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2023-06-30-accounts

MOORFIELDS LIONS KORLE BU TRUST FOR YEAR ENDED 30 JUNE 2023

Charity Registration Number: 1130230

MOORFIELDS LIONS KORLE BU TRUST

TRUSTEES’ REPORT AND UNAUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED 30 JUNE 2023

1

MOORFIELDS LIONS KORLE BU TRUST

FOR YEAR ENDED 30 JUNE 2023

CONTENTS

ONTENTS
Page
References and Administrative Details of the Charity 3
Trustees’ Report 4
Independent Examiner’s Report 8
Statement of Financial Activities (incorporating Income and Expenditure Account) 9
Balance Sheet 10
Notes to the Financial Statements 11

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MOORFIELDS LIONS KORLE BU TRUST

FOR YEAR ENDED 30 JUNE 2023

REFERENCES AND ADMINISTRATIVE DETAILS OF THE CHARITY

Trustees Howard Lee, Chair Chris Iles Hannah Faal Surinder Kumar Mongia Ian Murdoch Evelyn Mensah Raj Das-Bhaumik Andrew Pemberton Stewart Sherman (appointed 18 Oct 2023) Secretary/Treasurer Andrew Pemberton Charity Registration Number 1130230 Principal Office 23 Aveley Lane Farnham Surrey GU9 8PR Independent Examiner Alistair Hayward Wright Hayward Wright Accounting Group Chartered Accountants 4 Clews Road Redditch Worcs. B98 7ST Bankers Standard Chartered Bank 1 Basinghall Avenue London EC2V 5DD Legal Advisers Bevan Brittan LLP Fleet Place House Holborn Viaduct London EC4M 7RF JLD & MB Legal Consultancy No. 6 Senchi Street Airport Residential Area Accra Ghana

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MOORFIELDS LIONS KORLE BU TRUST

FOR YEAR ENDED 30 JUNE 2023

TRUSTEES' REPORT

The Trustees present their report and the unaudited financial statements of the charity for the year ended 30 June 2023. The Trustees have adopted the provisions of the Statement of Recommended Practice (SORP) "Accounting and Reporting by Charities" (FRS 102) in preparing the annual report and financial statements of the charity.

The financial statements have been prepared in accordance with the accounting policies set out in the notes to the accounts and comply with the Charity's governing document, the Charities Act 2011 and Accounting and Reporting by Charities: Statement of Recommended Practice applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland published on 16 July 2014 {as amended by Update Bulletin 1 published on 2 February 2016).

Objectives and activities

Introduction

Moorfields Lions Korie Bu Trust aims to support efforts to tackle avoidable blindness and visual impairment in Ghana by developing eye care services at Korie Bu Teaching Hospital in Ghana's capital Accra and throughout West Africa by providing surgical training for eye care personnel from across the region. The Trust has also funded the construction of a new building to house a training centre, known as the Lions International Eye Centre, and the Korie Bu Teaching Hospital Ophthalmology Department.

The Trust's formal objectives are for the relief of patients and training of ophthalmologists and related staff attending the Ophthalmology Unit of Korie Bu Teaching Hospital in Accra Ghana and for any other charitable purpose. In pursuance of this purpose, the Trustees have, in accordance with section 4 of the Charities Act 2006, had due regard to the guidance on public benefit published by the Charity Commission.

Overview

The World Health Organisation (WHO) estimates that 90% of blind people live in developing countries, yet 80% of those affected suffer needlessly because their blindness is treatable and/or preventable. Indeed, the restoration of sight and blindness prevention strategies are among the most cost-effective interventions in health care.

Africa is considered the region of the world with the greatest need for human resource development for eye care. WHO estimates that West Africa has some 2.6 million people who are blind. In Ghana there are less than 91 ophthalmologists involved in direct service delivery, serving a population of nearly 30.4 million. Two thirds of these have only had limited training to enable them to deal with cataract blindness. Currently there are no real opportunities for ophthalmologists to improve through continuing medical education or training in specific aspects of eye care (e.g. lid surgery, glaucoma surgery, etc) being available within the region. This has resulted in great limitation in the range of eye care that can be given in Ghana. The quality of eye care is also often poor. Ghana is indicative of the wider needs that exist across the region.

Moorfields Lions Korle Bu Trust aims to support efforts to make surgical training available for all within West Africa in order to raise the standard of eye care to that of the developed world.

The Trust has representation from Moorfields Eye Hospital NHS Foundation Trust, one of the world's leading eye hospitals, based in London, and from Lions Clubs International (both Lions Clubs of the British Isles and Lions Clubs International Foundation, which are integral parts of the world's largest service clubs organisation doing whatever is necessary to help those in need in communities locally and across the world). In 2006 the Trust signed an MOU with the Ministry of Health, Korie Bu Teaching Hospital, University of Ghana,

West Africa College of Surgeons and West African Health Organisation to establish a training programme including the construction of a training centre integrated in a new Department of Ophthalmology to pioneer the hands-on training.

The Trust has completed its fundraising for the rebuilding of the Ophthalmology Department and continues fundraising for the provision of surgical training facilities and scholarships, so that eye care personnel, particularly surgeons, from across the whole of West Africa, can attend. Attendees will take their skills and, in time, the ability to train others, back to their host nations. The training facility is known as the Lions International Eye Centre, Korie Bu.

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MOORFIELDS LIONS KORLE BU TRUST

FOR YEAR ENDED 30 JUNE 2023

TRUSTEES' REPORT (Continued)

Review of the year

The Trustees are pleased to report that, with the lifting of restrictions imposed by the COVID 19 pandemic in UK and Ghana, during the year to 30 June 2023 a number of training and associated activities have taken place including:

The building continues to be fully operational and agreements to enable the restricted gift of the building to the Korie Bu Teaching Hospital in Ghana, with reservation of use by the Trust for its training programme, have been agreed and work has resumed to transfer the lease of the land on which the property stands to Korie Bu Teaching Hospital.

Cumulatively to date, 54 surgeons have been trained in Medical Retina module 1, Glaucoma module 1, Anterior Segment module 1 and an oculoplastic pilot course. Development has continued to develop courses in paediatric cataract surgery, oculoplastic module 1, glaucoma module 2 and medical retina module 2.

By April 2024 we estimate some 177,000 treatments have been carried out by surgeons trained directly at Korle Bu and those trained by those trained at Korle Bu.

An appeal is in progress to fund a five-year course development and presentation programme. By the end of this period, it is intended that we will have doubled the number of courses available for training; the courses being run IN West Africa, BY West Africa, For West Africa.

A Project Funding Agreement was signed with Sight Savers International on June 23[rd] 2023. This provides funds totaling £150,000, payable in 3 equal annual instalments commencing July 2023.

Over the course of this project, it is expected that the capacity of ophthalmologists from Sightsavers-supported African countries would have been strengthened to deliver high quality surgical services.

The support will cover the following areas:

  1. Establish additional sub-speciality training programmes within the MLKB eye centre in Accra.

  2. Contribute to the supply of appropriate equipment to strengthen the existing and new sub-speciality units.

  3. Support the training and certification of sub-specialists in glaucoma, diabetic retinopathy (DR), paediatric ophthalmology and any other area that may be established in this partnership

Future plans

The three-year plan developed in 2019, implementation of which was delayed by the impact of COVID 19, will take the work of the Trust forward and assist in fundraising efforts. The plan is:

Acknowledgements

The Trustees remain most grateful to all donors who have contributed in support of this project and, in particular in respect of the year under review, to the individual Lions Clubs of the British Isles and lately to Sight Savers International

In addition to our generous donors, the Trustees would also like to record their grateful thanks to our partners and stakeholders in Ghana including HE the President of the Republic of Ghana, the Ghana Ministry of Health, the Board of Korte Bu Teaching Hospital, the West African College of Surgeons, the British High Commissioner to Ghana, Professor Yeboah, Dr Y.S. Adam, Dr Edith Dogbe, Dr Stephen Akafo, the late Mrs Evelyn Tay, the local Lions Clubs in Ghana and the Ghanaian High Commission in London for their continued support and assistance during the year.

