||**Home from Hospital Birmingham**<br> <br>|**Home from Hospital Birmingham**<br> <br>|**Home from Hospital Birmingham**<br> <br>|**Home from Hospital Birmingham**<br> <br>|**Home from Hospital Birmingham**<br> <br>|**No (if any)**<br>**1188508**|**No (if any)**<br>**1188508**|**CC16a**|
|---|---|---|---|---|---|---|---|---|
||**For the period**<br>**from**||Period start date<br>3/1/2020||**To**<br>|Period end date<br>3/31/2021|||
||||||||||
|**Section A Receipts and payments**|||||||||
|**A1 Receipts**<br>**zero**<br>**##**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>r<br>**-**<br>**-**<br>**zero**<br>**-**<br>**-**<br>**_Sub total_                              -**<br>**_Total receipts_**<br>**zero**<br>**A3 Payments**<br>**Unrestricted**<br>**funds**<br>**to the nearest      £**<br>**_Sub total_**_(Gross income for AR)_<br>**A2 Asset and investment sales,**<br>**(see table).**|||**to the nearest £**<br> **zero**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**Restricted**<br>**funds**||**to the nearest £**<br>**Endowment**<br>**funds**|**Total funds**<br>**to the nearest £**<br>**zero**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**zero**<br>**-**<br>**-**<br>**-**<br>**zero**||**Last year**<br>**to the nearest £**|
||||||**zero**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**|**zero**||**zero**|
|||||||**-**||**-**|
|||||||**-**||**-**|
|||||||**-**||**-**|
|||||||**-**||**-**|
|||||||**-**||**-**|
|||||||**-**||**-**|
|||||||**-**||**-**|
|||||||**zero**||**zero**|
||||||||||
||||||**-**<br>**-**<br>**-**|**-**|||
|||||||**-**||**-**|
|||||||**-**||**-**|
||||||||||
||||||**-**|**zero**||**zero**|
||||||||||
||**zero**||**zero**||**zero**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**|**zero**||**zero**|
||**-**||**-**|||**-**||**-**|
||**-**||**-**|||**-**||**-**|
||**-**||**-**|||**-**||**-**|
||**-**||**-**|||**-**||**-**|
||**-**||**-**|||**-**||**-**|
||**-**||**-**|||**-**||**-**|
||**-**||**-**|||**-**||**-**|
||**-**||**-**|||**-**||**-**|
|**_Sub total_ **|**zero**||**zero**||**zero**|**zero**||**zero**|
||||||||||
||||||**-**<br>**-**<br>**zero**|**-**|||
|||||||**-**|||
|||||||**zero**||**zero**|
||||||||||
||||||**zero**|**zero**||**zero**|
||||||||||
||||||**zero**<br>**-**<br>**-**<br>**zero**|**zero**||**zero**|
|||||||**-**||**-**|
|||||||**-**||**-**|
|||||||**zero**||**zero**|



|**A3 Payments**|||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
|||**zero**||||**zero**||**zero**||**zero**|||**zero**||||
|||||**-**||**-**||**-**|||**-**||||**-**||
|||||**-**||**-**||**-**|||**-**||||**-**||
|||||**-**||**-**||**-**|||**-**||||**-**||
|||||**-**||**-**||**-**|||**-**||||**-**||
|||||**-**||**-**||**-**|||**-**||||**-**||
|||||**-**||**-**||**-**|||**-**||||**-**||
|||||**-**||**-**||**-**|||**-**||||**-**||
|||||**-**||**-**||**-**|||**-**||||**-**||
|**_Sub total_ **||**zero**||||**zero**||**zero**||**zero**|||**zero**||||
||||||||||||||||||
|**A4 Asset and investment**|||||||||||||||||
|**purchases, (see table)**|||||||||||||||||
|||||**-**||**-**||**-**|||**-**||||||
|||||**-**||**-**||**-**|||**-**||||||
|**_Sub total_ **||**zero**||||**zero**||**zero**||**zero**|||**zero**||||
||||||||||||||||||
|**_Total payments_**|||**zero**|||**zero**||**zero**||**zero**||||**zero**|||
||||||||||||||||||
|**_Net of receipts/(payments)_**||||**zero**||**zero**||**zero**|||**zero**||||**zero**||
|**A5 Transfers between funds**||||**-**||**-**||**-**|||**-**||||**-**||
|**A6 Cash funds last year end**||||**-**||**-**||**-**|||**-**||||**-**||
|**_Cash funds this year end_**||||**zero**||**zero**||**zero**||**zero**|||||**zero**||





## **Section B Statement of assets and liabilities at the end of the period** 

|**Categories**<br>**B1 Cash funds**<br>**B2 Other monetary assets**<br>**B3 Investment assets**<br>**B5 Liabilities**<br>**B4 Assets retained for the**<br>**charity’s own use**<br>Signed by one or two trustees on<br>behalf of all the trustees|**Details**<br>**Details**<br>none<br>**Details**<br>none<br>**Details**<br>none<br>**Details**<br>none<br>Signature<br>R Smith<br>J A Owen<br>**_Total cash funds_**<br>(agree balances with receipts and payments<br>account(s))|**to nearest £**<br>**to nearest £**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**zero**<br>**zero**<br>#VALUE!<br>#VALUE!<br>**to nearest £**<br>**to nearest £**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**Cost (optional)**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**Cost (optional)**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>Print Name<br>Robert Smith<br>Jacqueline Owen<br>**Unrestricted**<br>**funds**<br>**Restricted**<br>**funds**<br>**Unrestricted**<br>**funds**<br>**Restricted**<br>**funds**<br>**Fund to which**<br>**asset belongs**<br>**Fund to which**<br>**asset belongs**<br>**Fund to which**<br>**liability relates**<br>**Amount due**<br>**(optional)**|**to nearest £**<br>**Endowment**<br>**funds**|
|---|---|---|---|
||||**-**|
||||**-**|
||||**-**|
||||**zero**|
||||#VALUE!|
||||**to nearest £**<br>**Endowment**<br>**funds**|
||||**-**|
||||**-**|
||||**-**|
||||**-**|
||||**-**|
||||**-**|
||||**Current value**<br>**(optional)**|
||||**-**|
||||**-**|
||||**-**|
||||**-**|
||||**-**|
||||**Current value**<br>**(optional)**|
||||**-**|
||||**-**|
||||**-**|
||||**-**|
||||**-**|
||||**-**|
||||**-**|
||||**-**|
||||**-**|
||||**When due**<br>**(optional)**|
|||||
|||||
|||||
|||||
|||||
|||||
||||Date of<br>approval|
||R Smith|Robert Smith|03.06.24|
||J A Owen|Jacqueline Owen|**03.06.24**|



