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1 The Secretary to the Government of India, Ministry of Home Affairs, Foreigners Division (FCRA Wing) "First Floor NDCC-II Building," 1,JAI SINGH Road New Delhi Form FC-4 [See rule 17(1)] Subject: Account of Foreign Contribution for the year ending on the 31st March, Association FCRA registration number and name (i). Number : (ii). Name : Project Literacy for Development 2. Details of receipt and utilisation of foreign contribution : i. Foreign Contribution received in cash/kind(value): a) Brought forward foreign contribution at the beginning of the year(rs.) b) Interest or other receipt during the year c) Foreign Contribution received during the financial year i) Directly from a foreign source ii) as transfer from a local source d) Total Foreign Contribution (a+b+c) (Rs.) *i.e. interest accured on foreign contribution, or any other income derived from foreign contribution, e.g. sale proceeds from assets created from contribution, or interest thereon during the year ii (a). Donor wise detail of foreign contribution received in excess of rupees 20,000: Sl.No Name of donors Institutional/Individu al Detail of the donor: official Address; address; website address: 1 Andheri Hilfe Bonn Institutional Mackestrasse 53 D Bonn Germany, Germany, Id: info@andheri -hilfe.de, Website Address : Purposes for which received Ministry of Home Affairs Amount (Rs.) Social (b). Cumulative purpose-wise amount of all foreign contribution donation received : Sl.No Purpose Amount 1 Social (iii). Details of Utilization of foreign contribution: a. Total Utilization* for projects as per aims and objectives of the association (Rs.) b. Total Administrative Exprenses as provided in Rule 5, FCRA 2011 (Rs.) c. Total invested in term deposits(rs.) Total Purchase of fresh assets(rs.) Total utilzation in the year(rs.) (a+b+c+d) * It is affirmed that the utilisation of foreign contribution is not in contravention of the provisions contained in proviso to Sction 9(e) and Section 12(4)(f) of the Act which states that the acceptance of foreign contribution is not likely to affect prejudically. FCRA Annual Returns for the financial year has been Submitted on 13/10/2016 Page 1 of 2
2 (A) the soverignty and integrity of india; or. (B) the security, strategic, scientific or echnomic interest of the state; or (C) the public interest; or (D) freedom or fairness of election to any legistature; or (E) friendly relations with any foreign state; or (F) harmony between religious, racial, social, lingusitic or relgional groups, castes or communities iv. Balance of unutilized foreign contribution, in cash/bank, at the end of the year(rs.) : v. Total number of foreigner working(salaried/ in honorary capacity. : 3. (a) Details of designated Fc bank account for receipt of Foreign Contribution ( As on 31st March of the year ending): 3. (b) Details of all utilization bank accounts for utilization of Foregin Contribution (As on 31st March of the year ending) Declaration I hereby declare that the above particulars furnished by me are true and correct I also affirm that the receipt of foreign contribution and its utilization have not been violative of any of the provisions of the Foreign Contribution (Regulation) Act, 2010, rules, notifications/ orders issued there under from time to time and the foreign Ministry of Home Affairs contribution was utilized for the purpose(s) for which the association was granted registration/ prior permission by the Central Government Sl.No Name of Bank of donors Branch Address( With pincode) 1 Syndicate Bank St Pauls High School, Belagavi, Karnataka, Belgaum Sl.No Name of Bank of donors Branch Address( With pincode) 1 Syndicate Bank St Pauls High School, Belagavi, Karnataka, Belgaum IFSC Code Account No SYNB IFSC Code Account No SYNB Signature of the Cheif Functionary FCRA Annual Returns for the financial year has been Submitted on 13/10/2016 Page 2 of 2
