corporations act 2001 change to company details · asic form 484 17 january 2011 section a page 2...

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ASIC Form 484 17 January 2011 Cover page Change to company details Sections A, B or C may be lodged independently with this signed cover page to notify ASIC of: Form 484 Corporations Act 2001 A1 Change of address A2 Change of name - officeholders and proprietary company members A3 Change - ultimate holding company B1 Cease company officeholder B2 Appoint company officeholder B3 Special purpose company C1 Cancellation of shares C2 Issue of shares C3 Change to share structure C4 Changes to the register of members for proprietary companies Company details Company name ACN/ABN Refer to guide for information about corporate key Corporate key 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 Contact name/position description Telephone number (during business hours) ( ) Email address (optional) Postal address Suburb/City State/Territory Postcode Signature This form must be signed by a current officeholder of the company. I certify that the information in this cover sheet and the attached sections of this form are true and complete. Name Capacity Director Company secretary Signature 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 Web www.asic.gov.au Need help? www.asic.gov.au/question Telephone 1300 300 630 If there is insufficient space in any section of the form, you may photocopy the relevant page(s) and submit as part of this lodgement Australian Securities & Investments Commission

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Page 1: Corporations Act 2001 Change to company details · ASIC Form 484 17 January 2011 Section A Page 2 of 2 A2 Change of name — officeholders and proprietary company members Use this

ASIC Form 484 17 January 2011 Cover page

Change to company detailsSections A, B or C may be lodged independently with this signed cover page to notify ASIC of:

Form 484 Corporations Act 2001

A1 Change of addressA2 Changeofname-officeholdersandproprietary

companymembersA3 Change-ultimateholdingcompany

B1 CeasecompanyofficeholderB2 AppointcompanyofficeholderB3 Specialpurposecompany

C1CancellationofsharesC2 Issue of sharesC3 Change to share structureC4Changestotheregisterofmembersforproprietary

companies

Company details Companyname

ACN/ABN

Refertoguideforinformationaboutcorporatekey

Corporatekey

Lodgement details

Animageofthisformwillbeavailableaspartofthepublicregister.

Who should ASIC contact if there is a query about this form?ASICregisteredagentnumber(ifapplicable)

Firm/organisation

Contact name/position description Telephonenumber(duringbusinesshours)

( )Emailaddress(optional)

Postaladdress

Suburb/City State/Territory Postcode

SignatureThisformmustbesignedbyacurrentofficeholderofthecompany.

Icertifythattheinformationinthiscoversheetandtheattachedsectionsofthisformaretrueandcomplete.Name

Capacity

Director

Companysecretary

Signature

Date signed

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

Lodgement Sendcompletedandsignedformsto: AustralianSecuritiesandInvestmentsCommission, POBox4000,GippslandMailCentreVIC3841. OrlodgetheformelectronicallybyvisitingtheASICwebsite www.asic.gov.au

For more informationWeb www.asic.gov.auNeedhelp? www.asic.gov.au/questionTelephone 1300300630

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

Australian Securities & Investments Commission

Page 2: Corporations Act 2001 Change to company details · ASIC Form 484 17 January 2011 Section A Page 2 of 2 A2 Change of name — officeholders and proprietary company members Use this

ASIC Form 484 17January2011 SectionAPage 1 of 2

A1 Change of addressThissectionallowsanewaddresstobeappliedtooneormorepurposes(ieregisteredoffice,principalplaceofbusiness,companyofficeholderand/orproprietarycompanymember.)YoumustcopyandattachanotherSectionA1foreachnewaddress.

New addressAPOBoxisonlyallowedforamemberaddress

Attheofficeof,C/-(ifapplicable)

Office,unit,level,orPOBoxnumber(APOBoxisonlyallowedforamemberaddress)

StreetnumberandStreetname

Suburb/City State/Territory

Postcode Country(ifnotAustralia)

Date of changeFormembers’addresschanges,usethedateofchangetothemembers’register

Date of change

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

Apply address toYoucanapplythenewaddresstooneormoreofthefollowing—registeredoffice,principalplaceofbusiness,etc.

Registered office addressAchangetotheregisteredofficeaddresstakeseffecteither7daysafterlodgementofthenoticeoralaterdatespecifiedinthenotice.

