Form 11A
D.
Event Expenses
Solicitor
Charity
1. Campaign Management
$
$
2. Payroll
$
$
3. Promotional Fees
$
$
4. Insurance
$
$
5. Municipal Services
$
$
6. Show Fee
$
$
7. Entertainment Taxes
$
$
8. Other*
$
$
TOTAL SECTION D
$
$
E.
General Business Expenses
Solicitor
Charity
1. Hiring Costs
$
$
2. Furniture/Equipment
$
$
3. Office Expenses
$
$
4. Office Rental
$
$
5. List Fee
$
$
6. Postage
$
$
7. Printing
$
$
8. Telephone
$
$
9. Utilities
$
$
10. Other*
$
$
TOTAL SECTION E
$
$
* Itemize additional expenses on a separate sheet(s).
III.
Net amount to charity:
$
This is the portion of money raised (gross receipts) that the
charity receives or keeps after all fundraising expenses, have
been paid (Line I – Line II).
IV.
Total amount of uncollected pledges to date:
$
Itemize all expenses below. If the solicitor incurred the expense,
list it in the center column. If the charity incurred the expense,
list it in the column on the right.
Form 11A
Page 3 of 4
Rev. 07/2007