ASIC Form 201 Application for Registration of an Australian Company

This document presents a completed ASIC Form 201, an application for registration as an Australian company under the Corporations Act 2001. The form details the applicant's information, including contact details, and nominates New South Wales as the state of registration. It outlines the company's proposed name (Master Services), legal elements (Pty. Ltd., NL), and governance structure, specifying that the company will rely on replaceable rules. The registered office and principal place of business are provided, along with the appointment of three directors (Andrew Watson, Steve Symonds, and David Maxwell) and one secretary (Steve Symonds). The share structure includes details of issued shares, and the document includes member details, including Michael Finch, and their shareholdings. The applicant, Michael Finch, declares the information to be true and correct and provides a signature, with payment attached. This form is essential for anyone looking to register a company in Australia, providing a practical example of the required information.

Australian S ecuri ti es &
In vestmen ts Co mmi ssion
Appli cation for regi stration as an Au strali 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 - No tifi cation o f de tails o f shares allo tted o ther than for
cash 207 Z - Cer tif ica tion 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 pho to c op y th e re l eva n t p ag e(s) a nd subm it as p art o f thi s lodg emen t
Lodg eme n t d eta ils
A n image o f thi s f orm will be a v ailable as
par t 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 regist ered agent number (if appli c able)
86485385
F irm / organi s a tion
ABBY LEGAL SERVICES LIMITED
Con t act name /po s ition de sc rip tion
LEGAL ADVISOR T elephone number (during bu s ine ss hour s )
( 9723524610)
E mail address (op tional)
[e-mail]
S uburb/ City St a te /T erri t or y P ostc ode
Sydney New South Wales 2127
1 S tate /terr itory of re gi strat ion
I apply 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 whic h
t he c ompany will be t ak en to be regi st ered .
Giv e St a te or T erri t or y
New South Wales
2 Deta il s of t he compa ny
D o es th e co m p an y h ave a p r opo se d c o mp a n y n ame?
X Y es
If y e s, the propos ed c ompany name is
Master Services
Name re s er v at ion number (if an y )
No
T he c ompan y name on regi st ra t ion will be its A ust ralian Company Number (A CN) .
T ick the legal elemen ts tha t appl y
Pty. L td . P roprie tar y Limit ed No liabili ty X 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 ropose 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 whic h are list ed below.
AB N
85585268484
F or business name s regi stered bef ore
28 May 2012 wi t hout an AB N.
or
P rev iou s bu s in ess nu m b er P rev ious state / terr ito ry o f re gi stration
T yp e o f co m p an y
proprie tar y c ompany
public c ompany
C lass o f c o mp a n y
limit ed b y s hare s
unlimit ed wi th a s hare c apit al
limit ed b y s hare s
limit ed b y guaran tee
unlimit ed wi th a s hare c apit al
X no liabili ty
Sp eci al pu rpo se (if appli c able)
home uni t (HUN T )
s uperannuat ion tru st ee (PST C)
c hari t able purpos e s onl y (P NP C)
X s uperannuat ion tru st ee (UL SS )
c hari t able purpos e s onl y (UL S N)
Sp ec i al pu rpose co m p an y
Ref er t o Guide f or de sc rip tion s o f
special purpo s e c ompanies.
A public c ompany t hat is:
• a superannuation t ru st ee , or
• for charitable purpo s es only,
must ha v e a c onst it ut ion .
If t his is a s pe c 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 t his c ompany is a s pec ial purpo s e c ompany a s def ined under Regula tion 3 of t he
Corpora t ion s (Re v iew F ees ) Regula t ion s 2003.
Go ver n an ce o f a publi c c o mp a n y
T he c ompany will rel y ent irel y on repla c eable rule s
X T he c ompany ha s a c on st itu tion
A p r opo sed publi c c o mp a n y whi ch h as adop te d a “ C on st i tu tion” mu st lodg e a cop y o f th e c onsti tu tion
with thi s a pplicat ion.
If the propo s ed c ompany is to be a public c ompany li m ite d b y gu ara n tee , st a te t he amount of t he guaran tee t hat
ea c h member agree s to in wri ting .
Regi stere d o ff i ce
Y ou cannot u s e a PO B o x
address
T he amount of the member’s guaran tee is $ 19500 (inser t amoun t)
At t he o ff i c e o f, C/ - (if applic able)
Off i c e, uni t, le v el
28
St ree t number and St ree t name
17 church street
S uburb/ City St at e/T erri tor y P o stc ode
Sydney New South Wales 2127

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 cc up y th e p rem i ses?
X Y es
No
If no , name o f o c cupier
Occupier’s c on s en t (S ele ct bo x to indi c 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 o cc upier of t he premis es ha s c ons en ted in wri ting to t he u s e of t he s pe c if i ed addre ss as t he
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 wit hdrawn t ha t c on s ent.
X a . Regi st ered o ff i ce o f a publi c 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 eac h bus ine ss day f or a t lea st 3 hours
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 , 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 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 cehold er
A public company mu st hav e a
minimum of 3 direc t ors (2 re s iden t in
A u st ralia) and 1 secret ary (re s iden t in
A u st ralia) .
Off i ce h e ld
X Dire ct or S e c re t ary
A proprie t ar y 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 of s e c re t ar y is
op tional , bu t if appoin ted one mu st
reside in A u st ralia .
Off i ceholder(s ) appoin tment da te s hall
be e ff ec t ive from the beginning o f the
day on whic h t he c ompany be c omes
regis t ered.
F amil y name Giv en names
ANDREW WATSON ANDREW WATSON
F ormer name

NA
St ree t number and St ree t name
7 HAPPY street
S uburb/ Ci ty St a te /T erri t or y P ostc ode
Sydney New South Wales 2127
Count ry (if not A ust ralia)
Dat e o f bir th
30/05/1992
P la c e o f bir th (town /c ity) (st at e/count ry )
Sydney New South Wales
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 o f 3 dire ct ors (2 re s iden t in
A ust ralia) and 1 s ec re tar y (re s iden t in
A ust ralia).
A proprie tar y c ompany mu st hav e
a minimum o f 1 dire ct or (re s iden t in
A ust ralia). T he o ff i c e o f s e c re t ary is
opt ional , bu t if appoin ted one mu st
reside in A ust ralia .
Off iceholder( s ) appoin t men t dat e s hall
be e ff ect iv e f rom the beginning o f t he
day on whic h the c ompan y bec omes
regis tered .
Off i ce h e ld
X Dire ct or
F amil y name
STEVE SYMONDS
F ormer name
NA
St ree t number and St ree t name
2, Happy Street
S uburb /Ci ty
Sydney New South Wales
Coun try (i f no t A u stralia)
S e c re t ary
Giv en name s
STEVE SYMONDS
St a te /T erri t or y P ostc ode
Dat e o f bir th
11/06/1993
P la c e of birt h (t own/c ity) (st at e/c ount ry )
Sydney New South Wales
3 Con tinued ... A ppoin t a no t her off i ceholder
A public c ompany mu st ha v e a
minimum o f 3 dire ct ors (2 re s iden t in
A ust ralia) and 1 s ec re tar y (re s iden t in
A ust ralia).
A proprie t ary c ompan y mu st ha v e
a minimum o f 1 dire ct or (re s iden t in
A ust ralia). T he o ff i c e o f s e c re t ary is
opt ional , bu t if appoin ted one mu st
reside in A ust ralia .
Off iceholder( s ) appoin tmen t da t e s hall
be effec tiv e f rom t he beginning of t he
day on whic h the c ompan y bec omes
regis tered .

Off ice h eld
X Dire ct or X S ec re tar y
F amil y name Giv en name s
DAVID MAXWELL
F ormer DAVID MAXWELL name
NA
St ree t number and St ree t name
17 KING STREET New South Wales
S uburb/ Ci ty St a te /T erri t or y P ostc ode
Sydney New South Wales 2127
Count ry (if not A ust ralia)
Dat e o f bir th
14/11/1987
P la c e of birt h (t own /c ity ) (st at e/count ry )
Sydney New South Wales
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 es, pro v ide t he following de t ails of t he ult ima te holding c ompany
Compan y name
A CN /A R B N/AB N Coun try o f in c orporat ion (if not 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 det ail s o f s hare s t ha t the c ompany has on iss ue at the time o f t his appli c a tion .
S ta nd ard s h are cod es
Re fer t o the t able f or the s hare
c la ss c odes for s ect ion 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 li fe go v ernor’s
MA N managemen t
ORD ordinar y
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
NCR P non- c umulat iv e redeemable pre f eren c e
PA R P par tic ipa t iv e pre f eren c e
If you are us ing t he st andard s hare c la ss c ode s 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 not u s ing t he st andard s hare c la ss c ode, en ter a c ode of no more t han 4 le tt er s and t hen s how the f ull
t itle . S hare F ull t itle if no t standard 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
A 100000 1000000
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 writt en c on t ra ct ?
Y e s
If y e s: P rop r ietary co m p ani es
X No
If no, c ont inue to S ect ion 6 Deta il s o f mem b ers .
Lodge a F orm 207 Z c er tifying t hat all st amp du tie s hav e been paid .
Publi c c o mp a ni es
Lodge a F orm 207 Z and ei ther a F orm 208 or a c op y o f t he c on tra ct.
No
If no : P r op ri etary c o mp a ni es
Continue t o S ect ion 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 il s 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 on s en ts to bec 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 wi t 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 eac h 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 indiv idual or c ompany
• address of the indiv idual
or compan y, and
• shareholding .
A ddress of indiv idual or c ompany
F amil y name Giv en name s
MICHAEL FINCH MICHAEL FINCH
OR
Company name
A CN /A RB N / AB N
Off i c e, uni t, le v el , or PO B ox number
A-74,
St ree t number and St ree t name
King Strret
New South Wales
S uburb/ Ci ty St a te /T erri t or y P ostc ode
Sydney New South Wales 2127
Count ry (if not A ust ralia)
Comple te eac h c olumn f or ea c h s hare c la ss t he abov e member has agreed , in wri ting , to ta k e up .
No te: B enef ic iall y held u s ually 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 di v idend s. S hare s held by a per s on a s tru st ee, nominee or on acc ount o f anot 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 ull y paid B enef ic iall y
code s hare s t ak en up pa y per s hare the s e s hare s per s hare t hes e s hare s (y/ n) held (y/ n)
A 10000 100000 100000 NIL NIL Y N
A SIC Form 201 11 December 2012 Pa g e 6 o f 8

6 Con tinued ... Deta ils of a not her mem ber
F amil y name Giv en names
OR
Company name
A CN /A R B N/ AB N
Off ic e , unit, 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
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 ull y paid B enef ic iall y
code s hare s t ak en up pa y 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 ils of a not her mem ber
F amil y name Giv en names
OR
Company name
A CN /A R B N/ AB N
Off ic e , unit, 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 (i f not A ust ralia)
S hare c la ss
code
Number o f
s hare s t ak en up
A mount agreed to
pa y 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 he s e s hare s
F ully 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 info rmat ion in thi s fo rm and a n y attac h me n ts . I/w e
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 cation c on cer ning th e mem b er
a nd o ff icehold ers and I/we sh a ll gi ve th e c on sen 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 id e d in thi s a pplication 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 pplica nt
P rovide f amil y and giv 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 the applican t is a c orpora t ion - a dire ct or
or secret ary to s ign .
If t he agen t f or t he applic an t is a f irm –
a member/part ner of the f irm to s ign
X P a y men t has been att a c hed
Name of applic an t
MICHAEL FINCH
Capa c ity of appli c an t
X I ndiv idual
Corpora tion
Name of off ic eholder
A gent f or indiv idual or c orpora t ion
Name of agent
S igna ture o f applic an t
Dat e s igned
[D D] / [M M] / [Y Y]
Lodg eme n 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 ments Commi ss 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. gov. au / quest ion
T elephone 1300 300 630

