ASIC Form 201: Application for Australian Company Registration Details

This document presents a filled-out ASIC Form 201, which is an application for registration of an Australian company under the Corporations Act 2001. The form details the company's proposed name, Nature’s Good Food PTY LIMITED, and indicates it will be a proprietary limited company. It includes information about the registered office, principal place of business, and appointment of officeholders, including directors Oliver Christina and Jobin Pattinson, and secretary Patricia Kudrow. The share structure section outlines the different share classes (ORD, PRF, RED) and their respective details. It also provides member details, including their shareholdings. The application includes declarations and signatures from the applicant, along with lodgement details. This document serves as a practical example for students studying company law and registration processes in Australia.

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.
Re late d Fo rms
208 - Notif ica tion of de tails 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 cop y 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 emen t d eta ils
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)
12345
F irm /organi zat ion
FRANK LAW SERVICES
Helping Consultant LLP
Con t act name / po s ition de scrip t ion
LEGAL ADVISOR T elephone number (during bus ine ss hours)
([phone] )
E mail addre ss (opt ional)
[e-mail]
S uburb/Ci ty St at e/T erri tor y P ostc ode
Granville NSW 2142
1 State /terr it ory o f regi strat ion
I appl y for regi st ra 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 tor y in whic h the c ompany
will be tak en t o be regi st ered .
Giv e St at e or T erri tor y
NSW
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
NATURE’S GOOD FOOD PTY LIMITED
Name re s erv at ion number (if an y )
896 578 990
No
T he compan y name on regi st rat ion will be its Aust ralian Company Number (ACN).
T ick t he legal elemen ts t hat appl y
X Pty. L td . P roprie t ary Limit ed No liabili ty NL
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2 Con tinued ... Furt her deta il s of t he c om pa n y
I s th e p ropo sed 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 regi st ering 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
F or business names regi st ered be fore 28
May 2012 wit hou t an ABN.
or
P rev iou s bu sin ess 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
X proprie tar y c ompany
public compan y
C lass o f co m p an y
X limit ed by share 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
no liabili ty
Sp eci al pu rpo se (if appli c able)
home unit (HUN T )
s uperannua tion t ru st ee (PSTC)
c hari table purposes only (P N P C)
s uperannua tion t ru st ee (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 desc rip tion s of special
purpo se companie s.
A public c ompany tha t is:
• a superannua tion t ru st ee , or •
for chari t able purpo s es only,
must ha v e a c onst it ut ion.
If thi s is a s pec ial purpo se compan y, tick t he box below t o ma k e the de clara tion .
I de clare 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 Corpora tion 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 rule s
T he Company ha s a c onst it 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 propos ed company is t o be a publi c c ompany , st ate the amoun t of t he guaran t ee tha t eac h member agree s to in
wri ting .
Regi stere 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
87 – A, St. Georgia Street
St ree t number and St ree t name
Woodville Road
S uburb/Ci ty St ate/T erri t ory P o stcode
Granville NSW 2142
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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 con sen 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
regist ered off i ce of t he compan y and has no t wit hdrawn t ha t c ons ent.
a. Regist ered o ff i ce o f a public c ompany is open t o the publi c ea ch bu sine ss da y 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 bu sine ss da y 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 cip al pl ace o f bu s iness I f same as regi stere 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 tor y 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 mu st ha v e a
minimum of 1 dire ct or (re siden t in
Aus tralia) . T he o ff i c e o f sec ret ar y is
op tional , bu t if appoin t ed one mu st
reside in Aust ralia .
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
regis t ered .
F amil y name Giv en name s
Oliver Christina
F ormer name

