Asic Form 484 – Fill Out and Use This PDF

Company details

Company name

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)

Firm/organisation

Date signed

/

[D D] [M

/

M] [Y Y]

Lodgement

Send completed and signed forms to:

Australian Securities and Investments Commission, PO Box 4000, Gippsland Mail Centre VIC 3841.

Or lodge the form electronically by visiting the ASIC website www.asic.gov.au

For more information

Role of ceased oficeholder

Select one or more boxes

Date oficeholder ceased

Name

Role of ceased oficeholder

Select one or more boxes

Date oficeholder ceased

Name

Role of appointed oficeholder

Select one or more boxes

Date of appointment

Name

Former name

Eg change by deed poll or marriage

Residential address

Director

Secretary

Alternate director

The name of the appointed oficeholder is (provide full given names, not initials)

Their previous name was (provide full given names, not initials)

The residential address of the appointed oficeholder is

Street number and Street name

If an ‘Alternate director’, for whom

Note:

Where an Alternate director is appointed, please attach the terms of appointment to this change form.

(Refer to the guide for annexure requirements)

The appointed ‘Alternate director’ is alternate for (person alternate for)

Alternate director terms of appointment attached

Role of appointed oficeholder

Select one or more boxes

Date of appointment

Name

Former name

Eg change by deed poll or marriage

Residential address

Director

Secretary

Alternate director

The name of the appointed oficeholder is (provide full given names, not initials)

Their previous name was (provide full given names, not initials)

The residential address of the appointed oficeholder is

Street number and Street name

If an ‘Alternate director’, for whom

Note:

Where an Alternate director is appointed, please attach the terms of appointment to this change form.

(Refer to the guide for annexure requirements)

The appointed ‘Alternate director’ is alternate for (person alternate for)

Alternate director terms of appointment attached

The change is

For new registrations, use the

date of registration as the ‘date of change’

Commence

Home unit company

Superannuation trustee company

For charitable purposes only

Cease

Date of change

/ /

[D D] [M M] [Y Y]

Lodgement period

Lodgement required:

•within 28 days after the date of change; and

•within 28 days after the date of issue of your annual company statement.

There are some exceptions for the member’s details for proprietary companies. Refer to Shares details in this guide.

Late fees

Late lodgement fees will apply if you notify a change to company details outside the lodgement period. Only one late lodgement fee will apply to a form even if a number of changes notiied.

Late review fees will apply if you do not bring your company details up to date within 28 days after the issue of the annual statement. Late review fees are separate from late lodgement fees so both late review and late lodgement fees may apply to the one change. See www.asic.gov.au/latefees for more information.

The late fees are:

•$72 for up to one month late

•$299 for over one month late.

A form is not considered lodged until it is received and accepted by ASIC as complying with s1274(8) of the Corporations Act 2001. A receipt will not be issued unless requested.

Corporate key

The corporate key is an eight-digit number uniquely associated with a company’s ACN. You will ind your corporate key on the front page of your annual statement. Use your corporate key to register to check and change company details online - see www.asic.gov.au.

If you are not lodging changes online, you must include your corporate key on the cover sheet. Please visit our website at www.asic.gov.au/corporatekey for further assistance.

Track your lodgement

After you have lodged this form, you can check to see if it has been received and processed at ASIC Connect at www.asic.gov.au.

Alternatively, you can set up a Company Alert that notiies you by email when the form has been received by ASIC. Visit www.asic.gov.au/search for further details.

You can save time and have your changes take effect almost immediately by lodging this form online at www.asic.gov.au.

Cease company oficeholder

(Section B1)

Use this section to notify ASIC if a person has ceased to be an oficeholder of the company. Notiications must be received within 28 days after the change occurring. Details must be notiied separately for each ceased oficeholder.

A company does not have to notify ASIC that an oficeholder has ceased if the oficeholder has already notiied ASIC by lodging a Form 370 Notiication by oficeholder of resignation or retirement.

Alternate directors

See www.asic.gov.au/alternatedirectors for more information.

Address details

(Sections A1, B2 & C4)

Registered ofice and principal place of business:

•Provide the full address including the building name, loor and ofice number (if applicable), street number, name and type, locality and postcode.

•Ensure a tick is placed in the appropriate box to indicate if the company occupies the registered ofice premises.

•Ensure a tick is placed in the appropriate box to indicate if the occupier of the premises has consented, in writing, to the use of the speciied address.

Oficeholder and member residential address:

•Provide the full address including the street number, name and type, suburb, city, state or territory, postcode and country of residence if not in Australia.

A registered ofice address, principal place of business address or oficeholder residential address must be a physical or street address, a post ofice box is not acceptable. The street address must include a street number, ie ‘Corner of Smith St and Jones Rd’ is not acceptable.

A post ofice box address may only be used for a member’s address.

Ensure a tick is placed in the appropriate box to indicate the address to which the change applies.

Shares details

(Section C1, C2, C3 & C4)

All companies must notify ASIC if they cancel or issue shares by completing sections C1 or C2. Notiications must be received within 28 days after the change occurring.

Proprietary companies must also notify ASIC of any changes to:

•the company’s share structure by completing section C3

•details of their top 20 members by completing section C4 .

Public companies must complete section C3 after they have received their annual company statement, if changes have occurred. Notiication must be received within 28 days after the date of issue of the company statement.

Even though there is no legal obligation to do so, we ask public companies to also complete the C3 share structure table when notifying us of a share issue or cancellation at other times. This will enable us to ensure that share details we have recorded for the company are correct.

Special cases (for proprietary companies) and their lodging periods

•Court-ordered corrections of the register must be notiied to ASIC as speciied by the court order or within one month after the court order.

•Reductions in share capital must be notiied to ASIC within 14 days after the passing of the resolution to reduce share capital.

Companies limited by guarantee, or companies limited by shares and guarantee who have not issued any shares

These companies are not required to provide any details about share structure or members ie. do not complete sections C3 or C4.

Transferring Financial Institutions are not required to provide details of member shares that meet the requirements of Reg. 12.8.03; they should complete section C3 but not section C4.

How to provide additional information

Photocopied Form 484 pages

If there is insuficient space in any section of the form, you may photocopy the relevant page(s) and submit as part of this lodgement.

Annexures

If there is insuficient space in any section of the form, you may alternately submit annexures as part of this lodgement. To make any annexure conform to the regulations, you must

1.use A4 size paper of white or light pastel colour with a margin of at least 10mm on all sides

2.show the company name and ACN or ARBN

3.number the pages consecutively

4.print or type in BLOCK letters in dark blue or black ink so that the document is clearly legible when photocopied

5.mark the annexure with an identifying letter or symbol eg a,b,c or 1,2,3 etc.

6.endorse the annexure with the words:

This annexure (mark) of (number) pages referred to in form (form number and title)

7.sign and date the annexure. The annexure must be signed by the same person(s) who signed the form.

Lodgement

Send completed and signed forms to:

Australian Securities and Investments Commission, PO Box 4000, Gippsland Mail Centre VIC 3841.

For more information