Registered office addressIftheregisteredofficehaschanged,doesthecompanyoccupythepremises?

yes

noifno,nameofoccupier?

Occupier’sconsent(Selectboxtoindicatethestatementbelowiscorrect) Theoccupierofthepremiseshasconsentedinwritingtotheuseofthespecifiedaddressasthe addressoftheregisteredofficeofthecompanyandhasnotwithdrawnthatconsent.

Principal place of business address

Company officeholder’s residential address

Familyname1

Givennames

Dateofbirth

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

Placeofbirth(town/city) (state/country)

Familyname2

Givennames

Dateofbirth

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

Placeofbirth(town/city) (state/country)

Proprietary company member’s addressIftherearemorethan20membersinashareclass,onlyaddresschangesforthetop20needbenotified.

Proprietary company member’s address

Familyname1

Givennames

Familyname2

Givennames

When a proprietary company member is a company, not an individualCompanyname(onlyifamember)

1 ACN/ ARBN/ ABN Countryofincorporation(ifnotAustralia)

Page 3: Corporations Act 2001 Change to company details · ASIC Form 484 17 January 2011 Section A Page 2 of 2 A2 Change of name — officeholders and proprietary company members Use this

ASIC Form 484 17January2011 SectionAPage 2 of 2

A2 Change of name — officeholders and proprietary company membersUsethissectiontonotifyanamechangeofanindividualororganisationwithoneormoreroles(includingmemberofaproprietarycompany)inthecompany.

Tickoneormoreboxestoindicateanindividualororganisation’scurrentroleincompany

Director Alternatedirector Proprietary company member’s nameIftherearemorethan20membersinashareclass,onlynamechangesforthetop20needbenotified.Dateandplaceofbirtharenotrequiredformembers.

Secretary Memberofproprietary

company

Personal name changeEgchangebydeedpollormarriage.ToregisteranewofficeholdergotoB1

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

Dateofbirth

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

Placeofbirth(town/city) (state/country)

Their new name is (provide full given names, not initials)Familyname Givennames

Date of change Date of change

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

Organisation name change Whenamemberofaproprietarycompanyisanorganisation,notanindividual,andtheorganisationhaschanged its name

Thepreviousorganisationnamewas

The new organisation name is

ACN/ ARBN/ ABN

Date of change Date of change

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

A3 Change — ultimate holding companyUsethissectionifthereisachangetotheultimateholdingcompany.

The change is There is a new ultimate holding companyCompanyname

ACN/ ARBN/ ABNOR Countryofincorporation(ifnotAustralia)

The ultimate holding company has ceased operation as the ultimate holding companyCompanyname

ACN/ ARBN/ ABNOR

Countryofincorporation(ifnotAustralia)

The ultimate holding company has changed its nameCompanyname

ACN/ ARBN/ ABNOR

Countryofincorporation(ifnotAustralia)

Date of change Date of change

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

Page 4: Corporations Act 2001 Change to company details · ASIC Form 484 17 January 2011 Section A Page 2 of 2 A2 Change of name — officeholders and proprietary company members Use this

ASIC Form 484 17January2011 SectionBPage 1 of 3

B1 Cease company officeholderUsethissectiontonotifyifacompanyofficeholderhasceasedtobeacompanyofficeholder.Youneedtonotifydetailsseparatelyforeachceasedofficeholder.

Role of ceased officeholderSelectoneormoreboxes

Director

Secretary

Alternatedirector Personalternatefor

Date officeholder ceased Date of change

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

Name The name of the ceased officeholder isFamilyname Givennames

Dateofbirth

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

Placeofbirth(town/city) (state/country)

B1Continued... Cease another company officeholderUsethissectiontonotifyifacompanyofficeholderhasceasedtobeacompanyofficeholder.Youneedtonotifydetailsseparatelyforeachceasedofficeholder.

Role of ceased officeholderSelectoneormoreboxes

Director

Secretary

Alternatedirector Personalternatefor

Date officeholder ceased Date of change

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

Name The name of the ceased officeholder isFamilyname Givennames

Dateofbirth

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

Placeofbirth(town/city) (state/country)

Page 5: Corporations Act 2001 Change to company details · ASIC Form 484 17 January 2011 Section A Page 2 of 2 A2 Change of name — officeholders and proprietary company members Use this

ASIC Form 484 17January2011 SectionBPage 2 of 3

B2 Appoint company officeholderUsethissectiontonotifyappointmentofacompanyofficeholder.Youneedtonotifydetailsseparatelyforeachnewofficeholder.

