Semiannual Council Audit Report Form
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1SEMI NNU L COUNCIL
UDIT REPORT
FOR PERIOD ENDED DECEMBER 31, 20
Due By: FEBRUARY 15
COUNCIL NO. ________________ CITY _________________________________________ STATE__________________________
SCHEDULE A — MEMBERSHIP
ADDITIONS
DEDUCTIONS
INS. ASSO. TOT.
INS. ASSO. TOT.
Total Members Start of Period
Suspensions
Initiations
Deaths
Transfers from other councils
Final Withdrawals
Transfers—Assoc. to Ins.
Transfers—Assoc. to Insurance
Transfers—Ins. to Assoc.
Transfers—Ins. to Associate
Reinstatements & Readmissions
Tranfers to Other Councils
Total for Period
Total Deductions
Minus Total Deductions
Number Members End of Period
(For this form only, exclude inactive insurance members)
SCHEDULE B — CASH TRANSACTIONS
FINANCIAL SECRETARY
TREASURER
Cash on Hand Beginning of Period
$___________________ Cash on Hand Begin. Period
$___________________
Cash Received—Dues, Initiations
$___________________ Received from Fin. Sec.
$___________________
Cash Received from other Sources:
Transfers from Savings
$___________________
(Explain Kind and Amount)
Interest Earned on Investments
$___________________
___________________$__________
Total Receipts
$___________________
___________________
___________________$__________
Disbursements
___________________$__________
$___________________
Per Capita: Supreme Council
$___________________
Total Cash Received
$___________________
State Council
$___________________
Paid to Treasurer
$___________________
General Council Expenses
$___________________
Cash on Hand at End of Period
$___________________
Transfers to Sav. & Invest. Accts. $___________________
___________________
Miscellaneous
$___________________
Total Disbursements
$___________________
Net Balance on Hand
$___________________
___________________
SCHEDULE C — ASSETS AND LIABILITIES
ASSETS
LIABILITIES
Cash:
Due Supreme Council:
Undeposited Funds
$_________________
Per Capita
$________________
Bank — General — Acct.
$_________________
Supplies
$________________
— Special Acct.
$_________________
Catholic Adv.
$________________
— Savings & Investment Acct. $_________________
Other
$________________
Due From _______ Members
$_________________
Due State Council
$________________
Number
Total Current Assets
$_________________
Advance Payments By ______ Members $________________
_________________
Number
Less: Current Liabilities
$_________________
Misc. Liabilities
Net Current Assets
$_________________
_________________
$________________
_________________
Investments:
_________________
$________________
*Real Estate
$_____________
_________________
$________________
(If applicable)
*Furniture
$_____________
Total Current Liabilities
$________________
________________
*Stocks & Bonds
$_____________
Signed this _______ day of ____________________ 20 ______
Total Investment
$_____________
________________________________________ Grand Knight
Less: Investment
Liabilities
$_____________
________________________________________ Trustee
Net Investment Assets
$_________________
________________________________________ Trustee
Total Assets
$_________________
_________________
________________________________________ Trustee
*Use reverse side to describe.
Please complete all items. Insert “None” where no figures are to be shown.
Council Accounts (FAX = 203-752-4103)
1295
MAIL ORIGINAL TO:
MAIL COPIES TO:
State Deputy, District Deputy, Council File
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