Australian Securities &
lnvestments Commission
Change to company detailsSectlons A,B or C may be lodged lndependently wlth thls slgned cover page to notlty ASIC of:
Lodgement number 025309831
Form 484
Corporatlons Act 2001
A1 Change of address
A2 Change of name - officeholders or members
A3 Change- ultimate holding company
61 Cease company officeholder
62 Appoint company officeholder
63 Speclal purpose company
C1 Cancellation of shares
C2 lssue of shares
C3 Change to share structure
C4 Changes to the register of members
lf there ls lnsufficlent space In any sectlon of the form, you may photocopy the relevant page(s) and submlt as part of thls lodgement
Company name
Company details I3Q Holdings Limited
Refer to guide for information about
ACN/ABN Corporale key
corporate key loss osa 293
Lodgement details Who should ASlC contacilf there ls a query about thls form?
Name
Alan Treisman
ASIC registered agent number (ilapplicable)
Telephone number
02 9369 8591
Postal address
Ground Floor, 35 Spring Street
Sydney NSW 2022 DX
Rei
Total number of pages including this covar sheet Please previde an estimate of the lime taken to complete hrs mins
Signature
This form must be signed by a current officeholder of the company.
lcertify that the information in this cover sheet and the anached sections of this form are true and complete. Name
IAian Treisman
Capacity
D Director
./ Company secretary
Date signed
0El
[D O)
0 0{0
(M M] [Y Y]
Lodgement Send completed and signed forms to:
Australian Securities and lnvestments Commission,
PO Box 4000, Gippsland Mali Centra VIC 3841.
Or lodge the form electronically by visiting the ASl C website www . asic . gov . au
For help or more lnformatlon
Telephone 03 5177 3988
Email info.enauiries@asic.gov.au
Web www.asic . gov.au
ASCI Form 484 26 February 2004 Cover page
Freehills Sydney 05231847
Section C completion guide
Standard share codes Share class code Fulltitle
Share class code Fulltitle
Refer to the following table for the A A
share class codes for sections C1,C2,
C3 and C4 B B ...etc EMP employee's FOU founder's
LG fife governor's
MAN Management
ORD Ordinary
RED Redeemable
PRF CUMP NCP REDP NRP CRP NCRP
PARP
preference
cumulative preference
non-cumulative preference redeemable preference
non-redeemable preference
cumulative redeemable preference
non-cumulative redeemable preference participative preference
Sections to complete
SPE Special
lf you are using the standard share class codes you do not need to previde a full title for the shares, just the share class code
lf you are not using the standard share class code, enter a code of no more than 4 letters and then show the full title.
Use the table below to ldentify the sections of this form to complete (please indicate the sections that have been completed). Completion of thls table is optional.
C1- Cancellatlon of C2 - issue of shares C3 - Change to share C4-Change to shares structure table members register
lssue of shares D Proprietary company EDPubliooomp"' if in response to the Annual company statement if not in response to the Annual company statement | Not required Not required Not required | ../ ../ ../ | ../ ../ Not required | ../ ../ Not required |
Cancellatlon of shares D Proprietary company Mio oom,..., if in response to the Annual company statement X if not in response to the Annualcompany statement | ../ ../ ../ | Not required Not required Not required | ../ ../ Not required | ../ ../ Not required |
Transfer of shares D Proprietary company PubiiOO P'"> if in response to the Annual company statement D if not in response to the Annual company statement | Not required Not required Not required | Not required Not required Not required | Not required Not required Not required | ../ ../ Not required |
Changes to amounts paid D Proprletary company Pu"" oom"''' if in response to the Annual company statement D if not in response lo the Annual company statement | Not required Not required Not required | Not required Not required Not required | ../ ../ Not required | ../ ../ Not required |
Changes to benef iciai ownership D Proprietary company '""''oomi,f..in, response to the Annual company statement D if not in response to the Annual company statement | Not required Not required Not required | Not required Not required Not required | Not requri ed Not required Not required | ../ ../ Not required |
To notify ASlC about a division or conversion of a class of shares, you must lodge a form 211 within 28 days of the change occurring.
To notify ASIC about a conversion of shares into larger or smaller numbers, you musilodge a form 22056 within 28 days of the change occurring.
ASIC Form 484 26 February 2004 Section C Page 1 of 5
Freehills Sydney 05231847
C1 Cancellation of shares
Reason for cancellation
Please indicate the reason that shares have been cancelled (select one or more boxes)
edeemable preference shares - S.254J
D Aedeemed out of profits
D
Aedeemed out of proceeds of a fresh issue of shares
apital reduction - S.256A - S.256E
D Single shareholder company
Multiple shareholder company. A Form 2560 must be lodged before a capitai reduction takes piace.
hare buy-back- ss.257H(3)
D Minimum holding buy-back by listed company
Other buy-back type. A form 280 or 281 musibe lodged at least 14 days, and
X no more than 1 year belare the share buy-back can take piace
D Forfeited shares- S.258D
hares returned to a public company - ss.258E(2) & (3)
D Under section 651C, 724(2), 737 or 738
D Under section 1325A (court arder)
D Other
Description
Give section reference
Details of cancelled shares
Llst the details of shares cancelled in the following table
Share class code Number of shares cancelled Amount paid (cash or otherwise)
ORO | 63,323 | 5,572.42 |
Earliest date of change
Please indicate the earliest date that any of the above changes occurred.
0000 0
[D D] [M M] [Y Y]
ASIC Form 484
Freehills Sydney 05231847
26 February 2004 Section C Page 2 of 5
C2 lssue of shares
List details olnew share issues in the lollowing table.
Share class code Number olshares issued Amount paid per share Amount unpaid per share
Earliest date of change
Please indicate the earliest date that any olthe above changes occurred
DDDDDD
[D D] [M M] [Y Y]
Ilshares were issued lor other than cash, were some or ali olthe shares issued under a written contraci?
D Ves
ilyes,proprietary companies must also lodge a Form 207Z certifying that ali stamp duties have been paid.Public companies musialso lodge a Form 207Z and either a Form 208 or a copy olthe contraci.
D No
ilno,proprietary companies are not required to previde any further documents with this form. Public companies musialso lodge a Form 208.
C3 Change to share structure
Where a change to the share structure table has occurred (eg. as a result olthe issue or cancellation olshares), please show the updated details lor the share classes affected. Details olshare classes not affected by the change are not required here.
Share class code
Full title ilnot standard Total number ol shares (current alter changes)
Total amount paid on these shares
Total amount unpaid on these shares
Earllest date of change
Please indicate the earliest date that any olthe above changes occurred
D D'D D'D D
[D D] [M M] [Y Y]
Lodgement details ls thls document belng lodged to update the Annual Company Statement that was sent to you?
D Ves
No
ASIC Form 484 26 February 2004 Section C Page 3 of s
Freehills Sydney 05231847
C4 Changes to the register of members
Use this section to notify changes to the register of members for your company (changes to the shareholdings of members):
lf there are 20 members or less in a share class, ali changes need to be notified
lf there are more than 20 members in a share class, only changes to the top twenty need be notified (s178B)
Ilshares are jointly owned, you must also provide names and addresses of ali joint owners on a separate sheet (annexure), clearly indicating the share class and with whom the shares are jointly owned
The changes apply to
Please indicate the name and address
D Familyname Given names
of the member whose shareholding
has changed
Earliest date of change
Please indicate the earliest date that any of the following changes occurred.
OR
D Company name
ACN/ARBN/ABN
Office, uni,i leve!, or PO Box number
Street number and Street name
Suburb/City State/Territory
Postcode Country (if not Australia)
Date of change
DD,DD,D D
• Public companies are not required lo provide these details
Date of entry of member's name In register
(New members only)
------------------------------------------------------------------
DD,DD,DD
[D D] [M M) [Y Y]
ASIC Form 484 26 February 2004 Section C Page 4 of 5
Freehills Sydney 05231847
C4 Continued... Further changes to the register of members
Use this sectoi n to notify changes to the register of members for your company (changes to the shareholdings of members):
lf there are 20 members or less in a share class, ali changes need to be notified
lf there are more than 20 members in a share class, only changes to the top twenty need be notified (s178B)
• lf shares are jointly owned, you musialso previde names and addresses of ali joint owners on a separate sheet (annexure), clearly indicating the share class and with whom the shares are jointly owned
The changes apply to
Please indicate the name and address
D Family name Given names
of the member whose shareholding
has changed
Earllest date of change
Please indicate the earliest date that any of the following changes occurred.
OR
D Company name
ACN/ARBN/ABN
Office, unii level, or PO Box number
Street number and Street name
Suburb/City State{Territory
Postcode Country (if not Australia)
Date of change
DD,DD,DD
• Public companies are not required to previde these details
Date of entry of member's name In register
(New members only)
------------------------------------------------------------------
DD,DD,DD
[D D] [M M] (Y Y)
ASIC Form 484 26 February 2004 Section C Page 5 ol5
Freehills Sydney 05231847
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