Section A Receipts and payments 

A1 Receipts 

Sub total(Gross income for AR) 

A2 Asset and investment sales, (see table). 

Sub total 

Total receipts 

A3 Payments 

Sub total 

A4 Asset and investment purchases, (see table) 

Sub total 

Total payments 

Net of receipts/(payments) A5 Transfers between funds A6 Cash funds last year end Cash funds this year end 

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

Page 1 



Categories 

B1 Cash funds 

B2 Other monetary assets 

B3 Investment assets 

B4 Assets retained for the charity’s own use 

B5 Liabilities 

Signed by one or two trustees on behalf of all the trustees 

Page 2 



Charity Name 

Receipts and payments accounts For the period from 

|Receipts and payments accounts|||
|---|---|---|
|For the period from||Period start date|
|Unrestricted funds||Restricted funds|
|to the nearest      £||to the nearest £|
||1200|-|
|-||-|
|-||-|
|-||-|
|-||-|
|-||-|
|-||-|
|-||-|
||1200|-|
|-||-|
|-||-|
|-||-|
||1200|-|
||1156|-|
|-||-|
|-||-|
|-||-|
|-||-|
|-||-|
|-||-|
|-||-|
|-||-|
||1156|-|
|-||-|
|-||-|
|-||-|
||1156|-|
||44|-|
|-||-|
|-||-|
||44|-|



Page 3 



## Details 

Total cash funds (agree balances with receipts and payments account(s)) 

Details Details Details Details Signature reuvensherman 

Page 4 



No (if any) 

|To|Period end date|||
|---|---|---|---|
|Endowment funds||Total funds||
|to the nearest £||to the nearest £||
|-|||1200|
|-||-||
|-||-||
|-||-||
|-||-||
|-||-||
|-||-||
|-||-||
|-|||1200|
|-||-||
|-||-||
|-||-||
|-|||1200|
|-|||1156|
|-||-||
|-||-||
|-||-||
|-||-||
|-||-||
|-||-||
|-||-||
|-||-||
|-|||1156|
|-||-||
|-||-||
|-||-||
|-|||1156|
|-|||44|
|-||-||
|-||-||
|-|||44|



Page 5 



|Unrestricted funds|Restricted funds|
|---|---|
|to nearest £|to nearest £|
|-|-|
|-|-|
|-|-|
|44|-|
|OK|OK|
|Unrestricted funds|Restricted funds|
|to nearest £|to nearest £|
|-|-|
|-|-|
|-|-|
|-|-|
|-|-|
|-|-|
|Fund to which asset belongs|Cost (optional)|
||-|
||-|
||-|
||-|
||-|
|Fund to which asset belongs|Cost (optional)|
||-|
||-|
||-|
||-|
||-|
||-|
||-|
||-|
||-|
|Fund to which liability relates|Amount due (optional)|
||-|
||-|
||-|
||-|
||-|
|Print Name||
|Reuven Sherman||



Page 6 



CC16a 

Last year to the nearest £ 

- - - - - - - - - 

- - 

- - - - - - - - - - - 

- - 

- - - - 

Page 7 



Endowment funds to nearest £ - - - - OK Endowment funds to nearest £ - - - - - - 

Current value (optional) 

- - - - - 

Current value (optional) - - - - - - - - - 

When due (optional) 

Date of approval 31/01/2026 

Page 8