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Form 2—Register of interests of a
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Department of Local Government, Racing and Multicultural Affairs
Form 2—Register of interests of a
councillor and their related persons
Section 171B—Local Government Act 2009
This form is to be used:
e for initial lodgement of your register of interests, or
e toamend your existing register of interests.
For a councillor — complete section A.
For a councillor’s related person — complete sections A and B.
Relevant sections in the Local Government Regulation 2012 have been indicated in italics.
1. Particulars
A. Particulars of councillor
Amelia Lorentson
Local government:
|Position: | Councillon,
B. Particulars of related person
pFullmames |
Relationship to
councillor:
Signature and date of statement ee
Date of statement: |10August2020° ~ = —————— COT
Signature of Le
councillor: AL EAE 7 CHT
Notes are availablé at f e end of this document to assist you with completing your register of
interests.
signa Bhp HP? Date: 10/08/2020
—
Versionno: October 2018
aha
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Section 2
: Department of Local Government, Racing and Multicultural Affairs
~~ |
| 2. Financial and non-financial particulars |
2.1 Shareholdings or controlling interests in corporations
4. Is the proprietary |
@ 2. company in which the
2 © | 4. Name of corporation 2(a) Controlling | 3. Shareholdings of the corporation in other shareholding is held, a
<x E , P interest? corporations 2(b) holding company?
S 2(c)
(if yes complete 2.2)
CC a [= (=
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Signature 0 ha Date: 10/08/2020
Form 2 — Register of interests of a councillor and their related persons
Version no: October 2018 Page 2 of 14Section 3
Department of Local Government, Racing and Multicultural Affairs
2.2 Shareholdings or controlling interests in corporations (continued)
Y 1. Name of 3. Subsidiary to
2 © | proprietary 2. Company’s investments the holding 4. Name of any investment of the subsidiary company.
< E company 2(c)(i)2(c)(ii) company? *see notes 2(c)(iii)
~ | 2c) 2(c)(ii)
Si pe". »—, Date: 10/08/2020
Form 2 — Register of interests of a councillor and their related persons
Version no: October 2018 Page 3 of 14Section 4
ee _eeparrtment of Local Government, Racing and Multicultural Affairs |
) 3. Positions held as an officer of corporations
° |
© | Name of Nature of corporation’s .
E corporation 3(a) activities 3(c) Nature of office held 3(b) |
m~ ;
|
[LJ | LI] | Not applicable a |
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4. Beneficial interests in trusts or nominee corporations
g Name (or |
© | description) of trust | Nature of activities of Nature of interest 4(c)
E or corporation’s trust/corporation 4(b)
mo | name 4(a)
‘LJ | C1 | Not applicable ee
PO
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5, Self-managed superannuation fund
@ The nature of the The investments or other
© | Name or description of the | activities of the fund interests in property held, of
E fund 5(2)(a) 5(2)(b) which the relevant person is
o aware, by the fund 5(2)(c)
Chris Winton Lorentson and | Investments 2/17 Noosa Parade Noosa
Amelia Lorentson as Trustee Heads 4567
for Lorentson
Superannuation Fund
PO
Z = 2
senaiyp AZUL, _, Date: 10/08/2020
SN
Form 2 — Register of interests of a councillor and their related persons |
Version no: October 2018 Page 4 of 14
|Section 5
. Department of Local Government, Racing and Multicultural Affairs
? 6. Trustee of family or business trusts ;
S | Name (or
a 2 | descri tion) of trust Nature of activities of Name of each beneficiary or class
< E P trust 6(b) of beneficiary 6(c)
ow | 6a)
[LJ | LJ | Not applicable a eee cs
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bel Ed fe nnn se ne
7. Interests in partnerships and joint ventures
S Nenirie: (er Nature of activities of
a | deseripfion; of artnership/joint venture | Nature of interest 7(c)
5 partnership/joint 7(b) PY
& | venture 7(a)
[LJ | LJ | Not applicable ee
Cd
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ee
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8. Interests in land
® *
37 | 3 Purpose for which
a £ Approximate | land is
tw | Suburb or locality size of land used/intended to
of land 8(a) 8(b) be used 8(c) Nature of interest 8(d)
22 Kareela Ave 640sqm place of residence Co-owner
Noosa Heads
LI | LI | 2/17 Noosa Parade Investment propert
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ee
| seine PAA Ce, Date: 10/08/2020
