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Donor to Political Party and Political Campaigner Amendment Form

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Donor to Political Party and Political Campaigner Amendment Form 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. I certify that the information contained in this request for amendment and its attachments is true and complete to the best of my knowledge, information and belief. I have made due and reasonable inquiries of the organisation on whose behalf I am authorised to complete this form. I understand that submitting a false or misleading return is an offence under Division 137.1 of the Criminal Code Act 1995. Signature Date DAR_1 (06/21) – Page 2 of 6 How to complete this form: If you are amending an existing entry, complete the ‘Original Entry’ item as it appeared on the original return and then write the amendment in full at the ‘Amended Entry’ item. If adding a completely new entry, write N/A in the ‘Original Entry’ item and complete the ‘Amended Entry’ item in full. Amounts should be reported on a GST inclusive basis. Part 1a: Other business names No change to previous information OR Provide details of changes or amendments to the information previously provided. Original Entry Trading name Amended Entry Trading name Original Entry Trading name Amended Entry Trading Name Part 1b: Related bodies corporate No change to previous information OR Provide details of changes or amendments to the information previously provided. Original Entry Name Postal address Suburb/town State Postcode ABN ACN Amended Entry Name Postal address Suburb/town State Postcode ABN ACN Original Entry Name Postal address Suburb/town State Postcode ABN ACN Amended Entry Name Postal address Suburb/town State Postcode ABN ACN If insufficient space, please attach additional sheets. DAR_1 (06/21) – Page 3 of 6 Part 2: Donations made to a political party No change to previous information OR Provide details of changes or amendments to the information previously provided. Value of donation* Party details Date of donation (GST inclusive) Original Name/Party code $ .00 Entry Postal address Suburb/Town State Postcode Amended Name/Party code $ .00 Entry Postal address Suburb/Town State Postcode Original Name/Party code .00 Entry Postal address Suburb/Town State Postcode Amended Name/Party code .00 Entry Postal address Suburb/Town State Postcode Original Name/Party code $ .00 Entry Postal address Suburb/Town State Postcode Amended Name/Party code $ .00 Entry Postal address Suburb/Town State Postcode Original Name/Party code $ .00 Entry Postal address Suburb/Town State Postcode Amended Name/Party code $ .00 Entry Postal address Suburb/Town State Postcode Original Name/Party code $ .00 Entry Postal address Suburb/Town State Postcode Amended Name/Party code $ .00 Entry Postal address Suburb/Town State Postcode If insufficient space, please attach additional sheets. * In this form donation is a gift within the meaning in section 287(1) of the Electoral Act. DAR_1 (06/21) – Page 4 of 6 Part 3: Donations made to a political campaigner No change to previous information OR Provide details of changes or amendments to the information previously provided. How to complete this table: If you are amending an existing entry, complete the ‘Original Entry’ item as it appeared on the original return and then write the amendment in full at the ‘Amended Entry’ item. If adding a completely new entry, write N/A in the ‘Original Entry’ item and complete the ‘Amended Entry’ item in full’. Amounts should be reported on a GST inclusive basis. Value of donation* Campaigner details Date of donation (GST inclusive) Original Name $ .00 Entry Postal address Suburb/Town State Postcode Amended Name $ .00 Entry Postal address Suburb/Town State Postcode Original Name .00 Entry Postal address Suburb/Town State Postcode Amended Name .00 Entry Postal address Suburb/Town State Postcode Original Name $ .00 Entry Postal address Suburb/Town State Postcode Amended Name $ .00 Entry Postal address Suburb/Town State Postcode Original Name $ .00 Entry Postal address Suburb/Town State Postcode Amended Name $ .00 Entry Postal address Suburb/Town State Postcode If insufficient space, please attach additional sheets. * In this form donation is a gift within the meaning in section 