You are on page 1of 15

Fair Tracllllg

for consumers & traders



Annual statement Associations Incorporation Act, 1984 section 27(1)

FORM 12

OFT USE ONLY Rec'd on:

Rec'd at:

Processed by:

Receipt no.:

Fees are detailed on Page 2

PLEASE COMPLETE BOTH SIDES OF THE FORM USING BLOCK LETTERS

About the association

What is the incorporation number of the association?

What is the name of the association?

IV h \.A..)O(?.\( Incorporated

Who is the public officer? _...!...M~__.e.o::..J.R._,.__'i,--=L-===- __ \:)~\ ==---=~:o.__:.R--=e=--~-.L- _

please lodge a change of public officer details form if appropriate

~, \"2 200~

When did the financial year of the association end?

When was the annual general meeting held?

Day Month Year
4- 4- 2Qoq
Day Month Year
YES~
YE~ Was an extension of time to hold annual general meeting granted?

Was an extension of time to lodge this statement granted?

Remember to attach a copy of the financial statement submitted to members at the annual general meeting.

2 4---'+ :1\ Z • 8 I

What was the total income for the financial year?

What is the value of all assets, including term deposits?

What was the total expenditure for the financial year?

What is the value of all liabilities?

IMPORTANT: Amounts must be entered ebove. Ptease do not write "see lIttllched'j------- ,

RECEl'v'ED

n it JIJN lu09

Were the accounts audited?

YEs(§)

How many people are employed by the association?

At the end of the financial year, did the association have any mortgages, charges or other securities affecting property?

IF YES, please provide the following details in an annexure:

Description of each mortgage. charge or other security, description of each property affected, amount of indebtedness at the end of the financial year and name and address of the holder of each mortgage. charge or other security

Please ensure that two committee members have signed the Certificate of Compliance on the reverse side.

11111111111111111111111111111111111111111I 111111111111

FOR M B M 3 A C

3/2009

LIVING: WISOOMACINPtTN

r-----------------~~-------------------------- ___

CD:rIPlCA"'OI'~

CD'r'IPICATE AS TO" ftJIfANCIAL .... ,AIM 01',. AIIO(!IA11t'WIt "'VACYACIOII~

T. _ .... ", .. Q) ,..."., _....... hftO

J eI!I'dI)' .

a) l_ ' lIlec~1DI:l

b)·ItnlaWy a., * ~ 10 IIIIIbtbis ......... _

c) n:. , ...... ,... _bmitIed to tlleme!ll!Jen _ 1M _. ptIII!ftIlDNIda&'"

.... ~ ........ ".e(6eu .• 'UCh

cI) 1bc )IIId1iuaIIa."" CIt OS) $I: pre't'j0lS pip am. UUO lAd ftItr W:tw of !be 80IDftaI 'D.ttmlI1t,} ...... _ ....., ___ aIII.,,_

e) n.eOnMlllW' .... CD...., .... dIIc of ........ thIt the ~ wlUlIe..,1t1O,.,.fts ......... dl:y6ll_

"v.. eft ' .. tMa

• tM06ke omit TrIdiq.is ~ end .~"...., ir1fbmllIirm ~ ill t1dI ina wlbf; JIIIIPlIICJ of 1beAaoc:lldcal~ACIt, 1914 .dm~.~ tft ............ tnH 1IIDder_ Act 'M1idl

.apmCO .......... " .

. _0fI'5. otF.'1'r8dtna..-y dilOlatepllnGPll' '.ii_. till Ot~._~~

ilWJ 1ba iQ ~ "' .. purpall(1) fl:If 1'tlIldl fIWe 1Iaw lMFd _

• 1M euppty 01 .. pnII:I;I1lD1om11dan U ~ .... _ AJ::t IDd fIibe 10 RII'PI'I MY ofit ID81IM1t in tit fcIIm IdItI ~ [_ tt.1IppticIdoD beIDa ,...]. aud

• Itwe ..... JfIht of KCII!JIS ~ 8IId. ~ of, tbe-pawaaI itI" iIiIn __ lJII.I'PI.~

L.t·

PAGE: £12



,..----_._--_._.----- __ .. -- ---~,------------------,

nICs: Tile ilGmtflla fOC\\ ~ 1iJIr1l,; ~ d .. ~. ~

• If~ wftiraI_'I!lOOIl~1I!IrI1mIIIl.Il pICnJ ~: ...." .

