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(A company limited by guarantee)
FOR THE YEAR ENDED 30 JUNE 2025
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TWINS TRUST LTD
(A company limited by guarantee)
CONTENTS
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TWINS TRUST LTD
(A company limited by guarantee)
REFERENCE AND ADMINISTRATIVE DETAILS OF THE COMPANY, ITS TRUSTEES AND ADVISERS
FOR THE YEAR ENDED 30 JUNE 2025
Trustees
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TWINS TRUST LTD
(A company limited by guarantee)
REFERENCE AND ADMINISTRATIVE DETAILS OF THE COMPANY, ITS TRUSTEES AND ADVISERS (CONTINUED)
FOR THE YEAR ENDED 30 JUNE 2025
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TWINS TRUST LTD
(A company limited by guarantee)
TRUSTEES' REPORT
FOR THE YEAR ENDED 30 JUNE 2025
Chair’s introduction
This year has been another challenging one for our families and Twins Trust continues to listen and innovate in response. As the last year in our current strategic plan, we have spent much of 2024/25 reflecting on the “new normal” - a more challenging time economically and for accessing excellent medical care – and assessing how we can best use our resources and expertise to support families and the professionals they rely on. Of note was our “State of the Nation” research, which nearly 2,000 families contributed to. Unfortunately, the results have confirmed what we can guess from reading the papers. Families all over are struggling and families with multiples are hit more than doubly or triply hard. Armed with this research, we have made some significant changes to many of our programmes and services to help families feel better supported through these challenging times. As a result, we have reached more families this year and laid the foundations to continue to grow our reach, impact and the strength of our community as we enter a new strategic period. This extends to families but also clubs and healthcare providers, who are similarly struggling. A significant part of our work going forward will be around national and local policy: our community deserves better outcomes and we continue to advocate for the changes needed to make these happen. This covers significant health and economic policies such as a Neonatal Care (Leave and Pay) Act, which came into effect in April 2024, but also extends to corporate campaigning; our work to ensure all supermarket chains have double and triple shopping trollies may seem light-hearted, but a quick scan of the testimonials across our social media feeds reveals how this simple change has made shopping easier but also alleviated the pain of feeling unseen and forgotten that our families feel when they repeatedly find their needs unmet. Our community of fundraisers continue to go above and beyond and we’re grateful for all they have done to support families with multiples. They have all been so dedicated in their efforts and we’re proud of what they have achieved. I must say a huge thank you to our volunteers too, without them we’d be unable to run our helpline, provide expert help or support families in crisis. We look forward to our new strategy and our plans for the coming years as we continue to make a difference to the lives of families with multiples. Simon Berney-Edwards Chair, Twins Trust
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TWINS TRUST LTD
(A company limited by guarantee)
Our Vision
Our vision is a world where all twins, triplets or more - and their families - feel supported and empowered, whatever they may face. Our Mission Our mission is to: • Provide twins, triplets or more - and their families - with the information needed to make informed decisions • Facilitate a network of community support • Ensure that our community's unique needs are understood by the professionals who care for them and reflected in research, care standards and public policy 2022-2025 Strategic Plan • Saving lives and improving the safety of having a multiple pregnancy and birth in the UK • Ensuring that every family with multiples can access the care and support they need • Ensuring that every member of our community knows about Twins Trust and how we can help • Growing and sustainably developing the charity to serve our entire community, now and in the future AIM 1: To save lives and improve the safety of having a multiple pregnancy and birth in the UK Twins Trust is committed to improving health outcomes for multiple pregnancies and birth by advocating for policy change, supporting health professionals with education and resources and engaging in research. Unfortunately, the most recent data[1] continues to highlight increasing rates of stillbirths and neonatal deaths in multiple pregnancies, a trend not mirrored in the singleton population. The neonatal death rate is now 5.4 times greater for someone who carried two or more babies than someone carrying one baby. In 2023, the average neonatal death rate per 1,000 births for multiple pregnancy is 8.0, compared to just 1.45 for singleton births. The upward trend in perinatal mortality that we saw in 2021 continues to increase. In 2021 there were 158 stillbirths in multiple pregnancies and 167 stillbirths in multiple pregnancies in 2023. [1] https://www.npeu.ox.ac .uk/mbrrace-uk/reports /perinatal-mortality -surveillance #current-report Education and continuing professional development for healthcare professionals Education is one of our key priorities, making sure that healthcare professionals have the correct information and resources to care for families expecting multiples. We want families to get the specialist care they deserve during and after their pregnancy. We help to educate healthcare professionals via our quarterly webinars, our annual study day and our flagship programme, the Maternity Engagement Project. This year we relaunched our healthcare professionals’ website section, improving accessibility and content. Quarterly webinars Our CPD webinars for healthcare professionals invite experts to educate attendees on topics around multiple pregnancies. In 2024/25 we there were 457 unique attendees across four webinars. Topics included complications in multiple pregnancies, the role of a specialist midwife, intrapartum care in multiple pregnancies and bereavement. Attendees said the talks were practical and relevant, while another healthcare professional said the seminar helped to improve their knowledge about reading scan reports.
