Recei
ts and payments accounts
For the pgriod
from
To
Ji
oj
2S
Section A Receipts and payments
Unrestrlcted
funds
to the n•are*t
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 fl￿1¢91 E
Total lunds
Last year
to ngat•ot£
to ￿9•r1•￿t
81 Cash funds
Total cash lunds
OK
R•stil￿d
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
tr1￿1￿￿0￿ t>ohAWofg1
lh• trusl
Slgnatur•
Prfnl Narnfr
Date of
gpproval
I Stslem8ntAssets & liJbilitiÈS