Constitution (Disclosures by Members) Amendment Regulation 2008 (NSW)
2008 No 371
New South Wales
Constitution (Disclosures by Members)
Amendment Regulation 2008
under the
Constitution Act 1902
Her Excellency the Governor, with the advice of the Executive Council and in compliance with the provisions of section 14A (5) of the Constitution Act 1902, has made the following Regulation under the Constitution Act 1902.
MORRIS IEMMA, M.P.,
Premier
Explanatory note
The object of this Regulation is to amend the Constitution (Disclosures by Members)
Regulation 1983:
| (a) | to enable Members of Parliament to disclose more generalised information about the location of properties in which they reside instead of disclosing the addresses of such properties, and |
| (b) | to restructure the Forms for returns set out in Schedule 1 to the Regulation so that Members of Parliament are not required to lodge returns that contain the directions, notes and examples set out in the Forms, and |
| (c) | to provide new examples in the restructured Forms in relation to disclosures relating to interests and positions in corporations and interests in real property, and |
| (d) | to make consequential amendments and other minor amendments in nature of law revision. |
This Regulation is made under section 14A (Disclosure of pecuniary interests and other matters by Members) of the Constitution Act 1902.
| Published in Gazette No 102 of 22 August 2008, page 7971 | Page 1 |
| 2008 No 371 | |
| Clause 1 | Constitution (Disclosures by Members) Amendment Regulation 2008 |
Constitution (Disclosures by Members) Amendment
Regulation 2008
under the
Constitution Act 1902
1 Name of Regulation
This Regulation is the Constitution (Disclosures by Members)
Amendment Regulation 2008.
2 Amendment of Constitution (Disclosures by Members) Regulation 1983
The Constitution (Disclosures by Members) Regulation 1983 is amended as set out in Schedule 1.
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(Clause 2)
[1] Clause 3 Interpretation
Insert “Section 2 of” before “Form” in the definition of ordinary return in clause 3 (1).
[2] Clause 3 (1), definition of “primary return”
Insert “Section 2 of” before “Form”.
[3] Clause 3 (1), definition of “supplementary ordinary return”
Insert “Section 2 of” before “Form”.
[4] Clause 3 (2)
Omit the subclause. Insert instead:
(2) A reference in this Regulation to a primary return or an ordinary
return that was last lodged by a Member includes:
(a) a reference to a primary return or ordinary return in or to the effect of the relevant form set out in Schedule 1 (as in force before its substitution by the Constitution (Disclosures by Members) Amendment Regulation 2007) if that was the last return lodged by the Member, or (b) a reference to a primary return or ordinary return in or to the effect of the relevant form set out in Schedule 1 (as in force before its substitution by the Constitution (Disclosures by Members) Amendment Regulation 2008) if that was the last return lodged by the Member.
[5] Clause 3A Forms
Omit “A Form” from clause 3A (2).
Insert instead “The relevant portion of a Form that is required to be completed by a Member”.
[6] Clause 3A (2) (b)
Omit “completing the Form”.
[7] Clause 3A (4)
Omit “completing a Form”.
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[8] Clause 7 Interpretation: Part 3
Omit the definition of public company from clause 7 (1).
Insert in alphabetical order:listed public company means a listed public company within the
meaning of the Corporations Act 2001 of the Commonwealth.
[9] Clause 8 Real property
Insert after clause 8 (1):
(1A) A Member may provide all of the following information about a parcel of land in which the Member has an interest as an alternative to disclosing the address of the parcel if the parcel is used by the Member for residential purposes:
(a) a statement that the parcel is the principal place of residence for the Member or a secondary place of residence for the Member (as the case requires), (b) the location of the parcel by suburb or area. [10] Clause 12 Interests and positions in corporations
Insert “listed” before “public company” in clause 12 (1) (c).
[11] Schedule 1
Omit the Schedule. Insert instead:
Schedule 1 Forms
(Clauses 3 (1) and 3A)
Form 1 Primary return
(Clause 3 (1), definition of “primary return”)
Directions
1 This form is in two sections. The first section (Section 1—Guidance Notes and Examples) outlines the requirements of the Constitution (Disclosures by Members) Regulation 1983 for each type of interest to be disclosed, and gives examples as to how to make entries on the return. The second section of the form (Section 2—Member’s Primary Return) sets out the return that is to be filled in by the Member. Only the second section of this form needs to be lodged with the Clerk.
2 The pecuniary interests and other matters required to be disclosed in the return set out in Section 2 of this form are prescribed in clauses 8, 9, 12, 13, 14 and 15A of the Constitution (Disclosures by Members) Regulation 1983.
3 The particulars required to complete this form are to be written in block letters or typed.
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4 If any space is insufficient in this form for all the particulars required to complete it, attach an appendix for that purpose which is properly identified and signed by the Member.
5 A reference in this form to the primary return period in relation to a Member is a reference to the period commencing on the day on which the Member took the pledge of loyalty and ending on the next succeeding 30th June.
6 If a Member is not required to disclose a kind of pecuniary interest or other matter under a particular main heading in this form, “NIL” or “N/A” (as relevant) is to be placed in an appropriate space under that heading.
7 The entries marked as “Example entry only” or “Example entries only” are provided by way of example only.
8 Matter marked with an asterisk (*) is to be omitted if it is not appropriate for the Member concerned.
SECTION 1—GUIDANCE NOTES AND EXAMPLES
Part 1 Real property
Under clause 8 of the Constitution (Disclosures by Members) Regulation 1983, you must disclose in Part 1 of the return the address of each parcel of real property in which you had an interest (or the alternative information permitted by the Regulation if you use the parcel for residential purposes) on the date on which you took the pledge of loyalty and the nature of the interest in the real property. Make a separate entry for each parcel of real property held, separated by a line, in Part 1 of the return.Example entries only:
Address of each parcel of real Nature of interest property Principal place of residence Joint tenant Suburb—Surry Hills 1 Pitt Street, Sydney NSW 2000 Sole owner Part 2 Sources of income Under clause 9 of the Constitution (Disclosures by Members) Regulation 1983, you must disclose in Part 2 of the return each source of income that you received, or reasonably expect to receive, during the primary return period. You must disclose income received, or which you expect to receive:
(a) as an employee, as part of a partnership, as an office holder (including an office holder in a corporation or body) or under any other contract, agreement or arrangement (such as a self-employed consultant/contractor) (use Part 2.1 of the return), and (b) from a trust (use Part 2.2 of the return), and (c) from any other source (use Part 2.3 of the return). 2.1 Income from employment, offices, partnerships and services Under clause 9 (2) (a)–(d) of the Constitution (Disclosures by Members) Regulation 1983, you must disclose in Part 2.1 of the return any income you have received or reasonably expect to receive during the primary return period as an employee, as part
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of a partnership, as an office holder (including an office holder in a corporation or body) or under any other contract, agreement or arrangement (such as a self-employed consultant/contractor).
