ANNUAL FINANCIAL STATEMENT FOR CHAPTERS

Each year, the chapters must report on their annual income and expenses to allow MAGC to keep its 501(c)(3) status.

Chapter Full Name*

EIN*

Date/Time*

Name of person submitting form (by putting your name and email on this form you are attesting to the validity of this information to the best of your knowledge)*

First Name

Last Name

Email address of Person Submitting Form*

Assets:

Total Dues Received:* $

Interest on Savings:* $

Special Fundraising (revenue - expenses):* $

Donations Received:* $

Gross Sales - Cost of Goods (indicate net profit or loss):* $

Total Assets for year: $

Expenses:

Professional Fees:* $

Supplies:* $

Telephone* $

Postage/Shipping* $

Printing/Publications* $

Travel* $

Conferences, Conventions, etc:* $

Speaker fees, mileage, lodging:* $

Internet Expenses or Website hosting* $

Other Expenses:* $

Total Expenses for year:* $

Current Assets and Liabilities:

Total Assets (checking) as of June 30* $

Total Assets (savings) as of June 30:* $

Total Liabilities as of June 30* $