- —

GENERAL INFORMATION SHEET NON-STOCK CORPORATION

"1k " FOR THE YEAR 2019

/04„, incr.;:codwa:-.. •

r" d *ea • 0.0.4

101 GENERAL INSTRUCTIONS: Jo A 9

I. FOR USER CORPORATION , 71-liS CIS SHALL BE SUBMITTED wrimiN (atu CALENDAR DAYS FRO 'M OF . RS' MEETI C

AS STATED IN THE BY-LAWS. DO NOT LEAVE ANY ITEM BLANK. WRITE "NA,' IF THE INEORI , J.IIR' wr, E

CORPORATION OR 'NONE. IF nit iNFORMA1 ION IS NON-EXISTENT.IF THE ANNUAL MEMBERS' M MUD Ilft 64paa,b0MKER T

• STATED IN THE ey.LAves, THE CIS SHALL HE SUBMITTED WITHIN THIRTY (301 CALENDAR DAYS FRO " : ANNUAL MEMBERS

MEET ING

IF NO MEETING IS HELD, THE CORPORATION SHALL SLIBM rr THE CIS NOT LATER THAN IANUARY 300F THE FOLLOWING YEAR HOWEVER, SHOULD AN

ANNUAL MEMBERS' MEETING BE HELD THEREAFTER A NEW CIS SHALL BE SUBM IT'TED/FI LED.

3 -rH IS GIS SHALL BE ACCOMPLISHED IN ENGLISH AND CERTIFIED AND SWORN TO BY THE CORPORATE SECRETARY OFT HE CORPORATION,

4 ALL CHANGES ARISPIG BETWEEN ANNUAL MEETINGS AND AFFECTING THE INFORMATION STATED IN THE GEL SUCH AS THE DEATH, RESIGNATION OR CESSATION OF HOLDING OF OFFICE OF A DIRECTOR. TRIicrEE OR OFFICER SHALL BE REFLECTED IN AN AMENDED CIS LABELED AS SUCH AND THE CHANGES CLEARLY HIGHLIGHTED THE AMENDED GIS SHALL BE SUBMITTED WITHIN THIRTY DOI DAYS AFTER SUCH CHANGES OCCURRED OR BECAME

E.PFECTIVE

5, SUBMIT FOUR (4) COPIES OF THE CIS 'ro THE CENTRAL RECEIVING SECTION, GROUND FLOOR, SEC BLDG., EDSA, MANDALUYONG CITY. ALL COPIES SHALL

BE ON A4 OR LETTER-SIZE PAPER WITH THE STANDARD COVER SHEET. THE PAGES OF ALL COPIES SHALL USE ONLY ONE SIDE CORPORATIONS

SUBMITTING A SCH-11 COPY OF THEIR GIS SHALL SUBMIT THREE (3) HARD COPIES OF THE GIS. TOGETHER WITH A CERTIFICATION UNDER OATH BY ITS

PRESIDENT. CHIEF EXECUTIVE OFFICER, 011 CORPORATE SECRETARY THAT THE SOFT COPY CONTAINS THE EXACT DATA IN THE HARD COPIES

6 ONLY THE GIS ACCOMPLISHED IN ACCORDANCE WITH THESE INSTRUCTIONS SHALL BE CONSIDERED AS COMPLIANT WITH EXISTING RULES AND

REGULATIONS,

7 THIS GIS MAY BE USED AS EVIDENCE AGAINST THE CORPORATION AND ITS RESPONSIBLE DIRECTORSITRUSTLES/(FFICERS FOR ANY VIOLATION OF

EXISTING LAWS, RULES AND REGLHATIONS

zaw=m=m= PLEASE PRINT LEGIBLY _

CORPORATE NAME: P

THE INSULAR LIFE ASSURANCE COMPANY, LTD. DATE REGISTERED:

November 26, 1910

FISCAL YEAR END:

December 31.