NA
St ree t number and St ree t name:
Clyde Street
S uburb/Ci ty St at e/T erri tor y P ostc ode
Granville NSW 2142
Country (if no t Aust ralia)
Dat e o f bir t h
29/01/1992
P la ce of bir th (t own/c ity) (st ate/c ount ry )
Granville NSW/Australia
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3 Con tinued ... A ppoin t a no t her off i ce holder
A public c ompany mu st hav e a minimum
of 3 dire ct or s (2 res iden t in Aust ralia)
and 1 sec ret ary (res iden t in Aus t ralia) .
A proprie tar y c ompany mu st hav e a
minimum o f 1 dire ct or (res iden t in
Aust ralia) . T he o ff i c e o f sec ret ary is
opt ional , but if appoin ted one mu st
reside in Au st ralia .
Off i ceholder( s) appoin t men t dat e s hall be
eff ec t iv e f rom t he beginning o f the day
on which t he compan y be come s
regis tered .
Off i ce h eld
X Dire ct or
F amil y name
Pattinson
F ormer name
NA
St ree t number and St reet name
Blaxcell Street
S uburb/ Ci ty
Granville
Count ry (i f not Au st ralia)
S ec re t ary
Giv en name s
Jobin
St ate/T erri t or y P ostc ode
NSW 2142
Dat e o f bir t h
14/02/1990
P lac e o f bir t h (town/c ity) (st ate/c ount ry )
Granville NSW/Australia
3 Con tinued ... A ppoin t a no th er o ff i ce hold er
A public c ompany mu st hav e a minimum
of 3 dire ct or s (2 res iden t in Aust ralia)
and 1 sec ret ary (res iden t in Aus t ralia) .
A proprie tar y c ompany mu st hav e a
minimum o f 1 dire ct or (res iden t in
Aust ralia) . T he o ff i c e o f sec ret ary is
opt ional , but if appoin ted one mu st
reside in Au st ralia .
Off i ceholder( s) appoin t men t dat e s hall be
eff ec t iv e f rom t he beginning o f the day
on which t he compan y be come s
regis tered .

Off ice h eld
Dire ct or X S ec re t ary
F amil y name Giv en name s
Kudrow Patricia
F ormer name
NA
St ree t number and St ree t name
5 – Louis Street
S uburb/Ci ty St at e/T erri tor y P ostc ode
Granville NSW 2142
Country (if no t Aust ralia)
Dat e o f bir t h
27/12/1990
P la c e o f bir t h (town/c ity ) (st ate/c ount ry )
Granville NSW/Australia
4 Ide n tify ul timate holding c o mp a ny

Will th e co mp a n y h ave an ul ti mate holding co mp a n y upon regi strat ion?
Yes
If y es, pro v ide the f ollowing de tail s of t he ul t ima te holding compan y
Compan y name
ACN /A R B N/AB N Count ry o f in c orporat ion (if no t Aust ralia)
X No
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5 Sh are str u ct u re ta ble
De tails of s hare s issued by the c ompany. P lea se show all det ail s o f share s t hat t he compan y ha s on iss ue at the t ime o f thi s appli cat ion.
S ta nd ard sh are cod es
Re fer t o the t able f or the s hare c lass
c odes f or sect ion s 5 and 6.

S hare c lass code F ull t itle S hare cla ss c ode F ull t itle
A A
B B ... etc E MP
emplo y ee’s
FO U founder’s
LG li f e go v ernor’s
MAN managemen t
ORD ordinar y
RE D redeemable
SPE spe cial
P R F pre f eren ce
CUMP cumula tiv e pref eren ce NC P
non- cumula tiv e pref eren ce
R E DP redeemable pre feren c e
NR P non-redeemable pre feren c e
CR P cumula tiv e redeemable pre feren c e NCR P
non- cumula tiv e redeemable pre feren c e
PAR P par t icipa tiv e pre f eren ce
If you are us ing the st andard s hare c lass codes y ou do no t need to pro v ide the f ull tit le for t he share s, ju st the s hare c lass code.

