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Moreton BagRegional Council*^
Strathpine Office Postal Address: Executive Services: Internet:220 Gym pie Road PO Box 159 Ph: (07)3480 6968 www.moretonbay.qid.gov.au
Strathpine QLD 4500 Caboolture QLD 4510 mbrc@moretonbay.qld.gov.au
Local Government Act 2009 Form 2Register of Interests of a Councillor
Section 171B and their Related Persons
NB; IN ITIAL AND MASTER REGISTER FORM
For a Councillor - complete section A.For a Councillor’s Related Person - complete sections A and B.
Notes are available at the end of this document to assist you with completing your Register of Interests.
1 . P a r tic u la rs
A. Particulars of Councillor
Full name: Adam Bryan Main
Local Government: Moreton Bay Regional Council
Position: Councillor Division 3
B. Particulars of related person
Full name:
Relationship to Councillor:
Signature and Date of Statement
Date of Statement: 10 ^ p te r^ e r 2018
Signature of Councillor:
Office Use: y
Signature of CEO/Nominee: / f j g . ~~ Date received: 10/9/2018
Date Register placed on Council’s w^s/ite: (Mayor/Councillor Register only) / / f t Q ft (CK
Version No. 13-10 September 2018 Page 1
Register of Interests: Councillor Division 3 Adam Bryan Hain
2. F inancial And Non>Financial Particulars
2.1 Shareholdings or controlling interests in corporations
1. Name of corporation 2(a)
2.Controlling
Interest?
3. Shareholdings of the corporation in other corporations
2(b)
4. Is the shareholding held in a propriety company?
2(c)(if yes complete 2.2)
Not applicable □ □
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Signature of Councillor:
Page 2Version No. 13-10 September 2018
Register of Interests: Councillor Division 3 Adam Bryan Hain
2.2 Shareholdings or controlling interests in corporations (continued)
1. Name of proprietary company 2(c)
2. Company’s investments 2(c)(i) 2(c)(ii) and 2(d)
3. Is this a subsidiary to the holding company?2(c)(ii)
4.List the investments of the subsidiary company 2(c)(iii) 2(c)(iv)*see notes
Not applicable □
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Signature of Councillor:
Version No. 13 -10 September 2018 Page 3
Register of Interests: Councillor Division 3 Adam Bryan Hain
3. Positions lield as an o fficer of corporations
Name of corporation 3(a)
Nature of corporation’s activities
3(c)
Nature of office held 3(b)
Not applicable
4. B eneficial in terests in trusts or nom inee corporations
Name (or description) of trust or
corporation’s name 4(a)
Nature of activities of trust/corporation
4(b)
Nature of interest 4(c)
Hain Family Trust Does Not Trade Beneficiary of Trust
5. Seif>managed superannuation fund
Name or description of the fund 5(2)(a)
The nature of the activities of the fund
5(2)(b)
The Investments or other interests in property held, of which the relevant
person is aware, by the fund 5(2)(c)
Not applicable
Signature of Councillor:
Page 4Version No. 13-10 September 201
Register of Interests: Councillor Division 3 Adam Bryan Main
6. T rustee of fam ily or business trusts
Name (or description) of trust
6(a)
Nature of activities of trust 6(b)
Name of each beneficiary or class of beneficiary
6(c)
Hain Family Trust Does Not Trade (Dormant)Bryan Hain, Daniela Hain, Adam Hain, Peter Hain, Angela Hain, Samantha Hain
7. in terests in partnersliip and jo in t ventures
Name (or description) of partnership/joint
venture 7(a)
Nature of activities of partnership/joint venture
7(b)
Nature of interest 7(c)
Not applicable
8. In terests in land
Suburb or locality of land
8(a)
Approximate size of land
8(b)
Purpose for which land is used/
intended to be used 8(c)
Nature of interest 8(d)
Morayfield 1100m2 House dwelling Title Holder/Joint
Morayfield 1100m2 House dwelling Title Holder/Joint
«
Signature of Councillor: V L / /
Version No. 13-10 September 2018 Page 5
Register of Interests: Councillor Division 3 Adam Bryan Main
9 . L ia b ilit ie s m o re th a n $ 1 0 ,0 0 0lexcludina deoartment store and credit card accounts^
Nature of liability 9(1)(a)
Name of creditor 9(1)(b)
Home Loan Macquarie
1 0 . D e b e n tu re s and s im ila r in v e s tm e n ts
Name of corporation the investment is in
10(b)
Nature of corporation’s business
10(c)
Nature of investment 10(a)
Not applicable
1 1 . S a v in g s an d in v e s tm e n t a c c o u n ts h e ld w ith f in a n c ia l in s titu tio n s
Name of institution 11(b)
Nature of account 11(a)
ANZ Savings
ANZ Cheque
Signature of Councillor:
Page 6Version No. 13-10 September 2018
Register of Interests: Councillor Division 3 Adam Bryan Main
12. G ifts over $500 or all g ifts to ta lling more than $500
Name of donor 12(1)(a)
Description of the gift/s 12(1)(b)
Redcliffe Leagues Club 2 X Season Passes
PCYC 2 X Tickets to PCYC Gala Ball 2018
MERIT through MBRC SLA
Complimentary tickets to Kitefest and Moreton Kids Festival. All tickets were distributed to a number of community groups within Division 3 on behalf of Moreton Bay Regional Council.
13. Sponsored hospitality benefits
Source of the contribution for travel or accommodation received
13(a)
Purpose of the benefit received 13(b)
Not applicable
14. M em berships of politica l parties, bodies, associations and trade or
professional organisationsName of organisation
14Address of organisation
14Australian Local Government Women’s Association (ALGWA) Queensland Branch
131 Queen Street, Ayr QLD 4807
Caboolture Seniors Rugby League (Patron) PO Box 1513, CABOOLTURE QLD 4510
Caboolture Show Society (Patron) PC Box 266, CABOOLTURE QLD 4510
Caboolture Dressage Group (Patron) PO Box 1398, CABOOLTURE QLD 4510
Caboolture RSL Masking Street, CABOOLTURE QLD 4510
Caboolture Sports Club Station Road, CABOOLTURE QLD 4510
Signature of Councillor:
Page 7Version No. 13-10 September 2018
Register of Interests: Councillor Division 3 Adam Bryan Main
15. O ther assets over $ 5 ,000
Details of other asset/s15
16ft Clark Abalone Boat
HX Holden Kingswood
Nissan Patrol
18 Jayco Expanda Outback
16. O ther sources of incom e more than $500 a year
Source of income16
Not applicable
17. O ther financia l or non-financial in terests known to the re lated person
th a t raise, appear to raise or could potentia lly raise, a conflic t betw een
the in terest and your duty as a councillor
Other interests17
Not applicable
Signature of Councillor^
Page 8Version No. 13-10 Sep’̂ nber 2018
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