SECURITIES AND EXCHANGE COMMISSION The following document has been rec Receiving: Salvador Baculanta Receipt Date and Time: July 26, 2021 01:42:12 PM Company Information ae SEC Registration No.: CS200917125, Company Name: QFI DISCOM CV INC Industry Classification: ‘Company Type: Document Information Document 1D: 0ST107262021881402 Document Type: GENERAL_INFORMATION_SHEET Document Code: GIS Period Covered: July 01, 2021 ‘Submission Type: GIS Remarks: None(GENERAL INFORMATION SHEET (GIS) FORTHE YEAR 2021 STOCK CORPORATION ‘GENERAL INSTRUCTIONS: 1. FOR USER CORPORATION: THIS GIS SHOULD BE SUBMITTED WITHIN THIRTY (30) CALENDAR DAYS FROM THE DATE OF THE AKKUAy ‘STOCKHOLDERS MEETING. 00 NOT LEAVE ANY ITEM BLANK. WRITE °NA" IF THE INFORMATION REQUIRED IS NOT APPLICABLE TO TH| (CORPORATION OR “NONE” I? THE INFORMATION IS NON-ENISTENT. IF THE ANNUAL STOCKHOLDERS’ MEETING 1S HELD ON A DATE OTHER THan} "THAT STATED IN THE BY-LAWS, TH CIS SHALL BE SUBMITTED WITHIN THIRTY (30) CALENDAR DAYS APTER THE ELECTION OF THE DIRECTORS| "TRUSTEES AND OFFICERS OF THE CORPORATION AT THE ANNUAL MEMBERS' MEETING. 2. IFNO MESTING IS HELD, THE CORPORATION SHALL SUBMIT THE GIS NOT LATER THAN |ANUARY 30 OF THE FOLLOWING YEAR, HOWEVER, SHOULD] AN ANNUAL STOCKHOLDERS’ MEETING BE HELD THEREAFTER, ANEW GIS SHALL BE SUBMITTED/FILED, ‘THISGIS SHALL ACCOMPLISHED IN ENGLISH AND CERTIFIED AND SWORN TO BY TH CORPORATE SECRETARY OF THECORPORATION, ‘4 THESEC SHOULD 92 TIMELY APPRISED OF RELEVANT CHANGES INTHE SUBMITTED INFORMATION AS THEY ARISE. FOR CHANCES RESULTING FROM) ACTIONS THAT AROSE BETWEEN THE ANNUAL MEETINGS, THE CORPORATION SHALL SUBMIT AMENDED GIS CONTAINING THE NEW INFORMATION ‘TOGETHER WITH A COVER LETTER SIGNED THE CORPORATE SECRETARY OF THE CORPORATION, THE AMENDED GIs AND COVER LETTER SHALL B| SUBMITTED WITHIN SEVEN 7] DAYS ABTER SUCH CHANGE OCCURED OR BECAME EFFECTIVE, SUBNIF FOUR (4) COPIES OF [Link] TO THE RECEIVING SECTION AT THESEC MAIN OFFICE, OR TO SHC SATELLITE OFFICES OR EXTENSION OFFICES [ALLCOPIES SHALL UNIFORMLY 8 ON At OR [Link] PAPER, THE PAGESOF ALL COPIES SHALL USE ONLY ONE SIDE {6 ONLY THE GIs ACCOMPLISHED IN ACCORDANCE WITH THESE INSTRUCTIONS SHALL BE CONSIDERED AS HAVING BEEN FILED. 2. THIS GIS MAY BE USED AS EVIDENCE ACAINST THE CORPORATION AND ITS RESPONSIBLE DIRECTORS /OFFICERS FOR ANY VIOLATION OF ExsTING LAWS, RULES AND REGULATIONS [conpoware nae [DATEREGISTERED: (get iscom. cv, NC 1106/2009 BUSES TRADE NAME (get Iscom. cv, INC sear WERENT [sco RecisTRATION NUMER cs200917125 December Sst [DATE OF ANNUAL MEETING PER BYLAWS [SaroRATETaCIDENTINCATION hmm) 2nd Wednesday of May oran0.27 [ACTUAL DATE OF ANNUAL MEETING [STR ADRESS onpuot NONE IMPLETE PRINCIPAL OFFICE ADDRES [ER {ing Warehouse, Tingu Manda City nfickcomang0@amal com [COMPLETE RUSINESS ADDRESS Se 0238176 King Warehouse, Tinga, Mandaue Cty ‘OFFICIAL EMAIL ADDRESS ALTERNATE EMAL ADDRESS CAL ADELE NEE —| area iisconziz0@anailcom dscomceugamalcom ‘0998-5890121 wpe 8005920 INANE OF EXTERNAL AUDITOR & MTSSIGNING PARTNER: ECARD TOW MER aya) | ETOREROTERF Lear sa300c en2-s116 Te INDUSTRY CLASSIFTENTION: —— OEOCRAPRTCRT CODE ena er sever nr nent os ese ouyegant elias, | Disiuton/ Wholesale Trade/Other foscheing nt wonoieo naar ema ere by linn brane services (lita TNTERCOMPANY AFFILIATIONS PARENT COMPANY, SEC REGISTRATIONNG. ORES, ‘QUANTUM FOODS, ING 450094-00008454 1m. 14 West Service Road, Bry. Merve, Paranaque iy ‘SUUSIDIARY/APFIUIATE