COVER SHEET

S. E. C. Registration Number

T R I

A S H A R ,

N C O R P O R A T E D

(Companys Full Name)

8 5

T I

N G G A

L A B A C

B A T A N G A S

C I

T Y

(Business Address : No. of Street City / Town / Province)

SEGUNDO G. BINAY
Contact Person

(043) 7220611
Company Telephone Number

Merger
1 2 3 1
FORM TYPE

Month Day Fiscal Year

Month Day Annual Meeting

N/A
Secondary License Type, If Applicable

Dept. Requiring this Doc.

Amended Articles Number/Section Total Amount of Borrowings

5
Total No. of Stockholders

N/A
Domestic Foreign

N/A

------------------------------------------------------------------------------------------------------------To be accomplished by SEC Personnel concerned

File Number

LCU

Document I.D.

Cashier

STAMPS

Remarks = pls. use black ink for scanning purposes