Significant Third Party Disclosure Return
FINANCIAL YEAR 2021-22	
Section 314AB(1) of the Commonwealth Electoral Act 1918 (Electoral Act) requires significant third parties to lodge a return within 16 weeks after the end of the financial year.
The due date for lodging this return is 20 October 2022.

Section 314AB(3A) of the Electoral Act requires significant third parties who are registered during the 
2022-23 financial year to lodge a 2021-22 return within 30 days of registration.

 
Completing the Return:
•	This return is to be completed by the person who is nominated as the financial controller with the AEC.
•	This return is to be completed with reference to the Financial Disclosure Guide for Significant Third Parties.
•	Amounts should be reported on a GST inclusive basis.
•	This return will be available for public inspection from 1 February 2023 at www.aec.gov.au.
•	Any supporting documentation included with this return may be treated as part of a public disclosure and displayed on the AEC website.
•	The information on this return is collected under s 314AB of the Electoral Act.

Name of significant third party 	     	
Postal address	     	
	Suburb/town	     	State 	     	Postcode 	     	
ABN	     	ACN	      	
Financial controller details	
Name of financial controller	     	
Postal address of significant third party 	     	
	Suburb/town	     	State      	Postcode      	
Telephone number	(   )       	Fax number	(   )       	
Email address	     	

Financial controller’s certification	
	I certify that the information contained in this return 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.		
OR	

I certify that the information contained in this return and its attachments is true and complete to the best of my knowledge, information and belief, except for the particulars detailed in the ‘Notice of Incomplete Return’ form (attached). 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 or omitting any matter which makes the information misleading is an offence under Division 137.1 of the Criminal Code Act 1995.	
	
Financial controller’s signature

	

			
		Date	     	

Part 1a: Other business names
	
Do you operate or conduct business under any other names?
	No						
	Yes			List other trading names	
	     	
	     	
	     	

Part 1b: Related bodies corporate
	
Subsection 287(6) of the Electoral Act deems bodies corporate related under the provisions of the Corporations Act 2001 to be a single entity for disclosure purposes. The parent company of the group, therefore, should lodge under its name a return consolidated across the entire group.	
Do you have any related bodies corporate?	No						
	Yes			List any related bodies corporate you are lodging on behalf of	
	Name	     	
	Postal address	     	
	Suburb/town	     	State      	Postcode     	
	Name	     	
	Postal address	     	
	Suburb/town	     	State      	Postcode     	

Part 1c: Unions
	
Are you a union? 	No				
	Yes			List any branches you are lodging on behalf of	
	Name	     	
	Postal address	     	
	Suburb/town	     	State      	Postcode    	
	Name	     	
	Postal address	     	
	Suburb/town	     	State      	Postcode     	
	Name	     	
	Postal address	     	
	Suburb/town	     	State      	Postcode     	
	Name	     	
	Postal address	     	
	Suburb/town	     	State      	Postcode     	
	Name	     	
	Postal address	     	
	Suburb/town	     	State      	Postcode     	
If insufficient space, please attach additional sheets.

Part 2a: Total receipts for financial year 1 July 2021 to 30 June 2022	
This is the gross amount of all cash and non-cash benefits received by, or on behalf of, the significant third party, during the 2021-22 financial year. It includes all amounts received for the financial year.
	$      	.00	
		
Part 2b: Amount calculated to be the value of gifts-in-kind	
This is the amount calculated to be the value of gifts-in-kind which was included in the ‘total receipts’ amount reported at Part 2a.	$     	.00	

Part 3: Amounts of more than $14,500 received in financial year 1 July 2021 to 30 June 2022	
Details of any person or organisation from whom receipts (including loans) of more than $14,500 were received during the 2021-22 financial year.
For each person or organisation, the following details must be disclosed:
•	full name and address** of the person or organisation from whom receipts of more than $14,500 were received
•	amount that was received. Each amount received should be recorded as either a ‘Donation’ or ‘other receipt’.

