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Photocopy of Documents Held by

Registry Services, Fair Trading


The attached is a true copy of documents held on the Register of Incorporated
Associations, as at 7 September 2015, in relation to:

AUSTRALIAN VACCINATION-SKEPTICS
NETWORK INCORPORATED

The current status of the above entity is:

Y2079127

REGISTERED

under the Associations Incorporation Act 2009 No.7.


Total No. of pages attached:

Document(s) attached:

Public Officer Alteration


Annual Summary - 2014 FYE

Issued by NSW Fair Trading on 7 September 2015.


Signed

Glenn Crawford
Customer Service Officer
Registry Services
Delegate of the Commissioner

Page 1 of 1

4W

I Form
I

Fair
NSW,Trading

GOVERNMENT

RECEIJED-

51913130179

Notice of appointment of public officer &


Notice of change of association address

Office use only


AFFIX DOCUMEF

Received at:
Date:

14 AUB 2015

Associations Into rpomtion Act 2009 (sectIons 13 & 34)

Please read the information provided before completing this Mh5.E.LD!_-"This form should be completed in BLACK or BLUE ink and in BLOCK LETTERS.
[ALssoclaflon details

2_I0 1719 Ii 1217 I I I


CCIN1ATIONS\cEPtIC5 NEtvJOQC

incorporationnumber
Name

Application fee NIL

I INC/ YI

AU5TR.AL1kJ

incorporated

you wish to give notice of 7ick one of thii boxes ahd complete the con-esponding section/s below)
Vacancy in the position of public officer and appointment of a new public officer.
OR

fl
11.

Change of official address.

Notice of vacancy in the positiiiM Ubiiiiffcer and appointment of now publifflcer

Iz
/ o6
DO
MM

The position of public officer of the association became vacant on


Reason forvacancy
(refer to notes)

RART11EtJ Res'cMpTtp,J cRoc' oc-c-'cc

Or,

'zoisi
YYYY

PUBLIC 0F4-10E21

ZZ' 06
'206
I DD
1
MM
WY?

Date of appointment:

B E 'J R'j

surname

Title
(MrlMrsiMs)

I Miss

j Given name (s)


I

I QBECC&
J 29 / oq 'isz. I

Dateofbirth

DO

MM

YYYY

Official address
(This address cannot boa POST OFFICE BOX- see notes for requirements for the official address)

Address

LE"JEL

\I, 30 kEMT STREEX

Townlsuburbl S'JDtJE"/

State I NSW I

PostcodeIZQQQj

2 Notice fchangeof official address


The official address was changed on:
DO
Address
Town/suburb

MM

I
I

State

PLEASE TURN OVER


Page 2 must be completed

NSW

Postcode

FORM

YWY

[eclaratlon and privacy_acknowledgement


ItAGNPZY
NAME

I E8ECCA.

j of

LUNI'r6no'22 SJTHERAfic c'J() Rs,TMJNALlI


I

ADDRESS

declare that
I am the current public officer of the association,
I am over the age of 18 years and ordinarily reside In New South Wales,
the information set out in this form is correct, and
I acknowledge that NSW Fair Trading is collecting and holding information (including personal information) supplied in
this form for the purposes of the Associations Incwporation Ac) 2009 and in particular, inclusion in a register maintained
under that Act which is open to public inspection,
I acknowledge that NSW Fair Trading may disclose personal details to persons or bodies and to receive
information from them: in respect of purpose(s) related to the association's incorporation and activities, and
I acknowledge that have a right to seek access to and correction of the personal information supplied/collected from me.
Signature

or, 1 06 '20iS1

DD

MM

YYVY

LContact details of the person lodging this document

HEN12\4

Surname
Title
(Mr/Mrs/Ma)
Address

I t-1ss

Givenname(s)

aYtimetelePhonel ou 353 'iSo


I Dnumber

I(\MiiC/1017 S.fl't-rQt sr.Jo QnP.O4

Town/suburbj
Email

'TPk)t'JAL

State

NS'tJ I

Postcode1

'2226 I

a.
NSW

Form

Al2

Trading
ACM 61943 830 ItG

N4773678

KECtIV ED

Annual summary of financial affairs

Received at:

26 JUL 7015

Associations lnr.oporation Act 2009


(sections 45&49)

no.:

Please mad the infnrrnatinn nmvided hefrm cnmnletinn

Fnn m.rnt arrnmn2nu fnrn

This form should be completed in BLACK or BLUE ink and in BLOCK LETTERS.

See inform ation sheet

AiieiatiawiietiIs

Incorporationnumber
Name

IINC /Yl2.I0h7l

Il

AUsTre-A-I-IA-~ j VACCCI I4A710'J .SK&,


,oT7C-S
[J(cross I box only)

The principal activity of the association is


1. Aged care/respite caremome care
2. Arts/cullure/literatytherftage
3. BusIness & professional association
4. Child care seMces

Incorporated

15. Education/employment/lrainlng/research
6. Environnienuhorticultureianimal protection
7. Legal/civicladvocacy services
18, Personal interest/hobby group/social group

I lh7 Il 10

ABN(ifany)

9. Religious
110. Social services/community association
11. Sporting
2. Other

5( 1
1 11

2.

lDiiiIiif current publiE6ificer

Name I gEs3ccm

wetJ&Y

fl
fl

Has the public officer changed?


Has the official address changed?

fl

Yes
Yes

No
No

if you answered Yes" to either or both questions, you are required to lodge a Fonn A9, 'Not/ce of appointment of public
officer & Notice of change of association address

EiiiThit summary
/

I2
MM

VYVY

2 /

o6

/ 20 s

The association's financial year ended on:


DO

The annual general meeting was held on:


Details of income, expenditure, assets & liabilities of the
association & of any trust to which the association Is a trustee

Association

Trust

21 514.15

Current assets*

$
$
$

'38
51318'f

$
$

Total assets (includes current assets)

5I 318 tf

Liabilities

Is

000

Is

Gross receipts/total income


Expenditure

307'f18

See attached notes for the definition of gross receipts/total income and current assets.

fl Yes

Were the accounts audited?

Amounts must be entered above.

No

Number of members at end of financial year

Number of employees at end of financial year

ontact details of the person lodging this document

Title
(Mr/Mrs/Ms)

I MI5S

Address

Town/suburb1

EmaD

PLEASE TURN OVER

I4ENJRV

Surname

Givennarne(s)
Daytlnietelephone1

Uflit t/20-fl

37

L-

/ 201 1*1

(CA

O41 t 353 750

50Th4
State

I hpvrieurOCtc0)Cw1OdL1nlV\

Hsu'JI
I

12226 I
II Difi 11J11011911111111
Postcode

101

VIIIFoI1 BM3AC VlU

Partictiiars of mortages, charges and other securities affecting the propertyof the incorporated association
State if mortgage,
charge or
other security

Property affected

Are details of other mortages, charges or securities attached?


[Grant funding and fundraising (this section is opional)

Amount of
Indebtedness at
financial year end

LII

Yes

Name and address of


holder of security, etc

[] No

Please indiOate the total grant funding received by the association from all
Commonwealth, State of local government agencies during the financial year

Is

TOTAL GRANT FUNDINGJ

Please indicate which agency/les provided the funding by placing a ' X 'in the box/es below
1. Arts NSW
5. Department of Education & Training
9. Local Council
2. Dept of Ageing, Disability & Home Care
6. Department of Planning - Heritage Office
10. Other
3. Department of Community Services
7. NSW Sport & Reaeation
4. Department of Education, Employment &
8. Department of Families. Housing,
Workplace Relaflons
Community Services & Indigenous Aifairs
If the association is registered as a charity under the
Chant able Fundraising Act 1991 please provide charitable registration number

fhe following information is optional and is used for statistical purposes only
Is the association specifically established for the benefit of (tick one or more)

LIII
LIII]

[J
0

Aboriginal and Torres Strait Islanders


People from cultural and linguistically diverse backgrounds
I associations only (tick boxes and ensure the documents are attached)

People with a disability


Women

- -

- - -

The association's financial statements for the relevant financial year (including a separate income and expenditure
statement and balance sheet for each trust for which for which the association is trustee).
[] The auditor's report for those financial statements.

fl If a resolution was passed at the annual general meeting in connection with the above documents, tick box and
attach a copy of the resolution.

[eclaratlon as to the financial affairs of the association and prIvacy acknow!edgernent


I declare that
I am authorised by the committee to make the following statements,
the association's financial statements for the last financial yea'r were presented to the members of the association
at the annual general meeting,
the particulars set out in this document are correct and give a true and fair view of the financial matters to which
they relate and are not misleading, and
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, and
I acknowledge that
NSW Fair Trading is collecting and holding information (including personal information) supplied in this form for the purposes of the
Associations Incorporation Act 2009 and in particular, inclusion in a register maintained under that Act which is open to public
inspection,
NSW Fair Trading may disclose personal information to persons or bodies and to receive information from them in respect of
purpose(s) related to the association's incorporation and activities, and
I have a right to seek access to and correction of the personal Information supplied/collected from me.
Signature
-

Fuilname
Address
Town/suburb

J,

Date

2-2.00

07 I
MM

YYYY

T?hst+4 JSV/fJ'
L2 guiYcRUP /2/Se
MSbrD1'\f t4,45!ZT

State

I v/ C

Postcode

3'7j