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2024-05-31-accounts

AMMALIFE LIMITED TRUSTEE’S REPORT and FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MAY 2024

Charity Registration Number: 1120236 Company Registration Number: 05815194 (England and Wales)

Legal and Administrative Information

Trustees Mr Imran Pasha (Chair)
Mrs Maria Gee
Dr Peter Rookes
Dr Chipiliro Florence Kalebe-Nyamongo
Mr Andrew Jones_(until 31/08/23)_
Prof David Davies
Prof Harry Gee
Registered Office 4th Floor Institute of Translational
Medicine
Heritage Building
Mindelsohn Way
Birmingham
B15 2TH
Charity number 1120236
Company number 05815194 (registered in England and
Wales)
Independent
Examiner
Andrew Hopkins
Accountants BVSC
Latham House
33-34 Paradise Street
Birmingham
B1 2AJ
Banking The Co-Operative Bank plc
PO Box 250
Skelmersdale
WN8 6WT
Date of Report 4thDecember 2024

CONTENTS

Page
Legal and administrative Inside Cover
information
Message from the Chair 2
A snapshot of our impact 4
Trustees’ Report 5
Independent examiners report 9
Statement of financial activities 10
Balance sheet 11
Notes to the financial statements 12

MESSAGE FROM THE CHAIR

Maternal health needs continue to grow. A 2023 UN report on trends in maternal mortality showed that progress has stagnated, and we are not on track to meet the UN Sustainable Development Goal of less than 70 per 100,000 live births.

In the UK, maternal deaths rose to a 20-year high in 2023-24. This brings home the reality that there is still a lot of work to do save mothers lives, which can be achieved with timely use of tried and tested medical interventions.

This is where Ammalife aims to make a positive difference. Through our 3-pronged approach of:

  1. investing in inspirational Change Makers who build capacity and raise standards in communities,

  2. supporting research into effective solutions and partnering with organisations at the local, national and international level to provide practical support,

  3. providing rapid and responsive funding to meet acute needs and gaps in support offered by other organisations,

We continue to make a difference where it is most needed, above and beyond our small organisational stature.

Ammalife is currently run entirely by a dedicated team of volunteers - all professionals in their respective fields - who work tirelessly to make a lasting impact that ultimately is about savings lives and ensuring good health outcomes.

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MESSAGE FROM THE CHAIR, CONTINUED

During the financial year 2023-24, the organisation has taken several steps to ensure greater resilience and sustainability going forward. These steps include recruiting a new Operation Manager and completing a review of organisational processes. Once complete these changes will ensure the efficient and effective daily operations of the charity.

During 2023-24, income was £46,938 and expenditure was £21,729. Both figures are lower than in 2022-23 due to a reduction in activity driven by capacity. The organisation’s primary focus this year has been to disburse funds to active projects. There has been less focus on developing and supporting new projects. However, there has been progress in improving administrative processes and governance.

In the second half of 2024, since the financial period being reported, there has been a much-needed increase in unrestricted funding. The charity is also exploring a potential partnership that could underpin long-term financial sustainability for the organisation. In addition, Ammalife has been included as a partner in a multimillion-dollar research application that is being developed as a follow-up to the E- MOTIVE programme which is set to revolutionise postpartum haemorrhage detection and treatment approaches, and on which Ammalife was a partner.

I’d like to take the opportunity to thank every one of our donors, funders, volunteers and well-wishers for their continued support. I look forward to sharing news of our planned initiatives that will put Ammalife in a position to continue improving maternal health until the day when there are no preventable deaths.

Imran Pasha, Chair of Trustees and Director, Ammalife Limited

3

A SNAPSHOT OF OUR IMPACT

£21,729 Awarded to make maternity safer £46,938 Raised to continue our vital work

4

TRUSTEES REPORT (INCLUDING DIRECTORS REPORT) YEAR ENDED 31 MAY 2024

The Trustees, some of whom are also directors of the charity for the purposes of the Companies Act 2006, present their report and unaudited financial statements of the charity for the year ending 31 May 2024.

Trustees

The Trustees, some of whom are also the directors for the purposes of company law, and who served during the year and up to the date of signature of the unaudited financial statements were:

Mr Imran Pasha (Chair)

Mrs Maria Gee

Dr Peter Rookes

Dr Chipiliro Florence Kalebe-Nyamongo

None of the directors has any beneficial interest in the company. All of the Trustees are members of the company and guarantee to contribute £1 in the event of winding up.

Objectives and activities Policies and objectives

In setting objectives and planning for activities, the Trustees have given due consideration to general guidance published by the Charities Commission relating to public benefit.

The principal activity of the Charity is to promote and protect the physical and mental health of women by:

  1. Providing evidence, resources and training to relieve complications in pregnancy and childbirth to reduce the risk of morbidity and mortality.

  2. Providing educational, preventative and therapeutic interventions for women with obstetrical or gynaecologic conditions.

  3. Supporting birth attendants, midwives, primary care physicians and hospital doctors in order to improve the care of women in pregnancy and childbirth as well as other female conditions.

  4. Working as internet based, freely available evidence resources and support on networks for healthcare providers interested in women’s healthcare.

  5. Advocating for effective, safe, affordable and simple to administer practices in the context of women’s healthcare.

  6. Addressing and advising upon capacity building, organisational and policy level issues as well as clinical governance and risk management in the context of women’s health and care.

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TRUSTEES REPORT (INCLUDING DIRECTORS REPORT) YEAR ENDED 31 MAY 2024

Structure, governance and management

Constitution

The charity is registered as a charitable company limited by guarantee and was set up by a Memorandum of Association on 12 May 2006.

The principal object of the charity is to promote the physical and mental health of women.

Methods of appointment or election of Trustees

Trustees can be appointed by the Board of Trustees, subject to confirmation at the next Annual General Meeting or nominated and elected at an Annual General Meeting.

Organisational structure and decision-making policies

The Board of Trustees meets regularly, at least quarterly, throughout the year to oversee the charity’s strategy, finance and legal obligations.

The Executive Board meets frequently, usually monthly, and is responsible for the day-to-day running of the Charity including idea acquisition, projects, fundraising, cash flow, website and social media, and networking and collaboration. The Executive Board reports to the Board of Trustees.

Risk management

A risk register has been established with regular reporting by the Executive Board to the Board of Trustees.

Capacity

The Charity needs to improve capacity at all levels. This includes operational management, Executive Board and Trustees. This improvement needs to be both quantitative and qualitative. Capacity issues have been exacerbated by the departure of the Operations Manager in December 2023. The Executive Board and Trustees have sought to mitigate this by meeting more frequently and undertaking reviews of working practices and the charity intends to recruit a new Operations Manager in early 2025. Both the Executive Board and Trustees are actively considering new membership to further support the stability and growth of the charity.

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TRUSTEES REPORT (INCLUDING DIRECTORS REPORT) YEAR ENDED 31 MAY 2024

Fundraising

In December 2023, the charity was awarded £27,970.00 from the MacBevan Trust who continue to be an important donor to the organisation. These funds were to provide access to the ‘MOTIVE’ treatment bundle for postpartum haemorrhage to clinical facilities who acted as ‘control’ sites for the E-MOTIVE clinical trial. Funds were provided to hospitals in Kenya, Nigeria, and Tanzania.

In May 2024, the MacBevan Trust awarded an additional £5,214.54 to fund Solar Panels for maternity wards in Nigeria.

The charity’s regular donors continued to provide a steady and consistent income stream.

Community fundraising and growth of the regular funder base is a priority for the coming year.

Website

This is the main channel for all stakeholders of Ammalife to learn about the organisation and keep up to date with the latest developments.

No major changes were made. A nominal fee was paid for website maintenance and administration, so we were able to update items. This is an area which needs to be constantly reviewed and updated to ensure it is relevant and engaging.

Reflection

The charity has undergone a period of reflection this year, which has led to improved processes, record-keeping and significant additional responsibility taken on by Executive Members, as well as increased input from the Trustees. We have reviewed our operational needs in depth and will recruit for a new Operations Manager in early 2025.

Financial review

Performance during the year

This year the charity has derived income from regular donors and trusts and foundations, giving a total income of £46,938.

Expenditure has included direct spending on projects to provide medicines and equipment to prevent harms and deaths from postpartum haemorrhage in Nigeria, Kenya and Tanzania and to refurbish and improve maternity ward facilities in Nigeria. All these activities were accommodated within an expenditure of £21,729.

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TRUSTEES REPORT life (INCLUDING DIRECTORS REPORT) YEAR ENDED 31 MAY 2024

Reserves policy

The reserves policy of the charity is based on an understanding of income streams (including the risk profiles of these); projected activities and contractual commitments to expenditure; and the overall risk environment in which the charity operates. Any designations and/or re-designations of the charity’s reserves will be agreed by discussion and recorded in the minutes of meetings of the Trustees and Annual General Meeting of the charity.

The policy was reviewed in 2023 and is currently to hold an amount equivalent to approximately 3 months expenditure. Currently, expenditure is low due to having no dedicated staffing for the organisation. The free reserves at year end were £8,031. (2023: £7,008. 2021: £13,300).

Statement of Trustees responsibilities

The Trustees (some of whom are also the directors for the purposes of company law) are responsible for preparing the Report of the Trustees and the financial statements in accordance with applicable law and United Kingdom Generally Accepted Accounting Practice.

Company law requires the trustees to prepare financial statements for each financial year which give a true and fair view of the situation of the charitable company and of the incoming resources and application of resources, including the income and expenditure, of the charitable company for that period. In preparing those financial statements, the trustees are required to

The Trustees are responsible for keeping proper accounting records which disclose with reasonable accuracy at any time the financial position of the charitable company and to enable them to ensure that the financial statements comply with the Companies Act 2006. They are also responsible for safeguarding the assets of the charitable company and hence for taking reasonable steps for the prevention and detection of fraud and other irregularities.

Approval

The Trustees Report was approved by the Board of Trustees and signed on its behalf by:

Imran Pasha Chair of the Trustees 4[th] December 2024

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INDEPENDENT EXAMINERS REPORT

TO THE TRUSTEES OF AMMALIFE LIMITED

I report to the trustees on my examination of the financial statements of Ammalife Limited for the year ending 31 May 2024.

Responsibilities and basis of report

As the trustees of the charity (some of whom are also its directors for the purposes of company law) you are responsible for the preparation of the financial statements in accordance with the requirements of the Companies Act 2006 (the 2006 Act).

Having satisfied myself that the financial statements of the charity are not required to be audited under Part 16 of the 2006 Act and are eligible for an independent examination. I report in respect of the examination of the charity’s financial statements carried out under section 144 of the Charities Act 2011 (the 2011 Act). In carrying out my examination I have followed all the applicable Directions given by the Charity Commission under section 145(5)(b) of the 2011Act.

Independent Examiner’s Statement

I have completed my examination. I confirm that no matters have come to my attention in connection with the examination giving me cause to believe that in any material respect:

  1. accounting records were not kept in respect of the charity as required by section 386 of the 2006 Act; or

  2. the financial statements do not accord with those records; or

  3. the financial statements do not comply with the accounting requirements of section 396 of the 2006 Act other than any requirement that the accounts give a true and fair view which is not a matter considered as part of an independent examination; or

  4. the financial statements have not been prepared in accordance with the methods and principles of the Statement of Recommended Practice for accounting and reporting by charities applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102).;

I have no concerns and have come across no other matters in connection with the examination to which attention should be drawn in this report in order to enable a proper understanding of the financial statements to be reached.

