Form 15- 2004- Chapter Treasurers - Alpha Zeta State NJ
DIRECTIONS: One copy of this form and all attachments are to be sent to each of the following:
1) State Organization Treasurer 2) Chapter Finance Chair 3) Chapter Treasurer’s file 4) Chapter President’s file
|Name of Chapter State (e.g., Texas, Alberta, Sweden)|Date of Report |
| | |
|Name of Chapter Treasurer |Country |
| | |
|P.O. Box, Street, Route |E-mail Address |
| | |
|City, State, Zip |Home Phone Number |
| | |
TOTAL MEMBERSHIP on July 1, 2017 __________
Number added in 2016-2017 (List at end.) Initiation __ _ Reinstatement __ ___ Transferred in __ ____
TOTAL ADDED + __ ______
Were these names reported to State Organization Treasurer? yes no
TOTAL NUMBER ON ROLL during 2017-2018 = __ _____
TOTAL DROPPED in 2017-2018 (List name on separate sheet) ... __ _____
Were these names reported on Form 18-A to State Organization Treasurer? yes no
Membership on June 30, 2018: Active _ _ Reserve _ _ Honorary_ __ Active Life_ Reserve Life _ ____
TOTAL MEMBERSHIP on June 30, 2018 = _ ____
|. Complete this section if applicable | |Complete this section if applicable |
|CHAPTER GRANTS-IN-AID AWARDED | |CHAPTER SCHOLARSHIPS AWARDED |
|(For Non-Members Only) | |(For Members Only) |
__ __@ $_ _ = $_ __ _ ___@ $ _ ___ = $ _ ___
_ __@ $ __= $ _____ _ ___@ $ _ ___ = $ _ ___
(Use additional pages if necessary) (Use additional pages if necessary)
TOTAL Disbursements of Grants-In-Aid # _ _ $_ ___ TOTAL Disbursements of Scholarships # _ _ $ _ __
We have a grant-in-aid, but it was not awarded this year. We have a scholarship, but it was not awarded this year.
Chapter Available Fund Balance, July 1, 2017 $_ ____
Total Receipts (Include chapter, state organization and international dues) $_ _____
Total Disbursements $_ _____.
Chapter Available Fund Balance, June 30, 2018 $_ _____
Chapter Investments (Other checking, savings, CDs, etc.), June 30, 2018 +$_ ___
TOTAL ASSETS OF CHAPTER, June 30, 2018 (Available Fund and Chapter Investments) $ _ ______
o I will continue to serve as chapter treasurer for 2019-20
o My chapter will have a new treasurer in 2019-20. Include name, address, phone and email below.
o I filed the Form 990n with the IRS (U.S. only) 2017- 2018 between July 1, 2018 and November 15, 2018
o We have conducted a financial review of our records for
the 2018-2019 fiscal year.
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Only if your chapter will have a new treasurer please include:
Name___________________________________________
Address ________________________________________
Phone Number___________________________________
E-mail _______________________________
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Form 15
2017-2018 Fiscal year
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