287(1) of the Electoral Act. DAR_1 (06/21) – Page 5 of 6 Part 4: Donations received No change to previous information OR Provide details of changes or amendments to the information previously provided. Value of Received from Date of donation donation** (GST inclusive) Original Name $ .00 Entry Postal address Suburb/Town State Postcode Amended Name $ .00 Entry Postal address Suburb/Town State Postcode Original Name $ .00 Entry Postal address Suburb/Town State Postcode Amended Name $ .00 Entry Postal address Suburb/Town State Postcode Original Name $ .00 Entry Postal address Suburb/Town State Postcode Amended Name $ .00 Entry Postal address Suburb/Town State Postcode Original Name $ .00 Entry Postal address Suburb/Town State Postcode Amended Name $ .00 Entry Postal address Suburb/Town State Postcode If insufficient space, please attach additional sheets. * In this form donation is a gift within the meaning in section 287(1) of the Electoral Act. DAR_1 (06/21) – Page 6 of 6 Registered Political Party and Branch Codes AJP Animal Justice Party CODE Party / Branch AFP-NSW Australia First Party (NSW) Incorporated AAHP Australian Affordable Housing Party ALP-ACT Australian Labor Party (ACT Branch) ABF Australian Better Families ALP-NSW Australian Labor Party (N.S.W. Branch) ACH Australian Christians AUD Australian Democrats Australian Labor Party (Northern Territory ALP-NT Branch) CAL Australian Federation Party ALP-QLD Australian Labor Party (State of Queensland) APEP Australian People’s Party PROG Australian Progressives Australian Labor Party (South Australian ALP-SA Branch) AWP Australian Workers Party ALP-TAS Australian Labor Party (Tasmanian Branch) XEN Centre Alliance CPP Child Protection Party ALP-VIC Australian Labor Party (Victorian Branch) CDP Christian Democratic Party (Fred Nile Group) Australian Labor Party (Western Australian ALP-WA CEC Citizens Electoral Council of Australia Branch) Climate Emergency Action Alliance: Vote SOOPA ALP-FED Australian Labor Party (ALP) Planet CLR-NSW Country Labor Party UAPP Clive Palmer's United Australia Party DHJP Derryn Hinch’s Justice Party DLP-NSW Democratic Labour Party (DLP) NSW Branch FRASER ANNING'S CONSERVATIVE FACN Democratic Labour Party (DLP) – Queensland NATIONAL PARTY DLP-QLD Branch NMP Health Australia Party Democratic Labour Party (DLP) – Victorian HEM Help End Marijuana Prohibition (HEMP) Party DLP-VIC Branch ICAN Independents CAN DLP-WA Democratic Labour Party (DLP) – WA Branch IMO Informed Medical Options Party DLP Democratic Labour Party (DLP) of Australia JLN Jacqui Lambie Network KAP Katter's Australian Party (KAP) Australian Greens, Australian Capital Territory GRN-ACT LAOL Love Australia or Leave Branch NOG No 5G Party GRN-NSW The Greens NSW Online Direct Democracy - (Empowering the SOL GRN-NT Australian Greens, Northern Territory Branch People!) ONA Pauline Hanson’s One Nation GRN-QLD Queensland Greens PIR Pirate Party Australia GRN-SA Australian Greens (South Australia) REAS Reason Australia GRN-TAS Australian Greens, Tasmanian Branch RPA Republican Party of Australia GRN-VIC The Australian Greens - Victoria RPT Rex Patrick Team FUT Science Party GRN-WA The Greens (WA) Inc SPA Secular Party of Australia GRN Australian Greens SUN Seniors United Party of Australia SFP Shooters, Fishers and Farmers Party LIB-ACT Liberal Party of Australia – ACT Division SAL Socialist Alliance LIB-NSW Liberal Party of Australia, NSW Division SEP Socialist Equality Party Sustainable Australia Party – Stop LNP-QLD Liberal National Party of Queensland SPP Overdevelopment / Corruption LIB-SA Liberal Party of Australia (S.A. Division) AMHP The Australian Mental Health Party LIB-TAS Liberal Party of Australia – Tasmanian Division GAP The Great Australian Party LIB-VIC Liberal Party of Australia (Victorian Division) TSBP The Small Business Party TTP The Together Party LIB-WA Liberal Party (W.A. Division) Inc. TWP The Women's Party LIB-FED Liberal Party of Australia TMP Transport Matters Party CLP-NT Country Liberal Party (NT) VNS Victorian Socialists VEP Voluntary Euthanasia Party NAT-SA National Party of Australia (S.A.) Inc. FLUX VOTEFLUX.ORG | Upgrade Democracy! NAT-VIC National Party of Australia – Victoria WAP WESTERN AUSTRALIA PARTY NAT-NSW National Party of Australia – N.S.W.
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