Assets of community value nomination form

This nomination form is for groups interested in nominating an asset for inclusion on the register of assets of community value.
Under the terms of the Localism Act 2011, all nominations must be provided in writing. The regulations accompanying the act specify what information needs to be included on the nomination form, so it is important that you answer all the questions in this form as fully as possible, and provide additional information where asked.
Part A - About the group making the nomination
Nominations can be submitted by voluntary and community groups with a local connection. Relevant bodies include:
- Neighbourhood forums
- Parish councils
- Charitable organisations
- Companies of limited guarantee
- Industrial or provident societies
- Community interest companies (CICs)
A1. Organisation's name and address
Name of organisation
Registered address including postcode
A2. Contact details
Contact name

First

Last
Position in organisation
Address including postcode (if different from above)
Daytime telephone number
Email

A3. Type of organisation
Please select all that apply
Body designated as a neighbourhood from under the Town and Country Planning ActUnincorporated bodies with at least 21 individual members and which does not distribute any surplus it makes to its membersCharityCompany limited by guarantee which does not distribute any surplus it makes to its membersIndustrial and provident society which does not distribute any surplus it makes to its membersCommunity interest companyNot applicable
Other

Please state registration number where applicable
Charity
Company limited by guarantee
Industrial and provident society
Community interest company
Other

- Their activities are wholly or partly concerned with the local authority's area or a neighbouring authority are
- If any surplus made by the organisation is wholly or partly applied for the benefit of the local authority's area or a neighbouring authority area
- In the case of an unincorporated body with at least 21 individuals as members who are registered on the electoral roll of the local authority or a neighbouring authority
- For questions A4-A6 please complete at least one of the text boxes. If appropriate to your organisation, please include information in the other boxes.
A4. Proof of eligibility to make a nomination
An organisation is defined as having a local connection if:
Please confirm and provide evidence that the organisation has a local connection. You can do this by attaching relevant documentation or by explaining the local connection in the box below
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A5. Distribution or surplus funds
Please, if necessary, confirm and provide evidence that any surplus made by the group is wholly or partly applied for the benefit of the area covered by Blackpool Council or a neighbouring local authority area
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A6. Membership of unincorporated bodies
For unincorporated bodies please confirm that at least 21 members are included on on Blackpool Council’s register of electors or on the register of a neighbouring authority

A 7. Your organisation
Please provide a copy of the document(s) as relevant to your organisation.
Memorandum of AssociationArticles of AssociationCompanies House returnTrust DeedConstitution / Terms of referenceStanding OrdersInterest statement for Community interest company
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Part B - About the asset being nominated for inclusion on the list of assets of community value
Under the Community Right to Bid regulations, an asset is of community value if:
- It is at least partly within Blackpool Council's boundaries
- Its main use has recently been or is presently used to further the social wellbeing or social interests of the community and could reasonably do so in the future (ie within the next 5 years
- It does not fall within one of the exemptions specified in the regulations
B1. Name and address of asset being nominated
To help us identify the asset being nominated, please provide as much information as possible
Title of asset (eg name of the building)
Address including post code
Any further information that will help us identify the asset.

B2. Maps and drawing
Please include information which helps to clarify the exact location and extent of the asset being nominated. This could include:
- Where the land is registered, the Land Registry Title Information document and map with boundaries clearly marked in red (less than one month old). Provision of Land Registry Information is not essential but it may help us to reach a decision on the nomination more quickly
- A written description with ordinance survey location, and explaining where the boundaries lie, the approximate size and location of any building/s on the land and details of any roads bordering the site
A drawing or sketch map with boundaries clearly marked in red - website which might help you in plotting boundaries include: http://maps.google.co.uk
Information to clarify exact location of asset nominated
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B3. Use of asset
Is the asset currently used for community benefit?
YesNo
Type of asset
What is the current main use to the asset?
Do you consider that the current and main use of the asset furthers the social wellbeing or cultural, recreational or sporting interests of the local community?

Please explain how it does so
Over what period is this main use of the asset anticipated to continue?
Does the local community have legal and authorised use of the land or property?

B4. Questions for assets not currently used for community benefit
If the main use of the asset does not currently further the social well being or cultural, recreational or sporting interests of the local community, did it do so at some stage in the recent past?
Please provide details of how the asset was used in the past and dates of this usage
How do you anticipate that the asset would return to furthering the social wellbeing or cultural, recreational or sporting interests of the local community?
When do you consider that the asset could realistically return to furthering the social wellbeing or cultural, recreational or sporting interests of the local community?

B5. Optional information to help us consider the nomination
It is not essential to answer these questions but they reflect part of the criteria which will be used to consider the nomination. Any information you can supply will help to speed up this process.
Is the asset used wholly or partly as a residence? Please provide details.
Is the asset covered by the Caravan Sites and Control of Development Act 1960? Please provide details.
Is the asset defined as operational land under section 263 of the Town and Country Planning Act 1990, owned by statutory undertakers such as utility companies? Please provide details.

B6. Further information
Please provide any further information to support why you feel that Blackpool Council should conclude that the asset of of 'community value'

B7. Owner and occupier details
Please provide all information available to you.
Owner
Owner/s
Address
Please select as appropriate
Lawful occupiers
Lawful occupiers
Address
Please select as appropriate
Holders of freehold estate
Holder/s of freehold estate (if not the owner)
Address
Please select as appropriate
Holders of leasehold estate
Holder/s of any leasehold estate
Address
Please select as appropriate

By typing your name here, you are confirming that the contents of this form are correct, to the best of your knowledge.
Title
Date
Privacy notice
Blackpool Council is the data controller for the personal information you have provided in this form and will only use this data under Article 6 (1) of the GDPR which states that we will only use the information provided for; a public task: processing of personal data to carry out official functions or tasks in the public interest. In this instance the public task related to community rights under the Localism Act 2011.
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For further information about how Blackpool Council uses your personal information, including your rights as a data subject, please see our website: www.blackpool.gov.uk/privacy

Assets of community value nomination form

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