Name of occupier of registered office in Australia Name of occupier of registered office in Australia - Provide the name of the occupier of the registered office address. Country code Registered office in Australia currency code Registered office in place of origin currency code Local agent address currency code Director address currency code Registered office in Australia currency code - P - Prior, C - Current, F - Future, T - Temporary Registered office in place of origin currency code - P - Prior, C - Current, F - Future, T - Temporary Local agent address currency code - P - Prior, C - Current, F - Future, T - Temporary Director address currency code - P - Prior, C - Current, F - Future, T - Temporary Office, unit, level At the office of, C/- (if applicable) Office, unit, level - If applicable, provide the office, unit or level of the registered office address in Australia. At the office of, C/- (if applicable) - If applicable, provide details of any 'care of' details for the registered office address in the company's place of incorporation. Office, unit, level - If applicable, provide the office, unit or level of the local agents office address. Office, unit, level - If applicable, provide the unit of the directors usual residential address (if they are an individual) or the office, unit or level number of the registered office if the director is a company. Street number and Street name Office, unit, level Street number and Street name - Provide the street number and street name of the registered office address in Australia. Office, unit, level - If applicable, provide the office, unit or level of the registered office address in the company's place of incorporation. Street number and Street name - Provide the street number and street name of the local agents office address. Street number and Street name - Provide the street address of the residential address of the director (registered office address if the officeholder is a company). Street number and Street name Street number and Street name - Provide the street number and street name of the registered office address in the company's place of incorporation. Overseas address locality details Suburb/City Locality Suburb/City - Provide the suburb or city of the registered office address in Australia. Suburb/City - Provide the suburb or city of the local agents office address. Suburb/City - Provide the suburb or city of the residential address of the director (registered office address if the officeholder is a company). Locality - Provide in the format of the relevant country details of the suburb/city, province/state and post/zip code of the residential address of the director (registered office address if the officeholder is a company). Does the company occupy the premises? Does the company occupy the premises? - Indicate Yes if the company occupies the registered office address. Registered office in Australia overseas indicator Registered office address in place of origin address overseas indicator Local Agent overseas indicator Director address overseas indicator Registered office in Australia overseas indicator - As the address is located in Australia, this field must be set to False. Registered office address in place of origin address overseas indicator - As the address is located overseas must be set to True. Local Agent overseas indicator - As the address is located in Australia, this field must be set to False. Director address overseas indicator - If the address is located overseas must be set to True. If the address is located in Australia, this field must be set to False. Postcode Postcode - Provide the postcode of the registered office address in Australia. Postcode - Provide the postcode of the local agents office address. Postcode - Provide the suburb or city of the residential address of the residential address of the director (registered office address if the officeholder is a company).. 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. 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. - Indicate Yes to confirm that the company has the occupiers written consent. Provide date of change of registered office address in Australia Provide date of change of address for the registered office in place of origin Provide date of change to local agent address Provide the date of change of the officers address Provide date of change of registered office address in Australia - Any change to the Australian registered office address or office hours should be lodged on a Form 489 Notification of change of registered office address or office hours of a registered body, or on a Form 405 within 7 days after the change, or the change or late fees will apply. Provide date of change of address for the registered office in place of origin - Provide the date of change. This date is also used to calculate if late lodgement fees apply. Provide date of change to local agent address - Provide the date the local agent changed their office address State/Territory State/Territory - Provide the state or territory of the registered office address in Australia. State/Territory - Provide the state or territory of the local agents office address. State/Territory - If applicable, provide the state or territory of the residential address of the director (registered office address if the officeholder is a company). Has a new director been appointed? Has the officeholder ceased? Has the local agent ceased? Place of Incorporation Intermediary Organisation Name type Company name type Local agent organisation name type Officer organisation name type Officeholder organisation name type Intermediary organisation name Company name Local agent organisation name Officer organisation name Officeholder name (organisation) Company name - Enter the full name of the company including any legal elements (e.g. Pte or Ltd) Local agent organisation name - If the local agent is a company, enter the company name including any legal elements (e.g. Pty or Ltd) Officer organisation name - Provide the company name in full, including legal elements (e.g. Pte or Ltd) Officeholder name (organisation) - If the director is a company, provide the company name in full, including legal elements (e.g. Pte or Ltd) Has the local agent name changed? Has the officeholders name changed? Officers country of birth Date of birth Intermediary family name Local agent family name Officer family name Local agent family name - If the local agent is a person, provide the family name. Officer family name - Provide the family name of the director. Intermediary given name Local agent given name Officer given name Local agent given name - If the local agent is a person, provide the given name. Officer given name - Provide the first given name of the director Provide date of change to the local agents name Provide the date of change of the officers name Provide date of change to the local agents name - Provide the date the local agent changed their name. This date is used to calculate if late lodgement fees apply. Intermediary other given name Local agent other given name Officer other given names Intermediary person position Local agent person name details position Officer person name details position Signatory identifier Signatory date Signatory date - Provide the full date of signing Statement accepted Declaration type code Registered office in Australia address usage Registered office in place of origin address usage Local agent address usage Director address usage Registered office in Australia address usage - RES - Residential, TEM - Temporary accommodation, BUS - Business, DEL - Delivery address, POS - Postal or correspondence address, CNT - General contact, including when using a 3rd party as contact, PMT - Address to be used for payment purposes Registered office in place of origin address usage - RES - Residential, TEM - Temporary accommodation, BUS - Business, DEL - Delivery address, POS - Postal or correspondence address, CNT - General contact, including when using a 3rd party as contact, PMT - Address to be used for payment purposes Local agent address usage - RES - Residential, TEM - Temporary accommodation, BUS - Business, DEL - Delivery address, POS - Postal or correspondence address, CNT - General contact, including when using a 3rd party as contact, PMT - Address to be used for payment purposes Director address usage - RES - Residential, TEM - Temporary accommodation, BUS - Business, DEL - Delivery address, POS - Postal or correspondence address, CNT - General contact, including when using a 3rd party as contact, PMT - Address to be used for payment purposes Local agent Australian business number Officeholder name Australian business number (ABN) Officeholder name Australian business number (ABN) - If applicable, provide the ABN of the company that is the local agent. Australian registered body number (ARBN) Australian registered body number (ARBN) - Provide the Australian Registered Body Number (ARBN). Provide date of cessation of the local agent Provide the date of cessation of the officer Provide date of cessation of the local agent - Provide the date that the local agent ceased from the company. Provide the date of cessation of the officer - The cessation of a director must be notified to ASIC by lodging a Form 490 Notification of change to directors of a registered body, or Form 405, within 1 month after the change or late fees will apply. Provide the date of officer appointment Provide the date of officer appointment - Provide the date the officeholder was appointed to the company. Officers town or city of birth Officers town or city of birth - Provide the town or city that the director was born. Officers state or territory of birth (If born in Australia) Local agent Australian company number Company officer Australian company number Officeholder name Australian company number (ACN) Local agent Australian company number - If the local agent is a company, enter the ACN Company officer Australian company number - If the director is an Australian company, provide the ACN or ABN. Officeholder name Australian company number (ACN) - If the director is an Australian company, provide the ACN or ABN. Are you relying on Class Order [CO 03/823]? Are you relying on Class Order [CO 06/68]? Annual general meeting date Annual general meeting date - Provide the date of the annual general meeting was held. Leave blank if the meeting is scheduled but has not yet been held. F405 Prelodge Request [Abstract]