• ·rfladpl .. ....,. .--...stwo taIiItV:t alDr~m-t ...... ~ .., ALl.naAU~ nu

.. ifJodtld INIft ... ~ ~ 8_ t!I;: ..... .-I UII!'III!iq; $"12..} "'" Sol __ ..

--,--------.--

I..CJDGINC 1'IIM DOt'lTM'JIlNTt

1''oc-.1ocI,p ltN~ Is ~ lilt ,,-'Ib T.~ Clmll1=, FIIl'r ~ ...... ,f(,.. ..... 1"&ir 1"rId1Isa~,"_ .~jZ3220.

YRCGIlam. ,.. ...... b)'_~~t.o: .JitICIIIIlfr III J; •• a __ • ~--

ro .. :u.

t __ . __ , .... ~~~.,- . __ , .. _=_& . __ ._

3:38PM 05/05/09 Accrual Basis

Australian Vaccination Network, Inc.

Summary Balance Sheet As of December 31, 2008

Dec: 31,08

ASSETS
Current Assets
Chequlng/Savlngs 3,806.08
Accounts Receivable 6,607.24
Other Current Assets 40,100.70
Total Current Assets 50,514.02
TOTAL ASSETS 50,514.02
LIABILITIES
Current Liabilities
Accounts Payable 10,218.35
Credit Cards 20,823.18
Other Current Liabilities -6,330.94
Total Current Liabilities 24,710.59
Long Tenn Liabilities 2,550.00
TOTAL LIABILITIES 27,260.59
NET ASSETS 23,253.43
TOTAL EQUITY 8,498.53 Page 1

3:38 PM 05/05/09 Accrual Basis

Australian Vaccination Network, Inc.

Profit & Loss January through December 2008

Income

Donations

Magazine Revenue Advertising Revenue Distributor Sales Single Copy Sales Subscriptions

Magazine Revenue· Other

Total Magazine Revenue Misc. Income

Other Revenue

AVN Membership Dues Book Sales CD/DVD/CasseHe Sales Information Packs Ticket Sales

Total Other Revenue Postage Collected Refunds

Website

Total Income

Cost of Goods Sold Cost of Goods Sold Discounts Given Freight paid

Info Packs Magazine Costs

Articles for Magazine Bulk Freight for Magazine Editors Charges

Graphic Design

Photos

Printing

Proofing

Total Magazine Costs Other Product Costs Books CD/DVDNldeo

Other Product Costs· Other

Total Other Product Costs Packaging

Total COGS

Gross Profit

Expense Adjustments Bank Charges INTEXP Merchant Fees Service Fees

Bank Charges· Other

Total Bank Charges

Books & Publications cleaning and malntainence Commission

Affiliate Commission· Other

Total Commission

Jan· Dec 08

44.193.65 53.297.49 -151.04 550.79 92.817.81 4.273.43

150.788.48 1,061.61

11.695.11 20,225.13 2,521.32 5,116.22 3,502.36

43,060.14 3,950.28 473.41 1,191.24

244,718.81

4,397.60 1,253.02 1,335.85

140.91

1,699.BO 7.792.47 17,490.00 32.025.00 2,588.B9

8,978.51 1,310.00

71,884.67

6,016.89 126.74 133.69

6,277.32 557.88

85,847.25

158,871.56

58,136.17

2,421.69 2,269.96 1,411.86

25.00

6,128.51 3,113.23 381.82

10.09 15,055.53

15,065.62

Page 1

3:38 PM 05/05/09 Accrual Basis

Australian Vaccination Network, Inc.

Profit & Loss January through December 2008

Computer Expen .. s Computer Repairs Internet Expense.

