Tootsie Roll Program For People With Developmental Disabilities Report Form - 2016

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2016 REPORT FORM

Part I

TOOTSIE ROLL PROGRAM FOR PEOPLE

WITH DEVELOPMENTAL DISABILITIES

Minnesota State Council

FROM ______________________________________ DIST.#_________________________

Knights of Columbus

(GRAND KNIGHT)

Mail to: Mike Schilling

COUNCIL NAME ____________________________ No. ____________________________

1062 Hillcrest Drive

City ____________________________________________________ Zip ________________

Woodbury, MN 55125

Date ___________________________________________________ 20 _________________

We have participated in the Tootsie Roll Developmental Disabilities Program. Our Council ordered _____________ cases. We distributed _____________ cases.

Council will be charged for cases not used for ID promotion. This will be a separate billing. Monies will not be deducted from the revenue collected. We suggest that you keep

the candy not dispensed. use the leftover candy for a project such as youth, community, or at a parade or store it in a cool, dry place and use first next year.

Total revenue collected

$ ____________________________

Number of volunteer hours____________________________

(Send entire amount collected in drive)

MAKE MONEY ORDER OR CASHIER'S CHECK PAYABLE TO: Minnesota Knights of Columbus

MAIL FORM ALONG WITH YOUR CHECK FOR THE FULL AMOUNT.

Parts I and II of this report must be completed, Parts III and IV should be left blank, and the entire form should be mailed with a

cashiers check for the FULL AMOUNT OF REVENUE COLLECTED by MAY 10th. THIS IS IMPORTANT!

Questions? Contact Chairman Michael Schilling at (651) 334-3822 or

(Retain gold sheet for council records.)

Part II

Part IV