1

BUSINESS/ TRADE NAME INSULAR LIFE

I— SEC REGISTRATION NUMBER:

,

PW00000-171

CORPORATE TAX IDENTIFICATION NUMBER TT IN): _

I

000-464-124

DATE OF ANNUAL MEETING PER BY-LAWS: 41.6 Wednesday of May

WPDSITE/UILL ADDRESS:

MOM insularlife Com MI 4

DATE OF ACTUAL MEETING: May 22.2019

EMAIL ADDRESS!

heaciOfcginSular C.orn Olt

COMPILE I E PRINCIPAL

OFFICE ADDRESS: Level 30. Insular Life Corporate Centre, IltLsoLar Life Drive, Filiovest Corporate City„ Alaimo& Muolloittpa City

TELEPHONE NUMBER(S): - - -

582-1818

FAX NUMBER(S): -

771-1717

COMPLETE BUSINESS ADDRESS:

,

Levet 30, Insular Life Corporate Centre, Insular Llle Dr1ve,

filinvest Corporate City, Alabang.. Munflnlupa I itv

PRIMARY PURPOSE

ENGAGED IN:

LIFE INSURANCE

NAME OF EXTERNAL AUDITOR & SIGNING PARTNER:

STOP GORRES VELAY0 &CO. MS. IANET A_ PARAISO

PARTNER

SEC ACCREDITATION TELEPHONE NUMBER; NUMBER(S):

0778-AR-3 (Group A) 891 -0307

IF ENGAGED IN MICROFINANCE BUSINESS,

Deposits

CHECK SERVICES

insurance Produ cts

, Payment St rvices

OtheiN

TO BE FILLED UP BY SEC PERSONNEL: INDUSTRY NATIONAL GEOGRAPHICAL

CLASSIFICATION CODE: _ _ _ . CODE (NGC):_ Loans

Money Transfer

GIs- NON-sTOCE(v201/4) Pap 1

GENERAL INFORMATION NON-STOCK CORPORATION

PLEASE PRINT LEGIBLY

SHEET

Corporate Name: THE INSULAR LIFE ASSURANCE COMPANY, TD. ,

A Is the Corporation a covered person under the Anti Money Laundering Act

(AMLA), as amended? (Rep. Acts. 9160/9164/10167/10365) LI; Yes r No

in precious metals, who, as a business,

trade in precious metals

Please check the appropriate box:

leweiry dealers 4. u

.

o a. Banks

0 h. Offshore Banking Units

0 c. Quasi-Banks

0 d. Trust Entities

• e. Non-Stock Savings and Loan Associations

,- jewelry dealers in precious stones, who, as a business 5. 11

trade in precious stone

0 1 Pawnshops

0 g, Foreign Exchage Dealers

0 h. Money Changers

0 i. Remittance Agents

0 j. Electronic Money issuers

D k. Financial Institutions which Under Special Laws are subject to

Bangko Sentra! ng Filipinas (BSP) supervision and/or regulation.

including their subsidiaries and affiliates. Company service providers which, as a business,

provide any of the following services to third parties: 2.

El a_ Insurance Companies

0

ti. Insurance Agents

0 c. Insurance Brokers

0 d. Professional Reinsurers

0 a. acting as a formation

0 b. acting as (or arranging

director or corporate of a partnership,

other Juridical

0 c._ providing a registered

accommodation,

address for a

person or arrangement

• (.1. acting as (or arranging

agent of Juridical persons

for another person to act as) a

secretary of a company, a partner or a similar position in relation to

persons

office. business address or

correspondence or administrative

company, a partnership or any other legal

for another person to act as) a

for a:nother person

• e. Reinsurance Brokers

0 I. Holding Companies

0 g. Holding Company Systems

0 h. Pre-need Companies

Mutual Benefit Association

0 j, MI Other Persons and entities supervised and/or regulated by die

Insurance Commission (IC)