Role of appointed officeholderSelectoneormoreboxes

Director

Secretary

Alternatedirector

Date of appointment Date of appointment

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

Name The name of the appointed officeholder is (provide full given names, not initials)Familyname Givennames

Dateofbirth

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

Placeofbirth(town/city) (state/country)

Former nameEgchangebydeedpollormarriage

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

Residential address The residential address of the appointed officeholder is

StreetnumberandStreetname

Suburb/City State/Territory

Postcode Country(ifnotAustralia)

If an ‘Alternate director’, for whom

Note: WhereanAlternatedirectorisappointed,pleaseattachthetermsofappointmenttothischangeform.(Refertotheguideforannexurerequirements)

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

Expirydate(ifapplicable)

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

Alternatedirectortermsofappointmentattached

Page 6: Corporations Act 2001 Change to company details · ASIC Form 484 17 January 2011 Section A Page 2 of 2 A2 Change of name — officeholders and proprietary company members Use this

ASIC Form 484 17January2011 SectionBPage 3 of 3

B2Continued... Appoint another company officeholderUsethissectiontonotifyappointmentofacompanyofficeholder.Youneedtonotifydetailsseparatelyforeachnewofficeholder.

Role of appointed officeholderSelectoneormoreboxes

Director

Secretary

Alternatedirector

Date of appointment Date of appointment

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

Name The name of the appointed officeholder is (provide full given names, not initials)Familyname Givennames

Dateofbirth

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

Placeofbirth(town/city) (state/country)

Former nameEgchangebydeedpollormarriage

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

Residential address The residential address of the appointed officeholder isStreetnumberandStreetname

Suburb/City

State/Territory

Postcode Country(ifnotAustralia)

If an ‘Alternate director’, for whom

Note: WhereanAlternatedirectorisappointed,pleaseattachthetermsofappointmenttothischangeform.(Refertotheguideforannexurerequirements)

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

Expirydate(ifapplicable)

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

Alternatedirectortermsofappointmentattached

B3 Special purpose companyUsethissectiontonotifyifthecompanyhascommencedorceasedstatusasoneofthespecialpurposecompanydesignationsbelow.Note:Ifyouindicatethatyourcompanyhascommencedstatusasoneofthespecialpurposecompanydesignationslistedbelow,ASICwillsendadeclarationforyoutocompleteandreturn.SpecialpurposecompanydesignationsaredefinedunderRegulation3oftheCorporations(ReviewFees)Regulations2003.

The change is Commence

Homeunitcompany

Superannuationtrusteecompany

Forcharitablepurposesonly

Cease

Fornewregistrations,usethedate of registration as the ‘date of change’

Date of change

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

Page 7: Corporations Act 2001 Change to company details · ASIC Form 484 17 January 2011 Section A Page 2 of 2 A2 Change of name — officeholders and proprietary company members Use this

ASIC Form 484 17January2011 SectionCPage 1 of 5

Section C completion guide

Standard share codesRefertothefollowingtablefortheshareclasscodesforsectionsC1,C2,C3andC4

Shareclasscode Fulltitle Shareclasscode FulltitleA A PRF preferenceB B...etc CUMP cumulativepreferenceEMP employee’s NCP non-cumulativepreferenceFOU founder’s REDP redeemablepreferenceLG lifegovernor’s NRP non-redeemablepreferenceMAN management CRP cumulativeredeemablepreferenceORD ordinary NCRP non-cumulativeredeemablepreferenceRED redeemable PARP participativepreferenceSPE special

Ifyouareusingthestandardshareclasscodesyoudonotneedtoprovidethefulltitlefortheshares,justtheshareclasscode.

Ifyouarenotusingthestandardshareclasscode,enteracodeofnomorethan4lettersandthenshowthefulltitle.

Sections to completeUsethetablebelowtoidentifythesectionsofthisformtocomplete(pleaseindicatethesectionsthathavebeencompleted).Completionofthistableisoptional.

