## **APPENDIX 1**
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Period start date Period end date
Day Month Year Day Month Year
From To
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Office of the Scottish **Charity Regulator**
## **Reference and administration details**
**Charity name Other names charity is known by Registered charity number SC**
## **Postcode**
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Name of person
Dates acted if
Trustee name Office (if any) (or body) entitled to
not for whole year
appoint trustee (if any)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
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**1**
**APPENDIX 1**
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Reference and administration details
Names of all other charity trustees during the period, if any, (for example, those who resigned part way
through the financial period)
Name Dates acted if not for whole year
Structure, governance and management
Type of governing document
Trustee recruitment and appointment
Objectives and activities
Charitable purposes
Summary of the main activities
in relation to these objects
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**2**
**APPENDIX 1**
**Achievements and performance Summary of the main achievements of the charity during the financial period**
**Financial review on reserves Details of any deficit Donated facilities and services (if any)**
**3**
**APPENDIX 1**
## **Other optional information**
## **Declaration**
## **The trus**
**Signature(s) Full name(s) Position (e.g. Chair) Date**
**4**
Enter SC No. below
Enter charity name below
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SC
Receipts and payments accounts
Period start date Period end date
For the period Day Month Year to Day Month Year
from
Section A Statement of receipts and payments
Expendable Permanent
Unrestricted Restricted Total funds Total funds last
endowment endowment
funds funds current period period
funds funds
to nearest £ to nearest £ to nearest £ to nearest £ to nearest £ to nearest £
A1 Receipts
Donations -
Legacies -
Grants -
Receipts from fundraising activities -
Gross trading receipts -
Income from investments other than
land and buildings -
Rents from land & buildings -
Gross receipts from other charitable
activities -
-
A1 Sub total - - - - - -
A2 Receipts from asset &
investment sales
Proceeds from sale of fixed assets -
Proceeds from sale of investments -
A2 Sub total - - - - - -
Total receipts - - - - - -
A3 Payments
Expenses for fundraising activities -
Gross trading payments -
Investment management costs -
Payments relating directly to charitable 553
activities -
Grants and donations -
Governance costs: -
Audit / independent examination -
Preparation of annual accounts -
Legal costs -
Other -
-
A3 Sub total - - - - - -
A4 Payments relating to asset and
investment movements
Purchases of fixed assets -
Purchase of investments -
A4 Sub total - - - - - -
Total payments - - - - - -
Net receipts / (payments) - - - - - -
A5 Transfers to / (from) funds -
Surplus / (deficit) for year
- - - - - -
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APPENDIX 2
**SC**
## **Section B Statement of balances**
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Unrestricted Expendable Permanent Total current
Categories Details funds Restricted funds endowment funds endowment funds period Total last period
to nearest £ to nearest £ to nearest £ to nearest £ to nearest £ to nearest £
B1 Cash funds Cash and bank balances at start of year
-
Surplus / (deficit) shown on receipts and
payments account -
-
-
Cash and bank balances at end of year - - - - - -
(Agree balances with receipts and payments
account(s)) - - - - - -
Fund to which asset belongs Market valuation Last year
Details
to nearest £ to nearest £
B2 Investments
Total - -
Details Fund to which asset belongs Cost (if available) Current value (if available) Last year
to nearest £ to nearest £ to nearest £
B3 Other assets
Total - - -
Details Fund to which liability relates Amount due Last year
to nearest £ to nearest £
B4 Liabilities
Total - -
Details Fund to which liability relates Amount due (estimate) Last year
to nearest £ to nearest £
B5 Contingent liabilities
Total - -
Signed by one or two trustees Date of
on behalf of all the trustees Signature Print Name
approval
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2013-04-02 Copy of Trustees AR Ap2 excel.xls / Statement of balances
2
December 2007
APPENDIX 2
**SC**
## **Section C Notes to the Accounts**
|**C3a Trustee remuneration**
**C4a Trustee expenses**
**C6 Other information**
**C5 Transactions with trustees**
**and connected persons**
**C3b Trustee remuneration -**
**details**
**C4b Trustee expenses -**
**details**
**C1 Nature and purpose of**
**funds**_(may be stated on_
_analysis of funds worksheets)_
**C2 Grants**|**Individual /**
**institution**
**Number of grants**
**made**
**£**
**-**
**£**
**Number of**
**trustees**
**£**
**Transaction**
**amount (£)**
**Balance**
**outstanding at**
**period end (£)**
**Type of activity or project supported**
**Nature of relationship**
**Nature of transaction**
**Total**
If no remuneration was paid during the period to any charity trustee or person connected to a
trustee cross this box (otherwise complete section 3b)
**Authority under which paid**
If no expenses were paid to any charity trustee during the period then cross this box
(otherwise complete section 4b)|
|---|---|
2013-04-02 Copy of Trustees AR Ap2 excel.xls / Notes
3
December 2007
APPENDIX 2
**SC**
## **Additional analysis (1)**
## **Analysis of receipts and payments**
## **1 Donations**
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Unrestricted Expendable Permanent Total current
funds Restricted funds endowment funds endowment funds period Total last period
to nearest £ to nearest £ to nearest £ to nearest £ to nearest £ to nearest £
-
-
-
-
Total - - - - - -
- - - - - -
2 Grants
Unrestricted Restricted funds Total current Total last period
to nearest £funds to nearest £ to nearest £period to nearest £
-
-
-
-
Total - - - -
- - - -
3 Gross receipts from other charitable activities
Unrestricted Expendable Permanent Total current
