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Embed code for: CC Final trustee-declaration-v4 8.9.16
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Trustee declaration Organisation name This organisation has a corporate trustee and its directors are making this declaration (tick if applicable). Trustee eligibility and responsibility By signing this form, you declare that you: • are willing to act as a trustee • understand your organisation’s purposes (objects) and rules set out in its governing document • are not prevented from acting as a trustee because you: • have an unspent conviction for an offence involving dishonesty or deception • are currently declared bankrupt (or subject to bankruptcy restrictions or an interim order) • have an individual voluntary arrangement (IVA) to pay off debts with creditors • are disqualified from being a company director • have previously been removed as a trustee by us or the High Court due to misconduct or mismanagement • are disqualified or barred from acting as a trustee of this charity under the Safeguarding Vulnerable Groups Act 2006 You also jointly and individually declare that: • the information you provide is true, complete and correct • you understand that it’s an offence under section 60(1) (b) of the Charities Act 2011 to knowingly or recklessly provide false or misleading information • your organisation’s funds will be held in its name in an account in England or Wales • personal information and residency details for trustees named in your application are correct and you don’t plan to add or change trustees or their residency in the near future • you will comply with your responsibilities as trustees set out in the Charity Commission’s guidance ‘The essential trustee (CC3)’ Personal benefit If your organisation pays (or will pay) any trustee for being a trustee OR any trustee or person connected to them for providing goods and services, you jointly and individually declare that this will be reasonable, and: • will help the organisation carry out its purposes, and/or • is a necessary by-product of it carrying out its purposes Working with vulnerable groups Ticking this box indicates that your organisation works with vulnerable people (including children) and you jointly and individually declare that you: • have read and understood the Charity Commission’s safeguarding guidance • have carried out all trustee eligibility tests the law requires Total number of trustees Trustee 1 name Trustee 1 signature Date Trustee 5 name Trustee 5 signature Date Trustee 3 name Trustee 3 signature Date Trustee 7 name Trustee 7 signature Date Trustee 2 name Trustee 2 signature Date Trustee 6 name Trustee 6 signature Date Trustee 4 name Trustee 4 signature Date Trustee 8 name Trustee 8 signature Date Trustees named Phillip Jenkins Councillor Kerry Smith 11.5.2016 8.9.2016 The Mistley Community Association X