2013 Annual Information Statement Australian Blouza Association Incorporated Section A: Charity Information

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1 Australian Blouza Association Incorporated Section A: Charity Information 1. What is your charity's Australian Business Number (ABN)? What is your charity's legal name? Australian Blouza Association Incorporated 3. Are there any other names your charity is known by (such as a trading name)? 4. What is your charity's address? Postal address PO Box 521 PARRAMATTA NSW 2124 Business address 157 Blaxcell Street GRANVILLE NSW 2142 aba@blouza.com 5. What is your charity's contact and address for service? Contact Title Family name Given name Other given name Date of birth Ms Hewitt Sharon Daytime number Mobile number Address for service Postal Sharon@rbcaccountatnts.com.au Robert Bates & Co PO Box 753 PARRAMATTA NSW Does your charity have a financial year ending 3 June? No Page 1 of 5

2 On what date does your financial year end? 31/12 7. Based on your revenue for the last financial year, what is your charity size? Small: Revenue less than $25, 8. What are the charitable purposes of your charity? Relief of Poverty Advancement of religion Other purposes TO ASSIST OUR MEMBERS AND RAISE FUNDS FOR CHARITABLE PURPOSES SUCH AS CANCER RESEARCH 9. If your charity s charitable purpose is the advancement of religion, do you meet the criteria of a basic religious charity', as set out in the Australian Charities and Not-forprofits Commission Act 212 (ACNC Act)? Yes 1. Is your charity part of a reporting group that has been approved by the ACNC? Page 2 of 5

3 Section B: Activities 11. Has your charity conducted any activities in the last financial year? Yes 12. Main activity: Religious activities General activities: Aged care activities Economic, social and community development Social services Other recreation and social club activity 13. Describe how your charity pursued its charitable purposes in the last financial year: 14. Is your charity going to change the way it pursues its charitable purposes in the next financial year? No What changes are planned? 15. Who was helped by your charity s activities in the last financial year? Children Communities overseas Elderly people Ethnic groups General community in Australia Men People with Chronic or terminal illness Women Youth Other charities Section C: Resources and operating locations 16. What is the number of paid employees and unpaid volunteers who worked for your charity during the last pay period of your last financial year? Full time employees Part time employees Volunteers Indicate where your charity operated during the last financial year. NSW Please list the relevant countries Page 3 of 5

4 Section D: Reporting and regulatory obligations (This section is optional) 18. Did you have a corporate or financial reporting obligation to a Commonwealth department or agency over the last financial year? Commonwealth department or agency name and relevant program 19. Apart from any corporate reporting obligation you may have to a state or territory regulator (under associated incorporations or cooperatives legislation), did you report to any state or territory department or agency over the last financial year? Please indicate which state or territory you had non-corporate reporting obligations to. 2. If you had corporate or financial reporting obligations to a Commonwealth, state or territory department or agency in the last financial year, how many hours do you estimate your charity spent completing these reporting obligations over the last 12-month period? Approximate hours spent reporting by paid staff Approximate hours spent reporting by unpaid volunteers Total hours spent reporting Upload your financial report for the last financial year. It is optional for all charities to submit a financial report for the 213 financial year. For the 214 financial year onwards, your charity's size will determine if you are required to provide financial reports. Page 4 of 5

5 Section E: Declaration It is a serious offence to give false or misleading information. Penalties may be imposed. 21. Who is the person signing this declaration? Title Family Name Given Name Other Given Name 22. Phone number Mr Younis Joseph Anthony Business hours Mobile Number Address aba@blouza.com 24. Position Held Chairman ABOUT THIS STATEMENT An incomplete statement may delay processing and we may ask you to complete a new statement. Privacy The Australian Charities and Not-for-profits Commission (ACNC) is required to handle infomration we collect in accordance with the Australian Charities and Not-for-profits Commission Act 212 (the ACNC Act) and the Privacy Act For more information about our informationhandling policies please see acnc.gov.au or contact us. The ACNC is authorised by The ACNC Act to collect the information requested in this statement. We may use information we collect to help us administer The ACNC Act, update our records about your organisation, maintain the ACNC Register or provide information to other government agencies when authorised to do so. 25. Declaration Responsible person' has the same meaning as 'responsible entity' under s.25-3 of the ACNC Act. A responsible person is a person (or in some limited cases an organisation) responsible for directing a charity, and who is a member of the charity's governing body (including directors or committee members) or who is a trustee (including insolvency trustees or administrators). You selected the: Authorised person's declaration We accept that you are authorised to sign on behalf of the charity if you: are a responsible person of the charity, or hold a position in the charity which gives you authority to do so. I declare that: I am authorised to sign on behalf of the charity whose ABN appears on this form about the contents of this form, and the information given on this form and any attached document is true and correct. Date submitted: 3/3/214 Page 5 of 5

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