Australian S ecu rities &
In vestmen ts Co mmi ssion
Guid e:
Appli cation for regi stration as an Au strali 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 is in clud ed b y ASI C to ass i st you in co m pl et ing 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) (Corporations A ct) .
Re late d Fo rms
208 - No tifi cation o f de tails o f shares allo tted o ther than for
cash 207 Z - Cer tif ica tion o f compliance with stamp du ty law
Sign atu re T hi s f orm mu st be s igned by:
• t he appli c an t; or
• a per s 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 pers on who ha s au t hority 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 ee s re fer to www .a s ic. gov. au/f orm s.
O ff i ce hold er a dd ress Off i c eholder s ’ addre ss e s mu st be their us ual c urren t re s iden tial addre ss. A n al terna t iv e address 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 ules a nd
c on sti tu t ions
T he Corpora t ion s Act c ont ain s ‘repla c eable rule s ’ whi c h appl y to all c ompanie s— exc ept c ompanie s where the s ole
member is al s o t he s ole dire ct or —and ma y be us ed to gov 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 ompan y is to be go v erned b y a c ombina t ion
o f repla c eable rule s and a con st itu tion , plea s e t ick t he bo x tha t s a ys ‘T he c ompany has a c onst 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 per s on s 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 onst it ut ion gov ern s t he c ompany, a c op y of the c onstit ut ion mu st als o be lodged . A publi c c ompany tha t
is: • a s uperannuation t rus tee , or
• f or c hari table purpos e s only,
mu st ha v e a writt en c ons tit 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 ha t is c urren t ly re s er v ed or regi st ered under t he Corpora t ion s Act for ano ther body, or
• a name tha t is held or regi st ered on t he bus ine ss name s regist er in re s pect of anot her indi v idual or body who is
no t t he per s on appl y ing to ha v e the name, or
• is una cc ept able for regist ra t ion under t he Corpora t ion s Regula tion s 2001 .
If it is propo s ed to regi st er a name whic h is iden tic al t o a regi st ered bu s ine ss name(s ), we mu st be s at isf ied tha t the
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 regist ering
t he c ompany f or the owner o f the bu s ine ss name, mu st be the appli c an t for regi st ra tion and t he quest 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 st at 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 differen t ty pes o f s pe c ial purpo s e c ompanie s t hat c an be est abli s hed on regi st ra t ion are :
C h ari ta bl e pu r po ses onl y
A c ompany who s e c onst it ut ion require s it t o pur s ue c haritable purpo s es only and t o appl y its in c ome in promo ting
t ho s e purpos e s; and prohibi ts 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 ctor s to approv e all o ther pa y men ts the c ompany ma k es t o t hem.
H o me uni t c o mp a n y
A proprie t ary c ompany:
• t ha t 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 en t itled to e xc lu s iv e occ upation of one or more of t ho s e area s and u s e of t he c ommon
area s, and
• whi c h operat es s olel y t o fa c ili t at e the righ ts of t hos e member s in rela tion to t heir e xclu s iv e occ upation of
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 a cts s olely as the t ru stee o f a regulat ed s uperannuation fund wit hin t he meaning o f s 19 of t he
S uperannuat ion Indu st ry (S uperv is ion) Act 1993 and who s e c on stit ut ion prohibi ts t he di st ribu tion o f its in c ome or
proper ty among its member s.
O th er ty p es o f c o m p a nies A no–liabili ty c ompany (NL) mu st be a publi c c ompany. T he Corpora t ion s Act limi ts the a ct iv itie s o f a NL c ompany t o
mining purpo s es only and obliges a NL c ompany ’s c on st itu tion to st a te , amongst o ther thing s, tha t its s ole obje cts
are mining purpos e s only.
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 ompan y 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 things, pro v is ion s whic h limi t its act iv it ie s t o c hari t able purpos e s onl y.
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 f or ot her t han c a s h, t hen a F orm 208 Not if ic a tion of de tail s o f s hare s allo tt ed o ther than for
c a s h, or a c op y 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 duty
law mu st al s o be lodged .
Fo r p rop r ietary co m p ani es
If s hare s will be iss ued under wri tt en c ont ra ct or iss ued for o ther than c as h , a F orm 207Z Cer tif i c at ion o f
c omplian c e wi t h st amp du ty law mu st be lodged .
How t o p r o v id e a ddi tion a l
in f o rmation
Pho to c opi e d Fo rm 201 p ag es
If there is in s u ff i c ien t s pa c e in an y s e ct ion o f the f orm , y ou ma y phot oc op y t he rele v ant page( s ) and s ubmit as part
o f t his lodgemen t.
A nn exu res
If t here is in s uff ic ien t s pac 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 part of thi s lodgement.
T o ma k e an y annex ure conf orm to the regulat ion s, y ou mu st
1 . us e A 4 s iz e paper o f whi te or ligh t pa st el c olour wit h a margin of a t lea st 10mm on all
s ide s 2 . s how t he c ompany name and A CN or A RB N
3 . number t he page s c ons e c ut iv ely
4 . prin t or ty pe in B L OCK le tt er s in dar k blue or bla ck in k s o tha t t he do c ument is c learl y legible when
pho t oc opied 5. mar k 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 wit h t he word s:
T hi s annex ure (mar k ) 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 per s on(s ) who s igned t he f orm .
P r ivacy T he in f orma t ion pro v ided to ASI C in thi s f orm ma y in c lude pers onal in forma tion . P lea s e re fer 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 per s onal in f orma t ion , y our righ ts t o s ee k
acc ess to and c orre ct pers onal in f orma t ion , and t o c omplain abou t brea c he s of y our priv a cy.
Lodg eme n 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 mo re info rmat ion
W eb www. as ic.gov .au
Need help? www. as ic. go v.au /quest ion