Chapter Financial Information Form 2007-2008


The submission of the reporting forms is the responsibility of the current administration. This form is due within sixty (60) days after the close of the fiscal year.

Please use the TAB key to move between fields. Pressing the ENTER key will result in submitting this form. Thank you for your cooperation.

(ALL FIELDS REQUIRED) These financial reports were prepared by:

Name:
Date:
Title:    
Email:

The financial reports were reviewed by (a minimum of two)

Member:
Reviewed:
Member:
Reviewed:
Member:
Reviewed:

These financial reports were approved by and distributed to the chapter membership by:

Name:
Date:
Title:

Balance Sheet Fiscal Year Ending:
Please indicate the accounting method used: Cash basis Accrual method

If the chapter is on a cash accounting basis, list all anticipated liabilities over $500.00 to any one individual or other entitity. If the aggregate amount of anticipated liabilities totals at least $5,000, then list all atnicipated liabilities over $100.00.

ASSETS Amount
Cash
Investments
Accounts Reveivable
Prepaid Expenses
Total Assets
WORTH Amount
Accounts Payable*
Fund Balance
Total Liabilities and Fund Balance

REVENUES Amount
Rebates
Meetings
Workshops
Interest
Grants
Total Revenue
EXPENSES Amount
Temporary Personnel
Printing and Duplicating
Postage
Mailing Labels
Travel
chapter Meetings
Workshops
Regional Meetings
National Conference
Grants
Awards
Speakers
Total Expenses
Revenue in excess of expenses
Fund Balance, beginning of year
Fund Balance, end of year

This chapter maintains checking, savings, and/or investment accounts at (email/fax additional information if necessary):

Banking Institution Name:
Banking Institution Address:


Account Name and Number:
Tax ID # Used

Individuals authorized to access this account:

Your Full Name:
Signature:
Your Full Name:
Signature:

We, the undersigned chapter chair and treasurer, certify that we understand:

  • the responsibilities outlined in the document entitled, "Financial Reporting for Chapters and chapters of ASPA", and will execute such responsibilities during our terms of office.
  • any and all real or anticipated liabilities incurred by the chapter are the sole responsibility of the chapter.
  • payment of membership dues will be withheld from the chapter in the event of noncompliance with reporting requirements or nonacceptance of said reports by the Executive Director, non-member officers, or membership programs in violation of ASPA's constitution or Council-adopted policy.
  • any amounts due to the national organization for a period exceeding ninety days will be deducted from the next regularly scheduled rebate of any chapter with such outstanding debt.

We further certify that we will:

  • discuss with the ASPA Executive Director any intention to enter into a contract or incur a liability or anticipated liability in an amount exceeding $5,000.
Chapter Chair Signature:
Today's Date:
Chapter Treasurer Signature:
Today's Date: