Form I 201Sample PDF Details

Navigating the steps to officially register a company in Australia involves precise documentation, a pivotal aspect of which is the ASIC Form 201, mandated by the Corporations Act 2001. This form is a comprehensive document that lays the groundwork for the registration of an Australian company, detailing various requirements ranging from the proposed company name, its legal structure, to the appointment of officeholders. It calls for the nomination of a state or territory for registration, requests specifics about the company such as its name (directly tied to a reserved name number or defaulting to its Australian Company Number), legal elements (Pty, Ltd, etc.), type (public, proprietary), and class (special purpose, charitable, etc.). The form further delves into the declaration of the company's special purpose status, governance (adopting replaceable rules or a constitution), principal place of business, and the consent for the registered office's location. It also covers the identification of any ultimate holding company and mandates the provision of detailed information about persons consenting to take on roles as either directors or secretaries. ASIC Form 201 stands as a crucial initial step for entrepreneurs and businesses looking to formalize their corporate presence in Australia, encapsulating core company information and compliance declarations essential for successful registration.

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Form NameForm I 201Sample
Form Length11 pages
Fillable?No
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Avg. time to fill out2 min 45 sec
Other namesform 201, form 201 pdf, asic 201 form pdf, 201 form pdf

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ASIC

Australian Securities and Investments Commission

Application for registration as an Australian company

Form 201 - Corporations Act 2001

1 Make an application

I/We 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.

2 Provide details of the company

Does the company have a proposed company name?

If yes, the proposed company name is

name reservation number (if any)

no

The company name on registration will be its Australian Company Number (ACN)

Tick the legal elements to apply

Pty.

 

Ltd.

 

Proprietary

 

 

 

 

 

no legal elements (s.150 coys only)

Limited

No-liability

NL

Continues on next page...

ASIC Form 201

Page 1 of 11

 

 

2 Continued ... Provide details of the company

For business names registered before 28 May 2012 without an

ABN

Type and class of company

Special purpose company

Registered office

Continues on next page...

ASIC Form 201

Is the proposed name identical to a registered business name(s)?

X

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

96 123 456 789

or

 

Previous business number

Previous state/territory of registration

 

 

 

 

 

 

012 345 678

QLD

 

 

 

 

 

 

987 654 321

WA

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Type of company

 

Class of company

 

Special purpose

 

proprietary company

 

limited by shares

 

home unit (HUNT)

X

X

 

 

 

 

unlimited with a share capital

 

super trustee (PSTC)

 

 

 

 

 

 

 

X

 

 

 

 

 

charitable purpose only (PNPC)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

public company

 

limited by shares

 

super trustee (PSTC)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

limited by guarantee

 

charitable purpose only (PNPC)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

unlimited with a share capital

 

s150 company

 

 

 

 

 

 

 

 

 

no-liability

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

X

I DECLARE that I make this company is a special purpose company as defined under

Regulation 3 of the Corporations (Review Fees) Regulations 2003.

 

Governance of a public company

The company will rely entirely on replaceable rules.

XThe 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:

 

 

$1,000,000.00

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

At the office of, C/- (if applicable)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Joshua Piggott

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Office, unit, level and building name

 

 

 

 

 

 

 

 

 

Unit 4

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Street Number and Street name

 

 

 

 

 

 

 

 

 

4-6 Bettong st

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Suburb/City

 

 

 

State/ Territory

 

Blackbutt

 

 

 

NSW

 

 

 

 

 

 

 

 

 

 

Postcode

Country (if not Australia)

 

2529

 

Australia

 

 

 

 

 

 

 

 

 

 

 

 

Page 2 of 11

2 Continued ... Provide details of the company

Office hours

for a public company

Principal place of business in Australia

Does the company occupy these premises?

yes

Xno

if no, name of occupier

He thinks he is God

Xoccupier's consent

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 10 am to 12 noon and 2pm to 4pm

XRegistered office of a public company is open to the public for at least 3 hours between 9am and 5pm.

 

 

 

 

 

if (b), insert hours open

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

from 8 am

 

 

to 6 pm

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

At the office of, C/- (if applicable)

 

 

 

 

 

 

 

 

 

 

 

Josh Piggott

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Office, unit, level and building name

 

 

 

 

 

 

 

 

 

 

 

Unit 4

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Street Number and Street name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4-6 Bettong st

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Suburb/City

 

 

 

 

State/ Territory

 

Blackbutt

 

 

 

 

NSW

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Postcode

 

Country (if not Australia)

 

 

 

 

 

 

 

2529

 

 

 

Australia

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3 Identify ultimate holding company

Will the company have an ultimate holding company upon registration?

