South Australian Repealed RegulationsThis legislation has been repealed.
Schedule 27—Register of interest—Ordinary return
Please read
instructions and notes below before completing this return.
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SURNAME |
OTHER NAMES |
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OFFICE HELD | |
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Registrable interests |
Details | ||
|---|---|---|---|
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1 |
Provide a statement of any income source of a financial benefit 2 that you
have or a person related to you 3 has received, or was entitled to receive,
during the return period. | | |
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2 |
State the name of any company or other body, corporate or unincorporate, in
which you held, or a member of your family 4 held, any office during the
return period whether as director or otherwise, for the purpose of obtaining
financial gain (including at some time in the future). | | |
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3 |
State the name or description of any company, partnership, association or
other body in which you or a person related to you 3 is an investor 5 . | | |
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4 |
Provide a concise description of any trust (other than a testamentary trust)
of which you or a person related to you 3 is a beneficiary or trustee, and
the name and address of each trustee. | | |
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5 |
Provide the address or description of any land in which you have or a person
related to you 3 has any beneficial interest 6 other than by way of security
for any debt. | | |
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6 |
Provide details of any fund in which you or a person related to you 3 has an
actual or prospective interest to which contributions are made by a person
other than you or a person related to you 3 . | | |
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7 |
If you are or a person related to you 3 is indebted to another person (not
being related by blood or marriage) in an amount of or exceeding
$7 500—state the name and address of that other person. | | |
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8 |
If you are or a person related to you 3 is owed money by a natural person (not
being related by blood or marriage) in an amount of or exceeding
$10 000—state the name and address of that person. | | |
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9 |
Declare any other substantial interest of yours or of a person related to you
whether of a pecuniary nature or not, of which you are aware and which you
consider might appear to raise a material conflict between your private
interest and the duty that you have or may subsequently have as a member of an
assessment panel. | | |
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10 |
Provide any other additional information which you think fit. | | |
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Signature | | ||
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Date | | ||
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Instructions/notes | |
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1.1 |
This return is to be completed in block letters except for signatures. If
there is not sufficient space on this return for all of the information you
are required to provide, you may attach additional papers for that purpose.
Each such paper must be signed and dated. |
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1.2 |
The return period for the purposes of this return is as follows: (a) if
your last return was a primary return under the Act—the period between
the date of the primary return and 30 June next following; (b) in
any other case—the period of 12 months expiring on 30 June, or
within 60 days after 30 June in any year. |
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2.1 |
Under the regulations, income source , in relation to a person, means— (a) any
person or body of persons with whom the person entered into a contract of
service or held any paid office; and (b) any
trade, vocation, business or profession engaged in by the person. |
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2.2 |
Under the regulations, financial benefit , in relation to a person,
means— (a) any
remuneration, fee or other pecuniary sum exceeding $1 000 received by the
person in respect of a contract of service entered into, or paid office held
by, the person; and (b) the
total of all remuneration, fees or other pecuniary sums received by the person
in respect of a trade, profession, business or vocation engaged in by the
person where the total exceeds $1 000, but does not include an annual allowance, fees, expenses or other financial
benefit payable to the person under the Act. |
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3.1 |
A person related to a member means— (a) a
member of the member's family; (b) a
family company of the member; (c) a
trustee of a family trust of the member. |
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3.2 |
A family company of a member means a proprietary company— (a) in
which the member or a member of the member's family is a shareholder; and (b) in
respect of which the member or a member of the member's family, or any such
persons together, are in a position to cast, or control the casting or, more
than one-half of the maximum number of votes that might be cast at a general
meeting of the company. |
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3.3 |
A family trust of a member means a trust (other than a testamentary
trust)— (a) of
which the member or a member of the member's family is a beneficiary; and (b)
which is established or administered wholly or substantially in the interests
of the member or a member of the member's family, or any such persons
together. |
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4 |
Under the Act, family , in relation to a member, means— (a) a
spouse or domestic partner of the member; and (b) a
child of the member who is under the age of 18 years and normally resides
with the member. |
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5 |
For the purpose of this return, a person is an investor in a body if— (a) the
person has deposited money with, or lent money to, the body that has not been
repaid and the amount not repaid equals or exceeds $10 000; or (b) the
person holds, or has a beneficial interest in, shares in, or debentures of,
the body or a policy of life insurance issued by the body. |
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6 |
A beneficial interest in property includes a right to re-acquire the property.
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Note— • A member is required only to disclose
information that is known to the member or ascertainable by the member by the
exercise of reasonable diligence. • A member is not required to disclose
information relating to a person as trustee of a trust unless the information
relates to the person in the person's capacity as trustee of a trust by reason
of which the person is related to the member. • A member may include in a return such
additional information as the member thinks fit. • Nothing in this return will be taken to
prevent a member from disclosing information in such a way that no distinction
is made between information relating to the member personally and information
relating to a person related to the member. • A member is not required to disclose the
actual amount or extent of a financial benefit or interest. | |