Art Goes To School of the Delaware Valley, Inc.
Chapter Finance Report for Fiscal Year 20__ to 20__

 

 

Each year Art Goes To School of the Delaware Valley, Inc., as a not-for-profit organization, must file a 990-EZ Income Tax form to the Internal Revenue Service. To comply with government regulations, each chapter must furnish the following financial information for our fiscal year -June 1 through May 31. Please fill it out [the white blocks, not the shaded ones] and hand it in at the Portfolio Exchange in June.

 

 

Chapter Name:

 

 

Chapter No.:

 

 

Chapter Chairman:

 

 

Phone No.:

 

 

Address:

 

 

City, State Zip:

 

 

Email Address:

 

 

 

1.

 

 

OPENING BALANCE (including cash on hand) as of June 1, 20___

 

 

2.

 

 

Income:

 

 

 

 

 

A.

 

 

Member’s Contributions (including Dues):

 

 

 

 

 

 

B.

 

 

Grants Received (Donations for Specific Purpose)

 

 

 

 

 

 

C.

 

 

Gifts Received (Donations with No Strings Attached)

 

 

 

 

 

 

D.

 

 

Other Income (Interest, etc.).  Please specify)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3.

 

 

TOTAL INCOME [Add lines A through D]:

 

 

4.

 

 

TOTAL ASSETS [Add lines 1 and 3]:

 

 

5.

 

 

Expenses:

 

 

 

 

E.

 

 

Dues Submitted to AGTS-DV

 

 

 

 

 

 

F.

 

 

Money Submitted to AGTS-DV for Meetings & Events

 

 

 

 

 

 

G.

 

 

Chapter Meeting & Event Costs (includes Food, Rental Fees & Event Admission Fees)

 

 

 

 

 

 

H.

 

 

Operating Expenses (includes Office Supplies, Photocopying, Postage, Tape for Portfolios, etc.)

 

 

 

 

 

 

I.

 

 

Educational Materials (includes Art Posters, Books & Magazines kept by the Chapter)

 

 

 

 

 

 

J.

 

 

Donations (to Schools, etc.). Please specify:

 

 

 

 

 

 

K.

 

 

Other Expenses (Bank Fees, etc.). Please specify.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6.

 

 

TOTAL EXPENSES [Add lines E through K]:

 

 

7.

 

 

ENDING BALANCE (including cash on hand) as of May 31, 20___.
[Subtract Line 6 from Line 4]:

 

 

Preparer’s name (print):

 

 

Phone No.:

 

 

Preparer’s Signature:

 

 

Date Signed:

 

 

 

Last Modified on October 4, 2011
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