If you are no t us ing the st andard s hare c lass code, en t er a c ode of no more than 4 le tt ers and t hen show the f ull tit le. S hare
F ull tit le if not st andard T o tal number o f
class code s hare s
T ot al amoun t
paid on t hes e
share s
T o tal amoun t
unpaid on t hes e
s hare s
ORD Ordinary Shares 2000 200000
PRF Preference Shares 2000 200000
RED Redeemable Shares 1000 100000
Are an y of t hes e s hare s iss ued ot her than f or cas h?
Yes
If y es, will s ome or all o f the s hare s be iss ued under a
wri tt en c on t ract ?
Yes
If y es: P rop rietary co mp a ni es
X No
If no , con tinue to S ect ion 6 Deta il s o f mem b ers .
Lodge a F orm 207Z c ert ify ing t hat all st amp du t ies ha v e been paid .
Publi c co m p ani es
Lodge a F orm 207Z and ei ther a F orm 208 or a c opy of t he con tra ct.
X No
If no : P rop rietary co mp a ni es
Continue to S ect ion 6 Deta il s o f mem b ers .
Public co mp a ni es
Lodge a F orm 208 .
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6 Deta il s o f memb ers
Use this se ct ion to no tify t he name and addre ss of ea ch per son who con sen ts t o bec ome a member.
If shares are join tly owned , pro v ide name s and addre sses of all join t -owners on a separa t e s heet (anne x ure) , c learl y indi c ating t he share cla ss and wi th whom t he shares are
join t ly owned .
Pl ease co m pl ete a se p arate sect ion b elow fo r eac h mem b er, p rin t a ddi tion a l copi es o f p a g e 7 i f m o re mem b ers are requi red.
Mem b er d eta il s and sh are holding I ndica te
whe t her the member is an individual or a
c ompan y and pro v ide t he: • name of
t he indi v idual or c ompany
• addre ss of t he indi v idual or
company, and
• shareholding.
Address o f indiv idual or c ompany
F amil y name Giv en name s
Oliver Christina
OR
Company name
ACN /A R B N/ ABN
Off i ce, unit, le v el, or PO B ox number
42, Jackson Apartments
St ree t number and St ree t name
Cylde Street
Suburb/City St ate/T erri t ory P o stcode
Granville NSW 2142
Count ry (i f not Au st ralia)
Complet e ea ch c olumn for ea ch s hare c lass the abo v e member ha s agreed , in wri t ing , t o tak e up .
No te: B enef i ciall y held u suall y mean s tha t the owner of t he share s is en tit led to t he dire ct benef i t f rom t he share s. F or ex ample , benef i ts c ould in clude the en tit lemen ts t o
pay men ts in relat ion to an y di v idend s. S hare s held by a per son as t ru st ee , nominee or on acc ount of ano ther per son are non-benef i ciall y held .
S hare cla ss Number o f Amount agreed t o T ot al $ paid on Amount unpaid T o tal $ unpaid on F ull y paid B enef i c iall y
code s hare s tak en up pa y per share (in $) the se share s per share t hes e s hare s (y/ n) held (y/ n)
ORD 1000 100 100000 NIL NIL Y N
PRF 1000 100 100000 NIL NIL Y N
RED 500 100 50000 NIL NIL Y N
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6 Con tinued ... Deta il s o f a no th er mem ber
F amil y Name Giv en name s
Pattinson Jobin
OR
Company name
ACN /A R B N/ ABN
Off i ce, unit, level, or PO Box number
8/20A
St ree t number and St ree t name
Blaxcell Street
S uburb/ Ci ty St ate/T erri t ory P o stcode
Granville NSW 2142
Count ry (i f not Au st ralia)
S hare cla ss Number o f Amount agreed t o T ot al $ paid on Amount unpaid T o tal $ unpaid on F ull y paid B enef i c iall y
code s hare s tak en up pa y per share (in $) the se share s per share t hes e s hare s (y/ n) held (y/ n)
ORD 1000 100 100000 NIL NIL Y N
PRF 1000 100 100000 NIL NIL Y N
RED 500 100 50000 NIL NIL Y N
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