Application for Registration: ASIC Form 201, Corporations Act 2001

This document presents a completed ASIC Form 201, the application for registration as an Australian company under the Corporations Act 2001. The form details various aspects of the company, including lodgement information, the proposed company name (Leo Limited), type of company (proprietary limited by shares, public company), registered office, and officeholders (directors Rup Bhat, Jan Gun, Sand Line and secretary). It also outlines the share structure, including share class codes, and details of members (Rup Bhat and Su Powell) and their shareholdings. The application includes the required declarations and signatures, along with contact information for ASIC. The form provides a comprehensive overview of the necessary information required for company registration in Australia, including the company's governance structure, financial details, and member information.

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)
123123123
F irm / organization
Sum Pty Ltd
Cont act name /po s ition de sc rip tion
Samsum Smith T elephone number (during bu s ine ss hour s )
(987654321)
E mail address (op tional)
[e-mail]
S uburb/ Ci ty St a te /T erri t ory P ostc ode
Sydney New South Wales 3200
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
New South Wales
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
Leo Limited
Name re s er v at ion number (if any )
NA
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

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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
65874598549
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 $ 1000000 (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
45 Base Street
S uburb/ Ci ty St at e/T erri tor y P o stc ode
Sydney New South Wales 3200
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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
Rup Bhat Rup Bhat
F ormer name

NA
St ree t number and St ree t name
77 Bell Street
S uburb/ City St a te /T erri t ory P ostc ode
Sydney New South Wales 3200
Count ry (if no t A ust ralia)
Dat e o f bir th
22/08/1987
P la c e o f bir th (town/c ity) (st at e/coun t ry )
Sydney New South Wales
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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
Jan Gun
F ormer name
NA
St ree t number and St ree t name
11 profix street
S uburb /Ci ty
Sydney
Coun try (i f no t A u st ralia)
X S e cre tar y
Giv en name s
Jan Gun Smith
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 )
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 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
Sand Line Sand Line
F ormer name
NA
St ree t number and St ree t name
3 Manager Road
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
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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
A
B
PR 200 200000
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 .
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