You must also describe the services you provide in receiving that income. The description of the services provided must be reasonably sufficient to identify the service provided in return for that income. Services from which you do not derive any income do not need to be disclosed.
You must make a separate entry for each different source of income in the appropriate Table in Part 2.1 of the return. For example, if you are employed and hold an office, two separate entries should be made respectively in Tables 2.1.1 and 2.1.2 in Part 2.1 of the return. Separate multiple entries in each Table by a line. Where the Table is not relevant to your circumstances because you do not receive that kind of income, enter “NIL” in that Table (for example, if you do not derive any income, whether as an employee, as an office holder, from a partnership or otherwise under a contract, agreement or arrangement, you must enter “NIL” in all Tables). Where the Table (or part of a Table) is not relevant to your circumstances because the conditions under which you would be required to make a disclosure do not apply in relation to you, enter “N/A” in that Table or part of the Table (for example, if you are not required to disclose the nature of the business of your employer because the services you provided did not arise from or relate to the use of your position as a Member).
Where you provide services that “arise from or relate to the use of” your position as a Member, you must complete the last column in each Table. This includes (but is not limited to) where you engage in:
(a) the provision of public policy advice, or (b) the development of strategies or the provision of advice on the conduct of relations with the Government or Members, or (c) lobbying the Government or other Members on a matter of concern to the person to whom the service is provided. Note, where the provision of services “arise from or relate to the use of” your position as a Member, you may also need to complete Part 6 of the return.
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Table 2.1.1 Income received as an employee—Example entry only:
Name of Description Name and Nature of business occupation of kinds of address of of the employer services employer (where the services provided or provided or to be to be provided relate to provided your position as a
Member)Solicitor Employed ABC Lawyers, 1 N/A solicitor Pitt Street, Sydney providing legal NSW 2000 services to
clients, in the
areas of
criminal and
family lawTable 2.1.2 Income received as holder of office—Example entry only:
Name or title of the Name and address of Nature of business office and a corporation or body (if carried on by the description of kinds any) in which the office is entity (where the of services provided held services provided or or to be provided
to be provided relate to your position as a Member)
Local councillor Hurstville City Council, N/A MacMahon Street, Hurstville
NSW 2220
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Table 2.1.3 Income from partnership—Example entry only:
Name of Description Name and Nature of business occupation (if of kinds of address of the carried on by the any) services partnership partnership (where provided or the services to be provided or to be provided provided relate to your position as a Member) Solicitor Partner of the XYZ Lawyer, 3 N/A law firm and to Smith Street, provide Paddington NSW commercial 2021 legal services specialising in litigation, property,
intellectual
property,
competition
and corporate
lawTable 2.1.4 Income from services provided under any other contract, agreement or arrangement—Example entry only:
Name of occupation Name and address of Nature of business (if relevant) and a parties to any contract, carried on by the description of agreement or other party to the services provided or arrangement to provide contract, agreement to be provided services or arrangement
(where the services
provided or to be
provided relate to
your position as a
Member)Public affairs XYZ Corporation, 1 Pitt Manufacturer of consultant—Providing Street, Sydney NSW 2000 electrical appliances public affairs advice,
including lobbying MPs
and government
departments on the issue
of regulation of electrical
appliances
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2.2 Income from a trust Under clause 9 (2) (e) of the Constitution (Disclosures by Members) Regulation 1983, you are required to disclose in Part 2.2 of the return any source of income which you received or reasonably expect to receive during the primary return period from a trust, including the name and address of the settlor and the trustee. Make a separate entry in Part 2.2 of the return (separated by a line) for each trust.
Example entry only:
Name and address of settlor Name and address of trustee XY Settlor, 2 George Street, Sydney NSW AB Trustee, 10 George Street, Sydney 2000 NSW 2000 2.3 Other income Under clause 9 (2) (f) of the Constitution (Disclosures by Members) Regulation 1983, you are required to disclose in Part 2.3 of the return any other income received or which you expect to receive during the primary return period and provide a description sufficient to identify the person from whom, or the circumstances in which, the income was, or is reasonably expected to be, received.
Example entry only:
Disclosure of other income
Income from the operation of a farm at 1 Pitt Street, Orange NSW, 2800 of which I am the sole proprietor.
Part 3 Interests and positions in corporations
Under clause 12 of the Constitution (Disclosures by Members) Regulation 1983, you must disclose in Part 3 of the return the following particulars for each corporation in which you had an interest or held any position (whether remunerated or not) on the date on which you took the pledge of loyalty:
(a) the name and address of each corporation, (b) the nature of the interest (if any) or a description of the position held, (c) except in the case of a listed public company, a description of the principal objects of each such corporation. If you received income in respect of any position held in a corporation, that information should be disclosed in Part 2 of the return.
Example entries only:
Name and address of Nature of interest (if any) Description of corporation or description of position principal objects of held
corporation (where corporation is not a listed public
company) CD Corporation Limited, Shareholder N/A 1 Martin Place, Sydney
NSW 2000
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Name and address of Nature of interest (if any) Description of corporation or description of position principal objects of held
corporation (where corporation is not a listed public
company) MD Corporation Pty Majority shareholder To provide financial Limited, 33 Kingsgrove advice to its clients Road, Kingsgrove NSW
2208Part 4 Positions in trade unions and professional or business
associations
Under clause 13 of the Constitution (Disclosures by Members) Regulation 1983, you must disclose in Part 4 of the return the name of each trade union and professional or business association in which you held any position (whether remunerated or not) on the date on which you took the pledge of loyalty and a description of the position held.
Example entry only:
Name of trade union or association Description of position ABC Trade Union Member Honorary Secretary Part 5 Debts Under clause 14 of the Constitution (Disclosures by Members) Regulation 1983, you must disclose in Part 5 of the return the name and address of each person to whom you were liable to pay any debt on the date on which you took the pledge of loyalty. You must disclose all debts, whether or not the amount to be paid was due and payable on the date on which you took the pledge of loyalty.
