Republic of the Philippines
Department of Finance
SECURITIES AND EXCHANGE COMMISSION
7907 Makati Avenue, Barangay Bel- Air, Makati City, 1209
Philippines
IN THE MATTER OF: SEC Case No.____________________
___________________________
PETITION
TO LIFT ORDER OF REVOCATION/SUSPENSION
Petitioner (name of corpotaion), represented by its (position, name of authorized officer,) and unto
this Honorable Commission, most respectufully manifests that:
1. Petitioner is duly registered corporation under the Philippine Laws, with SEC Registration No.
______________ and with principal office address at
_________________________________________.
A copy of its Articles of Incorporation is hereto attached as Annex “A”
2. Petitioner’s Certificate of Registration was revorked/suspended by virtue of SEC Order dated
________________.
3. Petitioner seeks reconsideration of said Order based on the following grounds:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
________________________________________________________________________
4. Petitioner has no intention to violate the law and any SEC rules and regulations;
5. Petitioner shall henceforth submit reportorial requirements religiously;
6. Petitioner intends to continue its registration with the Commission and operation of its business
as evidenced by its submission of most recent General Information Sheet (GIS) and Financial
Statements (FS). Copies of the GIS and FS are hereto attached as Annexes “B” and “C” respec-
tively;
7. The filing of Petition is authorized by majority of the Directors/Trustees and by majority of the
outstanding capital stock/members as evidenced by the attached Directors/Trustees Certificate. A
copy of the Directors/Trustees Certificate is hereto attached as Annex “D”.
8. The company, through its authorized representative, hereby certifies that the latest financial state-
ments that are submitted with this Petition are accurate, compliant with the applicable financial
reporting framework, and are supported by sufficient and valid source documents and schedules.
This sworn certification extends to all beginning balances of the accounts from previous years
during which the company failed to submit audited financial statements. In relation to this, at-
tached in the Petition is a sworn certification from the company/s external auditor.
WHEREFORE, it is most respectfully prayed that the Order of Revocation/Suspension
against Petitioner’s registration be lifted
Others reliefs just and equitable are likewise prayed for.
Makati City; (date__________________)
Respectfully submitted.
(Name of Corporation)
T.I.N. ___________________
By:
(Signature over Printed Name of Authorized Officer)
(Position)
T.I.N. _________________________________
REPUBLIC OF THE PHILIPPINES )
) S. S.
VERIFICATION AND CERTIFICATION AGAINST FORUM SHOPPING
I, (_________________), of legal age, Filipino and with addres at (___________), on oath, state that:
1. I am the (position) of (name of the corporation), duly authorized to execute this Verification
pursuant to my authority as evidenced by the attached Director’s/Trustees Certificate dated
(______________)
2. I have caused the preparation of the foregoing Petition and read all the allegations in the Petition. I
attest that the factual allegations therein are true and correct based on my own knowledge and on
authentic documents.
3. That I have not commenced any action or filed any petition involving the same subject matter or
issues in any court, tribunal or agency; to the best of my knowledge, no such action is pending
therein; (if there is such other pending action, a complete statement of its present status;) and if I
should learn that the same or similar action has been filed or is pending, I shall report that fact
within five (5) days from such knowledge to the Company Registration and Monitoring
Department (CRMD).
(Signature over Printed Name of Affiant)
SUBSCRIBED AND SWORN to before me in ___________, this ____ day of __________, 2024
affiant exhibiting to me her Tax Identification Number ____________.
NOTARY PUBLIC
DOC NO. ____;
PAGE NO. ____;
BOOK NO. ____;
SERIES 2024.
