GOVERNMENT CORPORATION INFORMATION SHEET (GCIS)
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1 GOVERNMENT CORPORATION INFORMATION SHEET (GCIS) FOR THE YEAR 2013 GENERAL INSTRUCTIONS: 1. FOR GOVERNMENT CORPORATION: THIS GCIS SHOULD BE SUBMITTED WITHIN THIRTY (30) CALENDAR DAYS FROM THE DATE OF RELEASE OF MEMORANDUM CIRCULAR NO. 3 AND SUBSEQUENTLY THEREAFTER, 30 DAYS FROM THE DATE OF THE STOCKHOLDERS' MEETING. DO NOT LEAVE ANY ITEM BLANK. WRITE "N.A." IF THE INFORMATION REQUIRED IS NOT APPLICABLE TO THE GOVERNMENT CORPORATION OR "NONE" IF THE INFORMATION IS NON-EXISTENT. 2. IF NO MEETING IS HELD, THE CORPORATION SHALL SUBMIT THE GCIS TOGETHER WITH AN AFFIDAVIT OF NON-HOLDING OF MEETING WITHIN THIRTY (30) CALENDAR DAYS FROM THE DATE OF THE SCHEDULED ANNUAL MEETING (AS PROVIDED IN THE BY-LAWS). HOWEVER, SHOULD AN ANNUAL STOCKHOLDERS' MEETING BE HELD THEREAFTER, A NEW GCIS SHALL BE SUBMITTED/FILED. 3. THIS GCIS SHALL BE ACCOMPLISHED IN ENGLISH AND CERTIFIED AND SWORN TO BY THE CORPORATE SECRETARY OF THE GOVERNMENT CORPORATION. 4. THE GCG SHOULD BE TIMELY APPRISED OF RELEVANT CHANGES IN THE SUBMITTED INFORMATION AS THEY ARISE. FOR CHANGES RESULTING FROM ACTIONS THAT AROSE BETWEEN THE ANNUAL MEETINGS, THE GOVERNMENT CORPORATION SHALL SUBMIT ONLY THE AFFECTED PAGE OF THE GCIS THAT RELATES TO THE NEW INFORMATION TOGETHER WITH A COVER LETTER SIGNED BY THE CORPORATE SECRETARY OF THE GOVERNMENT CORPORATION. THE PAGE OF THE GCIS AND COVER LETTER SHALL BE SUBMITTED WITHIN SEVEN (7) DAYS AFTER SUCH CHANGE OCCURRED OR BECAME EFFECTIVE. 5. SUBMIT A SOFT COPY IN EXCEL FORMAT SAVED IN A NON-REWRITABLE CD THE GCIS TO THE GCG SECRETARIAT, ROOM 479 MABINI HALL, MALACANANG COMPOUND. 6. ONLY THE GCIS ACCOMPLISHED IN ACCORDANCE WITH THESE INSTRUCTIONS SHALL BE CONSIDERED AS HAVING BEEN FILED. 7. THIS GCIS MAY BE USED AS EVIDENCE AGAINST THE GOVERNMENT CORPORATION AND ITS RESPONSIBLE DIRECTORS/OFFICERS FOR ANY VIOLATION OF EXISTING LAWS, RULES AND REGULATIONS ================================ PLEASE PRINT LEGIBLY ===================================== GOVERNMENT CORPORATION NAME: DATE CREATED: NATIONAL IRRIGATION ADMINISTRATION SECONDARY NAME, IF ANY. N.A. 22-Jun-63 CHARTER, IF ANY. REPUBLIC ACT NO FISCAL YEAR END: 2013 DATE OF ANNUAL MEETING PER BY-LAWS: N.A. CORPORATE TAX IDENTIFICATION NUMBER (TIN): ACTUAL DATE OF ANNUAL MEETING: N.A. COMPLETE PRINCIPAL OFFICE ADDRESS: NIA BLDG., EDSA, DILIMAN, QUEZON CITY COMPLETE BUSINESS ADDRESS: URL ADDRESS: ADDRESS: [email protected]; nia_boardofdirectors@ yahoo.com NIA BLDG., EDSA, DILIMAN, QUEZON CITY FAX NUMBER: NAME OF EXTERNAL AUDITOR & ITS SIGNING PARTNER: ELENA L. AGUSTIN ATTACHED AGENCY (if applicable): N.A. TELEPHONE NUMBER(S): loc. 108; DL PRIMARY PURPOSE/ACTIVITY/INDUSTRY PRESENTLY ENGAGED IN: GEOGRAPHICAL CODE: To develop and manage water resources for irrigation consistent with the agricultural program of the government ================================ INTERCOMPANY AFFILIATIONS ======================================= PARENT COMPANY ADDRESS SUBSIDIARY/AFFILIATE NIACONSULT, INC. ADDRESS 3/F DCIEC BLDG., NIA COMPOUND EDSA, DILIMAN, Q.C NOTE: USE ADDITIONAL SHEET IF NECESSARY GCIS (v.2012) Page 1