Lnse Expense Computer Software

Website Expenses

Total Computer Expenses Electricity

General and Administrative Exp Customer Refunds

Dues and Subscriptions Franking Machine

Lease Expense

Legal and Professional Fees OffIce Furniture & Equipment OffIce Supplies

Postage

Talephone

Total General and Administrative Exp Insurance

Marttetlng

Promotion & Public Relations

Total Marketing

Payroll Expenses

Gross Wages

Leave Expanse

Payroll Expenses· Other

Total Payroll Expenses Photocopier Expenses Photocopier Consumables

Photocopier lease Service Contract

Photocopier Expenses· Other

Total Photocopier Expanses Professional Fees

Consulting

Total Professional Fees Reconciliation Discrepancies Stalls and Conventions

Eftpos & Telephone Hire Furniture Hire

Stall and Hall Hire

Total Stalls and Conventions Travel and Accomodatlon Accomodatlon

MealS

Petrol

Travel Costs

Travel and Accomodatlon • Other

Total Travel and Accomodatlon Uncat.gorlsad Expense.

Total Expense

Net Income

Jan· Dec 08

2,832.86

385.61 4,028.22 1,943.19 6,870.80

16,060.68 1,418.19

356.59 583.89 1,552.04 5,000.00 316.55

43.63 3,863.64 7,169.34 7,564.55

26,450.23 1,749.77

1,725.45

1,725.45

47,142.50 3,888.10 0.00

51.030.60

2,459.30 6,454.74 1,506.52

689.06

11,109.62

20,895.46

20,895.46 0.91

27.27 330.80 1,652.46

2,010.53

875.19 199.86 305.22 325.42 104.55

1,810.24 481.18

217,568.21

·58,696.65

Pag.2

Ulllllm~

N3089702

for consumers & traders

ANNUAL STATEMENT

Associations Incorporation Act. 1984 Section 27(1) FORM 12

fees are detailed on Page 2

About the Association:

What is the incorporation number of the Association?

PJ.EASE COMPLETE BOTH SIDES OF THE FORM IISING BLACK INK AND BLOCK LETTERS

What is the name of the Association? _t1~~~e-_~~~_~~_ ,f A ~S~~5_1_(? ~_~~~~g_~~ __ . _

I noorporated

What is the principal place of

business! administration of the Association? J3~_Ql.._n__ B .... 'a.oJ.J R)Or '1 ~ }V~~~ostcode:_ '"z...~"]___ct_

(address)

Who is the Public Officer? ~~~~L.---D-o---R--a'"t- ~~~~~_

Please lodge a Change of Public Officer Details form if appropriate

When did the financial year of the Association end? __ ~~____3_l_ ~ __ ~_ J '2....

_ -Da)-'_-~--

Montl: -

Day

When was the Annual General Meeting held?

Was an extension of lime to hold AGM granted?

\

Remember to attach a copy of the financial statement submitted to m"lmzbers at the AGM

'\

\

3-~-~ ~ 2JJ_'_~~~-_---lh RECEIVED

\'l.. OJ 67'2..· o~ - ~fIIII I

___ ~I b",,--~~",----,-7_,.4~Q____,__~'2> __ - ,-,,--_k~.Ifl'LQE__CQ.OeeR~T '~.~~~~-. '

Was an extension of time to lodge this statement granted?

What was the total income for the financial year?

What is the value of all assets. including deposits?

What was the total expenditure for the financial year?

What is the value of all liabilities?

Were the accounts audited?

IMPORTANT: Amounts must be entered above. Please do not write "see attached"

YES@)

How many people are employed by the Association? ----'1---------

''''''- . ~- .. - ......

, ----

L .. : .. : _"~~ "'<;.U

At the end of the Financial Year, did the Association have any mortgages, charges or other securities affecting property?