0 a. Securities Dealers

El b. Securities Brokers

c. Securities Salesman

El d. Investment Houses

0 e. Investment Agents and Consultants

0 I Trading Advisors

g. Other entities managing Securities or rendering similar servic es

0 h_ Mutual Funds or Open-end Investment Companies

0 i, Close-end Investment Companies

0 I. Common Trust Funds or Issuers and other similar entities

D k. Transfer Companies and other similar entities

(J I. Other entities administering or otherwise dealing in currency,

I commodities or Cinancial derivatives based there on

Om. Entities administering of otherwise dealing in valuable objects

• n. Entities administering or otherwise dealing in cash Substitutes

nominee shareholder

7. Persons who provide any of the following services:

cia. managing o client

Ob. management

0c organization

operation or

money, securities or other assets

of hank, savings or ecurities accounts

of contributions for the creation,

management of companies

or management of juridical persons and buying and selling business

Ind. creation, operation or arrangements.

entities

8.0 None of the above 1

esc Dribe

nature of

business:

and other similar monetary instruments or property supervised

and/or regulated by the Securities arid Exchange Commission

( SEC)

B. Has the Corporation complied with the requirements on Customer Due Diligence (CDD) or Know Your Customer (KYC), record-keeping, and submission of reports under the AMLA, as amended, since the last filing of its GIS?

(Z Yes r No

GIS- NON-STOCK(v.2018) page 2

:ENERAL INFORMATION SHEET NON STOCK CORPORATION

C-233.333.32=1199 3 _....4 3 PLEASE PRINT UlGIBLY

CORPORATE NAMEi TIRE INSULAR UFE ASSURANCE COMPANY, LTD. TRUSTEES / OFFICERS

tiiitliatteMaRniniiiMEZinakii.4=3,Eg. NATIONALITY 1V-CO R PURA TOR BOARD SEX OFFICER

NINA D. AGUAS I Filipino N

1

C F r, iA

2 LUIS it Let 0 —. — M M N/A

,

Filipino N

. LUIS Y. BENITEZ , Filipino N

1 MM N/A

4- MONA LI . I)ELA CRUZ M F President and CEO Filipino fti

• GI k, B. GENI10 • . 1 Fdpin

,

N

N

ro M N/A

i

M F N/A MARIETTA C. GORREZ

....— — Filipino

7 . pt.usco ED LIM •

N

N

N

N

M M N f A Filipino

a EMMANUEL F. DOOC M

M

M N/A

M N/A

Filipino

9. PISTO A_ own? ............_....._............__________________ . FdFri';1 ,1!P

10. MAAR T. CRUZ, Filipino M

Sr. Executive Vice President

11 RAOUL ANTONIO E LITrAuA

N

Sr. Executive Vice M

President

Executive VicR E

President

1 I Filipino

12 MARLA NOEMI G. AZURA ---

Filipino

3 . CLARO P, BONILLA N

Executive Vice M

President & CFO Filipini

14 MARIA ETIIITA C. E1ICA.11740 - , Filiptno N

Executive Vice PreSiden I

1 5 RAMON FELIX M. CABRERA Senior Vice

M President Filipino N

WW1 s FR L! CLUNK TNIT '1r pintfeWa..IP PON MUF- F= ONXIMNRNMN =MAR, rim 9rivAtt LATEVILPORA roe -Fen, Ma kiI WOMAN txkuiluteur .c. poi cilosiko, .14. i•oii siisilA. faa emus COLLION. kNOSTATRPMCKOLM. NISSTOCIA 0 4.11 OFIRIER IA 1131 NS:

PRB•PIENININT Ms. CMTP. at: OfFial CVO • TIMAORRill COO - MO OPTJVOLIC OFFECOt CON. CONPORIO1 Nit wart Lie • LEGAL UNINSEL ArRO • trTERNAL MENTOR QM - naveioixixer NRINNOWNTAIRM OTR - OTNTOO, N NOW

OS- NON-STOCK (v.2018) Page 3

GENERAL NON-STOCK

PLEASE

INFORMATION SHEET CORPORATION

PRINT LEGIBLY .1, 2 = ******** ...Isamu a ma Ifirli," aza 2 = l

CORPORATE NAME: THE INSULAR LIFE ASSURAINCF. COMPANY, LTD.