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TWINS TRUST LTD
(A company limited by guarantee)
Annual Study Day
Our annual Multiple Births Study Day was attended by 100 healthcare professionals from across the UK. The attendees heard from experts, shared information and listened to keynote speaker Donna Ockenden. We had a Twins Trust first: an in-person scan was carried out on a pregnant woman to highlight a rare complication and to demonstrate how new technologies are supporting detection and treatment. Participant feedback indicated that the day was interesting, useful and relevant and the speakers were excellent. We would like to thank the event sponsors, Irwin Mitchell and GE HealthCare Technologies Inc. Maternity Engagement Project This year, our flagship Maternity Engagement Project conducted its 50th audit since its inception in 2017. While the Maternity Engagement Project continues to be an important part of our work towards better outcomes, it’s becoming more difficult for hospitals to access funding. We hope that as the NHS continues to determine its plans, work to improve outcomes for multiple pregnancy will receive additional attention and corresponding funding. This is also a part of our campaigning and policy work and we continue to influence the healthcare landscape, particularly by collaborating with the Maternity and Neonatal Stakeholder Council and by working closely with the Elizabeth Bryan Multiple Births Centre (EBMBC) in Birmingham. Research Twins Trust undertakes research to help improve the lives of our families. We involve our community in the research and work with healthcare professionals, including experts working with multiples[2]. This year, we have been involved with 10 studies: We began work on the World Café study led by the research team at the Elizabeth Bryan Multiple Birth Centre (EBMBC). This study will capture the experiences of multiple birth families and their health professionals in the first 1,001 days (from conception to age two). By identifying families’ needs during this time, we aim to make suggestions to improve care and support, both in the immediate term by providing resources such as simple recommendations for professionals and self-advocacy tools for parents, and with further research in the future to enable larger-scale change. We also supported the EBMBC into the experiences and support needs of fathers of multiples. This aims to highlight the needs of a group that is not well-researched to improve understanding and will help Twins Trust to better develop its support services for dads. The FERN study, which is investigating the feasibility of a trial for selective growth restriction, has met its recruitment target (100 cases by 30 June) and we had regular updates throughout this time. We have supported the study since it began by offering a lived experience perspective, both as an organisation and by recruiting individual parent contributors. The study will continue to the end of 2025 to complete analysis, reporting and publication of the findings. We expect that the research team will seek further funding to implement the non-randomised trial design recommended by the findings, and we hope to bring lived experience to any future trial. Following the end of the STOPPIT-3 trial into the impact of antenatal corticosteroids (ACS) on multiple pregnancies, we have supported the researchers in evaluating the project to understand how to improve other similar trials in the future, and to get a picture of the reasons families do or don’t take part in trials. We have provided a research panel made up of 59 parents of multiples from our PPI (Personal and Public Involvement group) for the application of funding for three new studies. These studies are on the topics of feeding support for multiple birth families, gestational diabetes in twins, and risk and pregnancy loss in the second trimester of twin pregnancy. All three are going through a funding process and if successful (likely announced in 2026), we will continue to support them. We’ve also supported a few studies with recruiting people to be involved. Studies were varied and asked for family views on bereavement care and recognition, new technologies in fertility and pregnancy care, implementing report recommendations such as Ockenden and MBRRACE, postnatal and feeding support, and more. [2] Our work with researchers focuses on issues that can impact twins or triplets, and does not have a focus on studies carried out on twins or triplets as a way of providing a control.
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TWINS TRUST LTD
(A company limited by guarantee)
AIM 2: Ensure that every family with multiples can access the information, community and support they need Twins Trust supports families by providing information to empower decision-making, facilitating peer-to-peer advice and support from our community and ensuring that families can access extra support if they need it. We also make sure families’ voices are heard by decision makers and researchers. We also support families who have suffered a loss from a multiple pregnancy or birth. In 2024/25, Twins Trust provided information, community and support to around 16,500 families with multiples in the UK, including through our bereavement service and online communities. This is a 12% increase on 2023/24, when we supported 14,700 families. This rise is thanks to the growth of our online communities. Our services have improved in the past year, particularly the new channels - WhatsApp, SMS and Webchat - brought in to improve communication for our helpline (launched in May). These led to an increase in contacts, especially via WhatsApp. In the past year, 453 families were supported through our helpline. Information We provide accurate and accessible information to guide and support families. In 2024/25, 168,664 people accessed the information pages on our website, resulting in 444,550 views, averaging more than 1,200 a day. In total, 5,272 families registered on our website, plus 614 healthcare professionals. Courses Our course content has improved significantly this year, particularly the re-recorded flagship courses, Preparing for Twins and Preparing for Triplets (set to launch in autumn 2025). In 2024/25, we had 2,521 attendees on our pregnancy and parenting courses. Community Our 17 online community groups provide a forum for people facing a variety of situations, including people dealing with children with additional needs, one parent families and people with triplets. In the past year, we supported 12,619 families in our community groups.
