Diamond Company: Completing ASIC Form 201 for Company Registration

This assignment showcases a completed ASIC Form 201, used for registering an Australian company under the Corporations Act 2001. The form includes key sections such as company details (name, type, registered office), officeholder appointments (directors and secretary), share structure (class codes, number of shares, amount paid), and member details. The example company, "Diamond Company," is a proprietary limited company. The form meticulously details the information required by ASIC, including the names, addresses, dates of birth, and shareholdings of the members and officeholders. This includes details on share classes, amounts paid, and whether shares are beneficially held. The assignment also includes declarations by the applicant and outlines the necessary attachments and consents. This provides a comprehensive overview of the company registration process in Australia.

1
Australian Securities &
Investments Commission
Application for registration as an Australian
company
Form 201
Corporations Act 2001
117
Use this form to apply to ASIC for registration of a company under the Corporations Act 2001.
Related Forms
208 - Notification of details of shares allotted other than for cash 207Z - Certification
of compliance with stamp duty law
If there is insufficient space in any section of the form, you may photocopy the relevant page(s) and submit as part of this lodgement
Lodgement details
An image of this form will be
available as part of the public
register.
Who should ASIC contact if there is a query about this form?
ASIC registered agent number (if applicable)
N/A
Firm/organisation
N/A
Contact name/position description Telephone number (during business hours)
Amelia Olivia/ Director (
[phone]Email address (optional)
[e-mail]
Postal address
P.O Box 1227
Suburb/City State/Territory Postcode
Sydney New South Wales 3070
1 State/territory of registration
I apply for registration of the company under the Corporations Act 2001 and nominate the State
or Territory in which the company will be taken to be registered.
New South Wales Give State or Territory
2 Details of the company
Does the company have a proposed company name?
Yes
If yes, the proposed company name is
Diamond
Name reservation number (if any)
No
The company name on registration will be its Australian Company Number (ACN).
Tick the legal elements that apply
Pty. Ltd. Proprietary Limited No liability NL

2 Continued ... Further details of the company
For business
names registered
before 28 May
2012 without an
ABN.
Is the proposed name identical to a
registered business name(s)?
Yes No
If yes, I declare that I hold, or am
registering the company for the
holder(s) of, the identical business
name(s), the registration details of
which are listed below.
ABN
or
Previous business number Previous
state/territory of registration
Type of company Class of
company
proprietary company
lim
ite
d
by
sh
ar
es
unlimited with a share capital
public company
lim
ite
d
by
sh
ar
es
lim
ite
d
by
gu
ar
an
te
e
unlimited with a share capital
no
lia
bili
ty
Special purpose (if
applicable)
home unit (HUNT)
superannuation
trustee (PSTC)
charitable purposes
only (PNPC)
superannuation
trustee (ULSS)
charitable purposes
only (ULSN)
Special
purpose
company
Refer to
Guide for descriptions of special purpose
companies.
(insert amount)

Crowd-
sourced
funding
Only
complete
this section
if you
intend to
make a
crowd-
sourced
funding
offer.
Refer to
www.asic.g
ov.au/crow
d-sourced-
funding for
furtherinfor
mation.
A public
company
that is:
• a
superannu
ation
trustee, or
• for
charitable
purposes
only, must
have a
constitutio
n.
If this is a special purpose company, tick the
box below to make the declaration.
I declare that this company is a
special purpose company as defined
under Regulation 3 of the Corporations
(Review Fees) Regulations 2003.
The company intends to make a
crowd-sourced funding offer after
registration and is eligible for limited
governance requirements under s738ZI of
the Corporations Act 2001 on registration.
Governance of a public company
The company will rely entirely on
replaceable rules
The company has a constitution
A proposed public company which has
adopted a “Constitution” must lodge a
copy of the constitution with this
application.
If the proposed company is to be a public
company limited by guarantee, state the
amount of the guarantee that each member
agrees to in writing.
The amount of the member’s guarantee is $

2 Continued ... Further details of the company
Registered
office
You cannot use
a PO Box
address
Office
hours
For a public
company
Principal
place of
business
At the office of, C/- (if applicable)
N/A
Office, unit, level
Level 4
Street number and Street name
6 RiddCrt, Seymour, VIC 24462
Suburb/City State/Territory Postcode
North Sydney New South Wales 3070
Does the company occupy the premises?
Yes
No
If no, name of occupier
Occupier’s consent (Select box to
indicate the statement below is
correct)
The occupier of the premises has
consented in writing to the use of
the specified address as the
address of the registered office of
the company and has not
withdrawn that consent.
a. Registered office of a public
company is open to the public each
business day from at least 10 am
to 12 noon and 2 pm to 4 pm.
b. Registered office of a public company is open
to the public each business day for at least 3 hours
between
9 am and 5 pm.
If b, insert hours open from 9.00 am/pm close to 4.00 am/pm
If same as registered office, write “as above”.
Office, unit, level
Level 4
Street number and Street name
40 Mount Street
Suburb/City State/Territory Postcode
North Sydney New South Wales 2059
Country (if not Australia)