.. TRUSTEES / OFFICER

NATIONALM? iticontOwA MB BOARD

i

SEX SANAA/WORD FNT RES'S . TIAL ADORE OFFICER

In MARIA TERESA I- CRUZ - _ Filipino It F

Senior Vice President

17 ATTY. RENATO & DE JESUS -- — ----

Filipino N M Senior Vice

President & LOS I

IS A vicroittA C MORALES Filipino N F

Senior Vice President

, 19, NOEL %N ORES M. PERDIGON

Filipino N m

F

St II lor Vice President

20 GERALDINE II ALVAREZ .Filipino First Vice President

-2 1 MARIA ROSA. AURORA D. rACANAN DO ' Filipino N F rim vicp pntlutem •

22 HECTOR A CAUNAN Filipino N

N

til

.

F

Pint Vice President

First Vice President L-1- MIRIAM Z. C1110A

Filipino

/3- RA/MAN C DE LEON Filipino N F

,

Fit st Vice President - — •

a PERCIVAL CIRILO S. FLORES ,

_--..--_-_,-..--.—......_......,... , Filipino

,

N 1

M Fiit Vice President ,

26 CARLITO V. LUCAS Filipino N M Fi Mt Vice Pres.den

27. IOCELYN a REYES ___. — Filipino

Filipino

Filipino

N

, N

N

V

F

Firm Vitt, President

!First Vice Predent 211 DIANA ROSE A. TAGRA ..—....---...-- _. _........_... _

29 ARNOLD I. AQUINO - — __ v. VI.,...e Pres,:dent

I 30 ALAN IOSEPII S. AMADIA ...._—__ Filipino N M

• MAMMA • 1.....0200eft

MIMS

Vice Pres,ident

Ogniurnons •..agnici•untit 1.11-1-111% KIAA.41w' cm INALP• Rak oittionapos rewon rur -r • An actierormee. -ir s nos yen MAW) Cariaia 0 in ..... too oxibialhX. 'W• Mill lantatit OM WPM* MAO VIOLA N XhrilfillAit 0111/XXXI # us brliESIL %NCO As_

904111X01117 f../X .• MO TX/1?1 ,4X0x_ili MI aXil - Net 311111131XX . XF/Kei CO • EXIMAIVIIIIKIENIK■ LK

1 MX • 11111/11i4i.AURMII ON GOTEXIXtrin XrIMIXATXXIxt MX

GIS- NON-STOCK (v,2018)

GENERAL INFORMATION SHEET NON-STOC3( CORPORATION

magrmssx.s.==_=.ssw.=mxi=masswass= PLEASE PRINT LEV BLy wssoiriatititzsm =rams -a ,k s..--z .2 1: = r

CORPORATE NAME THE INMJLkR 1J F1 ASSURANCE COMPANY. LTD.