Form 2 — Register of interests of a councillor and their related persons
Version no: October 2018 Page 5 of 14Section 6
. _ Department of Local Government, Racing and Multicultural Affairs
9. Liabilities more than $10,000 (excluding department store and credit card accounts)
S
& | Nature of liability 9(1)(a) Name of creditor 9(1)(b) |
w |
[C1 | LJ | Investment Loan |
fo Tc |
10. Debentures and similar investments |
o | Name of
3 | corporation the
E investment is in Nature of corporation’s
m~ | 10(b) business 10(c) Nature of investment 10(a)
(C1 | LJ | Not applicable De
11. Savings and investment accounts held with financial institutions
©
2 ;
¢ | Name of institution 11(b) Nature of account 11(a)
we
‘Co [Ol [Westpac —“‘“‘“‘“‘SOSC;C! Cd Savings
TEL [CL] [Westpac —CSCSCSCSCCCd Superannuation
FL] [EL] [Westpac | Noosa Council Campaign
POU ED ANZ Trading Account
Signatu ZED. SUA Date: 10/08/2020
foo _
Form 2 — Register of interests of a councillor and their related persons
Version no: October 2018 Page 6 of 14Section 7
Department of Local Government, Racing and Multicultural Affairs
> 12. Gifts over $500 or all gifts totalling more than $500
o
3
€ | Name of donor 12(1)(a) Description of the gift/s 12(1)(b)
é
|X | LJ | Noosa World Surfing Reserve 2 x T-Shirts
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py nn ee Se 2
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13. Sponsored hospitality benefits
$
© | Source of the contribution for travel or . .
5 accommodation received 13(a) Purpose of the benefit received 13(b)
ao
[LJ | LJ | Not applicable Cn
CD
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ES
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14. Memberships of political parties, bodies, associations and trade or professional |
organisations |
g
3 | 6
g ¢ | Name of organisation 14 Address of organisation 14
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[LJ | LJ | Not applicable Pe
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Form 2 — Register of interests of a councillor and their related persons ,
Version no: October 2018 Page 7 of 14Section 8
Department of Local Government, Racing and Multicultural Affairs
15. Other assets over $5,000
©
3 |
€ | Details of other asset/s 15
® |
1 Vehicle |
OO |
OO |
16. Other sources of income more than $500 a year
co)
6
€ | Source of income 16
®
oc
'L] | LJ | Not applicable
47. Other financial or non-financial interests known to the relevant person that raise, appear to
raise or could potentially raise, a conflict between the interest and your duty as a councillor
®
6
€ | Other Interests 17
®
a
!LJ | C1 | Not applicable
bees rhe
, FA IT SFI AS Date: 10/08/2020
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Form 2 — Register of interests of a councillor and their related persons
Version no: October 2018 Page 8 of 14Section 9
; Department of Local Government, Racing and Multicultural Affairs
Adding a particular
Place a cross in the ‘add’ box in the left hand column when adding a new particular to your register of
interests.
Removing a particular
Place a cross in the ‘remove’ box in the left hand column when removing a particular from your
register of interests.
If there is insufficient space on this form for all of the details you are required to give you may attach
additional papers for that purpose. You must sign and date each additional paper.
When completing this form, insert the words ‘not applicable’, where appropriate.
The completed form (with an envelope marked ‘confidential’) is to be sent, within 30 days of
commencement of duty or any changes of circumstances to the chief executive officer of your local
government.
Related persons
A person related to a councillor need not include information regarding an interest held jointly or in
common with the councillor which is already included in the councillor’s register of interests.
Section notes
The header of each field includes a reference in italics to the relevant section in Schedule 5 of the
Local Government Regulation 2012.
The following notes may assist you with completing your register of interests.
itn a a inn
If a councillor, complete section A. A related person is a spouse, a dependent child
or someone whose affairs are so closely
lf a related person to a councillor, complete section | connected with the affairs of a councillor, chief
A and B. executive officer or senior executive employee,
that a benefit derived by that person, or a
substantial part of it, could pass to the
councillor, chief executive officer or senior
executive employee.
