INFORMATION TO CREATE YOUR PERSONAL COMPANY INCOME TAX RETURN

Company / Close Corporation Information

M
W
Registered Details Venture Capital Company Investments Did the company enter into any reportable arrangement in terms Y N
of s34 - 39 of the Tax Administration Act or s80M-s80T of the
Have the banking, public officer and contact details of the Did the company invest in SARS approved Venture Capital Income Tax Act?
Y N Y N
company been verified and confirmed as correct? (Refer to Companies in exchange for the issue of shares during this year Y N
guide) of assessment? Were any dividends declared during the year of assessment?

Dormant Is the company part of a group of companies that prepares Y N

Deduction (s7F) in respect of SARS Interest Repaid consolidated financial statements?
Is the company dormant? Y N Is the company a member of a Multinational Entity (MNE) group Y N
Does the company want to claim a deduction i.t.o s7F i.r.o. Y N as defined in the Country-by-Country (CbC) Regulations?
SARS interest repaid that was previously taxed i.t.o. s7E?
Company Type Does the company elect to be a headquarter company in terms Y N
of s9I for this year of assessment?
Is the company a body corporate established in terms of the Y N Donations Did the company receive / accrue any foreign income or incur any
Sectional Titles Act or a share block company defined in the Y N
foreign expenditure or pay any royalties, interest, dividends or
Share Blocks Control Act as referred to in s10(1)(e)? Does the company want to claim donations made to an approved Y N consulting fees to a non-resident?
organisation in terms of s18A?
Specify the gross income (sales / turnover plus other income) in respect of the Customs Information
year of assessment Tax Credits
R 398802826 Is the company registered/licensed for Customs purposes? Y N
Will the company be claiming any PAYE credits reflected on an Y N
Specify the total assets (current and non-current) of the company in respect of the IRP5 tax certificate?
year of assessment
R Will the company be claiming any Foreign Tax credits not relating Y N
1024341600 to Capital Gain transactions in terms of s6quat(1A) and/or a
treaty?
Return Type: Medium to Large Company
Were any foreign tax credits refunded / discharged during Y N
Capital Gain / Loss Transactions the year of assessment for which a rebate was allowed
during a previous year of assessment?
Did the company have any transactions or events which resulted Will the company be claiming a deduction on SA sourced Y N
Y N trading income i.t.o. s6quat (1C) ?
in a locally sourced capital gain or loss
(including crypto asset(s))?
Did the company have any transactions or events which resulted Company Information
Y N
in a foreign sourced capital gain or loss
(including crypto asset(s))? Is the company a partner in a partnership/joint venture? Y N
Has any debt been reduced for no consideration which has the
effect of reducing the company's assessed capital loss under Y N Is the company a Personal Service Provider as defined in the Y N
paragraph 12A(4) of the Eighth Schedule? Fourth Schedule?

Voluntary Disclosure Programme Is the company resident in South Africa for income tax Y N
purposes?
Does any declaration in this return relate to an application made Y N How many different classes of shares have been issued by the 1
under the SARS Voluntary Disclosure Programme? company?

Special Economic Zones Did the company have any transactions (including mining Y N
activities) relating to crypto asset(s) (excluding CGT)?
Did the company qualify for a Urban Development Zone Y N
Is the company a qualifying company as defined in s12R? Y N deduction (s13quat) ?

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 Income Tax Return for Companies Taxpayer Reference Number 9389708158 Year of Assessment 2021
(Income Tax Act, No. 58 of 1962, as amended)

Company / Close Corporation Particulars

Registered
Name BASADI BA KOPANE INVESTMENTS (PTY) LTD
Trading
Name BASADI BA KOPANE INVESTMENTS (PTY) LTD
Company / Financial Year End
CC Reg No. 2005/035712/07 (CCYYMMDD) 2021-02-28 Is this return in respect of a branch / permanent establishment / agency of a foreign company? Y N

