ASIC Form 201 Application for Registration as an Australian Company

This form is used to apply for registration of a company under the Corporations Act 2001. It includes sections for details of the company, appointment of officeholders, and details of members. The form must be signed by the applicant and sent to the Australian Securities and Investments Commission.

Australian S ecu rities &
In vestmen ts Co mmi ssion
Appli cation fo r regi stration as an Australi an
co mpan y
Use this form to apply to ASI C for regis tra tion o f a company under the Corpora tions A ct 2001 .
Re late d Fo rms
208 - Notifi cation o f de tails o f shares allott ed o ther than for
cash 207 Z - Cer tif ication o f compliance with stamp du ty law
Fo rm 201
Corpora tion s Act 2001
117
I f th ere is insu ff i ci en t s p ace in a n y sect ion o f th e fo rm , you may photo c opy th e re l evan t p ag e(s) a nd sub m it as p art o f thi s lodg eme n t
Lodg eme n t d etails
A n image o f t his f orm will be av ailable as
part of the publi c regi st er.
Who should A SI C con tact i f th ere is a qu ery a bou t thi s
fo rm ? ASI C regi st ered agent number (i f appli c able)
7003 945 582
F irm / organization
Con Pty Ltd
Cont act name /po s ition de sc rip tion
Nikky Simmons T elephone number (during bu s ine ss hour s )
(789456123)
Viola Hastings
E mail address (op tional)[e-mail]
S uburb/ Ci ty St a te /T erri t ory P ostc ode
Brisbane Queensland 3232
1 S tate /terr itory of re gi strat ion
I appl y for regi st ra t ion of the c ompany under t he Corpora t ion s Act 2001 and nomina t e t he St at e or T erri tor y in whi c h
t he c ompany will be t ak en to be regi st ered .
Giv e St a te or T erri t ory
Queensland
2 Deta ils of t he compa ny
D o es th e co m p an y h ave a p r opo sed c o mp a n y n ame ?
X Y es
If y e s, the propos ed c ompany name is
Timber Woods Limited
Name re s er v at ion number (if any )
AE23421445
No
T he c ompany name on regist ra t ion will be its A ust ralian Compan y Number (A CN) .
T ick the legal elemen ts tha t appl y
Pty. X Lt d. P roprie tar y X Limi ted No liabili ty NL

A SIC Form 201 11 December 2012 Pa g e 1 o f 8

2 Con tinued ... Fu rt her deta ils of t he compa ny
I s th e p ropo se d n ame id e n tica l to a re gi stere d bu s in ess n ame(s) ?
Y es X No
If y e s, I declare t hat I hold , or am regi st ering the c ompany for the holder( s ) of, t he iden t ic al
bu s ine ss name(s ), t he regi st ra tion de tail s of whi c h are li st ed below.
AB N
12101010101
F or busine ss name s regist ered bef ore
28 May 2012 wit hou t an AB N.
or
P rev iou s bu s in ess nu m b er P rev iou s state / terr ito ry o f re gi strat ion
T yp e o f co m p an y
proprie tar y c ompany
X public c ompany
C lass o f c o mp a n y
limi t ed b y s hare s
unlimit ed wi th a s hare c apit al
X limit ed by s hares
limi t ed b y guaran tee
unlimit ed wi th a s hare c apit al
no liabili ty
Sp eci al pu rpo se (i f appli c able)
home unit (HUN T )
s uperannuat ion tru stee (PST C)
c harit able purpos e s only (P NP C)
s uperannuat ion tru stee (UL SS )
c harit able purpos e s only (UL S N)
Sp eci al pu rpo se co m p an y
Re f er t o Guide f or de sc rip tion s o f
special purpo s e c ompanie s.
A public c ompany t ha t is:
• a superannuation t ru st ee , or
• for chari table purpo s es onl y,
mus t ha v e a c on st it ut ion .
If t his is a s pec ial purpos e c ompany, t ick t he bo x below t o ma k e the dec lara t ion .
I de c lare t hat thi s c ompany is a s pe c ial purpo s e c ompany a s def i ned under Regula t ion 3 o f t he
Corpora t ion s (Re v iew F ee s ) Regula t ion s 2003.
Go vern an ce o f a publi c c o mp a n y
T he c ompany will rel y en t irely on repla c eable rule s
X The compan y ha s a consti tution
A p r oposed publi c c o mp a n y whi ch h as adopte d a “ C on sti tu tion” mu st lodg e a copy o f th e c on sti tu tion
with thi s a pplication.
If t he propo s ed c ompany is t o be a public c ompany li m ite d b y gu ara n tee , st at e t he amount of the guaran tee tha t
ea c h member agree s to in wri ting .
Re gi stere d o ff i ce
Y ou cannot u s e a PO B ox
address
T he amount of the member’s guaran tee is $ 90000 (inser t amoun t)
At t he o ff i c e o f, C/ - (if appli c able)
Off i c e, unit, le v el
1

