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OHIO STATE UNIVERSITY EXTENSION
Ohio 4-H Club/Affiliate Yearly Financial Summary
Due January 31
Program Year Club/Affiliate Name
Bank Address
Type of Account (select one):
Who is authorized to sign your checks? (must have at least one name, preferably two names)
Beginning Account Balance as of Jan. 1 (should match bank statement)
Club/Affiliate Income (please list, add separate page if needed)
Description (fundraiser, dues, etc.)
Description (fundraiser, dues, etc.)
Club/Affiliate Expenses (please list, add separate page if needed)
Description (books, program fees, etc.)
Description (books, program fees, etc.)
Total Expenses
Ending Account Balance as of Dec. 31 (should match bank statement):
Name of person completing form: