


||||~|~|~|~ ~|||~|~|~<br>~ ~||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
|||||||||Unrestricted|||Restricted|Endowment|
|||||Details||||funds|||funds|funds|
|||||||||to nearest||F.|to nearest a|to nearest 4|
|B1Cash|funds||||||||102,564||||
||||||Tofaf cash funds||||102,564||||
|||||(agree|balances wdh|receipts|snd payments||||||
||||||||acconnt(s))||||||
|||||||||Unrestricted|||Restricted|Endowment|
|||||||||funds|||funds|fulltls|
|||||Details||||to nearest||2|to nearest 2|to nearest f|
|B2Other|monetary assets||||||||||||
|||||Details||||Fund <br>asset|to which<br> balan s||Cost (optional)|Current value<br>(o tional|
|B3Investment||assets|||||||||||
|||||Details||||Fund <br>asset|towhich<br> baton s||Cost (optional)|Current value<br>o tional|
|B4Assets retained for the|||||||||||||
|charity's|own|use|||||||||||
||||||||||||ibad&||
|||||||||Fund|towhich||Amount due|When due|
|||||Details||||liable|relates||o tional|o tional|
|85Liabilities|||||||||||||
|Signed by one or two trustees on<br>behalf ofall the trustees|||||Sign|ure||||Print|Name|Date of<br>a<br>royal|
|||||||||(||||)2 &|



