Regional Group Annual Finance Report Form – Blinded Veterans Association

Step 1 of 2

Regional Group Name *

1. Beginning Balance as of July 1 *

This is the ending balance from last year's report

Income During the Fiscal Year

2. LMF Apportionment of Dues *

3. Interest & Dividends (Checking and Savings) *

4. Other Income (Specify)

Source

Income from Source

Source

Income from Source

5. Total Income *

Add Lines 2 through 4

6. Total Funds Available During Fiscal Year *

Add Lines 1 and 5

Expenses During Fiscal Year

7. Travel Expenses (Conventions, Conferences & Meetings) *

8. Supplies & Printing Expenses *

9. Fundraising Expenses *

10. Other Expenses (Specify)

Source

Expense from Source

Source

Expense from Source

Source

Expense from Source

11. Total Expenses *

Add Lines 7 through 10

Ending Balance June 30 *

Subtract Line 11 from Line 6

Other Assets

Assets not included in the above calculations (CDs, Investments, Special Accounts, etc.)

Asset

Asset Amount

Asset

Asset Amount

Total Other Assets *

Banking

Bank Name *

Bank Address *

Address Line 1

City

State / Province / Region

Postal Code

Country

Routing Number *

Account Number *

Regional Group Tax Exempt Number *

Please attach a copy of your bank statement with annual financial report *

Click or drag a file to this area to upload.