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Annual Regulatory Return for Tier 1 AHBs for the 2015 Year 1 Tier 1s to complete this form Section 1: General Information 1.1 ORGANISATIONAL NAME 1. Official Name of Approved Housing Body: 2. Operational Name of Approved Housing Body: (if different from above) 1.2 CONTACT DETAILS Office Address: Registered Address (if different from above): Telephone : Email Address: Website Address (if any): 1.3 KEY CONTACTS 1. Chairperson and Chief Executive (if applicable) (PLEASE PRINT NAMES) 2. Contact Person for Regulation Purposes: (if different from above) Chairperson Name: Tel. : Email: Name: Role in Organisation: Chief Executive (if applicable) Name: Tel. : Email: Tel. : Email: 1.4 DECLARATION THIS SECTION MUST BE COMPLETED Please give the date of the meeting of the Board (i.e. governing body or subcommittee delegated by the Board) where this Annual Return was approved: Date: I certify for, and on behalf of, the above organisation that the information reported in this Annual Return is accurate and is a fair representation of the organisation for 2015. Signature: Print Name: Position: Regulation Office, Housing Agency, 2016 Page 1

1.5 COMPANY TYPE 1. Please indicate what type of company your organisation is. 1.6 CORE OBJECTIVE Company Limited by Guarantee Charitable Trust Friendly Society Association Designated Activity Company Other Please specify 1. Please outline the core objective of the organisation and the particular target group for housing purposes e.g. our focus is on housing older persons : Does the organisation provide any other services, for example, day services, meal services, childcare etc.? Please list any other services provided by the organisation. 1.7 ACHIEVEMENTS 1. Please provide a description of the key activities and achievements during 2015: 2. Does the organisation produce an Annual Report? If yes, please attach the latest Annual Report. 1.8 STAFF AND/OR VOLUNTEER DETAILS 1. Does the organisation employ any staff? 2. If yes, please provide the number of staff employed as of the organisation s financial year end. (2015) (This should match the Financial Statements) 3. Please state the number of volunteers working for the organisation, if applicable. (excluding Board Members) 4. If the organisation employs any staff, please provide an organisational chart if available. Regulation Office, Housing Agency 2016 Page 2

Section 2: Property Information 2.1 PROPERTY BREAKDOWN In the following Property Table please complete the following: Q.1. State the overall combined total number of units that were owned, leased and managed by the organisation as at 31 st December 2015. Q.2. Here the organisation is asked to break this overall total number of units (from Q1. above) into the various categories of owned, leased and managed stock. Please input the total number of units per category into the relevant box on this line. We ask that a unit is considered for counting in one category only. Q.3. This part of the Property Information Table requires more detail on the location of the actual units by local authority area. Many organisations only operate in one local authority area, while other organisations operate across numerous local authorities. Organisations are asked to state the number of units they have in each local authority area under the various categories set out. For example: o o If you have 5 CAS units that are still under mortgage in the Clare Local Authority area, please insert 5 in the CAS column opposite Clare. If you lease 10 units from Kilkenny County Council, please insert 10 in the Leased from a Local Authority column opposite Kilkenny. To ensure the number of units listed in the detailed local authority table match the total held by the organisation, please add the totals at the bottom to ensure that properties are not double counted. Terms used in the Property Table for reference Unit refers to: A residential unit which is a single unit of property per household. For example, in a group home situation, where four adults with special needs are sharing common facilities, that equates to four units of accommodation. Owned units include: - Units originally funded through the Capital Assistance Scheme (CAS) and the Capital Loan and Subsidy Scheme (CLSS) that still have the mortgage charge in place. Information is also required on units funded under these schemes that are now out of mortgage charge. - Units that are owned by the organisation and currently subject to a Payment and Availability Agreement. - Units owned by the organisation and funded from another source not mentioned above, for example by way of donations, gifts, etc. Leased units include: - Units leased by the organisation where the owner of the property is the local authority, a private property owner or another Approved Housing Body. Managed units include: - Units managed by the organisation, (excluding the owned or leased properties above) that an organisation is managing on behalf of a Local Authority, or private property owner or another AHB via a Service Level Agreement. If you wish to clarify anything regarding table 2.1. on the next page, please provide details here: Regulation Office, Housing Agency 2016 Page 3

