Application for Registration as an Australian Company | Doc

Au strali an S ecu rities &
In vestmen ts Commi ssion
Appli cation for regi stration as an Au strali an
comp an y
Use this f orm to apply to ASIC f or regis tra tion o f a company under the Corpora tions A c t 2001.
Related Fo rms
208 - Notif ica tion of details of shares allo tted o ther than f or cash
207Z - Cer tif ica tion of compliance wi th stamp duty law
Form 201
Corpora t ions Act 2001
117
I f th ere i s in su ff i cien t sp ace in a n y sect ion o f th e fo rm , you may pho to copy th e re leva n t p a g e(s) a nd s ubmi t as p art o f thi s lodg eme n t
Lodg ment deta il s
An image of t his f orm will be av ailable as
par t of t he publi c regi st er.
Who s hould A SI C con tact i f th ere i s a qu ery abou t thi s fo rm ? ASI C
regi st ered agen t number (i f appli cable)
[phone]
F irm /organi zat ion
COMPANY SOLUTION LLP
Con t act name / po s ition descrip t ion
LEGAL ADVISOR T elephone number (during bus ine ss hours)
[phone]
E mail addre ss (opt ional)
[e-mail]
Flat 12A, Third Floor, Peace Tower
S uburb/City St at e/T erri tory P ostc ode
Carlton/Melbourne victoria 3053
1 State /terr it ory o f regi strat ion
I appl y for registra tion o f the c ompany under t he Corpora tion s Act 2001 and nomina t e t he St at e or T erri tory in whic h the c ompany
will be tak en t o be regi st ered .
Giv e St at e or T erri tory
New South Wales
2 Deta il s o f th e c o mp a ny
D o es th e co m p an y h ave a p ropo sed co mp a n y n ame?
X Y es
If y es, t he proposed c ompany name is
FORTUNE METAL MINING NL
Name re s erv at ion number (if an y )
897 463 354
No
T he compan y name on regi st rat ion will be its Australian Company Number (ACN).
T ick t he legal elemen ts t hat appl y
Pty. L td . P roprie t ary Limit ed X No liabili ty NL
A SI C Fo rm 201 11 December 2012 P ag e 1 o f 8

2 Con tinued ... Furt her deta il s of t he c om pa n y
I s th e p roposed n ame id en tica l to a re gi stere d bus iness n ame(s) ?
Yes X No
If y es, I declare t hat I hold, or am registering the c ompany for t he holder(s ) o f, t he iden tic al bus iness name(s),
t he regi st rat ion det ails o f which are li st ed below.
AB N
83627492143
F or business names regi st ered before 28
May 2012 wit hou t an ABN.
or
P rev iou s bu siness numb er P rev iou s state / terr i to ry o f re gi strat ion
T yp e o f co m p an y
propriet ary company
public compan y
C lass o f co m p an y
limited b y s hare s
unlimit ed wi t h a s hare c api t al
limited b y s hare s
limited b y guaran tee
unlimit ed wi t h a s hare c api t al
X no liabili ty
Sp eci al pu rpo se (if appli c able)
home unit (HUNT )
s uperannua tion t ru stee (PSTC)
c hari table purposes only (P N P C)
s uperannua tion t ru stee (UL SS)
c hari table purposes only (UL S N)
Sp eci al pu rpo se co mp a n y Ref er to
Guide f or descrip tion s of special
purpo se companie s.
A public c ompany that is:
• a superannua tion t ru stee , or •
for chari t able purpos es only,
must ha v e a c onst it ut ion.
If this is a s pec ial purpo se compan y, tick t he box below t o ma k e the declara tion .
I declare t hat t his c ompany is a s pec ial purpo se compan y as def i ned under Regula tion 3 o f the Corporation s (Re v iew
F ee s) Regula t ions 2003.
Go ver n a n ce o f a publi c co m p an y
T he c ompany will rel y en tirel y on repla c eable rules
X T he Company has a c onstit ut ion
A p ropo se d publi c co m p an y whi ch h as a dop te d a “ C on st itu tion” mu st lodg e a cop y o f th e con sti tu tion wi th thi s
appli cation
If the propo s ed company is t o be a publi c c ompany li mi ted b y gu ara n tee, st at e t he amount o f the guaran tee t hat ea ch member
agree s t o in wri t ing .
Registere d o ff ice
You canno t us e a PO B o x address
T he amount o f the member’s guaran t ee is (inser t amount)
At the o ff i c e o f, C /- (if applic able)
Off i c e, unit, le v el

12A, 13B, City Plaza
St ree t number and St ree t name
30 and Anderson South Street
S uburb/City St ate/T erri t ory P o stcode
Chatswood/Sydney New South Wales 2067
A SI C Fo rm 201 11 December 2012 P ag e 2 o f 8

2 Con tinued ... Furt her deta il s of t he c om pa n y
D o es th e co m p an y o cc up y th e p rem i ses?
X Yes
No
If no, name o f oc cupier
Occ upier’s consen t (S elect bo x to indi c ate the st at emen t below is c orre ct )
Off ice hou rs
F or a publi c c ompany
T he occupier o f the premis es has c on sen ted in writ ing t o the u se of t he spec if i ed addre ss as t he address of t he
registered off i ce of t he compan y and has not wit hdrawn t ha t c ons ent.
X a . Regi st ered o ff i ce o f a publi c c ompany is open t o the public ea ch bu siness day f rom at lea st 10 am t o 12 noon and 2
pm t o 4 pm.
b . Regi st ered o ff i ce o f a publi c c ompan y is open t o the publi c ea ch busine ss day f or at least 3 hour s be t ween 9 am
and 5 pm.
If b , in s ert hours open from am/pm clo se to am/pm
P rin cipal pl ace o f bu s iness I f same as registere d o ff ice , write “ as a bo ve”.
Off i ce, uni t, le v el
As above
St ree t number and St ree t name
As above
S uburb / Ci ty St at e/T erri tory P ostc ode
As above As above As above
Count ry (i f not Au st ralia)
3 A ppoin t off i ce holder
A public compan y must hav e a minimum of
3 direc t ors (2 re siden t in Au st ralia) and 1
secre t ary (res iden t in Aust ralia) .
Off i ce h eld
X Dire ct or S ecre tar y
A propriet ar y compan y must hav e a
minimum of 1 director (re siden t in
Australia) . T he o ff i c e o f sec ret ar y is
optional , but if appoin t ed one mu st
reside in Australia .
Off i ceholder( s ) appoin tmen t da te shall be
effec tive f rom t he beginning o f the day
on whic h the c ompany bec ome s
regist ered .
F amil y name Giv en name s
Lucy Scott Lucy Scott
F ormer name