Service Unit Finance Report Form

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Service Unit Finance Report
_______________________________________________________________________________________________
Service Unit Name or #
# of Troops/Groups
_______________________________________________________________________________________________
Service Unit Treasurer
Service Unit Coordinator
For the year ending May 31, ________. Due by June 30 of each year. Submit this form with a copy of last bank statement to the Director of
Membership no later than June 30, ________. Please keep a copy for your records.
_________________________________________________________________
Service Unit Income/Expense Statement
Name of Financial Institution
Account #
A—Ending Balance from prior year $_________________
_________________________________________________________________
Branch Telephone #
Current Year Income
Account type:  Checking  Savings  Both
Donations/Community Contributions $_________________
Debit Card #:
Fees Collected for Events/Activities $_________________
_________________________________________________________________
Other Money-Earning Activities: $_________________
Names of Authorized Signers:
___________________________________________ $_________________
_________________________________________________________________
Signer #1
___________________________________________ $_________________
_________________________________________________________________
Fall Rebate $_________________
Signer #2
Cookie Sale Rebate $_________________
_________________________________________________________________
Signer #3 (Council Designee)
Miscellaneous Income
(Specify)
Please include additional accounts on a separate form.
___________________________________________ $_________________
Record of Donations Received (Monetary & In-Kind)
B—Total Income $_________________
Indicate the value of all donations the service unit has received in
C—Grand Total (A + B) $_________________
the name of Girl Scouting. Please attach completed sponsorship form
for each donor. If you have additional donations, attach a separate
Expenses
piece of paper.
Postage and Mailings $_________________
Cash
$_________________
Copy/Printing Costs $_________________
Supplies
$_________________
Program and Training Supplies $_________________
Equipment
$_________________
Room or Space Rental $_________________
Meeting Space
$_________________
Equipment Purchases/Maintenance $_________________
Other
(Specify)
Service Projects $_________________
__________________________________________
$_________________
Awards and Recognitions $_________________
Total Value of Donations
$_________________
Donations $_________________
Financial Plans
Insurance $_________________
If the service unit’s ending balance is more than $500 what are the plans
Other Miscellaneous Expenses
(Specify)
for the use of these funds? _________________________________________
___________________________________________ $_________________
_________________________________________________________________
D—Total Expenses $_________________
We certify that the above is an accurate statement of income
and expenses for the year.
E—Ending Balance (C—D = E) $_________________
Reconciliation of Funds/Account(s)
_________________________________________________________________
Print Service Unit Coordinator Name
Total Balance on Last Bank Statement $_________________
_________________________________________________________________
Total Outstanding Deposits +_________________
Service Unit Coordinator Signature
Date
Total Outstanding Checks –_________________
_________________________________________________________________
Total Cash Held (Petty Cash) +_________________
Print Service Unit Treasurer Name
Grand Total (should equal line “E”) $_________________
_________________________________________________________________
Service Unit Treasurer Signature
Date
6/14/2016
Forms/SUFinanceReport-06142016

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