You do not need to disclose a debt that:
(a)
does not exceed $500 unless the debt was 1 of 2 or more debts owed to 1 person and the amount of those 2 or more debts together exceeds $500 in aggregate, or
(b)
is owed to a relative of yours (as defined by clause 7 (1) of the Constitution (Disclosures by Members) Regulation 1983), or
(c)
is owed to a bank, building society, credit union or other person whose ordinary business includes the lending of money and the loan was made in the ordinary course of business of the lender, or
(d)
arises from the supply of goods and services which were supplied in the 12 month period immediately preceding the primary return date, or
(e)
arises from the supply of goods and services in the ordinary course of any occupation not related to your duties as a Member.
Example entry only:
Disclosure of debts
Personal loan made by Mr John Smith of 1 Pitt Street, Sydney NSW 2000.
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Part 6 Client services
Under clause 15A of the Constitution (Disclosures by Members) Regulation 1983, you must disclose the details set out in Part 6 of the return if you have provided, or reasonably expect to provide, “client services” at any time during the primary return period.
Client services are provided by you if:
(a) you are engaged by a person (whether an individual or corporation) to provide services to or on behalf of any of that person’s clients, and (b) that person has received or is reasonably expected to receive consideration in money or money’s worth from the client for your services, and (c) the services relate to your Parliamentary position. You are engaged by a person (whether an individual or corporation) to provide services if you provide services in connection with:
(a) any contract of employment with the person, or (b) your role as an officer of the person (such as a corporation), or (c) any other contract, agreement or arrangement that you have entered into with the person in respect of which you receive consideration in money, or money’s worth, for providing the services. Services relate to your Parliamentary position if the services “arise from or relate to the use of” your position as a Member. This includes (but is not limited to) where you engage in:
(a) the provision of public policy advice, or (b)
the development of strategies or the provision of advice on the conduct of relations with the Government or Members, or
(c)
lobbying the Government or other Members on a matter of concern to the person to whom the service is provided.
You are required to disclose the persons who receive the benefit of your client services disclosed in Part 2 of the return.
even if you did not directly receive any payment from that person.
You must make a separate entry in Part 6 of the return for each person who directly
receives the benefit of your services. You must also disclose who receives the benefit
of your services if the client of the person who engages you requests that the services
be provided to some other person. For example, if you are employed by, or are a
director of Company X, and Company X contracts with Person Y for you to provide
consultancy services to Company Z, you must disclose the provision of client services
to both Person Y and Company Z.
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Example entry only:
Names and Description of the Nature of business of addresses of persons services reasonably persons who directly who benefit or are sufficient to identify the benefited or are likely to benefit from nature of the service likely directly to the services provided or to be benefit provided Smith Constructions Pty Advising on public policy Construction company Ltd, 1 Orange Street, regarding public infrastructure specialising in public Paddington NSW 2021 and the development of infrastructure such as strategies on the conduct of roads relations with the
Government, and lobbying
government departments in
relation to projects managed
by the companyPart 7 Discretionary disclosures
Under clause 16 of the Constitution (Disclosures by Members) Regulation 1983, a Member may disclose in Part 7 of the return any direct or indirect benefits, advantages or liabilities that are not required to be disclosed by the Regulation but which the Member considers might appear to raise a conflict between his or her private interests and his or her public duty as a Member or which he or she otherwise wishes to disclose.
SECTION 2—MEMBER’S PRIMARY RETURN
Constitution (Disclosures by Members) Regulation 1983Primary Return—Legislative *Council/*Assembly
Disclosures of pecuniary interests and other matters by:
............................................................ as at ........................................
(full name of Member) (primary return date)
........................................
(Member’s signature)
........................................
(Date)
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Part 1 Real property
Address of each parcel of real Nature of interest property Part 2 Sources of income 2.1 Income from employment, offices, partnerships and services Table 2.1.1 Income received as an employee
Name of Description Name and Nature of business occupation of kinds of address of of the employer services employer (where the services provided or provided or to be to be provided relate to provided your position as a
Member)
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Table 2.1.2 Income received as holder of office
Name or title of the Name and address of Nature of business office and a corporation or body (if carried on by the description of kinds any) in which the office is entity (where the of services provided held services provided or or to be provided
to be provided relate to your position as a Member)
Table 2.1.3 Income from partnership
Name of Description Name and Nature of business occupation (if of kinds of address of the carried on by the any) services partnership partnership (where provided or the services to be provided or to be provided
provided relate to your position as a Member)
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Table 2.1.4 Income from services provided under any other contract, agreement or arrangement
Name of occupation Name and address of Nature of business (if relevant) and a parties to any contract, carried on by the description of agreement or other party to the services provided or arrangement to provide contract, agreement to be provided services or arrangement
(where the services
provided or to be
provided relate to
your position as a
Member)2.2 Income from a trust
Name and address of settlor Name and address of trustee 2.3 Other income
Disclosure of other income
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Part 3 Interests and positions in corporations
Name and address of Nature of interest (if any) Description of corporation or description of position principal objects of held corporation (where corporation is not a listed public company) Part 4 Positions in trade unions and professional or business associations
Name of trade union or Description of position association Part 5 Debts
Disclosure of debtsPart 6 Client services
Names and Description of the Nature of business of addresses of persons services reasonably persons who directly who benefit or are sufficient to identify the benefited or are likely to benefit from nature of the service likely directly to the services provided or to be benefit provided
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Names and Description of the Nature of business of addresses of persons services reasonably persons who directly who benefit or are sufficient to identify the benefited or are likely to benefit from nature of the service likely directly to the services provided or to be benefit provided Part 7 Discretionary disclosures
Disclosures that are discretionary
Form 2 Ordinary return
(Clause 3 (1), definition of “ordinary return”)
Directions
1 This form is in two sections. The first section (Section 1—Guidance Notes and Examples) outlines the requirements of the Constitution (Disclosures by Members) Regulation 1983 for each type of interest to be disclosed, and gives examples as to how to make entries on the return. The second section of the form (Section 2—Member’s Ordinary Return) sets out the return that is to be filled in by the Member. Only the second section of this form needs to be lodged with the Clerk.
2 The pecuniary interests and other matters required to be disclosed in the return set out in Section 2 of this form are prescribed by clauses 8 to 15A of the Constitution (Disclosures by Members) Regulation 1983.
3 The particulars required to complete this form are to be written in block letters or typed.
4 If any space is insufficient in this form for all the particulars required to complete it, attach an appendix for that purpose which is properly identified and signed by the Member.
