This document provides information about the stockholders, directors, and officers of Tierone Communications International Inc. It lists 6 individuals and 1 company that hold those roles. For each entry it provides their name, nationality, role on the board of directors or as an officer, type and number of shares held, amount subscribed and paid up, and period. The certified officer confirms the information is correct. The document also provides instructions for how to fill out the various columns in the form.
This document provides information about the stockholders, directors, and officers of Tierone Communications International Inc. It lists 6 individuals and 1 company that hold those roles. For each entry it provides their name, nationality, role on the board of directors or as an officer, type and number of shares held, amount subscribed and paid up, and period. The certified officer confirms the information is correct. The document also provides instructions for how to fill out the various columns in the form.
This document provides information about the stockholders, directors, and officers of Tierone Communications International Inc. It lists 6 individuals and 1 company that hold those roles. For each entry it provides their name, nationality, role on the board of directors or as an officer, type and number of shares held, amount subscribed and paid up, and period. The certified officer confirms the information is correct. The document also provides instructions for how to fill out the various columns in the form.
This document provides information about the stockholders, directors, and officers of Tierone Communications International Inc. It lists 6 individuals and 1 company that hold those roles. For each entry it provides their name, nationality, role on the board of directors or as an officer, type and number of shares held, amount subscribed and paid up, and period. The certified officer confirms the information is correct. The document also provides instructions for how to fill out the various columns in the form.
STOCKHOLDERS / DIRECTORS / OFFICERS INFORMATION (FOR DOMESTIC COMPANIES ONLY)
SEC NUMBER /_D__
/_1_/_9_/_9_/_9_/_0_/_1_/_1_/_5_/_2_/ /___/___/___/___/___/___/ TRANSACTION DATE
FILL UP INSTRUCTIONS: Type or print leginly. Light shaded boxes are to be filled up by SEC. COMPANY NAME TIERONE COMMUNICATIONS INTERNATIONAL INC. (formerly 3G COMMUNICATIONS INTERNATIONAL INC.) STOCKHOLDERS/DIRECTORS/OFFICERS (Use additional sheets, if necessary. Fill up one line per relationship.) NAME (MM/DD/YYYY) RELN SEC NO. / NAT'L RELATIONSHIP SHR SHR NO. OF AMOUNT SUBSCRIBED (Company Name, if company) NATIONALITY PERIOD START STATUS BITRTHDATE CODE CODE TYPE SHARES (Last Name, First Name, MI, Maiden Surname, if person) BRD INC'R OFR PAID-UP CAPITAL PERIOD END 100,000.00 08/01/2016 E JUSTINO A. CABAZARES JR. Filipino C S N COMMON 1,000 6/26/1949 25,000.00 7,363,200.00 08/01/2016 E JONATHON B. STEVENS Australian M S PRE COMMON 73,632 8/20/1954 2,620,000.00 8,223,200.00 08/01/2016 E LESLIE F. STEVENS Filipino M S CFO COMMON 82,232 12/17/1985 2,055,800.00 100,000.00 08/01/2016 E MARIA LUZ C. ANTIGA Filipino M S COS COMMON 1,000 8/29/1958 25,000.00 50,000.00 08/01/2016 E RICHARD J. STEVENS Australian M S N COMMON 500 9/5/1982 50,000.00 925,200.00 02/01/2017 N LELAND R. WARNER Australian N S N COMMON 9,252 7/14/1943 925,200.00 40,406,400.00 12/01/2016 N BENTLEY HOUSE INTERNATIONAL CORP. Filipino N S N COMMON 404,064 A199600569 10,101,600.00
(Signature over printed name) DATE: __________________________________________
PROCESSING ATTORNEY PROCESSING EXAMINER DATA CONTROL CLERK: DATA ENCODER:
DATE RECEIVED DATE REVIEWED: DATE REVIEWED: DATE ENCODED:
INSTRUCTION FOR FILLING UP THE COLUMNS:
BOARD (BRD) INCORPORATOR (INC'R) OFFICER (OFR) RELATIONSHIP STATUS INDICATOR: INDICATOR: INDICATOR: A - NEW IF THE NAME HAS NOT PREVIOUSLY BEEN SUBMITTED TO THE SEC C - CHAIRMAN I - INCORPORATOR PRE - PRESIDENT LEG - LEGAL COUNSEL E - EXISTING, IF THE NAME HAS PREVIOUSLY BEEN SUBMITTED TO THE SEC M - MEMBER S - STOCKHOLDER CEO - CHIEF EXECUTIVE OFFICER AUD - EXTERNAL AUDITOR D - IF THE NAME SHOULD NOT HAVE BEEN SET-UP N - NIETHER N - NOT APPLICABLE CFO - TREASURER GOV - GOVERNMENT OFFICIAL COO - CHIEF OPERATION OFFICER SLS - OTHERS COS - CORPORATE SECRETARY OTH - OTHERS N - NONE
