Form 3 - Notification Of Changes To Charitable Entity (New Zealand) Page 13
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17F3/NOV12
Areas of operation
14
If your areas of operation have changed, please indicate what they are now.
Please select as many options as needed.
New Zealand
Nationwide
Or less than nationwide
Northland
Wellington–Wairarapa
Auckland
Nelson–Marlborough–Tasman
Waikato
West Coast
Bay of Plenty
Canterbury
Gisborne
Otago
Hawke’s Bay
Southland
Taranaki
Chatham Islands
Manawatu–Wanganui
Overseas
Oceania
Antarctica
Asia
South America
Africa
North America
Europe
Effective date of change
/
/
Day
Month
Year
15
What percentage of New Zealand-sourced funds were spent carrying out charitable purposes
overseas in the last financial year?
If the charitable entity has not been operating for a year, what percentage of New Zealand-
sourced funds does it intend to spend carrying out charitable purposes overseas in the upcoming
financial year?
If not applicable write N/A.
Read the help notes on the left hand page for an explanation.
Must be completed.
%
Change to officers
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Do you need to add any new officers of the charity?
Yes
Please complete an Officer certification form for each new officer.
No
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Internal Affairs
Form 3: Notification of changes to charitable entity
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