NNOA Chapter Annual Financial Report

Fiscal Year Period 1 July to 30 June, 20___ Enter Year

Chapter

EIN

Treasurer

Beginning Cash Balance (1 October), $

Cash received during the year

Operating Amounts

	Enter Amounts
Local
Association
Interest on savings and temporary investments
Dividends
Donations other than Fundraising
Other (Including In-Kind)
Uncollected NSF Checks
TOTAL CASH AVAILABLE DURING THE YEAR
CASH DISBURSED DURING THE YEAR Chapter Operations Supplies, postage & printing
Rental or room for meeting place
Expenses for attendance to Annual Symposium or Board Meeting(s)
Donations to & memberships in other organizations
Memberships dues forwarded to Board Membership

Dues

	Enter Amounts
Dues
Career Development /Leadership Training
Scholarship Programs
Community Outreach
Fundraising Expenses
Other - enter details below

Other program activities

TOTAL CASH DISBURSED DURING THE YEAR

ENDING CASH BALANCE (Total cash available minus cash disbursed)

TRANSACTIONS ASSOCIATED WITH FUNDRAISING

	Enter Amounts
Total Receipts
Total Expenditures
Total Net Profit/Loss (receipts minus expenditures)

DISBURSEMENTS OF PROFITS

	Enter Amounts
Donations
Program
Scholarships
Other(explain below)

Enter Other disbursements

CHAPTER ASSETS

	Enter Amounts
Cash in Checking Account
Savings & Temporary Cash
Equipment
Other (explain below) 1
TOTAL CHAPTER ASSETS
CHAPTER LIABILITIES Account Payables
Other (explain below) 2

Other Cash Assets 1

Other Liabilities 2

TOTAL CHAPTER LIABILITIES

Chapter Employee Identification Number

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We, the undersigned, with the knowledge that these statements are to be used for group filing with the U.S. Treasury Department Internal Revenue Service, voluntarily declare that under penalty of perjury that the information provided to the best of our knowledge is true, correct and complete.

Chapter President

Chapter Treasurer

NNOA Chapter Annual Financial Report

FINANCIAL STATUS CHAPTER ASSETS