Gateshead Revenues & Benefits

Full organisation name

NNDR account reference number *

Postcode *

Property number / name *

Street *

District

Town *

County

List details of any affiliation with local or national organisations (e.g. local sports or arts councils)

What is the main purpose of the organisation

Describe the use of the property, and whether it is shared with any other organisations

List the facilities offered by the organisation to the community

List the community needs that the organisation fulfils

Is the organisation a registered charity (Yes, No or Exempt)?

If EXEMPT from registration please give reason:

If YES, what is your registration number?

Organisation formation date

Have the facilities available been provided by self-help or grant aid?

If YES, please give details:

Is membership open to all sections of the community?

If NO what restrictions on membership or voting are there?

Please give classes and details of membership types

How many members are there in each class and what are their membership fees?

How many of those members live in the area of the council?

If your organisation is a sports related organisation, how many members are non-playing members?

Are your facilities made available to people other than members (e.g. schools, casual public sessions, etc.)?

If YES, please give details:

Does the organisation actively encourage membership from particular groups in the community (e.g. young people, older age groups, persons with a disability, ethnic minorities, etc.)?

If YES, please give details:

Does the organisation provide training or education for its members?

If YES, please give details:

Does the organisation have schemes for particular groups to develop their skills?

If YES, please give details:

Do you make any additional charges on any person using your facilities?

If YES, provide details of additional charges including amounts:

Is there a bar in the building?

Does the organisation receive funds from bar receipts?

If YES, please give details:

If your organisation is a sports organisation, does the organisation pay any of its players for playing?

If YES, please give details:

If your organisation is a sports organisation, does the organisation charge admission fees to watch an event?

If YES, please give details:

Please describe the use of any reserves, balances or excess income over expenditure, including any future plans for development.

Additional information in support of your claim

Please note that fields marked * are required.