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TWINS TRUST LTD
(A company limited by guarantee)
Support for local clubs
This year 11 new clubs have joined our network, building new connections, supporting each other and enabling us to offer support to them, where needed. In 2024/25, we held three online meetings with club leaders, giving advice and talking about relevant issues like applying for funding grants. Representatives from 16 clubs attended the meetings. We continue to provide insurance grants, where possible, to help fund the public liability insurance for the clubs. Online clinics In the past year, 671 people have attended our online clinics, clubs and feeding drop-ins, compared to 659 in 2023/24. Topics covered include sleep, behaviour, social media with older children and starting school. Compared to 2023/24, the number of attendees has risen by 2%. We believe this increase is due to providing sessions on relevant topics that our community want information on. Bereavement In 2024/25, we relaunched our peer-to-peer support programme and trained four new volunteers, who will be matched with families. Virtual support groups have also relaunched for people affected by multiple loss, including parents, relatives and those with surviving children. The groups are hosted by Twins Trust and include representatives from other charities. Additionally, Twins Trust funding enabled 11 families to access specialist counselling sessions with the charity Petals. Bespoke Support When families need extra support due to difficult situations at home, Twins Trust steps in. Thanks to a major donor grant, our Family Crisis Support Service expanded this year with a new team member. This led to us supporting 76 families, including 68 in-person visits. More than half of our referrals (59%), are now from healthcare professionals, compared to just 17% three years ago. Our work with Norland College students continues, with students visiting families (particularly triplet families) during their holidays. AIM 3: Engaging with our community --> reaching more people and deepening our relationships and support A better understanding of our families In September 2024, following an extensive survey of our families, we published our groundbreaking State of the Nation report. It examines the experiences of parents and families experiencing multiple births and, with 1,800 responses, it was clear that they wanted to be heard. They told us about the challenges they are facing: including the NHS; their mental health; their finances; the education system and more. We compared their situation with earlier generations of families with multiples and it is worse. They told us how we were helping and what more we could do. One of the key findings revealed that families face at least a £20,000 hit in the first year having multiples compared to having two singletons in succession. This has served as a baseline for our future strategy work and we plan to repeat it at regular intervals. Reaching more families The publication of our State of the Nation report highlighted the daily challenges faced by families with multiples. Coverage of the report featured in the Financial Times, Sky News and on BBC Radio 5 Live. In October, during Baby Loss Awareness Week, four stories from our community featured in major national press, including The Sun and BBC online. BBC Radio 4’s Life Changing series ran the story of a family we supported, raising awareness about our services.
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TWINS TRUST LTD
(A company limited by guarantee)
In 2024/25, we generated 109 pieces of key media coverage, including more than 70 national media pieces about former Little Mix singer Jesy Nelson’s partner, Zion Foster, running the London Marathon for Twins Trust in April, following a TTTS diagnosis.
Our social media channels continue to grow. We have 69,000 followers on Facebook, (68,192 in 2023/24), 567 on Facebook Bereavement, 25,400 on Instagram, (17,930 in 2023/24) 956 on Instagram Bereavement, X 1,936, X Bereavement 87 and 1,420 followers (944 in 2023/24) on LinkedIn. There has been significant growth on our Instagram account, which has seen a 42% increase in followers compared to 2023/24, while the click-through rate on Facebook has seen 20% growth on the 2023/24 figures. Making the world a better place for our families Our campaigning enables families to have their voices heard and change legislation to improve their lives. In April 2025, the Neonatal Care (Leave and Pay) Act, came into force. Twins Trust worked with several other charities to secure the new law, which means parents now get up to 12 weeks extra leave and pay. Many supermarkets do not have trollies that cater for families with multiples. Around 1,000 people have supported our trollies campaign, calling on supermarkets to provide suitable trollies for families with twins and triplets. We continue to encourage our families to contact their MPs about the inequalities for families with multiples, with about 1,000 families writing to express their views, particularly about financial inequities. We have successfully campaigned for bereaved families whose babies died before 24 weeks of pregnancy to apply for a baby loss certificate. As a member of the Early Education and Childcare Coalition, we work to campaign for change in the early years’ sector and beyond. AIM 4: Grow and develop sustainably to serve our entire community and have impact now and in the future Twins Trust raised £1.171m in 2024/25 from membership, fundraising and course sales, exceeding our target for the year. The charity generates income from a variety of sources, the most significant being ongoing memberships (including Gift Aid), equating to 57% of the charity's income (£745k). We ended the financial year with a surplus of £54,100 this will help to further strengthen the future of the charity, including an investment in a new website. Following feedback from members, a new membership offer will be launched in 2025/2026. It will deliver even greater value for members, who continue to support the charity despite the ongoing cost-of-living crisis. We have also achieved growth in fundraising with income sources including trusts, grants, fundraising events, corporate support, and individual donations amounting to £431k (33%). Our Every Baby Safe and Sound appeal raised £13,000, enabling us to work with more maternity units to improve standards for families with multiples. This year, we grew our grants income by 33% and received our first ever significant major donor grant of £100,000 from the Frankopan family. We would like to thank the family for their generosity. The money meant we doubled the capacity in the Family Services team to support 13 more families in crisis. It also funded four maternity audits in hospitals to ensure they are providing the best possible care for multiple births. The remaining 6% of our income is derived from sales of our parenting courses (£72k), which we have revamped this year. We are grateful to our law firm partners who continue to provide crucial guidance to our families. We want to thank Fieldfisher, Irwin Mitchell, Leigh Day and Slater and Gordon for their ongoing support. This year Irwin Mitchell was an event partner for our Study Day. Leigh Day sponsored our Every Baby Safe and Sound campaign. Irwin Mitchell also made a generous donation to the campaign and Fieldfisher took on the Crystal Maze challenge (with support from Arag), adding £4,000 to the total. We had four runners in the London Marathon, raising £10,000. We hope this will inspire more runners who have
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TWINS TRUST LTD
(A company limited by guarantee)
ballot marathon places to fundraise for us in 2026.
We would like to thank the below organisations for their support: • Awards for All Scotland, Akzonobel Community Fund, Brook Trust, Department of Health Northern Ireland, Ellerdale Trust, Henry Smith Charity, Northern Health and Social Care Trust, Scottish Government Children and Families Directorate, Southern Health and Social Care Trust, The Fort Foundation, Wixamtree Trust, Broyst Foundation, Belron Ronnie Lubner Charitable Trust, Paul Bassham Charitable Trust, National Lottery Awards for All, Northwick Trust, Florence Turner Trust, Nominet and The Charity of Stella Symonds. Finances for the year ahead We remain optimistic about our income generation prospects and continue to project that a significant percentage of our income will come from our membership programme, particularly as we roll out our new membership offer and invest in our outreach. With a new strategic plan, website and brand, we are confident that we will be able to capitalise on this and deliver even more for our community in the coming year. Future plans In the latter part of 2025, we will launch our next three-year strategy, a new website, a refreshed brand, and a new membership offer. We are excited to share these new developments and are confident that they will contribute to our quest to deliver the best experience for our community. In mid-2025, we took the decision to close our Woking office; at the time of writing, our registered office is 10-18 Union Street, London SE1 1SZ. Looking to the future, as we focus on our new strategy, we aim for a transformed landscape for multiple families, where all twins, triplets or more - and their families - feel supported, understood and connected with their community. We want healthcare professionals to be confident and have the knowledge to support our families effectively. We also want policymakers to recognise and respond to the unique needs of our families. HOW WE RUN THE CHARITY The Trustees, who are also directors of the Charity for the purposes of the Companies Act, submit their annual report, including the directors' report, and the audited financial statements of Twins Trust (the Company) for the year ended 30 June 2025. The Trustees confirm that the annual report and financial statements of the Company comply with current statutory requirements, the requirements of the Company's governing document and the provisions of the Statement of Recommended Practice (SORP) applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) (effective 1 January 2019) – (Charities SORP (FRS 102)). The Trustees have had regard to the Charity Commission's guidance on public benefit. Since the Company qualifies as small under section 383, the strategic report required of medium and large companies under The Companies Act 2006 (Strategic Report and Director’s Report) Regulations 2013 is not required. This section of the report is intended to provide more financial information so readers can better understand how we raise our money and where we spend it. We also want it to be easy to understand how we organise ourselves. As required in law, we confirm that Twins Trust is a going concern with clear plans of how best to undertake our future work. STRUCTURE, GOVERNANCE AND MANAGEMENT CONSTITUTION The Company is registered as a charitable company limited by guarantee (03688825) and was set up by a Memorandum of Association on 24th December 1998.
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TWINS TRUST LTD
(A company limited by guarantee)
The Company is constituted under a Memorandum of Association and is a registered Charity in England and Wales (1076478) and in Scotland (SC041055). These Articles and Memorandum of Association were updated and passed at our trustee meeting in June 2023.
The principal objects of the company are still to protect and promote the health and wellbeing of multiple birth families. METHOD OF APPOINTMENT OF TRUSTEES The management of the Company is the responsibility of the Trustees. There can be a maximum of fourteen and a minimum of six Trustees at any one time. Board members are appointed for an initial term of 4 years. The current Board will appoint a maximum of three new trustees annually to fill gaps on the Board, although they have the ability to co-opt someone to act a Trustee at any time if there are vacancies. No member can serve on the board for a period of more than eight consecutive years without the agreement of the Board. Trustees are recruited to help fill skills requirements, which the Board has identified in a skills audit. This is to ensure a broad range of strengths and experiences and is reviewed regularly. INDUCTION AND TRAINING OF TRUSTEES Members of the public are invited to seek nomination as Trustees via our website, social media, email and our quarterly magazine "Multiple Matters". Most new Trustees are already familiar with the practical work of the Charity, having personally been members or used Twins Trust's services. New Trustees are invited to observe a board meeting before seeking election or appointment. An induction pack is provided consisting of a Code of Conduct, role description, a copy of the Charity Commission publication 'The Essential Trustee: what you need to know', the strategic plan, latest financial information and a copy of the Memorandum and Articles of Association. Trustees speak with the CEO and are invited to meet the Senior Management Team and other members of the staff team. ORGANISATIONAL STRUCTURE AND DECISION MAKING The Board of Trustees administers the Charity and is responsible for the strategic direction and policy of the Charity. The Board meets a minimum of five times a year either in person or virtually. Trustees arrange themselves into subgroups to enable more detailed consideration of specific issues between meetings as required. A Chief Executive is appointed by the Trustees to manage the day-to-day operations of the Charity. To facilitate effective operations, the Chief Executive has delegated authority, within terms of delegation approved by the Trustees, for operational matters including finance, employment and provision of services. The Chief Executive also acts as Company Secretary and attends board meetings. RELATED PARTY RELATIONSHIPS In so far as it is complementary to the Charity's objectives, the Charity is guided by both local and national policy. Twins Trust has connections with a UK wide network of local clubs; these are not dependent branches but members of the Charity that are supported with appropriate information and guidance on the conduct of local community groups. The Charity also actively works in partnership with other organisations to fulfil its objectives. RISK MANAGEMENT The Trustees have a risk management strategy, which includes a review of the top risks the Charity may face at each Board meeting. These include safeguarding, IT security, budgetary controls and reporting, dependency on income sources and loss of revenue. The risk register is reviewed in full annually and discussed in brief at each meeting but is available and updated for full review for each meeting if required. As part of the ongoing review process, Trustees are satisfied that systems and procedures are in place to mitigate the Charity's exposure to the major risks including the impact of the cost of living crisis. This includes steps to strengthen and protect the future financial performance of the charity.
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TWINS TRUST LTD
(A company limited by guarantee)
Trustees are also recruited to the Board with a background in relevant areas of identified risk.