TRUSTEES / OFFICERS

NAIELLANILLIDIREELEFSIDLINTIAL ADDRESS NATIONALITY escollen twine BOARD SEX OFFICER

I

1

.1

Ai CORAZON & CRUZ 'N

, I Vice President

•

-- 1,, Liqui

t2 MA CARMELA D. FRANCISCO — ____

Filipino N F 4)ce Pv eucl ern

13 LORENZO LOIS LI HOMO IL GALLARDO II _. . _

Filipino

1

N IA Vice President

4 GWENDOLYN D. KELLEY Filipino N F Vim. President

33 Imam v OCM4P0

_ _ • — -- _ ____ N F Vice Poswident Filipino

MA GERALDINE G. PASCUAL - —

N F Vice President Filipino

37 ROGER N. FtF.LUC1O Filipino N M Vice President

38 TRICC1 ROSE A. SAD1AN _ ., _ _ __ ,, ___ Filipino

, N Vice President

- - - 39 ARMAND P. SANTOS

— Filipino N M Vice President

- 411 DOWN NU E C. SOLIVEN

___...--...—_ _..... ....... —..—,—_—._ Fillp no N M

I Vice President

Vice Prentent

- 41 Aria MARIA It SORIANO

Plintitio ,

N

- _

F

42 ELEANOR G TANADA. M.D -

Filipino N 1 F 1,1,ce President

43 RI MA R VELASCO _ _ ____........___...-....--...—__ -I Filipino n F Vice President I

44 11F/iRY G liALANGATAN 11 _ __ .

Fillip Inn 1,4 M Sr Ai. V ice

President . _ _ ..

- --

1 45 A,1-11" ANA YN s_ urNrro Faiptno % T

Sr Aost_ Vice President

iiksrencreatts kV WA FOLNINII "Orr row rein4Lesr sow soa il---. Fos VIOZ,NOONIFFIF =LEM NT Nr 11 •JI sicestrewesi yr ir tar Pia ;MAW UN LINI WTI" F011 ailLtNNAAL lir FM INANNIL sills onus r °UAW NIONATII INNTZtf-iit FORINNI iF MN CANCIVIL INCII AM

ni iiiigaarT CM , tom altamtio 00 TNENSFillti

WU , CAW OFFINNINFG NOLAN cus• FINNIOLFill facia/Ain ow -Lc.-.4.Li o.:n.oc-. An inirmeimAuterm oar Orrerritain Rinnossirrinvs ors- aresio sii NUN!

GIS- NON-STOCK (v.21718) Page ;

, GENERAL INFORMATION SHEET

NON-STOCK CORPORATION

== PLEASE PRINT LEGIBLY ==..7.---==i===..-r-=-2 =.i.ZWSW-2-11Z11=

CORPORATE NAME: THE ISUIARLIFE .A.SSURANcE COMPANY,LTD. TRUSTEES i OFFICERS

• u' 3 i U NATIONALITY ivcOPPL110. WA BOARD SD( OFFICER

a JOHANNA C CORONADO St Asst Vice

President Eilipinc.

47 CHRISTINA R. DELOS SANTOS Filipino N

Sr Asst. Vice

President

44i- PETER PAUL E. ES:PORI-AS -- —

N

F

Sr. Asst. Vire

President

Sr. Asst. Vice President

Filipino

4

LAARNI F. GARRATON -- , - .

Filipino N

-4 . Arnt PAARIA ROWENA M. RODRIGUEZ N

Sr. Asst. Vice

President Filipino

(ANIMA A. ALONTO N F

Asst Vice

President .....

Filipino

52 - IRIS, S. AMAN Asst. Vice

President Filipino

-3. RENE P. ASUNCION

Filipino N M Asst Vice President

Asst Vice

President

Asst Vice

President

54 ANGELA A. BIEN F

M

Filipino

S. CHAFUTO A. BRILL() Filipino N

56 EDWARD DIONIE F. C.APILI ht Asst. Vice

President Filipino N'

57 POMPEY° NICHOLAS E CATINDIG , M

Asst Vice

President Filipino N

58 . IOHANA B. DE TESUS — Filipino N

Asst_ Vice

President

59- III LARIO C DELOS SANTOS Filipino N hi

A_sst Vice

President

On MICHAEL ROBERT T DliAMCO _

Filpino N m Asst. Vice

President

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Mlik-MER5•11)04T CM - C*1111 MC.I.Thaii CFO Tial•W;i113( - rin CORO OPEIMrifial *0700111 Ctt..% • (UttiVISATI AEC*TTARY LEO • LEGAL COUNS4 . • •,, atEE•Lit. WItal0R GOlt Covesamtwr REPRESiorrATIvt Cilli - uncut& n f,l'fo-