SEC REGISTRATION. ADDRESS wa NA Nya exsroctinacen oe‘GENERAL INFORMATION SHEET STOCK CORPORATION PLEASE PRINT LEGIBLY [CorporateName: ‘QELDISCOM. CV,ING. ‘Is the Corporation a covered person under the Anti Money Laundering A= ygq No (AMLA),as amended? (Rep. Acts. 9160/9164/10167/10365) a tae Db offshore Banking Units: DD Quasi-Banks Da trustentiues 1 e. Non-Stock Savings and Loan Associations OD £ Pawnshops 1g. Foreign Exchage Dealers Dn Money Changers i Remittance Agents Dj. Blectronic Money Issuers Di te binancal institutions which Under Special Laws are subject to ‘Bangho Sentral ng Pilipinas’ (BSP) supervision and/or regulation, ‘ncluding thir subsidiaries and alias, Taman Comper 1b insurance agents 1 insurance Brokers 1 rotesonal ensures 1 reinsurance Brokers toting Companies 1 toting Company Systems 1 Preneed companies 1 nawat Benet ssoition il other Persons and entities supersised and/or elated by he tnenrance Comision (C) 7 Securities Dealers bs Securities Brokers «Securities Salesman OF a. tnvestment Houses: 1 tnvesmen gents nd Constans trading Advisors 1 ¢othereniesmanasing Secures or rendering sma services BB. mutual Funds or Open-end Investment Companies i chose-end investment Companies commen Trust Funds or issvers and the sila ees Ac transfer Companiesand other sintr entities | other entities administering or otherwise dealing in currency, commodities or financial derivatives based there on Ci m Entities administering of otherwise dealing in valuable objects in. Entities administering o otherwise dealing in cash Substitutes and Deserbe Dist ibution/WhoTesale Tade/Other Services lewelry dealers in precious metals, who,asa fe business trade in precious metals | __ewery dealers in precious tones, who, asa BO busines, radein precious stone Company service providers which, asa business, provide any ofthe folowing services to third parties: TT acting ava formation agent of uniaial persons Cb acting as (or arranging for another person to actas) director or corporate secrecary ofa company, 2 partner ofa partnership, ora similar position in ‘elation to other juridical persons i c providing a registered ofc, business address or Accommodation, correspondence or administrative address fora company, a partnership or any other legal person or arrangement Da. actingas (or arranging fr another person to acts} ‘anominee sharsholder for another person 7. Persons who provide any ofthe following services Ta managing of cTent money, secures or oer asset Cb management of bank, savings or securities accounts Ci organization of contributions for the creation, ‘operation or management of companies Ce. creation, operation or management of juridical persons or arrangements, and buying and selling business entities ET None oftheahove other similar monetary instruments or property supervised and/or] nature of ‘regulate by the Securities and Exchange Commission (SEC) Br Has the Corporation complied with the requirements on Customer Due Diligence (CoD) or Know Your Customer (KYC), record-keeping, and submission of reports under the AMLA, as amended, since the last filing of ts GIS? sis. stocK(y2020) business: CYes © NoGENERAL INFORMATION SHEET ‘STOCK CORPORATION PLEASE PRINT LEGIBLY (CORPORATE NAME: (FI DISCOM. CY, INC, CAPITAL STRUCTURE [AUTHORIZED CAPITAL STOCK | summer or AMOUNT (PHP) eee SHARES Pee ([Link] X Par/Stated Value) ‘cowion “0000 To "00,000 07 Tora | 700,000.00 [SUBSCRIBED CAPITAL