Please indicate where the majority of the company's taxable income / loss is derived from (mark only one box)
Eastern Cape Free State Gauteng Kwazulu Natal Limpopo Mpumalanga North West Northern Cape Western Cape International

Select the Standard Industry Code (SIC) applicable to the main activity of the Company 64200
State the profit code of your main source of income. 2598
If the profit code is “other not specified”, please provide a description

INVESTMENT IN SHARES
Tax Practitioner Details (if applicable)
Registration Tel No. Mark here with an "X" if you declare that you do not have an email address
No.
Tax Practitioner
Email address
Declaration
I declare that:
· I am the duly appointed Public Officer / Representative of the company
· The information furnished in this return is to the best of my knowledge both true and correct xxxxxxxxxxxxxxxxxxxxxxxxx
· I have disclosed the gross amounts of all income received and / or accrued to this company during the period covered by this xxxxxxxxxxxxxxxxxxxxxxxxx
return
· I have the necessary financial records and supporting schedules to support all declarations on this return which I will retain for
audit purposes. Please ensure you sign over
the 2 lines of “X”s above
Date For enquiries go to www.sars.gov.za or
(CCYYMMDD) 2022-08-30 call 0800 00 7277

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 Dividends Declared Foreign incorporation (and not being effectively managed in SA)? Y N (b) Where the company became a resident since 1 January 2011

Specify the total dividends declared consisting of the following: Y N R 0

By virtue of a treaty to avoid double taxation?
Add: Consideration received or accrued for the issue of shares by the company
Total dividends subject to STC (Before 1 April 2012)
Additional Assessment Information
R 0
R 0
Do you give consent that SARS can provide the attached financial Y N
Total dividends subject to dividends tax (From 1 April 2012) statements to the Companies and Intellectual Property Commission Deduct: Amounts transferred to holders of shares
(CIPC)?
R 0
R 0 Have the financial statements been audited? Y N
Deduct: Adjustments in terms of s8G
Total dividends exempt from dividends tax
Have the financial statements been reviewed? Y N
R 0
R 87862142 If Yes, provide the name of the entity that conducted the audit / review
Deduct: Reduction as a result of the application of s42
Total dividends subject to double taxation relief
Motlanalo Inc R 0
R 0
Deduct: Reduction as a result of the application of s44
Total dividends in specie declared If Yes, does this have any tax effects? Y N
R 0
R 0 Did the company generate a capital gain / loss or revenue gain / loss Y N
Deduct: Reduction as a result of the application of s46
in respect of the early termination of a foreign instrument?
STC Credits R
Y N
0
Did the company prematurely terminate / unwind a hedge position
Were any STC credits (s64J) utilised against the total dividends Y N where the tax value differs in relation to the economic value? Balance of contributed tax capital at the end of the year of assessment
declared?
If Yes, specify the following: Y N R 446462152
Did the company enter into any sale and leaseback agreement?
STC credits opening balance Shares
Is the company a beneficiary of a trust? Y N
R Was there any change in shareholder's interest during the year of Y N
assessment (excluding listed companies)?
Plus: STC credits received
Contributed Tax Capital
Description of class of shares Balance Sheet
R
ORDINARY SHARES Non-current Assets
Less: STC credits utilised
Fixed property
R
R 0
STC credits closing balance
Fixed assets - other
R Amount of contributed tax capital:
R 0
(a) Immediately before 1 January 2011; or

Non-Residency R 446462152 Plant and equipment

R 0
Is the company resident outside South Africa due to:

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Vehicles 0 Cash and cash equivalents
R 0 R 4125837
Goodwill and intellectual property Other current assets