3 Appoint officeholder
A public company must have a minimum
of 3 directors (2 resident in Australia) and
1 secretary (resident in Australia).
A proprietary company must have a
minimum of 1 director (resident in
Australia). The office of secretary
is optional, but if appointed one
must reside in Australia.
Officeholder(s) appointment date
shall be effective from the
beginning of the day on which the
company becomes registered.
Office held
Director Secretary
Family name Given names
Brown Ben
Former name
N/A
Street number and Street name
40 Mount Street
Suburb/City State/Territory Postcode
North Sydney New South Wales 2059
Country (if not Australia)
Date of birth
2 5 / 0 6 / 8 4
[D D] [M M] [Y Y]
Place of birth (town/city) (state/country)
Sydney New South Wales
3 Continued ... Appoint another officeholder
A public company must have a
minimum of 3 directors (2 resident in
Australia) and 1 secretary
(resident in Australia).
A proprietary company must have a
minimum of 1 director (resident in
Australia). The office of secretary
is optional, but if appointed one
must reside in Australia.
Officeholder(s) appointment date
shall be effective from the
beginning of the day on which the
company becomes registered.
Office held
Director Secretary
Family name Given names
Selwood Dayne
Former name
N/A
Street number and Street name
40 Mount Street
Suburb/City State/Territory Postcode
North Sydney New South Wales 2059
Country (if not Australia)
Date of birth
1 8 / 0 4 / 8 6
[D D] [M M] [Y Y]
Place of birth (town/city) (state/country)
Sydney New South Wales

3 Continued ... Appoint another officeholder
A public
company must
have a
minimum of 3
directors (2
resident in
Australia)
and 1
secretary
(resident in
Australia).
A proprietary
company must
have a
minimum of 1
director
(resident in
Australia).
The office of
secretary is
optional, but
if appointed
one must
reside in
Australia.
Officeholder(s)
appointment
date shall be
effective from
the beginning
of the day on
which the
company
becomes
registered.
Office held
Director Secretary
Family name Given names
Thomas William
Former name
N/A
Street number and Street name
15 Valley Drive
Suburb/City State/Territory Postcode
North Sydney New South Wales 2059
Country (if not Australia)
Date of birth
1 0 / 0 1 / 8 9
[D D] [M M] [Y Y]
Place of birth (town/city) (state/country)
Sydney New South Wales
4 Identify ultimate holding
company
Will the company have
an ultimate holding
company upon
registration?
Yes
If yes, provide the
following details of the
ultimate holding
company
Company name
ACN/ARBN/ABN Country of incorporation (if not Australia)
No

5 Share structure table
Details of shares issued by the company. Please show all details of shares that the company has on issue at the time of this application.
Standard share codes
Refer to the table for the
share class codes for
sections 5 and 6.

Share class code Full title Share class code Full title
A A PRF preference
B B ...etc CUMP cumulative preference
EMP employee’s NCP non-cumulative preference
FOU founder’s REDP redeemable preference
LG life governor’s NRP non-redeemable preference
MAN management CRP cumulative redeemable preference
ORD ordinary NCRP non-cumulative redeemable preference
RED redeemable PARP participative preference
SPE special
If you are using the standard share class codes you do not need to provide the full title for the shares, just the
share class code.
If you are not using the standard share class code, enter a code of no more than 4 letters and then show the full title.
Share Full title if not standard Total number of Total amount Total amount
class code shares paid on these unpaid on these
shares shares
PRF 1 000 000 900 000 100000
Are any of these shares issued other than for cash?
Yes No
If yes, will some or all of the shares be issued under If no, continue to Section 6 Details of members.
a written contract?
Yes
If yes: Proprietary companies
Lodge a Form 207Z certifying that all stamp duties have
been paid.
Public companies
Lodge a Form 207Z and either a Form 208 or a copy of
the contract.
No
If no: Proprietary companies
Continue to Section 6 Details of members.
Public companies
Lodge a Form 208.

6 Details of members
Use this section to notify the name and address of each person who consents to become a member.
If shares are jointly owned, provide names and addresses of all joint-owners on a separate sheet (annexure), clearly indicating the
share class and with whom the shares are jointly owned.
Please complete a separate section below for each member, print additional copies of page 7 if more members are required.
Member details and shareholding
Indicate whether the member is an
individual or a company and provide the:
• name of the individual or company
• address of the
individual or company,
and
• shareholding.

Family name Given names
Thomas William
OR
Company name
ACN/ARBN/ ABN
Address of individual or company Office, unit, level, or PO Box number
P.O Box 123
Street number and Street name
40 Mount Street
Suburb/City State/Territory Postcode
North Sydney New South Wales 2059
Country (if not Australia)

Complete each column for each share class the above member has agreed, in writing, to take up.
Note: Beneficially held usually means that the owner of the shares is entitled to the direct benefit from the shares. For example, benefits could include
theentitlements to payments in relation to any dividends. Shares held by a person as trustee, nominee or on account of another person are non-beneficially
held.
Share class Number of Amount agreed to Total $ paid on Amount unpaid Total $ unpaid on Fully paid Beneficially
code shares taken up pay per share these shares per share these shares (y/n) held (y/n)
PRF 200, 000 10 2 000 000 00 00 Y