Received from	Amount received
(GST inclusive)	Donation or other receipt*	
Name 	     	$      	.00	     	
Postal address	     		
Suburb/town	     	State     	Postcode     		
Name 	     	$      	.00	     	
Postal address	     		
Suburb/town	     	State     	Postcode     		
Name 	     	$      	.00	     	
Postal address	     		
Suburb/town	     	State     	Postcode     		
Name 	     	$      	.00	     	
Postal address	     		
Suburb/town	     	State     	Postcode     		
Name 	     	$      	.00	     	
Postal address	     			
Suburb/town	     	State     	Postcode     			
Name 	     	$      	.00	     	
Postal address	     			
Suburb/town	     	State     	Postcode     			
	
If insufficient space, please attach additional sheets.	Total	$      	.00		
*	Please indicate whether this was a ‘Donation’ or ‘other receipt’. The AEC contacts donors to ensure they are aware of their disclosure obligations and unnecessary contact with other persons is avoided if the nature of the receipt is shown.
** Name and address details
•	If the gift was from an unincorporated association (other than a registered industrial organisation), the name of the association and the name and addresses of the executive committee members are required.
•	If the gift was from a trust, the name of the trust, and the name and addresses of the trustee are required.
 
Part 4: Total payments for financial year 1 July 2021 to 30 June 2022	
This is the gross amount of payments made by, or on behalf of, the significant third party, during the 2021-22 financial year. It includes all payments made for the financial year.
	$      	.00	
	
Part 5: Total debts as at 30 June 2022	
This is the total outstanding amount of all debts owed by, or on behalf of the significant third party as at 30 June 2022.
	$      	.00	
		
Part 6: Debts of more than $14,500 as at 30 June 2022	
Details of any person or organisation for which the significant third party owes a debt of more than $14,500 which is outstanding as at 30 June 2022.
For each person or organisation, the following details must be disclosed:
•	full name and address details of the person, organisation or entity that the debt is owed
•	amount that is owed
•	whether the debt is owed to a financial institution or non-financial institution.	
Creditor details	Amount owed
(GST inclusive)	Financial or 
Non-financial institution	
Name 	     	$      	.00	     	
Postal address	     		
Suburb/town	     	State     	Postcode     		
Name 	     	$      	.00	     	
Postal address	     		
Suburb/town	     	State     	Postcode     		
Name 	     	$      	.00	     	
Postal address	     		
Suburb/town	     	State     	Postcode     		
Name 	     	$      	.00	     	
Postal address	     		
Suburb/town	     	State     	Postcode     		
Name 	     	$      	.00	     	
Postal address	     		
Suburb/town	     	State     	Postcode     		
Name 	     	$      	.00	     	
Postal address	     			
Suburb/town	     	State     	Postcode     			
Name 	     	$      	.00	     	
Postal address	     			
Suburb/town	     	State     	Postcode     			
Name 	     	$      	.00	     	
Postal address	     			
Suburb/town	     	State     	Postcode     			

If insufficient space, please attach additional sheets.

	Total	$      	.00		

Part 7: Electoral expenditure for financial year 1 July 2021 to 30 June 2022	
This is the total amount of electoral expenditure incurred by, or on behalf of, the significant third party, during the 2021-22 financial year.

Electoral expenditure is defined in section 287AB of the Electoral Act to be expenditure incurred for the dominant purpose of creating or communicating electoral matter. Further information on electoral expenditure can be found on the AEC website.
	
Total electoral expenditure incurred	$     	.00	
Part 8: Discretionary benefits	
Details of any discretionary benefits received from the Commonwealth, a State or a Territory during the 2021-22 financial year. Discretionary benefits include grants, contracts, payments and other benefits requiring the exercise of discretion by the Commonwealth or a State or Territory, and do not include statutory entitlements.	

Received from	Date of discretionary benefit	Value of discretionary benefit 	
Name	     	     	$      	.00	
Name	     	     	$      	.00	
Name	     	     	$      	.00	
Name	     	     	$      	.00	
Name	     	     	$      	.00	

If insufficient space, please attach additional sheets.	Total	$      	.00