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ITY
FOR ENGLAND AND WALES
,keceipts ènd Payments
Charity narne
L'ifi
Q£E.-£ kloGpL
Charity number (If aoy)
For the period from ,(slarl date)
Unrestficted
funds
lo the nearest
Reslflcted
funds
lo the nearest
Endowmenl
funds
to the nearest
Total funds
Last year
to the nearest
to the neare51
A1 Recelpt5
Sub tolol
A2 Asset and investment sales, etc
Total recelpts
A3 Paymenls
Sub total
218LII
A4 A55et and investment puicha5es, etc
Total poyments
Net of receipts/(poyments)
A5 T(.anslefs between tunds
A6 Cash lund5 last yeai end
Cosh funds thi5 yeor end

keceipts.ènd Payments
FOR ENGLAND AND WALES
Charity narne
Li i l ALLiRIKJ
E.-£. kl OCIL
Charlty number (If any)
For the period from .(slarl date)
Unrestficted
funds
lo the nearest
Reslficled
funds
lo the nearest
Endowmenl
funds
lo the nearest
Total funds
Last year
to the nearest
to the nearest
A1 Recelpt5
Sub tolol
A2 Asset and investment sales, elc
Total recelpts
A3 Paymenls
Sub total
218LII
A4 A55et and investnienl puicha5es, etc
Total payments
Net ol recerpts/(poyments)
A5 T(.ansleis between tunds
A6 Cash lund5 last yeai end
Cosh funds thi5 yeor end

Unrestricted
ILEnds
to the nearest
Restricted
fund5
to the neare51
Endowment
funds
lo the neare51
Details
B1 Cash funds
roto
cos
un
(tFgree balonces bviih receipt5 und paymefjts Gccounl(s))
Unrestricted
.funds
to the neaiest
Restficted
funds
lo the neare51
Endowment
funds
10 the nearesl
Delails
B2 OthÈf motietary assets
Fund lo whlch
assei belongs
Cost
(optional)
Cuiient value
(Optional)
Details
B3 Inve5Rment assels
Fund to whlch
a5sel belongs
C05t
(optional)
Cuifenl value
(optional)
Details
B4 Assels retained fof the charlty's own use
rn-
Fund to which
liabiliiy relate5
Amount due
(optional)
When due
(optional)
Details
85 Liabilities
Signed by one or two tiuslees on beh3lf
of all the Irusleos
Signature
Plinl name
Dale ol approval