St ree t number and St ree t name
33 Race Street
S uburb/ Ci ty St at e/T erri tor y P o stc ode
Victoria Queensland 3232
A SIC Form 201 11 December 2012 Pa g e 2 o f 8

2 Con tinued ... Fu rt her deta ils of t he compa ny
D o es th e co m p an y o ccup y th e p rem i ses ?
X Ye s
No
If no, name o f o c cupier
Occupier’s c ons en t (S ele ct bo x to indic at e t he st a temen t below is c orre ct)
Off ice hou rs
F or a publi c c ompany
T he occ upier of the premis es has c ons en ted in wri ting t o t he us e of the s pe c if i ed addre ss as the
address o f t he regi st ered o ff i c e o f t he c ompan y and ha s no t wi t hdrawn t ha t c ons ent.
X a . Regi st ered o ff i ce o f a public c ompany is open t o t he publi c ea c h bu s ine ss da y from a t lea st 10 am to 12
noon and 2 pm t o 4 pm .
b . Regi st ered off ice of a publi c c ompany is open to the publi c ea c h bus ine ss day f or a t lea st 3 hour s
be tween 9 am and 5 pm .
If b, in s er t hours open from am/pm c lo s e to am/pm
P rin cip al pl ace o f bu s in ess I f same as re gi stere d o ff i ce, wri te “ as abo ve ”.
Off ic e , unit, 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 tor y P o stc ode
As above As above As above
Coun try (i f no t A u st ralia)
3 A ppoin t off i ce holder
A public company mu st ha v e a
minimum o f 3 direc tor s (2 re s iden t in
A u st ralia) and 1 secre tar y (re s iden t in
A u st ralia).
Off i ce h e ld
X Dire ct or S e c re t ar y
A proprie t ary c ompany mu st ha v e
a minimum of 1 dire ct or (re s iden t in
A us tralia) . T he o ff i c e o f s e c re t ar y is
op tional , bu t if appoin t ed one mu st
reside in A u stralia .
Off i ceholder(s ) appoin t ment da te s hall
be effec tive from t he beginning of the
day on whic h t he c ompany be c ome s
regis t ered .
F amily name Giv en names
Makaya Ntini Makaya Ntini
F ormer name

NA
St ree t number and St ree t name
21 Window street
S uburb/ City St a te /T erri t ory P ostc ode
Brisbane Queensland 3232
Count ry (if no t A ust ralia)
Dat e o f bir th
02/08/1988
P la c e o f bir th (town/c ity) (st at e/coun t ry )
Brisbane Queensland
A SIC Form 201 11 December 2012 Pa g e 3 o f 8

3 Con tinued ... A ppoin t ano ther off i cehold er
A public c ompany mu st ha v e a
minimum of 3 dire ct or s (2 re s iden t in
A ust ralia) and 1 s e c re t ary (re s iden t in
A ust ralia) .
A proprie tar y c ompany mu st hav e
a minimum o f 1 dire ctor (re s iden t in
A ust ralia) . T he o ff i c e o f s e c re t ar y is
op t ional, bu t if appoin ted one mu st
reside in A ust ralia .
Off iceholder( s ) appoin tment dat e s hall
be e ff ec t iv e f rom the beginning o f t he
day on whic h the c ompany bec omes
regis tered .
Off i ce h e ld
Dire ct or
F amily name
Morgan Freeman
F ormer name
NA
St ree t number and St ree t name
114 scrub road
S uburb /Ci ty
Brisbane
Coun try (i f no t A u st ralia)
X S e cre tar y
Giv en name s
Morgan Freeman
St a te /T erri t ory P ostc ode
Da t e o f bir th
18/02/1984
P la c e of bir t h (t own /c ity) (st at e/c oun t ry )
Brisbane Queensland
3 Con tinued ... A ppoin t a no t her off i ceholder
A public c ompany mu st ha v e a
minimum of 3 dire ct or s (2 re s iden t in
A ust ralia) and 1 s e c re t ary (re s iden t in
A ust ralia) .
A proprie tar y c ompany mu st hav e
a minimum o f 1 dire ctor (re s iden t in
A ust ralia) . T he o ff i c e o f s e c re t ar y is
op t ional, bu t if appoin ted one mu st
reside in A ust ralia .
Off iceholder( s ) appoin tment dat e s hall
be e ff ec t iv e f rom the beginning o f t he
day on whic h the c ompany bec omes
regis tered .

Off ice h eld
X Dire ct or S e c re t ary
F amil y name Giv en name s
Peter Parker Peter Parker
F ormer name
NA
St ree t number and St ree t name
33 Backyard row
S uburb/ City St a te /T erri t ory P ostc ode
Count ry (if no t A ust ralia)
Sydney NSW 3000
Dat e o f bir th
P la c e of birt h (t own/c ity) (st at e/coun t ry )
Sydney NSW
4 Id ent ify ul timate holding compa ny

Will th e c o mp a n y h ave a n ul ti mate holding co m p an y upon re gi strat ion?
Y e s
If y e s, pro v ide the following de tail s of the ult ima te holding c ompany
Compan y name
A CN /AR B N/AB N Coun try o f in c orporat ion (if no t A ust ralia)
X No
A SIC Form 201 11 December 2012 Pa g e 4 o f 8

5 Sh are str uct ure ta bl e
De tails o f s hare s iss ued by t he c ompany. P lea s e s how all de t ails o f s hare s t hat the c ompany ha s on iss ue at the time o f t hi s appli c a tion .
S ta nd ar d s h are cod es
Re fer to the table f or t he s hare
c la ss c odes for s ection s 5 and 6.

S hare c la ss c ode F ull t itle S hare c la ss c ode F ull t itle
A A
B B ...e tc
E MP employ ee’s
FO U founder’s
LG life go v ernor’s
MA N management
ORD ordinary
RE D redeemable
P R F pre feren c e
CUMP c umulat iv e pre f eren c e
NC P non- c umulat iv e pre f eren c e
R E DP redeemable pre feren c e
NR P non-redeemable pre feren c e
CR P c umulat iv e redeemable pre f eren c e
NCRP non- c umulat iv e redeemable pre f eren c e
PA R P partic ipa t iv e pre f eren c e
If you are us ing t he st andard s hare c la ss c odes y ou do no t need to pro v ide the full tit le f or t he s hare s, ju st the s hare c la ss c ode.

If you are no t u s ing the st andard s hare c la ss c ode , en ter a c ode o f no more t han 4 le tt er s and t hen s how the full
t itle . S hare F ull t itle if no t st andard T o tal number of
class code s hare s
T ot al amount
paid on t hes e
s hare s
T o tal amount
unpaid on the s e
s hare s
B 5500 550000
A re an y of the s e s hare s iss ued ot her than f or c a s h?
Y e s
If y es, will s ome or all of the s hare s be iss ued
under a wri tt en c ont ra ct ?
Y e s
If y e s: P rop r ietary co m p ani es
X No
If no , con tinue to Sect ion 6
Deta il s o f mem b ers .
Lodge a F orm 207Z c er tify ing t ha t all st amp du tie s ha v e been paid .
Publi c c o mp a ni es
Lodge a F orm 207Z and ei ther a F orm 208 or a c opy o f t he c on tra ct.
No
If no : P r opri etary c o mp a ni es
Con tinue t o S ection 6 Deta il s o f memb ers .
Publi c c o mp a ni es
Lodge a F orm 208 .
A SIC Form 201 11 December 2012 Pa g e 5 o f 8

6 Deta ils of mem bers
Use t his se ct ion to not ify the name and addre ss o f ea c h pers on who c ons en ts to be c ome a member.
If shares are join tly owned, pro v ide name s and address es o f all join t-owners on a s eparat e s hee t (annex ure) , c learl y indi c at ing the s hare c la ss and wit h whom
t he s hares are join tly owned.
Pl ease c o mpl ete a se p arate sect ion b elow fo r each mem b er , p r int a ddi tion al copi es o f p a g e 7 if m o re mem b ers are re qui re d.
Mem b er d eta il s and s h are holding
I ndicat e whe t her the member is an
individual or a c ompany and pro v ide the :
• name o f t he indi v idual or c ompany
• address of the indiv idual
or company, and
• shareholding .
A ddress of indi v idual or c ompany
F amil y name Giv en names
Ricky Warne Ricky Warne
OR
Compan y name
A CN /A R B N/ AB N
Off ic e , uni t, le v el , or PO B o x number
100
St ree t number and St ree t name
S uburb /Ci ty St a te /T erri t ory P ostc ode
Coun try (i f no t A u st ralia)
Comple te eac h c olumn f or ea c h s hare c la ss t he abo v e member has agreed , in wri ting , to ta k e up .
No te: B enef ic iall y held u s uall y means t hat the owner o f t he s hare s is en tit led to the dire ct benef i t f rom the s hare s. F or e x ample, benef i ts c ould in c lude t he
ent itlemen ts to pa y ments in rela tion t o an y div idend s. S hare s held by a pers on a s tru st ee , nominee or on acc ount o f ano t her per s on are non-benef i c iall y
held .
S hare c la ss Number o f A mount agreed to T ot al $ paid on A mount unpaid T o tal $ unpaid on F ully paid B enef ic iall y
code s hare s t ak en up pay per s hare the s e s hare s per s hare t hes e s hare s (y/ n) held (y/ n)
A 1500 15000 15000 NIL NIL Y N
A SIC Form 201 11 December 2012 Pa g e 6 o f 8

6 Con tinued ... Deta il s of a no t her mem ber
F amil y name Giv en names
Silver Smith Silver Smith
OR
Compan y name
ABC Mining NL
A CN /A R B N/ AB N
Off ic e , uni t, le v el , or PO B o x number
St ree t number and St ree t name
2 Box Street
S uburb /Ci ty Brisbane St at e/T erri tor y Queensland P o stc ode 1004
Coun try (i f no t A u st ralia)
S hare c la ss Number o f A mount agreed to T ot al $ paid on A mount unpaid T o tal $ unpaid on F ully paid B enef ic iall y
code s hare s t ak en up pay per s hare the s e s hare s per s hare t hes e s hare s (y/ n) held (y/ n)
6 Con tinued ... Deta il s of a no t her mem ber
F amil y name Giv en names
OR
Compan y name
A CN /A R B N/ AB N
Off ic e , uni t, le v el , or PO B o x number
St ree t number and St ree t name
S uburb /Ci ty St at e/T erri tor y P o stc ode
Count ry (if not A ustralia)
S hare c la ss
code
Number o f
s hare s t ak en up
A mount agreed to
pay per s hare
T o tal $ paid
on the s e
s hare s
A mount unpaid
per s hare
T ot al $ unpaid
on t hes e s hare s
F ull y paid
(y/ n)
B enef i c iall y
held (y/ n)

A SIC Form 201 11 December 2012 Pa g e 7 o f 8

Dec larat ion by appli ca nt
I/w e appl y fo r re gi strat ion o f a c o mp a n y on th e b asi s o f th e in fo rmat ion in thi s fo rm and a n y attac h me n ts . I/we
h ave th e n ecessary wr itte n con se n ts a nd ag reeme n ts referre d to in th e appli cat ion c oncerning th e mem b er
a nd o ff ice hold ers and I/we sh a ll gi ve th e c on se n ts and a g reeme n ts to th e co m p an y after th e co m p an y
b ec o mes re gi stere d. Th e in fo rmation p ro v ide d in thi s a ppli cation and in an y ann ex u res is tru e and c o rrect at
th e time o f s igning.
Sign at ure of a ppli ca nt
P rovide family and gi v en name s OR
c orpora tion name (in c lude A CN /A R B N if
applicable)
If t he applican t is an indiv idual - 1
s igna t ure required .
If t he applican t is a c orpora tion - a dire ctor
or secret ary to s ign .
If t he agen t f or t he appli c an t is a f irm –
a member /part ner of the f irm to s ign
X P a yment ha s been
a tt a c hed Name o f
appli c an t
Makaya Ntini
Capa c ity of appli c an t
Director
X I ndi v idual
Corpora tion
Name of off ic eholder
A gen t f or indi v idual or c orporat ion
Name of agent
S igna ture o f applic an t
Da t e s igned
[D D] / [M M] / [Y Y]
Lodg emen t S end c omplet ed and s igned form s t o:
A ust ralian S ec uri tie s and In v est men ts Commiss ion ,
PO B ox 4000 , Gipp s land Mail Cen t re VI C 3841
Fo r m o re in fo rmation
Web www.as ic. gov . au
Need help? www .a s ic. go v. au/ quest ion
T elephone 1300 300 630