C1 - Cancellation of shares

C2 - Issue of shares C3 - Change to share structure table

C4 - Change to members register

Issue of sharesProprietarycompany Notrequired

PubliccompanyifinresponsetotheAnnual companystatement

Notrequired Notrequired

ifnotinresponsetotheAnnualcompanystatement Notrequired Preferred Notrequired

Cancellation of sharesProprietarycompany Notrequired

PubliccompanyifinresponsetotheAnnual companystatement

Notrequired Notrequired

ifnotinresponsetotheAnnualcompanystatement Notrequired Preferred Notrequired

Transfer of sharesProprietarycompany Notrequired Notrequired Notrequired

PubliccompanyifinresponsetotheAnnual companystatement

Notrequired Notrequired Notrequired Notrequired

ifnotinresponsetotheAnnualcompanystatement Notrequired Notrequired Notrequired Notrequired

Changes to amounts paidProprietarycompany Notrequired Notrequired

PubliccompanyifinresponsetotheAnnual companystatement

Notrequired Notrequired Notrequired

ifnotinresponsetotheAnnualcompanystatement Notrequired Notrequired Notrequired Notrequired

Changes to beneficial ownershipProprietarycompany Notrequired Notrequired Notrequired

PubliccompanyifinresponsetotheAnnual companystatement

Notrequired Notrequired Notrequired Notrequired

ifnotinresponsetotheAnnualcompanystatement Notrequired Notrequired Notrequired Notrequired

TonotifyASICaboutadivisionorconversionofaclassofshares,youmustlodgeaForm211within28daysafterthechangeoccurring.

TonotifyASICaboutaconversionofsharesintolargerorsmallernumbers,youmustlodgeaForm2205Bwithin28daysafterthechangeoccurring.

Page 8: Corporations Act 2001 Change to company details · ASIC Form 484 17 January 2011 Section A Page 2 of 2 A2 Change of name — officeholders and proprietary company members Use this

ASIC Form 484 17January2011 SectionCPage 2 of 5

C1 Cancellation of sharesReason for cancellationPleaseindicatethereasonthatshareshavebeencancelled(selectoneormoreboxes)

Redeemablepreferenceshares—S.254J

Redeemedoutofprofits

Redeemed out of proceeds of a fresh issue of shares

Capitalreduction—S.256A – S.256E

Singleshareholdercompany

Multipleshareholdercompany.AForm2560mustbelodgedbeforeacapitalreductiontakesplace

Sharebuy-back.—ss.257H(3)

Minimumholdingbuy-backbylistedcompany

Otherbuy-backtype.Aform280or281mustbelodgedatleast14days,andno morethan1yearbeforethesharebuy-backcantakeplace

Forfeitedshares—S.258D

Sharesreturnedtoapubliccompany—ss.258E(2) & (3)

Undersection651C,724(2),737or738

Undersection1325A(courtorder)

OtherDescription

Givesectionreference

Details of cancelled shares List the details of shares cancelled in the following tableShareclasscode Numberofsharescancelled Amountpaid(cashorotherwise)

Earliest date of changePleaseindicatetheearliestdatethatanyoftheabovechangesoccurred.

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

Page 9: Corporations Act 2001 Change to company details · ASIC Form 484 17 January 2011 Section A Page 2 of 2 A2 Change of name — officeholders and proprietary company members Use this

ASIC Form 484 17January2011 SectionCPage 3 of 5

C2 Issue of sharesListdetailsofnewshareissuesinthefollowingtable.

Shareclasscode Numberofsharesissued Amount paid per share Amount unpaid per share

Earliest date of changePleaseindicatetheearliestdatethatanyoftheabovechangesoccurred

/ / [D D] [M M] [Y Y]Ifshareswereissuedforotherthancash,weresomeorallofthesharesissuedunderawrittencontract?

Yes ifyes,proprietarycompaniesmustalsolodgeaForm207Zcertifyingthatallstampdutieshavebeenpaid.PubliccompaniesmustalsolodgeaForm207Z andeitheraForm208oracopyofthecontract.

No ifno,proprietarycompaniesarenotrequiredtoprovideanyfurtherdocumentswiththisform.PubliccompaniesmustalsolodgeaForm208.

C3 Change to share structureWhereachangetothesharestructuretablehasoccurred(eg.asaresultoftheissueorcancellationofshares),pleaseshowtheupdateddetailsfortheshareclassesaffected.Detailsofshareclassesnotaffectedbythechangearenotrequiredhere.

