BIR Form No.

1702RT Page 1 of 1

Annual Income Tax Return 1702-RT

Page 7 - Schedule 10 & 11
June 2013 1702-RT06/13P7
Taxpayer Identification Number (TIN) Registered Name
009 518 937 0000 FULLSPEED TECHNOLOGIES, INC.

Schedule 10 - BALANCE SHEET

Assets

Current Assets 5,460,331

Long-Term Investment 0

Property, Plant and Equipment - Net 0

Long-Term Receivables 0

Intangible Assets 0

Other Assets 3,960,430

Total Assets (Sum of Items 1 to 6) 9,420,761

Liabilities and Equity

Current Liabilities 31,963,246

Long-Term Liabilities 0

Deferred Credits 0

Other Liabilities 0

Total Liabilities (Sum of Items 8 to 11) 31,963,246

Capital Stock 2,000,000

Additional Paid-in Capital 0

Retained Earnings (22,437,005)

16 Total Equity (Sum of Items 13 to 15) (20,437,005)

17 Total Liabilities and Equity (Sum of Items 12 and 16) 11,526,241

Stockholders Partners Members Information (Top 20 stockholders, partners or members)

Schedule 11 -

column 3 enter the amount of capital contribution and on the last column enter the percentage this represents on the entire ownership.)
REGISTERED NAME TIN Capital Contribution % to
Total

YOHEI TANIMOTO 493 621 182 000 100 0.01

KOICHI TOMOMATSU 493 620 777 000 100 0.01

YUKI KOMIYAMA 493 620 999 000 100 0.01

AYA SAKAKIBARA 481 981 509 000 100 0.01

MARIBEL O. FERRATER 210 288 896 000 100 0.01

FULLSPEED INC. 725 364 308 000 1,999,500 99.95

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

file:///C:/Users/GICP/AppData/Local/Temp/%7B348F766B-EEC4-4643-930E-10FB57829... 6/2/2019