Current: to Previous: to <Insert reason for any change in the reporting period of the fund> Board of Fund Full name E-mail address Capacity* Date appointed or re-appointed date (for all Board members) Date resigned (for all Board members) * -‘M’ denotes member elected - ‘E’ denotes employer appointed - ‘A’ denotes alternate - ‘C’ denotes chairperson - ‘I’ denotes independent - ‘R’ denotes section 26(2) appointment - ‘S’ denotes sponsor appointed Governance note: schedule of meetings* held by the Board of Fund in terms of the rules of the fund Meeting date Place of meeting Quorum (yes/no) * Only meetings held by the Board of Fund and does not include meetings held by the sub-committees Fund officers Principal officer Deputy Principal officer Monitoring person* Full name: Postal address: Physical address: Telephone number: Email address: *(In terms of Section 13A of the Pension Funds Act) Professional service providers (Indicate the date of appointment/resignation of any service provider during the reporting period) Actuary/Valuator Auditor Full name: Postal address: Physical address: Telephone number: Email address: REGULATORY INFORMATION - CONTINUED For the period ended ….. Benefit administrator Fund consultant Full name: Postal address: Physical address: Telephone number:
Notes A Members’ individual accounts & amounts to be allocated/ Accumulated funds R B Reserves Refer Notes 6 and 21 R A + B Total Current period R Total Previous period R Net income after transfers and benefits (brought forward) Funds and reserves Balance at beginning of period Prior period adjustments 15 Transfer between reserve accounts 21 Investment return allocated Current members Former members Surplus and reserve accounts 21 Surplus apportionment 21 Revaluation surplus: Property, plant and equipment 6 Transfer between reserve accounts Employer surplus account Member surplus account (Provide details) Allocations to/from surplus accounts Benefits to former members Surplus transfers payments Benefit enhancements - other Surplus transfers received Balance at end of period
NOTES TO THE FINANCIAL STATEMENTS – CONTINUED For the period ended … 21 Surplus and reserve accounts A B C D E F Member/ pensioner surplus account R Employer surplus account R Reserve Accounts R Employer protection reserve R Contingency reserve R Invest reserve R Risk reserve R Pensioner reserve R Other reserves R At beginning of period Employer surplus apportionment Member surplus apportionment Benefit enhancement – current members Contributions received and accrued Contributions transferred from reserve accounts Contributions transferred from surplus accounts Surplus improperly utilised Reinsurance proceeds Net investment income Allocated to unclaimed benefits Other income (provide details) Less: Re-insurance premiums Administration expenses Retirement fund taxation Net income before transfers and benefits
Transfers and benefits Transfers from other funds Transfers to other funds Benefits Net income after transfers and benefits (carried forward) Transfer between reserve accounts Net investment return Benefit enhancement – pensioners Contribution holiday – after surplus apportionment Contribution holiday – before surplus apportionment At end of period 22 Surplus improperly utilised receivable Current period R Previous period R Opening balance Amount payable by employer Interest raised Less Payments received Settlement from employer surplus account Other (provide details) Total amount receivable Disclosed as: Non-current portion Current portion This surplus improperly utilised is receivable from……(name of participating employer) and arose on….(specify period) when…(e.g. employer took a contribution holiday from <insert date> to <insert date>). It is repayable… (state the manner and/or period of payment).