1. Please state the overall total number of units that are owned, leased or managed by the organisation in 2015: 2. Owned Units (if any) Total: Leased Units (if any) Total: Managed Units (if any) Total: 3. Local Authority CAS CLSS CAS/CLSS (Out of Mortgage) Carlow Cavan Clare Cork City Cork County Donegal Dublin City DunL Rathdown Fingal Galway City Galway County Kerry Kildare Kilkenny Laois Leitrim Limerick City & County Longford Louth Mayo Meath Monaghan Tipperary Offaly Roscommon Sligo South Dublin Waterford City & County Westmeath Wexford Wicklow TOTAL Funded via n-state Payment & Funded Availability Arrangements From Local Authority From Private Property Owners From another AHB On behalf of a Local Authority On behalf of a Private Property Owner On behalf of another AHB Regulation Office, Housing Agency 2016 Page 4

2.2 TYPE OF UNITS Of the units listed in Section 2.1, how many are: 1. Self-contained units? (A unit is considered self-contained if it has the exclusive use of a bath/shower and cooking facilities.) n self-contained units? These non self-contained units are set out across properties (insert a number) (A unit is considered non self-contained if it does not have the exclusive use of a bath/shower and cooking facilities.) 2.3 ADDITIONAL INFORMATION ON MANAGED AND/OR LEASED UNITS (applicable only where the AHB manages or leases units to/from other AHBs) 1. If the organisation owns units and leases them to another AHB, please specify the name of each AHB and the number leased to each AHB. AHB name Number leased to that AHB 2. If the organisation has leased units from another AHB, please specify the name of the AHB and the number leased from each AHB: AHB name Number leased from that AHB 3. If the organisation manages units on behalf of another AHB, please specify the name of each AHB and the number managed on behalf of each AHB. AHB name Number managed on that AHB s behalf 4. Please provide further information in relation to these units, e.g. details of formal agreements in place which cover party responsibilities such as repairs, sinking funds etc. 2.4 ADDITIONAL UNITS FOR 2015 1. Did the organisation develop or acquire any additional units in 2015? If yes, please state the number by scheme type below: The number of units completed or acquired (2015) The number of units under construction (2015) CAS Payment & Availability Other Regulation Office, Housing Agency 2016 Page 5

Section 3: Governance 3.1 BOARD / MANAGEMENT COMMITTEE DETAILS THIS SECTION MUST BE COMPLETED 1. Please give details of the Governing Board or Management Committee as at the organisation s financial year end. (2015) Important n-executive A n-executive Board Member is not a paid member of staff. In the case of an AHB that is solely managed and operated by voluntary board members, then all of the board members are deemed to be n-executive. Executive - Any staff member employed by the AHB holding a position on the Board is deemed to be an Executive Board Member. Please only list board members once. Position Name Date of Original Appointment to the Board 1. Please state if the Board Member is a n-executive or an Executive Board Member. n-executive Executive Chairperson Secretary Treasurer (if applicable) 2. Total Number of Directors (This should match the Financial Statements) 3. How many times did the Board or Management Committee meet in 2015? 4. When was the Annual General Meeting in respect of 2015 held? (Please ensure the date accurately reflects the appropriate year end) 5. Please confirm if the following are resident in the State: The Chairperson The Secretary At least three other board members 1 This is for information purposes only: the commitment where board members serve no more than 2 consecutive 5 year terms applies from 15 th July 2013. Service on the Board prior to this date is disregarded for the purpose of this calculation. Regulation Office, Housing Agency 2016 Page 6

