Chapin COMMISSIO
Trustees’ Annual Report for the period Period start date Period end date
section A
Reference and administration details
Charity name
Caversham eights Methodist Church
Registered charity number (if any) | 1127822
Charity's principal address |74 Highmoor Road
Caversham Heights
Names of the charity trustees who manage the charity
-
3[MrDECiffe [Secretary «| ——=S™S~ OMT 4|MrPHBoardiey | Treasurer | CL EXOfficio 5|MrAHariand | Girouit Steward |[——~=S~S~wdKOMRC] SCS s[MrOMHinks [Steward «|[=SSSS™S~~*~“~dKO'] SSCS
-
1o[MisC Pollard [Steward |SSSSS~*~iKOMRCIO OM
-
11[MrsiTumer [Steward «| SSSSCS~S~S
13|MrsLABoardey ||P 14[MrstDudey fF 15{MrsCDugdale || t6{Mrvemerson | | 17{MrsMFower {| 18[MrsVKeating fF t9{MrsBMacraeff 20|MrskKMunns | F 2ijMrssOfford |TE
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Names of the trustees for the charity, if any, (for example, any custodian trustees) — Dates acted if not for whole=
Names and addresses of advisers (Optional information)
| Type ofadviser | Name | Address |
|---|---|---|
| Property Inspection | ThamesValley | Thames Valley Surveying Limited |
| Surveying Ltd | Green Bank | |
| University of Reading | ||
| London Road Campus | ||
| London Road | ||
| Reading, Berkshire | ||
| RG1 5AQ | ||
| wae | — | Sciestid etait |
| Name of chiefexecutive | ornames ofsenior | staffmembers (Optional information) |
| SectionB | Structure, | governanceandmanagement |
Description of the charity’s trusts
| Type ofgoverning document | i, H th Deed ofUnion ofthe MethodistChurch 20" Sept 1932 |
|
|---|---|---|
| Howthe charity is constituted | Inaccordancewith the Constitutional Practiceand Discipline (CPD) ofthe Methodist Church |
|
| : ThiSteeeeelaahermatiets |
SomeTrustees areTrusteesasa result oftheir position, some areelected bytheGeneralChurchMeetingandsome areappointed (co-opted). |
|
| Additional | Additional governance issues (Optional information) | |
| : cme sein dead relevant ntuut : : i |
Bankers TheChurch’s BankersareCAFBankLtd,25Kings HillAvenue,West Malling, Kent, ME194QJ and the Central Finance Board ofthe Methodist Church, Bonhill Street, London EC2A 4PE. |
|
| e | policies and procedures | |
| adopted forthe induction and | ||
| training oftrustees; | ||
| e | the charity’s organisational | |
| structure and anywider | ||
| network with which the charity | ||
| works; | ||
| e | relationship with any related | |
| parties; | ||
| e | trustees’ consideration of | ; |
| major risks and the system | ||
| andprocedurestomanage |
Additional governance issues (Optional information)
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Section C
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Objectives and activities
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Objectives
The purposes of the Methodist Church are and shall be deemed to have
been since the date of union the advancement of - (a) the Christian faith
auhy [ot][ae] ea. [ or][ es] Methodist Church;in accordance with the(b) any doctrinal charitable standards purpose and for the the discipline time being of ofthe any
geuering document Connexional, District, Circuit, local or other organisation of the Methodist
g Church; (c) any charitable purpose for the time being of any society or
institution subsidiary or ancillary to the Methodist Church; (d) any
purpose for the time being of any charity being a charity subsidiary or
ancillary to the Methodist Church.
The trustees have over the year acted with regard to the guidance issued
by the Charity Commission on public benefit.
Worship. Sunday worship is one of our major activities.
Fund raising: Funds were raised for worthwhile causes in the UK and the
wider world. This could only have been achieved with the joint efforts of so
many of the church family.
During the year from September 2019 to August 2020 the amounts raised
Summary of the main or donated to good causes via the Church include: -
activities undertaken for the
public benefit in relation to
these objects (include within £
this section the statutory Action For Children 638
declaration that trustees have | Air Ambulance 1806
had regard to the guidance All We Can 565
issued by the Charity Launchpad 121
Commission on public Readifood 209
benefit) Shelter 239
Racecourse Community School, Zambia 4200
Total: 7778
This is significantly down on previous years due to the Covid Crisis and
the Church being shut down for a substantial period
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Additional details of objectives and activities (Optional information)
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You may choose to include further statements, where relevant, about:
-
e policy on grantmaking;
-
e policy programme related investment;
-
® contribution made by volunteers.
