BIR FORM 1604C - SCHEDULE 1

ALPHABETICAL LIST EMPLOYEES (Declared and Certified using BIR Form No. 2316)
AS OF DECEMBER 31,2021

TIN : 411142082-0904

WITHHOLDING AGENT'S NAME: SAN ANTONIO NATIONAL HIGH SCHOOL

P R E S E N T E M P L O Y E R

SEQ NAME OF EMPLOYEES NATIONALITY/

NO (Last Name, First Name, Middle N RESIDENT
(for foreigners only)

(1) (2a)(2b)(2c) (3)

------------------------------ ------------------------------ ------------------------------
1 BANDIOLA, LEVY DERECHO FILIPINO
2 CALLAO, LURAINE ROSE DUYA FILIPINO
3 DASA, JENNY ARELLANO
4 DISTOR, MA. CRISTINA BETITA
5 DUMAGPI, EDEN GRACE FALCIS
6 ESTORQUE, TAMMY BAUTISTA FILIPINO
7 FUENTES, ANALEA ELEBADA FILIPINO
8 HORLADOR, MARIAN ERA BALDOQUE FILIPINO
9 GASER, LYNETTE SONZA FILIPINO
10 ILI, JULIE ANN DISTOR FILIPINO
11 ONATO, DELBRIN GRACE BRINOSA
12 SESTOSO, NERESA BALTERO
13 BRINOSA, KEMBERLY ONDILLO FILIPINO
14 PALIGUMBA, LOURDES VILLANUEVAFILIPINO
16 SOLIVA, SHEILA VENUS

Grand Total :

END OF REPORT
E M P L O Y E R

CURRENT EMPLOYMENT
STATUS (*) EMPLOYMENT
From To

(4) (5a) (5b)

------------------------------ ------------------------------ ------------------------------
R 1/1/2021 12/31/2021
R 1/1/2021 12/31/2021
R 1/1/2021 12/31/2021
R 1/1/2021 12/31/2021
R 1/1/2021 12/31/2021
R 1/1/2021 12/31/2021
R 1/1/2021 12/31/2021
R 1/1/2021 12/31/2021
C 1/1/2021 12/31/2021
C 1/1/2021 12/31/2021
R 1/1/2021 12/31/2021
R 1/1/2021 12/31/2021
R 4/1/2021 12/31/2021
R 9/1/2021 12/31/2021
R 1/1/2021 6/30/2021
 N O N - T A X A B L E
REASON OF GROSS 13th MONTH PAY
SEPARATION (**) COMPENSATION & OTHER BENEFITS
INCOME
(present employer)
(6) 7a=(7f+7j) (7b)
------------------------------ ------------------------------ ------------------------------
421,487.00 69,810.00
346,846.00 60,322.00
346,278.00 59,754.00
421,487.00 69,810.00
414,493.91 69,178.00
421,487.00 69,810.00
457,841.64 74,982.00
360,471.82 61,848.00
364,678.00 62,076.00
351,416.00 61,484.00
407,246.00 64,178.00
350,254.00 60,322.00
277,771.00 60,322.00
382,591.50 13,912.50
TR 341,842.00 49,052.00
------------------ ------------------
#NAME? #NAME?
================== ==================

