Form I-201 is a form used to apply for advance permission to return to the United States after traveling abroad. This form is used by individuals who have been previously removed, denied entry, or deported from the United States. If you are planning to travel outside of the United States and would like to return, it is important that you know how to apply for advance permission using Form I-201. In this blog post, we will provide an overview of Form I-201 and explain how to complete and submit this form. We will also discuss the benefits of applying for advance permission before traveling abroad. If you have any questions about Form I-201 or need assistance completing this form, please contact our office today.
| Question | Answer |
|---|---|
| Form Name | Form I 201Sample |
| Form Length | 11 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 2 min 45 sec |
| Other names | form 201, form 201 pdf, asic 201 form pdf, 201 form pdf |
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. |
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Ltd. |
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Proprietary |
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no legal elements (s.150 coys only)
Limited
NL
Continues on next page...
ASIC Form 201 |
Page 1 of 11 |
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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)?
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yes |
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no |
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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
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Previous business number |
Previous state/territory of registration |
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012 345 678 |
QLD |
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987 654 321 |
WA |
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Type of company |
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Class of company |
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Special purpose |
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proprietary company |
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limited by shares |
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home unit (HUNT) |
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unlimited with a share capital |
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super trustee (PSTC) |
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X |
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charitable purpose only (PNPC) |
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public company |
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limited by shares |
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super trustee (PSTC) |
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limited by guarantee |
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charitable purpose only (PNPC) |
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unlimited with a share capital |
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s150 company |
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X |
I DECLARE that I make this company is a special purpose company as defined under |
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Regulation 3 of the Corporations (Review Fees) Regulations 2003. |
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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
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The amount of the member's guarantee is: |
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$1,000,000.00 |
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At the office of, C/- (if applicable) |
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Joshua Piggott |
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Office, unit, level and building name |
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Unit 4 |
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Street Number and Street name |
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Suburb/City |
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State/ Territory |
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Blackbutt |
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NSW |
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Postcode |
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2529 |
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Australia |
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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.
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if (b), insert hours open |
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from 8 am |
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to 6 pm |
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At the office of, C/- (if applicable) |
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Josh Piggott |
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Office, unit, level and building name |
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Unit 4 |
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Street Number and Street name |
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Suburb/City |
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State/ Territory |
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Blackbutt |
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NSW |
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Postcode |
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2529 |
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Australia |
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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 |
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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
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director |
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secretary |
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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
suburb/city |
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State/Territory |
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Blackbutt |
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NSW |
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postcode |
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country (if not Australia) |
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2529 |
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AUSTRALIA |
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date of birth |
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24/06/1984 |
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place of birth |
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state/country |
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Caringbah |
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NSW / AUSTRALIA |
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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 |
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country (if not Australia) |
4221 |
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AUSTRALIA |
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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 |
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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
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share class |
full |
share class |
full |
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code |
title |
code |
title |
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A |
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PRF |
preference |
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B |
B ....etc |
CUMP |
cumulative preference |
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EMP |
employee's |
NCP |
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FOU |
founder's |
REDP |
redeemable preference |
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LG |
life governors |
NRP |
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MAN |
management |
CRP |
cumulative redeemable prefere |
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ORD |
ordinary |
NCRP |
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RED |
redeemable |
PARP |
participative preference |
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SPE |
special |
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share class code |
full title |
Total number |
Total amount |
Total amount |
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issued |
paid on these |
unpaid on these |
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shares |
shares |
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ORD |
ORDINARY SHARES |
50 |
$40.00 |
$10.00 |
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A |
A SHARES |
50 |
$0.00 |
$50.00 |
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B |
B SHARES |
500 |
$500.00 |
$0.00 |
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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 |
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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 |
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Public companies lodge a Form 208 |
ASIC Form 201 |
Page 6 of 11 |
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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
suburb/city |
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State/Territory |
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Blackbutt |
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NSW |
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postcode |
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country (if not Australia) |
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2529 |
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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
suburb/city |
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State/Territory |
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Blackhole |
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postcode |
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1529 |
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Share class |
Number of shares |
Amount agreed to |
Total $ paid |
Amount unpaid |
Total $ unpaid |
Fully paid? |
Beneficially |
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code |
taken up |
pay per share |
on these shares |
per share |
on these |
(y/n) |
held (y/n) |
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ORD |
50 |
$1.00 |
$0.00 |
$1.00 |
$30.00 |
N |
N |
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A |
100 |
$1.00 |
$0.00 |
$1.00 |
$20.00 |
N |
N |
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B |
100 |
$2.00 |
$200.00 |
$0.00 |
$0.00 |
Y |
Y |
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ASIC Form 201 |
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Page 7 of 11 |
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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
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suburb/city |
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Elanora |
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QLD |
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postcode |
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4221 |
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held jointly with |
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X |
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Pigs |
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Given names |
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Jay Don |
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OR |
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Company name |
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ACN/ARBN/ABN |
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care of |
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Ms. Piggy |
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Office, unit, level or PO box number |
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Flat 41 |
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Street number and name |
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232 Guineas creak rd |
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suburb/city |
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State/Territory |
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Elanora |
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QLD |
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postcode |
country (if not Australia) |
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4221 |
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AUSTRALIA |
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held jointly with
ASIC Form 201 |
Page 8 of 11 |
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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 |
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State/Territory |
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Elanora |
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QLD |
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postcode |
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country (if not Australia) |
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4221 |
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Share class |
Number of shares |
Amount agreed to |
Total $ paid |
Amount unpaid |
Total $ unpaid |
Fully paid? |
Beneficially |
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code |
taken up |
pay per share |
on these shares |
per share |
on these |
(y/n) |
held (y/n) |
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ORD |
50 |
$1.00 |
$50.00 |
$0.00 |
$0.00 |
Y |
Y |
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D |
100 |
$5.00 |
$0.00 |
$5.00 |
$200.00 |
N |
Y |
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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 |
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Lodging party details
Registered Agent details |
ASIC registered agent name |
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Australian Business Structures Pty Ltd |
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ASIC registered agent number |
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22761 |
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office, unit, level or PO Box number |
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Street number and Street Name |
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Suburb/City |
State/Territory |
South Melbourne
postcode
VIC
3205
DX Number |
DX City/suburb |
Telephone number
(03)
ASIC Form 201 |
Page 11 of 11 |
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