2 5 SfP Z008

YESI@

i I(ZGISTRY OF CO-OPERATlVES J. ASSOCIATIONS

IF YES, please provide the following details in an annexure:

Description of each mortgage. charge or other security, Description of each property affected, Amount of indebtedness at the end a/the Financial Year and Name and address ofthe holder of each mortgage. charge or other security

Please ensure that two committee members have signed the Certificate of Compliance on the reverse side

Lodging Party: Provide name and address of person/ corporation lodging this Annual Sialemenr--i

• • I

WcJ.r~\AV'\ Vc..."IVle.>\.lOv'\ rvch"_'~\_~ 1

~---Q~~~----~-1~- Postcode b_~'J_~ Telephone: ~'b.6k~lLb_f1

) ev-- '4'1 (L I

_,_ ,

AP4550D (mos

FORMBM3AC

CERTIFICATE OF COMPLlANC

CERTIFICATE AS TO THE FINANCIAL AFFAIRS 0 THE ASSOCIATION PRIVACY ACKNOWLEDGE MEN To be signed by two (2) current committee me

L

r

PAGE 2 -

Document #

I certify that:

a) r am a committee member of the Association, and

b) I am duly authorised by the Committee to make this statement, an

c) The attached financial statements were submitted to the members t the Annual General Meeting, and

In the opinion of the members of the committee:

I

d) The particulars set out on the previous page give a true and fair vi w of the financial matters to which they relate and arc not

misleading, and '

e) There are reasonable grounds to believe, at the date of this statem nt, that the Association will be able to pay its debis as and

I

when they fall due, i

"I/we acknowledge that:

• the Office of Fair Trading is collecting and holding personal info mation supplied in this form for the purposes of tlie Associations Incorporation Act, 1984 and in particular, inclusion in a register maintained under that Act which is oJen to

public inspection; !

.Jl\£ the Qftjz gf Fair Trading may disclose personal informajjon Q.J)!ber r~rsons oLQodiesa[ld receive illformationirrom them in respect of the purpose(s) for which IIwe have lodged this form;

• the supply of the personal information is required under the Act nd failure to supply any of it may result in this form being

rejected [and the application being refused]; ,

• I/we have a right of access to, and correction of: the personal inf rmation supplied/collected from me/us."

._-_.- ----- ----~ - ---------

Signature "' __ L~

__ . __ ry)~0{_t _ _]:p_g Ej . __ . . __

Full name (in block letters)

I

~~ \: Q!

Sig~atur; - -0-- ----- --~-~- - -1-- -

G- [(L\u -:S' 1\ N f ~ .»: i: E LFul~~~e (in· b-l~kl~ttc~)-·---- ------- r----

\-()~ \ rJ\Lw r~ ~ S J~~ ~~

Residential address i

~ Q.....v-J IL '-l ~ A 12... N).N I 1-'* "\ l\.

------1---

Date of signing

1~8' OLD ~'l~ ~

Reside~tial ~dd~~s ~6-PrLo--("o--~·--LV-- c9 '171

~\O- of'

Date of signing

FEES

The following fees apply for the lodgement of an Annual Stateme t:

--:---' - - _" -....-',~- ... --- -_-_ - _-_

If lodged within one month of the Annual General Meeting:

If lodged between one and two months after the Annual General eeting:

If lodged more than two months after the Annual General Meetin

$45.00)

$66.00} ALL FEES ARE GST FREE $72.00} ABN 54 625 095406

ENQUIRIES

I

Enquiries relating to the completion of an Annual Statement sho Id be directed to the Registry -of Co-operatives & AI ssociations on

(02) 6333 1400 or Toll Free 1800502042

I

LODGING THIS DOCUMENT I

You may lodge this document in person at any Fair Trading Cet tre, for the address of your nearest Fair Trading Centre, please

telephone 13 3220. You may also lodge this document by mail, addressed to: j

Registry of Co-operatives & Associations .

PO Box 22

BATHURST NSW 2795

Assf12 July 2002

.2.

I '

. - "_ --

Australian Vaccination Network Incorporated

General Purpose Financial Statements

For The Year Ended 31 December 2007

Australian Vaccination Network, Inc.

