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|T<br>e ofadviser<br>Name|||Address|Address||||
|---|---|---|---|---|---|---|---|
|Name ofchief executive or names|ofsenior||staff members||(Optional||information)|
|~<br>e|||~ ~|~||||
|Description ofthe charity's trusts||||||||
|Type of governing<br>document<br>(eg, trust deed, constitution)|(|& a|—cows|||i (ax~(cA||
|How the charity is constituted<br>(eg, trust, association,<br>company)|(|&o|—|Pc|0(.ocAw)c 4|||
|Trustee, selection methods||||||||
|(eg. appointed<br>by, elected by)||||||||
|Additional<br>governance<br>issues (Optional||information)||||||
|You may choose to include||||||||
|additional<br>information,<br>where||||||||
|relevant,<br>about:||||||||
|~<br>policies and procedures||||||||
|adopted for the induction<br>and||||||||
|training<br>oftrustees;||||||||









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|||||Unrestricted|Unrestricted|Unrestricted||Restricted|Restricted|Endowment|
|---|---|---|---|---|---|---|---|---|---|---|
||Categories|Details|||funds||||funds|funds|
|||||to nearest||5||to|nearest 5|to nearest 5|
|Bt Cash|funds||||||||||
||||Total cash funds||||||||
|||(solos|SshrlcM wllh alcslptc sod Fsrcvsas||||||||
|||||OK|||OK|||OK|
|||||Unrestricted|||Restricted|||Endowment|
||||||funds||||funds|funds|
|||Details||to|nearest 5|||to|Iwsrsst 5|to os&last 2|
|B2Other monetary assets|||||||||||
|||||Fund to which||||||Currant value|
|||Details||asset salon||||||0<br>oas|
|B3Investment. assets|||||||||||
|||Details||Fund towhlch<br>asset balan<br>s|||0<br>Cost||(opt(Snag|Currant valos<br>o<br>anal|
|B4Assets retained for the|||||||||||
|charity's|own use||||||||||
|||Details||Fund <br>llabll|to which<br>relates||Aolouot dus<br>o<br>anal|||When dus<br>0 tloosl|
|B5Liabilities|||||||||||
|Signed by one or two trustees on<br>behalf ofall the trustees|||Signature||Print <br>Pw||liame<br>~u|||Date of<br>a<br>royal<br>xi 2x|



