2019 CORPORATE SURVEY RESEARCH CONDUCTED BY

InDaily and Taylor Collison Limited proudly produce Business Index. A survey of South ’s leading businesses to be released at a luncheon on Friday 20 September 2019 and then online through InDaily. Tickets to the luncheon can be purchased at sabi2019.eventbrite.com.au To submit your company information for consideration in the South Australian Business Index, please complete the following vital statistics which will form your entry into the index. Before returning this form, please ensure you have been authorised to do so by the Chief Executive or authorised delegate. Data submitted below and marked as ‘consent to publish’ indicates your organisation’s willingness to have this information published online through InDaily. Solstice Media – publisher of InDaily will proceed without further authority and you will indemnify them and the researcher from any errors and/or omissions. By submitting this information you also agree your contact details may be shared with sponsors, unless you indicate otherwise.

CONTACT

Reece Boroughs 08 8217 3900 [email protected] Chris Shopov 08 8217 3900 [email protected]

Return Survey to Email: [email protected] By post: C/- Reece Boroughs Taylor Collison Limited GPO Box 2046 SA 5001

AUTHORISATION

I/ We ______of ______(Company name), have authority to approve and hereby grant approval to the publication of the above information in the South Australian Business Index by InDaily (Solstice Media).

Signature ______Position ______

Date ______

Please do not share our details with sponsors.

VITAL STATISTICS

Entry Criteria (tick as appropriate) 1. A South Australian entity with an Adelaide ownership register or A South Australian operated entity, founded and majority (50.01% plus) owned by South Australians?

2. Not beneficially owned by any government body or government agency?

3. Not registered with the ATO as a not-for-profit organisation? 2019 CORPORATE SURVEY

VITAL STATISTICS

Denotes information required for the published index

Question Response Consent (please state N/D if not wishing to disclose) to publish (Y/N)

Company name Date founded Founder name Trading name Chief executive name Chairperson name Head office location

Industry Primary source of revenue

No. FTE employees Annual gross revenue 2019 FY Annual gross revenue 2018 FY EBITDA 2018 FY EBITDA 2019 FY Aggregate capital deployed (Debt + Equity + Retained Earnings) Number of shareholders Do you operate as a franchise? If yes, how many and in which states? Do you export? If yes, to which regions? Have you commenced exporting to any new countries/territories in the last financial year?

Estimated annual export revenue Has any government assistance been sought? If yes, was it received and what sort? Website