Any queries please contact Peter Sherwin of Grant Thornton New Zealand Ltd - Wellington (04) 474 8500
1. Contact: Name Phone Email Address
Your Position with the Trust -Please Select as below- Chairperson Trustee Committee Member CEO Secretary Administrator Advisor Authorised Agent/Consultant	When was the last Remuneration Review? (dd/mm/yy)
2. The Trust: Name  Type of Trust -Please select below- Charitable Energy Licensing Maori Private Family Statutory Other
Location: Suburb Town/City Post Code
Mailing Address (if Different) Suburb Town/City Post Code
Does the Trust have a Remuneration Clause for the Trustees? Yes No	Does the Trust have a Remuneration Clause for Committee Members? Yes No
Has the nature of the Trustees activities/duties significantly changed since the last remuneration review was completed? 1. 2. 3. 4.