(Signed) _____________________________________________________
(Grand Knight)
(Signed) _____________________________________________________
(Financial Secretary)
Date: _______________________________________________________
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I. NUMBER OF MEETINGS HELD DURING YEAR:
1. Regular
2. Social
3. Special
TOTAL NUMBER OF MEETINGS HELD
II. ACTIVITY EXPENSE
DOLLARS ONLY:
1. a. Printing and Postage
b. Food and Refreshments
c. Prizes
d. Projects
e. Entertainment
f. Miscellaneous
TOTAL ACTIVITY EXPENSES
III. CHARITABLE DISBURSEMENTS::
Church Activities
DOLLARS ONLY:
1. a. Church Facilities
b. Catholic Schools
c. Religious Education
d. Seminarians/RSVP
e. Seminaries
f. Vocations Projects
g. Miscellaneous
Total Church Disbursements
Community Activities DOLLARS ONLY:
2. a. Elderly
b. Physically Disabled
c. Special Olympics
d. Intellectual Disabilities
e. Human Needs
f. Victims of Disasters
g. Hospitals/Institutions
h. Health and Service Organizations
i. Community–wide Projects
j. Habitat for Humanity Projects
k: Miscellaneous
Total Community Disbursements
Pro-Life Activities
DOLLARS ONLY:
3. a. Donations
b. Hall usage
c. Birthright
d. Baby showers
e. Baby bottle campaign
f. Memorials to unborn children
Total Pro-Life Disbursements
Youth Activities
4. a. Columbian Squires
b. Scouting
c. Youth Groups
d. Youth Welfare/Services
e. Athletics
f. Scholarships/Education
g. Miscellaneous
Total Youth Disbursements
TOTAL CHARITABLE (Church, Community, Pro-Life
and Youth) DISBURSEMENTS
IV. FRATERNAL COMMITMENT:
1. Number of visits to:
a. Sick
b. Bereaved
Total Visits
2. Number of blood donors
3. Habitat for Humanity Projects
Estimated hours of volunteer service:
4. a. Church
b. Community
c. Youth
d. Habitat for Humanity
e: Miscellaneous
Total Volunteer Hours
Estimated hours of fraternal service:
5. Sick/disabled members and their families
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For Twelve Month Period Ending December 31, 20__
Council Number ___________________ Location ____________________________________
city/town state/province
ANNUAL SURVEY OF FRATERNAL ACTIVITY
DOLLARS ONLY:
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1728 3/11
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MAIL ORIGINAL TO: Supreme Council Department of Fraternal Services.
MAIL COPIES TO: State Deputy, District Deputy, Council File
Available in electronic format at www.kofc.org
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g. Ultra-sound program
Total Pro-Life Disbursements