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section D Achievements and performance
Summary of the main
achievements of the charity
during the year
Section E Financial review
Brief Our Reserves Policy requires us to hold sufficient reserves to enable
statement of the Church to continue to function for between 3 and 6 months. Our Church
charity’s policy on reserves functioning expenditure can be seen from the Receipts and Payments
account at £85,533 from This we need to take away £600 which is
donation that we need not make leaving £84,900. 25-50% of this would
be between £21,225 and £42,450.
In addition, we are required to hold 2% of the value of the Church
Buildings as a Property Reserve. From the same document, the value of
the Buildings is £3,351,300 less the value of the organ and contents is
£2,672,401 of which 2% is £53,448. Our total reserves should then be
between £74,673 and £95898. Funds available are £131,700.
Details of any funds materially
in deficit
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Further financial review details (Optional information)
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| |
|
Details of any funds materially in deficit deficit
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in deficit deficit | Further financial review details (Optional information) You The Financial Report is submitted separatelyin the form of a Statement may choose to include —|+ Financial Activities as prescribed by the Methodist Church. The
-
additional information, where bie ae . ° relevant about:; principal source. 3 of funding: is the: freewill offerings made :by the e the charity'sa principaley _ congregationChurch. Fundeitherraising in theoccurs offeringas andplate when or the throughrequirement standingexistsorderse.g. to thean sources of funds (including | emergency of some description or through events in our normal calendar. any fundraising); These include an Autumn Fair, special Christmas and Easter services,
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° how expenditure has concerts, BBQ's and collections organised through other agencies e.g. supported the key objectives Christian Aid or for Methodist Connexion Funds. Due to the Church being 3
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of the charity; shut down many of these activities could not take place during this year.
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e investment policy and objectives including any ethical invesiment policy adopted. ;
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Section F Other optional information
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aeee
a Section G Declaration
The trustees declare that they have approved the trustees’ report above.
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Signed on behalf of the charity’s trustees
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$signature(s) Wa yLevi!f/f Tan Wh D , [|]
Full name(s)! Lee Mbuinen bonne” DENID EDWINFFE
Position assy(eg Secretary,Yete)|Chair,| (LEASORER. SGOURSSporTAIN -
Date | 20—-ASkiL~ 202) |
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March 2012
CHURCH RECEIPTS AND PAYMENTS ACCOUNTS
||
THE METHODIST CHURCH
STANDARD FORM OF ACCOUNTS
CAVERSHAM HEIGHTS METHODIST
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Church
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FOR THE YEAR ENDED
31 August 2020
BASINGSTOKE & READING Circuit
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26/4
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Registered Charity - Charity Registration number
1127822
If not a registered charity Her Majesty’s Revenue and Customs Gift Aid number
(The HMRC number is equivalent to a registered charity number in terms of evidence of charitable status and may be used to give to donors or grant funders wishing to see evidence of the organisation's charitable status. Methodist charities in England and Wales that are not registered charities are excepted from registration under Statutory Instrument 2014 No.242)
Minister:
Rev Martin Beukes
Church Stewards:
Margaret Ellison
Colin Hinks
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i -— "7 | eee
'"". 17 eae
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Treasurer:
Peter Boardley
Church R and P 2015.xIs 1 of 5
ACCOUNTS FOR THE YEAR ENDED 31 AUGUST 2020
Caversham Heights Methodist
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Church
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||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
|Unrestricted|Restricted|Totals|this|Totals|last|
|SECTION A|Funds|Funds|year|year|
|RECEIPTS|aee|||
|Offerings and Tax recovered|li|61,955 fF|||61.955|60,002|
|Bank|and|CFB|interest and|
|a3 |Investment income|420|521|
|a5as|tetings=||tw rz5]|dt|29,137|
|a6 |TOTAL|Other receipts RECEIPTS|Po|sa|d|80,531,42|2|]|7|,556],556|8|8,|088|978|(a7)||||9|8,|4175|3|
|SECTION|B|
|PAYMENTS|
|Circuit Assessment or Share|iia|54,789ian|54,789|58,645|
|b3|Donations|||S]|6,020|
|ba [RepairsUtilities|and(Insurances, Maintenancewater|pTtra]||||az.zas]|=||__o.ta0|
|charges,|heating &|lighting)|7,162|7,762|8,282|
|03,539|
|[pe|[TOTALOther payments PAYMENTS|[—«le|85,500]4,601|4,4.|527|||||[90,027]]|9,428)|way]|_|11,446|
|SECTION|C|
|Haci|NET|FOR RECEIPTS/PAYMENTS THE YEAR|a6-b8)|(4,968|3,029|4,874|
|last|yea|
|EaleTotal funds brought forward from|434,027|(356)|||133,674|128,797|
|Sub|total|c1+c2)|129,059|2,673|131,732|133,671|
|Transfers and adjustments|ee|ee||ee) ||
|c5 |TOTAL FUNDS AT END OF YEAR|(c3+c4)||129,059]|——2,673]||131,732] (c8)]||133,674] (c6)||
|SECTION|D|
|FOR INFORMATION|ONLY:|MONEY|RECEIVED AND|PASSED|ON TO|EXTERNAL|ORGANISATIONS|
|(these|amounts are|not to be|included|in|total|receipts/payments|figures|£|£|
|Balance brought|forward from last|year|ae|od|
|Offerings/Gifts|-|received|for external|organisations|3,657|8,253|
|Offerings/Gifts|- passed|to|external|organisations|3,626|8,249|
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Church R and P 2015.xls
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Caversham Heights Methodist — church
SUMMARY OF CHURCH ACCOUNTS AND INTERNAL ORGANISATIONS REPORTING TO THE CHURCH COUNCIL
Summary of the Church accounts for the year ended 31 August 2020 and Internal Organisations reporting to the Church Council/Church Meeting. Note that the funds of an Intemal Organisation would normally be Restricted funds unless it could be clearly shown that they could be used for any Methodist purpose. This section must be completed to arrive at the gross income and expenditure totals of the Church. If gross income exceeds the Accruals threshold, then the Accruals method of accounting AND A DIFFERENT FORM must be used to report the accounts (see Methodist website). Please refer to the guidance notes regarding transfers between the District land connected District Organisations.
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INTERNAL Net Receipts/ Opening
ORGANISATIONS Receipts Payments Payments Adjustments balances Closing balances
5| ee TS eee ee | ee ee
|eel |Re ees ees |a) Fe
5 aa |ae oe a CS ee |ee eyel ee
re |ee ee eee |ee ee
1re |Ue nee eed |
Organisations funds
La | Sub total of Internal acs
Church accounts (totals
brought forward from page
2 - totals column) 88,088] (a7) (b9) (c7) 133,671 131,732
jiofevcrurcContinueOTA! ASH FUNDS HELD woo} | [csol] [|__|] 133,671]wy |[__31,7321wy) |
if on a separate sheet TOTAL
necessary and bring the TOTAL RECEIPTS PAYMENTS
totals forward
STATEMENT OF ASSETS AND LIABILITIES
OPENING CLOSING
CHURCH - CASH FUNDS HELD at 31 CASH FUNDS HELD at 31 FUNDS HELD at 31 HELD at 31 at 31 31 August 2020 2020 BALANCES BALANCES
Cash in hand in hand hand ae maz
[oo com
14 |Centa Finance |Centa Finance Finance Boar
fo fowermms
SUB TOTAL - Church accounts 133,671 131,732
Total funds held by intemal Organisations (the closing
balance total from above) (e12) (e11) (e12)
a TOTAL TOTAL CASH FUNDS HELD BY FUNDS HELD BY BY CHURCH 133,671 131,732
SSS
OTHER ASSETS and ASSETS and and LIABILITIES 1 September 2019 31 August 2020
i Investments Investments (include Endowments Endowments ea hz
in| Land & Buildings Buildings (see notes re Insurancevalue re Insurancevalue Insurancevalue 3,301,732 3,351,300
f4 Include only Funds held at the Central Finance Board .
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CHURCH - CASH FUNDS HELD at 31 CASH FUNDS HELD at 31 FUNDS HELD at 31 HELD at 31 at 31 31 August 2020 2020
Cash in hand in hand hand
[oo com
14 |Centa Finance |Centa Finance Finance Boar
fo fowermms
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a TOTAL TOTAL CASH FUNDS HELD BY FUNDS HELD BY BY CHURCH
SSS
OTHER ASSETS and ASSETS and and LIABILITIES
i Investments Investments (include Endowments Endowments
in| Land & Buildings Buildings (see notes re Insurancevalue re Insurancevalue Insurancevalue
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5 Include only Funds held at Trustees for Methodist Church Purposes gi Include any other investments (not the cash element of TMCP trusts accounts this is included in line f5
2015 Church R and P.xls
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Name of Church .. Caversham Heights Methodist Church
Declarations and Scrutiny
| confirm that these Receipt and Payment based accounts for the year to 31 August 2020 have been prepared from the records of the Church and that they include all funds under the control of the Church trustees.
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Signature of treasurerae paie....7 Aey #020
Name and address of treasurer ........ Peter Boardley
So Rertlell fash, Erames Cueen Post cove AZH:. GE
Presentation to the Church trustees ,
wERE
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| confirm that the annual report and accounts for the year ended 31 August 2020 were/tAf@6* presented to the meeting of the Church trustees held on bo /Mev/ 2020. Signature of the Chair of the meeting csopnessesaggetebt coe hsssuanseonsnisnccsbinnteasiesenAennhnastneccceannon Name of the Chair of the meeting Kee, (eatin. BRKES...... Date Addbel Zeus
Independent Examiner’s Report to the Trustees of the
Caversham Heights Methodist Church Charity Number 4,7,§22
Responsibilities' and basis of report7 Cousrthoun Neelyi[Gesl][Qaaveh.][ ...][ Church] | report to the trustees on my examination of the accounts of[the][ Melba] for the year ended 31 August 2020 set out on pages to 5. As the Church’s trustees, you are responsible for the preparation of the accounts in accordance with the requirements of the Charities Act 2011 (‘the Act’).
| report in respect of my examination of the Church’s accounts carried out under section 145 of the Act and, in carrying out my examination, | have followed all the applicable Directions given by the Charity Commission under section 145(5)(b) of the Act.
- delete or circle as appropriate
,
2015 church R and P.xis
4o0f5
No cece.
Name of Church ..... CAVERSARM
WEIGHTS
Independent Examiner’s Statement
| have completed my examination. | confirm that no material matters have come to my attention in connection with the examination (other than that disclosed below*) which give me cause to believe that in, any material respect:
e the accounting records were not kept in accordance with section 130 of the Act; or e the accounts do not accord with the accounting records. [the [the
| have no concerns and have come across no other maiters in connection with the examination to which attention should be drawn in this report in order to enable a proper understanding of the accounts to be reached.
| have/have not* obtained independent verification of all investments with the Trustees for Methodist Church Purposes or held in other trusts, bank balances and funds at the Central Finance Board of the Methodist Church which are individually in excess of £10,000 (ten thousand pounds) at the balance sheet date.
Signature of independent examiner ee Name of independent examiner AWS ANeD Relevant professional: qualification——of independent examiner, .....0Rech.Steeeee ee eeeeeee
Nameoffirm (where appropriate) .....................cccccceee eeeeeceececeeeceecccececscecseceeceecsseeseesseees
Address ......... A CLeMMEL Chose. CAVERSHAIA, REARS SO i rr ars oe Saal A dl na maemamemnmanneneqamanninemenarnnenmennnemmmmnnn TIRE RGA SBE
Date SS) Sd
- delete or circle as appropriate
2015 church R and P.xls
5 of 5
CHURCH RECEIPTS AND PAYMENTS ACCOUNTS
||
THE METHODIST CHURCH
STANDARD FORM OF ACCOUNTS
CAVERSHAM HEIGHTS METHODIST
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Church
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FOR THE YEAR ENDED
31 August 2020
BASINGSTOKE & READING Circuit
----- Start of picture text -----
26/4
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Registered Charity - Charity Registration number
1127822
If not a registered charity Her Majesty’s Revenue and Customs Gift Aid number
(The HMRC number is equivalent to a registered charity number in terms of evidence of charitable status and may be used to give to donors or grant funders wishing to see evidence of the organisation's charitable status. Methodist charities in England and Wales that are not registered charities are excepted from registration under Statutory Instrument 2014 No.242)
Minister:
Rev Martin Beukes
Church Stewards:
Margaret Ellison
Colin Hinks
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i -— "7 | eee
'"". 17 eae
----- End of picture text -----
Treasurer:
Peter Boardley
Church R and P 2015.xIs 1 of 5
ACCOUNTS FOR THE YEAR ENDED 31 AUGUST 2020
Caversham Heights Methodist
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Church
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||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
|Unrestricted|Restricted|Totals|this|Totals|last|
|SECTION A|Funds|Funds|year|year|
|RECEIPTS|aee|||
|Offerings and Tax recovered|li|61,955 fF|||61.955|60,002|
|Bank|and|CFB|interest and|
|a3 |Investment income|420|521|
|a5as|tetings=||tw rz5]|dt|29,137|
|a6 |TOTAL|Other receipts RECEIPTS|Po|sa|d|80,531,42|2|]|7|,556],556|8|8,|088|978|(a7)||||9|8,|4175|3|
|SECTION|B|
|PAYMENTS|
|Circuit Assessment or Share|iia|54,789ian|54,789|58,645|
|b3|Donations|||S]|6,020|
|ba [RepairsUtilities|and(Insurances, Maintenancewater|pTtra]||||az.zas]|=||__o.ta0|
|charges,|heating &|lighting)|7,162|7,762|8,282|
|03,539|
|[pe|[TOTALOther payments PAYMENTS|[—«le|85,500]4,601|4,4.|527|||||[90,027]]|9,428)|way]|_|11,446|
|SECTION|C|
|Haci|NET|FOR RECEIPTS/PAYMENTS THE YEAR|a6-b8)|(4,968|3,029|4,874|
|last|yea|
|EaleTotal funds brought forward from|434,027|(356)|||133,674|128,797|
|Sub|total|c1+c2)|129,059|2,673|131,732|133,671|
|Transfers and adjustments|ee|ee||ee) ||
|c5 |TOTAL FUNDS AT END OF YEAR|(c3+c4)||129,059]|——2,673]||131,732] (c8)]||133,674] (c6)||
|SECTION|D|
|FOR INFORMATION|ONLY:|MONEY|RECEIVED AND|PASSED|ON TO|EXTERNAL|ORGANISATIONS|
|(these|amounts are|not to be|included|in|total|receipts/payments|figures|£|£|
|Balance brought|forward from last|year|ae|od|
|Offerings/Gifts|-|received|for external|organisations|3,657|8,253|
|Offerings/Gifts|- passed|to|external|organisations|3,626|8,249|
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Church R and P 2015.xls
2 0f 5
Caversham Heights Methodist — church
SUMMARY OF CHURCH ACCOUNTS AND INTERNAL ORGANISATIONS REPORTING TO THE CHURCH COUNCIL
Summary of the Church accounts for the year ended 31 August 2020 and Internal Organisations reporting to the Church Council/Church Meeting. Note that the funds of an Intemal Organisation would normally be Restricted funds unless it could be clearly shown that they could be used for any Methodist purpose. This section must be completed to arrive at the gross income and expenditure totals of the Church. If gross income exceeds the Accruals threshold, then the Accruals method of accounting AND A DIFFERENT FORM must be used to report the accounts (see Methodist website). Please refer to the guidance notes regarding transfers between the District land connected District Organisations.
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INTERNAL Net Receipts/ Opening
ORGANISATIONS Receipts Payments Payments Adjustments balances Closing balances
5| ee TS eee ee | ee ee
|eel |Re ees ees |a) Fe
5 aa |ae oe a CS ee |ee eyel ee
re |ee ee eee |ee ee
1re |Ue nee eed |
Organisations funds
La | Sub total of Internal acs
Church accounts (totals
brought forward from page
2 - totals column) 88,088] (a7) (b9) (c7) 133,671 131,732
jiofevcrurcContinueOTA! ASH FUNDS HELD woo} | [csol] [|__|] 133,671]wy |[__31,7321wy) |
if on a separate sheet TOTAL
necessary and bring the TOTAL RECEIPTS PAYMENTS
totals forward
STATEMENT OF ASSETS AND LIABILITIES
OPENING CLOSING
CHURCH - CASH FUNDS HELD at 31 CASH FUNDS HELD at 31 FUNDS HELD at 31 HELD at 31 at 31 31 August 2020 2020 BALANCES BALANCES
Cash in hand in hand hand ae maz
[oo com
14 |Centa Finance |Centa Finance Finance Boar
fo fowermms
SUB TOTAL - Church accounts 133,671 131,732
Total funds held by intemal Organisations (the closing
balance total from above) (e12) (e11) (e12)
a TOTAL TOTAL CASH FUNDS HELD BY FUNDS HELD BY BY CHURCH 133,671 131,732
SSS
OTHER ASSETS and ASSETS and and LIABILITIES 1 September 2019 31 August 2020
i Investments Investments (include Endowments Endowments ea hz
in| Land & Buildings Buildings (see notes re Insurancevalue re Insurancevalue Insurancevalue 3,301,732 3,351,300
f4 Include only Funds held at the Central Finance Board .