5 A reference in this form to the ordinary return period in relation to a Member is a reference to:
(a) where the last return lodged by the Member was an ordinary return—the period of 12 months ending on 30th June in the year this return is required to be lodged, or (b) where the last return lodged by the Member was a primary return—the period commencing on the day on which the Member took the pledge of loyalty and ending on 30th June in the year this return is required to be lodged. 6 If a Member is not required to disclose a kind of pecuniary interest or other matter under a particular main heading in this form, “NIL” or “N/A” (as relevant) is to be placed in an appropriate space under that heading.
7 The entries marked as “Example entry only” or “Example entries only” are provided by way of example only.
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8 You must disclose ALL matters required to be disclosed as set out in the return in Section 2 of this form (and as required by the Constitution (Disclosures by Members) Regulation 1983) for the ordinary return period applicable to you. Specifically, even where you have listed a pecuniary interest for the period of 1 July to 31 December of the previous year in your most recent supplementary ordinary return (such as a source of income, gift, contribution to travel, disposition of property or client services), you must again list that item in this return.
9 Matter marked with an asterisk (*) is to be omitted if it is not appropriate for the Member concerned.
SECTION 1—GUIDANCE NOTES AND EXAMPLES
Part 1 Real property
Under clause 8 of the Constitution (Disclosures by Members) Regulation 1983, you must disclose in Part 1 of the return the address of each parcel of real property in which you had an interest (or the alternative information permitted by the Regulation if you used the parcel for residential purposes) at any time during the ordinary return period and the nature of the interest in the real property. Make a separate entry for each parcel of real property held, separated by a line, in Part 1 of the return.Example entries only:
Address of each parcel of real Nature of interest property Principal place of residence Joint tenant Suburb—Surry Hills 1 Pitt Street, Sydney NSW 2000 Sole owner Part 2 Sources of income Under clause 9 of the Constitution (Disclosures by Members) Regulation 1983, you must disclose in Part 2 of the return each source of income that you received during the ordinary return period. You must disclose income received:
(a) as an employee, as part of a partnership, as an office holder (including an office holder in a corporation or body) or under any other contract, agreement or arrangement (such as a self-employed consultant/contractor) (use Part 2.1 of the return), and (b) from a trust (use Part 2.2 of the return), and (c) from any other source (use Part 2.3 of the return). 2.1 Income from employment, offices, partnerships and services Under clause 9 (2) (a)–(d) of the Constitution (Disclosures by Members) Regulation 1983, you must disclose in Part 2.1 of the return any income you have received during the ordinary return period as an employee, as part of a partnership, as an office holder (including an office holder in a corporation or body) or under any other contract, agreement or arrangement (such as a self-employed consultant/contractor).
You must also describe the services you provide in receiving that income. The description of the services provided must be reasonably sufficient to identify the
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service provided in return for that income. Services from which you do not derive any limited to) where you engage in:
income do not need to be disclosed.
You must make a separate entry for each different source of income in the appropriate
Table in Part 2.1 of the return. For example, if you are employed and hold an office,
two separate entries should be made respectively in Tables 2.1.1 and 2.1.2 in Part 2.1
of the return. Separate multiple entries in each Table by a line. Where the Table is not
relevant to your circumstances because you do not receive that kind of income, enter
“NIL” in that Table (for example, if you do not derive any income, whether as an
employee, as an office holder, from a partnership or otherwise under a contract,
agreement or arrangement, you must enter “NIL” in all Tables). Where the Table (or
part of a Table) is not relevant to your circumstances because the conditions under
which you would be required to make a disclosure do not apply in relation to you, enter
“N/A” in that Table or part of the Table (for example, if you are not required to
disclose the nature of the business of your employer because the services you provided
did not arise from or relate to the use of your position as a Member).
Where you provide services that “arise from or relate to the use of” your position as a
(a) the provision of public policy advice, or (b) the development of strategies or the provision of advice on the conduct of relations with the Government or Members, or (c) lobbying the Government or other Members on a matter of concern to the person to whom the service is provided. Note, where the provision of services “arise from or relate to the use of” your position as a Member, you may also need to complete Part 9 of the return.
Table 2.1.1 Income received as an employee—Example entry only:
Name of Description Name and Nature of business occupation of kinds of address of of the employer services employer (where the services provided
provided relate to your position as a Member)
Solicitor Employed ABC Lawyers, 1 N/A solicitor Pitt Street, Sydney providing legal NSW 2000 services to
clients, in the
areas of
criminal and
family law
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Table 2.1.2 Income received as holder of office—Example entry only:
Name or title of the Name and address of Nature of business office and a corporation or body (if carried on by the description of kinds any) in which the office is entity (where the of services provided held services provided
relate to your
position as a
Member)Local councillor Hurstville City Council, N/A MacMahon Street, Hurstville
NSW 2220Table 2.1.3 Income from partnership—Example entry only:
Name of Description Name and Nature of business occupation (if of kinds of address of the carried on by the any) services partnership partnership (where provided the services
provided relate to
your position as a
Member)Solicitor Partner of the XYZ Lawyer, 3 N/A law firm and to Smith Street, provide Paddington NSW commercial 2021 legal services specialising in litigation,
property,
intellectual
property,
competition
and corporate
law
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Table 2.1.4 Income from services provided under any other contract, agreement or arrangement—Example entry only:
Name of occupation Name and address of Nature of business (if relevant) and a parties to any contract, carried on by the description of agreement or other party to the services provided arrangement to provide contract, agreement services or arrangement
(where the services
provided relate to
your position as a
Member)Public affairs XYZ Corporation, 1 Pitt Manufacturer of consultant—Providing Street, Sydney NSW 2000 electrical appliances public affairs advice,
including lobbying MPs
and government
departments on the issue
of regulation of electrical
appliances
2.2 Income from a trust Under clause 9 (2) (e) of the Constitution (Disclosures by Members) Regulation 1983, you are required to disclose in Part 2.2 of the return any source of income which you received during the ordinary return period from a trust, including the name and address of the settlor and the trustee. Make a separate entry in Part 2.2 of the return (separated by a line) for each trust.
Example entry only:
Name and address of settlor Name and address of trustee XY Settlor, 2 George Street, Sydney NSW AB Trustee, 10 George Street, Sydney 2000 NSW 2000 2.3 Other income Under clause 9 (2) (f) of the Constitution (Disclosures by Members) Regulation 1983, you are required to disclose in Part 2.3 of the return any other income received during the ordinary return period and provide a description sufficient to identify the person from whom, or the circumstances in which, the income was received.
Example entry only:
Disclosure of other income
Income from the operation of a farm at 1 Pitt Street, Orange NSW 2800 of which I am the sole proprietor.
Part 3 Gifts
Under clause 10 of the Constitution (Disclosures by Members) Regulation 1983, you are required to disclose in Part 3 of the return any gifts (including gifts of cash)
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received during the ordinary return period and the name and address of the person
from whom the gift was received.You do not need to disclose a gift that:
(a)
does not exceed $500 in value unless the gift was 1 of 2 or more gifts made by 1 person at any time during the ordinary return period and the amount of those 2 or more gifts together exceeds $500 in aggregate, or
(b)
is a political donation disclosed, or required to be disclosed, under Part 6 of the Election Funding Act 1981, or
(c)
is from a donor who is a relative of yours (as defined by clause 7 (1) of the Constitution (Disclosures by Members) Regulation 1983).
Example entry only:
Description of each gift I received Name and address of donor at any time during the ordinary
return period4 tickets to the XYZ sporting event XYZ Sports Union, 1 Pitt Street, Sydney
NSW 2000Part 4 Contributions to travel Under clause 11 of the Constitution (Disclosures by Members) Regulation 1983, you are required to disclose the information set out in Part 4 of the return for any contribution to any travel (including accommodation incidental to a journey) undertaken by you during the ordinary return period.
You do not need to disclose a contribution if:
(a)
the contribution was made from public funds (including a contribution arising from travel on free passes issued under any Act or from travel in government vehicles), or
(b)
the contribution was made by a relative of yours (as defined by clause 7 (1) of the Constitution (Disclosures by Members) Regulation 1983), or
(c)
the contribution was made in the ordinary course of any occupation which is not related to your duties as a Member, or
(d)
the amount of the contribution did not exceed $250 unless the contribution was 1 of 2 or more contributions made by 1 person at any time during the ordinary return period and the amount of those 2 or more contributions exceeded, in the aggregate, $250, or
(e)
the contribution was a political contribution disclosed, or required to be disclosed, under Part 6 of the Election Funding Act 1981, or
(f)
the contribution was made by a political party of which you are a member and the travel was undertaken for the purpose of political activity of the party in New South Wales or to enable you to represent the party within Australia.
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Example entry only:
Name and address of Dates on which travel was Names of States, each person who taken Territories of the made any financial or Commonwealth and other contribution to overseas countries travel undertaken at in which travel any time during the undertaken ordinary return
periodBrisbane City Council, 1 31 August to 4 September Brisbane, Queensland Smith Street, Brisbane
QLD 4000Part 5 Interests and positions in corporations
Under clause 12 of the Constitution (Disclosures by Members) Regulation 1983, you must disclose in Part 5 of the return the following particulars for each corporation in which you had an interest or held any position (whether remunerated or not) at any time during the ordinary return period:
(a) the name and address of each corporation, (b) the nature of the interest (if any) or a description of the position held, (c) except in the case of a listed public company, a description of the principal objects of each such corporation. If you received income in respect of any position held in a corporation, that information should be disclosed in Part 2 of the return.
Example entries only:
Name and address of Nature of interest (if any) Description of corporation or description of position principal objects of held
corporation (where corporation is not a listed public
company) CD Corporation Limited, Shareholder N/A 1 Martin Place, Sydney
NSW 2000MD Corporation Pty Majority shareholder To provide financial Limited, 33 Kingsgrove advice to its clients Road, Kingsgrove NSW
2208Part 6 Positions in trade unions and professional or business
associations
Under clause 13 of the Constitution (Disclosures by Members) Regulation 1983, you must disclose in Part 6 of the return the name of each trade union and professional or
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business association in which you held any position (whether remunerated or not) at
any time during the ordinary return period and a description of the position held.
Example entry only:
Name of trade union or association Description of position ABC Trade Union Member Honorary Secretary Part 7 Debts Under clause 14 of the Constitution (Disclosures by Members) Regulation 1983, you must disclose in Part 7 of the return the name and address of each person to whom you were liable to pay any debt at any time during the ordinary return period. You must disclose all debts, whether or not the amount to be paid was due and payable at any time during that period.
You do not need to disclose a debt that:
(a)
does not exceed $500 unless the debt was 1 of 2 or more debts owed to 1 person and the amount of those 2 or more debts together exceeds $500 in aggregate, or
(b)
is owed to a relative of yours (as defined by clause 7 (1) of the Constitution (Disclosures by Members) Regulation 1983), or
(c)
is owed to a bank, building society, credit union or other person whose ordinary business includes the lending of money and the loan was made in the ordinary course of business of the lender, or
(d)
arises from the supply of goods and services which were supplied during the ordinary return period, or
(e)
arises from the supply of goods and services in the ordinary course of any occupation not related to your duties as a Member.
Example entry only:
Disclosure of debts
Personal loan made by Mr John Smith of 1 Pitt Street, Sydney NSW 2000.
Part 8 Dispositions of property
Under clause 15 of the Constitution (Disclosures by Members) Regulation 1983, you must disclose in Part 8 of the return particulars of each disposition of:
(a)
real property by you at any time during the ordinary return period whereby you retained, wholly or in part, the use and benefit of the property or the right to reacquire the property at a later time, or
(b)
property to a person by any other person under arrangements made by you during the ordinary return period whereby you obtained, either wholly or in part, the use and benefit of the property.
Example entry only:
Disclosure of dispositions of property
Disposition of Lot 5, DP1234 on 30 May to XYZ Corporation, whereby a right is conferred on Mr Smith MP to use the property.
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Part 9 Client services
Under clause 15A of the Constitution (Disclosures by Members) Regulation 1983, you must disclose the details set out in Part 9 of the return if you have provided “client services” at any time during the ordinary return period.
Client services are provided by you if:
(a) you are engaged by a person (whether an individual or corporation) to provide services to or on behalf of any of that person’s clients, and (b) that person has received or is reasonably expected to receive consideration in money or money’s worth from the client for your services, and (c) the services relate to your Parliamentary position. You are engaged by a person (whether an individual or corporation) to provide services if you provide services in connection with:
(a) any contract of employment with the person, or (b) your role as an officer of the person (such as a corporation), or (c) any other contract, agreement or arrangement that you have entered into with the person in respect of which you receive consideration in money, or money’s worth, for providing the services. Services relate to your Parliamentary position if the services “arise from or relate to the use of” your position as a Member. This includes (but is not limited to) where you engage in:
(a) the provision of public policy advice, or (b)
the development of strategies or the provision of advice on the conduct of relations with the Government or Members, or
(c)
lobbying the Government or other Members on a matter of concern to the person to whom the service is provided.