Balance Sheet As of December 31.2007

ASSETS

Current Assets

Current/Savings Meryl Dorey PAYPAL

CBA AVN General Petty Cash

WPC AVN Account WPC AVN Gift Fund

WPC Infonned Voice cheque WPC Interest Bearing

Total Current/Savings Accounts Receivable Accounts Receivable

Total Accounts Receivable Other Current Assets Undeposited Funds

Stock Asset

Total Other Current Assets

Total Current Assets

TOTAL ASSETS LIABILITIES

Current Liabilities Accounts Payable Accounts Payable

Total Accounts Payable Credit Cards

CBA Mastercard

Total Credit Cards Other Current Liabilities Payroll liabilities PAYG

Total Payroll liabilities Tax Payable

Total Other Current liabilities

Total Current Liabilities Long Tenn liabilities Ramln Marzbanl

Total Long Term Liabilities

TOTAL LIABILITIES

NET ASSETS EQUITY

Opening Bal Equity Retained Earnings Net Income

TOTAL EQUITY

Dec 31,2007

-477.47 207.87 ·88.21 68.87

335.88 34,440.74 1,612.06 82.34

36,182.08

11,798.32

11,798.32

2,440.13 79,251.49

81,691.62

129,672.02

129,672.02

27,909.47 27,909.47

19,626.48

19,626.48

10,596.00

10,596.00 ·12,950.93

-2,354.93

45,181.02

2,550.00

2,550.00

-----

47,731.02

81,941.00

14,754.90 -20,821.87 88,007.97

81,941.00

Page 1

Australian Vaccination Network, Inc.

Profit & Loss January through December 2007

Jan - Dec 2007

Income

Residuals Website

Misc. Income Donations Postage Collected Other Revenue

AVN Membership Dues Ticket Sales Information Packs CDIDVDICassette Sales Book Sales

Total Other Revenue Magazine Revenue Distributor Sales

Single Copy Sales Subscriptions

Advertising Revenue Magazine Revenue - Other

Total Magazine Revenue

1,785.56 190.00 1,196.21 120,400.97 4,366.95

19,376.06 573.82 4,457.61 2,799.11 21,815.25

---

49,021.85

2,457.01 52.00 90,443.85 66,490.78 8,415.36

167,859.00

Total Income

Cost of Goods Sold Packaging

Info Packs

Cost of Goods Sold Freight paid Discounts Given Other Product Costs

CD/DVDNideo Books

Other Product Costs - Other

Total Other Product Costs

344,820.54

36.27

215.74 5,888.35 1,112.86 1,518.29

193.64 9,419.24 1,053.16

10,666.04

Magazine Costs Editors Charges Graphic Design

Bulk Freight for Magazine Articles for Magazine Proofing

Photos

Printing

Magazine Costs - Other

Total Magazine Costs

15,840.00 25,455.90 7,000.06 3,781.60 1,075.00 1,218.29

14,138.89 124.80

68,634.54

---~---

Total COGS

88,072.09

Gross Profit

Expense

Books & Publications Adjustments

cleaning and maintalnence Professional Fees

Consulting

Professional Fees - Other

Total Professional Fees Commission

Affiliate

Commission - Other

Total Commission Uncategorlsed Expenses

256,748.45

1,125.21 -250.55 40.00

14,152.73 841.82

---

14,994.55

14526 12,391.60

12,536.86 11.99

Page 1

Australian Vaccination Network, Inc.

