KNIGHTS OF COLUMBUS
JULY 1,
JULY 1,
REPORT OF ASSEMBLY OFFICERS CHOSEN FOR THE TERM
DATE OF ELECTION
ASSEMBLY NUMBER
ZIP/POSTAL CODE
LOCATION
STATE/PROVINCE
CITY
COUNCIL NO.
INITIAL
FIRST NAME
FAITHFUL
LAST NAME
MEMBERSHIP NO.
NAVIGATOR
ZIP/ POSTAL CODE
STATE/PROVINCE
STREET
CITY
ADDRESS CHANGE
TELEPHONE
AREA CODE
PHONE NO.
FAITHFUL
MEMBERSHIP NO.
COMPTROLLER
ADDRESS CHANGE
TELEPHONE
AREA CODE
PHONE NO.
COUNCIL NO.
INITIAL
FIRST NAME
MEMBERSHIP NO.
LAST NAME
FAITHFUL
FRIAR
ZIP/ POSTAL CODE
STATE/PROVINCE
STREET
CITY
ADDRESS CHANGE
COUNCIL NO.
FAITHFUL
MEMBERSHIP NO.
CAPTAIN
ADDRESS CHANGE
COUNCIL NO.
FAITHFUL
MEMBERSHIP NO.
ADMIRAL
ADDRESS CHANGE
FAITHFUL
MEMBERSHIP NO.
PURSER
ADDRESS CHANGE
COUNCIL NO.
FAITHFUL
MEMBERSHIP NO.
PILOT
ADDRESS CHANGE
MEMBERSHIP NO.
FAITHFUL
SCRIBE
ADDRESS CHANGE
INNER
MEMBERSHIP NO.
SENTINEL
OUTER
INITIAL
MEMBERSHIP NO.
FIRST NAME
LAST NAME
SENTINEL
ONE YEAR
MEMBERSHIP NO.
TRUSTEE
TWO YEAR
MEMBERSHIP NO.
TRUSTEE
THREE YEAR
MEMBERSHIP NO.
TRUSTEE
Faithfull Navigator
ASSEMBLY MEETS:
IMPORTANT INSTRUCTIONS
NO MEMBER SHALL BE ELIGIBLE TO HOLD OFFICE IN AN ASSEMBLY UNLESS HE IS IN GOOD STANDING AND PAYS HIS DUES BOTH IN THE COUNCIL AND IN THE ASSEMBLY. FORWARD
COMPLETED COPY OF THIS REPORT IMMEDIATELY FOLLOWING THE ELECTION AT THE FIRST REGULAR MEETING IN JUNE. THIS REPORT IS ESSENTIAL FOR THE TRANSACTION OF
OFFICIAL BUSINESS AND DIRECT MAIL COMMUNICATIONS WITH OFFICERS.
COPIES TO: State Deputy, Vice Supreme Master, Master, Assembly File
SUBMIT TO: Supreme Secretary
COUNCIL NO.
COUNCIL NO.
COUNCIL NO.
COUNCIL NO.
COUNCIL NO.
COUNCIL NO.
COUNCIL NO.
I
NITIAL
FIRST NAME
LAST NAME
INITIAL
FIRST NAME
LAST NAME
INITIAL
FIRST NAME
LAST NAME
INITIAL
FIRST NAME
LAST NAME
INITIAL
FIRST NAME
LAST NAME
ZIP/ POSTAL CODE
STATE/PROVINCE
STREET
CITY
INITIAL
FIRST NAME
LAST NAME
ZIP/ POSTAL CODE
STATE/PROVINCE
STREET
CITY
INITIAL
FIRST NAME
LAST NAME
ZIP/ POSTAL CODE
STATE/PROVINCE
STREET
CITY
INITIAL
FIRST NAME
LAST NAME
ZIP/ POSTAL CODE
STATE/PROVINCE
STREET
CITY
INITIAL
FIRST NAME
LAST NAME
ZIP/ POSTAL CODE
STATE/PROVINCE
STREET
CITY
COUNCIL NO.
INITIAL
FIRST NAME
LAST NAME
ZIP/POSTAL CODE
STATE/PROVINCE
STREET
CITY
Name
Membership No.
TO JUNE 30,
IMMEDIATE UPDATE
TO JUNE 30, UPDATE IN JULY
July 1, TO June 30,
Faithful Comptroller (Name) (Membership Number)
This form is intended for submission through regular mail.
FAX - (203) 752-4113
E-MAIL - membershiprecords@kofc.org
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