FINANCIAL REVIEW The Charity made a surplus of £54,100 by the end of the financial year. This is added to reserves, and we continue to have designated reserves in excess of the amount we are bound to hold under our reserves policy. INVESTMENT POLICY AND PERFORMANCE The Trustees, having regard to the liquidity requirements of operating Twin Trust's services and to the reserves policy, have operated a policy of keeping available funds in interest bearing deposit accounts. The funds held on deposit achieved an average interest rate of 4.52% over the year. RESERVES POLICY In determining the reserves policy of the Charity, the Trustees have considered the level of operating expenses required. It is the Trustees intention to maintain free (unrestricted and undesignated less fixed assets) reserves equivalent to approximately four months operating expenses and it reviews this position at every meeting. At the year end the free reserves balance stood at £365,813. This equates to approximately 4.1 months operating costs. We have a policy and follow HMRC guidance of designating any surpluses made on our parenting classes (seminars and webinars), which will be used to contribute to the running costs of current classes and the development of new classes in the following year. There was £nil in this designated Parent Talk Fund at 30 June 2025. The Charity held restricted reserves at 30 June 2025 of £108,745. PRINCIPLE FUNDING At present the Charity's principal funding comes from membership subscriptions, donations and associated gift aid. In addition, Twins Trust has been in receipt of key grants over this period from the Department of Health (Northern Ireland) of £5,250 and £15,000 from the Scottish Government. STAFF SALARIES Twins Trust sets salaries according to our salary policy, which also governs when and how these are reviewed. All staff, including the Chief Executive, are subject to a formal appraisal process. Trustees use a mixture of performance, industry and third sector pay settlement indicators and the overall financial health of the Charity to determine if an annual cost of living rise is appropriate. As shown in Note 12 to the Financial Statements, the Chief Executive was the only member of staff paid £60,000 or more. The senior management team comprising of departmental managers and co-Managers were paid a cumulative total of £383,441 over the course of the year. We had 19.6 full time equivalent members of staff over the course of the year (19.4 in 2023/24). Trustees’ Liability All the Trustees are members of the Company. As the Company is limited by guarantee and has no share capital, the financial interest of each Trustee is limited to a £1 guarantee. Small company provisions This report has been prepared in accordance with the special provisions relating to companies subject to the small companies regime within Part 15 of the Companies Act 2006.
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TWINS TRUST LTD
(A company limited by guarantee)
Disclosure of information to auditors
Each of the persons who are Trustees at the time when this Trustees' Report is approved has confirmed that: • so far as that Trustee is aware, there is no relevant audit information of which the Company's auditors are unaware; and • that Trustee has taken all steps that ought to have been taken as a Trustee in order to be aware of any relevant audit information and to establish that the Company's auditors are aware of that information.
Approved by order of the members of the board of Trustees and signed on their behalf by:
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TWINS TRUST LTD
(A company limited by guarantee)
STATEMENT OF TRUSTEES' RESPONSIBILITIES
FOR THE YEAR ENDED 30 JUNE 2025
Approved by order of the members of the board of Trustees and signed on its behalf by:
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TWINS TRUST LTD
(A company limited by guarantee)
INDEPENDENT AUDITOR'S REPORT TO THE MEMBERS OF TWINS TRUST LTD
We have audited the financial statements of Twins Trust Ltd (the 'charitable company') for the year ended
We conducted our audit in accordance with International Standards on Auditing (UK) (ISAs (UK)) and applicable law. Our responsibilities under those standards are further described in the Auditor's responsibilities for the audit of the financial statements section of our report. We are independent of the charitable company in accordance with the ethical requirements that are relevant to our audit of the financial statements in the United Kingdom, including the Financial Reporting Council's Ethical Standard, and we have fulfilled our other ethical responsibilities in accordance with these requirements. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our opinion.
In auditing the financial statements, we have concluded that the Trustees' use of the going concern basis of accounting in the preparation of the financial statements is appropriate.
Based on the work we have performed, we have not identified any material uncertainties relating to events or conditions that, individually or collectively, may cast significant doubt on the charitable company's ability to continue as a going concern for a period of at least twelve months from when the financial statements are authorised for issue.
Our responsibilities and the responsibilities of the Trustees with respect to going concern are described in the relevant sections of this report.
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TWINS TRUST LTD
(A company limited by guarantee)
INDEPENDENT AUDITOR'S REPORT TO THE MEMBERS OF TWINS TRUST LTD (CONTINUED)
The other information comprises the information included in the Annual report other than the financial statements and our Auditor's report thereon. The Trustees are responsible for the other information contained within the Annual report. Our opinion on the financial statements does not cover the other information and, except to the extent otherwise explicitly stated in our report, we do not express any form of assurance conclusion thereon. Our responsibility is to read the other information and, in doing so, consider whether the other information is materially inconsistent with the financial statements or our knowledge obtained in the course of the audit, or otherwise appears to be materially misstated. If we identify such material inconsistencies or apparent material misstatements, we are required to determine whether this gives rise to a material misstatement in the financial statements themselves. If, based on the work we have performed, we conclude that there is a material misstatement of this other information, we are required to report that fact.
We have nothing to report in this regard.
In our opinion, based on the work undertaken in the course of the audit:
∙the information given in the Trustees' Report for the financial year for which the financial statements are prepared is consistent with the financial statements.
∙the Trustees' Report has been prepared in accordance with applicable legal requirements.
In the light of our knowledge and understanding of the charitable company and its environment obtained in the course of the audit, we have not identified material misstatements in the Trustees' Report.