SCHEDULE IA – INVESTMENT SCHEDULE At ……. Investments1 A B C D E A+B+C+D+E V+W+X V W X W+X Y Z V+W+X+Y+Z Notes2 Direct Investments Non-compliant Collective investment schemes Non- compliant Insurance polices Derivative positions without residual risk Compliant Investments Total Local Foreign (excluding Africa) Foreign Africa Total Foreign Total percentage foreign exposure Derivative positions with residual risk Reconciling items between Schedule IB and Schedule IA TOTAL as per Regulation 28 (Schedule IB) Note M1 Note M2 Note G1 Note L Note G2 R R R R R R R R R R % R R R Cash (including cash at bank) A - Commodities B - Housing Loans - Debt instruments including Islamic debt Instruments C - Investment properties and owner occupied properties D - Equities E - Derivative Market instruments G - - Investments in participating employer(s) H - Other assets I Hedge Funds J - Private Equity Funds K - Collective Investment Schemes - - - Insurance Policies : - - - - Linked Policies - - - - Non-Linked Policies - - - - Insurance Policies ito Reg 28(3)(c)3 - - - Entities regulated ito Reg 28(8)(b)(iv) - - - Investments not disclosed /data not available for disclosure by entities N - TOTAL INVESTMENTS 4 Notes: 1 Schedule prepared on a look through basis except for private equity and hedge funds which shows the structure of the investment 2 Detailed disclosure is applicable on segregated/ direct investments 3 Assets which are subject to the grandfathering provision as set out in regulation 28(3)(c ) 4 The total investments will be equal to Schedule IB item A
NOTES TO THE INVESTMENT SCHEDULE - CONTINUED At ….. G DIRECT DERIVATIVE MARKET INSTRUMENTS G1 DERIVATIVE POSITIONS WITHOUT RESIDUAL RISK Instrument Notes 1,2 & 3 Local or Foreign Listed or Unlisted Strike price Cost or Premium Fair value Effective Economic Exposure Potential Loss Potential Gain Exchange rate Fixed rate or Variable rate % Expiry date Holding number Holding % Gross Nett Options e.g. put or call - Futures/ Forwards/ SAFEX - Currency swaps - Interest rate swaps - Forward rate agreements - Equity linked instruments - Other (Provide details) - TOTAL - Notes: Describe valuation methodology of instruments Explain changes in assumptions (if any changes from previous period) List all non-compliance(s) with the Notices Counter
NOTES TO THE INVESTMENT SCHEDULE - CONTINUED At ….. H Investments in participating employer/s Instrument Note 1 Local or Foreign Holding number % Holding Interest rate Secured by Listed/not listed Issued/ Guaranteed Fair valve R Cash Commodities Housing Loans Debt instruments SUBTOTAL Instrument Local or Foreign Address Valuation method Date of last valuation Pledged as a guarantee Fair value R Investment properties and owner occupied properties SUBTOTAL Instrument Local or Foreign Issued shares Holding number shares % holding Listed/not listed Fair value R Equities Hedge funds Private equity Other (provide detail) SUBTOTAL TOTAL FOR INVESTMENT IN PARTICIPATING EMPLOYERS Note 1: List issuers/entities which exceeds 5% of total assets
NOTES TO THE INVESTMENT SCHEDULE - CONTINUED At ….. K PRIVATE EQUITY FUNDS Instrument Local or Foreign Structure Category 2 approval FAIS approval number % Holding Term of contract Number of permitted drawdowns as per contract Number of permitted drawdowns exercised Number of drawdowns exceeded (if any) Total value of commitment R Current value of commitment R Private Equity Fund (Provide details) Funds of Private Equity Fund (Provide details) Total Private Equity funds commitment The Private Equity funds structure will be classified as: - Partnerships - Trusts - Other - Section 5(2)(e) List all non-compliance(s) with the applicable Notices
NOTES TO THE INVESTMENT SCHEDULE - CONTINUED At ….. O ENTITY/ COUNTERPARTY EXPOSURE Credit / counter party risk party Direct investment in counter party R Deposit/liquid asset with counter party R Securities lending transactions R Open financial instruments mark to market value R Guarantees R Any other instrument R Total per Party R as fair Banks - List per bank Asset managers – local - List per asset manager Asset managers – foreign - List per asset manager Insurance Companies - list per insurance company Participating employers - List per participating employer* Other - List Investment value must be the value determined according to the regulatory reporting requirements for retirement funds. Including investments in participating employer, arrear contributions, amounts due to the fund in terms of section 18 and any amounts utilised improperly.
Restriction on Use Without modifying our opinion, we draw attention to the purpose of our report as indicated in the introductory paragraph, and the basis of accounting. Consequently, the Schedule and our auditor’s report may not be suitable for another purpose. Auditor’s Signature Name of individual registered auditor Registered Auditor Date of auditor’s report Auditor’s address