Debt-to-Equity Conversion Revised PDF

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ADDITIONAL LISTING APPLICATION

Checklist of Documentary Requirements


(to be submitted in 2 hard copies and soft copy)*

DEBT-TO-EQUITY CONVERSION

NAME OF APPLICANT COMPANY: ____________________________________

DATE
SUBMITTED

REQUIREMENTS
1. Duly accomplished set of listing application (Application for Listing of
Stocks, Agreement with Registrar or Transfer Agent, and Distribution of
Capital Stock of Corporation to its Stockholders). PSE forms should not be
retyped.
2. SEC certified true copy of the Articles of Incorporation and By-Laws and,
when applicable, Certificate of Increase in Authorized Capital Stock.
3. Copy of the SEC Form 10-1: Notice of / Application for Confirmation of
Exempt Transaction duly received by the SEC. A copy of the SEC
Confirmation of Exempt Transaction, or any relevant SEC certification/
resolution, must be submitted to the PSE at least one week prior to the
presentation of the application to the PSE Board of Directors.
4. Banks should submit a copy of their letter to the BSP informing the latter of
the Debt-to-Equity Conversion and the certified true copy of BSPs letter
informing them of the formal action taken by BSP.
5. Sworn Corporate Secretarys Certification on the approval by the board of
directors and, when applicable, by the stockholders of the issuance of
additional shares to cover the debt-to-equity conversion transaction.
6. Copy of the signed Debt-to-Equity Conversion Agreement.
7. Financial Statements used in the valuation of the debt-to-equity conversion
transaction.
8. Sworn Corporate Secretarys Certification on the basis and valuation of the
shares covered by the conversion duly approved by the board of directors
and, when applicable, by the stockholders.
9. Fairness Opinion, issued by an independent Firm, covering the valuation of
the transaction subject of the listing application, in accordance with the PSE
Guidelines for Fairness Opinions and Valuation Reports. The said Fairness
Opinion must be supported by:
a) Valuation report(s)
b) Sworn certification issued by the applicant companys legal counsel
certifying the Firms independence.
(Note: Refer to PSE Memorandum No. 2011-0104 dated March 9, 2011
regarding the Guidelines for Fairness Opinions and Valuation Reports.)
10. Copy of the loan agreements / promissory notes covering the obligations to
be converted to equity.
DEBT-TO-EQUITY CONVERSION
Checklist of Documentary Requirements 2 of 3

DATE
SUBMITTED

REQUIREMENTS
11. Report on the corporate background of the non-bank creditor(s) which is
(are) a party to the debt-to-equity conversion, including but not limited to the
nature of business, capital structure, ownership structure, key officers and
directors, financial statements, nature of dealings / affiliation with the
applicant company.
12. List of top 20 stockholders before and after the debt-to-equity conversion,
indicating therein their respective number of shares held, percentage of
shareholdings and the amount paid-up.
13. Sworn Corporate Secretarys Certificate on the following:
a) The applicant companys total number of shares issued (indicate of there
are treasury shares);
b) The applicant companys total number of shares outstanding;
c) The amount of subscriptions receivable, if any;
d) The percentage of ownership of Filipino citizens and alien shareholders;
e) The applicant companys total number of stockholders owning at least
one board lot each, and that it has complied with the minimum public
ownership requirement of the Exchange;
f) The total number of holders or recipients of options, if any, showing the
nature, total number of shares, the price, manner of payment, and basis
of grant of such options. If there is none, the applicant company shall
submit a Sworn Undertaking that should the same be granted in the
future, the Exchange and the SEC shall be informed of the details of the
option immediately upon approval by the board of directors;
g) Certified list of officers and members of the applicant companys board of
directors indicating therein the date of the last regular stockholders
meeting when they were elected and the date of any subsequent special
stockholders meeting held; and
h) Certified list of shareholdings and amount paid-up of each of the
applicant companys key officers and directors and their related parties.
(NOTE: The reference of the Certification should be as of month-end
immediately preceding the filing of the listing application.)
14. Sworn Transfer Agents Certification to the effect that, upon the application
for listing, it has no backlog in the transfer and registration of the shares of
the applicant company.
15. Certified list of top 20 stockholders with their respective number of
shareholdings, percentage of ownership, and amount paid-up as of month-
end immediately preceding the filing of the listing application.
16. Background on corporations included in the top 20 stockholders including
but not limited to its nature of business, capital structure, ownership
structure (number of shares subscribed and paid-up) and key officers.
17. Report regarding the dividend declaration history of the applicant company
during each of the three (3) fiscal years immediately preceding the filing of
the listing application, indicating therein the year, rate of dividend, record
date and amount paid, with corresponding details of any waiver of dividend
in such years.
18. For companies which have not filed any application for listing of
additional shares during the two (2) years immediately preceding the
filing of application:
DEBT-TO-EQUITY CONVERSION
Checklist of Documentary Requirements 3 of 3

DATE
SUBMITTED

REQUIREMENTS
a) Comprehensive corporate disclosure on the activities of the applicant
company from the time of initial listing of shares or from the most recent
filing of application for additional listing of shares in the Exchange,
whichever is later, including but not limited to changes in capital
structure, ownership structure, management and control, milestones in
operations, diversification and expansion projects implemented, financial
restructuring and material contracts entered into by the applicant
company in the last two (2) years preceding the filing of the application;
b) Copy of material contracts entered into by the applicant company in the
last two years preceding the filing of the application;
c) Sworn Corporate Secretarys Certification on all pending litigation
involving the applicant company; and
d) Sworn Corporate Secretarys Certification of the involvement, if any, of
the members of the board of directors and executive officers in criminal,
bankruptcy or insolvency investigations or proceedings against them.
19. Clearance from the Disclosure Department of the Exchange to the effect
that the applicant company has complied with all the continuing listing
requirements of the Exchange and from the Finance Department to the
effect that it has dutifully paid all its fees at the time of the listing application.
(NOTE: To be secured by the Listings Department.)
20. Other documents which may be required by the Exchange, including but
not limited to updates on previous documents submitted.

As announced in Memorandum No. 2010-0229 dated May 17, 2010 regarding the revised
procedures for filing of a listing application, the applicant company shall comply with the
following procedures:
1. The applicant company shall submit two (2) printed copies of each required document: one
(1) original copy, or when specified, certified true copy; and one (1) photocopy of each
document. The printed copies must be bound in the order as indicated in the checklist, and
must be properly tabbed.

2. The applicant company shall submit a CD or DVD containing a scanned copy of each
required document in .pdf format. The filename for each .pdf file must clearly indicate the
type of document (e.g., Application for Listing of Stocks, Articles of Incorporation, Background
of Top 20 Stockholders, etc.). The CD or DVD must be properly labeled with the applicant
companys name, type of listing application and date of filing.

3. For an application covering an initial public offering, listing by way of introduction, follow-on
public offering or stock rights offering, the applicant company shall submit a soft copy of the
draft prospectus in MS Word or .doc format.

4. The applicant company shall submit a sworn corporate secretarys certification certifying (i)
that the photocopies submitted are true copies of the original documents; and (ii) that the hard
copies and soft copies are identical.

5. Should the applicant company be required to submit any additional document after the listing
application is officially filed, steps 1 and 2 above shall be observed unless the Exchange
specifies that the soft copy of the additional required document may be submitted through
electronic mail.

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