CHAPTER
INSTITUTION
DISTRICT
DATE
INSTRUCTIONS TO CHAPTER TREASURER. You are responsible for preparing and submitting these financial statements. Before preparing this report, accounting entries for the period must be brought up to date and posted, the books closed, a trial balance taken, all accounts must be balanced and all bank accounts must be reconciled.
REVENUE
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CHAPTER INCOME - AS OF____________________(date) |
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Beginning balance May 15, 2005 |
(a) $________ |
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Income: |
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FEES |
Nat'l-Fall ____@$45.00 ea. |
$__________ |
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Spring ____@$45.00 ea. |
$__________ |
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Local-Fall ____@$_______ |
$__________ |
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Spring ___@$________ |
$__________ |
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TOTAL FEES |
(b) $________ |
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CANDLE - Subscription for local Honorary Members |
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No.__________@$10. ea. |
(c) $________ |
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EARNED |
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Gifts, Contributions, etc. |
$__________ |
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Investment Interest |
$__________ |
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Sale of (specify) __________ |
$__________ |
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Banquets and Luncheons |
$__________ |
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Phi U Jewelry, Merchandise |
$__________ |
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Reimbursement(s) Nat'l Office |
$__________ |
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Savings |
$__________ |
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Other (specify)_________ |
$__________ |
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TOTAL EARNED |
(d)$________ |
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TOTAL INCOME (b + c + d) |
(e)$________ |
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BEGINNING BALANCE and INCOME (a + e) |
(f)$_________ |
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NATIONAL: |
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Initiation fees sent to National Office |
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Fall No.________ @ $45.00 ea. $__________ |
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Spring No.______ @ $45.00 ea. $__________ |
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TOTAL FEES $_________ |
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CANDLE-Subscriptions for Local Honorary Members & Pins |
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CANDLE Subscriptions & pins-No.____@$15/ea $___ |
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TOTAL NATIONAL DISBURSEMENTS |
(g)$________ |
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LOCAL: |
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CHAPTER EXPENSES - |
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Income Making Projects $__________ Banquet and Luncheon $__________ Phi U Jewelry, Merchandise $__________ Correspondence and Telephone $__________ Supplies $__________ Conclave $__________ Audit and Bank Charges $__________ Contributions - Ed. Foundation $__________ Professional Project $__________ Professional Project $__________ Initiation $__________ Chapter Yearbook $__________ District Workshop $__________ Social Meetings, Recognition and PR$__________ Other (specify)________________$__________ |
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TOTAL LOCAL DISBURSEMENTS |
(h)$________ |
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TOTAL DISBURSEMENTS (g + h) |
(i)$_________ |
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BEGINNING BALANCE and INCOME (f) |
$__________ |
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TOTAL DISBURSEMENTS (i) |
$__________ |
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ENDING BALANCE MAY 15, 2006 (f - i) |
$__________ |
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Name and Location of Bank or Institution |
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Maturity Date |
Interest Rate |
Amount |
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Checking Account(s) |
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Savings Account(s) |
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Other(s) - Specify Type (i.e., CD, Money Markets, Endowments) |
PART III: AUDIT
Financial records last audited (reviewed) by __________________________________________
Date__________________________
NOTE: Financial records should be closed by May 15th of each calendar year and ready for audit (review).
PART IV: CHAPTER TREASURER
Treasurer for the ____________________academic semester/quarter on ___________(Date)
Name
School Address
Home Address
Phone
PART V: SCHOLARSHIP RECIPIENTS -
(Indicate Amounts - Must match Part I under heading "Local Scholarships). List
name(s) and address(es) below.
PART VI: CHAPTER FINANCIAL and MEMBERSHIP INFORMATION
A. Chapter Membership -
At start of academic year: Total__________Number initiated in Fall: Total__________
Number initiated in Spring: Total__________
B. Standing of Graduating Members (Initiation fees and dues received)
Were all graduating members in good standing?__________If not, list names and reasons below.
PART VII: DECLARATION
According to the Internal Revenue Service, "Every year, each local organization must authorize the central organization in writing to include it in the group return and must declare, under penalty of perjury, that the authorization and information it submits to be included in the group return are true and complete."
Therefore, to be included in the Group 990 tax return, you need to complete the following:
____________________________________________Chapter of Phi Upsilon Omicron requests that the chapter's financial information be included in the group return. To the best of my knowledge and belief, the treasurer's annual report is true, correct and complete.
Signed by:
Current Chapter Treasurer Date Chapter Advisor Date
Chapter Treasurer - Elect Date Chapter Financial Advisor Date
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