Insolvency Practitioner Annual Return Name of Firm/Individual (see note 1 on page 2): For the Period From: To: Submit this Annual Return to: Financial Services Commission PO Box 940 Suite 3, Ground Floor Atlantic Suites Europort Avenue Gibraltar To be returned no later than two months after the financial year end. For Financial Services Commission use: Date received: Checked by: Follow up required: Date of Revision: 14 May 2015 Version 2.00 NOTES FOR COMPLETION 1. For the purposes of this form, the term ‘firm’ refers to firms where more than one Licensed Insolvency Practitioners are practising under the same firm. A firm is permitted to submit this form as an annual return on behalf of all its Registered Insolvency Practitioners. If this form is being used individually by a Licensed Insolvency Practitioner, insert your name under Insolvency Practitioner 1. 2. Individuals or firms are required to submit the Annual Return on an annual basis for the individual or the firm’s financial year end. 3. The Annual Return should be submitted to the FSC within two months of the firm’s financial year end. 4. For the purpose of completing the Annual Return, the approval number is shown on the FSC Public Register. 5. Reference to Insolvency Practitioners in 1.4, 2.2 and 2.3 should be as per Insolvency Practitioner number in section 1.1. 6. If this form is being completed as a Firm please provide the financial data of the firm. If this form is being completed as an individual working for a firm where it’s principal activities are not licensed by the FSC, you do not need to provide details of any income that does not form part of any licensable activities. Details of insolvency work including voluntary liquidations will however need to be provided. If the form is being completed as a firm, who should the FSC contact? Name E-mail Address List of Insolvency Practitioners, practising with a connected Firm – see note 2 1.1 Detail the Insolvency Practitioners practising within a firm / name of Insolvency Practitioner completing this form individually Name of Insolvency Practitioner Approval Number Insolvency Practitioner 1 Insolvency Practitioner 2 Insolvency Practitioner 3 Insolvency Practitioner 4 Insolvency Practitioner 5 Insolvency Practitioner 6 Insolvency Practitioner 7 Insolvency Practitioner 8 Insolvency Practitioner 9 Restricted license (Yes/No) Personnel, Fees and other Financial Information 1.2 Personnel i Total number of Insolvency Practitioners ii Total number of insolvency staff (excluding those in i) iii Other subcontracted or temporary personnel not included above 1.3 Summary financial details – see note 6 As at the last day of the individual / firm’s financial year end: Last financial period i From: Individual / Firm’s Total income ii £ Income for insolvency services iii £ To: 1.4 Largest fees Details should be provided for the five largest insolvency engagements that have been conducted throughout the period under review. Engagement name (or Unique reference number) i i i i i i i v v 1.5 State whether solvent or insolvent engagement State type (eg Voluntary or Compulsory Liquidation, Receivership, Bankruptcy etc…) Work in progress (A) Fees for Engagement (B) State what other services you have provided in the last three years, if any. Fees for other services (C) £ £ £ £ £ £ £ £ £ £ £ £ £ £ £ Insolvency practitioner name (s) holding appointment Safeguards Please note that where you have been involved in an insolvent engagement and have provided other services to the same entity in the past three years, this may affect your integrity, objectivity and independence. If such a situation has occurred please state what safeguards are in place to ensure your integrity, objectivity and independence has been preserved. N/A Insolvency Client Information Number of solvent liquidations and insolvent engagements – see notes for completion below 2.1 Please provide the following information Active cases brought forward from previous period i. Solvent liquidations ii. Insolvent liquidations iii. iv. v. vi. vii. viii. New engagements commenced in the period Engagements terminated in the period Active cases carried forward to subsequent period Company voluntary arrangements Receiverships Administrative Receiverships Administrations Individual voluntary arrangements Personal bankruptcies ix. Total insolvent engagements x. Total engagements i. Engagements commenced date means the date of appointment as office holder(e.g appointment as liquidator under Companies Act, Administrator under Insolvency Act, etc) ii. Engagements terminated means the date as release as office holder or termination of engagement. 2.2 Long running engagements Please provide details for any engagements which have been running for more than three years Engagement name (or Unique reference number) State whether solvent or insolvent engagement State type (eg Date Voluntary or engagement Compulsory commenced Liquidation, Receivership, Bankruptcy etc…) Work in progress Fees for Engagement i £ £ ii £ £ iii £ £ iv £ £ v £ £ Brief reason for longevity of the engagement Insolvency practitioner(s) 2.3 High risk engagements Please provide details for any engagements which are considered to be “high risk”. An engagement would be considered to be “high risk” where: (a) An entity was authorised by the FSC (b) The engagement involves litigation either by the insolvency practitioner against a third party or by a third party against the entity (c) There is evidence of criminal activity in the entity (d) An application has been made by the insolvency practitioner to the Official Receiver for the disqualification of a director Engagement name (or Unique State whether reference number) solvent or insolvent engagement State type (eg Voluntary or Compulsory Liquidation, Receivership, Bankruptcy etc…) Date engagement Work in commenced Progress Fees for Engagement i £ £ ii £ £ iii £ £ iv £ £ v £ £ Brief reason why Insolvency the engagement is practitioner(s) considered to be high risk Dismissal and resignation of an Insolvency Practitioner from a Firm 3.1 Has the individual/firm for the period covered by this return informed and explained to the competent authority of any dismissal or resignation of an Insolvency Practitioner during the reporting period? No Yes N/A If NO please provide details below. Professional Ethics, Independence, Objectivity, Confidentiality, Professional Secrecy and Competency 4.1 Has the individual/firm ensured it has complied with the requirements of the Insolvency Practitioner Code of Ethics published by the Insolvency Service? Please find a link below. www.gov.uk/government/publications/insolvency-practitioner-code-of-ethics. No Yes If NO please supply details of the remediation conducted in order to comply with them. 4.2 Has the individual and all relevant staff and directors/partners signed annual declarations covering professional ethics, independence, objectivity, confidentiality and professional secrecy? No Yes If NO please supply details of the remediation conducted in order to comply with them. If YES please supply details of the date that the last declarations were signed. 