We have nothing to report in respect of the following matters in relation to which Companies Act 2006 and the Charities Accounts (Scotland) Regulations 2006 (as amended) require us to report to you if, in our opinion:
∙adequate accounting records have not been kept, or returns adequate for our audit have not been received from branches not visited by us; or
∙the financial statements are not in agreement with the accounting records and returns; or
∙certain disclosures of Trustees' remuneration specified by law are not made; or
∙we have not received all the information and explanations we require for our audit; or
∙the Trustees were not entitled to prepare the financial statements in accordance with the small companies regime and take advantage of the small companies' exemptions in preparing the Trustees' Report and from the requirement to prepare a Strategic Report.
Page 15
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TWINS TRUST LTD
(A company limited by guarantee)
INDEPENDENT AUDITOR'S REPORT TO THE MEMBERS OF TWINS TRUST LTD (CONTINUED)
As explained more fully in the Trustees' responsibilities statement, the Trustees (who are also the directors of the charitable company for the purposes of company law) are responsible for the preparation of the financial statements and for being satisfied that they give a true and fair view, and for such internal control as the Trustees determine is necessary to enable the preparation of financial statements that are free from material misstatement, whether due to fraud or error.
We have been appointed as auditor under section 44(1)(c) of the Charities and Trustee Investment (Scotland) Act 2005 and under the Companies Act 2006 and report in accordance with the Act and relevant regulations made or having effect thereunder.
Our objectives are to obtain reasonable assurance about whether the financial statements as a whole are free from material misstatement, whether due to fraud or error, and to issue an Auditor's report that includes our opinion. Reasonable assurance is a high level of assurance, but is not a guarantee that an audit conducted in accordance with ISAs (UK) will always detect a material misstatement when it exists. Misstatements can arise from fraud or error and are considered material if, individually or in the aggregate, they could reasonably be expected to influence the economic decisions of users taken on the basis of these financial statements.
Irregularities, including fraud, are instances of non-compliance with laws and regulations. We design procedures in line with our responsibilities, outlined above, to detect material misstatements in respect of irregularities, including fraud. The extent to which our procedures are capable of detecting irregularities, including fraud is detailed below:
We gained an understanding of the legal and regulatory framework applicable to the charitable company and the industry in which it operates, and considered the risk of acts by the charitable company that were contrary to applicable laws and regulations, including fraud. We designed audit procedures to respond to the risk, recognising that the risk of not detecting a material misstatement due to fraud is higher than the risk of not detecting one resulting from error, as fraud may involve deliberate concealment by, for example, forgery or intentional misrepresentations, or through collusion. We focussed on laws and regulations which could give rise to a material misstatement in the financial statements, including, but not limited to, the Charities Act 2011, the Companies Act 2006 and UK tax legislation. Our tests included agreeing the financial statement disclosures to underlying supporting documentation and enquiries with management. There are inherent limitations in the audit procedures described above and, the further removed non-compliance with laws and regulations is from the events and transactions reflected in the financial statements, the less likely we would become aware of it. We did not identify any key audit matters relating to irregularities, including fraud. As in all our audits, we also addressed the risk of management override of internal controls, including testing journals and evaluating whether there was evidence of bias by the Trustees that represented a risk of material misstatement due to fraud.
Because of the inherent limitations of an audit, there is a risk that we will not detect all irregularities, including those leading to a material misstatement in the financial statements or non-compliance with regulation. This risk increases the more that compliance with a law or regulation is removed from the events and transactions
Page 16
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TWINS TRUST LTD
(A company limited by guarantee)
INDEPENDENT AUDITOR'S REPORT TO THE MEMBERS OF TWINS TRUST LTD (CONTINUED)
reflected in the financial statements, as we will be less likely to become aware of instances of non-compliance. The risk is also greater regarding irregularities occurring due to fraud rather than error, as fraud involves intentional concealment, forgery, collusion, omission or misrepresentation.
A further description of our responsibilities for the audit of the financial statements is located on the Financial Reporting Council's website at: www.frc.org.uk/auditorsresponsibilities. This description forms part of our Auditor's report.
This report is made solely to the charitable company's members, as a body, in accordance with Chapter 3 of Part 16 of the Companies Act 2006, and to the charitable company's trustees, as a body, in accordance with regulation 10 of the Charities Accounts (Scotland) Regulations 2006. Our audit work has been undertaken so that we might state to the charitable company's members and Trustees those matters we are required to state to them in an Auditor's report and for no other purpose. To the fullest extent permitted by law, we do not accept or assume responsibility to anyone other than the charitable company and its members, as a body, for our audit work, for this report, or for the opinions we have formed.
for and on behalf of
Statutory Auditor
Wey Court West
Union Road
Farnham
Surrey
GU9 7PT
Shaw Gibbs (Audit) Limited are eligible to act as auditors in terms of section 1212 of the Companies Act 2006.
Page 17
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TWINS TRUST LTD
(A company limited by guarantee)
STATEMENT OF FINANCIAL ACTIVITIES (INCORPORATING INCOME AND EXPENDITURE ACCOUNT)
FOR THE YEAR ENDED 30 JUNE 2025
Page 18
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TWINS TRUST LTD
(A company limited by guarantee)
REGISTERED NUMBER: 03688825
BALANCE SHEET
AS AT 30 JUNE 2025
Page 19
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TWINS TRUST LTD
(A company limited by guarantee)
REGISTERED NUMBER: 03688825
BALANCE SHEET (CONTINUED)
AS AT 30 JUNE 2025
The Trustees acknowledge their responsibilities for complying with the requirements of the Act with respect to accounting records and preparation of financial statements.
The financial statements were approved and authorised for issue by the Trustees and signed on their behalf by:
Page 20
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TWINS TRUST LTD
(A company limited by guarantee)
STATEMENT OF CASH FLOWS
FOR THE YEAR ENDED 30 JUNE 2025
Page 21
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TWINS TRUST LTD
(A company limited by guarantee)
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 30 JUNE 2025
The Company is a charitable company, incorporated in England, Wales and Scotland.
Its registered office is 10-18 Union Street, London, England, SE1 1SZ. The Company is a company limited by guarantee. In the event of the Company being wound up, the liability in respect of the guarantee is limited to £1 per member of the Company.
2.Accounting policies
The Trustees consider that there are no material uncertainties about the Company's ability to continue as a going concern.
All income is recognised once the Company has entitlement to the income, it is probable that the income will be received and the amount of income receivable can be measured reliably.
Donated services or facilities are recognised when the Company has control over the item, any conditions associated with the donated item have been met, the receipt of economic benefit from the use of the Company of the item is probable and that economic benefit can be measured reliably. In accordance with the Charities SORP (FRS 102), the general volunteer time of supporters is not recognised. Refer to the Trustees' report for more information about their contribution.
On receipt, donated professional services and facilities are recognised on the basis of the value of the gift to the Company which is the amount it would have been willing to pay to obtain services or facilities of equivalent economic benefit on the open market; a corresponding amount is then recognised in expenditure in the period of receipt.
Income tax recoverable in relation to donations received under Gift Aid or deeds of covenant is recognised at the time of the donation.
Membership subscription income is recognised upon receipt.
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TWINS TRUST LTD
(A company limited by guarantee)
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 30 JUNE 2025
2.Accounting policies (continued)
Interest on funds held on deposit is included when receivable and the amount can be measured reliably by the Company; this is normally upon notification of the interest paid or payable by the institution with whom the funds are deposited.
Assets in the course of construction are included at costs incurred to date. Amortisation on these assets is not charged until they are brought into use.
Amortisation is provided at rates calculated to write off the cost of intangible assets, less their estimated residual value, over their expected useful lives on the following bases:
The estimated useful lives are as follows:
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TWINS TRUST LTD
(A company limited by guarantee)
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 30 JUNE 2025
2.Accounting policies (continued)
Tangible fixed assets costing £1,000 or more are capitalised and recognised when future economic benefits are probable and the cost or value of the asset can be measured reliably. Some computer equipment costing less than £1,000 is capitalised.
Depreciation is charged so as to allocate the cost of tangible fixed assets less their residual value over their estimated useful lives, using the straight-line method.
Depreciation is provided on the following bases:
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TWINS TRUST LTD
(A company limited by guarantee)
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 30 JUNE 2025
2.Accounting policies (continued)
Deferred income represents amounts received relating to future periods and is released to incoming resources in the period to which it relates.
The Company operates a defined contribution pension scheme and the pension charge represents the amounts payable by the Company to the fund in respect of the year.
Page 25
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TWINS TRUST LTD
(A company limited by guarantee)
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 30 JUNE 2025
Page 26
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TWINS TRUST LTD
(A company limited by guarantee)
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 30 JUNE 2025
Page 27
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TWINS TRUST LTD
(A company limited by guarantee)
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 30 JUNE 2025
6.Income from other trading activities (continued)
Income from fundraising events (continued)
Page 28
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TWINS TRUST LTD
(A company limited by guarantee)
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 30 JUNE 2025
8.Expenditure on raising funds (continued)
Page 29
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TWINS TRUST LTD
(A company limited by guarantee)
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 30 JUNE 2025
9.Analysis of expenditure on charitable activities (continued)
Summary by fund type (continued)
Page 30
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TWINS TRUST LTD
(A company limited by guarantee)
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 30 JUNE 2025
10.Analysis of expenditure by activities (continued)
Page 31
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TWINS TRUST LTD
(A company limited by guarantee)
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 30 JUNE 2025
10.Analysis of expenditure by activities (continued)
Analysis of direct costs (continued)
Page 32
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TWINS TRUST LTD
(A company limited by guarantee)
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 30 JUNE 2025
10.Analysis of expenditure by activities (continued)
Analysis of direct costs (continued)
Page 33
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TWINS TRUST LTD
(A company limited by guarantee)
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 30 JUNE 2025
10.Analysis of expenditure by activities (continued)
Analysis of direct costs (continued)
Page 34
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TWINS TRUST LTD
(A company limited by guarantee)
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 30 JUNE 2025
10.Analysis of expenditure by activities (continued)
Analysis of support costs (continued)
Page 35
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TWINS TRUST LTD
(A company limited by guarantee)
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 30 JUNE 2025
Page 36
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TWINS TRUST LTD
(A company limited by guarantee)
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 30 JUNE 2025
12.Staff costs (continued)
Page 37
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TWINS TRUST LTD
(A company limited by guarantee)
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 30 JUNE 2025
Page 38
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TWINS TRUST LTD
(A company limited by guarantee)
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 30 JUNE 2025
Page 39
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TWINS TRUST LTD
(A company limited by guarantee)
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 30 JUNE 2025
Page 40
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TWINS TRUST LTD
(A company limited by guarantee)