Share classcode

Fulltitleifnotstandard Totalnumberofshares(currentafterchanges)

Totalamount paid on these shares

Totalamount unpaid on these shares

Earliest date of changePleaseindicatetheearliestdatethatanyoftheabovechangesoccurred [D D] [M M] [Y Y]

/ /

Lodgement details Is this document being lodged to update the Annual Company Statement that was sent to you?

Yes

No

Page 10: Corporations Act 2001 Change to company details · ASIC Form 484 17 January 2011 Section A Page 2 of 2 A2 Change of name — officeholders and proprietary company members Use this

ASIC Form 484 17January2011 SectionCPage 4 of 5

C4 Changes to the register of members for proprietary companiesUsethissectiontonotifychangestotheregisterofmembersforyourproprietarycompany(changestotheshareholdingsofmembers):• Ifthereare20membersorlessinashareclass,allchangesneedtobenotified• Iftherearemorethan20membersinashareclass,onlychangestothetoptwentyneedbenotified(s178B)• Ifsharesarejointlyowned,youmustalsoprovidenamesandaddressesofalljointownersonaseparatesheet(annexure),clearlyindicatingtheshareclassand withwhomthesharesarejointlyowned

The changes apply toPleaseindicatethenameandaddressofthememberwhoseshareholdinghaschanged

Familyname Givennames

OR

Companyname

ACN/ARBN/ ABN

Office,unit,level,orPOBoxnumber

StreetnumberandStreetname

Suburb/City State/Territory

Postcode Country(ifnotAustralia)

Earliest date of changePleaseindicatetheearliestdatethatanyofthefollowingchangesoccurred.

Date of change

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

The changes areBeneficiallyheldusuallymeansthattheownerofthesharesisentitledtothedirectbenefitfromtheshares.Forexample,benefitscouldincludetheentitlementstopaymentsinrelationtoanydividends.Sharesheldbyapersonastrustee,nomineeoronaccountofanotherpersonarenon–beneficiallyheld.

Shareclasscode

Shares increasedby ...(number)

Shares decreasedby ...(number)

Totalnumbernowheld

Total$paid on these shares

Total$unpaid on these shares

Fullypaid (y/n)

Beneficiallyheld(y/n)

Top 20 member(y/n)

Date of entry of member’s name in register(Newmembersonly)

Dateofentry

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

Page 11: Corporations Act 2001 Change to company details · ASIC Form 484 17 January 2011 Section A Page 2 of 2 A2 Change of name — officeholders and proprietary company members Use this

ASIC Form 484 17January2011 SectionCPage 5 of 5

C4Continued...Further changes to the register of members for proprietary companiesUsethissectiontonotifychangestotheregisterofmembersforyourproprietarycompany(changestotheshareholdingsofmembers):• Ifthereare20membersorlessinashareclass,allchangesneedtobenotified• Iftherearemorethan20membersinashareclass,onlychangestothetoptwentyneedbenotified(s178B)• Ifsharesarejointlyowned,youmustalsoprovidenamesandaddressesofalljointownersonaseparatesheet(annexure),clearlyindicatingtheshareclassand withwhomthesharesarejointlyowned

The changes apply toPleaseindicatethenameandaddressofthememberwhoseshareholdinghaschanged

Familyname Givennames

OR

Companyname

ACN/ARBN/ ABN

Office,unit,level,orPOBoxnumber

StreetnumberandStreetname

Suburb/CityState/Territory

Postcode Country(ifnotAustralia)

Earliest date of changePleaseindicatetheearliestdatethatanyofthefollowingchangesoccurred.

Date of change

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

The changes are

Shareclasscode

Shares increasedby ...(number)

Shares decreasedby ...(number)

Totalnumbernowheld

Total$paid on these shares

Total$unpaid on these shares

Fullypaid (y/n)

Beneficiallyheld(y/n)

Top 20 member(y/n)

Date of entry of member’s name in register(Newmembersonly)

Dateofentry

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

Page 12: Corporations Act 2001 Change to company details · ASIC Form 484 17 January 2011 Section A Page 2 of 2 A2 Change of name — officeholders and proprietary company members Use this

ASIC Form 484 Guide 12 March 2014 Page 1 of 2

Guide:Change to company details This guide does not form part of the prescribed form. It is included by ASIC to assist you in completing and lodging the Form 484.