ae NUMBER OF numperor |sHaResin THE) aR/sTATED wor stock. | TYPEOFsHARES* AMOUNT (PAP) aed suanes — |uanosor Tue] "vaiue OWNERSHIP of conn Ta@a00 WA Tan) oo900 Too] aa —— seahorse Tara aaa NUMBER OF roatiew | [Link] cnoreireay | soa. | rvecorsunus+ | Uwoenor fsuansswerue] ranstareD | wourqmry — | 54% sueiowaur | woLDEEs ios oF a a we a or i a Percentage of Foreign Eau TOTAL, Foran Tora TOTAL STASCRIBED P| To0000.09) PAID-UP CAPITAL [Link] ae BE «| summer oF wor ruuipino | sto | THE orsuanes Hlek PARY/STATED VALUE amounr en) — | oye ee a] conan Tooog Ta To0;9009 Too Tora] soar Tom] Toa.goa00 FORETEN | O-0F uoreaneay | stoce | rvveorsuanes+ | NUMERO | panysrarepvaLue amount enn) — | gy saniovaurry | wovoans Mik os wa] we a7 oz 7A TOTAL PAID UP _P oacoa00 NOTE: USE ADDITONAL SHEET IF NECESSARY [Conon Prefered or ater casaieaton other than Directors, Oficrs, Shareholder owning 0 oT outanaing Tare cis rock (4.2020) Page 3GENERAL INFORMATION SHEET ‘STOCK CORPORATION = PLEASE PRINT LEGIBLY =s==ne=n==: [CORPORATE WANE: GFIDISCOM. CV, ING DIRECTORS / OFFICERS soar 3 "AME/CURRENTRESIDENTIN. ADDRES | waTIONALHY | WER [woanD]ordsR] STOCK T onmenn | OG, [TARIOENTIREATION T OSAMA FUNG Tatrman ‘19 eral St Posada Viage vy fc] fv ore 122.910-136.000 Sacer iy Board T RONTSANP DELACRUZ INUIANG Freinca Ble ot 2 Upper Ban Tagg wef fo fv YPetseat"] a | 224373-056-000 diy age 7 RENATOT ENDOW FUNG S105 niga Mansion, #152 nga St. wf am v [rvs | a | 122-302-505-000 Bray Slacon Quezon chy 7 MARIA [Link] J ALIPN 1577 Sehasian St, Baghagun, w foe] oe fv | nimcor | a | 230224-940-000 Valeaula iy © ROGELIO DELAGRUZ IIURNG 94 12th Avenue Cubao, Quezon Cy yo} fom oy [eomorte | ae | ao2944-373-000 z z 3 a % 7 7 7 ROTOR FOR SEX COLUMN, PUT "F* FOR FEMALE. “W" FOR MALE FOR BOARD COLUMN, PUT "C" FOR CHAIRIAN,°M" FOR MEMBER“! FOR INDEPENDENT ORECTOR, OR STOCKHOLDER COLUMN, PUT"Y"F& STOCKHOLDER, "NF NOT, FOR OFFICER COLLIMN, INDICATE PARTICULAR POSTION IF AN OFFICER, FROM VP UP INCLUDING THE POSITION OF THE TREASURER, ‘SECRETARY, COMPLIANCE OFFICER ANDIOR ASSOCIATED PERSON, FOR EXECUTIVE COMMITTEE, INDICATE °C IF MEMBER OF THE COMPENSATION COMMITTEE: "A" FOR AUDIT COMMITTEE: ‘N"FOR NOMINATION Gis,sT0ck (12020) Page 4GENERAL INFORMATION SHEET STOCK CORPORATION PLEASE PRINT LEGIBLE conPoATE NAME ar iscoM. vnc [TOTAL NUMBER OF STOCKHOLDERS: 6 [eid srrpereserezar! 6 oat Aes ASE On ATESTAUNIEDNGAL ATEN Teug3800 STOCKHOLDERS FORMATION Stans svoscuBED AME NATIONALITY AND CURRERT ca] MOUNT Trax menmincaTiON "RESIDENTIAL ADDRESS ‘fee Winian amount | owen. NUMBER rm) oa) Pay a TT J el ee “TOTAL| 75,000] 15,000.00) ca — aad ‘Blk 4 Lot 13 Upper Bicutan Taguig City - —_ oe et) —— ee — et TTT pat a '$-105 niga Mansion, #152 Iriga St Brgy - Bann 99 ene ere ToTAT} F509} Tsp0 REO = eal 1577 Sebastian St, Baghaguin, Valenzuela City = ——_ ee ora| asi] aoa TROT DRT 7) —— sa ora} aso] oa 7 oT TOTAL AMOUNT OF SUBSCRINED CAPA ToUCRaomToreabarcanma | ——_—_ 1200000 TNSTRUCTION SPECIFY THE TOP 20 STOCKHOLDERS AND INDICATE THE REST AS OTHERS [oer For PDTC Nominee ude des please india ater the benefice owners owng mare than 5% of any ass ofthe Companys voting SCUTTeS [atch separate set necessary. [Link] (2020) PanesGENERAL INFORMATION SHEET STOCK CORPORATION PLEASE PRINTIEGTELY = [CORPORATENAME, —OFTDISCOML GV, ING. INVESTMENT OF CORPORATE “AMOUNT (PHP DATEOF BOARD RESOLUTION FUNDS IN ANOTHER CORPORATION Ti STOCKS WA a 12 BONDS/COMMERCIAL PAPER (issued by Private Corporations) Me a T3_LOANS/ CREDITS/ ADVANCES a Wi Ta GOVERNMENT TREASURY BILLS Me WA TS OTHERS WA an 2. INVESTMENT OF CORPORATE FUNDS IN ACTIVITIESUNDERITS | DATEOF BOARD RESOLUTION DATEOF SECONDARY PURPOSES (PLEASE SPECIFY:) sTockHoLDERs |. os RATIFICATION N/A N/A N/A 5. TREASURY SHARES % AS TO THE TOTAL Loudenaree: NO. OF SHARES ISSUED N/A N/A |&. UNRESTRICTED /UNAPPROPRIATED RETAINED EARNINGS AS OF END OF LAST FISCAL VEAR: NONE 5. DIVIDENDS DECLARED DURING THE IMMEDIATELY PRECEDING YEAR: NONE ‘TYPE OF DIVIDEND AMOUNT (PHP) DATE DECLARED Sa_ cast N/A Wa 52 STOOK N/A N/A '53_PROPERTY N/A N/A Torat_|-W/a ADDITIONAL SHARES ISSUED DURING THE PERIOD: NONE DATE NO. OF SHARES AMOUNT Wa NA WA SECONDARY LICENSE/REGISTRATION WITH SEC AND OTHER GOVT AGENCY: NAME OF AGENCY: SEC BSP ic iryPE OF is N/A N/A LLICENSE/REGN. Ni i be DATE ISSUED: ia a7 a DATESTARTED loPERATIONS: N/A N/A N/A TOTAL ANNUAL. COMPENSATION OF ). OF RAN WER, DIRECTORS DURING THE PRECEDING FISCAL | TOTAL [Link] OFFICERS TOTAL NO! OE RANE & EE TOTAL MANED! EMPLOYEES ‘COMPLEMENT YEAR (in PRP) N/A 6 10 16 Gls STOCK (v.2020) Pages1, ROGELIO |, DELA CRUZ. , Corporate Secretary of QFLDISCOM. CV, INC. declare under penalty of perjury thatall matters set forth in this GIS have been made in good faith, duly verified by me and to the best of my knowledge and belief are true and correct. Thereby attest that all the information in this GIS are being submitted in compliance with the rules and regulations of the Securities and Exchange Commission (SEC) the collection, processing, storage and sharing of said information being necessary to carry out the functions of public authority for the performance of the constitutionally and statutorily mandated functions of the SEC as a regulatory agency. I further attest that I have been authorized by the Board of Directors/Trustees to file this GIS with the SEC. understand that the Commission may place the corporation under delinquent status for failure to submit the reportorial requirements three (3) times, consecutively or intermittently, within a period of five (5) years (Section 177, RA No. 11232). Done this in MAKATI Gus ¥ : (Gignaturk ovdy printed name) wonatiery — JUL 23200 SUBSCRIBED AND SWORN TO before me in. on. personally appeared before me and exhibited to me his/her competent (C#17195431 issued at_Parafiaque City_on January 18.2021. byaffiant who lence of identity consisting of NOTARY PUBLIC 1AKATI CITY Gis sTocK(v.2019) Page7‘SECREGISTRATION NUMBER: — ¢S2009171 (FI DISCOM. CV, INC. ‘CORPORATE NAME: BENEFICIAL OWNERSHIP DECLARATION FOR THE YEAI 125 2021 Instructions: 1. Identify the Beneficial Owner/s ofthe corporation as described in the Categories of Beneficial Ownership in items A to below. List down as many as you can identity. You may use an additional sheet if necessary. Fill in the required information on the beneficial owner in the fields provided for. 3. In the "Category of Beneficial Ownership" column, indicate the letter(s) corresponding thereto. In the event that the person identified as beneficial owner fells under several categories, indicate all the letters corresponding to such categories, 4. Ifthe category Is under leer“, nda the postion held (i Officer, Chief Operating Officer, Chief Financial Officer, etc), 5. Donot leave any item blank. Write "N/A" ifthe information required is not applicable or “NONE” ifron-existent. Director/Trustee, President, Chief