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Use this form when applying to convert to a CIO. Please make sure you read Charity Commission guidance about legislative changes and charity structures first. Applications that don’t follow guidance instructions may be rejected.

Charity Registered Number *

Company number

Charity name *

CIO structure *

Special circumstances

Date of Special resolution to convert to CIO *

Confirm trustees have been properly appointed. *

Yes

No changes have been made in the CIO governing document to

The objects of the charity

Trustee benefit

Attachment 1: *

Attachment 2: *

Attachment 3: