Request for Amendment Donor to Political Party and Political Campaigners Disclosure Return – Organisations FINANCIAL YEAR 2020-21 Completing the Return: This request for amendment should be used to amend a 2020-21 Donor to Political Party and Political Campaigners Disclosure Return – Organisations lodged with the AEC. This request for amendment is to be completed with reference to the Financial Disclosure Guide for Donors to Political Parties and Political Campaigners. This request for amendment will be available for public inspection from Tuesday 1 February 2022 at www.aec.gov.au. Any supporting documentation included with this request for amendment may be treated as part of a public disclosure and displayed on the AEC website. The information on this request for amendment is collected under s 319A(2) of the Commonwealth Electoral Act 1918. NOTE: This form is for the use of organisations only. Please use the form Request for Amendment - Donor to Political Party and Political Campaigners Disclosure Return – Individuals if you are completing a return for an individual. Details of organisation that made the donation Name Address Suburb/Town State Postcode ABN ACN 2020-21 Return details Is this the first amendment Yes No How many other Request for to the return? Amendments have been lodged? Details of person completing this return Name Capacity or position Postal address Suburb/town State Postcode Telephone number ( ) Fax number ( ) Email address Enquiries and returns Disclosure and Compliance Phone: 02 6271 4552 should be addressed to: Australian Electoral Commission Fax: 02 6293 7655 Locked Bag 4007 Email:
[email protected] Canberra ACT 2601 Office use only Date received DAR_1 (06/21) – Page 1 of 6 Request and Certification I request the Electoral Commission amend the Donor to Political Party and Political Campaigners Return – Organisations as detailed in this request for amendment.