Kiwisaver - Koinonia Fund

To select the Koinonia Fund as your chosen scheme for your organisation please fill out the following form. Alternatively you may download and print the form from here.


Employer's Name

Employer's IRD Number

Number of Employees

Employer Mailing Address

Contact Person

Job Title

Email Address

Phone number
DECLARATION
Our organisation (the Employer) appoints the Koinonia Fund (the Scheme) as the chosen KiwSaver scheme for the purposes of sections 46 to 49 of the KiwiSaver Act 2006.
The Employer authorises The New Zealand Anglican Church Pension Board (the Board) to notify the Commissioner of Inland Revenue that the Scheme is the Employer's chosen KiwiSaver scheme.
The Employer will comply with its obligations under the KiwiSaver Act 2006 and the KiwiSaver Regulations including distributing the Koinonia Fund Investment Statement to employees.
I am authorised to complete this form on behalf of the employer.
By submitting this form the Employer has agreed that upon acceptance of the application by the Trustees of the Koinonia Fund the Board shall forward the completed form to:
The Commissioner
Inland Revenue Department
PO Box 1454
HAMILTON