Andrew Hopkins Birmingham Voluntary Service Council Latham House 33-34 Paradise Street Birmingham B1 2AJ

2 December 2024

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STATEMENT OF FINANCIAL ACTIVITIES (INCLUDING INCOME AND EXPENDITURE ACCOUNT)

YEAR ENDED 31 MAY 2024

Note Unrestricted
funds
Restricted
funds
Total Total
2024 2024 2024 2023
£ £ £ £
Income from;
Donations, grants and
legacies
3 11,228 34,410 45,638 53,725
Investments 1,300 - 1,300 -
Total income 12,528 34,410 46,938 53,725
Expenditure on;
Charitable activities 4 (12,060) (9,424) (21,729) (72,343)
Cost of raising funds (245) - (245)
Total charitable
expenditure
(12,305) (9,424) (21,729) (72,343)
Net (loss)/income for
the year/Net 223 24.986 25,209 (18,618)
movement in funds
Transfer - -
Fund balances at 1
June 2023
7,808 52,431 60,239 78,857
Fund balances at 31
May 2024
8,031 77,417 85,448 60,239

The statement of financial activities also complies with the requirements for an income and expenditure account under the Companies Act 2006.

10

BALANCE SHEET

AS AT 31 MAY 2024

Note 2024 2023
£ £
Current assets
Debtors 8 - -
Cash at bank and in hand 87,009 61,841
87,009 61,841
Creditors: amounts falling due with one year 9 (1,560) (1,602)
Net current assets 85,449 60,239
Total assets less current liabilities 85,449 60,239
Income funds
Restricted funds 10 77,417 52,431
Unrestricted funds 8,031 7,808
85,448 60,239

For the year ending 31 May 2024 the company was entitled to exemption from audit under section 477 of the Companies Act 2006 relating to small companies. No members have required the company to obtain an audit of the financial statements for the year ending 31 May 2024 in accordance with section 476 of the Companies Act 2006.

The trustees acknowledge their responsibilities for complying of the Act with respect to accounting records and the preparation of financial statements.

These financial statements have been prepared in accordance with the provisions applicable to companies subject to the small companies regime.

The financial statements were approved by the Board of Trustees on 4[th] December 2024, and signed on behalf of the board by:

Imran Pasha

Chair of the Trustees

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NOTES TO THE FINANCIAL STATEMENTS YEAR ENDED 31 MAY 2024

1. Accounting Policies

Accounting convention

The accounts have been prepared in accordance with the Companies Act 2006 and “Accounting and Reporting by Charities: Statement of Recommended Practice (SORP) applicable in the UK and Republic of Ireland (FRS 102)” (as amended for accounting periods commencing from 1 January 2016). The charity is a “Public Benefit Entity as defined by FRS 102.

The charity has taken advantage of the provisions in the SORP for charities applying FRS 102 Update Bulletin 1 not to prepare a Statement of Cash Flows.

The financial statements are prepared in sterling, which is the functional currency of the charity.

The financial statements have been prepared under the historical cost convention. The principal accounting policies adopted are set out below.

Going concern

At the time of approving the financial statements, the trustees have a reasonable expectation that the charity has adequate resources to continue in operational existence for the foreseeable future. Thus the trustees continue to adopt the going concern basis if accounting in preparing the financial statements.

Charitable funds

Unrestricted funds are available for use at the discretion of the trustees in furtherance of their charitable objectives unless the funds have been designated for other purposes.

Restricted funds are subject to specific conditions by donors as to how they may be used. The purposes and uses of the restricted funds are set out in the notes to the financial statements.

Incoming resources

These are included in the Statement of Financial Activities (SOFA) when:

Cash donations are recognised on receipt. Other donations are recognised once the charity has been notified of the donation, unless performance conditions require deferral of the amount.

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NOTES TO THE FINANCIAL STATEMENTS YEAR ENDED 31 MAY 2024

1. Accounting Policies (continued)

Resources expended

Charitable activities includes all costs relating to general administration, which support the charitable purpose.

Grants offered subject to conditions, which have not been met at the year-end date are noted as a commitment but not accrued as expenditure.

Expenditure is accounted for on an accruals basis and has been classified under headings that aggregate all costs related to the category. Where costs cannot be directly attributed to particular headings that have been allocated to activities on a basis consistent with the use of the resources.

Incoming resources with related expenditure

When incoming resources have related expenditure (as with fundraising or contract income) both are reported gross in the SOFA.

Cash and cash equivalents

Cash and cash equivalents include cash in hand, deposits held at call with bankers, other short term liquid investments with original maturities of three months or less, and bank overdrafts. Bank overdrafts are shown within borrowings in current liabilities.

Financial instruments

The charity has elected to apply the provisions of Section 11 “Basic Financial Instruments” and Section 12 “Other Financial Issues” of FRS 102 to all of its financial instruments.

Financial instruments are recognised in the charity’s balance sheet when the charity becomes party to the contractual provisions of the instrument.

Financial assets and liabilities are offset, with the net amounts presented in the financial statements, when there is a legally enforceable right to set off the recognised amounts and there is an intention to settle on a net basis or to realise the assets and settle the liability simultaneously.

Basic financial assets

Basic financial assets, which include debtors and cash and bank balances, are initially measured at transaction price, including transaction costs and are subsequently carries at amortised cost using the effective interest method unless the arrangement constitutes a financing transaction, where the transaction is measured at the present value of the future receipts discounted at a market value of interest. Financial assets classified as receivable within one year are not amortised.

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NOTES TO THE FINANCIAL STATEMENTS YEAR ENDED 31 MAY 2024

1. Accounting Policies (continued) Basic financial liabilities

Basic financial liabilities, including creditors and bank loans are initially recognised at transaction price unless the arrangement constitutes a financing transaction, where the debt instrument is measured at the present value of the future payments discounted at a market rate of interest. Financial liabilities classified as payable within one year are not amortised.

De-recognition of financial liabilities

Financial liabilities are derecognised when the charity’s contractual obligations expire or are discharged or cancelled.

Pensions

The company operates a defined contribution pension scheme, and the pension charge represents the amounts payable by the company to the fund for the year.

2. Critical accounting estimates and judgements

In the application of the charity’s accounting policies, the trustees are required to make judgements, estimates and assumptions about the carrying amount of assets and liabilities that are not readily apparent from other sources. The estimates and associated assumptions are based on historical experience and other factors that are considered to be relevant. Actual results may differ from these estimates.

The estimates and underlying assumptions are reviewed on an ongoing basis. Revisions to accounting estimates are recognised in the period in which the estimate is revised where the revision affects only that period, or in the period of the revision and future periods where the revision affects both current and future periods.

3. Donations, grants and legacies

Restricted
Funds
Unrestricted
funds
Total Total
2024 2024 2024 2023
£ £ £ £
Donations - 11,228 11,228 19,419
Grants 34,410 - 34,410 34,306
Total for the year 34,410 11,228 45,638 53,725
Total for 2023 34,306 19,419 53,725

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NOTES TO THE FINANCIAL STATEMENTS YEAR ENDED 31 MAY 2024

4. Expenditure on charitable activities

Activities
undertaken Support costs Total Total
directly
2024 2024 2024 2023
£ £ £ £
Total for the year 11,301 10,428 21,484 72,343
Total for 2023 57,243 15,100 72,343
Analysis by fund
2024 2023
Unrestricted funds 12,065 25,582
Restricted funds 9,424 46,761
21,484 72,343
Analysis of support costs
2024 2023
£ £
Staff costs (note 6) 7,442 12,254
Administration and other expenses 1,181 1,286
Independent examiner’s fee 1,560 1,560
10,183 15,100

5. Trustees

None of the trustees (or any persons connected with them) received any remuneration or benefits from the charity during the year (2023 - £nil).

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NOTES TO THE FINANCIAL STATEMENTS YEAR ENDED 31 MAY 2024

6. Staff Costs

The average number of administration employees during the year was 1 (2023 – 1), who did not earn more than £60,000 in either year.

2024 2023
£ £
Wages and salaries 7,123 11,754
Pension contributions to defined contribution 319 500
scheme
7,442 12,254

Pension commitments

The charitable company operates a defined contribution scheme. The assets of the scheme are held separately from those of the charitable company and are independently administered. The pension cost charge above represents contributions payable by the charitable company to the fund. Contributions totalling £0 (2023 – £42) were payable to the fund at the balance sheet date are included in creditors.