GIS- NON-STOCR (v.201B) Page 3

GENERAL INFORMATION SHEET

NON-STOCK CORPORATION

PLEASE PRINT LEGIBLY

CORPORATE NAME: THE INSULAR LIFE ASSURANCE COMPANY, LTD. TRUSTEES / OFFICERS

Lio RRE R ID 1, t . 111.0r..* NATIONAUTY PicoliPDR_ATok BOARD SEX

P

F

OFFICER

6 I JANETTE F., DOMINGO rirc, N

N

Asst Vice President

Assl- Vice President

62 MARIA CELINA H. ESPINOSA ,

Filipino

63 ANIADO F GARCIA IR Filipino N NI

Assi Vice President

64 ISID RA pSEPlii N E M. GONZALES Filipino N

—I

F Asst Vice President

5 . SHEILA MARIE a IGLESIA Filipino N F

Asst Vice President

66 MA EDiTHA 13 MEND1OLA Filipino N F

Asst. Vice President

7 ROGIE F. NON° —

M

M

F

Asst. Vice President Filipino N

68 . BERSON ,S, RESURRECCION ,

Filipoin

. MAR1ARITCHEMREYES

Asst Vice President

President

, ,

Ftlip,no N

70. PAULITA A. SIOSON F

As.sL Vier President

Filipirici N

— ,

— , --

N

— .

' —....,_ N

rEORTIONS: RIR SEX CLI.1.1•114, pirr-rt FOR FEMALE:tor ElOKISAI,E. f Olt INV:Wail:MA 4,cm.i.7414, P141 - 1,- EP iiie LICORPOWC•i?. le Wa-r. Kil ?CARD CALIIIIN. Kir tr- Wst I.:iv...mow ,se raft MEMBER Fin OFNCES ;:OLII!Mili, MIMI:All PARTICULAR POSITS-ON IF AN OFTLCM "VJOS AS,

PEct•--IMMIDENT C.F17. • CHIE1L aff.. OFFIGEIR CFO- TEVAstIAEA

URI- Mir QPIEFATS/4GOrirtilall -1..1.4- - csAiMAA'nE51-CHEIARY 1...,c . aiiiii tootsa AIL- kaTERNM. AUV,11311 GOY - GENE-9241011a Fr.EklAk'SEIRTATIWE 431-61- crrAEAS A • ACREE

CIS- NON-STOCK (v.2018)

GENERAL INFORMATION SHEET NON-STOCK CORPORATION

PLEASE PRINT LEGIBLY .-------= _ _

CORPORATE NAME THE INSULAR LIFE ASSURANCE COMPANY, LTD.

1. INTERCOMPANY AFFILIATIONS

PARENT COMPANY i -

SEC REG. NO. ADDRESS

AFFILIATE ' SEC REG. NO. ADDRESS

Insular Investment Corporation 0

167915 30/F IL Corp. Centre. Filinvest Corp. City, Alabang, Muntinlupa

I ular Health Care, Ira AS091-196826 , 2/F1-CARE Bldg,. 167 Legaspi St., Legaspi VOL Makati City

ILAC General Insurance Agency, Inc. CS200340971 3/Fl-CARE Bldg., 167 Legaspi St,,, Legaspi VIII, Make' City

Insular Life Management & Development Corp. 139767 30/F IL Corp. Centre. Filinvest Corp. City. Alabang, MuntInlopa

Insular Life Property Holdings, Inc. 149770 30/F IL Corp. Centre, Filltivest Corp. City, Alabang. Mu Minlupa

PP1 Prime Venture, Inc. 64927 32/F Tower One AyaLa Triangle, Ayala Avenue, Maker City

Union Bank of the Philippines 36073 28/F UEIP Plaza. Ortigas Centre. Pasig City

Mapfre Insular insurance Corporation l'W 000042 21/F. Citibank Tower. 8741 Valero St, &aired° VOL Makatl