R R 0
0
Total non-current assets Please provide descriptions relating to other current assets listed above
Investments in subsidiaries
R 1020215763
R 0
Current Assets
Long-term loans - interest free: Connected (Local)
Gross inventory (incl. spare parts and consumables and work in progress)
R 0 R 0
Long-term loans - interest free: Non-Connected (Local) Total current assets
Less: Provisions for inventory write off
R 0 R 4125837
R 0
Long-term loans – interest free: Connected (Foreign) Capital and Reserves
Gross trade and other receivables (excl. debtors)
R 0 R 0 Credit Balances
Long-term loans - interest free: Non-Connected (Foreign) Less: Provisions for trade and other receivables (excl. debtors) Share capital
R 0 R R
0 446462152
Long-term loans - interest bearing: Connected (Local) Gross debtors (excl. trade debtors) Share premium
R 0 R 0 R 0
Long-term loans - interest bearing: Non-Connected (Local) Less: Provisions for debtors (excl. trade debtors) Non-distributable reserves for credit balances
R 0 R 0 R 462787653
Long-term loans - interest bearing: Connected (Foreign) Prepayments Distributable reserves (excl. retained profit / accumulated loss)

R 0 R 0 R 0
Long-term loans - interest bearing: Non-Connected (Foreign) Group companies current accounts Retained profit

R 0 R 0 R 3626512
Deferred tax assets Short-term investments Other capital and reserves
R 0 R 0 R 0
Please provide descriptions relating to other capital and reserves (credit balances)
Other non-current assets SA Revenue Service listed above
R 1020215763 R 0
Please provide descriptions relating to other non-current assets listed above

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 Long-term loans - interest bearing: Connected (Foreign) Current portion of interest bearing borrowings
R 0 R 0
Debit Balances
Accumulated loss Long-term loans - interest bearing: Non-Connected (Foreign) Current portion of interest free borrowings

R R 0 R 0
0
Other capital and reserves for debit balances Deferred tax assets Overdraft and interest bearing short-term borrowings

R R 110966952 R 0
0
Please provide descriptions relating to other capital and reserves (debit balances) Other non-current liabilities SA Revenue Service
listed above
R 0 R 76811
Please provide descriptions relating to other non-current liabilities listed above Shareholders for dividend / proposed dividend
R 33923
Other current liabilities
Total Capital and Reserves R 0
R 912876317 Please provide descriptions relating to other current liabilities listed above
Total Non-Current liabilities
Non-Current Liabilities
R 110966952
Long-term loans - interest free: Connected (Local)
Current Liabilities
R 0
Gross trade and other payables (Not older than 3 years)
Long-term loans - interest free: Non-Connected (Local)
R Total Current liabilities
R
387597
0 R 498331
Gross trade and other payables (Older than 3 years)
Long-term loans – interest free: Connected (Foreign)
R 0 Income Statement
R 0
Provisions – excluding inventory and trade receivables Gross Profit / Loss
Long-term loans - interest free: Non-Connected (Foreign)
R 0 Gross Sales (excl. credit notes) - Foreign: Connected
R 0
Deposits and funds received in advance (excl. contract progress payments) R
Long-term loans - interest bearing: Connected (Local) 0
R 0 Gross Sales (excl. credit notes) - Other than foreign connected
R 0
Group companies current accounts R
Long-term loans - interest bearing: Non-Connected (Local) 0
R 0 Less: Opening stock
R 0
Contract progress payments received in advance R 0
R 0

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Less: Credit notes on sales Amounts deemed to be dividends in specie (s8F and s8FA) Interest (excluding SARS interest (s7E))
R 0 R 0 R 0
Less: Purchases - Foreign: Connected (excl. rebates) Bad and doubtful debts recovered SARS Interest (s7E)

R R R 0
0 0
Less: Purchases - Other than foreign connected (excl. rebates) Dividends - local Levy income

R R R 0
0 87862142
Add: Rebates Dividends - foreign REIT distributions received

R R R 0
0 0
Add: Closing stock (Gross excl. adjustments) Dividends (local and foreign) deemed to be income (s8E and s8EA) Reversal of impairment loss recognised in profit or loss

R R R 0
0 0
Add: Inventory adjustments (Previous year stock provision reversed) Tainted Dividends (local and foreign) deemed to be income (s22B) Other income