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MOORFIELDS LIONS KORLE BU TRUST FOR YEAR ENDED 30 JUNE 2023

TRUSTEES' REPORT (Continued)

Financial review

The Trustees present their accounts for the year ended 30 June 2023.

As shown on page 9 to the financial statements, income for the year was £25,201 (2022: £65,514). Total funds expended were £84,620 (2021: £60,432), which meant that net expenditure amounted to £59,419 (2022: net income of £5,082).

As at the date of the balance sheet (30 June 2023), the building continues to be fully operational. No work was undertaken by the Trust during 2023 to maintain the building awaiting the signing of the agreements to enable the building to be donated to Korle Bu Teaching Hospital (2022 £ nil).

The Trustees' reserves policy is that all general fund reserves are for the expenditure involved in the handover of the building, and for provision of surgical training. The reserves policy will be reviewed once the building has been transferred to Korle Bu Teaching Hospital.

The level of reserves at 30 June 2023 was £2,859,262 (2022: £2,918,261).

Risks

The Charity's principal risks are as follows:

----- Start of picture text -----
Risk Mitigation Current status
The Trustees do not raise Ongoing fundraising. The fundraising campaign has
enough money. successfully achieved all its
goals so far.
The costs rise to exceed the Ongoing project cost review Remedial works have been
monev raised. and value engineering undertaken as necessary. An
The building and equipment is Regular specialist review of assessment of equipment needs
of insufficient quality. building quality, and regular has recently been done.
review of equipment needs
The building does not operate Assistance to Korte Bu Teaching An operating agreement
as intended. Hospital's Department of between the Trust and Korie Bu
Ophthalmology. Teaching Hospital has now been
signed
Ongoing charitable activities in Ongoing fundraising and local The future fundraising
the building are not commercial activities. requirement remains under
sustainable. review.
The region does not support the Early and ongoing links with the Building on successful project
vision for sub-speciality West African College of events in London and Abuja,
training. Surgeons. Nigeria, West African support
for the programmes continues.
----- End of picture text -----

Governance matters

The Trust is governed by its Trust Deed dated 13 February 2009 (amended 11 June 2009): it was registered as a Charity in England and Wales on 19 June 2009 (Registration No. 1130230), as a company in Ghana on 2 February 2010 (Registration No. ET000771123) and as a Charity on 28[th] November 2023 (Registration ET000771123). The Board currently has no sub-committees and meets at least bimonthly. Its accounting requirements are currently minimal and are provided pro bono by its Secretary/Treasurer. The charity employs no staff. The Board of Trustees may consist of the following:

Three nominated Trustees being members of Lions Clubs in the British Isles. One Trustee nominated by Lions Clubs International Foundation.

Four nominated Trustees being representatives of Moorfields Eye Hospital NHS Foundation Trust.

Up to two other Trustees appointed by the agreement of seven out of the eight Trustees nominated as above.

Current membership of the Board consists of a full complement from the first category, two from the third category and two from the final category. "First Trustees" and those nominated by them hold office for the duration of the current building and fitting out project.

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MOORFIELDS LIONS KORLE BU TRUST FOR YEAR ENDED 30 JUNE 2023

TRUSTEES' REPORT (Continued)

The Trustees hold other positions requiring familiarity with good practice in trusteeship and undertake such training as they personally identify as appropriate. Induction is currently individual to the joining trustee given the simplicity of the current operations.

In the coming year, the Board will review the need for sub-committees in the light of the expansion of its activities.

The Trust has made grants to provide paediatric eye treatment in Nigeria, using funds donated specifically for that purpose.

This report was approved and authorised f or issue by the Trustees on 24th April 2024 and signed on its behalf by:

Howard Lee Chair of Trustees

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MOORFIELDS LIONS KORLE BU TRUST FOR YEAR ENDED 30 JUNE 2023

INDEPENDENT EXAMINER’S REPORT

Independent Examiner's Report

to the Trustees of Moorfields Lions Korle Bu Trust (the “Charity”)

I report to the Charity trustees on my examination of the accounts of the Charity for the year ended 30 June 2023.

Responsibilities and basis of report

As the Charity’s trustees you are responsible for the preparation of the accounts in accordance with the requirements of the Charities Act 2011 (“the Act”).

I report in respect of my examination of the Charity’s accounts carried out under section 145 of the Act and in carrying out my examination I have followed all the applicable Directions given by the Charity Commission under section 145(5)(b) of the Act.

Independent examiner's statement

I confirm that I am are qualified to undertake the examination because I am a member of The Institute of Chartered Accountants in England and Wales.

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

  1. accounting records were not kept in respect of the Charity as required by section 130 of the Act; or

  2. the accounts do not accord with those records; or

  3. the accounts do not comply with the applicable requirements concerning the form and content of accounts set out in the Charities (Accounts and Reports) Regulations 2008 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.

Alistair Hayward Wright

Chartered Accountant Hayward Wright Accounting Group 4 Clews Road Redditch Worcs. B98 7ST

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MOORFIELDS LIONS KORLE BU TRUST FOR YEAR ENDED 30 JUNE 2023

STATEMENT OF FINANCIAL ACTIVITIES (incorporating Income and Expenditure Account)

Notes
Income from:
Donations and grants
2
Investments
3
Total income
Expenditure on:
Charitable activities
4, 5, 6
Total expenditure
Net income/(expenditure) for the
year and movement in funds
Reconciliation of funds:
Total funds brought forward
9
Total funds carried forward
9		 Restricted
funds
2023
£
14,224
10,977
25.201
84,620
84,620
(59,419)
2,918,681
2,859,262		 Total funds
2023
£
14,224
10,977
25,201
84,620
84,620
(59,419)
2,918,681
2,859,262		 Total funds
2022
£
58,093
7,421
65,514
60,432
60,432
5,082
2,913,599
2,918,681

The notes on pages 11 to 17 form part of these financial statements. All Income and Expenditure derive from continuing activities.

In 2022 and 2023 all Income and Expenditure was to/from restricted funds.

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MOORFIELDS LIONS KORLE BU TRUST FOR YEAR ENDED 30 JUNE 2023

BALANCE SHEET

----- Start of picture text -----
2023 2023 2022 2022
Notes
£ £ £ £
-
Current assets
Work in progress 1.7 2,793,689 2,793,689
Prepayments 7,240 7,654
Cash at Bank and in hand 13,883 72,888
Debtor 46,450 46,450
2,861,262 2,920,681
Creditors: amounts
falling due within one
year 9 2,000 2,000
Total assets less current
liabilities 2,859,262 2,918,681
Net assets 2,859,262 2,918,681
Charity funds
Restricted funds 9 2,859,262 2,918,681
----- End of picture text -----

The notes on pages 11 to 16 form part of these financial statements.

The financial statements were approved by the Trustees on 24[th] April 2024 and signed on their behalf by:

Howard Lee

Chair of Trustees

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MOORFIELDS LIONS KORLE BU TRUST FOR YEAR ENDED 30 JUNE 2023

NOTES TO THE FINANCIAL STATEMENTS

1 SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

The financial statements have been prepared in accordance with Accounting and Reporting by Charities: Statement of Recommended Practice applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) issued on 16 July 2014 (as updated through Update Bulletin 1 published on 2 February 2016), the Financial Reporting Standard applicable in the United Kingdom and Republic of Ireland (FRS 102), the Charities Act 2011 and UK Generally Accepted Accounting Practice as it applies from 1 January 2015.

The charity has applied Update Bulletin 1 as published on 2 February 2016 and does not include a cash flow statement on the grounds that it is applying FRS 102 Section 1A.

