CC2 Amended Founding Statement SAMPLE
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REPUBLIC OF NAMIBIA CC 2
BUSINESS AND INTELLECTUAL PROPERTY AUTHORITY - BIPA
CLOSE CORPORATIONS ACT, 1988
(Sections 12, 13, 14, 24, 27, 29, 47 and 60)
(Regulations 2, 3 and 13)
Amended Founding Statement
Before filling in the form, first see notes on page 2.
REGISTRATION NUMBER OF CORPORATION DATE OF RECEIPT
CC/2018/0000 Commented [LM1]: The registration number of the
CC must be reflected on all pages in the space
provided.
PART A Dates of
commencement
of change
*
Full name of corporation ABC PROPERTY INVESTMENTS CC Commented [LM2]: When an entity is changing its
name, approval must first be obtained on form
- cc8, prior to the cc2 submission. The associated
Previous name of corporation (if applicable)* ABC CONSTRUCTION CC fee of n$75.00 is payable for the name
reservation.
Literal translation of name (if applicable)* *
Both names, previous name and newly
approved names must be reflected on page 1 as
Shortened form of name (if applicable)* * per this example.
TO INVEST IN PROPERTY, CONSTRUCT,
Commented [LM3]: If the cc is adding additional
RENOVATE, TO RENDER PROPERTY MANAGEMENT *
business activities, these must be expressed
Description of principal business* SERVICES AND ALL RELATED SERVICES together with the existing activities of the
business. Any and all changes should be
Date of end of financial year* LAST DAY OF MARCH EACH YEAR * reflected.
Commented [LM4]: If entity is changing financial
year, form CC9 must be completed and submitted
PART B in addition to the CC2, the associated fees are
- payable on each application. The new financial
Postal address* P O BOX 0000, WINDHOEK, NAMIBIA year end date must be expressed on the CC2 as
well as on the CC9. Where the entity is changing
Email address: doeprop@xxxxmail.com.na its financial year end forward, the prescribed
additional amount in respect of the annual duty
shall be payable for any period by which the
Address of registered office (not post office box)* NUMBER 000, WXYZ SUITES, LMK financial year is extended (through the submission
- of Form CC7).
STREET, WINDHOEK, NAMIBIA
Nb. Financial year end date can only be changed
6 month back-ward and 6 months forward, and
Name and address of accounting officer* VINCENT DOE * not more than once a year.
P O BOX 0000, EROS, WINDHOEK Commented [LM5]: In terms of Section 59,
Subsection (1) of the Close Corporations Act;
(Attach written consent to appointment) “Every corporation shall appoint an accounting
officer who has in writing consented thereto”. When
NAMIBIA INSTITUTE OF PUBLIC
a vacancy occurs in terms of Section 59,
Full name of association or body of which accounting officer is a member ACCOUNTANTS (NIPA) Subsection 2 and 3 an alternative Accounting
Officer must be appointed and such details must
Membership/Practice No. NIPA XXOO replace the previous. See Section 59 of the Act for
additional requirements.
Signature of previous accounting officer: __________________________________________________
Commented [LM6]: Where an entity changes
Accounting Officer, the signatures of the new and
Signature of current accounting officer:_____________________________________________________ outgoing Accounting Officer are required. Where
- See note 2 on page 2 no change is being effected only indicate the
signature of the current Accounting Officer.
-2- CC 2
NOTES
1. Form CC 2 must be written in block capitals or be typewritten, lithographed or printed in legible characters with deep
permanent black ink, and lodged in triplicate.
2. Change(s) effective from date of registration or upon a later date mentioned
3. Where a person signs on behalf of a member, a power of attorney must be attached.
4. Minor children and other persons under legal disability must be assisted by their parents, guardians or representatives,
as the case may be, and the capacity must be stated.
5. If no identity document has been issued, a written statement to this effect must be attached.
6. Particulars which do not change should also be furnished.
7. No fee is payable in respect of any changes in particulars under Part B and C.
8. New members must personally sign the form.
9. Form CC 2 which does not comply with the requirements of the Act, regulations or these notes, will be rejected.
10. Particulars to be furnished under PART C.
(a) Full names and surname. (if juristic person, mention name and capacity and if trustee, also mention name and
particulars of testamentary trust).
(b) Identity number ((i) if no identity document has been issued, state date of birth and see par. 4 above.) ((ii) If
juristic person, mention registration number).
(c) Size of interest expressed as a percentage.
(d) Particulars of interest and fair value thereof.
(e) Residential address
(f) Postal address.
(g) Signature of member or representative (where applicable).
-3- CC 2
NAME OF CORPORATION
ABC PROPERTY INVESTMENTS CC Commented [LM7]: The name of the entity must
be reflected on the first line of each page in the
space provided. If a name change is being
processed, please reflect the new name and not
REGISTRATION NUMBER CC/2018/0000 the old name.