3.2 SUBCOMMITTEES 1. Is there an Audit (or Audit and Risk) Committee in place? 2. How many times did the Audit (or Audit and Risk) Committee meet in 2015 3. Does the organisation have any other subcommittees in place? Please tick where relevant. Finance Allocations/Letting Maintenance/Repairs Policy and Procedure/Governance Other Please specify 4. Please add any other relevant information regarding subcommittees or working groups within the organisation: 3.3 BOARD POLICIES AND MEMORANDUM AND ARTICLES OF ASSOCIATION 1. Are the following policies in place? Please state the date when each policy was last reviewed Board Membership Board Membership Renewal Code of Conduct Conflict of Interest Register of Interests 2. If these policies, or a number of these policies are not in place, please explain how the organisation is working towards developing and implementing them. Please add any other relevant information. 3. Please state when the Memorandum and Articles of Association (or equivalent governing/ constitutional document) of the organisation were last reviewed? 3.4 RELATED PARTIES AND GROUP STRUCTURES THIS SECTION MUST BE COMPLETED 1. Is the organisation part of a broader group structure i.e. does it have a parent company, a subsidiary or a relationship with a sister company? 2. If yes, please explain the structure, detailing the relationship between the organisations, and which entity is the parent/ subsidiary or related company: 3. Do the related parties provide any management or other services to the organisation? Regulation Office, Housing Agency 2016 Page 7

4. Is there a formal service level agreement in place for services provided by related parties? 5. If yes, please set out key aspects of the service level agreement in place between the organisation and its related parties: Please provide a copy of the agreement. 6. Are there common directors between the organisation and its related parties? 7. Are there financial transactions/interdependent liabilities between the organisation and its related parties? 8. If you answered yes to Question 7, please confirm if there are contractual arrangements in place regarding these transactions. 9. Please provide any further information in relation to the operation of the group/related parties: 3.5 RELATIONSHIPS WITH OTHER ORGANISATIONS 1. Does the organisation receive funding from the HSE? 2. Does the organisation receive revenue funding from other state agencies? (This question should not include capital grant funding received from the Department of Housing, Planning, Communications and Local Government) 3. Does your organisation partner with other organisations to provide ancillary services to housing? 4. Is there a service level agreement in place between organisations for the provision of these services? 5. Please provide details of the service level agreement in place. Regulation Office, Housing Agency 2016 Page 8

Section 4: Financial & Business Management Please note: As part of the assessment process, the Regulation Office will access audited accounts for all AHBs through the Companies Registration Office. If the organisation does not submit Audited Accounts to the Companies Registration Office, please submit a copy for the last Financial Year with this Return. AHBs should be aware that the Regulation Office requires a full set of audited accounts, including Income and Expenditure account and Balance Sheet. 4.1 AUDITED ACCOUNTS 1. Does the organisation have audited accounts for the last financial year (2015 year)? 2. Has the auditor issued a modified/qualified audit opinion in relation to these accounts? If yes, please attach a copy of the opinion. 3. Did the external Auditor provide an Audit Management Letter in respect of the last financial year (2015 year)? If yes, please provide a copy of Audit Management Letter and the organisation s response. 4.2 TAX CLEARANCE Please provide the organisation s Tax Reference Number: Please provide the organisation s Tax Clearance Access Number: 4.3 SINKING FUND Please te: A sinking fund is a fund required for the longer term systematic repair and refurbishment of housing stock e.g. roof replacement. Many organisations have funds/ reserves for short term repairs. Such reserves are important but are not sinking funds and should not be referred to here. 1. Does the Organisation have a sinking fund in place? 2. If yes, what was the level of the sinking fund provision at year end 2015? 3. What was the change in the total provision since the previous year (2014)? + - 4. Please explain the methodology the organisation uses in determining the amount to be allocated to a sinking fund each year: 5. If there is no sinking fund in place, please explain how the organisation is working towards establishing such a fund: Regulation Office, Housing Agency 2016 Page 9

6. Please provide any other relevant information with regard to the sinking fund: 4.4 DEVELOPMENT PROGRAMME 1. Does the organisation have any plans to develop or acquire further units in the coming years? (e.g. in the next 1-5 years) 2. If yes, please provide some details of the development programme. Please set out whether project proposals are at approval stage and what the proposed, or approved funding source is: Section 5: Performance Management Please complete this section of the Annual Regulatory Return in full. If the organisation participates in the Housing Association Performance Management (HAPM) or the Co-Operative Housing Quality Service Provision Review, the AHB should also submit a copy of the annual results from this process. 5.1 TENANT SERVICE POLICIES 1. Are the following Tenant Service policies in place: Please state the date when each policy was last reviewed Complaints Policy: Allocations Policy: Repairs Policy: Rent Arrears Policy: 2. If the above policies are not in place currently, please explain how the organisation is working to implement these polices: 5.2 RENT RECORDS 1. Does the organisation provide a rent book, rent statement, or rent receipts for tenants: Regulation Office, Housing Agency 2016 Page 10