X

yes

If yes, provide the following details of the ultimate holding company

Company Name

OZONE INDUSTRIES R & D PTY LTD

ACN/ARBN/ABN

550 587 838

Country (if not Australia)

Australia

no

ASIC Form 201

Page 3 of 11

 

 

4. Appoint officeholder

Give details below of the person(s) who have consented in writing to become a director/secretary of the company.

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.

The officeholder's residential address is required

office held

X

director

X

secretary

 

 

 

 

 

 

 

 

family name

PIGGOTT

given names

JOSHUA DAVID MARTIN

former name

JOSH DAVE MARTY PIGGOTT

care of

Ms. Piggy

unit, floor, building name

Unit 4

street number and name

4-6 Bettong st

suburb/city

 

 

 

 

 

 

 

State/Territory

 

Blackbutt

 

 

 

 

 

 

 

NSW

 

 

 

 

 

 

 

 

 

 

 

postcode

 

country (if not Australia)

 

2529

 

AUSTRALIA

 

 

 

 

 

 

 

 

 

 

 

 

 

date of birth

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

24/06/1984

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

place of birth

 

 

 

 

 

state/country

 

 

 

 

 

 

 

 

 

Caringbah

 

 

 

 

 

NSW / AUSTRALIA

 

 

 

 

 

 

 

 

 

 

 

4. Continued... Appoint additional officeholder

office held

X

director

X

secretary

family name

PIGGY

given names

JEFFERY DONALD

former name

JEFF DON PIGGY

care of

Mr. Piggy

unit, floor, building name

Unit 41

street number and name

232 Guineas creak rd

suburb/city

State/Territory

Elanora

postcode

 

country (if not Australia)

4221

 

AUSTRALIA

 

 

 

date of birth

02/05/1959

QLD

place of birth

Caringbah

ASIC Form 201

state/country

NSW / AUSTRALIA

Page 4 of 11

4. Continued... Appoint additional officeholder

office held

director

family name

X

secretary

PETERS

given names

JIM RICHARD

former name

care of

Miss. Piggy

unit, floor, building name

street number and name

232 Canterbury Rd

suburb/city

State/Territory

St Kilda West

postcode

country (if not Australia)

VIC

3191

AUSTRALIA

date of birth

12/07/1989

place of birth

state/country

Shanghai

JiangSu / P.R. of China

ASIC Form 201

Page 5 of 11

 

 

5.Share Structure table

Details of shares issued by the company. Please show all details of shares that the company has on issue as the time of this application.

Standard share codes

Refer to the following table for the share class codes for section 4

 

share class

full

share class

full

 

code

title

code

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 governors

NRP

non-redeemable preference

 

MAN

management

CRP

cumulative redeemable prefere

 

ORD

ordinary

NCRP

non-cumulative redeemable preference

 

RED

redeemable

PARP

participative preference

 

SPE

special

 

 

 

 

 

 

 

 

share class code

full title

Total number

Total amount

Total amount

 

 

 

issued

paid on these

unpaid on these

 

 

 

 

shares

shares

 

 

 

 

 

 

 

 

ORD

ORDINARY SHARES

50

$40.00

$10.00

 

 

A

A SHARES

50

$0.00

$50.00

 

 

B

B SHARES

500

$500.00

$0.00

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Are any of these shares issued other than for cash?

X

If yes, will some or all of the shares be issued under a written contract?

If no, continue to Section 6 Details of members

yes

if yes, Proprietry 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, Proprietry companies continue to Section 6 Details of members

 

Public companies lodge a Form 208

ASIC Form 201

Page 6 of 11

 

 

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, clearly indicating the share class and with whom the shares are jointly owned.

X

Member details and shareholdings

Family name

Piggott

Given names

Joshua David

OR

Company name

ACN/ARBN/ABN

care of

Mr. Piggy

Office, unit, level or PO box number

Unit 4

Street number and name

4-6 Bettong st

suburb/city

 

 

 

State/Territory

 

 

 

 

 

 

Blackbutt

 

 

 

NSW

 

 

 

 

 

 

postcode

 

country (if not Australia)

 

 

 

 

2529

 

AUSTRALIA

 

held jointly with

X

Member details and shareholdings

Family name

Muggott

Given names

James Daddy

OR

Company name

ACN/ARBN/ABN

care of

Mr. Muggy

Office, unit, level or PO box number

Unit 12

Street number and name

4-6 Bettong Rd

suburb/city

 

 

 

State/Territory

 

 

 

 

 

 

Blackhole

 

 

 

VIC

 

 

 

 

 

 

postcode

 

country (if not Australia)

 

 

 

 

1529

 

AUSTRALIA

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Share class

Number of shares

Amount agreed to

Total $ paid

Amount unpaid

Total $ unpaid

Fully paid?

