S.L. 544.4 Art. 2Form of Political Party Donation Return. Cap. 544. Triannual In terms of Cap. 544 Act, Triannual In terms of Cap. 544 Period: FORM A - A1 Details Party Party Period: A2 In A2.1 If I this from report. has A2.2 If Candidates) I this period Signed Printed Date A3 For Date Date File Cap. 544 Triannual P

The Form of Political Party Donation Return, prepared by political parties in accordance with article 38 of the Financing of

Political Parties Act shall be presented to the Electoral Commission in the form stipulated in the Schedule to these regulations. SCHEDULE

The Electoral Commission - Malta __________________________________________________________________

donation return by a registered political party articles 38 and 44(1)(a) of the Financing of Political Parties Act,

The Electoral Commission - Malta __________________________________________________________________

Triannual donation return by a registered political party

In terms of articles 38 and 44(1)(a) of the Financing of Political Parties Cap. 544

Index

FORM A - General information

FORM B - Donations from natural persons

FORM C - Donations from corporate entities

FORM D - Donations from other entities

FORM E - Non-permissible donations

FORM F - Summary of donations (4-month period)

FORM G - Annual summary of donations The Electoral Commission - Malta __________________________________________________________________

donation return by a registered political party articles 38 and 44(1)(a) of the Financing of Political Parties Act,

____________________

General information of registered party name/independent candidate registration reference

Jan-April / May-August/ Sep-Dec

Declaration and signature terms of Article 40(1) of the Financing of Political Parties Act, Cap. 544

declaration is being made in terms of article 40(2) (for Political Parties)

declare to the best of my knowledge and belief that all donations recorded in donations report (Forms A - F) accepted by the above captioned party, are permissible donors and during the reporting period to which this declaration is attached, and no other donations required to be recorded in the

Moreover, no donation from any person or body other than a permissible donor been accepted by the political party.

declaration is being made in terms of article 40(3) (for Independent declare to the best of my knowledge and belief that all donations recorded in donations report (Forms A - F) accepted by the above captioned independent candidate are from permissible donors and during the reporting to which this declaration is attached and I further declare that such statement is accurate.

Submitted by party treasurer/independent candidate name electoral commission use only of receipt Checked by of registration Checked by reference The Electoral Commission - Malta __________________________________________________________________

Triannual donation return by a registered political party

Period: ____________________

FORM B - Donations from natural persons (exceeding €7,000)

In terms of articles 34 and 38(3) of the Financing of Political Parties Act,

Party name/independent candidate Party registration reference Period: Jan-April/ May-August/ Sep-Dec

Number of entries in this section

Entry 1

Full name Surname ID Card / Passport num-

ber Address Town Country Postcode

Monetary amount (€) i

Non-monetary donation equivalent value (€) ii

Total donation (€) i + ii

Date received Date accepted Received by The Electoral Commission - Malta __________________________________________________________________

donation return by a registered political party

____________________

Donations from corporate entities (exceeding €7,000)

articles 34 and 38(3) of the Financing of Political Parties Act, Cap. 544

name/independent candidate registration reference

Jan-April/ May-August/ Sep-Dec

Number of entries in this section

1

name of company Company registration number Registered Address

Country Postcode

Monetary amount (€) i

Non-monetary donation equivalent value (€) ii donation (€) i + ii received accepted Received by The Electoral Commission - Malta __________________________________________________________________

Triannual donation return by a registered political party

Period: ____________________

FORM D - Donations from other entities (exceeding €7,000)

In terms of articles 34 and 38(3) of the Financing of Political Parties Act,

Party name/independent candidate Party registration reference Period: Jan-April/ May-August/ Sep-Dec

Number of entries in this section

Entry 1

Full name Registered address Registration number Town Country Postcode

Nature of entity Trust/Foundation/Club/Partnership/

other

Monetary amount (€) i

Non-monetary dona-tion equivalent value (€) ii

Total donation (€) i + ii

Date received Date accepted Received by The Electoral Commission - Malta __________________________________________________________________

donation return by a registered political party

____________________

Non-permissible donations article 38(5) of the Financing of Political Parties Act, Cap. 544

name/independent candidate registration reference

Jan-April/ May-August/ Sep-Dec

1

Number of entries in this section name Surname Address

Country Postcode profile (natural person/entity/trust/club/etc.

- amount (€) n/a (as applicable) received (if any) returned Returned by why donation has been refused

Description of the manner in which the donation was made The Electoral Commission - Malta __________________________________________________________________

Triannual donation return by a registered political party

Period: ____________________

FORM F - Summary of donations in 4-month period

€

i Total donations (Total of Form B) from natural per-sons ii Total donations (Total of Form C) from corporate entities iii Total donations (Total of Form D) from other entities iv Total donation exceeding €7,000 reported by reference to their source in terms of Article 38(2) iv = [i + ii + iii]

v Total donations not exceeding €50 from one source collected during manifesta-tions In terms of article 37(1)

vi Total donations not exceeding €500 from one source not reported individually in terms of Article 38

vi Total donations exceeding €500 but not i €7,000 from one source for which record is kept but no obligation to report by ref-erence to source arises vi Aggregate donations received during the ii reporting period viii = [iv + v + vi + vii] The Electoral Commission - Malta __________________________________________________________________

donation return by a registered political party

____________________

Annual summary of donations

€ number of donors January - April individual donations exceed-€7,000 - Article 38(3) donations from natural per- (Total of Form B) donations from corporate (Total of Form entities C) donations from other entities (Total of Form D)

donations in period 1

- August individual donations exceed-€7,000 - Article 38(3) donations from natural per- (Total of Form B) donations from corporate (Total of Form entities C) donations from other entities (Total of Form D)

donations in period 2

September - December individual donations exceed-€7,000 - Article 38(3) donations from natural per- (Total of Form B) donations from corporate (Total of Form entities C) donations from other entities (Total of Form D)

donations in period 3

donations from one source exceeding €7,000 dur-year [i + ii + iii] Total donations not exceeding €50 collected during manifestations In terms of Article 37(1) January - April May - August September - December v Total donations not exceeding €50 collected during manifestations

Total individual donations not exceeding €500 Not reported individually in terms of Article 38 January - April May - August September - December vi Total individual donations not exceeding €500

Total individual donations exceeding €500 but not €7,000 Not reported individually in terms of Article 38 January - April May - August September - December vi Total individual donations exceeding €500 but not i €7,000

Aggregate donations by month Aggregate donations received during January - April Aggregate donations received during May - August Aggregate donations received during September -December vi Adjustments ii In terms of Article 38(3)(b) (Transfers to/from iv / vi, vii in view of aggregation of income during the year) January - April May - August September - December Total adjustments ix Aggregate donations received during the reporting period ix = [iv + v + vi + vii + viii]

Total donations in annual Financial Statements Donation income in terms of Part IV of the Financing of Political Parties, Cap. 544 (excluding notional income) Notional income included in Financial Statements x Total donations in annual Financial Statements (ix should equal x)