Due By: FEBRUARY 15
SEMIANNUAL COUNCIL AUDIT REPORT
COUNCIL NO. ________________ CITY _________________________________________ STATE__________________________
SCHEDULE A — MEMBERSHIP
ADDITIONS DEDUCTIONS
Total members start of period Suspensions
Initiations Deaths
Transfers from other councils Withdrawals
Transfers—assoc. to insurance Transfers—assoc. to insurance
Transfers—ins. to associate Transfers—ins. to associate
Re-entries Tranfers to other councils
Total for period Total deductions
Minus total deductions
Do not include inactive insurance members in this section.
Number members end of period
See Knights of Columbus Leadership Resources (#5093) booklet.
SCHEDULE A — ALTERNATIVE
Our council uses Member Management/Member Billing. The requirement for completing Schedule A is satisfied.
SCHEDULE B — CASH TRANSACTIONS
FINANCIAL SECRETARY TREASURER
Cash on hand beginning of period $___________________ Cash on hand beginning of period $___________________
Cash received—dues, initiations $___________________ Received from financial secretary $___________________
Cash received from other sources: Transfers from sav./other accts. $___________________
(Explain kind and amount) Interest earned $___________________
___________________$__________ Total receipts $___________________
___________________
___________________$__________ Disbursements
___________________$__________ $___________________ Per capita: Supreme Council $___________________
Total cash received $___________________ State council $___________________
Transferred to treasurer $___________________ General council expenses $___________________
Cash on hand at end of period $___________________ Transfers to sav./other accts. $___________________
___________________
Miscellaneous $___________________
Total disbursements $___________________
Net balance on hand $___________________
___________________
SCHEDULE C — ASSETS AND LIABILITIES
ASSETS LIABILITIES
Cash: Due Supreme Council:
Undeposited funds $_________________ Per capita $________________
Bank — Checking acct. $_________________ Supplies $________________
— Savings acct. $_________________ Catholic advertising $________________
— Money market accts. $_________________ Other $________________
Due from _______ members $_________________ Due state council $________________
Number
Total current assets $_________________ Advance payments by ______ members $________________
_________________
Number
Less: current liabilities $_________________ Misc. liabilities
Net current assets $_________________ _________________ $________________
_________________
Other Assets: _________________ $________________
Short term CD $_____________ _________________ $________________
Money Market
Total current liabilities $________________
________________
Mutual Funds $_____________
Misc. assets $_____________
Total other assets $_________________
Total assets $_________________
_________________
Please complete all items. Insert “None” where no figures are to be shown.
Signed this _______ day of ____________________ 20 ______
________________________________________ Grand Knight
________________________________________ Trustee
________________________________________ Trustee
________________________________________ Trustee
INS. ASSO. TOT.
INS. ASSO. TOT.
FOR PERIOD ENDED DECEMBER 31, 20
SEND ONE COPY TO: Council Accounts COPIES TO: State Deputy, District Deputy, Council File
Email: council.accounts@kofc.org
Fax: 855-228-1396
Mail: 1 Columbus Plaza, New Haven, CT 06510 Available in electronic format at kofc.org/forms
1295 12/16
*All U.S. Councils must file form 990 with IRS annually. For info call 203-752-4281 or refer to Officer’s Desk Reference.*
