Semiannual Council Audit Report Form - State Of Connecticut
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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
Withdrawals
Transfers—assoc. to insurance
Transfers—assoc. to insurance
Transfers—ins. to associate
Transfers—ins. to associate
Re-entries
Tranfers to other councils
Total for period
Total deductions
Minus total deductions
Do not include inactive insurance members in this section.
Number members end of period
See Knights of Columbus Leadership Resources (#5093) booklet.
SCHEDULE A — ALTERNATIVE
Our council uses Member Management/Member Billing. The requirement for completing Schedule A is satisfied.
SCHEDULE B — CASH TRANSACTIONS
FINANCIAL SECRETARY
TREASURER
Cash on hand beginning of period
$___________________ Cash on hand beginning of period
$___________________
Cash received—dues, initiations
$___________________ Received from financial secretary
$___________________
Cash received from other sources:
Transfers from sav./other accts.
$___________________
(Explain kind and amount)
Interest earned
$___________________
___________________$__________
Total receipts
$___________________
___________________
___________________$__________
Disbursements
___________________$__________ $___________________
Per capita: Supreme Council
$___________________
Total cash received
$___________________
State council
$___________________
Transferred to treasurer
$___________________
General council expenses
$___________________
Cash on hand at end of period
$___________________
Transfers to sav./other accts.
$___________________
___________________
Miscellaneous
$___________________
Total disbursements
$___________________
Net balance on hand
$___________________
___________________
SCHEDULE C — ASSETS AND LIABILITIES
ASSETS
LIABILITIES
Cash:
Due Supreme Council:
Undeposited funds
$_________________
Per capita
$________________
Bank — Checking acct.
$_________________
Supplies
$________________
— Savings acct.
$_________________
Catholic advertising
$________________
— Money market accts.
$_________________
Other
$________________
Due from _______ members
$_________________
Due state council
$________________
Number
Total current assets
$_________________
Advance payments by ______ members
$________________
_________________
Number
Less: current liabilities
$_________________
Misc. liabilities
Net current assets
$_________________
_________________
$________________
_________________
Other Assets:
_________________
$________________
Short term CD
$_____________
_________________
$________________
Total current liabilities
$________________
________________
Money Market
Mutual Funds
$_____________
Signed this _______ day of ____________________ 20 ______
________________________________________ Grand Knight
Misc. assets
$_____________
________________________________________ Trustee
Total other assets
$_________________
Total assets
$_________________
_________________
________________________________________ Trustee
________________________________________ Trustee
Please complete all items. Insert “None” where no figures are to be shown.
SEND ONE COPY TO:
Council Accounts
COPIES TO:
State Deputy, District Deputy, Council File
Email:
Fax:
855-228-1396
Mail:
1 Columbus Plaza, New Haven, CT 06510
Available in electronic format at
1295
12/16
*All U.S. Councils must file form 990 with IRS annually. For info call 203-752-4281 or refer to Officer’s Desk Reference.*
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