## 
















|O|t))AR)TY COMM)55)pN<br>FOR ENGLAND<br>AND WALES|t))AR)TY COMM)55)pN<br>FOR ENGLAND<br>AND WALES|t))AR)TY COMM)55)pN<br>FOR ENGLAND<br>AND WALES|t))AR)TY COMM)55)pN<br>FOR ENGLAND<br>AND WALES|t))AR)TY COMM)55)pN<br>FOR ENGLAND<br>AND WALES||CharitY Name<br>'C&<br>Receipts|CharitY Name<br>'C&<br>Receipts|CharitY Name<br>'C&<br>Receipts|CharitY Name<br>'C&<br>Receipts|and||payments|payments|Nc ifan<br>accounts|Nc ifan<br>accounts|)|CC&ea|
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
||||||||Forthe period|||Peri|d ala|date||||Period end date|||
|||||||||from|||||||||||
||~|s|-|-|~|~|~||||||||||||
||||||||Unrestricted<br>funds|||Restricted<br>funds||||Endowment<br>funds||Total|funds|Last year|
||||||||to|the nearest<br>6||to the nearest|||6|to the nearest 6||to the nearest e||to the nearest f|
|A1 Receipts|||||||||||||||||||
|Sub|total||(Gross|income for|||||||||||||||
||||||AR)'||||||||||||||
|A2 Asset and <br>(see table).||investment<br>sales<br>Sub total<br>r nvS~*e~~|||||||||||||||||
|A3 Pa|ents||||||||||||||||||



|A2 Asset and investment<br>s<br>(see table).<br>Sub <br>A3 Pa<br>ents<br>r nv|ales<br> total<br>S~*|
|---|---|
|Sub|total|
|A4 Asset and investment||
|purchases,<br>(see table)||
|Sub <br>r sip r|total<br>~s~|
|Net ofreceiptsl(payments)||
|A5 Transfem<br>between funds||
|AS Cash funds last year end||
|Cash funds this year|end|





|Section|Section|B|Statement|ofassets and liabilities at the end ofthe period|
|---|---|---|---|---|
|||||~ .|
|~|.|~|- r.||
|||||~.|
|||||~-|
||L|I.|~||