5,666,190.87
5,727,721.930
-61,531.060
DE MINIMIS SSS, GSIS, PHIC & SALARIES (P250K & below) &
BENEFITS PAG-IBIG CONTRIBUTIONS OTHER FORMS OF
AND UNION DUES COMPENSATION
(employees share only)
(7c) (7d) (7e)
------------------------------ ------------------------------ ------------------------------
0.00 37,620.30 0.00
0.00 31,285.02 0.00
0.00 31,285.02 0.00
0.00 37,620.30 0.00
0.00 37,222.14 0.00
0.00 37,620.30 0.00
0.00 40,878.66 0.00
0.00 32,374.92 0.00
0.00 32,747.88 0.00
0.00 31,642.86 0.00
0.00 37,222.14 0.00
0.00 31,642.86 0.00
0.00 23,732.19 0.00
39,400.50 31,037.19 0.00
0.00 31,532.01 0.00
------------------ ------------------ ------------------
#NAME? #NAME? #NAME?
================== ================== ==================
 T A X A B L E
TOTAL BASIC SALARY 13th MONTH PAY
NON-TAXABLE/EXEMPT (Net of SSS,GSIS,PHIC, & OTHER BENEFITS
COMPENSATION INCOME HDMF Contri & Union Dues) (In excess of Threshold)
(present employer)
7f=(7b+7c+7d+7e) (7g) (7h)
------------------------------ ------------------------------ ------------------------------
107,430.30 309,239.70 0.00
91,607.02 255,238.98 0.00
91,039.02 255,238.98 0.00
107,430.30 309,239.70 0.00
106,400.14 305,845.86 0.00
107,430.30 309,239.70 0.00
115,860.66 337,013.34 0.00
94,222.92 264,529.08 0.00
94,823.88 267,708.12 0.00
93,126.86 258,289.14 0.00
101,400.14 305,845.86 0.00
91,964.86 258,289.14 0.00
84,054.19 193,716.81 0.00
84,350.19 258,840.81 39,400.50
80,584.01 261,257.99 0.00
------------------ ------------------ ------------------
#NAME? #NAME? #NAME?
================== ================== ==================
 P R E V I O U S E M P L O Y E R

SALARIES & OTHER TOTAL TAXABLE TAXPAYER

FORMS OF COMPENSATION INCOME IDENTIFICATION
COMPENSATION (present employer) NUMBER

(7i) 7j=(7g+7h+7i) (8)

------------------------------ ------------------------------ ------------------------------
4,817.00 314,056.70 942-612-841-0000
0.00 255,238.98 299-030-502-0000
0.00 255,238.98 477-007-037-0000
4,817.00 314,056.70 269-064-611-0000
2,247.91 308,093.77 413-484-402-0000
4,817.00 314,056.70 942-612-107-0000
4,967.64 341,980.98 938-526-912-0000
2,083.82 266,612.90 411-904-011-0000
2,146.00 269,854.12 194-399-357-0000
0.00 258,289.14 495-775-058-0000
0.00 305,845.86 292-063-153-0000
0.00 258,289.14 492-989-232-0000
0.00 193,716.81 700-818-393-0000
0.00 298,241.31 919-963-525-0000
0.00 261,257.99 919-963-461-0000
------------------ ------------------
#NAME? #NAME?
================== ==================
E M P L O Y E R

EMPLOYMENT PERIOD OF
STATUS (*) EMPLOYMENT
From To

(9) (10a) (10b)

------------------------------ ------------------------------ ------------------------------
R 1/1/2021 12/31/2021
R 1/1/2021 12/31/2021
R 1/1/2021 12/31/2021
R 1/1/2021 12/31/2021
R 1/1/2021 12/31/2021
R 1/1/2021 12/31/2021
R 1/1/2021 12/31/2021
R 1/1/2021 12/31/2021
C 1/1/2021 12/31/2021
C 1/1/2021 12/31/2021
R 1/1/2021 12/31/2021
R 1/1/2021 12/31/2021
R 4/1/2021 12/31/2021
R 9/1/2021 12/31/2021
R 1/1/2021 6/30/2021
 N O N - T A X A B L E
REASON OF GROSS 13th MONTH PAY
SEPARATION, if applicable (**) COMPENSATION & OTHER BENEFITS
PREVIOUS EMPLOYER

(11) 12a=(12f+12j) (12b)

------------------------------ ------------------------------ ------------------------------
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
365,965.50 76,087.50
TR 0.00 0.00
------------------ ------------------
#NAME? #NAME?
================== ==================
DE MINIMIS SSS, GSIS, PHIC & SALARIES (P250K & below) &
BENEFITS PAG-IBIG CONTRIBUTIONS OTHER FORMS OF
AND UNION DUES COMPENSATION
(employees share only)
(12c) (12d) (12e)
------------------------------ ------------------------------ ------------------------------
0.00 0.00 0.00
0.00 0.00 0.00
0.00 0.00 0.00
0.00 0.00 0.00
0.00 0.00 0.00
0.00 0.00 0.00
0.00 0.00 0.00
0.00 0.00 0.00
0.00 0.00 0.00
0.00 0.00 0.00
0.00 0.00 0.00
0.00 0.00 0.00
0.00 0.00 0.00
0.00 31,037.19 0.00
0.00 0.00 0.00
------------------ ------------------ ------------------
#NAME? #NAME? #NAME?
================== ================== ==================
 T A X A B L E
TOTAL NON-TAXABLE/ BASIC SALARY 13th MONTH PAY
EXEMPT COMPENSATION(Previous(Net of SSS,GSIS,PHIC, & OTHER BENEFITS
HDMF Contri & Union Dues)

