Form Mod(PC).2005, Private Company Completed Form Examples and Samples
Explore practical examples and samples of how to fill out Form Mod(PC).2005 for a Private Company. Learn how to accurately report entity details, shareholding structures, and asset data for compliance.
Example: Filling Form Mod(PC).2005 for a Private Company
How this form was filled:
This example demonstrates how an AI can accurately extract specific entity details, shareholding percentages, and asset data from an informal email summary written by a tax accountant. By parsing unstructured natural language, the AI correctly populates the mandatory fields of Form Mod(PC).2005, significantly reducing the manual effort required for social security compliance reporting.
Source document used: Accountant's Email Summary
Dear Mr. and Mrs. Thompson, following our audit for the 2025 financial year, I’ve pulled together the necessary details for your upcoming Centrelink update regarding 'Thompson Agri-Holdings Pty Ltd' (ACN 123 456 789, ABN 45 123 456 789). As discussed, your son, James, and his spouse Sarah are now directors. You hold 50% of the ordinary voting shares (5,000 units), while James holds the remaining 5,000. We incorporated back in August 2012. Regarding assets, the company owns the plot at 42 River Road, Wagga Wagga, NSW 2650. It’s currently used as a hobby farm, though we’ve had no real income from it this cycle. The property was valued at roughly $850,000 last December. We do have a remaining mortgage with Rural Bank of about $120,000 at a 5.2% interest rate. Please ensure this is lodged alongside your pension claim form this Friday. Note that the company tax returns are usually finalized in October each year. If the department needs to inspect the river property, I have authorized your consent as the primary contact—please let me know if you want me to list my office address as the primary point of correspondence for their future requests. Best, David Miller, CPA.
Information used to fill out the document:
- Company Details: Thompson Agri-Holdings Pty Ltd, ACN 123 456 789
- Shareholders: Thompson family (50%) and James Thompson (50%)
- Property Asset: 42 River Road, Wagga Wagga, NSW 2650, $850,000
- Liabilities: Rural Bank mortgage, $120,000 at 5.2%
- Contact Person: David Miller, CPA
What this filled form sample shows:
- Automatic identification of ABN/ACN entities from prose
- Normalization of shareholding percentages and classes
- Mapping of property address and estimated market value
- Contextual awareness of 'Yes/No' logic for financial disclosures
- Extraction of contact information for future departmental queries
Form specifications and details:
| Form: | Mod(PC).2005 |
| Agency: | Services Australia |
| Target Audience: | Pension recipients involved in private companies |
| Use Case: | Disclosure of private company income, assets, and shareholding interests |
| Categories: | company forms |
| Created: | May 19, 2026 05:45 PM |