## 



|Type efgovernirg<br>dbcumertt|Constitution ofa Chalifal5lh<br>incorporated<br>members see-i5s Charity Trustees'|GrganisatierT|whose only veting|
|---|---|---|---|
|How the cherity, is consttIatedI|Trus5|||
|Trustee seIIection ~ihods|Appointedi<br>5ySe existing 5rustees|||



## 








-rfj￿.r.-s Llfi
rf •:-ri-,a ri.-












||||Total ca|sh funds|&St<br>o|||
|---|---|---|---|---|---|---|---|
||||(agree balances with receipts|and payments||||
|||||account(s))||||
||||||Unrestricted|Restricted funds|Endowment|
||||||funds||funds|
|||Details|||to nearest R|to nearest S|to nearest r.|
|82Other|monetary assets|||||||
|||Details|||Fund towhich asset<br>belongs|Cost {opbonai)|Current value<br>(optional)|
|83investment||assets||||||
||||||Fund to which asset<br>belongs|Cost (optional)|Current value<br>(optional)|
|84Assets retained for the||||||||
|charity's|own|use||||||
||||||Fund towhich|Amount due|WHen due (optional)|
|||Details|||liability<br>relates|(optional)||
|85Liabilities||||||||
|Signed by|one or|two trustees on behalf of|Sinature||Print|Name|Date ofapproval|



## 



|CHAIRS |C:OQQ55IO|CHAIRS |C:OQQ55IO|CHAIRS |C:OQQ55IO|Independent<br>examiner's<br>report||
|---|---|---|---|---|
|FOR ENGLANO||ANO MfALE<br>on the accounts|||
|Report tothe trusteesl|||||
||members of||||
|On accounts|forthe year||Charity no||
||||(ifany)||
|Setout on pages|||||
||||I report to the trustees on my examination<br>ofthe||
||||accounts ofthe above charity ("the Trust" ) forthe year||
||||ended||
|Responsibilities|and basis<br>ofreport||As the charity trustees ofthe Trust, you are responsible<br>for the preparation<br>ofthe accounts<br>in accordance<br>with the||
||||requirements<br>ofthe Charities Act2011 ("theAct").||
||||I report in respect of my examination<br>ofthe Trust's||
||||accounts carried out under section 145ofthe 2011 Act||
||||and in carrying out my examination,<br>I have followed the||
||||applicable<br>Directions given by the Charity Commission||
||||under section 145(5)(b)ofthe Act.||
|Independent<br>examiner's<br>statement|||I have completed<br>my examination.<br>I confirm that no<br>material<br>matters have come to my attention<br>(otber4han<br>.") in connection<br>with the||
||||examination<br>which gives me cause to believe that in,|any|
||||material respect:||
||||~ accounting<br>records were not kept in accordance|with|
||||section 130ofthe Act or||
||||~the accounts do not accord with the accounting||
||||records||
||||I have no concerns and have come across no other||
||||matters<br>in connection<br>with the examination<br>to which||
||||attention<br>should be drawn<br>in order to enable a proper||
||||understanding<br>ofthe accounts to be reached.||
||||Please delete the wordsin<br>the brackets ifthey do not||
||||aWty.||
||Signed:||Date:||
||Name:||||
|Relevant professional|||ghyR frg~fyti=y,<br>5CtclV+S||
|qualification(s)|or body (if<br>any):||&<br>cEo - P6N(iixyg||
||Address:||||
||||Only complete<br>ifthe examiner needs to highlight<br>matters||
||||ofconcern (see CC32, Independent<br>examination<br>of||
||||charity accounts: directions<br>and guidance<br>for examiners).||