PART C Date of Change Commented [LM8]: The registration number of the
CC must be reflected on all pages in the space
MEMBERS (ONE) 1 provided.
Full names and surname JANE DOE
Year Month Day
Identity number or date of birth (i) 7 0 0 4 2 0 0 0 0 00
Registration number (ii)
Percentage of interest 100% Particulars of contribution N$100.00 Commented [LM9]: Where a cc has more than 1
member or additional members are being added
Residential address NUMBER 1234, DEF STREET, OLYMPIA, WINDHOEK, during an amendment, each member’s
percentage share must be expressed as a
NAMIBIA percentage of 100 (the total percentage of a
corporation), otherwise express as 100% if the cc
Postal address P O BOX 0000, WINDHOEK, NAMIBIA has only 1 member.
Email address: Commented [LM10]: **Please note: in addition to
janedoe@xxxxmail.com.na
Signature of member or representative X the requirements of the CC Act and Regulations,
any additional information requested is in terms of
Section 4 of the Financial Intelligence Act, 2012 (Act
Full names and surname No. 13 of 2012), as well as the Regulations
thereunder.
Commented [LM11]: NB. Each CC must be signed
by a member or representative and where a
Year Month Day representative sign the additional requirements
as expressed in Paragraphs 2 and 3 in the
Identity number or date of birth (i) guiding notes on page 2 must be provided in
Registration number addition to submitting the CC and the rest of the
(ii) required documentation.
Percentage of interest Particulars of contribution
Residential address
Postal address
Email address:
Signature of member or representative
Witness Signature Date of signature Commented [LM12]: The signature and date of
signature of the witness must be reflected at all
Full names JOHN DOE times.
Residential address NUMBER 6247, KLM STREET, WINDHOE-WEST, WINDHOEK, NAMIBIA
Business address NUMBER 6247, KLM STREET, WINDHOE-WEST, WINDHOEK, NAMIBIA Commented [LM13]: **Please note: in addition to
the requirements of the CC Act and Regulations,
Postal address P O BOX 000, EROS, WINDOEK any additional information requested is in terms of
Section 4 of the Financial Intelligence Act, 2012 (Act
Email address: johndoe@xxxxmail.com.na No. 13 of 2012), as well as the Regulations
thereunder.
-4- CC 2
NAME OF CORPORATION
ABC PROPERTY INVESTMENTS CC Commented [LM14]: The name of the entity must
be reflected on the first line of each page in the
space provided. If a name change is being
processed, please reflect the new name and not
the old name.
REGISTRATION NUMBER CC/2018/0000
Commented [LM15]: The registration number of the
PART C CC must be reflected on all pages in the space
Date of Change provided.
MEMBERS
Full names and surname
Year Month Day
Identity number or date of birth (i)
Registration number (ii)
Percentage of interest Particulars of contribution
Residential address
Postal address
Email address:
Signature of member or representative
Full names and surname
Year Month Day
Identity number or date of birth (i)
Registration number (ii)
Percentage of interest Particulars of contribution
Residential address
Postal address
Email address:
Signature of member or representative
Witness Signature Date of signature
Full names
Residential address
Business address
Postal address
Email address:
-5- CC 2
NAME OF CORPORATION
ABC PROPERTY INVESTMENTS CC Commented [LM16]: The name of the entity must
be reflected on the first line of each page in the
space provided. If a name change is being
processed, please reflect the new name and not
the old name.
REGISTRATION NUMBER CC/2018/0000
Commented [LM17]: The registration number of the
CC must be reflected on all pages in the space
PART C Date of Change provided.
MEMBERS
Full names and surname
Year Month Day
Identity number or date of birth (i)
Registration number (ii)
Percentage of interest Particulars of contribution
Residential address
Postal address
Email address
Signature of member or representative
Full names and surname
Year Month Day
Identity number or date of birth (i)
Registration number (ii)
Percentage of interest Particulars of contribution
Residential address
Postal address
Email address
Signature of member or representative
Witness Signature Date of signature
Full names
Residential address
Business address
Postal address
Email address
-6- CC 2
NAME OF CORPORATION
ABC PROPERTY INVESTMENTS CC Commented [LM18]: The name of the entity must
be reflected on the first line of each page in the
space provided. If a name change is being
processed, please reflect the new name and not
the old name.
REGISTRATION NUMBER CC/2018/0000
Commented [LM19]: The registration number of the
PART C CC must be reflected on all pages in the space
Date of Change provided.