2 GOVERNMENT CORPORATION INFORMATION SHEET ==================================== PLEASE PRINT LEGIBLY ================================== GOVERNMENT CORPORATION NAME: NATIONAL IRRIGATION ADMINISTRATION AUTHORIZED CAPITAL STOCK, if applicable TYPE OF SHARES CAPITAL STRUCTURE NUMBER PAR/STATED VALUE OF SHARES AMOUNT (PhP) (No. of shares X ParlStated CAPITAL STOCK SUBSCRIBED CAPITAL, if applicable NO. OF TYPE OF SHARES FILIPINO STOCK HOLDERS NUMBER OF SHARES NUMBER OF SHARES IN THE HANDS OF THE PUBLIC ** P PAR/STATED VALUE 5,559,191, % OF AMOUNT (PhP) OWNERS HIP NIA lqin..j..!..t~o..:..;ta~l=.l.-_-'t~o~t..:...a.:::l~p-'-... l PAID-UP CAPITAL, if applicable FILIPINO NO. OF STOCK- HOLDERS TYPE OF SHARES NUMBER OF SHARES PAR/STATED VALUE AMOUNT (PhP) % OF OWNERS HIP NIA :QIALL-...I... T:...:O::..T:..:.A.:::L'-- :P~ _I ci NOTE: USE ADDITIONAL SHEET IF NECESSARY ocis (v.2012) Page 2
3 GOVERNMENT CORPORATION INFORMATION SHEET NATIONAL IRRIGATION ADMINISTRATION NAME, NATIONALITY AND CURRENT OFFICE PRESIDENTIAL APPOINTEE BOARD D I R E C T O R S / O F F I C E R S STOCK HOLDER EX- Officio EXEC. COMM. TAX IDENTIFICATION NO. (TIN) COMPENSATION PACKAGE/YR DESIGNATION TO OTHER BOARDS OF AFFILIATES/SUBSIDIARIES 1. Proceso J. Alcala, Filipino Y C N Y NONE NONE NONE Secretary, Department of Agriculture Alternate: Antonio A. Fleta NONE 2. Claro V. Maranan, Filipino Y VC N N NONE NONE NONE Administrator, National Irrigation Administration 3. Ma. Gladys Cruz-Sta. Rita, Filipino Y M N Y A / M NONE NONE President, National Power Corporation Alternate: Maria Romualdo T. Beltran BBSC / M BHDC / M 4. Rolegio L. Singson, Filipino Y M N Y NONE NONE Secretary, Department of Public Works & Highways Alternate: Romeo S. Momo BBSC / M BHDC / M 5. Arsenio M. Balisacan, Filipino Y M N Y NONE NONE Director General, National Economic Development Authority Alternate: Rolando G. Tungpalan A/M BHDC / VC 6. Ismael D. Tabije, Filipino Y M N N A/C Per EO#24 NONE Private Sector Representative, Rice & Corn Sector BBSC / C P360, per diem BHDC / C (P15,000.00/meeting) Note: 1. BBSC - Board BAC Screening Committee; BHDC - Board Hydropower Development Committee 2. All EX-Officio Members are allowed reimbursements as per Executive Order No.24, but since the issuance of the said EO, no reimbursement claim by any of the EX-Office Members. 3. Per Diems for Committee Meetings of the Private Sector as Chairman of the said committee is based on Section 10 of EO#24 - Per Diems for Committee Meetings. P216, committee meeting (P9,000.00/committee meeting) GCIS (v.2012) Page 3
4 GOVERNMENT CORPORATION INFORMATION SHEET NATIONAL IRRIGATION ADMINISTRATION BOARD COMMITTEES FUNCTION COMPOSITION A. Board BAC Screening - Committee that will do prior HON. ISMAEL D. TABIJE Committee review and recommendation of Chairman all procurement related Private Sector Representative documents needing approval by the NIA Board. HON. MA. GLADYS CRUZ-STA. RITA NPC / Member Rep: Engr. Romualdo T. Beltran HON. ROGELIO L. SINGSON DPWH / Member Rep: Hon. Romeo S. Momo Rep: Engr. Antonio V. Sobreviñas B. Board Audit Committee - Committee to oversee the HON. ISMAEL D. TABIJE (AudiCom) functions of the NIA Internal Chairman Audit Services (IAS) Private Sector Representative HON. MA. GLADYS CRUZ-STA. RITA NPC / Member Rep: Engr. Romualdo T. Beltran HON. ARSENIO M. BALISACAN Member Rep: Hon. Rolando G. Tungpalan C. Board Committee on - Committee that will do prior HON. ISMAEL D. TABIJE Mini-Hydropower Projects review of all mini-hydropower Chairman proposals needing approval by Private Sector Representative the NIA Board. HON. ARSENIO M. BALISACAN Vice Chairman Rep: Hon. Rolando G. Tungpalan HON. ROGELIO L. SINGSON Member Rep: Hon. Romeo S. Momo HON. MA. GLADYS CRUZ-STA. RITA NPC / Member Rep: Engr. Romualdo T. Beltran GCIS (v.2012) Page 4
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6 - GOVERNMENTCORPORATION INFORMATIONSHEET ================================ PLEASE PRINT LEGIBLY ================================ GOVERNMENT CORPORATION NAME: NUMBER OF STOCKHOLDERS: ASSETS BASED ON LATEST AUDITED FINANCIAL STATEMENTS: STOCKHOLDER'S INFORMATION SHARES SUBSCRIBED NAME, NATIONALITY, IF APPLICABLE %OF AND AMOUNT TYPE NUMBER OWNER- CURRENT ADDRESS (PhP) SHIP AMOUNT PAID TAX IDENTIFICATION (PhP), IF NO. (TIN) FOR APPLICABLE FILIPINOS AMOUNT OF SUBSCRIBED CAPITAL AMOUNT OF PAID-UP CAPITAL INSTRUCTION:SPECIFY THE TOP 20 STOCKHOLDERSAND INDICATE THE REST AS OTHERS Note: For PD TC Nominee included in the list, please indicate further the beneficial owners owning more than 5% of any class of the company's voting securities. Attach separate sheet, if necessary. ccis (v.2012) Page 6
7 GOVERNMENT CORPORATION INFORMATION SHEET ==================================== PLEASE PRINT LEGIBLY ================================== CORPORATE NAME: NUMBER OF STOCKHOLDERS: ASSETS BASED ON LATEST AUDITED FS: STOCKHOLDER'S INFORMATION SHARES SUBSCRIBED NAME, NATIONALITY, IF APPLICABLE AND 70 ur AMOUNT PAID TAX IDENTIFICATIOr AMOUNT CURRENT ADDRESS TYPE NUMBER OWNER (PhP) NO. (TIN) (PhP) C::l-D AMOUNT OF SUBSCRIBED CAPITAL AMOUNT OF PAID-UP CAPITAL INSTRUCTION: SPECIFY THE TOP 20 STOCKHOLDERS AND INDICATE THE REST AS OTHERS ccrs (v.2012) Page 7
8 CORPORATE NAME: NUMBER OF STOCKHOLDER ASSETS BASED ON LATEST AUDITED FS: GOVERNMENT CORPORATION INFORMATION SHEET ==================================== PLEASE PRINT LEGIBLY ================================== STOCKHOLDER'S INFORMATION SHARES SUBSCRIBED NAME, NATIONALITY AND '10 UI- AMOUNT PAID TAX IDENTIFICATION AMOUNT CURRENT RESIDENTIAL ADDRESS TYPE NUMBER OWNER (PhP) NO. (TIN) (PhP) _S!:j_[E_ OTHERS (Indicate the number of "..,,,, AMOUNT OF SUBSCRIBED CAPITAL AMOUNT OF PAID-UP CAPITAL INSTRUCTION: SPECIFY THE TOP 20 STOCKHOLDERS AND INDICATE THE REST AS OTHERS ccrs (v.2012) Page 8
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11 GOVERNMENT CORPORATION INFORMATION SHEET =================== PLEASE PRINT LEGIBLY ===================== GOVERNMENT CORPORATION NAME: NATIONAL IRRIGATION ADMINISTRATION INCOME STATEMENT For the year: 2013 I Amount INCOME Business and Service Income 1,554,562, Gains and Premiums Others 3,669,521, Total Income 5,224,084, Less: Share of National Government 1,178,775, Income After Share of National Government 4,045,309, EXPENSES Business Expenses Personal Services 1,598,059, Maintenance and Other Operating Expenses 1,574,003, Financial Expenses Others 933,286, Total Expenses 4,105,350, Net Income (Loss) Before Subsidy (60,040,909.42) Subsidy Income Net Income (Loss) Before Tax (60,040,909.42) Income Tax Expense Net Income (Loss) After Tax (60,040,909.42), - ccis (v.2012) Page 11
12 GOVERNMENT CORPORATION INFORMATION SHEET =================== PLEASE PRINT LEGIBLY ===================== GOVERNMENT CORPORATION NAME: NATIONAL IRRIGATION ADMINISTRATION CASH FLOW STATEMENT For the year: 2013 CASH FLOW FROM OPERATING ACTIVITIES Amount Cash Inflows 6,532,140, Cash Outflows 4,469,389, Net Cash Provided By (Used in) Operating Actitives 2,062,750, CASH FLOWS FROM INVESTING ACTIVITIES Cash Inflows 371, Cash Outflows 1,480,762, Net Cash Provided By (Used In) Investing Activities (1,480,391,368.60) CASH FLOWS FROM FINANCING ACTIVITIES Cash Inflows - Cash Outflows - Net Cash Provided By (Used In) Financing Activities - Net Increase (Decrease) in Cash and Cash Equivalents 582,359, Effects of Exchange Rate Changes on Cash and Cash Equivalents - Cash and Cash Equivalents, Beginning of Period 2,163,804, ccrs (v,2012) Page 12