NOTE: USE ADDITIONAL stiErr IF NECESSARY

2. INVESTMENT OF CORPORATE

FUNDS IN ANOTHER CORPORATION AMOUNT (In PhP) as of 2018 DATE OF BOARD RESOLUTION

2.1 STOCXS 31,633,533,680.00 vantrus

2.2 BONDS/COMMERCIAL PAPER (issued by private corporations)

14,678,725,005.00 "

- , LOANS/ CREDITS/ ADVANcES 15.431,813.416,00 ,

2.4 G VERNMENT TR I' BILLS 2S 91,030.937.00 '

2.5 OTHERS 8,460,665,841.00 ,

3, INVESTMENT OF CORPORATE FUNDS IN ACTIVITIES UNDER ITS SECONDARY PURPOSES (PLEASE SPECIFY!)

DATE OF BOARD RESOLUTION

.. nja

DATE OF MEMBERS' RATIFICATION

3.1 none

. 3.2

3.3

3.4

3.5

T4. FUND BALANCE ifin 49: 39,068.604,536.00 (Member's Equity)

5. SECONDARY LICE . '/REGI RATION/AUTHORITY/ACCREDITATION 0'111F.R GOVERNMENT AGENCY: ..

5.1 NAME OF AGENCY: RANGROSENTWAL

NG PILIPINAS INSURANCE DEPARTMENT Of

COMMISMON EDUCATION

COMMISSION Oh

HIGHER

EDUCATION

TEctPARAL IOWA -DEMAND Dolts DIVO_urNahl

ornooarrr

DEPARTMENT Of SOCIAL WELFARE AND DEVELOPMENT

5.2 DATE ISSUED: lanuary I, 201'1 ivabd until Dv,

St. 1021) ,

5,3 DATE STARTED OPERATIONS:

i

Nov ZS. MO

6.TOTAL ANNUAL COMPENSATION OF DIRECTORS/TRUSTEES DURING THE PRECEDING

,FISCAL YEAR (iit Pirpl_

26,11-45-4

Ati ,

7. TOTAL NO. OF OFFICERS: 63; Senior Personnel (ANI,SM): 120: Supenlsors:

.. 126

-- 309 —

8. TOTAL NO. OF RANK & FILE EMPLOYEES

9, TOTAL MANPOWER

COMPLEMENT

788 .............._....., ( 479 ,

NOTE: USE ADDITIONAL SHEET IF NECESSARY

rav.- NON-STOCK 1v20181 Page4

BENEFICIAL OWNERSHIP DECLARATION A. Natural person who ultimately owns or controls the corporation:

-s COM PI.F.TE NAME

(Surname. Given, Name MiddIe NRITIR

Name Extension 11.e 2 11 . Sr 1;111 SPECIFIC RESIOENTIALADDRESS

...—

—I NATIONALITY

TAX

1DEPMFICATION

NO. ,

N/A N/A N/A N/A

,

, B. Nobmal person who exercises ultmate effective control[11 over the corporation:

COMPLETE NAME (Surname Goren Name. Middle Name.

Name Extension II e , Ir . Sr.. III 1] ,

SPECIFIC RUDENTIAL ADDRESS NATIONALITY

w

TAX

IDENTIFICATION

NO.

N/A N/A N/A N/A

w

CORPORATE corfnuatrums

ULTIMATE BENEFICIAL OWNER (3)

CORPORATE NAME

AND (IIistNIFss/TRADE

NAME

COMPLETE NAM L

(Surname. Given Name. Middle Name. Name F.xtensionl i.e.. Ir..

Sr.. 111I)

SPECIFIC RESIDENTIAL ADDRESS

I

NATIONALITY

N/A ,

--

TAX

IDENTIFICATION NO.

N/A N

N/A N/A N/A

'

■ -

DONORS:

A. PARTNERSHIPS

ULTIMATE BENEFICIAL OWNERI41

PARTNERSHIP NAME

,

COMPLETE NAME (Surname,

Given Name Middle Name.

