IE
S.I. No. 161/1991 - Companies (Forms) Order, 1991.
Table of Provisions (10)
Statutory Text (10 Articles)
1. this form contains the particulars in respect of the above named company as at the date up to which the return is made;
2. all share capital of the company was fully paid up on that date;
3. no shares were transferred since the date of the last return (or the date of incorporated if this is the first return);
Guarantee S. 17, CAA - '86
4. no shares were issued at a discount;
5. no premium was paid on any share;
Declaration S. 17, CAA - '86
6. no shares were forfeited;
7. no commission was paid in respect of any shares or debentures;
Notification to shareholders of Guarantee S. 17, CAA - '86
8. the registers of members/debentures holders/directors' service contracts and/or memoranda are kept at the registered office;
9. the company has not since the date of the last annual return (or the date of incorporation if this is the first return) issued any invitation to the public to subscribe for any shares or debentures in the company.
Note stating company has availed of exemptions in S. 17, CAA - '86
Signed
Annual Return
Companies Acts 1963 to 1990
Registration fee stamp to be affixed above
Section 125 or 126,
Companies Act, 1963
B1
Company number
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Please complete using black block capitals or typewriting
Company name in full
Limited
Return made up to note one
day of
19
Financial year note two
from
to
Note one The date should be 14 days after the A.G.M. of the company.
Address of registered office
Note two Give the dates of the commencement and completion of the financial year of the accounts presented to the A.G.M.
Other Addresses
Places where the register of members, register of debenture holders and directors' service contracts/memoranda are kept, if other than the registered office
Address
Description of address
Note three Insert full name (initials will not suffice) and usual residential address. Where all the partners in a firm are joint secretaries the name and principal office of the firm may be stated
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Note four Former forename or surname does not include the following
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Secretary
In the case of a person usually known by a title different from his surname, the name by which he was known previous to the adoption of or succession to the title;
Surname note three
Forename note three
Former surname(s) note four
Former forename note four
Home address note three
In the case of any person, a former forename or surname where that forename or surname was changed or disused before the person bearing the name attained the age of 18 years or has been changed or disused for a period of not less than 20 years;
Indebtedness
Total amount of indebtedness of the company in respect of all mortgages and charges which are required to be registered with the Registrar of Companies under the Companies Acts or which would have been required to be registered if created after 1st July, 1908.
£
In the case of a married woman, the name or surname by which she was known previous to her marriage.
Presenter's Name
Address
Telephone Number
Reference
Note five
Where appropriate references to shares will be taken as references to stock and references to numbers of shares as references to amount of stock
Capital — Nominal note five
Nominal Share Capital £
£_____________________
Class
Number
Value Per share
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Capital — Issued
Issued Amounts
Note six
Total Issued Capital £___________
Paid up on shares issued for cash
£
Give the total number of shares held by each member
Considered paid on other shares
£
Total calls unpaid
£
Shares issued
Consideration — all cash
Note seven applicable to private companies only.
Particulars of shares ???? since the date of the last return or, in the case of a first return, the date of incorporation, by persons who are still members and persons who have ceased to be members. Give the date of registration of each transfer and the number transferred on each date.
Class
Number
Amount called up per share
Amount paid per share
Total amount paid
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Note eight
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Name should be given in alphabetical order or an indix should be annexed.
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Totals
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Consideration — not all cash
Class
Number
Amount called up per share
Amount considered paid per share
Total amount paid
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Totals
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Total number of shares issued (A) and (B)
This total must agree with the total number of shares held by existing members as stated in the "List of past and Present Members" section of the return
Other Share/Debenture Details
Details of shares forfeited, shares/debentures issued at a discount, or on which a commission was paid including share class, number of shares and amounts in each case
List of persons holding shares on the 14
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day after the annual general meeting for19____, and of persons who have held shares therein at any time since the date of the last return, or in the case of the first return, the date of the incorporation of the company
Share Class
Numbers Held note six
Numbers Transferred and Date note seven
Particulars of Transferee
Name notes three and eight
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Address notes three and eight
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Folio No.