2.1 A Corporation includes—
1. If relevant person is a shareholder or has a e acompany,
controlling interest in a corporation state the e any body corporate (whether incorporated
name of the corporation. in this jurisdiction or elsewhere), and
2. If the relevant person holds a controlling e anunincorporated body that under the law
Form 2 — Register of interests of a councillor and their related persons
Version no: October 2018 Page 9 of 14Section 10
Department of Local Government, Racing and Multicultural Affairs
| 1 a
interest in the corporation tick the box. of its place of origin, may sue or be sued, or
3. List the shareholdings of the corporation in any may hold property in the name of its
other corporation/s. secretary or of an office holder of the body
4. If any of the shareholdings are held in a duly appointed for that purpose.
proprietary company/s tick the box and move
on to section 2.2 Holding company—in relation to a body
corporate, means a body corporate of which
2.2 the first body corporate is a subsidiary.
1. State the name of the proprietary company/s.
2. List any investments of the proprietary Proprietary company—A proprietary company
company/s. is a company that is registered as, or converts
3. If any of the investments are a subsidiary to the | to, a proprietary company under the
proprietary company tick the box. Corporations Act 2001.
4. In column four list the investments of the
subsidiary company you have listed in column | Share means any of the following:
two and if the investments include a subsidiary | e asharein the share capital of the
to that company, state the name of the corporation,
company or its investment(s)—you may need e stock,
to provide this information in a separate signed | e a convertible note, or
attachment. e anoption contract.
The number or monetary value of shares does not | Subsidiary—A body corporate is a subsidiary of
need to be stated. another body corporate if, and only if:
e the other body:
The monetary value of investments does not need o controls the composition of the first
to be stated. body’s board ,or
o is ina position to cast, or control the
casting of, more than one-half of the
maximum number of votes that
might be cast at a general meeting
of the first body, or
o holds more than one-half of the
issued share capital of the first body
(excluding any part of that issued
share capital that carries no right to
participate beyond a specified
amount in a distribution of either
profits or capital), or
e the first body is a subsidiary of a subsidiary
of the other body.
3 | Complete if you are an officer of a corporation, Officer of a corporation means:
including if you are an officer of any corporations e adirector or secretary of the corporation; or
you have stated in section 2. e aperson:
o who makes, or participates in
making, decisions that affect the
whole, or a substantial part, of the
business of the corporation, or
o who has the capacity to affect
significantly the corporation’s
Form 2 — Register of interests of a councillor and their related persons
Version no: October 2018 Page 10 of 14Section 11
Department of Local Government, Racing and Multicultural Affairs
| i
financial standing, or
o in accordance with whose
instructions or wishes the directors
of the corporation are accustomed
to act (excluding advice given by the
person in the proper performance of
functions attaching to the person’s
professional capacity or their
business relationship with the
directors or the corporation), or
e areceiver, or receiver and manager, of the
property of the corporation, or
e an administrator of the corporation, or
e an administrator of a deed of company
arrangement executed by the corporation,
or
e a liquidator of the corporation, or
e a trustee or other person administering a
compromise or arrangement made between
the corporation and someone else.
If providing a description of the trust or nominee Trust—does not include the duties incidental to
corporation, the description must be sufficient to an estate conveyed by way of mortgage, but
identify the trust or corporation. with that exception trust extends to implied,
resulting, bare and constructive trusts, and to
The monetary value of beneficial interests does not | cases where the trustee has a beneficial
need to be stated. interest in the trust property, and to the duties
incidental to the office of a personal
representative.
Nominee corporation—means a corporation
whose principal business is holding marketable
securities as a trustee or nominee.
Complete if you are a trustee of the fund or, if the Director—see the Corporations Act 2007.
trustee of the fund is a corporation, a director of the
trustee.
If providing a description of the trust, the Trust—does not include the duties incidental to
description must be sufficient to identify the trust. an estate conveyed by way of mortgage, but
with that exception trust extends to implied,
resulting, bare and constructive trusts, and to
cases where the trustee has a beneficial
interest in the trust property, and to the duties
incidental to the office of a personal
representative.
Form 2 — Register of interests of a councillor and their related persons
Version no: October 2018 Page 11 of 14Section 12
Department of Local Government, Racing and Multicultural Affairs
1
7 | If providing a description of the partnership or joint | Joint venture—business enterprise for which |
venture, the description must be sufficient to two or more parties join forces (not necessarily
identify the partnership or joint venture. in partnership or by the formation of a
company).
Partnership—the legal relationship of persons |
carrying on some business together with a view
to profit (provided that they are not members of
an incorporated body).