A SIC Form 201 11 December 2012 Pa g e 8 o f 8

Australian S ecu rities &
In vestmen ts Co mmi ssion
Guid e:
Appli cation fo r regi stration as an Australi an
co mpan y
Thi s guid e do es no t fo rm p art o f th e p rescrib ed fo rm . It i s in clud ed b y ASI C to ass i st y ou in c o mpl eting and lodging th e Fo rm
201 .
Fo rm 201
Corpora tion s Act 2001
117
Use this form to apply to ASI C for regis tra tion o f a company under the Corpora tions A ct 2001 (C th) (Corpora tions A ct) .
Re late d Fo rms
208 - Notifi cation o f de tails o f shares allott ed o ther than for
cash 207 Z - Cer tif ication o f compliance with stamp du ty law
Sign atu re T hi s form mu st be s igned b y:
• t he appli c an t; or
• a pers on who ha s c ons en ted to bec ome a dire ct or or s ec re tar y or member o f t he c ompany; or
• t he agen t f or t he appli c an t, being a per s on who ha s aut hori ty to s ign the form on behalf of the appli c ant (s ).
Lodg eme n t p eriod Nil – t o be lodged when required .
Lodging fee A lodgemen t f ee applie s to thi s form .
F or in f orma t ion on f ees re fer to www .a s ic. go v. au /f orm s.
O ff i cehold er a dd ress Off i c eholders ’ address es mu st be their u s ual c urren t re s iden t ial addre ss. A n al terna t iv e addre ss ma y only be
u s ed where we appro v e an applic at ion under s 205D of the Corpora tion s Act.
Replacea ble r ul es a nd
c on sti tu t ions
T he Corpora tion s Act c on tain s ‘repla c eable rule s ’ whic h appl y to all c ompanie s— exc ep t c ompanies where t he s ole
member is al s o t he s ole dire ct or —and ma y be us ed to go v ern t he in ternal running of the c ompany. Companie s ma y
di s pla c e s ome o f t he repla c eable rule s b y a c on st itu tion and be gov erned by a c ombina tion o f repla c eable rule s f or
s ome t hing s and their own c on st itu tion f or o thers. W here the propos ed c ompany is to be go v erned b y a c ombina t ion
o f repla c eable rule s and a const itu tion , pleas e t ick t he bo x tha t s a ys ‘T he c ompany ha s a c on st it ut ion’ .
A c ompany wi th more t han one member /dire ctor ma y adopt a c on st itu tion pro v ided all pers ons who have agreed
t o be c ome a member o f t he c ompany agree to the term s and c ondi t ion s.
If a writt en c on st it ut ion go v ern s t he c ompany, a c op y of the c on st it ut ion mu st als o be lodged . A publi c c ompany tha t
is: • a s uperannuation t rus tee , or
• for c haritable purpo s es onl y,
mu st ha v e a wri tt en c onstit ut ion .
Co mp a n y n ames A name is av ailable unle ss it is iden tic al to :
• a name t hat is c urren t ly re s er v ed or regist ered under t he Corpora t ion s Act for another bod y, or
• a name t hat is held or regist ered on the bus ine ss names regi st er in re s pect o f anot her indi v idual or body who is
no t t he pers on appl y ing to hav e the name, or
• is unacc ept able for regi st ra t ion under t he Corpora t ion s Regula tion s 2001 .
If it is propos ed to regi st er a name whic h is iden tic al to a regi st ered bu s ine ss name(s ), we mu st be s a tisf i ed tha t t he
propo s ed c ompany is en tit led to the us e of the name under s 147 . T here f ore eit her the owner, or s omeone registering
t he c ompany f or t he owner of the bus ine ss name, mu st be t he appli c an t f or regist ra tion and t he que st ion s regarding
t he bu s ine ss name(s ) s hown on the F orm 201 mu st be c omple ted .
T he in forma tion c onc erning iden t ic al bus ine ss name s on t he F orm 201 ma y in st ead be gi v en in a st at ement
a tt ac hed t o t he F orm 201 (a s an anne x ure) under t he heading ‘De c lara t ion Regarding Regi st ered B u s ine ss
Name(s )’ . B e s ure to pro v ide the s ame in f orma t ion a s is required on t he F orm 201. T he st a temen t mu st be d ate d
a nd sign ed b y the
appli c an t a s being ‘t rue and c orre ct ’ as f ollow s: ‘I de c lare tha t t he in forma tion gi v en in thi s stat ement is true and c orre ct ’.

