Give your details as the person or entity supplying information and completing this statement. You may be:
- a tax agent, accountant, administrator or other authorised person completing this statement on behalf of the provider
- the provider themselves, completing the statement on your own behalf.
1 Tax file number (TFN)
Provide your TFN.
2 Australian business number (ABN)
Provide your ABN.
3 Tax agent number (TAN)
Provide your TAN if you are a tax agent reporting the contributions information on behalf of the provider.
4 Organisation name
Provide the full name of your organisation.
5 Street address
Provide your street address, not a post office box.
6 Postal address
Provide your postal address.
7 Contact person
Provide the details of a person who may be contacted if we have any questions about the information in this statement.
8 Reference
Provide a reference that you will find useful in identifying the statement if we need to contact you about the information on this MCS.
9 Number of member records reported
Provide the number of members reported. You must report all members each financial year.
Note:
- You can only report a maximum of 20 members using this statement.