**Charity Name**
## **Receipts and pay**
Period start date
## **For the period from**
## **Section A Receipts and payments**
## **Unrestricted funds**
**to the nearest £**
## **Restricted funds**
## **to the nearest £**
## **A1 Receipts**
**----- Start of picture text -----**
DONATIONS 1,350 -
EDUCATIONAL FEES - -
FOODBANK GRANT 19,877
REV 189 -
SCC COVID GRANT 19,431 -
LOAN - -
- -
- -
Sub total (Gross income for AR) 20,970 19,877
A2 Asset and investment sales,
(see table).
- -
- -
Sub total [ - ] -
Total receipts 20,970 19,877
A3 Payments
FOOD BANK 9,625
TELEPHONE 368 -
PEST CONTROL 90 -
BANK CHARGES 3 -
RATES & WATER RATES 1,701 -
LIGHT & HEAT 2,159 -
INSURANCE 576 -
MOTOR & TRAVEL - -
BOOKS & MATERIALS 1,394 -
REPAIRS & RENEWALS 15,654 -
SUNDRY
CLEANING - -
PRINTING, POSTAGE & STATIONERY 63 -
EQUIPMENT 8,225 -
30,232 9,625
- -
- -
Sub total - -
Total payments 30,232 9,625
**----- End of picture text -----**
_**Net of receipts/(payments)**_ **- 9,262**
**10,252**
|**A5 Transfers between funds**
**A6 Cash funds last year end**
**_Cash funds this year end_**|**-**||**-**|
|---|---|---|---|
||**184**||**-**|
||**- 9,078**||**10,252**|
## **Section B Statement of assets and liabilities at the**
## **Categories**
## **Details**
## **B1 Cash funds**
BANK
## _**Total cash funds**_
(agree balances with receipts and payments account(s))
## **Details**
## **B2 Other monetary assets**
## **Details**
## **B3 Investment assets**
## **Details**
**B4 Assets retained for the charity’s own use**
## **Details**
**B5 Liabilities**
Signed by one or two trustees on behalf of all the trustees Signature
## **No (if any)**
## **yments accounts**
## **CC16a**
Period end date
## **To**
## **Endowment funds**
**to the nearest £**
## **Total funds Last year**
## **to the nearest £ to the nearest £**
**----- Start of picture text -----**
- 1,350 1,405
- - 36,065
- 19,877 9,924
- 189 235
- 19,431 -
- - 10,000
- - -
- - -
- 40,847 57,629
**----- End of picture text -----**
**----- Start of picture text -----**
- -
- - -
- - -
- 40,847 57,629
- 9,625
- 368 91
- 90
- 3
- 1,701 3,189
- 2,159 2,477
- 576 541
- - 26,450
- 1,394 8,624
- 15,654 11,754
747
- - -
- 63 -
- 8,225 5,350
- 39,857 59,223
**----- End of picture text -----**
**----- Start of picture text -----**
- -
- -
- - -
- 39,857 59,223
- 991 - 1,594
**----- End of picture text -----**
**----- Start of picture text -----**
- - -
- 184 -
- 1,175 - 1,594
**----- End of picture text -----**
## **end of the period**
**----- Start of picture text -----**
Unrestricted Restricted funds Endowment
funds funds
to nearest £ to nearest £ to nearest £
1,175 - -
- - -
- - -
1,175 - -
Agreement Error Agreement Error OK
Unrestricted Restricted funds Endowment
funds funds
to nearest £ to nearest £ to nearest £
- - -
- - -
- - -
- - -
- - -
- - -
**----- End of picture text -----**
## **Fund to which asset belongs**
**Cost (optional)**
**Current value (optional)**
**----- Start of picture text -----**
- -
- -
- -
- -
- -
**----- End of picture text -----**
**Fund to which asset belongs**
**Current value (optional)**
**----- Start of picture text -----**
Cost (optional)
belongs (optional)
- -
- -
- -
- -
- -
- -
- -
- -
- -
Fund to which Amount due When due
liability relates (optional) (optional)
-
-
**----- End of picture text -----**
Print Name
Date of approval