You are required to disclose the persons who receive the benefit of your client services disclosed in Part 2 of the return.
even if you did not directly receive any payment from that person.
You must make a separate entry in Part 9 of the return for each person who directly
receives the benefit of your services. You must also disclose who receives the benefit
of your services if the client of the person who engages you requests that the services
be provided to some other person. For example, if you are employed by, or are a
director of Company X, and Company X contracts with Person Y for you to provide
consultancy services to Company Z, you must disclose the provision of client services
to both Person Y and Company Z.
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Example entry only:
Names and Description of the Nature of business of addresses of persons services reasonably persons who directly who benefit or are sufficient to identify the benefited or are likely to benefit from nature of the service likely directly to the services provided provided benefit at any time during the
ordinary return
periodSmith Constructions Pty Advising on public policy Construction company Ltd, 1 Orange Street, regarding public infrastructure specialising in public Paddington NSW 2021 and the development of infrastructure such as strategies on the conduct of roads relations with the
Government, and lobbying
government departments in
relation to projects managed
by the companyPart 10 Discretionary disclosures
Under clause 16 of the Constitution (Disclosures by Members) Regulation 1983, a Member may disclose in Part 10 of the return any direct or indirect benefits, advantages or liabilities that are not required to be disclosed by the Regulation but which the Member considers might appear to raise a conflict between his or her private interests and his or her public duty as a Member or which he or she otherwise wishes to disclose.
SECTION 2—MEMBER’S ORDINARY RETURN
Constitution (Disclosures by Members) Regulation 1983Ordinary Return—Legislative *Council/*Assembly
Disclosures of pecuniary interests and other matters by:
.........................................................................................................................
(full name of Member)
in respect of the period from ............................. to ........................................
(ordinary return period)
............................................................
(Member’s signature)
............................................................
(Date)
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Part 1 Real property
Address of each parcel of real Nature of interest property Part 2 Sources of income 2.1 Income from employment, offices, partnerships and services Table 2.1.1 Income received as an employee
Name of Description Name and Nature of business occupation of kinds of address of of the employer services employer (where the services provided
provided relate to your position as a Member)
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Table 2.1.2 Income received as holder of office
Name or title of the Name and address of Nature of business office and a corporation or body (if carried on by the description of kinds any) in which the office is entity (where the of services provided held services provided
relate to your
position as a
Member)Table 2.1.3 Income from partnership
Name of Description Name and Nature of business occupation (if of kinds of address of the carried on by the any) services partnership partnership (where provided the services
provided relate to
your position as a
Member)
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Table 2.1.4 Income from services provided under any other contract, agreement or arrangement
Name of occupation Name and address of Nature of business (if relevant) and a parties to any contract, carried on by the description of agreement or other party to the services provided arrangement to provide contract, agreement services or arrangement
(where the services
provided relate to
your position as a
Member)2.2 Income from a trust
Name and address of settlor Name and address of trustee 2.3 Other income
Disclosure of other income
Part 3 Gifts
Description of each gift I received Name and address of donor at any time during the ordinary
return period
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Part 4 Contributions to travel
Name and address of Dates on which travel was Names of States, each person who taken Territories of the made any financial or Commonwealth and other contribution to overseas countries travel undertaken at in which travel any time during the undertaken ordinary return
periodPart 5 Interests and positions in corporations
Name and address of Nature of interest (if any) Description of corporation or description of position principal objects of held corporation (where corporation is not a listed public company) Part 6 Positions in trade unions and professional or business associations
Name of trade union or Description of position association
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Part 7 Debts
Disclosure of debts
Part 8 Dispositions of property
Disclosure of dispositions of property
Part 9 Client services
Names and Description of the Nature of business of addresses of persons services reasonably persons who directly who benefit from the sufficient to identify the benefited or are services provided at nature of the service likely directly to any time during the provided benefit ordinary return
periodPart 10 Discretionary disclosures Disclosures that are discretionary
Form 3 Supplementary ordinary return
(Clause 3 (1), definition of “supplementary ordinary return”)
Directions
1 This form is in two sections. The first section (Section 1—Guidance Notes and Examples) outlines the requirements of the Constitution (Disclosures by Members) Regulation 1983 for each type of interest to be disclosed, and gives examples as to how to make entries on the return. The second section of the form (Section 2—Member’s Supplementary Ordinary Return) sets out the return that is to be filled in by the Member. Only the second section of this form needs to be lodged with the Clerk.
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2 The pecuniary interests and other matters required to be disclosed in the return set out in Section 2 of this form are prescribed by clauses 8 to 15A of the Constitution (Disclosures by Members) Regulation 1983 (as applied to the return by clause 6A of the Regulation).
3 You must complete EITHER Division A or Division B of the return in Section 2.
4 The particulars required to complete this form are to be written in block letters or typed.
5 If any space is insufficient in this form for all the particulars required to complete it, attach an appendix for that purpose which is properly identified and signed by the Member.
6 You should refer to the Constitution (Disclosures by Members) Regulation 1983 and the instructions in your last ordinary return (if any) to identify whether pecuniary interests should be disclosed.
7 A reference in this form to the supplementary ordinary return period in relation to a Member is a reference to:
(a) in the case of a Member whose previous return was an ordinary return—the period commencing on 1st July and ending on 31st December of the previous year, or (b) in the case of a Member whose previous return was a primary return: (i) where the Member took the pledge of loyalty on or before 1st July of the previous year—the period commencing on 1st July and ending on 31st December of the previous year, or
(ii) where the Member took the pledge of loyalty after 1st July of the previous year—the period commencing on that date and ending on 31st December in the previous year.
8 The entries marked as “Example entry only” or “Example entries only” are provided by way of example only.
9 Matter marked with an asterisk (*) is to be omitted if it is not appropriate for the Member concerned.
SECTION 1—GUIDANCE NOTES AND EXAMPLES
1 A supplementary ordinary return is designed to update the pecuniary interests disclosed in the ordinary return or primary return last filed by you that covered the return period ending on 30 June last year. Specifically, the purpose of this form is for you to identify additional pecuniary interests for the period 1 July to 31 December of last year. The return must generally be filed by 31 March. Certain interests do not need to be disclosed if they have been disclosed in your most recent ordinary return or primary return.
