ASIC Form 201: Application for Registration as an Australian Company

Au strali an S ecu ri ti es &
In vestmen ts Co mmi ssion
Appli cation fo r regi stration as an Au strali an
co mp an y
Use this form to apply to ASI C for regis tra tion o f a company under the Corpora tions Ac t 2001 .
Rel ate d Fo rms
208 - No tif i cation o f details o f shares allo tt ed o ther than for
cash 207Z - Cer tif i cation o f compliance wi th s tamp duty law
Fo rm 201
Corpora t ion s Act 2001
117
I f th ere i s in s u ff i c i e n t s p ace in a n y section o f th e fo rm , y ou may pho to c op y th e rel eva n t p a g e(s) a nd s ub m i t as p art o f thi s lodg emen t
Lodg emen t d etail s
A n image o f t hi s f orm will be a v ailable a s
par t o f t he public regi ster.
Who s hould A SI C c on tact i f th ere i s a qu ery a bou t thi s
fo rm ? ASI C regi stered agen t number (i f applic able)
758 964 825 58
F irm/ organization
Log Pty Ltd
Con t a ct name / pos it ion desc ript ion
Victor Fernandez T elephone number (during bus ine ss hours )
(7546942664)
Viola Hastings
E mail addre ss (op t ional)[e-mail]
S uburb / Ci ty St a t e /T erri t or y P o stc ode
Brisbane Queensland 2004
1 S tate/territ ory of re gi strat ion
I apply f or regi stra t ion o f t he c ompan y under t he Corpora t ion s Act 2001 and nomina t e t he St a t e or T erri t or y in whi c h
t he c ompan y will be t a k en t o be regi stered.
Giv e St a t e or T erri t or y
Queensland
2 Deta il s of t he company
D o es th e c o m p a n y h ave a p r opo sed c o m p a n y n ame?
X Y e s
If y e s, t he propo s ed c ompan y name is
Gold Constructions Limited
Name re s er v a t ion number (i f any )
AS789559B
No
T he c ompan y name on regi stra t ion will be its A u stralian Compan y Number (A CN) .
T ick t he legal elemen ts t hat apply
Pty. X L t d . P roprie t ar y X Limi t ed No liability NL

ASI C Fo rm 201 11 December 2012 Pa g e 1 o f 8

2 Con tinued ... Fu rt her detail s of t he company
I s th e p r opo sed n ame id e n ti cal to a regi stere d bu s in ess n ame(s) ?
Y e s X No
If y e s, I declare t hat I hold, or am regi stering t he c ompan y f or t he holder( s ) o f, t he ident ic al
bus ine ss name( s ), t he regi stra t ion det ail s o f whi c h are listed below .
AB N
12301230123
F or business name s regi stered bef ore
28 May 2012 wi t hou t an AB N .
or
P rev iou s bu s in ess nu m b er P rev iou s state / terr i to ry o f regi strat ion
T y p e o f c o m p a n y
proprie t ar y c ompany
X public c ompany
C l ass o f c o m p a n y
limit ed b y s hares
unlimi t ed wi t h a s hare c api t al
X limit ed by s hares
limit ed b y guaran t ee
unlimi t ed wi t h a s hare c api t al
no liability
Sp eci a l pu r po se (i f applic able)
home uni t (HUNT )
s uperannua t ion t ru stee (PST C)
c hari t able purpo s e s onl y (P N P C)
s uperannua t ion t ru stee (UL SS )
c hari t able purpo s e s onl y (UL S N)
Sp eci a l pu r po se c o m p a n y
Ref er t o Guide f or desc ript ion s o f
special purpo s e c ompanies.
A public c ompan y t hat is:
• a superannua t ion t ru stee, or
• f or charit able purpo s e s onl y,
mus t hav e a c onstit u t ion .
If t hi s is a s pec ial purpo s e c ompan y, t ick t he box below t o ma k e t he dec lara t ion .
I dec lare t hat t hi s c ompan y is a s pec ial purpo s e c ompan y a s def i ned under Regula t ion 3 o f t he
Corpora t ion s (Re v iew F ees ) Regula t ion s 2003 .
Go ver n a n ce o f a publi c c o m p a n y
T he c ompan y will rely ent irely on repla c eable rule s
X The compan y has a con sti tu tion
A p r opo sed publi c c o m p a n y whi c h h as a dop te d a “ C on st i tu tion” m u st lodg e a c op y o f th e c on st i tu tion
wi th thi s a ppli cat ion.
If t he propo s ed c ompany is t o be a public c ompan y li m i te d b y gu ara n tee , sta t e t he amoun t o f t he guaran t ee t hat
eac h member agree s t o in writ ing .
Regi stere d o ff i ce
Y ou canno t u s e a PO B o x
addre ss
T he amoun t o f t he member’s guaran t ee is $ 700000 (inser t amount)
At t he o ff i c e o f, C / - (i f applic able)
Off i c e , uni t, le v el
5

St ree t number and St ree t name
22 Phone Street
S uburb / Ci ty St a t e /T erri t or y P o stc ode
Victoria Queensland 2005
ASI C Fo rm 201 11 December 2012 Pa g e 2 o f 8

2 Con tinued ... Fu rt her detail s of t he company
D o es th e c o m p a n y o ccup y th e p rem i ses ?
X Y e s
No
If no, name o f o c cupier
Occupier’s c ons ent (S ele ct box t o indi c a t e t he sta t emen t below is c orre ct)
Off i ce hou rs
F or a public c ompan y
T he o cc upier o f t he premis e s ha s c on s ent ed in wri t ing t o t he u s e o f t he s pec if i ed addre ss as t he
addre ss o f t he regi stered o ff i c e o f t he c ompan y and ha s not wi t hdrawn t hat c ons en t.
X a . Registered o ff i ce o f a public c ompan y is open t o t he public eac h bus ine ss day f rom a t lea st 10 am t o 12
noon and 2 pm t o 4 pm .
b . Registered o ff i ce o f a public c ompan y is open t o t he public eac h bus ine ss day f or a t lea st 3 hours
bet ween 9 am and 5 pm .
If b , in s er t hours open from am/pm c lo s e to am/pm
P r in c ip a l pl ace o f bu s in ess I f same as regi stere d o ff i ce, wr i te “ as a bo ve”.
Off i c e , uni t, le v el
As above
St ree t number and St ree t name
As above
S uburb / Ci ty St a t e /T erri t or y P o stc ode
As above As above As above
Coun t ry (i f not A u stralia)
3 A ppoin t off i ceholder
A public compan y mu st hav e a
minimum o f 3 direct or s (2 re s ident in
A u stralia) and 1 secre t ar y (res ident in
A u stralia).
Off i ce h e ld
X Dire ct or S e c re t ar y
A proprie t ar y c ompan y mu st hav e
a minimum o f 1 dire ctor (res ident in
A ust ralia). T he o ff i c e o f s e c re t ar y is
opt ional, but if appoin t ed one mu st
reside in A u stralia .
Off i ceholder( s ) appoin t ment dat e s hall
be e ff ect ive f rom t he beginning o f t he
day on whi c h t he c ompan y bec omes
regist ered.
F amil y name Giv en name s
Jose Butler Jose Butler
F ormer name

NA
St ree t number and St ree t name
50 Country Lane
S uburb / Ci ty St a t e /T erri t or y P o stc ode
Brisbane Queensland 2002
Coun t ry (i f not A u stralia)
Dat e o f birt h
02/08/1988
P la c e o f birt h (t own /city) (sta t e /coun t ry )
Brisbane Queensland