Use the Form 484 to notify ASIC of:A1 Change of addressA2 Changeofname-officeholders and proprietary company membersA3 Change-ultimateholdingcompany

B1 CeasecompanyofficeholderB2 AppointcompanyofficeholderB3 Specialpurposecompany

C1CancellationofsharesC2 Issue of sharesC3 Change to share structureC4 Changes to the register of members for proprietary companies

Lodgement period Lodgement required:

• within 28 days after the date of change; and

• within28daysafterthedateofissueofyourannualcompanystatement.

Therearesomeexceptionsforthemember’sdetailsforproprietarycompanies.RefertoShares detailsinthisguide.

Late fees Latelodgementfeeswillapplyifyounotifyachangetocompanydetailsoutsidethelodgementperiod.Onlyonelatelodgementfeewillapplytoaformevenifanumberofchangesnotified.

Latereviewfeeswillapplyifyoudonotbringyourcompanydetailsuptodatewithin28daysaftertheissueoftheannualstatement.Latereviewfeesareseparatefromlatelodgementfeessobothlatereviewandlatelodgementfeesmayapplytotheonechange.Seewww.asic.gov.au/latefeesformoreinformation.

Thelatefeesare:

• $72foruptoonemonthlate

• $299foroveronemonthlate.

AformisnotconsideredlodgeduntilitisreceivedandacceptedbyASICascomplyingwiths1274(8)oftheCorporations Act 2001.Areceiptwillnotbeissuedunlessrequested.

Corporate key Thecorporatekeyisaneight-digitnumberuniquelyassociatedwithacompany’sACN.Youwillfindyourcorporatekeyonthefrontpageofyourannualstatement.Useyourcorporatekeytoregistertocheckandchangecompanydetailsonline-seewww.asic.gov.au.

Ifyouarenotlodgingchangesonline,youmustincludeyourcorporatekeyonthecoversheet.

Pleasevisitourwebsiteatwww.asic.gov.au/corporatekeyforfurtherassistance.

Track your lodgement Afteryouhavelodgedthisform,youcanchecktoseeifithasbeenreceivedandprocessedatASICConnectat www.asic.gov.au.Alternatively,youcansetupaCompany AlertthatnotifiesyoubyemailwhentheformhasbeenreceivedbyASIC.Visitwww.asic.gov.au/searchforfurtherdetails.Youcansavetimeandhaveyourchangestakeeffectalmostimmediatelybylodgingthisformonlineat www.asic.gov.au.

Signature Thecoversheetforthisformmustbesignedbyacurrentcompanyofficeholder.Aresigningofficer’ssignatureisnotacceptable.

Dates of change Ensureyoucompletethedateofchangewhererequired,aswellasprovidethedatetheformwassigned.

You can only notify a future date of change for registered office address, principal place of business address and an expiry date (if any) for an alternate director.

Cease company officeholder(SectionB1)

UsethissectiontonotifyASICifapersonhasceasedtobeanofficeholderofthecompany.Notificationsmustbereceivedwithin28daysafterthechangeoccurring.Detailsmustbenotifiedseparatelyforeachceasedofficeholder.

AcompanydoesnothavetonotifyASICthatanofficeholderhasceasediftheofficeholderhasalreadynotifiedASICbylodgingaForm370Notification by officeholder of resignation or retirement.

Alternate directors Seewww.asic.gov.au/alternatedirectorsformoreinformation.

Form 484 Corporations Act 2001

Australian Securities & Investments Commission

Save time. Lodgethisformonlineat www.asic.gov.au

Page 13: Corporations Act 2001 Change to company details · ASIC Form 484 17 January 2011 Section A Page 2 of 2 A2 Change of name — officeholders and proprietary company members Use this

ASIC Form 484 Guide 12 March 2014 Page 2 of 2

Address details(SectionsA1,B2&C4)

