Local Section Annual Report Form

Please complete the following information regarding your section:
Due by May 31th

All fields marked by an * are required

* Name of Local Section:

* Date:

* Reported Year:

* Preparer's Name:

* Email Address:

* Preferred Mailing Address for Section:

Web Site Address:

Current Local Section Officers

President:

Phone Number:

Email Address:

Mailing Address:

Vice President:

Phone Number:

Email Address:

Mailing Address:

Treasurer:

Phone Number:

Email Address:

Mailing Address:

Secretary:

Phone Number:

Email Address:

Mailing Address:

Program Chair:

Phone Number:

Email Address:

Mailing Address:

Date of election of above officers:

Date of term expiration (if so designated):

Membership Statistics

Current Membership

Upload Current Member Roster:(Only Doc, Pdf and Xls files are accepted)

* Number of Regular Members:

* Number of Student Members:

* Number of Corporate Members:

* Number belonging to other categories:

* Total Membership:

Treasurer's Report

* Beginning Balance:

* Date:

Plus Income

* Meetings:

* Personal Dues:

* Corporate Dues:

* Educational Outreach Grants:

* Other Grants:

* Other:

* Total Income:

Less Expenses

* Meetings:

* Mailings:

* Other (please specify):

* Total Expenses:

* Ending Balance: