District Dues Payment For Local Ptas And Ptsas Form - 2016-2017

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14
Required
District Dues Payment
For Local PTAs and PTSAs
Use this Form to Send District Membership Dues.
Donations to your district’s projects, such as scholarships (if applicable), may also be sent with this form.
Please Copy this Form. You May Need to Use it Several Times.
Deadline: Contact your district president or treasurer.
At least one dues payment of national and state dues must be made by October 15th to be a unit in good standing.
Mail Completed Form and Check to: Your District Treasurer or President
District Dues are _____ Per Member (See back of this page for district dues amounts)
Make Check Payable to: _____District PTA
If no district leadership, send district dues payment to Kentucky PTA office when submitting state and national dues.
Complete this Form
Date ___________________________
_______Members @ ______ $_________
Grades ______ to ______
Donation to _____ District PTA
_________
County _________________________
______________ Program
_________
PTA District _____________________
TOTAL Amount Enclosed
_________
Name of PTA/PTSA ______________________________________________________________________
Name of President ________________________________________________________________________
Address ________________________________________________________________________________
Street/P. O. Box
City
State
Zip
Telephone: Day (_____)_________________________ Evening/Cell (_____)_______________________
E-mail address __________________________________________________________________________
Name of Treasurer _______________________________________________________________________
Address ________________________________________________________________________________
Street/P. O. Box
City
State
Zip
Telephone: Day (_____)_________________________ Evening/Cell (_____) ________________________
E-mail address ___________________________________________________________________________
Contact Your District President for your district treasurer’s name,
To be a Unit in GOOD STANDING
address, telephone number and your district dues deadline date.
All PTAs/PTSAs MUST:
See the back of this page for a list of districts/counties and dues
 Send at least one national and
amount.
Kentucky PTA state dues
payment ($3.50 per member) to
If you need help with the name, address
the Kentucky PTA office no later
or phone number of your district president
th
than October 15
you may contact the Kentucky PTA office at:
 Send district dues to district
148 Consumer Lane, Frankfort, KY 40601
treasurer or Kentucky PTA
phone 502-226-6607; fax 502-226-6610 or
office as required
E-mail:
kentuckypta@bellsouth.net
 Send the PTA financial review
form to the Kentucky PTA office
For District Use:
th
and school principal by July 15
___________________________________District Treasurer
 File 990 IRS Tax Form by
___________________________________________
Nov. 15 and mail a copy to
the Kentucky PTA office
___________________________________________
 Send bylaws to the Kentucky
Phone (_____) _______________________________
PTA office for approval every
5 years
E-mail _____________________________________
Part 4 – Financial Matters
Kentucky PTA Leaders’ Notebook
2016-2017

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