Registeredofficeandprincipalplaceofbusiness:• Providethefulladdressincludingthebuildingname,floorandofficenumber(ifapplicable),streetnumber,name

andtype,localityandpostcode.• Ensureatickisplacedintheappropriateboxtoindicateifthecompanyoccupiestheregisteredofficepremises.• Ensureatickisplacedintheappropriateboxtoindicateiftheoccupierofthepremiseshasconsented,inwriting,

totheuseofthespecifiedaddress.Officeholderandmemberresidentialaddress:• Providethefulladdressincludingthestreetnumber,nameandtype,suburb,city,stateorterritory,postcodeand

countryofresidenceifnotinAustralia.Aregisteredofficeaddress,principalplaceofbusinessaddressorofficeholderresidentialaddressmustbeaphysicalorstreetaddress,apostofficeboxisnotacceptable.Thestreetaddressmustincludeastreetnumber,ie‘CornerofSmithStandJonesRd’isnotacceptable.Apostofficeboxaddressmayonlybeusedforamember’saddress.Ensureatickisplacedintheappropriateboxtoindicatetheaddresstowhichthechangeapplies.

Shares details(SectionC1,C2,C3&C4)

AllcompaniesmustnotifyASICiftheycancelorissuesharesbycompletingsectionsC1orC2.Notificationsmustbereceivedwithin28daysafterthechangeoccurring.ProprietarycompaniesmustalsonotifyASICofanychangesto:• thecompany’ssharestructurebycompletingsectionC3• detailsoftheirtop20membersbycompletingsectionC4.Public companiesmustcompletesectionC3aftertheyhavereceivedtheirannualcompanystatement,ifchangeshaveoccurred.Notificationmustbereceivedwithin28daysafterthedateofissueofthecompanystatement.Eventhoughthereisnolegalobligationtodoso,weaskpubliccompaniestoalsocompletetheC3sharestructuretablewhennotifyingusofashareissueorcancellationatothertimes.Thiswillenableustoensurethatsharedetailswehaverecordedforthecompanyarecorrect.Special cases (for proprietary companies) and their lodging periods• Court-orderedcorrectionsoftheregistermustbenotifiedtoASICasspecifiedbythecourtorderorwithinone

monthafterthecourtorder.• ReductionsinsharecapitalmustbenotifiedtoASICwithin14daysafterthepassingoftheresolutiontoreduce

sharecapital.Companies limited by guarantee, or companies limited by shares and guarantee who have not issued any sharesThesecompaniesarenotrequiredtoprovideanydetailsaboutsharestructureormembersie.donotcompletesectionsC3orC4.TransferringFinancialInstitutionsarenotrequiredtoprovidedetailsofmembersharesthatmeettherequirementsofReg.12.8.03;theyshouldcompletesectionC3butnotsectionC4.

How to provide additional information

Photocopied Form 484 pagesIfthereisinsufficientspaceinanysectionoftheform,youmayphotocopytherelevantpage(s)andsubmitaspartofthislodgement.AnnexuresIfthereisinsufficientspaceinanysectionoftheform,youmayalternatelysubmitannexuresaspartofthislodgement.Tomakeanyannexureconformtotheregulations,youmust1. useA4sizepaperofwhiteorlightpastelcolourwithamarginofatleast10mmonallsides2. showthecompanynameandACNorARBN3. numberthepagesconsecutively4. printortypeinBLOCKlettersindarkblueorblackinksothatthedocumentisclearlylegiblewhenphotocopied5. marktheannexurewithanidentifyingletterorsymbolega,b,cor1,2,3etc.6. endorsetheannexurewiththewords:

Thisannexure(mark)of(number)pagesreferredtoinform(formnumberandtitle)7. signanddatetheannexure.Theannexuremustbesignedbythesameperson(s)whosignedtheform.

Privacy TheinformationprovidedtoASICinthisformmayincludepersonalinformation.Pleaserefertoourprivacypolicy (www.asic.gov.au/privacy)forinformationabouthowwehandleyourpersonalinformation,yourrightstoseekaccesstoandcorrectpersonalinformation,andtocomplainaboutbreachesofyourprivacy.

Lodgement Sendcompletedandsignedformsto: AustralianSecuritiesandInvestmentsCommission, POBox4000,GippslandMailCentreVIC3841. OrlodgetheformelectronicallybyvisitingtheASICwebsite www.asic.gov.au

For more informationWeb www.asic.gov.auNeedhelp? www.asic.gov.au/questionTelephone 1300300630