N June ExtensimilLe. Ir,, Sr.

SPECIFIC RES.IDENTIALADDRESS NATIONAL1Ti

TAX 1 IDENTIFICATION

NO

N/A N/A N/A N/A N/A

, .

it num

ULTIMATE BENEFICIAL OWNER151

NAME COMPLETE NAME (Surname,

Given Name, Middle Name Name Extensionli.e.. Ir..Sr.,

SPECIFIC RESIDENTIAL ADDRIM NATIONALITY TAX

IDENTIFICATION NO

4 N/A

.. N/A N/A

_ e

N/A NIA

1

Refer to the definition of ultimate effective control . as may be applicable, under Secitort Z.Z of SEC Memorandum Cimutar No 17. series of 2O1a

/ndica le the intermedInte layers of Uhe company's ownership structure. if any, in a spoon te sheet and attach an ownership chart dearly

twins the intermediate *en with !heir re%per.t1Ve ownership amounts,

Refer to the definttion 01 beneneal Miler underSectmmi LI and 22. of SEC Memorandum Circular No 17 series of 261$

Refei,. to the naturol person who atitIVIICIV Owri5 or controls the pareumhap or who EteraSes effective control over the partners-hie

Identity of the perms whit control the mast and make the uwestmens decisions, mutt beneficiaries and the trustee and inahvithiais who furnish

uls into the trust_

GIS.NON-STOCK (v.20 IP) Page 5

I, RENATO S. DE JESUS, Corporate Secretary of THE INSULAR LIFE ASSURANCE COMPANY, LTD. declare

under penalty of perjury that all matters set forth in this GIS have been duly verified by file and to the best

of my knowledge and belief are true and correct.

By indicating herein the personal information of the incorporators, members, trustees, oft -Icel.-3.

donors/contributors, beneficial owners, external auditor, notary public and their agents, I attest that the

aforementioned persons authorize the SEC to, (1) collect, process and store their personal information

through the CIS forms and related documents, fur the period allowed under the applicable laws and

regulations. and (2) share with and make available the GIS to interested parties in order to pursue lawful

purposes and legitimate interesm, and comply with legal mandate.

I also arrest that the company and the aforemennoned persons authorized the undersigned to file this CdS

with SEC, and the information provided herein are true, accurate, timely and complete.

I further attest that they are aware ot their rights under the Data Privacy Act, Including the right to he

informed, to access, to object, to erasure or blocking, to damages, to file a complaint, to rectify and to data

portability, and understand that there are procedures, conditions and exceptions to he complied with in

order to exercise or invoke such rights.

likewise understand that the failure of the corporation to file this GIS for five (5) consecutive years shall be

construed as non-operation of the corporation and a ground for the revocation of the corporations'

certificate of incorporation in this eventuality, the corporation hereby waives its right to hearing for the

said revocation.

"-r Done this day 011" • 2019 in

REN 0 II. DEISU

(Signatu over pri e namel

r.1 3 JUN NS, SUBSCRIBED AND SWORN TO hefore me in Muntinlupa City on by affiant who

personally appeared before me and exhibited to me his/her competent evidence of identity consisting of

Passport No. F01443125A issued at Manila on September 3, 2016.

Dec. No. 472 ; Page No clip ,

Book No. q56/, Series of 20Ttr.

N0'CLI:1Z-QARY PURL!

WAWA ROWENA F.14/10,.. Notary Pubilc to* Paula. Cityr ontil 12/3120174 AppoIrtment No. 18-021 / Wolof Alton...LI to 47547

iep No. QS4OI 14 DeC 2018 PPLM P TR No 3783429 i 10 Jan 2t1/Muntinlusa City E F iniwfor Life Corporate GenliVf. Ingular rff.

F i„;r, rem; UtorT.. City, to4barre, 1731 gorill,1 ■ Jp1 kaw

Gi8_NON-STOCKIV.2018)

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