Beneficially

 

code

taken up

pay per share

on these shares

per share

on these

(y/n)

held (y/n)

 

 

 

 

 

 

 

 

 

 

ORD

50

$1.00

$0.00

$1.00

$30.00

N

N

 

 

 

 

 

 

 

 

 

 

A

100

$1.00

$0.00

$1.00

$20.00

N

N

 

 

 

 

 

 

 

 

 

 

B

100

$2.00

$200.00

$0.00

$0.00

Y

Y

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ASIC Form 201

 

 

 

 

 

Page 7 of 11

 

 

 

 

 

 

 

 

 

6 Continued... Details of another members

Member details and shareholdings

Member details and shareholdings

XFamily name

Piggott

Given names

Jeffery Donald

OR

Company name

ACN/ARBN/ABN

care of

Ms. Piggy

Office, unit, level or PO box number

Flat 41

Street number and name

232 Guineas creak rd

 

 

 

suburb/city

 

 

State/Territory

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Elanora

 

 

QLD

 

 

 

 

 

 

 

 

 

 

 

 

 

 

postcode

country (if not Australia)

 

 

 

 

 

 

 

 

 

 

 

 

4221

 

AUSTRALIA

 

 

 

held jointly with

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

X

 

Family name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Pigs

 

 

 

 

 

 

 

 

Given names

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Jay Don

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OR

 

 

 

 

 

 

 

 

Company name

 

 

 

 

 

 

 

 

ACN/ARBN/ABN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

care of

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Ms. Piggy

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Office, unit, level or PO box number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Flat 41

 

 

 

 

 

 

 

 

Street number and name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

232 Guineas creak rd

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

suburb/city

 

 

State/Territory

 

 

 

 

 

 

 

 

 

 

 

 

Elanora

 

 

QLD

 

 

 

 

 

 

 

 

 

 

 

 

postcode

country (if not Australia)

 

 

 

 

 

 

 

 

 

 

 

4221

 

AUSTRALIA

 

 

 

 

 

 

 

 

 

 

 

 

held jointly with

ASIC Form 201

Page 8 of 11

 

 

6 Continued... Details of another members

X

Member details and shareholdings

Family name

Gumberg

Given names

Alan Sam

OR

Company name

ACN/ARBN/ABN

care of

Ms. Pigs

Office, unit, level or PO box number

Flat 41

Street number and name

232 Guineas creak rd

suburb/city

 

 

 

State/Territory

 

 

 

 

 

 

Elanora

 

 

 

QLD

 

 

 

 

 

 

postcode

 

country (if not Australia)

 

 

 

 

4221

 

AUSTRALIA

 

 

 

 

 

 

 

 

 

 

 

Share class

Number of shares

Amount agreed to

Total $ paid

Amount unpaid

Total $ unpaid

Fully paid?

Beneficially

 

code

taken up

pay per share

on these shares

per share

on these

(y/n)

held (y/n)

 

 

 

 

 

 

 

 

 

 

ORD

50

$1.00

$50.00

$0.00

$0.00

Y

Y

 

 

 

 

 

 

 

 

 

 

D

100

$5.00

$0.00

$5.00

$200.00

N

Y

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ASIC Form 201

Page 9 of 11

Declaration by applicant

I apply for the registration of a company on the basis of the information in this form and any attachments.

I have the necessary consents and agreements referred to in this application concerning the members and officeholders and I shall give the consents and agreements to the company after the company becomes registered. The information in this application and in any annexures is true and correct at the time of signing.

Signature of applicant

Name of applicant

JONES RILEY THOMAS

Capacity of applicant

X

Natural person

Corporation

Name of Officeholder

JONES RILEY THOMAS

Agent for natural person and corporation

Name of Agent

AUSTRALIAN BUSINESS STRUCTURES PTY LTD

Signature of applicant

Date Signed

ASIC Form 201

Page 10 of 11

 

 

Lodging party details

Registered Agent details

ASIC registered agent name

 

 

Australian Business Structures Pty Ltd

 

 

 

 

 

ASIC registered agent number

 

 

22761

 

 

 

 

 

office, unit, level or PO Box number

 

 

Street number and Street Name

 

 

29-33 Palmerston Crescent

 

 

 

 

 

Suburb/City

State/Territory

South Melbourne

postcode

VIC

3205

DX Number

DX City/suburb

Telephone number

(03) 9209-9799

ASIC Form 201

Page 11 of 11