7. Financial instruments

7. Financial instruments
2024 2023
£ £
Carrying amount of financial assets
Debt instruments measured at amortised cost - -
Carrying value of financial liabilities
Measured on amortised costs 1,560 1,560
8. Debtors
2024 2023
£ £
Amounts falling due within one year
Other debtors - -
Tax receivable - -
- -

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NOTES TO THE FINANCIAL STATEMENTS YEAR ENDED 31 MAY 2024

9. Creditors: amounts falling due within one year

2024 2023
£ £
Pensions payable - 42
Other taxes and social security - -
Accruals and deferred income 1,560 1,560
1,560 1,602

10. Restricted funds

The income funds of the charity include restricted funds comprising the following unexpended balances of donations and grants held on trust for specific purposes:

Current Year:

Movement
in funds
Balance at
1 June 2023
Transfer Incoming
resources
Resource
expended
Balance at
31 May
2024
£ £ £ £ £
On a roll 10 - - - 10
E-MOTIVE 20,218 - - (9,424) 10,794
Funding FAST-M 2,866 6,414 - - 9,280
PRISM 4,000 - - - 4,000
Big Give 18,995 - 1,101 - 20,096
TXA fund (72) - - - (72)
Cyclone Freddy 6,414 (6,414) - - -
Mac Bevan - - 33,309 - 33,309
Charitable Trust
52,431 - 34,410 (9,424) 77,417

17

NOTES TO THE FINANCIAL STATEMENTS YEAR ENDED 31 MAY 2024

10. Restricted funds (continued) :

Prior Year:

Movement
in funds
Balance at 1
June 2022
Transfer Incoming
resources
Resources
expended
Balance at
31 May 2023
£ £ £ £ £
EMBRACE 16 (16) - - -
On a roll 468 (468) 10 - 10
E-MOTIVE 32,808 - 4,066 (16,656) 20,218
Funding FAST-M 12,899 - - (10,033) 2,866
PRISM 4,000 - - - 4,000
Big Give 15,179 - 3,816 - 18,995
COVID 19
Emergency Fund 182 (182) - - -
TXA fund - - 20,000 (20,072) (72)
Cyclone Freddy - - 6,414 - 6,414
65,552 (666) 34,306 (46,761) 52,431

EMBRACE

This is restricted funding to be donated onto a similar project to Ammalife working in Tanzania.

On a roll

These funds have been donated to provide toilet paper and carbolic soap for 11,000 new mothers in the Maternity Unit at Queen Elizabeth Central Hospital, Malawi. This is the first defence in infection control and offers dignity to new mothers as well as securing the good working order of the new toilets and washing facilities, which Ammalife has co-funded.

Funding FAST-M

Ammalife has helped seed fund a collaboration between health workers in Malawi and Birmingham to design FAST-M, a “toolkit” to tackle maternal sepsis in low resource settings: Fluids, Antibiotics, Source identification, Transport to better care and Monitoring of the mother and new born. Right now, we’re supporting staff training and providing essential medical supplies to the fifteen centres involved in the pilot study year. We’re planning to continue our support to these centres after the pilot study so that the lifesaving work can continue.

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NOTES TO THE FINANCIAL STATEMENTS YEAR ENDED 31 MAY 2024

PRISM

This represents a grant that has been awarded for dissemination.

Big Give

This annual appeal took place in December 2022 as part of the nationwide Big Give Christmas Challenge, run by the Big Give via their online donations platform. This year we were raising funds to support the procurement of tranexamic acid, which is proven to reduce the risk of complications following severe bleeding after childbirth.

COVID 19 Emergency Fund

This appeal was raising money for equipment to protect mothers, babies and healthcare workers in Malawi maternity units from COVID-19. It included the purchase of handwashing stations, soap, paper towels, hand sanitiser and protective equipment for healthcare workers, including gowns and face masks. These supplies have been distributed at Queen Elizabeth Central Hospital, Blantyre and six further sites around the country; Dowa, Kabudula, Chitipa, Ndirande, Thyolo and Zomba.

E-MOTIVE

Is a restricted reserve relating to the translation of the University of Birmingham’s research project.

11. Analysis of net assets between funds

Fund balances at 31 May 2024 and 31 May 2023 are represented by current assets/(liabilities.

12. Related party transaction

Donations without restriction from the Trustees during the year amounted to £920 (2023 - £1,380) from 2 (2023 – 3) Trustees.

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