Includes any land leased, owned or mortgaged,
whether the interest is held alone, jointly or in
common with any other person.
Examples of property where you may hold an |
interest:
Residential property leased, owned or mortgaged
by you which may be your place of residence or
where you have established a business.
Commercial property leased, owned or mortgaged
by you which may be where you have established
a business.
Residential property where you are the lessor of a
property to another party.
Commercial property where you are the lessor of a
property to another party.
For privacy reasons, if the lessee is a corporation,
state the name of the corporation (individuals do
not need to be stated).
Investment property—property held for capital gain
(not leased or inhabited).
Native Title land—granted or where an application
is pending.
The full street address of the property does not
need to be stated.
The monetary value of investments or beneficial
interests does not need to be stated.
Form 2 — Register of interests of a councillor and their related persons
Version no: October 2018 Page 12 of 14Section 13
Department of Local Government, Racing and Multicultural Affairs
| |
Amounts of $10,000 or less do not need to be Private company—means a proprietary
disclosed. company in which a relevant person holds
securities.
The debt does not need to be disclosed if it arises
from the supply of goods or services supplied in Trust—means a trust of which a relevant
the ordinary course of your business or the person is a beneficiary.
business of a trust or private company.
The financial amount of liabilities does not need to
be stated.
A line of credit does not need to be disclosed until
such time as it is used.
May include such investments as a term life Debenture—see the Corporations Act 2001.
insurance policy where a return of the policy’s
premium may occur.
The monetary value of investments does not need
to be stated.
The account number of, or financial amounts held
in, savings or investment accounts do not need to
be stated.
This does not include gifts received from related Gift means either of the following—
persons or other persons related by blood or the transfer of money or other property:
marriage or friends. without consideration, or
for a consideration substantially less than full
Includes election donations made to an individual consideration, or
councillor and election donations made to a group | aloan of money or other property made ona
of candidates of which the councillor is associated | permanent or indefinite basis, other than an
with. overdraft facility.
13 | This does not include incidental travel or A person receives a sponsored hospitality
accommodation that involve little to no value. For benefit if—
example, sleeping a night at a family or friend’s the person, other than in an official capacity—
house or car pooling arrangements. undertakes travel, or
uses accommodation, and
a contribution, whether financial or non-
financial, for the cost of the travel or
accommodation is made by another person.
Note: A person does not however receive a
sponsored hospitality benefit if the contribution
was made by the person’s spouse, or other
family member or friend unless there could be a
perception of a conflict of interest, financial or
otherwise, relating to the contribution.
| 14 | Includes honorary patrons, honorarymembersetc. |
Form 2 — Register of interests of a councillor and their related persons
Version no: October 2018 Page 13 of 14Section 14
___Department of Local Government, Racing and Multicultural Affairs
| Ln
This excludes: |
household and personal effects, |
motor vehicles used mainly for personal use, and
superannuation entitlements.
Includes income of a proprietary company and of |
trusts in which the relevant person has an interest.
Includes any employment where earnings are |
more than $500 per year.
17 | The particulars required for each other interest of a | Interest, of the relevant person, means a
relevant person are sufficient details of the interest | financial interest or non-financial interest—
to identify it. e of which the relevant person is aware, |
and
e that raises, appears to raise, or could
raise, a conflict between the relevant
person’s duty under the Act and the
holder of the interest.
Important note
Failure to complete or update a register of interests can give rise to an offence, with associated
penalties to a maximum of 85 penalty units, or 100 penalty units if a councillor intentionally fails to
complete or update their register of interest, and/or disqualification from holding office as a councillor
for four years.
If you are unsure of your obligations with respect to registers of interest, it is strongly recommended
that you seek independent professional advice to clarify your understanding of your obligations.
Further information
When completing this form, you should refer to the Local Government Act 2009 (the Act) and the Local
Government Regulation 2012 (the Regulation) relating to the disclosure and registration of interests for
a councillor and their related persons.
See www. legislation.qid.gov.au for a copy of the Regulation and the Act.
Form 2 — Register of interests of a councillor and their related persons
Version no: October 2018 Page 14 of 14Used in these records
2020-08-10-amelia-lorentson-register-of-interests-councillorRelated documentPublic source context ↗
2020-08-10 Amelia Lorentson - register-of-interests-councillor(PDF, 4MB)Related documentPublic source context ↗Public source context ↗Public source context ↗
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