THIS_FORM_IS_FOR_THE_PURPOSE_OF_COMPLYING_WITH_PROPER_ACCOUNTING_AND_BUDGETING
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(THIS FORM IS REQUIRED IN ACCORDANCE WITH THE NEW EDITION BYLAWS OF 23 OCTOBER 2010)
DIVISIONS RETURN ALL FORMS TO NATIONAL CO/SUB UNITS RETURN FORM TO DIV CO NLT 31 DEC
1-WHAT IS YOUR UNIT DESIGNATION -EXAMPLE-H11WA/DIVISION # 10 —————————————
2- UNITS PRIMARY MAILING ADDRESS ————————————————————————————-
3-WHAT IS YOUR UNITS EMAIL ADDRESS ——————————————————————————–
4-COMMANDERS NAME————————————————TELEPHONE # —————————————
5-XOS NAME——————————————————-TELEPHONE #——————————————–
(NOTE) AT LEAST TWO CONTACT NAMES AND NUMBERS ARE NEEDED/ THEY MAY INCLUDE A CONTACT PERSON OR PERSONS WHO ARE DESIGNATED COMMO OFFICERS
CONTACT INFORMATION IF NOT THE CO OR XO————————————————————————–
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6- TOTAL# ANNUAL MEMBERS ———————TOTAL # LIFE MEMBERS————————————
7- IS THE ADDRESS FOR REIMBURSEMENT PAYMENTS THE SAME AS # 2 ABOVE – IF NOT THE SAME -PLEASE WRITE THE PROPER REIMBURSEMENT (FINANCE OFFICER) ADDRESS: —————————————————————————————————————————————————————————–
(NOTE) THE DIVISION EIN # IS THE ONE USED AND EACH DIVISION MUST FILE ANNUALLY . SUB UNITS ARE INCLUDED IN THE DIVISION FILING.SUB UNITS DO NOT HAVE EIN #S SEPARATE FROM DIV #S
(NOTE) UNITS MAY RETAIN 50% EXCEPT FOR NEW MEMBER APPLICATIONS
8-PLEASE INDICATE THE CHARITABLE ACTIVITIES YOU CONDUCTED LAST YEAR AND EXPECT TO CONDUCT THIS YEAR-USE ADDITIONAL SHEET OR REVERSE
9-ACCOUNT LOCATION AND BANK NAME——————————————————————-
10-BANK TELEPHONE #——————————————————————————————–
11- BOTH BANK SIGNATORIES NAMES AND TELEPHONE #S————————————————-
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12-PRESENT AMOUNT OF DEPOSITS-TOTAL