12f=(12b+12c+12d+12e) (12g) (12h)

------------------------------ ------------------------------ ------------------------------
0.00 0.00 0.00
0.00 0.00 0.00
0.00 0.00 0.00
0.00 0.00 0.00
0.00 0.00 0.00
0.00 0.00 0.00
0.00 0.00 0.00
0.00 0.00 0.00
0.00 0.00 0.00
0.00 0.00 0.00
0.00 0.00 0.00
0.00 0.00 0.00
0.00 0.00 0.00
107,124.69 258,840.81 0.00
0.00 0.00 0.00
------------------ ------------------ ------------------
#NAME? #NAME? #NAME?
================== ================== ==================
 TOTAL TAXABLE TOTAL TAXABLE
SALARIES & OTHER COMPENSATION COMPENSATION INCOME
FORMS OF (previous employer) (Present and
COMPENSATION Previous Employer)

(12i) 12j=(12g+12h+12i) 13=(7j+12j)

------------------------------ ------------------------------ ------------------------------
0.00 0.00 314,056.70
0.00 0.00 255,238.98
0.00 0.00 255,238.98
0.00 0.00 314,056.70
0.00 0.00 308,093.77
0.00 0.00 314,056.70
0.00 0.00 341,980.98
0.00 0.00 266,612.90
0.00 0.00 269,854.12
0.00 0.00 258,289.14
0.00 0.00 305,845.86
0.00 0.00 258,289.14
0.00 0.00 193,716.81
0.00 258,840.81 557,082.12
0.00 0.00 261,257.99
------------------ ------------------ ------------------
#NAME? #NAME? #NAME?
================== ================== ==================
 TAX WITHHELD
TAX DUE (Jan. - Nov.)
(Jan. - Dec.) PREVIOUS EMPLOYER PRESENT EMPLOYER

(14) (15a) (15b)

------------------------------ ------------------------------ ------------------------------
12,811.34 0.00 9,498.42
1,047.80 0.00 952.52
1,047.80 0.00 952.52
12,811.34 0.00 9,498.42
11,618.75 0.00 8,876.18
12,811.34 0.00 8,628.48
18,396.20 0.00 14,590.23
3,322.58 0.00 2,641.63
3,970.82 0.00 3,219.63
1,657.83 0.00 1,507.11
11,169.17 0.00 8,876.18
1,657.83 0.00 1,507.11
1,657.83 0.00 1,356.40
69,270.53 32,340.84 28,372.22
2,251.60 0.00 0.00
------------------ ------------------ ------------------
#NAME? #NAME? #NAME?
================== ================== ==================
Y E A R - E N D A D J U S T M E N T (16a or 16b)
AMT WITHHELD OVER AMOUNT OF TAX
& PAID FOR IN WITHHELD TAX WITHHELD AS
DECEMBER or Last Salary REFUNDED TO ADJUSTED
EMPLOYEE
16a=14-(15a+15b) 16b=(15a+15b)-14 17=(15b+16a) OR (15b-16b)
------------------------------ ------------------------------ ------------------------------
3,312.92 0.00 12,811.34
95.28 0.00 1,047.80
95.28 0.00 1,047.80
3,312.92 0.00 12,811.34
2,742.57 0.00 11,618.75
4,182.86 0.00 12,811.34
3,805.97 0.00 18,396.20
680.95 0.00 3,322.58
751.19 0.00 3,970.82
150.72 0.00 1,657.83
2,292.99 0.00 11,169.17
150.72 0.00 1,657.83
301.43 0.00 1,657.83
8,557.47 0.00 69,270.53
0.00 0.00
------------------ ------------------ ------------------
#NAME? #NAME? #NAME?
================== ================== ==================

30,433.27
SUBSTITUTED FILING
YES/NO
***

(18)
------------------------------
1
1
1
1
1
1
1
1
1
1
1
1
1
1
0
------------------
#NAME?
==================