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Name notes three and eight
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Address
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Folio No.
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Name notes three and eight
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Address
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Folio No.
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Name notes three and eight
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Address
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Name notes three and eight
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Address notes three and eight
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Folio No.
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Name notes three and eight
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Address
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Folio No.
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Name notes three and eight
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Address
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Folio No.
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Name notes three and eight
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Address
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Name notes three and eight
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Address notes three and eight
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Folio No.
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Name notes three and eight
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Address
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Folio No.
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Name notes three and eight
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Address
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Folio No.
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Total number of shares held must agree with the total number of issued shares given in the "Shares Issued" section of the return
Total number held note ten
Earlier full listing
When full particulars of past and present members have been given in a return for any of the 5 years preceding this return, only particulars relating to new members, persons who have ceased to be members and shares transferred since that date need be furnished. If full particulars are not now given, specify the date the relevant annual return was made up to.
Return made up to note one
day of 19
Note nine Company name and number of other bodies corporate, whether incorporated in the State or elsewhere, except for
Surname note three
Forename note three
Former Surname note four
Former Forename note four
Business occupation
Date of birth
Day Month Year
Bodies of which the person has not been a director at any time during the past ten years
Home address note three
Nationality
Bodies of which the company is or was at the relevant time a wholly owned subsidiary
Other directorships note nine
Registered at note ten
Company number
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Bodies which are (or were at the relevant time wholly owned subsidiaries of the company
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Note ten
Surname note three
Forname note three
Place of incorporation if outside the State
Former Surname note four
Former Forename note four
Business occupation
Date of birth
Day Month Year
Home address note three
Nationality
Note eleven mark "X" in the relevant box(es)
Other directorships note nine
Registered at note ten
Company number
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Documents Annexed note eleven
Surname note three
Forename note three
Mark "X" in the box relative to each annexed document
Former Surname note four
Former Forename note four
Balance Sheet
□ S. 128,
Companies Act, 1963
(CA — '63): S. 7 and S. 18,
Companies (Amendment) Act, 1986
CAA — '86)
Business occupation
Date of birth
Day Month Year
Home address note three
Nationality
Profit and Loss □
A/C S. 7 and S. 18, CAA — '86
Directors Report □
S. 128, CA — 63: S. 7 and S. 18, CAA — '86
Other directorships note nine
Registered at note ten
Company number
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Auditors Report □
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S. 128, CA — '63; S. 7 and S. 18, CAA — '86
Guarantee □
S. 17, CAA — '86
Declaration.. □
Surname note three
Forename note three
S. 17, CAA — ''86
Notification to shareholders of Guarantee S. 17, CAA — '86
Former Surname note four
Former Forename note four
Business occupation
Date of birth
Day Month Year
Note stating □ company has availed of exemptions in S. 17, CAA — '86
Home address note three
Nationality
Other directorships note nine
Registered at note ten
Company number
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We hereby certify that this form contains the particulars in respect of the company as at the date up to which the return is made and that note eleven
The Company is not a private company
□
The Company is a private company and has not since the date of the last annual return (or the date of incorporation if this is the first return) issued any invitation to the public to subscribe for any shares or debentures in the company
March 19, 1999
The Company is a private company with more than 50 members. The excess of the number of members over 50 consists wholly of persons who, under section 33 (1) (+b) of the
Companies Act, 1963
, are not to be included in reckoning the number of 50
□
Signed
_________________________________________ ___________________________________
Director Secretary
GIVEN under my Official Seal, this 26th day of June, 1991.
DESMOND O'MALLEY,
Minister for Industry and Commerce.
EXPLANATORY NOTE.
The purpose of this Order is to prescribe forms to be used for the purposes of certain sections of the Companies Acts, 1963 to 1990.
S.I. No. 161 of 1991.
COMPANIES (FORMS) ORDER, 1991.
I, DESMOND O'MALLEY, Minister for Industry and Commerce, in exercise of the powers conferred on me by
sections 160
,
195
,
311
A,
395
and
396
of the
Companies Act, 1963
(No. 33 of 1963), hereby order as follows