2 In the case of new Members (other than re-elected Members) who have not yet filed an ordinary return, your primary return is to be treated as your most recent ordinary return for the purposes of completing this supplementary ordinary return. It should also be noted that new Members do not need to disclose anything that occurred, or was received or had, before the date on which the pledge of loyalty was taken. Also, as a result of this, some new Members will have a supplementary ordinary return period that is shorter than the period 1 July to 31 December of last year.
3 Additional pecuniary interests must be disclosed where, during the supplementary ordinary return period, you have:
(a)
held any interests in real property, which are additional to those already disclosed in your most recent return, or
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(b) received income from any source, or (c) received any gifts or contributions to travel, or (d)
held any interests or positions in corporations, which are additional to those already disclosed in your most recent return, or
(e)
held any positions in trade unions or professional or business associations, which are additional to those already disclosed in your most recent ordinary return, or
(f)
incurred a liability to pay a debt to any person, which is additional to those already disclosed in your most recent ordinary return, or
(g)
had any dispositions of property (within the meaning of Part 3 of the Constitution (Disclosures by Members) Regulation 1983) in which you have retained a benefit, or
(h) provided any “client services”.
4 Division A must only be completed where, in respect of the supplementary
ordinary return period last year, you do not have any additional pecuniary
interests to disclose as required by the Constitution (Disclosures by Members)
Regulation 1983.Complete either Division A or Division B of the return, but not both. set out in item 3 (a) to (h) of these notes in respect of the supplementary ordinary return period last year. You must identify each of the additional pecuniary interest in the relevant table in Division B. You must disclose the following kinds of pecuniary interests even if you disclosed them in the same or a similar entry in your most recent return:
(a) income received from any source, (b) any gifts or contributions to travel that you received, (c) any dispositions of property (within the meaning of Part 3 of the Constitution (Disclosures by Members) Regulation 1983), (d) any “client services” you provided. 5 If you are not required to disclose a kind of pecuniary interest or other matter under a particular main heading in Division B, “NIL” or “N/A” (as relevant) is to be placed in an appropriate space under that heading.
6 If you have ceased to hold a pecuniary interest that you disclosed in your most recent ordinary return (for example, you have divested yourself of real property), you may (but are not required to) attach a separate document identifying those pecuniary interests that you have ceased to hold.
Part 1 Real property
List in Part 1 in Division B of the return any interests in real property you held during the supplementary ordinary return period, which are additional to those that you have already disclosed in your most recent return.
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Example entries only:
Address of each parcel of real Nature of interest property Principal place of residence Joint tenant Suburb—Surry Hills 1 Pitt Street, Sydney NSW 2000 Sole owner Part 2 Sources of income List in Part 2 in Division B of the return all sources from which you received income during the supplementary ordinary return period. You must list all sources of income for that period, even if you listed the same or a similar matter in your most recent return for the previous return period.
2.1 Income from employment, offices, partnerships and services List in the appropriate Tables in Part 2.1 in Division B of the return income from employment, offices, partnerships and services.
Table 2.1.1 Income received as an employee—Example entry only:
Name of Description Name and Nature of business occupation of kinds of address of of the employer services employer (where the services provided
provided relate to your position as a Member)
Solicitor Employed ABC Lawyers, 1 N/A solicitor Pitt Street, Sydney providing legal NSW 2000 services to
clients, in the
areas of
criminal and
family lawTable 2.1.2 Income received as holder of office—Example entry only:
Name or title of the Name and address of Nature of business office and a corporation or body (if carried on by the description of kinds any) in which the office is entity (where the of services provided held services provided
relate to your
position as a
Member)Local councillor Hurstville City Council, N/A MacMahon Street, Hurstville
NSW 2220
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Table 2.1.3 Income from partnership—Example entry only:
Name of Description Name and Nature of business occupation (if of kinds of address of the carried on by the any) services partnership partnership (where provided the services
provided relate to
your position as a
Member)Solicitor Partner of the XYZ Lawyer, 3 N/A law firm and to Smith Street, provide Paddington NSW commercial 2021 legal services specialising in litigation, property,
intellectual
property,
competition
and corporate
lawTable 2.1.4 Income from services provided under any other contract, agreement or arrangement—Example entry only:
Name of occupation Name and address of Nature of business (if relevant) and a parties to any contract, carried on by the description of agreement or other party to the services provided arrangement to provide contract, agreement services or arrangement
(where the services
provided relate to
your position as a
Member)Public affairs XYZ Corporation, 1 Pitt Manufacturer of consultant—Providing Street, Sydney NSW 2000 electrical appliances public affairs advice,
including lobbying MPs
and government
departments on the issue
of regulation of electrical
appliances
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2.2 Income from a trust List in Part 2.2 in Division B of the return any income from trusts.
Example entry only:
Name and address of settlor Name and address of trustee XY Settlor, 2 George Street, Sydney NSW AB Trustee, 10 George Street, Sydney 2000 NSW 2000 2.3 Other income List in Part 2.3 in Division B of the return any other income.
Example entry only:
Disclosure of other income
Income from the operation of a farm at 1 Pitt Street, Orange NSW, 2800 of which I am the sole proprietor.
Part 3 Gifts
List in Part 3 in Division B of the return all gifts you received during the supplementary ordinary return period. You must list all gifts for that period, even if you listed the same or a similar matter in your most recent return for the previous return period.Example entry only:
Description of each gift I received Name and address of donor at any time during the
supplementary ordinary return
period4 tickets to the XYZ sporting event XYZ Sports Union, 1 Pitt Street, Sydney
NSW 2000Part 4 Contributions to travel List in Part 4 in Division B of the return all contributions to travel you received during the supplementary ordinary return period. You must list all contributions to travel for that period, even if you listed the same or a similar matter in your most recent return for the previous return period.
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Example entry only:
Name and address of Dates on which travel was Names of States, each person who taken Territories of the made any financial or Commonwealth and other contribution to overseas countries travel undertaken at in which travel any time during the undertaken supplementary ordinary return period
Brisbane City Council, 1 31 August to 4 September Brisbane, Queensland Smith Street, Brisbane
QLD 4000Part 5 Interests and positions in corporations
List in Part 5 in Division B of the return all positions or interests in corporations you held during the supplementary ordinary return period that are additional to those positions or interests that you have already disclosed in your most recent return. If you received income in respect of any position held in a corporation, that information should be disclosed in Part 2 in Division B of the return.Example entries only:
Name and address of Nature of interest (if any) Description of corporation or description of position principal objects of held
corporation (where corporation is not a listed public
company) CD Corporation Limited, Shareholder N/A 1 Martin Place, Sydney
NSW 2000MD Corporation Pty Majority shareholder To provide financial Limited, 33 Kingsgrove advice to its clients Road, Kingsgrove NSW
2208Part 6 Positions in trade unions and professional or business
associations
List in Part 6 in Division B of the return all positions in trade unions and professional or business associations you held during the supplementary ordinary return period that are additional to those positions or interests that you have already disclosed in your most recent return.
