*MR. Application Form. ati ommun- Ic e (C. 1lVaikatn ilistrict. Waikato. Read the Creative Communities Scheme (CCS) Application Guide

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1 165 1lVaikatn ilistrict COMMUNITIES Waikato *MR ati ommun- Ic e (C Application Form Read the Creative Communities Scheme (CCS) Application Guide This guide tells you: If you are able to apply for a CCS grant for your project What information you will need to include in your application How to submit your application You can print this document out and handwrite your application or you may like to save a copy of this application to your desktop and enter the information this way. If you need more space, attach information to the back of this application form. Please include the section number and heading for easy assessing. Contact the CCS administrator if you need advice on your application: Lianne van den Bemd, Community Development Coordinator, Waikato District Council, lianne.vandenbemd(@waidc.govt.nz or ,

2 166 Are you applying as an individual or group. [I] Individual Group Rind Full name of applicant Contact person (for a group Daytime phone number Postal address All correspondence will be sent to this address Street./P 0 Box Suburb City ost Code Ethnicity of applicant Please tick and provide detail eg Ethnicity: Pacific Island, Detail: Samoan Er NZ European EK-Maori n El Pacific Island Asian fl Middle Eastern/ Latin American/African D Other Page 2 of 14

3 167 Would you like to speak in support of your application at the local assessment committee meeting? If you mark yes, talk to your local CCS administrator before you go so you know who you will be speaking to and for how long. Yes No Bank account name and number is where funds.'" ' Name Account Number L c - ELL][1] Project name For example, Sc ki children's hops I "Y Brief Description For examplf ;hops during the school holidays for n aged 8-12 Does your Project have On arts or creative cultural focus? Will your project take place within the city or district where the application is made? No El No If th ither of these questions your pr ineligible. Plea ontc /tor. Page 3 of 14

4 168 Funding criteria Which of the scheme's three funding criteria are you applying under? Please select one. If your project meets more than one criteria, choose the one that is the project's main focus. You of each le (CS Application Guide page 10 Participation: Create opportunities for local communities to engage with. and participate in local arts activities, ( Diversity: Suppor L uierse LZ di K J % duy LUILUI di LI d u i u u i J Of communities. Young people: Enable young people (under 18 years) to engage with, and participate in, the /17 arts. If you do not know which of the three fits your project, contact your CCS administrator. "t-'1-'"` What do you want to do? Ii 4 Q I Li Page 4 of 14

5 169 ee the CCS Ap, ltion Guide on How will your project benefit your community? Where, when and how will the project happen? Venue/location: Project start and finish dates:,2 Details of how the project will happen: 41 Page 5 of 14

6 170 See the CCS Applia i Guide on pagf Tell us about the key people and/or community involved r Estimated number of active participants Estimated number of attendees 7 How much will it cost? Are you GST registered? GST number DIZTE If you are GST registered, do not include GST in these amounts. If you are not GST registered, please provide the amounts including [I] This budget includes GST rq This budget does not include GST Page 6 of 14

7 171 Project costs Write down all the costs of your project and include the details For example materials, venue hire, promotion, equipment hire, artist fees and personal costs. See the CCS Application Guide on page 6 Item eg Hall hire Detail eg 3 days hire at $100 per day Amount eg $ /1,CcL A: Total Cost 71, Page 7 of 14

8 172 rroject income Write down all the income you will get for your project fr :ket sales, sale of artwork, other grants. donations, yo own funds. I- ndraising. ot include the amount you )e requesting from 1- - Item eg Ticket sales Detail eg 250 tickets at $ I 5 per ticket 1 Amount eg $3, B: Total Income - Calculate your request from CCS using this table C Total cost of project 1 Less total income Difference I Amount requested from CCS Page 8 of I 4

9 173 Financial background Tell us about any other funding you have applied for or received for this project (including funds from Creative New Zealand's other funding programmes). Date applied Source of funding Type of funding Date of result 1,--- A c( eg grant -IT A Tell us about other grants you have received through CCS in the past three years. Date roject title Have you submitted a project completion report for this project? Amount 47: fi LAI Groups or organisa6onsm This can be a copy of the of the unaudited management a copy of their latest financial statement. :,unts, an income and expenditure statement or a copy If your group or organisation has reserves which are not being used for this project, you should include your reserves statement or policy. Page 9 of 14

10 174 Which of the following artforms best describes your project? Please select one. If your project combines more than one art form, select combined arts. the (XS Applicc )age 6 for definitions of ea( ombined arts Craft/object art I Maori arts Music Dance Film Literature r i Pacific Theatre 1- Visual arts Which of the following activities best describes your project? Please select one. See the CCS Application Guide on page " Creation only Creation and presentation Presentation only (performance or concert Presentation only (exhibition) Workshop Page 1 0 of 14