ASIC Form 201 G uide 1 July 2014 P a g e 1 o f 2

Spec i a l pu r po se c o m p a nies T he di fferen t ty pes o f s pe c ial purpo s e c ompanies t hat c an be est ablis hed on regist ra t ion are :
C h ar i ta bl e pur po ses onl y
A c ompany who s e c onst it ut ion require s it t o pur s ue c hari table purpo s es only and t o appl y its in c ome in promo ting
t hos e purpos e s; and prohibits t he c ompany ma k ing di st ribu tion s t o its members and pa y ing fee s to its dire ct ors; and
require s its dire ct or s to approv e all o ther pa y ments the c ompany ma k es t o t hem .
H o me uni t c o mp a n y
A proprie t ar y c ompany:
• t hat is the proprie tor of land on whi c h a building is ere ct ed and div ided in to s eparat e re s iden tial area s and area s
f or c ommon u s age
• who s e member s are ent itled t o e xc lu s iv e o cc upa t ion of one or more of tho s e area s and u s e o f t he c ommon
area s, and
• whi c h operat es s olely t o f ac ili ta te the righ ts of tho s e members in rela tion t o t heir exc lu s iv e occ upa tion o f
t hos e re s iden t ial area s and main t enanc e of the c ommon area s.
Sup era nnu at ion tr u stee co m p an y
A c ompany t ha t acts s olel y a s the tru st ee o f a regulat ed s uperannuat ion fund wi thin t he meaning o f s 19 of the
S uperannuat ion Indust ry (S uperv is ion) Act 1993 and whos e c onst it ut ion prohibits t he di st ribu tion o f its in c ome or
proper ty among its members.
O th er ty p es o f c o m p a nies A no–liability c ompan y (NL) mu st be a public c ompany. T he Corpora t ion s Act limi ts t he a ct iv itie s of a NL c ompan y to
mining purpos e s only and obliges a NL c ompany ’s c on st itu tion t o st a te , amongst o ther t hing s, tha t its s ole obje cts
are mining purpos e s onl y.
A c ompany limi ted b y guaran t ee (LM GT ) mu st be a publi c c ompany. I n order for a LM GT c ompany t o quali fy a s
a ‘s pe c ial purpos e c ompany ’ as def i ned b y t he Corpora tion s (Re v iew F ee s ) Regula t ion s 2003 , its c on st itu tion
mu st c on tain , amongst ot her thing s, pro v is ion s whi c h limit its act iv it ie s t o c harit able purpos e s only.
Shares i ss u e d o t h er th a n
f o r cas h o r und er a w r itte n
c on tract
Fo r public co m p ani es
If s hare s will be iss ued for ot her than c a s h, then a F orm 208 Notif i c at ion of det ail s o f s hare s allo tt ed ot her than f or
c a s h, or a c opy o f t he ‘c on tra ct ’ mu st be lodged .
If t he s hare s will be iss ued under wri tt en c on tra ct, t hen a F orm 207Z Certif i c at ion of c omplian c e wi th st amp du ty
law mu st al s o be lodged .
Fo r p ropr ietary co m p ani es
If s hare s will be iss ued under wri tt en c on tra ct or iss ued for ot her than c a s h, a F orm 207Z Cer t if ic a tion o f
c omplian c e wit h st amp du ty law mu st be lodged .
How to p r o v id e a ddi t ion a l
in f o rmat ion
Pho to c opi e d Fo rm 201 p ag es
If t here is in s uff ic ien t s pa c e in an y s ect ion o f t he f orm , y ou ma y photo c op y t he rele v an t page(s ) and s ubmi t a s par t
o f t his lodgemen t.
A nn ex u res
If t here is in s uff ic ien t s pa c e in an y s ect ion o f t he f orm , y ou ma y alt erna tel y s ubmit anne x ure s as par t of thi s lodgement.
T o ma k e an y annex ure con f orm to the regulat ion s, y ou mu st
1 . u s e A 4 s iz e paper of whi te or ligh t past el c olour wi th a margin of at lea st 10mm on all
s ide s 2 . s how t he c ompan y name and A CN or A RB N
3 . number t he page s c ons e c ut iv el y
4 . prin t or type in B L OCK le tt ers in dar k blue or bla ck in k s o tha t t he do c ument is c learl y legible when
phot oc opied 5. mark the annex ure wi th an iden t ify ing le tt er or sy mbol eg a ,b ,c or 1 ,2 ,3 etc.
6 . endor s e t he anne x ure wi t h t he word s:
T hi s annex ure (mark ) o f (number) pages re ferred to in f orm (form number and t itle)
7 . s ign and da te the annex ure
T he annex ure mu st be signed b y the s ame pers on( s ) who s igned t he f orm .
P r ivacy T he in forma tion pro v ided t o ASI C in thi s form ma y in c lude per s onal in f orma t ion . P lea s e re f er t o our pri v acy policy
(www. as ic. go v.au /pri v acy ) for more in forma tion abou t how we handle y our pers onal in f orma t ion , y our righ ts t o s ee k
acc ess to and c orre ct per s onal in f orma t ion , and t o c omplain abou t brea c he s of y our pri v a cy.
Lodg emen t S end c omplet ed and s igned form s t o:
A ust ralian S ec uri tie s and In v est men ts Commi ss ion ,
PO B ox 4000 , Gipp s land Mail Cent re VI C 3841
Fo r mo re info rmat ion
W eb www. as ic. gov .au
Need help? www. as ic. go v.au /quest ion

T elephone 1300 300 630
A SI C Fo rm 201 G uide 1 July 2014 Pa g e 2 o f 2