R R R 310929930
0 0
Please provide descriptions relating to other income listed above
Less: Inventory adj. (Current year stock provision (obsolete / slow-moving stock)) Fruitless and wasteful expenditure recovered during this year of assessment
R 0 R 0 FAIR VALUE ADJUSTMENT ON THE
Gross profit – subtotal
INVESTMENT
Foreign exchange gain
R 0 R 0
Gross loss - subtotal Government grants (national, provincial and local)
Control Total
R R 0 R 398802826
Income Items (Only credit amounts) Gross royalties and license fees
Expense Items (Only debit amounts)
Accounting profit on disposal of fixed assets and / or other assets R 0
Accommodation and travel expenses: Local
R 0 Indemnity payments received
R 0
Admin., management, secretarial, rentals, guarantee fees and other services - R
Connected (Local) 0
Accommodation and travel expenses: Foreign
R 0 Insurance proceeds received
R 0
Admin., management, secretarial, rentals, guarantee fees and other services – R
Connected (Foreign) 0
Accounting loss on disposal of fixed assets / other assets
R 0 Interest - Financial institutions
R 0
Admin., management, secretarial, rentals, guarantee fees and other services – Non- R
connected 10754
Admin., secretarial, rentals, guarantee fees and other services - Connected (Local)
R 0 Interest – Connected
R 0
R 0

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Admin., secretarial, rentals, guarantee fees and other services - Connected (Foreign) Employee expenses: Group life insurance Interest – financial institutions

R R R 24
0 0
Admin., secretarial, rentals, guarantee fees and other services – Non-connected Employee expenses: UIF contributions and SDL Interest – Connected (Local)

R R R 0
0 0
Alterations and improvements (excluding repairs and maintenance) Employee expenses: Pension and Provident fund contributions Interest – Connected (Foreign)

R R R 0
0 0
Bad debts written off Employee expenses: Medical scheme contributions Interest - Non-connected

R R R 0
0 0
Employee expenses: Membership of a professional body Interest and penalties paid to SARS (excluding SARS interest repaid that was
Capital improvements – farming operations (par 12 of the First Schedule) previously taxed i.t.o. s7E)
R R R 0
0 0
Commission paid Employee expenses: Training Key man insurance (s11(w))

R R R 0
0 0
Compensation for loss of office Expenditure incurred by a lessor of land let for farming purposes in respect of soil Lease payments other than operating leases
erosion (s17A)
R R R 0
0 0
Consulting, legal and professional fees Expenditure incurred directly or indirectly in effecting BEE and / or BBEEE compliance Management fees - Connected

R R R 0
1058298 0
Depreciation Expenditure incurred in respect of company restructuring Management fees - Non-connected

R R R 0
0 0
Directors’ / members’ remuneration Foreign exchange loss Operating lease payments - Connected

R R 0 R 0
1155000
Donations (s18A) Impairment loss recognised in profit or loss Operating lease payments - Non-connected

R 0 R 0 R 0
Donations – other Insurance (excluding s37A payments) Partnership / Joint venture loss - Foreign

R R R 0
0 0
Employee expenses: Wages and salaries (excluding medical, provident and pension) Insurance premium in respect of rehabilitation obligations (s37A) Partnership / Joint venture loss - Local

R R R 0
0 0

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Provision for doubtful debts Net Profit - Subtotal Donations – other

