


|||||||||Unrestricted|Restricted|Restricted|Endowment|
|---|---|---|---|---|---|---|---|---|---|---|---|
|||||||||funds||funds|funds|
|||||Details||||to the nearest<br>f|to|the nearest<br>f|to the nearest<br>f|
|Bt fash funds||||||||||||
||||||tora|ms|un s|||||
||||(agree ba!aaces|wirh receipts|and payments|accaaar(s))||||||
|||||||||Unrestricted|Restricted||Endowment|
|||||||||funds||funds|funds|
|||||Details||||to the nearest<br>f|to|the nearest<br>f|ta the nearest|
|B2Other monetary||assets||||||||||
|||||||||Fund to which||Cost|Cunent value|
|||||Details||||asset belongs|(optional)||(optional)|
|B3Investment|assets|||||||||||
|||||||||Fund ta which||Cost|Current value|
|||||Details||||asset belongs|(optional)||(optional)|
|BaAssets retained forthe charity's own use||||||||||||
|||||||||Fund to which|Amount<br>due||When due|
|||||Details||||liability relates|(optional)||(optional)|
|BSLiabilities||||||||||||
|Signed by one or two trustees <br>of all the trustees|||on behalf||Signature|||Print name|||Date of approval|
|||||||||CO(yucca '6rC) f'SC)H|||~K% at3|





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