Example entry only:
Name of trade union or association Description of position ABC Trade Union Member Honorary Secretary
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Part 7 Debts
List in Part 7 in Division B of the return the name and address of persons to whom you were liable for a debt during the supplementary ordinary return period that are additional to those which you have already listed in your most recent return.Example entry only:
Disclosure of debts
Personal loan made by Mr John Smith of 1 Pitt Street, Sydney NSW 2000.
Part 8 Dispositions of property
List in Part 8 in Division B of the return all dispositions of property (within the meaning of Part 3 of the Constitution (Disclosures by Members) Regulation 1983) in which you have retained a benefit during the supplementary ordinary return period. You must list all such dispositions occurring during that period, even if you listed the same or a similar matter in your most recent return for the previous return period.Example entry only:
Disclosure of dispositions of property
Disposition of Lot 5, DP1234 on 30 May to XYZ Corporation, whereby a right is conferred on Mr Smith MP to use the property.
Part 9 Client services
List in Part 9 in Division B of the return all client services you provided during the supplementary ordinary return period. You must list all client services provided during that period, even if you listed the same or a similar matter in your most recent return for the previous return period.Example entry only:
Names and Description of the Nature of business of addresses of persons services reasonably persons who directly who benefit or are sufficient to identify the benefited or are likely to benefit from nature of the service likely directly to the services provided provided benefit at any time during the
supplementary
ordinary return
periodSmith Constructions Pty Advising on public policy Construction company Ltd, 1 Orange Street, regarding public infrastructure specialising in public Paddington NSW 2021 and the development of infrastructure such as strategies on the conduct of roads relations with the
Government, and lobbying
government departments in
relation to projects managed
by the company
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Part 10 Discretionary disclosures
List in Part 10 any other disclosures you wish to make.
SECTION 2—MEMBER’S SUPPLEMENTARY ORDINARY RETURN
Constitution (Disclosures by Members) Regulation 1983Supplementary Ordinary Return—Legislative *Council/*Assembly
*Division A
Disclosures of pecuniary interests and other matters by:
.........................................................................................................................
(full name of Member)
I certify that there are no new pecuniary interests that I need to disclose as required by clause 6A of the Constitution (Disclosures by Members) Regulation 1983 in respect of the period from ............................. to ........................................
(supplementary ordinary return period)
............................................................
(Member’s signature)
............................................................
(Date)
*Division B
Disclosures of pecuniary interests and other matters by:.........................................................................................................................
(full name of Member)
I certify that the additional pecuniary interests set out in the Parts to this Division are the interests that I am required to disclose by clause 6A of the Constitution (Disclosures by Members) Regulation 1983
in respect of the period from ............................. to ........................................
(supplementary ordinary return period)
............................................................
(Member’s signature)
............................................................
(Date)
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Part 1 Real property
Address of each parcel of real Nature of interest property Part 2 Sources of income 2.1 Income from employment, offices, partnerships and services Table 2.1.1 Income received as an employee
Name of Description Name and Nature of business occupation of kinds of address of of the employer services employer (where the services provided
provided relate to your position as a Member)
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Table 2.1.2 Income received as holder of office
Name or title of the Name and address of Nature of business office and a corporation or body (if carried on by the description of kinds any) in which the office is entity (where the of services provided held services provided
relate to your
position as a
Member)Table 2.1.3 Income from partnership
Name of Description Name and Nature of business occupation (if of kinds of address of the carried on by the any) services partnership partnership (where provided the services
provided relate to
your position as a
Member)
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Table 2.1.4 Income from services provided under any other contract, agreement or arrangement
Name of occupation Name and address of Nature of business (if relevant) and a parties to any contract, carried on by the description of agreement or other party to the services provided arrangement to provide contract, agreement services or arrangement
(where the services
provided relate to
your position as a
Member)2.2 Income from a trust
Name and address of settlor Name and address of trustee 2.3 Other income
Disclosure of other income
Part 3 Gifts
Description of each gift I received Name and address of donor at any time during the
supplementary ordinary return
period
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Part 4 Contributions to travel
Name and address of Dates on which travel was Names of States, each person who taken Territories of the made any financial or Commonwealth and other contribution to overseas countries travel undertaken at in which travel any time during the undertaken supplementary ordinary return period
Part 5 Interests and positions in corporations
Name and address of Nature of interest (if any) Description of corporation or description of position principal objects of held corporation (where corporation is not a listed public company) Part 6 Positions in trade unions and professional or business associations
Name of trade union or Description of position association
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Part 7 Debts
Disclosure of debts
Part 8 Dispositions of property
Disclosure of dispositions of property
Part 9 Client services
Names and Description of the Nature of business of addresses of persons services reasonably persons who directly who benefit from the sufficient to identify the benefited or are services provided at nature of the service likely directly to any time during the provided benefit supplementary ordinary return period Part 10 Discretionary disclosures Disclosures that are discretionary
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Form 4 Discretionary return
(Clause 3 (1), definition of “discretionary return”)
Constitution (Disclosures by Members) Regulation 1983
Discretionary Return—Legislative *Council/*Assembly
Directions
1 If a Member considers it appropriate to do so, a Member may make any disclosures in a discretionary return concerning any or all of the matters that a Member is required or permitted to disclose under the Constitution (Disclosures by Members) Regulation 1983 in an ordinary return, before the date on which the Member is next required to lodge an ordinary return or supplementary ordinary return.
2 The particulars required to complete this form are to be written in block letters or typed.
3 If any space is insufficient in this form for all the particulars required to complete it, attach an appendix for that purpose which is properly identified and signed by the Member.
4 Matter marked with an asterisk (*) is to be omitted if it is not appropriate for the Member concerned.
Disclosures of pecuniary interests and other matters by:
.........................................................................................................................
(full name of Member)
............................................................
(Member’s signature)
............................................................
(Date)
Discretionary disclosures
BY AUTHORITY
0
0
0