MINISTRY OF HEALTH
ANNUAL RETURN OF TAX-DEDUCTIBLE RECEIPTS FOR INSTITUTION OF A PUBLIC CHARACTER (IPC)
To: IPC Section FORM 7
Regulatory Compliance Division
Ministry of Health, HQ
College of Medicine Building
16 College Road
Singapore 169854
(i) This form must be signed by the President/Chairman/CEO or Honorary General Secretary of the organisation.
(ii) This form must be submitted to the Ministry within 6 months after the close of the organisation’s financial year-end.
(iii) If this is your first submission, please ensure all the funds raised prior to obtaining the IPC status towards this fund is disclosed.
Name Of IPC:IPC Reg. No:
Name Of Fund/Programme Approved for IPC Status
Effective Date Of IPC Status
Approved Tax-Deductible Period:
Duration (In Years):
Information Declared For The Period :
PART I: FINANCIAL INFORMATION EXTRACTED FROM THE AUDITED STATEMENT OF ACCOUNTS FOR PERIOD______TO ______
TotalA / Tax-deductible donations / $
B / Income and donations received from other sources / $
C / Total Income / $
D / Total Expenditure / $
E / Excess/(Deficit) of total income over expenditure (C - D)
Breakdown of total expenditure:
1 / - Direct Charitable Expenses / $
2 / - Fund raising expenses / $
3 / - All other operating expenses / $
Percentage of expenditure relating to IPC activities over total income [(1+2)/C x 100] / %
Percentage of expenditure relating to non-IPC activities over total income [(3)/C x 100] / %
Explanation Notes:
(i) Charitable expenses refer to expenses incurred to meet the charity's objectives and other charitable activities (both within and outside Singapore).
(ii) Fund raising expenses are expenses incurred in relation to fundraising activities.
(iii) All other operating expenses include expenses incurred for operating and administrative purposes and are not charitable or fundraising in nature.
(iv) Please refer to MOH website for an updated definition of these financial terms.
Part II - Additional information for IPC Specific accounts / funds:
a
/The approved quantum of donation to be collected (if applicable)
/:
/b
/The period during which the amount can be raised
/:
/c
/The donations received to date
/:
/d
/The expenses incurred to date
/:
/e
/Outstanding amount to be raised
/ /f
/The donations received during the current year
/:
/g
/The expenses incurred for the current year
/:
/PART III: DECLARATION
On behalf of ______(Name of IPC), I ______hereby declare that the above information is correct to the best of my knowledge.
______
Name of Chairman/President Signature Date
PART IV: AUDITOR’S REPORT RELATED TO TAX-DEDUCTIBLE RECEIPTS
We have examined the Return of Tax-Deductible Receipts amounting to $______of______(name of IPC) for the period from ______to ______(financial reporting period).
The Management/Trustees of the Fund* is responsible for establishing and maintaining adequate accounting and internal control systems and for ensuring compliance with the ______(Please insert the prevailing Act and Regulations[1] pertaining to the period under review). The Return is the responsibility of the Management/Trustees of the Fund*. Our responsibility is to express an opinion on the amounts shown in the Statements based on our examination.
Our examination was made in accordance with Singapore Standards on Auditing and, accordingly, included such tests of the accounting records and such other auditing procedures as we considered appropriate in the circumstances. We believe that our audit provides a reasonable basis for our opinion.
In our opinion, the amounts of tax-deductible donations shown on the attached Return of Tax-Deductible Receipts (marked for identification) totalling $______are in accordance with the documents and records kept by [name of IPC] and have been included in accordance with the relevant terms and conditions specified by the Ministry of Health.
During the course of our examination, nothing has come to our attention to cause us to believe that:
a) / Tax-deductible receipts were issued for donations other than outright cash donations;b) / Donations for which tax-deductible receipts have been issued were used for activities other than those approved by the Regulations;
c) / The internal accounting controls over the issue and custody of tax-deductible receipts were inadequate;
d) / There were significant contravention of the Regulations regarding the administration of tax-deductible receipts;
e) / Donations were used in contravention with the objects of the Fund.
Our report is solely for the purpose set forth in the first paragraph of this Auditor’s Report Related to Tax Deductible Receipts and for your information, and is not to be used for any other parties other than to the Ministry of Health. This report relates only to the items specified in the Return and does not extend to any financial statements of the Fund, taken as a whole.
______
Name of Auditor (Signature) Date
replace with appropriate terms
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[1] Charities Act and all the Regulations – wef 1 May 2007