REPUBLIC OF THE PHILIPPINES)
) S.S
DIRECTOR’S/TRUSTEES’ CERTIFICATE
We, of legal age, Filipinos and with office address __________________________under oath
state that:
1. We constitute all the members of the Board of Directors/Trustees of ____________________
(the “Corporation”), a corporation duly organized and existing under Philippine laws with office
address at______________________________________________________________________
2. At the regular/special joint meeting of the stockholders/members and the Board of
Directors/Trustees after due notice, held on ____________ in ______________ at which meeting
a quorum was present, in person or by proxy, the following resolution was unanimously
approved:
WHEREAS, the Certificate of Registration of the Corporation/Association has been
Revoked/Suspended by virtue of SEC Order dated __________ for its failure to comply with the
reportorial requirements of the Securities and Exchange Commission (the “Commission”);
WHEREAS, the Corporation/Association desires to continue its existence by having
the revocation/suspension of its corporate franchise lifted;
WHEREAS, the Corporation/Association has no intention to violate the law and any
rules and regulations promulgated by the Commission;
WHEREAS, the Corporation/Association is willing to pay the penalties and any
lawful fees that will be assessed by the Commission due to failure of the Corporation to file its
annual reports;
After some discussion, upon motion duly made and seconded, it was unanimously
approved;
RESOLVED as it is hereby resolved that a Petition to Lift Order of
Revocation/Suspension of the Corporation’s Certificate of Registration be filed with
Commission;
RESOLVED further that the (position), (name of authorized officer) is hereby
authorized to sign and execute the Petition to Lift Order of Revocation/Suspension and to file the
same with the Commission.
3. The foregoing resolution is in accordance with the records of the corporation, has not been
amended and/or revised and continues to be in full force and effect as of date hereof.
IN WITNESS WHEREOF, we set our hands this _________________ in _________________City
______________________ ______________________ ______________________
Signature over Printed Name Signature over Printed Name Signature over Printed Name
(Position) (Position) (Position)
T.I.N __________________ T.I.N __________________ T.I.N. __________________
_______________________ ______________________
Signature over Printed Name Signature over Printed Name
(Position) (Position)
T.I.N ___________________ T.I.N__________________
_____________________________
Signature over Printed Name
(Corporate Secretary)
T.I.N ______________________
SUBSCRIBED and SWORN to before the City of _____________, this _________, by the above-named
persons who exhibited to me their valid government identification cards as indicated below:
NAME ID DATE/PLACE ISSUED
NOTARY PUBLIC
Doc No. ______________________
Page No. _____________________
Book No. ____________________
Series of ________
REPUBLIC OF THE PHILIPPINES)
)S.S
CERTIFICATION
I, ____________________________________,the external auditor of ______________________
(Name of external auditor) (Name of Corporation)
Hereby certify that the begins of the company’s financial statements as of _______________________
are based on valid and sufficient source documents and schedules of the company, and I have conducted
adequate audit procedures to attest to the correctness and accuracy of the said balances.
__________________________________
Affiant
SUBSCRIBED and SWORN to before the City of _____________________________________, this
________________, affiant exhibiting to me his ____________________________, issued at
_____________________________on______________________________________.
NOTARY PUBLIC
Doc No. ______________________
Page No. _____________________
Book No. ____________________
Series of __________
Republic of the Philippines)
City of )S.S.
SECRETARY’S CERTIFICATE
I, ___________________, of legal age, single/married, a resident of ___________________________,
being duly sworn, depose and state that:
1. I am duly elected and qualified Corporate Secretary of _____________________________________
(the Corporation), a corporation duly organized and existing under and by virtue of the Republic of
the Philippines, with principal office at ______________________________________________.
2. To the best of my knowledge, no action or proceeding has been filed or is pending before any Court
involving an intra-corporate dispute and/or claim by any person or group against the Board of
Directors, individual directors and/or major corporate officers of the Corporation as its duly elected
and/or appointed directors or officers or vice versa.
3. Further, no intra-corporate issue involving third party is pending, may it be Criminal, Civil or
Administrative in nature
4. I certify that the latest due Audited Financial Statements and latest due Income Tax Return were
submitted and received by the Securities and Exchange Commission (SEC) and Bureau of Internal
Revenue (BIR), respectively.
______________ City, ______ day of ____, 20____.
_______________________
Corporate Secretary
TIN:_________________
SUBSCRIBED and SWORN to before the City of _____________________________________, this
____________________, affiant exhibiting to me his ________________________________, issued at
___________________________ on _______________________________.
NOTARY PUBLIC
Doc No. ______________________
Page No. _____________________
Book No. ____________________
Series of _________________
CERTIFICATION
We represent that the emailed version is the EXACT replica of the hard copies we will submit. Otherwise,
we understand that further appropriate action will not proceed until and unless we rectify the hard and soft
copies.
________________________
Corporate Secretary
Print Name and Signature
Date
_________________________
Authorized Person to Sign and Execute the Petition
Print Name and Signature
Date
