Registered political party annual return [insert year] - Page 1 of 3

Elections ACT

Registered political party 
annual return for the [insert year] financial year	
	This return covers the period:		to			
		1/7/[insert year] or the date the party became registered		30/6/[insert year] or the date the party was deregistered		
Please refer to the Funding and financial disclosure handbook, Registered political parties when completing this form.	
	
The due date for lodging this return is [insert date 16 weeks after the end of the financial year]	

Enquiries and returns should be addressed to:	
	
Elections ACT, PO Box 272, Civic Square ACT 2608	

Telephone: 6205 0224	Fax: 6205 0382	Email: elections@act.gov.au	Website: www.elections.act.gov.au	
	
Party details	
			
Name of party:			
			
Postal address:			
	Postcode:                    		
			
Reporting agent’s details 	
			
Name of reporting agent:			
			
Postal address:			
	Postcode:                    		
			
I certify that the information contained in this return and its attachments is true and complete.	
Agent’s signature:	/          /          		
			
This form is Approved Form AF2008 – 4 5   under section 340A of the Electoral Act 1992
	Registered political party annual return [insert year] - Page 2 of 3
	
Receipts	
	
1.  Total receipts this financial year	$		
This total includes all receipts of the party.	
Importantly:	
•	receipts of all party units must be included in the total;
•	all transactions, including those of less than [insert amount], must be included in the total;
•	no category of receipts is to be excluded (for example, membership fees and loans received are included);
•	all figures must be gross; and
•	this total includes monetary receipts and gifts-in-kind (as defined in the Funding and financial disclosure handbook, Registered political parties).	
	
2.  Persons and organisations from whom [insert amount] or more was received	
•	In the table below, list the name, address and the total amount received for those persons and organisations from whom [insert amount] or more was received.
•	In determining whether the [insert amount] threshold has been reached, amounts of less than [insert amount] need not be counted.
•	Where a loan has been received from a source other than a recognised financial institution, details of the terms and conditions of that loan must also be disclosed.	
					
	Name	Address	Amount received		
			$		
			$		
			$		
			$		
			$		
			$		
			$		
			$		
			$		
			$		
			$		
			$		
			$		
			$		
	If space is insufficient please attach additional sheets		

	Registered political party annual return [insert year] - Page 3 of 3
	
Payments	
			
3.  Total payments this financial year	$		
This total includes all payments by the party.	
Importantly:	
•	payments of all party units must be included in the total;
•	all transactions, including those of less than [insert amount], must be included in the total;
•	no category of payments to be excluded (for example, wages and salaries are included); and
•	all figures must be gross.	
	
Outstanding debts as at 30 June	
			
4.  Total debts as at 30 June	$		
This total includes all debts, overdrafts and unpaid accounts of the party.	
Importantly:	
•	debts of all party units must be included in the total;
•	all debts, including those of less than [insert amount], must be included in the total;
•	no category of debt is to be excluded; and
•	all figures must be gross.	
	
5.  Persons and organisations to whom [insert amount]or more is owed	
In the table below, list the name, address and the total amount outstanding for those persons and organisations to whom [insert amount] or more is owed.  All amounts must be included when determining if the threshold has been reached.	
	Name	Address	Amount Owed		
			$		
			$		
			$		
			$		
			$		
			$		
			$		
			$		
			$		
			$		
	If space is insufficient please attach additional sheets