CLOSE CORPORATIONS ACT, 94 Sections 3, 5, 24, 29, 47 and 60 / Regulations 2 and 6 AMENDED FOUNDING STATEMENT To be lodged in triplicate Before completing the form, first take note the notes on the reverse side page 2. Complete page in one language only. OF CORPORATION Client Ref: PART A Full name corporation R30.00 payable in respect changes in particulars in Part A only. Date commencement change Previous name corporation (if applicable) Literal translation name (if applicable) Shortened form name (if applicable) Description principal business Date end financial year Date original incorporation Number members Aggregate members' contribution R NOTE: For changes in particulars accounting ficer, postal address and registered fice see Note 9 on reverse side 2. PART B MEMBERS I/We* the member(s)* whose name(s)* is/are* recorded on this founding statement, confirm by my/our* signature(s)*/ the signature(s)* my/our* proxy(ies)* hereto that the particulars stated herein are correct and request the registration the amended founding statement (power attorney attached if applicable). * Delete which is not applicable. Amended Founding Statement registered REGISTRAR OF CLOSE CORPORATIONS DATE Data Processing Classification Recorded Initials and date
VIR SLEUTEL TOT BESONDERHEDE, KYK NOTA 0 OP KEERSY VAN BLADSY 2 FOR KEY TO PARTICULARS SEE NOTE 0 ON REVERSE SIDE OF PAGE 2 2 3 2 3 2 3 2 3 2
LEDE (VERVOLG) / MEMBERS (CONTINUED) 2 3 2 3 2 3 2 3 2 3 2 3
PERSONE WAT OPHOU OM LID TE WEES / PERSONS WHO CEASE TO BE MEMBERS Volle naam en lid Identiteitsnommer Handtekening Full name and surname member Identity number Signature Lidmaatskap eindig op die datum registrasie die Gewysigde Stigtingsverklaring. Membership ceases on the date registration the Amended Founding Statement.
NOTAS / NOTES. Vorm moet in blokholetters geskryf wees getik, steengedruk gedruk wees in leesbare letters met swaar vaste swart ink, en in drievoud ingedien word. Form must be written in block capitals or be typewritten, lithographed or printed in legible characters with deep permanent ink, and lodged in triplicate. 2. Vorm wat nie aan die vereistes die Wet, regulasies hierdie notas voldoen nie, sal verwerp word. Form which does not comply with the requirements the Act, regulations or these notes, will be rejected. 3. Geen geld is betaalbaar ten opsigte veranderings in besonderhede onder DEEL B nie. No fee is payable in respect any changes in particulars under PART B. 4. Besonderhede wat nie verander nie. moet ook verstrek word. Particulars which do not change should also be furnished. 5. Verandering(s) krag af die datum registrasie op datum aangedui. Change(s) effective from date registration or upon date indicated. 6. Waar 'n persoon namens 'n lid teken, moet volmag aangeheg word. Where a person signs on behalf a member, power attorney must be attached. 7. Minderjarige kinders en ander handelingsonbevoegde persone moet deur hulle ouers, voogde verteenwoordigers, na gelang die geval, bygestaan word en die hoedanigheid moet vermeld word. Minor children and other persons under legal disability must be assisted by their parents, guardians or representatives as the case may be, and the capacity must be stated.. Indien geen identiteitsdokument uitgereik is nie, moet 'n skriftelike verklaring tot dien effekte aangeheg word. If no identity document has been issued, a written statement to this effect must be attached. 9. Vorm A moet vir registrasie ingedien word indien veranderings plaasvind in die besonderhede die rekeningkundige beampte, sy adres, die posadres die korporasie en die ligging sy geregistreerde kantoor. Form A should be lodged for registration if changes occur in the particulars the accounting ficer, his address, the postal address the corporation and the situation its registered fice. 0. Besonderhede wat onder die opskrif "LEDE" verstrek moet word: Particulars to be furnished under the heading "MEMBERS". () Van. (Indien regspersoon, meld naam en hoedanigheid en indien trustee, meld ook naam en besonderhede testamentere trust en indien 'n lid nomine ficii as administrateur, eksekuteur, kurator ens. optree, meld hoedanigheid.) Surname.(If juristic person, mention name and capacity and if trustee, also mention name and particulars testamentary trust and if acting nomine ficii as trustee, administrator, executor, curator, etc. state capacity.) Volle voorname Full forenames. (2) Identiteitsnommer. ((i) Indien geen identiteitsdokument uitgereik is nie, verstrek geboortedatum en sien par. hierbo.) (ii) Indien regspersoon, meld registrasienommer.) Identity number. ((i) If no identity document has been issued, state date birth and see par. above.) ((ii) If juristic person, mention registration number.) (3) Grootte belang uitgedruk as 'n persentasie. Size interest expressed as a percentage. (4) Besonderhede bydrae en billike gelwaarde daar (indien toepassing). Particulars contribution and fair monetary value there (if applicable). (5) Woonadres / Residential address. (6) Posadres / Postal address. (7) Handtekening lid verteenwoordiger (waar toepassing) en datum onderteken. Signature member or representative (where applicable) and date signed. () Datum verandering met aanduiding item -6 verander. Date change with indication item -6 which changes. LW: Indien daar 4 minder lede is moet en 2 voltooi word. 3 moet slegs voltooi word indien daar meer as 4 lede is. NB: If there are 4 or less members, and 2 only need be completed. 3 need only be completed if there are more than 4 members.