ASIC Annual Review Checklist

Use this checklist when you receive your Annual Review statement from ASIC.

1. Company Details

Company Name: [INSERT FULL COMPANY NAME] ACN/ARBN: [INSERT 9 DIGIT ACN OR ARBN] Review Date: [INSERT DATE FROM STATEMENT] Document Number: [INSERT DOCUMENT NUMBER FROM STATEMENT]

2. Review Period

Date range: [INSERT START DATE] to [INSERT END DATE]

3. Office Addresses

Registered Office

Current Address on Record: [INSERT ADDRESS AS SHOWN ON STATEMENT]

Is this address still correct? [ ] YES [ ] NO

If NO, provide new address: Street: [INSERT NEW STREET ADDRESS] Suburb/City: [INSERT SUBURB] State: [INSERT STATE] Postcode: [INSERT POSTCODE]

Principal Place of Business

Current Address on Record: [INSERT ADDRESS AS SHOWN ON STATEMENT]

Is this address still correct? [ ] YES [ ] NO

If NO, provide new address: Street: [INSERT NEW STREET ADDRESS] Suburb/City: [INSERT SUBURB] State: [INSERT STATE] Postcode: [INSERT POSTCODE]

4. Director Details

Director 1

Name: [INSERT FULL LEGAL NAME] Date of Birth: [INSERT DOB] Address: [INSERT RESIDENTIAL ADDRESS]

Is this person still a director? [ ] YES [ ] NO

Director 2 (If applicable)

Name: [INSERT FULL LEGAL NAME] Date of Birth: [INSERT DOB] Address: [INSERT RESIDENTIAL ADDRESS]

Is this person still a director? [ ] YES [ ] NO

Changes this year

List any new directors appointed: [INSERT FULL NAMES AND DATES OF APPOINTMENT]

List any resignations: [INSERT FULL NAMES AND DATES OF RESIGNATION]

5. Share Structure

Class of Shares

Share Class: [INSERT E.G. ORDINARY]

Number of Shares Issued

Total Issued: [INSERT NUMBER OF SHARES]

Changes this year: [DETAIL ANY SHARE ISSUANCES OR CANCELLATIONS]

6. Financial Summary

Annual Review Fee Amount: $[INSERT AMOUNT FROM STATEMENT] Late Fee Amount (if applicable): $[INSERT AMOUNT]

7. Lodgement

Lodgement Method: [ ] ASIC Connect (Online) [ ] Paper Form Payment Method: [ ] Credit Card [ ] BPAY

Date Lodged: [INSERT DATE] Receipt/Transaction ID: [INSERT ID]

Next Review Date: [INSERT DATE]