11 175 What is the cultural tradition of your project? The cultural tradition of your project relates to the particular heritage that your project is part of. Cultural tradition does not relate to your group's ethnic affiliations or geographical origins. Select the cultural tradition that best relates to your project and give additional information, if needed. example, a kal laka performance wow(' ue categorised as Maar ts or a traditional Polish dc " 'tural tradition: European, Detail: Polish Cultural Tradition El El iiaori Pacific Island Asian LI Middle Eastern/ Latin American/African Kt/ Other Detail I Page 1 1 of 14

12 176 9 Declaration INVe understand that if this application is successful 1/we cannot receive funds for the same project from Creative New Zealand's other funding programmes. INVe declare that the details contained in this application are correct and that 1/we have authority to commit to the following conditions. If this application is successful, I/we agree to: Complete the project as outlined in this application. Complete the project within one year of the funding being approved. Complete and return a project report form (this will be sent with the grant approval letter) within two months after the project is completed. Return any unspent funds. Participate in any funding audit of my organisation or project conducted by the local council, if required. Contact the CCS administrator to let them know of any public event or presentation that is funded by the scheme. Acknowledge CCS funding at event openings, presentations or performances. )' Use the CCS logo in all publicity (eg poster, flyers, e-newsletters) for the project and follow the guidelines for use of the logo. Logo and guidelines can be downloaded from I/we understand that the Waikato District Council: Is bound by the Local Government Official Information and Meetings Act I/VVe also consent to it recording the personal contact details provided in this application, retaining and using these details, and disclosing them to Creative New Zealand for the purpose of evaluating the Creative Communities Scheme. I/VVe understand that my/our name and brief details about the project may be released to the media or appear in publicity material. I/VVe undertake that I/we have obtained the consent of all people involved to provide these details. I/VVe understand that 1/we have the right to have access to this information. )= This consent is given in accordance with the Privacy Act Page 1 2 of 1 4

13 177 Name Signature Position in organisation applicable) Name and signature of parent or guardian if applicant is under 16 years of age: Name Signature Date How did you hear about this fund? Council website n Radio LII Council mail out Council staff member Creative New Zealand website Local newspaper Poster/flyer I Social media r- Word of mouth Other (please give details): Page 13 of 14

14 178 Make sure you have: Completed all the sections, L Checked that your budget balances Provided quotes and financial details Attached supporting documents Submitting your application Mail your application to: Waikato District Council, P 0 Box 544, Ngaruawahia 3742 Attention: Lianne van den Bemd, Community Development Coordinator Courier your application to: Waikato District Council 114 Great South Road, Ngaruawahia 3742 Hand deliver your application to: Waikato District Council 15 Galileo Street, Ngaruawahia Page 14 of 14

15 179 Twin Rivers Art Centre Incorporated Financial Statements For the Year Ended 28th February 2015

16 180 Twin Rivers Art Centre Incorporated Directory As at 28th February 2015 Executive Committee Chairperson Anne Ramsay Secretary Treasurer Manager Mereaira Hata June Rowland Jane Stevens Caroline Huirama Marama Olsen Sharon Mataafe Bankers Kiwibank

17 181 Twin Rivers Art Centre Incorporated Trading Accounts For the Year Ended 28 February REVENUE Sales Creative Communities 9, COGS 5,000 4,500 Refunds Fund Raising Koha Membership 47 - Storage Reimbursement Classes 2,520 2,018 Donations 1, Norah Howell Kiwirail Project - 9,674 Trust Waikato 12,000 10,000 Sky City 2,000 1,544 Lion Foundation 40,000 20,000 WDC Funding 5,652. WDC Events 2,609 6,126 WEL Energy 10,000 7,391 Total Sales 92,100 63,351 LESS COST OF SALES Raffle Expenses 282 Class Materials / Tutor Fees 7,390 6,502 Total Cost of Sales 7,390 6,784 GROSS SURPLUS FROM TRADING 84,710 56,567 GROSS SURPLUS MARGIN 92.0% 89.3%

18 182 Twin Rivers Art Centre Incorporated Statement of Financial Performance For the Year Ended 28 February Gross Surplus from Trading 84,710 56,567 SUNDRY INCOME Interest Received Total income 84,712 56,934 LESS EXPENSES Accident Compensation Levy Audit Fees Advertising Bank Charges Building Renovations Cleaning 49 - Computer Consumables Community Projects Events 12,314 8,665 Entertainment - 1,035 General Expenses Hireage Insurance 3,260 1,580 Interest Kiwirail Project - 8,097 Plant & Equipment P o w e r 1, Printing, Stamps & Stationery Rates Rents 12,999 9,584 Repairs & Maintenance 7 26 Subscriptions Telephone, Tolls & Internet 1,428 1,088 Travel Expenses Wages & Salaries 51,218 34,200 Total Expenses 87,356 66,946 Net (Deficit)/Surplus Before Depreciation LESS DEPRECIATION Depreciation as per Schedule 646 1,895 Depreciation - Loss on Sales 118 Net Depreciation Adjustment 646 2,013 NET SURPLUS/(DEFICIT) (3,290) (12,025)

19 183 Twin Rivers Art Centre Incorporated Statement of Financial Position As at 28 February CURRENT ASSETS Bank - Now 01 6, Bank - Notice Saver 87 6,605 Kiwibank Debit Card Deposits Paid 335 Total Current Assets 6,323 7,712 NON-CURRENT ASSETS Property, Pant & Equipment 3,988 4,634 Total Assets 10,311 12,346 CURRENT LIABILITIES GST Due for Payment 1, Accounts Payable Total Current Liabilities 2,289 1,034 Total Liabilities 2,289 1,034 NET ASSETS 8,022 11,312 Represented by: Accumulated Funds 8,022 11,312 TOTAL EQUITY 8,022 11,312

20 184 Twin Rivers Art Centre Incorporated Detailed Equity Accounts As at 28 February $ $ Club Equity Opening Balance Add Net Profit (Loss Closing Balance 3,337 Total Equity Accounts 8,022 11,312

21 185 Twin Rivers Art Centre Incorporated Depreciation Schedule For the Year Ended 28th February 2015 Asset Cost Book Value Depreciation Accum Book Price 1/03/2014 Month Rate $ Depn Value '02/ /02/2015 Leadlight 1, Yr SL x Plinth! Yr SL x Sewing Machines 1, Yr SL 60 1, Overlocker Yr SL Blue Tables Yr SL Kiln 3, Yr SL 120 2, Sewing Machine Yr SL x Moulds Yr SL Flags Yr SL Gazebos & Bags 1, Yr SL MYOB Cashbook % CP Computer, Screen & Keyboard % CP _ Roll Sign Yr SL ,568 4, ,580 3,988

22 186 Twin Rivers Art Centre Incorporated motes to the Financial Statements ir the Year Ended 28th February STATEMENT OF ACCOUNTING POLICIES These financial statements are for Twin Rivers Art Centre Incorporated. Twin Rivers Art Centre Incorporated is an incorporated club engaged in the business of providing Artistic opportunities for people in the community. Twin Rivers Art Centre xporated is a charitable organisation, T n Rivers Art Centre Incorporated qualifies for differential reporting exemptions based on the Dwing criteria; is not publicly accountable and :-. is not large as defined by the New Zealand Institute of Chartered Accountants. n Rivers Art Centre incorporated has adopted all available differential reporting exempi The accounting principles recognised as appropriate for the measurement and reporting of earnings and financial position on a historical cost basis have been used with the exception of certain items for which specific accounting policies have been identified. Changes in Accounting Policies There has been no changes in accounting policies with those used in previous years. policies have been applied on bases consistent Specific Accounting Policies. In the preparation of theses financial statements, the specific accounting policies are as follows: Property, Plant & Equipment The entity has the following classes of Property, Plant & Equipment: Plant & Equipment 0-60% DV, CP or SL All property, plant & equipment are stated at cost less depreciation. Depreciation has been calculated in accordance with rates permitted under the Income Tax Act 2007 (b) Goods and Services Tax The 2015 financial statements have been prepared on a GST exclusive basis with the exception of accounts receivable and accounts navahle which aro shown inclusive of GST. The 2014 fiiancial statements have been prepared.. asis. Revenue Sales of goods Interest income ecognised when they have been delivered and accepted by the customer, ecognised using the effective interest method. Receivables Receivables are stated at their estimated realisable value. Bad debts are written off in the year in which they are identified.

23 187 Twin Rivers Art Centre Incorporated Notes to the Financial Statements For the Year Ended 28th February AUDIT These finarludi statements have been audited. 3 CONTINGENT LIABILITIES At balance date there are no known contingent liabilities (2014: $0). Twin Rivers Art Centre lrcorporated has not granted any securities in respect of liabilities payable by any other party whatsoever. 4 RELATED PARTIES There were related party transactions during the yea l Jer review. 5 SUBSEQUENT EVENTS As at balance date there were no known subsequent events.

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