Recei ts and payments accounts For the pgriod from To Ji oj 2S Section A Receipts and payments Unrestrlcted funds to the n•aret Restrlcted funds Endowment funds Totsl funds Last year to th? n••rtst £ t¢ th• n•af•8t£ to th• n••r••t £ to th• n••r••t£ A1 R•¢olpts Odo Al Sub tota (Gross Sncome for the Annual Return) A2 Ass•t and Invostrnont sal•s (see tables 18nd 2 In sectlon 7 of the guld8nceJ. 200 11921 A2 ub Iota A3Pa ents 90 21 A3 Sub total A4 Assgt and Investment purchases (sge tables 1 and 2 In sectlon 7 of the uidancg A4 Sub total Total payments Net of recoipts/(payments) A5 Transfers b•twgen funds A6 Cash fvnds l•st year ond Cash fvnds this year end ql2- 23. CCXX R1 a¢counts {SSI
Chorlty No. P•rfod •nd dAte". Section B Statement of assets and liabilitios at the end of the period Unr•striGtgd nd5 EndowTn•nt funds funds to fl1¢91 E Total lunds Last year to ngat•ot£ to 9•r1•t 81 Cash funds Total cash lunds OK R•stild fund• ro neir•Jt£ Endowm•nt fund to n¢irMt£ fund Totsl fund• L••ty••r lo nur¢•l£ to nMTMI £ Totil Fundto *thl¢lL Cvitloptlgni Curr•nt 83 Inv••tm•nt &18èts Totsl C••t loptlonllll Cun•nt¥ilu• L•st 84 A•••l• r•t•lTr•d lor th• ¢harlty• own . JL_iU'llO Fund Wh•n du• 110ty•1 dv• on•1 85 LlmbHI To Slumd by rrn or tr110 t>ohAWofg1 lh• trusl Slgnatur• Prfnl Narnfr Date of gpproval I Stslem8ntAssets & liJbilitiÈS