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CHURCH - CASH FUNDS HELD at 31 CASH FUNDS HELD at 31 FUNDS HELD at 31 HELD at 31 at 31 31 August 2020 2020
Cash in hand in hand hand
[oo com
14 |Centa Finance |Centa Finance Finance Boar
fo fowermms
----- End of picture text -----
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a TOTAL TOTAL CASH FUNDS HELD BY FUNDS HELD BY BY CHURCH
SSS
OTHER ASSETS and ASSETS and and LIABILITIES
i Investments Investments (include Endowments Endowments
in| Land & Buildings Buildings (see notes re Insurancevalue re Insurancevalue Insurancevalue
----- End of picture text -----
5 Include only Funds held at Trustees for Methodist Church Purposes gi Include any other investments (not the cash element of TMCP trusts accounts this is included in line f5
2015 Church R and P.xls
3 of5
Name of Church .. Caversham Heights Methodist Church
Declarations and Scrutiny
| confirm that these Receipt and Payment based accounts for the year to 31 August 2020 have been prepared from the records of the Church and that they include all funds under the control of the Church trustees.
----- Start of picture text -----
Signature of treasurerae paie....7 Aey #020
Name and address of treasurer ........ Peter Boardley
So Rertlell fash, Erames Cueen Post cove AZH:. GE
Presentation to the Church trustees ,
wERE
----- End of picture text -----
| confirm that the annual report and accounts for the year ended 31 August 2020 were/tAf@6* presented to the meeting of the Church trustees held on bo /Mev/ 2020. Signature of the Chair of the meeting csopnessesaggetebt coe hsssuanseonsnisnccsbinnteasiesenAennhnastneccceannon Name of the Chair of the meeting Kee, (eatin. BRKES...... Date Addbel Zeus
Independent Examiner’s Report to the Trustees of the
Caversham Heights Methodist Church Charity Number 4,7,§22
Responsibilities' and basis of report7 Cousrthoun Neelyi[Gesl][Qaaveh.][ ...][ Church] | report to the trustees on my examination of the accounts of[the][ Melba] for the year ended 31 August 2020 set out on pages to 5. As the Church’s trustees, you are responsible for the preparation of the accounts in accordance with the requirements of the Charities Act 2011 (‘the Act’).
| report in respect of my examination of the Church’s accounts carried out under section 145 of the Act and, in carrying out my examination, | have followed all the applicable Directions given by the Charity Commission under section 145(5)(b) of the Act.
- delete or circle as appropriate
,
2015 church R and P.xis
4o0f5
No cece.
Name of Church ..... CAVERSARM
WEIGHTS
Independent Examiner’s Statement
| have completed my examination. | confirm that no material matters have come to my attention in connection with the examination (other than that disclosed below*) which give me cause to believe that in, any material respect:
e the accounting records were not kept in accordance with section 130 of the Act; or e the accounts do not accord with the accounting records. [the [the
| have no concerns and have come across no other maiters in connection with the examination to which attention should be drawn in this report in order to enable a proper understanding of the accounts to be reached.
| have/have not* obtained independent verification of all investments with the Trustees for Methodist Church Purposes or held in other trusts, bank balances and funds at the Central Finance Board of the Methodist Church which are individually in excess of £10,000 (ten thousand pounds) at the balance sheet date.
Signature of independent examiner ee Name of independent examiner AWS ANeD Relevant professional: qualification——of independent examiner, .....0Rech.Steeeee ee eeeeeee
Nameoffirm (where appropriate) .....................cccccceee eeeeeceececeeeceecccececscecseceeceecsseeseesseees
Address ......... A CLeMMEL Chose. CAVERSHAIA, REARS SO i rr ars oe Saal A dl na maemamemnmanneneqamanninemenarnnenmennnemmmmnnn TIRE RGA SBE
Date SS) Sd
- delete or circle as appropriate
2015 church R and P.xls
5 of 5