Executive “Beneficial Owner" refers to any natural person(s) who ultimately own(s) or control(s) or exercise(s) ultimate effective control over the corporation. This definition covers the natural person(s) who actually own or control the corporation as listinguished from the legal owners. Such beneficial ownership may be determined on the basis of the following: Category Description ‘A Natural person(s) owning, dicectly or indirectly or through a chain of ownership, atleast twenty-five percent (2586) of the voting rights, voting shares or capital of the reporting corporation, Natural person(s) who exercise control over the reporting corporation, alone or together with others, through any B contract, understanding, relationship, intermediary or tiered entity. © Natural person(s) having the ability t elect a majority of the board of directors/trustees, or any similar body, of the corporat Natural person(s) having the ability to exert a dominant influence over the management or policies of the tion. ‘corporation. E Natural person(s) whose direction instructions, or wishes in conducting the affairs ofthe corporation are carried ‘out by majority ofthe members ofthe board of directors of such corporation who are accustomed or under an ‘obligation to actin accordance with such person's directions, instructions or wishes. F Natural person(s) acting as stewards of the properties of corporations, where such properties are under the care ‘or administration of said natural person(s). G Natural person(s) who actually owa or control the reporting corporation through nominee shareholders or ‘nominee directors acting for or on behalf of such natural persons. 1H Natural person(s) ultimately owning or controlling or exercising ultimate elfective control over the corporation, through other means not falling under any ofthe foregoing categories. 1 Natural person(s) exercising control through positions held within a corporation (Le, responsible for strategic decisions that fundamentally affect the business practices or general direction of the corporation such as the ‘members ofthe board of directors or trustees or similar body within the corporation; or exercising executive control over the dally or regular affairs of the corporation through a senior management position). Ths category is only applicable in exceptional cases where no natural person is identifiable who ultimately owns or exerts control over the corporation, the reporting corporation having exhausted all reasonable means of identification and provided there are no grounds for suspicion. TWPE OF coe sor _ | BENEFICIAL (Surname, Given seeciric tate vax Jownensiip'| owner? | CATEGORY OF ame, Middle Name, | RESIDENTIAL | naTionauty| OSTEQF | mevreicario OWNERS / BENEFICIAL Name Extension (Len] ADDRESS No, OWNERSHIP resell RiGHTs' [Direct (0) or ‘atts Indirect) aE ReaTT Pa ‘age Stet Murine CESARM LOTA.R. et uno [aust s, 56 123-00-16-000 ssxlo coe BRAT SURE [Link]| BltanTagugety |PLEINO [Janu 4 1873|22373-056-000 senlo BODE 6 pe Marion. 82 nga St gy RENATOT RENOON | savacionueron Cay |rLPINO | August, 1965 [22902585000 seslo Booe “B77 Sebastian 5 agoapun,valesuc oveber 2 luanu renesA [Link]| cy Jrurmo sot oseso¢o40a00 sexlo coe THT Re COR Feet [Link] paacuz | -duesneiy |rueinio 1805 |rozo4ea73000 seslo [Link] Noe: Ths page snot for uploading on the SEC Vew. * For Stock Corporations. * For Non-st rock Corporations. * For tock Corporations.