Conference Activity Report
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1 Conference Activity Report Conference District: EIN #: : State: Reporting Period: Q1 (OctDec) Q2 (JanMar) Q3 (AprJun) Q4 (JulSep) Meeting Frequency: Weekly 2X/Month Monthly Other Does your conference have an active spiritual advisor? yes no Membership Demographics Type Asian Black Caucasian Hispanic/ Mixed/ # New Totals Latino Other This Year Active (Full): under 4 Active (Full): 4+ Total Active (Full): Associate: under 4 Associate: 4+ Total Associate: Total Membership (Active & Associate) Total # New This Year Beginning Balance (A): (this #should match the ending balance of previous report, B.) Expenses Receipts 1. Donations from Members: 2. Church/Poor Box Collections: 3a. FundraisingSpecial Works: 3b. FundraisingStores: 3c. FundraisingSpecial Events/Other (**) : 4. Other SVDP Unit Contributions/Twinning: 6a. Utilities: i. Gas/Propane: ii. Electric: iii. Water: iiii. Other: 6b. Food (Voucher/Pantry): 6c. Clothing: 5b. OtherDisaster funds: 6d. Furniture/Appliances: 5c. OtherCapital Campaign Funds: 6e. Medical/Prescriptions: 5d. OtherRestricted Funds: 6f. Housinge: 5e. OtherMisc. Receipts (***) : 6g. Transportation: Total Receipts(1 through 5):. i. Transportation (Car Repair): ii. Transportation (Car Purchase): iii. Transportation (Other): Cash Available (A + total receipts):. 6h. Tuition Assistance: 6i. Burial: 6j. Other (attach explination): Additional information needed for 99 purposes (Submit on separate sheet of paper): (*) On separate sheet list name, address, amount and purpose for grants. (**) For all fundraising events over 5, list event name, date, total donations and expenses. (***) For donations over 5, list name and address of donor and amount of donation. Treasurer's Report Subtotal (6a through 6j): 7. Disaster Contributions: 8a. Domestic Twinning: 8b. International Twinning: Subtotal 7 through 8b 9. Solidarity Contributions (Dues): 1. Contributions to Upper Councils: 11a. Operating ExpenseSpecial works: 11b. Operating ExpenseStores: 11c. Operating ExpenseSpecial Events: 11d. Operating ExpenseOther: 12. Other Expense (attach explanation): Subtotal 9 through 12: Total Disbursements (6 through 12): Ending Balance B. (Cash Available Total Disbursements):.
2 Cash: Bank Checking #1: Bank Checking #2: Bank Savings #1: Bank Savings #2: CDs/Investments: Endowments (NonRestricted): Endowments (Restricted): Grants: Other Assets (attach explanation) Total: All Assets Beginning Balance Receipts Expenses Ending Balance InKind Goods and Services Provided (Noncash Contributions) (not included on Page 1) Goods A. Food B. Furniture C. Clothing D. Other Subtotal Goods (AD) Services A. Legal B. Medical C. Dental D. Other Subtotal Services (AD) Totals Goods & Services # People Helped (included in visits) Value A. Jobs Obtained B. Referrals C. Travel Aid D. Spiritual Aid/Sacraments E. Other Total (A thru E) # Provided Visits A. Home Visits B. Prison Visits C. Hospital Visits D. Eldercare Visits E. Church/Pantry Visits F. Other Person to Person Visits G. Subtotal (A thru F): # of Visits # of people helped # of People Helped (Per Zip Code) # Helped Zip Code H. Telephone Only Contacts Total # of People Helped (G+H) Client Demographic Report Females White Black Hispanic Other Males White Black Hispanic Other age 17 age 17 age 184 age 184 age 4164 age 4164 age 65 + age 65+ Totals Totals Vincentian Hours of Service: Estimated Miles in Service: NonMember Hours of Service: Prepared by: Phone #: Title: Date Submitted to Council:
3 Membership Update Please Report Membership and Officer Changes Regularly (Please Print) Officers: P = President; VP = Vice President; S = Secretary; T = Treasurer; SA = Spiritual Advisor OR = Officer Resigned; NO = New Officer; MR = Member Resigner; NM = New Member; MD = Member Deceased A = Active; AS = Associate (For office changes, put in office initial; for membership changes place an "X' mark under proper column) OR NO MR NM Comments: Signature: Conference: Please Return to: Society of St. Vincent de Paul of St. Louis 131 Papin St. St. Louis, MO 6313Fax: stever@svdpstl.org Date:
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Total Receipts: This is the sum of all receipts included in lines 1 through 5c.
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