FSC04150 02/15/2020
1
Florida K of C Charities Support Report
Reporting Period April 1, 2019 to March 31, 2020
____________________ Council _______ Membership on 4/1/2019 ______
Division ______ Grand Knight ___________________
A. Citizens with Disabilities
Program (Goal is $12.00 per member) (20)
Council Conducted a Tootsie Roll Fund Raising Program:
If so, when did the Council c
onduct the Program? ________________________
Net amount distributed for
charitable purposes (after program costs) $_________
Amount distributed per member
(1)
: $_________
(1)
Use number of members as of 4/1/2019
B. Helping Life Fund (Goal is $20.00 per member) (20)
Amount of money donated by Council member
s to Fund: $_________
Amount per member
(1)
: $_________
(1)
Use number of members as of 4/1/2019
C. Hurricane Relief Fund (Goal is $12.00 per member) (20)
Amount of money donated by Council to Fu
nd: $_________
Amount per member
(1)
: $_________
(1)
Use number of members as of 4/1/2019
D. Mobile Disabilities Fund Support (Goal is $150.00 per Council) (20)
Amount of money donated by Council member
s to Fund: $_________
1. Please use Adobe Acrobat, Adobe Reader or other software capable of completing this
Application.
2. You will be able to move through the Application by tapping the “TAB” Key.
3. The fields with a “red” outline, such as “Council Name”, “Council Number” and
“Grand Knight’s Name” are Required. Do not enter the Council Number, click on the
drop down arrow and move the slide down until you find your Council Number and
“click” on it to select it; “tab” to the “Members on 4/1/2019” and “Division” and the
fields will be filled in automatically.
4. When you are ready to submit the Report, make sure that your email program is open.
5. Council must be current on its obligations with Supreme and the Florida State Council
and must also be Safe Environment Compliant by April 10, 2020 to be eligible for
Award.
6. Report must be submitted by midnight, April 10, 2020
Yes No
0
0
0
0
FSC04150 02/15/2020
2
E. Memorial/Healing Cards Program (Goal is $1.00 per member) (20)
Amount of money donated by Council member
s to Fund: $_________
Amount per member
(1)
: $_________
(1)
Use number of members as of 4/1/2019
F. Special Olympics Support Fund Program (Goal is $12.00 per member) (20)
Amount of money sent by Council members to the Special Olympics Fund: $_________
Amount per member
(1)
: $_________
(1) Use number of members as of 4/1/2019
G. State Raffle Fund Progra
m (Goal is $6.00 per member) (20)
Amount of money sent by Council members t
o the Raffle Fund: $_________
Amount per member
(1)
: $_________
(1)
Use number of members as of 4/1/2019
H. Vocations Support Fund Program (Goal is $12.00 per member) (20)
Amount of money sent by Council members to the Vocations Support Fund: $_________
Amount per member
(1)
: $_________
(1) Use number of members as of 4/1/2019
(20) I. Unrestricted Funds Donated (Goal is $5.00 per member)
Amount of money donated by Council for unrestricted purposes: $_________
Specify date and amounts donated.
Amount per member
(1)
: $_________
(1) Use number of members as of 4/1/2019
TO 'PRINT' THIS FORM CLICK THE "PRINT" BUTTON
TO 'SUBMIT' THIS FORM CLICK THE "SUBMIT" BUTTON
TO 'CLEAR' THIS FORM CLICK THE "CLEAR" BUTTON
TOTAL SCORE:
0
0
0
0
0
PRINT
SUBMIT
CLEAR
INSTRUCTIONS
If your email program fails to send the application, do the following:
1. Save the File with the following name:
FSC04150Florida K of C Charities Report - Council XXXXX,
where XXXXX is the Council number; if the council number only consists
of four digits, add a “0” in front of the number.
2. Close the file.
3. Open your email program.
4. Prepare an email with the following recipients:
steve@ring-enterprises.com
lorenzoarodriguez@gmail.com
bob.dytkowski@bellsouth.net
5. Attach the file you saved to the email.
6. In the “Subject” field include the file name.
7. Send the email.
FSC04150
02/15/2020
3