## 

## 



## 

## 

## 






|||~|~||~|~||~|~ ~||
|---|---|---|---|---|---|---|---|---|---|---|
||||||||Unrestricted|Restricted||Endowment|
||Categories|||Details|||funds||funds|funds|
||||||||io nearest E|io|nearest E|ionearest E|
|Bt Cash|funds||||||1,895||||
||||||Total|cash funds|1,895||||
|||||(verve|bclcccccwall rccciplc cnd pcrmcclc|||'|||
|||||||cccccci(c))|DX|(p|||
||||||||Unrestricted|Restrlcfed||Endowment|
||||||||funds||funds|funds|
|||||Details|||ionearest E|to|nearcet E|ic nearest E|
|B2Other|monetary assets||||||||||
|||||Details|||Fund towhich<br>asset helen<br>c|Cost (optional)||Current value<br>o<br>lonal|
|B3Investment||assets|||||||||
|||||Details|||Fund lowhich<br>acoolbelon<br>5|Cost (optional)||Current value<br>o<br>lonal|
|B4Assets retained for the|||||||||||
|charity's|own|uss|||||||||
|||||Detags|||Fund to which<br>nabnl<br>relates|Amount<br>duo<br>o senal||When due (opdonal)|
|BSLiabilities|||||||||||
|Signed by one or two trustees on<br>behalf of all lhe trustees|||||Signature||Print|Name||Date of approval|
||||||||k' 8Ak/VCR|||Gf~ipy|