Arts & Business Scotland

Request for Financial Viability/Risk Assessment

& Legal Entity Questionnaire

This form asks for legal and financial information on your organisation to ensure that Arts & Business Scotland contracts with correct legal entities.

Arts & Business Scotland is also seeking information on the financial performance/stability of your organisation. This is to ensure that Arts & Business Scotland discharges its responsibility in ensuring contractors/potential contracts are able to meet the terms and conditions of any Arts & Business Scotland contracts.

1.0 Organisation Information : Please complete the following questions (in black ink) and then proceed to Question 2
Organisation Name
(and trading name if appropriate)
Trading Address
(for all correspondence)
Contact Name
Tel No / Fax No
VAT Registration No
2.0 Legal Status : The legal status of the organisation : Tick appropriate box and proceed to the questions indicated
A / The organisation is a registered charity
Go to Question 3
B / A Public Limited Company (PLC)
A Private Limited Company (LTD) - Limited by shares
A Private Limited Company - Limited by guarantee

Go to Question 4

C / Sole Trader

Go to Question 5

D / Partnership

Go to Question 6

E / Consortium/Joint Ventures
Complete Questions 1- 8 for each member of the consortium/joint
venture, additionally supply details of the lead organisation and the
relationship between consortium/venture members
F / Other eg Public Corporation, Higher Education Establishment formed
Under Statutory Instrument
Complete Questions 1 – 8 which are most appropriate to your type of

Organisation and detail legal status separately

3.0 Charities: You have identified that the organisation is a registered charity from Question 1 above. Please complete the following
Name(s) of Trustees
Who has delegated authority to sign contracts
on behalf of the organisation (Please also include a copy of that delegated authority)?
Charity Registration No
Please confirm that your organisation has either
sufficient restricted or unrestricted funds available to comply with obligations under Arts & Business Scotland contracts / Yes/No
If you have answered No to the question above please indicate what funding is available to support your Arts & Business Scotland contract(s)
Please provide copies of ‘Certificates of Incorporation’ and ‘Charities Commission
Registration’ as appropriate (please tick box to indicate enclosure)
What is the legal entity of the charity? (refer to categories listed at 2B, 2C & 2D above)
For Limited Companies (2B) Go to Question 4
For Sole Traders (2C) Go to Question 5
For Partnerships (2D) Go to Question 6
4.0 Limited Companies – Private & Public (LTD / PLC): You have identified that the organisation as a Limited Company (either Public [PLC] or Private [LTD] limited by share or guarantee) from Question 2 above. Please complete the following information and proceed to Question 7
Trading Name
(if different from 1 above)
Company Registration No
Registered Office
Date of Incorporation
Please enclose a photocopy of the organisation’s ‘Certificate of Incorporation’
(please tick box to indicate enclosure)
5.0 Sole Trader : You have identified that you are a Sole Trader, please complete the following information and proceed to Question 7
Full Name of Proprietor
Date of Commencement of the Business
6.0 Partnership : You have identified the organisation as a Partnership, please complete the following information and proceed to Question 7
Full Names of Partners / 1 / 6
2 / 7
3 / 8
4 / 9
5 / 10
7.0 Financial : Please complete the following question and proceed to Question 8
Dateof Financial Year End:______
Please provide copies of your last two years’ full accounts (including Profit
& Loss/Income Statement, Balance Sheet and Cash Flow
(please tick box to indicate enclosure)
8.0 Declaration :
PLEASE STATE THE NAME OF THE PERSON WHO HAS COMPLETED THE FORM. THIS PERSON MUST BE AN AUTHORISED SIGNATORY OF THE COMPANY, ORGANISATION OR CONSORTIA APPLYING IN QUESTION 1.
THE FORM MUST BE COUNTERSIGNED, EITHER BY THE CHAIR OF YOUR BOARD, CHIEF EXECUTIVE OR EQUIVALENT OF YOUR ORGANISATION OR A MEMBER OF YOUR SENIOR LEADERSHIP TEAM.
I hereby confirm that the information in this application submission including the supporting documents is true and correct and I acknowledge that it is my responsibility to inform you immediately of any changes which could affect the interpretation or context of the tender, and I confirm I will undertake to do this. I acknowledge that the terms and conditions of this tender and any other information supplied and discussed regarding this tender, the assessment and decision making process, or in connection with this transaction as a whole (“the Confidential Information”) is and shall remain strictly confidential. I confirm that I shall not disclose to any third party.
Name(s)
Signature(s)
Date of Signature(s)