3 BI-IARAT SAVANT & CO CHAR IERED ACCOUN'TANTS PROP BHARAT N SAVANT B.COM.F.C.A II28,BICHU CAI.,I,I SHAHAPLJR UIr.t.Cin tlm PHONE: 083 l / PROJECT LITERACY FOR DEVELOPMENT (JANA JAGARAN) CAMP.BELGAUM FOREIGN CONTRIBUTION BALANCE SHEET AS AT 3 I/03/20 I 6 LIABILITIES AMOUNT<. ASSETS AMOUNT?. CORPUS FUND: ( Bal as per last B/s.) Add: C. Yr Surplus Less: 'fel Deposit (W/O) t,692, , (15, ,l FIXED ASSETS: (as per Dep schedule) TNVESTMENT / DEPOSI'I'S : ( Bal as per last B/s.) Telephone Deposit Less: Tr to Corpus (W/O) Fixed Deposits: ( Bal as per last B/s.) Less: Matured 15, l5,l5l , , I,q70.44 t 00 0, CASH & BANK BALANCES: Cash in Hand Cash at Bank 13, t 28, r._s52.00 TOTAL {. 2,1 r TOTAL {. 2. t, Tr INCOME & EXPENDITURE ACCOUNT FOR THE YEAR ENDING 3I-03-20I6 EXPENDITURE {MOUNT<. INCOME AMOUNT<. Rural Development Administration Expenses Surplus r 8,0 r 0, ,905,985,00 434, By Bank Interest Rural Development 2l r, t39.92't.00 PLACE: BELGAUM Date: TTRN rrvr-- prnatrgaril) TOTAL T, Prof ct, UbnGY For DevdoPnent Sa^-Jtz ' Dlrecbr TOTAL {. 21,35 1, AS PER MY REPORT OF EVEN DATE FOR BHARAT SAVANT & CO. For tl/r' BIIARAT SAVAI{T & CO \ ^..t\ m$iiidfil*'..'" ii*t;a'#;'"
4 BHARAT SAVANT & CO CHARTERED ACCOUNTANTS PROP.BHARAT N SAVANT B.COM.F.C.A 9 UPS l0 Cameras ll Motor Bike II28,BICIIIJ CALLI SHAHAPUR BELGAI.JM OO3 PHONE: / PROJECT LITERACY FOR DEVELOPMENT (JANA JAGARAN) CAMP.BELGAUM FOREICN CONTRIBUTION SCHEDULE OF DEPRECIATION AS ON 3I103/20I6 PARTICULARS op. w.d.v ADD/DELETED /o TOTAL DEPRN CL WDV I 2 Land Vehicle t s 49445'l 35346s JEEP ( ) 976, Audio Visual 4038 l Generator 691 t Computer PRINTER ( ) t3;764 l3' Shed Constructions 1970 t970 7 Well & Inigation System t07 8 Fumiture & Fixtures l 1859 l r859 PLACE: BELGAUM Date:29/07/2016 XTRN 46 l0 l5 l t07 l r859 '46 l92l l5 440r8 t92l 440r8 980 l 9( t9'70441 t AS PER MY REPORT OF EVEN DATE FOR BHARAT SAVANT & CO. BHARAT SAVAT{T r(- &eo Ptol ct UieracY For - DevdoP*ttt (JrnaDgarsn) / W-nt*t- Dlrccbr ffi.ggite'"" B r X. SAVANT ERED ACCOUTfTAITTE M.No.:21O646 FRN S
5 BHARAT SAVANT & CO CHARTERED ACCOUNTANTS PROP.BHARAT N SAVANT B.COM.F.C.A T II28,BICHU CALLI SHAHAPUR BELGAUM PHONE: l RECEIPTS AMOUNT<, PAYMENTS AMOUNT{, OPENING BALANCES: Cash in hand Cash at Bank SYB SB A/c BANK INTEREST: SB A/c s Fixed Deposit RURAL DEVELOPMENT : Andheri Hilfle (Germany) Andheri Hilfe (BMZ Ge$ PROJECT LITERACY FOR DEVET,OPMENT (.IANA JACARAN) CAMP.BELOAUM FORETGN CONTRIBUTTON RECEIPTS & PAYMENTS ACCOUNT FOR THE YEAR ENDINC 3IIO3I2OI6 24,11' , , , t,778, t9,36t, , t,139, By RURAL DEVELOPMENT: Andheri Hilfe (Ger) Andheri Hilfe-Bmz Ger ADMINISTRATION Andheri Hilfe (AHP) ADM Andheri Hilfe-Bmz ADM CAPITAL EXPENDITURE,IEEP PRINTER TDS (on FD lnterest) 2,064, ,946, l, t23,2 r9.00 1,766, t l 8,01 0, , r Fixed Deposit Matured (Net) 650, CLOSINC BALANCES: Cash in Hand Cash at Bank SYB A/c I IJ l 4 t, PLACE: BELGAUM Date: ,ITRN TOTAL <, TOTAL < EXAMINED AND FOUND CORRECT For /e. BIARAT SAvaNT & Co PmlGd UEracy For Deildogcnt (Xnalrgrar) W is.:8i&:, B oa i n. sa-vrxr f'eren lccourrexrs M.l{o.:21O646 FRN S
6
The Secretary to the Government of India, Ministry of Home Affairs, Foreigners Division (FCRA Wing) "First Floor NDCC-II Building," 1,JAI SINGH Road N
The Secretary to the Government of India, Ministry of Home Affairs, Foreigners Division (FCRA Wing) "First Floor NDCC-II Building," 1,JAI SINGH Road New Delhi - 110001 Form FC-4 [See rule 17(1)] Subject:
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