Asic form 201

ASIC Form 201 11 December 2012 Page 1 of 8

Application for registration as an Australian company

Form 201 Corporations Act 2001

117

Use this form to apply to ASIC for registration of a company under the Corporations Act 2001.

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

1 State/territory of registration I 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.

Give State or Territory

2 Details of the company Does the company have a proposed company name?

Yes 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 that apply

Pty. Ltd. Proprietary Limited No liability NL

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

Related Forms 208 - Notification of details of shares allotted other than for cash 207Z - Certification of compliance with stamp duty law

Michael Fox

michael.fox@yahoo.com

230 Elizabeth Street

Sydney NSW 2000

02 9208 6022

NSW

X

Tuthay and Company Pty Ltd

ASIC Form 201 11 December 2012 Page 2 of 8

2 Continued ... Further details of the company Is the proposed name identical to a registered business name(s)?

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

or For business names registered before 28 May 2012 without an ABN. Previous business number Previous state/territory of registration

Type of company

proprietary company

Class of company

limited by shares

unlimited with a share capital

Special purpose (if applicable)

home unit (HUNT)

superannuation trustee (PSTC)

charitable purposes only (PNPC)

public company limited by shares

limited by guarantee

unlimited with a share capital

no liability superannuation trustee (ULSS)

charitable purposes only (ULSN)

Special purpose company Refer to Guide for descriptions of special purpose companies.

If this is a special purpose company, tick the box below to make the declaration.

I declare that this company is a special purpose company as defined under Regulation 3 of the Corporations (Review Fees) Regulations 2003.

Governance of a public company A public company that is: • a superannuation trustee, or • for charitable purposes only, must have a constitution.

The company will rely entirely on replaceable rules

The 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 $ (insert amount)

Registered office You cannot use a PO Box address

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

Office, unit, level

Street number and Street name

Suburb/City State/Territory Postcode

X

X X

Level 2

271 Elizabeth Street

Sydney NSW 2000

ASIC Form 201 11 December 2012 Page 3 of 8

2 Continued ... Further details of the company Does the company occupy the premises?

Yes

No If no, name of occupier

Occupier’s consent (Select box to indicate the statement below is correct)

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.

Office hours For a public company a. Registered office of a public company is open to the public each business day from at least 10 am to 12 noonand 2 pm to 4 pm.

b. Registered office of a public company is open to the public each business day for at least 3 hours between 9 am and 5 pm.

If b, insert hours open from am/pm close to am/pm

Principal place of business If same as registered office, write “as above”. Office, unit, level

Street number and Street name

Suburb/City State/Territory Postcode

Country (if not Australia)

3 Appoint officeholder 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.

Office held

Director Secretary Family name Given names

Former name

Street number and Street name

Suburb/City State/Territory Postcode

Country (if not Australia)

Date of birth

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

Place of birth (town/city) (state/country)

X

John Doe Trading Pty Ltd

Level 3

81 Pitt Street

Sydney NSW 2000

X X

Gaynilo Katherine

120 Sussex Street

Sydney NSW 2000

0 4 1 1 8 0

Sydney NSW / Australia

ASIC Form 201 11 December 2012 Page 4 of 8

3 Continued ... Appoint another officeholder 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.

Office held

Director Secretary Family name Given names

Former name

Street number and Street name

Suburb/City State/Territory Postcode

Country (if not Australia)

Date of birth

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

Place of birth (town/city) (state/country)

3 Continued ... Appoint another officeholder 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.

Office held

Director Secretary Family name Given names

Former name

Street number and Street name

Suburb/City State/Territory Postcode

Country (if not Australia)

Date of birth

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

Place of birth (town/city) (state/country)

4 Identify ultimate holding company Will the company have an ultimate holding company upon registration?

Yes If yes, provide the following details of the ultimate holding company Company name

ACN/ARBN/ABN Country of incorporation (if not Australia)

No

X

Gaynilo Jason

120 Sussex Street

Sydney NSW 2000

1 1 0 5 8 2

Sydney NSW / Australia

X

ASIC Form 201 11 December 2012 Page 5 of 8

5 Share structure table Details of shares issued by the company. Please show all details of shares that the company has on issue at the time of this application.

Standard share codes Refer to the table for the share class codes for sections 5 and 6.

Share class code Full title Share class code Full 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 governor’s NRP non-redeemable preference MAN management CRP cumulative redeemable preference ORD ordinary NCRP non-cumulative redeemable preference RED redeemable PARP participative preference SPE special

If you are using the standard share class codes you do not need to provide the full title for the shares, just the share class code.

If you are not using the standard share class code, enter a code of no more than 4 letters and then show the full title. Share class code

Full title if not standard Total number of shares

Total amount paid on these shares

Total amount unpaid on these shares

Are any of these shares issued other than for cash?

Yes No 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: Proprietary 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: Proprietary companies Continue to Section 6 Details of members.

Public companies Lodge a Form 208.

ORD

REDP

Ordinary Shares 12 $12.00 $0.00

Redeemable Preference 10 $10.00 $0.00

X

ASIC Form 201 11 December 2012 Page 6 of 8

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