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 30 JUNE 2025
Twins Trust has committed to make research grants to the following individuals: Grants awarded 2018/19 Dr Brenda F Narice, NIHR Clinical Research Fellow in Obstetrics and Gynaecology (full-time) and Honorary SpR in Obstetrics and Gynaecology at Sheffield NHS Teaching Hospitals, University of Sheffield. Exploring novel techniques for the prediction of spontaneous preterm birth in multiple pregnancies. Lindsay Kindinger, Academic Clinical Lecturer in Obstetrics and Gynaecology, Institute for Women's Health, University College London. During the year 23/24 Twins Trust paid £3,361 towards this grant. £1,946 remains unpaid at the year end June 2025. £19,614 (split of 50:50 Twins Trust: BMFMS) Lindsay M Kindinger, Department of Fetal and Maternal Medicine, Institute for Women's Health, University College London. Quantitative fetal fibronectin, cervical length and vaginal microbiota for the prediction of preterm birth in twin pregnancies undergoing fetal laser surgery. This bursary has been named in memory of Eva Boyle, a much-missed, forever-loved twin. The grant recipients initially had 2 years to complete the research but extensions have been agreed to November 2026. The grants are payable when the research is complete. £9,706 remains unpaid at year end June 2025. £19,608 (split of 50:50 Twins Trust: BMFMS) Grants awarded 2021/22 Lisa Story, Honorary Consultant in Obstetrics and Fetal Medicine, St Thomas’ Hospital. £18,190 (split of 50:50 Twins Trust: BMFMS) Evaluation of the impact of fibronectin and cervical length monitoring in triplet pregnancies. The full amount of £9,095 was unpaid at the year end June 2025. Twins Trust has considered the effect of discounting the grants committed and determined that the effect is not material. Deferred income comprises advertising income received in advance of publication, course and audit fees received in advance and donations received in advance of the specified purposes they are to provide. An analysis of the movement on deferred income is shown below.
Page 41
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TWINS TRUST LTD
(A company limited by guarantee)
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 30 JUNE 2025
Page 42
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TWINS TRUST LTD
(A company limited by guarantee)
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 30 JUNE 2025
Page 43
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TWINS TRUST LTD
(A company limited by guarantee)
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 30 JUNE 2025
Page 44
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TWINS TRUST LTD
(A company limited by guarantee)
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 30 JUNE 2025
Page 45
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TWINS TRUST LTD
(A company limited by guarantee)
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 30 JUNE 2025
Unrestricted (includes designated funds)
Support Services To provide services to multiple birth families to help them meet the challenges they may face. Parent Talks To provide classes, talks and seminars to help and support families to meet the unique challenges of raising multiple birth children. Digital Fund Funds set aside to enable further development of our digital development plans, this will include a new website which is being implemented in 25/26 financial year. Trusts and Foundation Fundraising Investment Trusts and foundation fundraising investment - to bolster our expertise and capacity in this area. Research Fund To undertake medical research to reduce the number of still births and premature births as a result of a multiple pregnancy. This will help us resume our matched funding partnership with the British Maternal and Fetal Medicine Society (BMFMS) and supplement other research projects. Future Strategy and Operations Fund To fund future strategic planning costs, expansion of the staff team and improvements to the Charity office space. New Programme for Twins Clubs To seed a regranting programme for Twins Clubs. This is an important step towards building nationwide relationships, which would translate into more volunteers and fundraisers. The intent would be to go look for funding for this programme but in the short term this would give us some data to put into applications. Restricted Scotland To work individually and with other agencies to identify the needs of families in Scotland and to help them by providing support, services and advice. Northern Ireland To work individually and with other agencies to identify the needs of families in Northern Ireland and to help them by providing support, services and advice. Awards for All England and Wales To provide new resources to families and professionals in these two countries to help them meet the challenges they may face. Family Crisis Support (FCS) To provide practical help in the home or equipment to families in dire need. Bereavement Support Service (BSS) To provide support to families who have lost one or more babies as a result of a multiple pregnancy. Research To undertake medical research to reduce the number of still births and premature births as a result of a multiple pregnancy, with vital research will continue to be a priority. Research to Benefit the Multiple Birth Community (formerly Centre for Research and Clinical
Page 46
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TWINS TRUST LTD
(A company limited by guarantee)
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 30 JUNE 2025
Excellence (CRCE))
To enable the delivery of work that raises awareness of TTTS and provides additional support to these expectant parents and researches how to reduce the risks they experience in pregnancy. Trustees regularly review the financial position of our regional funds and have over successive years agreed to meet any shortfall from unrestricted funds. This is reflected in the transfers between funds noted in these accounts. During the year the Trustees have designated funds to assist in specific projects and these have been transferred from general funds.
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TWINS TRUST LTD
(A company limited by guarantee)
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 30 JUNE 2025
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TWINS TRUST LTD
(A company limited by guarantee)
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 30 JUNE 2025
The Company operates a defined contribution pension scheme. The assets of the scheme are held separately from those of the Company in an independently administered fund. The pension cost charge represents contributions payable by the Company to the fund and amounted to £21,184 (2024 - £25,353). Contributions totalling £nil (2024 - £nil) were payable to the fund at the balance sheet date and are included in creditors.
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TWINS TRUST LTD
(A company limited by guarantee)
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 30 JUNE 2025
The Charitable Company is exempt from corporation tax on its charitable activities.
During the year the Charity received donations in kind of £8,000 (2024 - £2,400) in respect of Norland trained early years practitioner costs from the Norland agency.
During the year the Charity received donations in kind of £2,500 (2024 - £nil) in respect of promotional content filming provided by NRG Digital Ltd.
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