Not-for-profit Rate Exemption/Concession Application Form If you have any specific enquiries regarding fees or how to complete this form, please contact Council. Note - Council requires a separate form be submitted per property. Applicant details Name of organisation:* - required Business name (if different from above): Contact name:* - required Postal address:* - required Suburb:* - required Postcode:* - required State:* - required QLD NSW VIC TAS SA WA NT Phone:* - required Mobile:* - required Email:* - required ACN or ABN (and ANZSIC if applicable):* - required Property details Property ID (found on rate notice):* - required Property address:* - required Organisation information 1. Is the organisation an incorporated body as per the Associations Incorporation Act 1981? If yes, please provide a copy of the Certificate of Incorporation.* - required Yes No Upload Certificate of Incorporation: 2. Does the organisation have a tax exemption from the Australian Taxation Office (ATO)? If yes, please provide a copy of the Certificate of Tax Exemption from the ATO.* - required Yes No Upload Certificate of Tax Exemption: 3. Is the organisation otherwise considered "Not for Profit"? If yes, please provide a copy of the organisation's Constitution.* - required Yes No Upload Constitution: 4. Is the organisation leasing the property?* - required Yes - go to Question 5 No - go to Question 6 5. If the organisation is leasing the property (i.e. Yes to question 4), is the lease with Council? If no (property is leased from someone other than Council), please provide a copy of the lease and confirm if the lessee is responsible for paying the rates. Yes No Upload Copy of Lease: 6. Does the organisation have a register of members? If yes, please provide the number of members.* - required Yes No Number of members: 7. Does the organisation receive any dividends or other income from shareholdings in any other entity?* - required Yes No 8. Does the organisation pay any monies or any other financial incentive to board members (including but not limited to share entitlements)?* - required Yes No 9. Does the organisation employ staff on a wage or salary? If yes, please provide total gross wages paid and number of staff.* - required Yes No Total gross wages paid: Number of permanent staff: Number of part-time staff: Number of casual staff: 10. Does the organisation utilise volunteer labour? If yes, please provide numbers of volunteers.* - required Yes No Number of volunteers: 11. Does the organisation receive income from gaming machines?* - required Yes No 12. Does the organisation receive income from the sale of alcohol? If yes, please provide liquor licence/permit details, detail the type of alcohol served, and advise how often alcohol is sold on average.* - required Yes No Liquor licence/permit details: Type of alcohol provided: Cans Bottles Kegs Beer Premix Spirits Wine Months per year alcohol is served (even for a single day): Days per week the bar is open (in an average week): Hours per day the bar is open (in an average day): 13. Please provide a written statement outlining the nature of the organisation. This should include use and occupancy of the property, type of service provided, frequency of service provision, whether payment is received for services.* - required Please also provide copies of the following documentationMost recent audited Financial Statements;A list of the executive committee and contact details Upload Financial Statements: Upload Executive Committee List and Contact Details: Pricacy statementThe information on this form is collected for purposes related to deciding this application and monitoring compliance under the Information Privacy Act (‘the Act’). This information may be stored in Council’s records database and may also be used for statistical research, information provision and evaluation of services. Your personal information may be provided to the financial institution which handles Council’s financial transactions and may be disclosed to other Local Government agencies, State government and third parties for purposes related to this application and/or monitoring compliance with the Act. Except in these circumstances, personal information will only be disclosed to third parties with your consent unless otherwise required or authorised by law. you have entered an invalid code refreshGet Audio Code Type the code from the image Mandatory field(s) marked with * Related Items