4.3 Has the individual/firm ensured that all employees conducting insolvency work are competent to carry out the insolvency work for which they are responsible? No Yes If NO please supply details of how insolvency practitioners and employees have been able to carry out the insolvency work for which they are responsible? What action has been taken were there are issues or doubts over competence? AML/CFT 5.1 Please describe the manner in which the individual/firm has implemented systems of control to prevent the financial system from being used for money laundering or terrorist financing activities. Professional Indemnity Insurance 6.1 Is the individual/firm covered by professional indemnity insurance “PII”? No Yes Amount & Currency Excess Name of Insurer Expiry Date 6.2 When did the individual/firm last review the adequacy of its PII? Date of last review: Continuing Education and Professional Qualifications 7.1 Has the firm and all approved Insolvency Practitioners undertaken appropriate programmes of continuing education during the period covered by this return as required by the requirements of the Insolvency Practitioner Regulations 2014 and appropriate evidence exists (including meeting the requirements of a professional body)? No Yes If NO please supply details of the remediation conducted in order to comply with the requirements of the Insolvency Practitioner Regulations 2014. 7.2 Please attached a summary sheet of continuous professional development for each approved Insolvency Practitioner for the period covered by this return. 7.3 During the period in question and up to the sign off of the Annual Return, is the firm and all approved Insolvency Practitioners employed by the firm continued members of a professional body (i.e. ICAEW, ACCA)? No Yes If no, please provide further details: Good Repute 8.1 During the period in question have you or any of the Insolvency Practitioners of the firm been; i convicted by a court of any criminal offence? No Yes ii refused the right or been restricted in the right to carry on any trade, business or profession, for which a specific licence, registration or other authority is required? No Yes iii refused entry to or excluded from membership of any professional or vocation? No Yes iv reprimanded, excluded, disciplined or publicly criticised by any professional body to which you belong or have belonged? No Yes v the subject of disciplinary procedures by a professional body or employer resulting in a finding against you? No Yes vi made the subject of a court order at the instigation of any professional or regulatory body? No Yes vii dismissed from any office (other than as insolvencyor) or employment or requested to resign from any office, employment or partnership? No Yes No Yes No Yes No Yes No Yes reprimanded, warned about future conduct, disciplined or publicly criticised by any regulatory body, or any officially appointed enquiry concerned with the regulation of a financial professional or other business activity? the subject of a court order at the instigation of any regulatory body, or any officially appointed enquiry concerned with the regulation of a financial, professional or other business activity? investigated on allegations of misconduct or malpractice in connection with its professional or business activities which resulted in a formal complaint being proved but no disciplinary order being made? involved in any litigation as either claimant, or defendant, or have you become aware of such proceedings being commenced? viii ix x xi 8.2 Explanations: If the answer to any of the questions contained in 8.1 is YES and the FSC has not been notified you must, give a full explanation of the events in question on a separate sheet of paper. Make sure you include: o the question number the event refers to; o the date of events o any amounts involved o the outcome; and o an explanation of the circumstances. IMPORTANT: If at any time subsequent to the submission of this return if you, or any of the Insolvency Practitioners of the firm, are subject to any action stipulated in 8.1 you should inform the FSC immediately. Failing to do in a timely manner may result in disciplinary action being taken against you. Registration with other authorities 9.1 Details of any other country in which the firm or insolvency practitioner has an insolvency registration. Insolvency Registration Board Country Registration Number Date of Registration Date Registration Ceased Information contained in the public register 10.1 Has the firm reviewed the public register online and can it confirm that the details contained therein are correct? No 10.2 Are there any changes to the information contained in the public register? No 10.3 Yes Yes If the firm has answered YES to 10.2 please provide details of any relevant changes. I hereby confirm: (i) that I have truthfully and fully answered the relevant questions in this Annual Return and disclosed any other information which might reasonably be considered relevant by the FSC in the carrying out of its statutory duties in respect of the firm; (ii) that I will promptly notify the FSC of any changes in the information I have provided and supply any other relevant information which may come to light; (iii) to reflect that responsibility for compliance with the Insolvency Act 2011 is primarily that of the firm’s management, the contents of this return have been approved by the firm’s board; and (iv) that, if requested, I will disclose to the FSC any other information in support of answers given in this return. Dated: Signed: Position: For and on behalf of (name of the approved Insolvency Practitioner or firm):