the acquisitions of other businesses, describe
the assets or businesses and identify the person from whom they will be bought. State the cost of the assets and the persons
from whom they will be bought. State the cost of the assets and where such assets are to be acquired from affiliates of the issuer
or their associates, give the names of the persons from whom they are to be acquired and set forth the principle followed in
determining the cost to the issuer.
In the event of any substantial deviation, adjustment or reallocation in the planned use of proceeds, the issuer shall inform the
Commission and the holders of the commercial papers in writing at least 30 days before such deviation, adjustment or
reallocation is implemented. Any material or substantial adjustments in the use of proceeds, as indicated above, should be
approved by the Board.
Issuer shall submit a certification by the Chief Finance Officer and external auditor on the accuracy of the information reported, as
well as detailed explanation for any material variances between the actual disbursement and the planned use of proceeds . Such
detailed explanation will state the approval of the Board of Directors.
6. F
F
ILING
EE
This application for confirmation of exemption under SRC Rule 10.1.6 of the 2015 Implementing Rules and Regulations of
the Securities Regulation Code has been submitted along with the payment of the prescribed fee in the amount of
____________________________________________________________________(P_____________________) under Official
Receipt No. ___________________ paid on _______________________________.
7. U
NDERTAKING
th
The issuer undertakes to file with the Commission an Annual CP Issuer Report on SEC Form ACPR on or before the 10
of
January every year
.
Page 1 of 2
2016 SEC Form – CP IS

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