XX XXXXXXX XXXXXXX xxe undersigned, being the sole trustee of the Trust, has executed this Certificate of Trust as of the date first above written. Wilmington Trust Company, not in its individual capacity but solely as owner trustee under a Trust Agreement dated as of October 21, 2004 By: ----------------------------- Name: Title: EXHIBIT C [FORM OF RULE 144A INVESTMENT REPRESENTATION] Description of Rule 144A Securities, including numbers: --------------------------------------------- --------------------------------------------- --------------------------------------------- --------------------------------------------- The undersigned seller, as registered holder (the "Seller"), intends to transfer the Rule 144A Securities described above to the undersigned buyer (the "Buyer").
Xxxxxxx X Xxxxxx ________________________________________ _______________________________________________
Xxxxxxxx, X X. Xxxxxx, as Trustee .................. 00 Xxxxx Xxxxxx, Xxxxxx, Xxxxxxxxxxxxx 00000
Xxxxxxxxx, X Xxxxxxx Chairman & CEO Barangay Bagumbayan Paracale, Camarines Norte Tel No. 0000-000-0000/000-0000 Email: xxxxxxxxx_xxxx@xxxxx.xxx November 4, 2008 November 3, 2033 Paracale, Camarines Norte Gold, Copper 173.9329 MPSA 273-2008-V Orophil Stonecraft, Inc. Xx. 0 Xxxxxxx Xxxx Xxx Xxxxxx, Xxxxxx Xxxx November 26, 2008 November 25, 2033 Baao, Camarines Sur Perlite 141.1418 MPSA 279-2009-V Xxxxxxxx X. Xxxxx, Et. Al. c/o Xx. Xxxxxxxx X. Abaño Xxxxx Xxxxxxx Xxxxx Xxxxxx & Xxxxxxx Law Offices Suite 1515 Tektite East Tower Phil Exchange Center Building Exchange Road, Ortigas Center Pasay City Tel No. (000) 000-0000 0000-000-0000 April 8, 2009 April 7, 2034 Bula, Camarines Sur Gypsum 171.6511 MINERAL AGREEMENT NUMBER CONTRACTOR DATE GRANTED DATE EXPIRY LOCATION MINERAL COMMODITY AREA (Has.) MPSA 297-2009-V Guo Long Mining Corp. Xxx Xxxx President Xxxx Xxxxxxxx, Paracale Camarines Norte November 16, 2009 November 15, 2034 Xxxx Xxxxxxxxxx, Camarines Norte Gold, Iron, etc 595.6522 MPSA 306-2009-V Pargum Consolidated Corporation Xxxxxx X. Xxxxxx President 7th Floor, Corporate Business Center 000 Xxxxx Xx Xxxxx xxxxxx Xxxxxx Xxxxxx Xxxxxx Xxxx Tel No.: 000-00-00 000-00-00 Fax No.: 000-00-00 000-00-00 December 23, 2009 December 22, 2034 Xxxx Xxxxxxxxxx, and Paracale, Camarines Norte Gold, etc. 476.6808 MPSA 329-2010-V Filminera Resources Corp March 23, 2010 March 22, 2035 Aroroy, Masbate Gold,etc 584.2034 MPSA 334-2010-V East Environ, Incorporated Xxxxxxxx X. Tolentino Unit J Primrose Building Rose Avenue, Xxxxx Village Las Piñas City May 27, 2010 May 27, 2035 Baao, Camarines Sur Perlite 62.1904 MPSA 300-2009-V Yinlu Bicol Mining Corporation Xxx Xxxx President Xxxx Xxxxxxxx, Paracale Camarines Norte November 24, 2009 November 23, 2034 Paracale & Xxxx Xxxxxxxxxx, Camarines Norte Iron, gold, etc. 663.0746 MINERAL AGREEMENT NUMBER CONTRACTOR DATE GRANTED DATE EXPIRY LOCATION MINERAL COMMODITY AREA (Has.) MPSA 308-2009-V MPSA UNDER REVIEW BY THE DENR Heirs of Xxxxxxx Xxxxxxxx: XXXX. XXXXXXXX X. XXXXX Suite 2104 B, East Tower Philippine Stock Exchange Center Bldg. Eschange Road, Ortigas Center Pasig City XXXXXXX X. XXXXXXXX Unit 2002 B, West Park Alder Condominium Northgate Filinvest Corporate City, Alabang Muntinlupa City XXXXXXX X. XXXXXXXX 0-X Xxxxx Xxxxxx, San Antonio San Francisco Del Monte Quezon City NOTE : MPSA UNDER REVIEW BY THE OSEC December 18, 2009 December 17, 2034 Xxxx Xxxxxxxxxx, Camarines Norte Iron, gold, etc. 153.7478
Sxxxxxxx-Xxxxx The Company is, or on the Closing Date will be, in material compliance with the provisions of the Sxxxxxxx-Xxxxx Act of 2002, as amended, and the rules and regulations promulgated thereunder and related or similar rules or regulations promulgated by any governmental or self-regulatory entity or agency, that are applicable to it as of the date hereof.
Xxx Xxxxxxxx Bats Throws The content below should be filled out by a notary. State County I, , a Notary Public for said County and State, do hereby certify that personally appeared before me this day and acknowledged the due execution of the foregoing instrument. Witness my hand and official seal, this the day of , 20 [ SEAL ] Notary Public My commission expires It is strongly recommended that this form be notarized. Most hospitals require consent form to be notarized. 1086115_1 Send copy to Department Baseball chairman. Team manager shall retain original.
xxx/xxxxxxxxx At the end of this document is a list of United States Code citations for the FCRA. Other information about user duties is also available at the Bureau’s website. Users must consult the relevant provisions of the FCRA for details about their obligations under the FCRA. The first section of this summary sets forth the responsibilities imposed by the FCRA on all users of consumer reports. The subsequent sections discuss the duties of users of reports that contain specific types of information, or that are used for certain purposes, and the legal consequences of violations. If you are a furnisher of information to a consumer reporting agency (CRA), you have additional obligations and will receive a separate notice from the CRA describing your duties as a furnisher.
Xxx Xxxxxxx If the Parties do not agree on an Adjudicator the Adjudicator will be appointed by the Arbitration Foundation of Southern Africa (AFSA).
Xxxx Xxxxxxxx Purchase Order and Sales Contact Email Please enter a valid email address that will definitely reach the Purchase Order and Sales Contact. 2 xxxxx@xxxxxxxxx-xxxxxxxxxxxx.xxx Purchase Order and Sales Contact Phone Numbers only, no symbols or spaces (Ex. 8668398477). The system will auto-populate your entry with commas once submitted which is appropriate and expected (Ex. 8,668,398,477). 2 3 8175046801 Company Website Company Website (Format - xxx.xxxxxxx.xxx) 4 xxx.xxxxxxxxx-xxxxxxxxxxxx.xxx Entity D/B/A's and Assumed Names You must confirm that you are responding to this solicitation under your legal entity name. Go now to your Supplier Profile in this eBid System and confirm that your profile reflects your "Legal Name" as it is listed on your W9. In this question, please identify all of your entity's assumed names and D/B/A's. Please note that you will be identified publicly by the Legal Name under which you respond to this solicitation unless you organize otherwise with TIPS after award. 5 M&R Roofing and Construction Company, LLC Primary Address Primary Address 2 6 000 Xxxxxxx Xxxxx Primary Address City Primary Address City 7 Weatherford Primary Address State Primary Address State (2 Digit Abbreviation) 2 8 TX Primary Address Zip Primary Address Zip 9 76087 Search Words Identifying Vendor Please list all search words and phrases to be included in the TIPS database related to your entity. Do not list words which are not associated with the bid category/scope (See bid title for general scope). This will help users find you through the TIPS website search function. You may include product names, manufacturers, specialized services, and other words associated with the scope of this solicitation.
Xxxx Xxxxxxxxx Secondary Contact Title Secondary Contact Title CEO Secondary Contact Email Please enter a valid email address that will definitely reach the Secondary Contact. Xxxx.Xxxxxxxxx@xxxxxxxxxxxxx.xxx Secondary Contact Phone Numbers only, no symbols or spaces (Ex. 8668398477). The system will auto-populate your entry with commas once submitted which is appropriate and expected (Ex. 8,668,398,477). Please provide the accurate and current phone number where the individual who will be secondarily responsible for all TIPS matters and inquiries for the duration of the contract can be reached directly. 0000000000 Secondary Contact Fax Numbers only, no symbols or spaces (Ex. 8668398477). The system will auto-populate your entry with commas once submitted which is appropriate and expected (Ex. 8,668,398,477). No response Secondary Contact Mobile Numbers only, no symbols or spaces (Ex. 8668398477). The system will auto-populate your entry with commas once submitted which is appropriate and expected (Ex. 8,668,398,477). 1 No response Administration Fee Contact Name Please identify the individual who will be responsible for all payment, accounting, and other matters related to Vendor's TIPS Administration Fee due to TIPS for the duration of the contract. Xxxx Xxxxxx Administration Fee Contact Email Please enter a valid email address that will definitely reach the Administration Fee Contact. 9 Xxxx.xxxxxx@xxxxxxxxxxxxx.xxx Administration Fee Contact Phone Numbers only, no symbols or spaces (Ex. 8668398477). The system will auto-populate your entry with commas once submitted which is appropriate and expected (Ex. 8,668,398,477). 2 0 4327413101