The financial statements have been prepared to give a ‘true and fair’ view and have departed from the Charities (Accounts and Reports) Regulations 2008 only to the extent required to provide a ‘true and fair’ view. This departure has involved following the Accounting and Reporting by Charities: Statement of Recommended Practice applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) issued on 16 July 2014.

The Moorfields Lions Korle Bu Trust constitutes a public benefit entity as defined by FRS 102. The financial statements are prepared on a going concern basis under the historical cost convention, modified to include certain items at fair value. The financial statements are presented in sterling which is the functional currency of the charity and rounded to the nearest pound.

The significant accounting policies applied in the preparation of these financial statements are set out below. These policies have been consistently applied to all years presented unless otherwise stated.

1.2 Funds

Restricted funds are funds which are to be used in accordance with specific restrictions imposed by donors or which have been raised by the Charity for particular purposes. The costs of administering such funds are charged against the specific fund. The aim and use of each restricted fund is set out in the notes to the financial statements.

All incoming resources are included in the Statement of Financial Activities when the charity is legally entitled to the income after any performance conditions have been met, the amount can be measured reliably, and it is probable that the income will be received.

For donations to be recognised the charity will have been notified of the amounts and the settlement date in writing. If there are conditions attached to the donation and this requires a level of performance before entitlement can be obtained then income is deferred until those conditions are fully met or the fulfilment of those conditions is within the control of the charity and it is probable that they will be fulfilled.

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MOORFIELDS LIONS KORLE BU TRUST FOR YEAR ENDED 30 JUNE 2023

NOTES TO THE FINANCIAL STATEMENTS (cont’d)

All expenditure is accounted for on an accruals basis and has been classified under headings that aggregate all costs related to the category. Expenditure is recognised where there is a legal or constructive obligation to make payments to third parties, it is probable that the settlement will be required and the amount of the obligation can be measured reliably. It is categorised under the following headings:

Other expenditure represents those items not falling into the categories above.

Irrecoverable VAT is charged as an expense against the activity for which expenditure arose.

Support costs are those that assist the work of the charity but do not directly represent charitable activities and include general management, administration and governance costs. They are incurred directly in support of expenditure on the objects of the charity.

1.6 Debtor

The Trust purchased (January 2020 prior to COVID restrictions being introduced) a Laser machine to enable training courses to continue as planned. The Trust will recover the debt from funds raised for training and supporting patient operations.

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MOORFIELDS LIONS KORLE BU TRUST FOR YEAR ENDED 30 JUNE 2023

NOTES TO THE FINANCIAL STATEMENTS (cont’d)

1.7 Stocks and work in progress

The charity, has built a facility, the Lions International Eye Centre, at the Korle Bu Teaching Hospital in Ghana. Costs incurred towards the construction and equipping of the Centre have been shown as work in progress. A lease and operating agreement with the Ghana Government has been entered into at peppercorn rent to allow the Charity and its subsidiary to occupy land at Korle Bu Teaching Hospital and construct the new department of Ophthalmology. The resulting building will be donated to the Korle Bu Teaching Hospital as a restricted gift which will allow the Charity and its subsidiary to carry out training activities. The purpose of the restricted gift is to secure the intent of the project’s donors, namely to provide a new building and charitable activities to benefit eye care. Discussions have also now commenced to transfer the lease for land from the Government of Ghana directly to the Korle Bu Teaching Hospital in Ghana.

Accordingly, the costs of building, less impairments, are treated as work in progress pending the restricted gift by the Charity of facilities to Korle Bu Teaching hospital.

1.8 Going concern

The financial statements have been prepared on a going concern basis as the Trustees believe that no material uncertainties exist. The Trustees have considered the level of funds held and the expected level of income and expenditure for 12 months from authorising these financial statements. The budgeted income and expenditure is sufficient with the level of reserves for the charity to be able to continue as a going concern.

1.9 Creditors payable within one year

Creditors are recognised when the Charity has a present legal or constructive obligation resulting from a past event and the settlement is expected to result in an outflow of economic benefits.

1.10 Foreign currency

Foreign currency transactions are initially recognised by applying to the foreign currency amount the spot exchange rate between the functional currency and the foreign currency at the date of the transaction.

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MOORFIELDS LIONS KORLE BU TRUST FOR YEAR ENDED 30 JUNE 2023

NOTES TO THE FINANCIAL STATEMENTS (cont’d)

1.11 Financial instruments

The Charity only holds basic Financial Instruments. The financial assets and financial liabilities of the Charity are as follows:

2 INCOME FROM DONATIONS AND GRANTS

Chichester Lions Club
MD 105 Various Lions Clubs
Share Sale
Lions Clubs International Foundation
Donations from trusts and foundations
Donations from individuals		 2023
£
2,000
11,774
13,774
450
14,224		 2022
£
-
5,000
3,000
50,093
58,093
-
58,093

There are no unfulfilled conditions or other contingencies attached to the government or other grants other than those set out in the Charities' activities in note 4.

3 INCOME FROM INVESTMENTS

Moorfield House Rental income less costs 2023
£
10,977
10,977		 2022
£
7,421
7,421

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MOORFIELDS LIONS KORLE BU TRUST FOR YEAR ENDED 30 JUNE 2023

NOTES TO THE FINANCIAL STATEMENTS (cont’d)

4 ANALYSIS OF EXPENDITURE ON CHARITABLE ACTIVITIES

2023
2023
Direct
activities
Support
costs
£
£
Supporting Childrens eye
treatment
Medical training
21,050
3,199
Course Development
34,651
Maintenance of Moorfields
House
-
1,837
Total expenditure on charitable
activities
21,050
39,687
5
TOTAL SUPPORT COSTS
Administrative support to Board of Trustees
Governance costs
Bank charges
Fund Raising costs
Total support costs
6
GOVERNANCE COSTS
Independent Examiner’s remuneration – 2023 accounts
Independent Examiner’s remuneration – prior years
Registration of Charity in Ghana
Total governance costs		 2023
Total
£
24,249
34,651
1,837
60,737
2023
£
13,263
6,127
1,560
2,933
23,883
2023
£
2,000
(80)
4,207
6,127		 2022
Total
£
-
5,000
55,432
-
60,432
2022
£
22,148
1,920
1,699
2,483
28,250
2022
£
2,000
(80)
1,920

7 TRUSTEES

The Trustees, who comprise all the Key Management Personnel of the Charity, neither received nor waived any remuneration during the year (2021: £nil).

Two Trustees received reimbursement of expenses £ 2,231 relating to visits to Ghana in the current year (2022: Two trustees £2,330).

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MOORFIELDS LIONS KORLE BU TRUST FOR YEAR ENDED 30 JUNE 2023

NOTES TO THE FINANCIAL STATEMENTS (cont’d)

8 CREDITORS: AMOUNTS FALLING DUE WITHIN ONE YEAR

Accruals
9
RECONCILIATION OF FUNDS
Training
Construction and FFE
Training
Construction and FFE		 Balance at
1 Jul
2022
£
96,706
2,821,975
2,918,681
Balance at
1 Jul
2021
£
91,624
2,821,975
2,913,599		 Income
£
25,201
25,201
Income
£
65,514
65,514		 2023
£
2,000
2,000
Expenditure
£
84,620
84,620
Expenditure
£
(60,432)
(60,432)		 2022
£
2,000
2,000
Balance at
30 Jun
2023
£
37,287
2,821,975
2,859,262
Balance at
30 Jun
2022
£
96,706
2,821,975
2,918.681

All the Charity's funds are restricted.

The Training Fund represents donations and funds raised from various sources that are designated for training courses and for patient treatment. The value of the fund was sufficient for its stated purposes as at 30 June 2023.

The Construction and FFE Fund represents donations and funds raised to support the building construction and provision of initial fixtures, fittings and equipment for the new Lions International Eye Centre and training facility. The value of the fund is sufficient to complete its stated purpose.

16