MEMBERS
Full names and surname
Year Month Day
Identity number or date of birth (i)
Registration number (ii)
Percentage of interest Particulars of contribution
Residential address
Postal address
Email address
Signature of member or representative
Full names and surname
Year Month Day
Identity number or date of birth (i)
Registration number (ii)
Percentage of interest Particulars of contribution
Residential address
Postal address
Email address
Signature of member or representative
Witness Signature Date of signature
Full names
Residential address
Business address
Postal address
Email address
-7- CC 2
NAME OF CORPORATION
ABC PROPERTY INVESTMENTS CC Commented [LM20]: The name of the entity must
be reflected on the first line of each page in the
space provided. If a name change is being
processed, please reflect the new name and not
the old name.
REGISTRATION NUMBER CC/2018/0000
Commented [LM21]: The registration number of the
PART C CC must be reflected on all pages in the space
Date of Change provided.
MEMBERS
Full names and surname
Year Month Day
Identity number or date of birth (i)
Registration number (ii)
Percentage of interest Particulars of contribution
Residential address
Postal address
Email address
Signature of member or representative
Full names and surname
Year Month Day
Identity number or date of birth (i)
Registration number (ii)
Percentage of interest Particulars of contribution
Residential address
Postal address
Email address
Signature of member or representative
Witness Signature Date of signature
Full names
Residential address
Business address
Postal address
Email address
-8- CC 2
NAME OF CORPORATION
ABC PROPERTY INVESTMENTS CC Commented [LM22]: The name of the entity must
be reflected on the first line of each page in the
space provided. If a name change is being
processed, please reflect the new name and not
the old name.
REGISTRATION NUMBER CC/2018/0000
Commented [LM23]: The registration number of the
MEMBERS WHO CEASE TO BE MEMBERS CC must be reflected on all pages in the space
provided.
Full name and surname of member Identity number Signature
ANNA DOE 0 0 0 0 0 0 0 0 0 0 0 0 0 Commented [LM24]: When a member is exiting a
cc, their details must be reflected in this space
and same must sign herein as a sign of consent.
If the person exiting the cc is deceased, the
executor of the estate of the deceased person
must sign herein on behalf of the deceased
person, in addition a copy of the death certificate
of the late person must be submitted, plus an
executor letter. If no executor letter is issued,
signatory must submit legal proof that they may
act on behalf of the deceased person.
Membership ceases on the date of registration of the Amended Founding Statement.
Witness Signature Date of signature Commented [LM25]: The signature and date of
Full names JOHN DOE signature of the witness must be reflected at all
times.
Residential address NUMBER 6247, KLM STREET, WINDHOE-WEST, WINDHOEK, NAMIBIA
Business address NUMBER 6247, KLM STREET, WINDHOE-WEST, WINDHOEK, NAMIBIA
Postal address P O BOX 000, EROS, WINDOEK
Email address johndoe@xxxxmail.com.na Commented [LM26]: **Please note: in addition to
the requirements of the CC Act and Regulations,
any additional information requested is in terms of
Section 4 of the Financial Intelligence Act, 2012 (Act
; FOR OFFICE USE No. 13 of 2012), as well as the Regulations
thereunder.
Amended Founding Statement registered
Registrar of Close Corporations
Commented [LM27]: Please note that where
changes on an application fall in part A on the form,
N$60,00 fee payable in the application must be submitted together with
Date
terms of the Act and as proof of payment of the associated application fee
set out in the of N$60.00 and any additional associated fee
Data Processing regulations payable. An application not submitted with proof of
payment is deemed incomplete. When making
payment please use the registration number f the
Classification CC as payment reference.
Recorded
Initials and date
MEMBER(S) / WITNESS CONTACT DETAILS Commented [LM28]: Please complete this annexure
with the required information at all times.
**Please note: in addition to the requirements of the CC Act and Regulations, any additional information requested is in
terms of Section 4 of the Financial Intelligence Act, 2012 (Act No. 13 of 2012), as well as the Regulations thereunder.
1. Name
2. Land-line number of applicant (if available);
3. Mobile number (compulsory);
4. Fax Number (if available);
5. E-mail Address (if available);
1. Name
2. Land-line number of applicant (if available);
3. Mobile number (compulsory);
4. Fax Number (if available);
5. E-mail Address (if available);
1. Name
1. Land-line number of applicant (if available);
2. Mobile number (compulsory);
3. Fax Number (if available);
4. E-mail Address (if available);
1. Name
2. Land-line number of applicant (if available);
3. Mobile number (compulsory);
4. Fax Number (if available);
5. E-mail Address (if available);
1. Name
2. Land-line number of applicant (if available);
3. Mobile number (compulsory);
4. Fax Number (if available);
5. E-mail Address (if available);
1. Name
2. Land-line number of applicant (if available);
3. Mobile number (compulsory);
4. Fax Number (if available);
5. E-mail Address (if available);