Appointment of Agent for Service of Process and Undertaking (f-x)

 

 

 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, DC 20549

 

FORM F-X

 

APPOINTMENT OF AGENT FOR SERVICE OF
PROCESS AND UNDERTAKING

 

A.            Name of issuer or person filing (“Filer”):  Philippines Clean Energy Holding Inc.

 

B.            (1)  This is an (check one)

 

x          original filing for the Filer

o            amended filing for the Filer

 

(2)  Check following box if you are filing the Form F-X in paper in accordance with Regulation S-T Rule 101(b)(9) o

 

C.            Identify the filing in conjunction with which this Form is being filed:

 

Name of registrant	Philippines Clean Energy Holding Inc.
Form type	Form CB
File Number (if known)
Filed by	Philippines Clean Energy Holding Inc.
Date Filed (if filed concurrently, so indicate)	September 1, 2021 (filed concurrently)

 

D.            The Filer is incorporated or organized under the laws of Philippines and has its principal place of business at 20/F, Regus Zuellig Building, Makati Ave. corner Paseo de Roxas St. Makati City, Philippines 1225 (Tel: [phone])

 

E.             The Filer designates and appoints Corporate Creations Network Inc. (“Agent”) located at 99 Hudson Street, 5th Floor, New York, NY 10013, United States of America (Tel:  [phone]) as the agent of the Filer upon whom may be served any process, pleadings, subpoenas, or other papers in:

 

(a)         any investigation or administrative proceeding conducted by the Commission; and

 

(b)         any civil suit or action brought against the Filer or to which the Filer has been joined as defendant or respondent, in any appropriate court in any place subject to the jurisdiction of any state or of the United States or of any of its territories or possessions or of the District of Columbia, where the investigation, proceeding or cause of action arises out of or relates to or concerns any offering made or purported to be made in connection with the securities registered or qualified by the Filer on Form CB on September 1, 2021 or any purchases or sales of any security in connection therewith. The Filer stipulates and agrees that any such civil suit or action or administrative proceeding may be commenced by the service of process upon, and that service of an administrative subpoena shall be effected by service upon such agent for service of process, and that service as aforesaid shall be taken and held in all courts and administrative tribunals to be valid and binding as if personal service thereof had been made.

 

F.              The Filer stipulates and agrees to appoint a successor agent for service of process and file an amended Form F-X if the Filer discharges the Agent or the Agent is unwilling or unable to accept service on behalf of the Filer at any time until six years have elapsed following the effective date of the latest amendment to such Form CB.  The Filer further undertakes to advise the Commission promptly of any change to the Agent’s name or address during the applicable period by amendment of this Form, referencing the file number of the relevant form in conjunction with which the amendment is being filed.

 

G.            The Filer undertakes to make available, in person or by telephone, representatives to respond to inquiries made by the Commission staff, and to furnish promptly, when requested to do so by the information relating to the Forms CB; the securities to which such Form CB relates; and the transactions in such securities.

 

 

 

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The Filer certifies that it has duly caused this power of attorney, consent, stipulation and agreement to be signed on its behalf by the undersigned, thereunto duly authorized, in the Country of the Philippines, this 1st day of September, 2021.

 

		Filer: Philippines Clean Energy Holding Inc.
		By:	/s/ Cecilio Francisco Velasco Azonos
		Name:	Cecilio Francisco Velasco Azonos
		Title:	Director

 

This statement has been signed by the following persons in the capacities and on the dates indicated.

 

Corporate Creations Network Inc.
(as Agent for Service of Process)
By:	/s/ Lauren Underwood
Name:	Lauren Underwood
Title:	Special Secretary

 

Date:      September 1, 2021

 

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