Profit & Loss January through December 2007

Travel and Accomodation

Meals

Travel Costs Petrol Accomodation

Total Travel and Accomodatlon Insurance

Electricity

Stalls and Conventions Public Speaking Furniture Hire

Stall and Hall Hire

Stalls and Conventions - Other

Total Stalls and Conventions Marketing

Promotlon!!- Public ~elatlQfl', ===_:_:4=:5:=2=.6=7,--- __

Total Mari(eting 452.67

Photocopier Expenses

Service Contract

Photocopier Consumables Photocopier lease Photocopier Expenses - Other

Total Photocopier Expenses Computer Expenses

Lease Expense Computer Internet Expenses

Website Expenses Hardware

Software

Computer Repairs Computer Expenses - Other

Total Computer Expenses Bank Charges

INTEXP

Merchant Fees

Service Fees

Bank Charges - Other

Total Bank Charges

General and Administrative Exp Financial Services

Late Fees Paid

Customer Refunds

Dues and Subscriptions Lease Expense

Inventory Adjustment

Office Furniture & Equipment Telephone

Legal and Professional Fees Office Supplies

Franking Machine

Postage

Total General and Administrative Exp Payroll Expenses

Leave Expense

Superannuation

Gross Wages

Payroll Expenses - Other

Total Payroll Expenses

Total Expense

Net Income

Jan - Dec 2007

328.03 2,098.23 393.28 1,432.35

4,251.89 1,434.43 1,118.19

100.00 442.68 759.09 606.10

----

1,907.87

1,975.59 3,188.44 4,161.56 1,551.80

10,877.39

7,739.25 30.35

13,319.82 1,232.34 2,580.05 1,146.34 1,237.25

27,285.40

2,641.42 2,702.60 1,184.73

360.00

6,888.75

36.36 114.53 142.80 1,243.86 315.45

40.91 2,701.44 8,659.48 1,363.64 3,044.66 4,553.57

10,144.23

-------

32,360.93

2,573.15 4,663.60 42,717.78 3,750.37

---

53,704.90

168,740.48

88,007.97

Page 2

ANNUAL STATEMENT Associations Incorporation Act, 1984 Section 27(1) FORM 12

N~"':"""~~I( F (,"

Fair ~rading

tllI'ARIIVI", 1)1 COMM( r~\ r

for consumers & traders

~FT USE ONLY --I

Rec'd on:

Rec'd at:

Processed by:

I Receipt No: _j

About the Association:

fees are detailed on Page 2

PJ.[ASE COMPI,ETE Born SIDES OF THE FORM (!SING BUCK INK AND BJ.OCK I.EITERS

What is the incorporation-number of the Association?

Incorporated

What is the principal place of - \,::)C\r"

business/ administration of the Association? __ L~_S _ 0 \ 0\ £M-f.Q1Cl JS~"(7 _e.d __ l\Jg_I-U(~ Postcode: __ ~~ 1~

A /\ ~ (addreYs)

Who is the Public Officer? _,_y_ Le-Y-~ \ __ J~_Oy-e.I1 _

Please lodge a Change o~ltc Officer Details form if appropriate

___ 2J J:)ec...e__vi.\_h-eL 2.QC't _

Day

________ &9\ _

__ t-1"s-h-o.. \ \~v\

___ /V_~~Q~\~_. ~ __ c _

\.)_0 C_LL""" 0..ij_Of9 _

What is the name of the Association?

When did the financial year of the Association end?

Day

Year

When was the Annual General Meeting held?

"Z 00 ,0.

----- _p -- .. _

Year

Was an extension of time to hold AGM granted?

. Was an extension of time to lodge this statement granted? 9 NO

What was the total income for the financial year?

Remember to attach a copy of the financial statement submitted to members at the AGM

Rr=cr~ '1:- - --

... .~d tf~ I,., •.

• '-11:.. •• ..1.

25 SEP ZDDB

What is the value of all liabilities?

--~-- 5 ~_O_Ll-_6_ --r---RECE~1.n:frL -1'

___ ~_2?3_~-=->_6_, ------t - _ __]_3-AERlilIlfi---,

___ $ __ 6.6 _6 39___ _ _ _ _ _ R_EG'ST~O:~~~~A~'~_E:~ i

IMPORTANT: Amounts must be entered above. Please do not write "see attached"

@NO

-__g-.---

RECEIVED

What is the value of all assets, including deposits?

What was the total expenditure for the financial year?

Were the accounts audited?

How many people are employed by the Association?

At the end of the Financial Year, did the Association have any mortgages, charges or other securities affecting property?

YES/@

;..:1 SEP 2008

REGISTRY OF CO-OPERATtveS I ,- _ _..::;&.;"AS;.;;,...SOC_ IATI0J:~_

IF YES, please provide the following details in an annexure:

Description oj each mortgage, charge or other security. Description of each property affected. Amount of indebtedness at the end of the Financial Year and Name and address oJthe holder oj each mortgage, charge or other security

Please ensure that two committee members have signed the Certificate ojCompliance on the reverse side

11111111111

Lodging Pa rty: Provide name and address of personi corporation lodging this Annual Statement

N\ e« -j\ ~(')" -e. ::J r~ ~ o )(~A '6j (0"1 ~ct j e.ol

i~Cv...:>Y-j~Y Postcode _.64-23Telephone OJ.. 6Q_~_:)J _

L ----------------------------t",_+-+--__l

AP4550D 07/07

FORMBM3AC

PRIVACY ACKNOWLEDGEMENT To be signed by two (2) current committee members

PAGE 2 Document #

CERTIFICATE OF COMPLIANCE

~ CERTIFICATE AS TO THE FINANCIAL AFFAIRS OF THE ASSOCIATION

..