R 0 R 396049504 R 0
Repairs and maintenance Net Loss - Subtotal Control Total

R 0 R R 2753298
Research and development costs (s11D)
Tax Computation Allowances / Deductions Granted in Previous Years of
R 0 Assessment and now Reversed
Debit Adjustments (decrease net profit / increase net loss)
Restraint of trade Control Total
Non-Taxable Amounts Credited to the Income Statement
R 0 R
Adjustments to comply with IFRS: Fair value
0
Royalties and license fees (excluding payments in terms of mineral and petroleum
resources royalties) - Local R Amounts not Credited to the Income Statement
R
310929930
0 Exempt local dividends Control Total
Royalties and license fees (excluding payments in terms of mineral and petroleum
resources royalties) – Foreign R 87862142 R 0
R 0 Fruitless and wasteful expenditure recovered (s10(1)(zL))
Mineral and Petroleum Resources royalty Recoupment of Allowances / Expenses Previously Granted
R 0
R 0 Control Total
Control Total
Small items and loose tools R 0
R 398792072
R 0
Special Allowances Not Claimed in the Income Statement Amounts to be Included in the Determination of Taxable Income
Other expenses (excluding items listed above) before s18A Donations and s6quat (1C) foreign tax credit
Allowance for future expenditure (s24C) (Excluding assessed losses brought forward and capital gains /
R 540000 losses)
R 0
Please provide descriptions relating to other expenses listed above
Control Total Note: The information relating to s18A Donations and s6quat (1C) Foreign Tax
GIFTS Credit must be declared else where in the return. The related deductions / carry over
will be calculated by SARS
R 0
Calculated Profit excluding net income from CFC
Credit Adjustments (increase net profit / decrease net loss)
R 10730
Non-Deductible Amounts Debited to the Income Statement
Source Code 2598
Control Total
Expenses attributable to exempt income - Local
Calculated Loss
R 2753322 R 2753298 R
Net Profit / Loss Donations (s18A)
Source Code
R 0

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Imputed net income from CFC Was the industrial policy project for which an allowance was Y N
claimed approved by the Minister of Trade and Industry (s12I)?
R 0 4276
Was the allowance claimed in terms of s24C in relation to
Y N
Tax Allowances / Limitations contract(s)?
Was an allowance claimed in respect of an industrial policy Y N
Note: project in any previous years of assessment (s12I)?
Schedules must be prepared in all cases where the questions below are answered
in the affirmative. The schedules must be retained for a period of 5 years after Is the company the owner of the film as contemplated in s12O? Y N
submission of this return.
Is the building for which an allowance is claimed used in the Y N
process of manufacturing (s13)?
In terms of which sub-paragraph of s10(1)(t) was the exemption claimed?
Is the company the owner of the film as contemplated in s24F? Y N
Sub-paragraph (i) Sub-paragraph (vii)

Sub-paragraph (ii) Sub-paragraph (ix) Does the company confirm that no other building allowances Y N
were claimed in respect of the same building for which the s12S
allowance was claimed?
Sub-paragraph (iii) Sub-paragraph (x)
Did the company incur any interest in respect of debt(s) owed to Y N
Sub-paragraph (v) Sub-paragraph (xvi) person(s) not subject to tax as contemplated in s23M?

Sub-paragraph (vi) Sub-paragraph (xvii) Is the company a "covered person" as envisaged in s24JB? Y N
Did the company submit the information as required by s12H(8) Y N
to the registered SETA? Was a certificate obtained by the company in terms of the Y N
Conservation of Agricultural Resources Act, 1983 (s17A)?
Did the company obtain a certificate issued by the SANEDI in Y N
respect of energy efficiency savings for the purposes of claiming
a s12L deduction? Corporate Rules
Does the company carry on any business as a hotel keeper Was the company a party to any of the following transactions during the year of
(s13bis)? Y N
assessment:
Was the allowance claimed in respect of s13ter for the erection of Asset-for-share transaction as defined in s42? Y N
at least 5 residential units? Y N

Does the company use a building in the production of income in Substitutive share-for-share transactions as defined in s43? Y N
respect of trade other than the provision of residential Y N
accommodation (s13quin)? Amalgamation transaction as defined in s44? Y N
Did the company incur any insurance premiums on the lives of
employees or directors? Y N Intra-group transaction as defined in s45? Y N

If Yes, state the total amount of insurance premiums incurred during the year of Unbundling transaction as defined in s46? Y N
assessment:
Liquidation, winding-up or deregistration distribution as Y N
R defined in s47?

Did the company enter into an instalment sale agreement as

referred to in s12DA to use the rolling stock as an asset to Y N
generate income?

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