funds Restricted funds endowment funds endowment funds period Total last period
to nearest £ to nearest £ to nearest £ to nearest £ to nearest £ to nearest £
-
-
-
-
-
-
-
-
Total - - - - - -
- - - - - -
4 Payments relating directly to charitable activities
Unrestricted Expendable Permanent Total current
funds Restricted funds endowment funds endowment funds period Total last period
to nearest £ to nearest £ to nearest £ to nearest £ to nearest £ to nearest £
-
-
-
-
-
-
-
-
-
-
-
Total - - - - - -
- - - - - -
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2013-04-02 Copy of Trustees AR Ap2 excel.xlsAdditional notes (1)
December 2007
APPENDIX 2
**SC**
## **Additional analysis (2)**
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5 Breakdown of unrestricted funds
Unrestricted Unrestricted Unrestricted Unrestricted
fund 1 - enter fund 2 - enter fund 3 - enter fund 4 - enter
name of fund name of fund name of fund name of fund
below below below below
Total Total
unrestricted unrestricted
funds funds last period
Receipts
Donations -
Legacies -
Grants -
Receipts from fundraising activities -
Gross trading receipts -
buildings -
Rents from land & buildings -
Gross receipts from other charitable activities -
Sub total - - - - - -
-
Receipts from asset & investment sales
Proceeds from sale of fixed assets -
Proceeds from sale of investments -
Sub total - - - - - -
Total receipts - - - - - -
-
Payments
Expenses for fundraising activities -
Gross trading payments -
Investment management costs -
Payments relating directly to charitable activities -
Grants and donations -
Governance costs: -
Audit / independent examination -
Preparation of annual accounts -
Legal costs -
-
-
Sub total - - - - - -
-
Payments relating to asset and investment
movements
Purchases of fixed assets -
Purchase of investments -
Sub total - - - - - -
-
Total payments - - - - - -
-
Net receipts / (payments) - - - - - -
Transfers to / (from) funds -
Surplus / (deficit) for year - - - - - -
-
Nature and purpose of funds
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2013-04-02 Copy of Trustees AR Ap2 excel.xlsAdditional notes (2)
December 2007
APPENDIX 2
**SC**
## **Additional analysis (3)**
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6 Breakdown of restricted funds
Restricted fund Restricted fund Restricted fund Restricted fund
1 - enter name of 2 - enter name of 3 - enter name of 4 - enter name of
fund below fund below fund below fund below
Total restricted Total restricted
funds funds last
period
Receipts
Donations -
Legacies -
Grants -
Receipts from fundraising activities -
Gross trading receipts -
Income from investments other than land and
buildings -
Rents from land & buildings -
Gross receipts from other charitable activities -
Sub total - - - - - -
-
Receipts from asset & investment sales
Proceeds from sale of fixed assets -
Proceeds from sale of investments -
Sub total - - - - - -
Total receipts - - - - - -
-
Payments
Expenses for fundraising activities -
Gross trading payments -
Investment management costs -
Payments relating directly to charitable activities -
Grants and donations -
Governance costs: -
Audit / independent examination -
Preparation of annual accounts -
Legal costs -
-
-
Sub total - - - - - -
-
Payments relating to asset and investment
movements
Purchases of fixed assets -
Purchase of investments -
Sub total - - - - - -
-
Total payments - - - - - -
-
Net receipts / (payments) - - - - - -
Transfers to / (from) funds -
Surplus / (deficit) for year - - - - - -
-
Nature and purpose of funds
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2013-04-02 Copy of Trustees AR Ap2 excel.xlsAdditional notes (3)
December 2007
## **APPENDIX 3**
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’
Independent examiner s report on the accounts V2
Report to the Charity name
trustees/members of
Registered charity SC
number
On the accounts of the Period start date Period end date
charity for the period Day Month Year Day Month Year
to
Set out on pages (remember to include the page
numbers of additional sheets)
Respective
The charity’s trustees are responsible for the preparation of the accounts in accordance
responsibilities of
with the terms of the Charities and Trustee Investment (Scotland) 2005 Act and the
trustees and examiner
Charities Accounts (Scotland) Regulations 2006 (as amended). The charity trustees
consider that the audit requirement of Regulation 10(1) (d) of the Accounts Regulations
does not apply. It is my responsibility to examine the accounts as required under section
44(1) (c) of the Act and to state whether particular matters have come to my attention.
Basis of independent My examination is carried out in accordance with Regulation 11 of the 2006 Accounts
examiner’s statement Regulations. An examination includes a review of the accounting records kept by the
charity and a comparison of the accounts presented with those records. It also includes
consideration of any unusual items or disclosures in the accounts and seeks
explanations from the trustees concerning any such matters. The procedures undertaken
do not provide all the evidence that would be required in an audit and, consequently, I do
not express an audit opinion on the view given by the accounts.
Independent examiner’s In the course of my examination, no matter has come to my attention [other than that
statement disclosed on the attached page*]
1. which gives me reasonable cause to believe that in any material respect the
requirements:
• to keep accounting records in accordance with section 44(1) (a) of the 2005 Act and
Regulation 4 of the 2006 Accounts Regulations, and
• to prepare accounts which accord with the accounting records and comply with
Regulation 9 of the 2006 Accounts Regulations
have not been met, or
2. to which, in my opinion, attention should be drawn in order to enable a proper
understanding of the accounts to be reached.
Signed : Date:
Name:
Relevant professional
qualification(s) or body
(if any):
Address:
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*Please delete the words in the brackets if they do not apply. If the words do apply, set out those matters which have come to your attention on the following page.