13 GOVERNMENT CORPORATION INFORMATION SHEET ========================= PLEASE PRINT LEGIBLY ============================= GOVERNMENT CORPORATION NAME: NATIONAL IRRIGATION ADMINISTRATION For the year: 2013 CASH AND INVESTMENT BALANCE REPORT I t:km (No. of AMOUNT Days) RA TE (Per Annum) DATE I. Cash on Hand 113,622, Issue Maturity. Cash in Banks 2,632,541, I. Net Depositswith BTr IV. Special Series (Treasury Bills) with Bangko ~enlral ucenmy tnose under trust agreements) V. Special Series Placements with BTr (Identify those under trust agreements VI. Investments in Other Securities 56,276,662, V. Others Gels (v.2012) Page 13
14 GOVERNMENT CORPORATION INFORMATION SHEET ============================ PLEASE PRINT LEGIBLY ========================== GOVERNMENT CORPORATION NAME: NATIONAL IRRIGATION ADMINISTRATION BALANCE SHEET (For the year: 2013) LIABILITIES Trade and Non-Trade Payables Current Portion of Long-term Debt Deposit Liabilities Currency in Circulation Securities sold under agreements to repurchase Current Liabilities of Water Districts Others Total Current Liabilities 1,540,088,686,34 71,753,401,441,95 73,293,490,128,29 ccis (v,2012)
15 ccis (v.2012) GOVERNMENT CORPORATION INFORMATION SHEET =========================== PLEASE PRINT LEGIBLY ========================= IGOVERNMENT CORPORATION NAME: NATIONAL IRRIGATION ADMINISTRATION NET OPERATING INCOME Schedule 1A Accounts receivable- national government Clients deposit Collection from advances on insured receivables Collection of loans receivables Collection of pari-passu payables Collection of receivables -- clients Collection of receivables-- employees/others Collection of receivables -- clients, employees, others Collection of Sales Contract Receivable Dividend Income Foreign Exchange gains Gain on sale of Investment Interest and penalties interest on investments and deposits Lease income (office space) Lease income from acquired assets Lease payment receivable-- car plan Miscellaneousdeposit Misc inc-- service charge Payable to clients/employees/govetagencies Payable to clients/employees/ others Redemption of agrarian reform bonds Reinsuranceclaims -- ECI Reinsurance premium -- Trust liabilities Sale of transportation of equipment Sale of unserviceableequipment Amount Add: (other Receipts) Total: : -
16 GOVERNMENT CORPORATION INFORMATION SHEET PLEASE PRINT LEGIBLY ===================== GOVERNMENT CORPORATION NAME: NATIONAL IRRIGATION ADMINISTRATION For the year: 2013 Net Operating Income Sale of Acquired Assets Collection of Advances on Guaranteed Loans Advances on Guaranteed Loans Capital Expenditures Dividend Payments CASH SURPLUS/DEFICIT - Operating Receipts Sale of goodslservices Income from commitment and gtee fee Filing, processing & amendment fees Interest Income -- Direct lending Insurance Premium Fund Arrangement Fees Add: (Other receipts) : Current Subsidies: Other receipts: (Schedule 1A) Total Receipts: Less: Interest and Financial Charges Final Withholding Tax Prior period expenses Other current expenditures Total: - Page 16
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