5.3 COMMUNICATING WITH TENANTS 1. Please provide a short description of how the organisation engages and communicates with tenants: Examples include handbooks, newsletters, training, meetings etc 2. Does the organisation provide pre-tenancy training? 3. Does the organisation provide a tenant handbook? 5.4 VOID MANAGEMENT 1. Please state the total number of void properties during the 2015 year: A void is a property that is not tenanted. 2. What was the average length of a void in 2015 (in weeks)? A void period is defined from the time the previous tenant moves out until a new tenant moves in. For all the void units during 2015, total the number of weeks the units were void and average this by dividing by the number of void units in the year. (This may include long-term voids) 3. What was the main reason for void properties during 2015? 5.5 RENT PAYMENTS AND ARREARS 1. Does the organisation charge rent? 2. If the organisation does not charge rent, please provide the reason. 3. What is the average weekly rent charged on Capital Assistance Scheme (CAS) properties? (This should be inclusive of the tenant s contribution and any rent supplement) 4. What is the average weekly rent charged on properties funded through other sources? 5. What was the total amount of rent due in 2015? 6. What was the total amount of rent collected in 2015? 7. What was the total arrears amount owed to the organisation at 31/12/2015? 8. Were any rent arrears written off in 2015? 9. Of the tenancies in rent arrears, what number of tenancies were in arrears for: between 4 and 6 weeks worth of arrears: between 6 and 12 weeks worth of arrears: more than 12 weeks worth of arrears: Regulation Office, Housing Agency 2016 Page 11

10. Please provide any other details that you think are relevant in relation to rent payments and arrears: 11. If the organisation does not currently collect information on rent payment and arrears, or has not reported on this above, please explain how you are working towards collecting this information: 5.6 REPAIRS 1. For each type of repair category, please state: Repairs Type The number of valid Repair Requests: Average Response Time in Days Emergency: e.g. within 24 hours Urgent: e.g. within 5-7 days Routine: e.g. within 28-30 days 2. Please provide any other detail that you think is relevant in relation to repairs: 3. If the organisation does not currently collect information on repairs, or has not reported on this above, please explain how you are working towards collecting this information: 5.7 MANAGEMENT AND MAINTENANCE COSTS 1. What was the overall average management cost per unit during 2015? Management costs include all management and other associated costs, including service charge expenditure, but excluding the maintenance costs. This can be calculated by taking the total expenditure on management and dividing it by the number of units. 2. What was the overall average maintenance cost per unit during 2015? Maintenance costs should only include costs relating to all repairs and maintenance. This can be calculated by looking at the complete expenditure on maintenance and dividing it by the number of units. Regulation Office, Housing Agency 2016 Page 12

3. Please explain any significant variations in costs, which impact on the average figures set out above: 4. If the organisation does not currently collect information on management and maintenance costs, or has not reported on this above, please explain how you are working towards collecting this information: 5.8 OTHER INFORMATION 1. Please provide any other information in relation to monitoring and reporting on performance management: Supporting Documentation Checklist For AHB use Please review to ensure all necessary documents are enclosed as part of the Annual Regulatory Return submission. 1. Organisational Chart (if applicable) 2. Latest Annual Report (if applicable) 3. Service Level Agreement (if applicable) 4. A copy of Audited Accounts for the last financial year, if the organisation does not submit Audited Accounts to the Companies Registration Office. 5. A copy of the Modified/Qualified Audit Opinion (if applicable) 6. Audit Management Letter and the organisation s response (if applicable) 7. The detailed HAPM survey response or the Co-Operative Housing Ireland performance management response (as applicable) 8. Charter of Commitment for the 2016/2017 Year Regulation Office, Housing Agency 2016 Page 13