Application For Approval Of Disclosure Statement For A Proposed Distributing Co-Operative printable pdf download

CO-OPERATIVE FORM 02

APPLICATION FOR APPROVAL OF DISCLOSURE STATEMENT FOR A

PROPOSED DISTRIBUTING CO-OPERATIVE

Fm02 P

Instructions

Please complete in BLOCK LETTERS. Attach extra pages if needed. All

references to dates should be in DD/MM/YYYY format.

Privacy Statement – Please Read

Date Received

The Department of Commerce is collecting information on this form for the

purposes of the Co-operatives Act 2009 (the Act).

In accordance with the Act, a register of this information and any documents

lodged with the Registrar will be available for inspection by the public upon

payment of a prescribed fee. In other instances, information on this form can be

disclosed without your consent where authorised or required by law.

Section 16(1)

Part 1 – Application Details

Name of proposed co-operative:

Section 1

Application

……………………………………………………………………………………………………

Details

…………………………………………………………………………………………………….

Please note: This form is only required for a proposed distributing co-operative.

I……………………………………………………. have attached a copy of the draft

Section 2

Details of

disclosure statement and certify that the following matters required by section 16(3) of the

Disclosure

Act have been provided for in the draft disclosure statement:

Statement

The estimated costs of formation;

The active membership provisions of the proposed co-operative;

The disclosure

The rights and liabilities attaching to shares in the proposed co-operative;

statement

The capital required for the co-operative at the time of formation;

contains the

The projected income and expenditure of the co-operative for its first year of

information

operation;

necessary to

ensure

Information about any pre-registration contractual obligations of the co-operative

under Part 3 Division 5 of the Act; and

prospective

…………………………………………………..

members are

Application For Approval Of Disclosure Statement For A Proposed Distributing Co-Operative

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