## 



|||||~|~|~<br>~||~<br>~ ~||
|---|---|---|---|---|---|---|---|---|---|
|Categories||Details||||Unrestricted<br>funds<br>to nearest t||Restricted<br>funds<br>to nearest E|Endowment<br>funds<br>to nearest t|
|B1Cash funds||N/A||||||||
|||||Total|cash funds|||||
||||(agrae|balances wan receipts and payments||||||
||||||acccunt(s))|OK|Agreemcnt<br>Frrr:r||Ol&|
|||||||Unrestricted|Restricted||Endowment|
|||||||funds||funds|funds|
|||Details||||to nearest t||to nearest t|to nearest t|
|62 Other monetary assets||N/A||||||||
|||Details||||Fund to which<br>asset helen<br>s|Cost (optional)||Current value<br>o tional|
|B3Investment|assets|N/A||||||||
|||Details||||Fund to which<br>asset balan<br>s|Cost (optional)||Current value<br>0 tional|
|B4Assets retained for the||N/A||||||||
|charity's<br>own|use|||||||||
|||Details||||Fund to which<br>liabll'<br>relates|Amount due<br>o<br>ional||When due<br>ional|
|BSLiabilities||N/A||||||||
|Signed by one or two trustees on<br>behalf of all the trustees||||Signature||Print|Name||Date of<br>a<br>royal|
|||||||vk) e(s~i||t(Lc--i4 I|i<br>23|