L- .o _

1 certi fy that:

a) 1 am a committee member of the Association, and

b) 1 am duly authorised by the Committee to make this statement, and

c) The attached financial statements were submitted to the members at the Annual General Meeting, and

In the opinion of the members of the committee:

d) The particulars set out on the previous page give a true and fair view of the financial matters to which they relate and are 110t misleading, and

e) There are reasonable grounds to believe, at the date of this statement, that the Association will be able to pay its debts as and when they fall due.

"I/we acknowledge that:

• the Office of Fair Trading is collecting and holding personal information supplied in this form for the purposes of the Associations Incorporation Act, 1984 and in particular, inclusion in a register maintained under that Act which is open to public inspection;

• the the Office of Fair Trading may disclose personal information to other persons or bodies and receive information from them in respect of the purpose(s) for which l/we have lodged this form;

• the supply of the personal information is required under the Act and failure to supply any of it may result in this form being rejected [and the application being refused];

• lIwe have a right of access to, and correction of, the personal information supplied/collected from me/us."

~~~--

_ffi~~L._~@_e_~ . _

Full name (in block letters)

_.1. _!~_ . h~

Signat~~

Fl(jj\jfr KPrAt0

Full name (in block letters)

Date of signing

J b _(jV(2.&fr{2~ __ Q +<~~r A~

Residential address l.1L.e1Jrt0i2.lZ p~\'-... 'JJ-rv

_L2-~-9:9

Date of signing

lQ_&_O_Cb~~~_~_@ _

Residential address ~fO'.loAc.o LV & 't 11

801- ~-o~

FEES

The following fees apply for the lodgement of an Annual Statement:

If lodged within one month of the Annual General Meeting:

If lodged between one and two months after the Annual General Meeting:

If lodged more than two months after the Annual General Meeting:

$44.00}

$65.00} ALL FEES ARE GST FREE $70.00} ABN 54 625 095 406

ENQUIRIES

Enquiries relating to the completion of an Annual Statement should be directed to the Registry of Co-operatives & Associations on (02) 6333 1400 or Toll Free 1800 502 042

------------------------------------------ __ ------------------------------------_~----- __

LODG ING THIS DOCUM ENT

You may lodge this document in person at any Fair Trading Centre, for the address of your nearest Fair Trading Centre, please telephone 133220. You may also lodge this document by mail, addressed to:

Registry of Co-operatives & Associations PO Box 22

BATHURST NSW 2795

Assll2 July 2002

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Australian Vaccination Network Incorporated ABN 30 077 002 923

BALANCE SHEET AS AT 31 DECEMBER 2006
Note 2006 2005
$ $
ASSETS
CURRENT ASSETS
Cash and cash equivalents 5 3,794 15,207
Trade and other receivables 6 11,608 6.867
Inventories 7 38,643 15,713
TOTAL ASSETS 54,046 37,786
CURRENT LIABILITIES
Trade and other payables 8 32,262 1,617
Short-term financial liabilities 9 20,102 19,028
Current tax liabilities 10 3,735 3,649
Unsecured Loan 11 10,540 8,625
TOTAL LIABILITIES 66,639 32,918
NET ASSETS (12,593) 4,869
EQUITY
Retained earnings (12,593) 4,869
TOTAL EQUITY (12,593) 4,869
The accompanying notes form part of these financial statements. 3

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Australian Vaccination Network Incorporated ABN 30 077 002 923

INCOME STATEMENT FOR THE YEAR ENDED 31 DECEMBER 2006 Note

Revenue

Employee benefits expense Depreciation and amortisation expenses Other expenses from ordinary activities Profit before income tax

Income tax expense

Profit (loss) from operations

The accompanying notes form part of these financial statements ..

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2006 2005
$ $
206,014 300,994
(46,060) (41,854)
(177,416) (204,584)
(17,462) 54,556
(17,462) 54,556

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