Massachusetts Citizens For Life, Inc.
CHAPTER ACTIVITY FOR THE MONTH OF ___________________________
CHAPTER NAME ____________________________ _____________________________________
Revenue
FUNDRAISING:
Roses ______________________________
Other (please list______________________ _______________________________
Other (please list______________________ _______________________________
Other (please list______________________ _______________________________
CONTRIBUTIONS (to the chapter):
General Donations ______________________________
Membership Dues ______________________________
Other (please list) ______________________ _______________________________
Other (please list) ______________________ _______________________________
OTHER:
Bank Interest ______________________________
Other (please list) ______________________ ______________________________
T0TAL MONTHLY REVENUE: ______________________________
EXPENSES
OCCUPANCY:
Rent ______________________________
Post Office Box Rental ______________________________
Telephone ______________________________
Utilities ______________________________
Other (please list) ______________________ ______________________________
ADMINISTRATIVE:
Bank Charges (Dormant Fee) ______________________________
Equipment Rental ______________________________
Postage (exclude Newsletter) ______________________________
Printing (exclude Newsletter) ______________________________
Office Supplies ______________________________
Subscriptions ______________________________
Travel ______________________________
Other (please list) ______________________ ______________________________
Massachusetts Citizens For Life, Inc.
NEWSLETTER:
Postage ______________________________
Printing ______________________________
PROMOTIONAL\EDUCATION:
Advertising ______________________________
Buses ______________________________
Educational Material (not for Resale. ______________________________
List amounts paid to MCFL separately next line) ______________________________
CONTRIBUTIONS TO OTHER CHARITIES: (Please list separately use back of page if necessary)
______________________________
______________________________
TRANSFERS OF MONEY WITHIN MCFL:
To/From the Main Office for Roses ______________________________
To/From the Main Office for the Ref Journal ______________________________
To/From the Main Office for General Support ______________________________
To/From the Main Office for Memberships ______________________________
To/From the Main Office for ______________________________
To/From the Pioneer Valley Office for _____________ ______________________________
To/From _________________for_________________ ______________________________
Monthly Expense Total (PAGES 1 AND 2) ______________________________
SUMMARY
Beginning Balance at _________(from Bank statement) Liine 1 ______________________________
Receipts + Line 2 ______________________________
Less: Expenses - Line 3 ______________________________
Balance at _______________ (Total of Lines 1 through 3) TOTAL ______________________________
(This should agree with your reconciled bank statement) Please check your figures.
Attach a copy of the Monthly bank statement and/or passbook If you have more than one saving or checking account. please fill out a separate form for each account .
PLEASE KEEP A COPY OF THIS REPORT AND ATTACHMENTS FOR YOUR OWNRECORDS.
Treasurer's Name _________________________________________
Street Address _________________________________________
City, State- Zip Code _________________________________________
Telephone Number _________________________________________
Please Send this monthly report and attachments to the MCFL office: Thank you!
Accountant: Massachusetts Citizens For Life
The Schrafft Center
529 Main Street
Boston, MA 02129