Total Receipts: This is the sum of all receipts included in lines 1 through 5c.

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1 Quarterly Conference Activity Report (CAR) Form Instructions This report form is intended to promote more timely, accurate and consistent reporting by all conferences. The changes included in this revised form were made to comply with SVDP National requirements, IRS tax exempt organization regulations and information required by many Grantors. Please use only this form and dispose of any older versions. Downloadable copies of this form and these instructions will be posted on the St Louis Council website. If you have any questions about completing this report, please contact Steve Rupp at or Conference Name: This is generally the name of your parish, e.g. St Joseph, Bonne Terre or St Joseph, Farmington. District: This is the district to which your conference is attached. (if you are unsure, contact your district president). EIN #: This is the tax ID number assigned to the St Louis Council and all its associated conferences. Please check the EIN number associated with any of your bank accounts, CDs, etc. If you are not using this EIN #, you need to change to it immediately in order to comply with IRS regulations. Address: This is normally the address of the parish to which your conference is attached. Reporting Period: Please highlight the appropriate box or type an x next to the appropriate quarter for the reporting period this report is covering, i.e. 1 st quarter is QI (Oct-Dec). Meeting Frequency: Please highlight the appropriate box or type an x next to the appropriate category for frequency of conference meetings PAGE 1 - TREASURER'S REPORT This portion of the Conference Activity Report includes the combined financial data from the conference and any associated stores or special works Banking Information This section gives a breakdown of the various assets of the conference, including main checking account and any other accounts/liquid assets (such as gift cards). For each account show the beginning balance, any receipts to that account, any expenses spent from that account and the ending balance of each account. Also includes information on status of grants received by conference. For example, your conference receives a grant for $5,000 in March. For the report for that quarter, you would show the $5,000 under the receipts column and any pledges against that under expenses. The ending balance then becomes the beginning balance for the grant in the next quarter, with pledges again shown under expenses. For Other Assets, please attach an explanation on separate sheet of paper. Fixed Assets If your conference owns property, vehicles, other fixed assets, that information goes in this section Beginning Balance (A): Please note, the beginning balance of each quarter should be the same as the ending balance (B) of the previous quarter's CAR report. If it is not, please attach an explanation for the discrepancy. (For those conferences with grants and/or additional accounts, such as savings and reserve accounts, store accounts, CDs etc. that have not previously been included in the CAR report, you will include them in the Banking Information section at the top of page 1 and the beginning balance of your combined assets will be reflected in the beginning balance A. If your conference bank accounts have a different cycle than the Conference Activity Report, the total beginning and ending balances of the Banking Information section may be slightly different than that of the Receipts and Expenses section below. (For example, if you pledged on an electric bill toward the end of the quarter and that amount was included in the expense on line 6aii, but the check has not cleared the bank by the end of the quarter, your checking account ending balance may be slightly different than the ending balance (B) at the bottom of page 1, but each respective ending and beginning balances should be consistent quarter to quarter.

2 If your conference has received a grant(s), please list the name(s) and address(es) of the Grantor(s), and the amount and purpose of the grant(s) on a separate sheet of paper. RECEIPTS: (Round to nearest dollar amount) Line 1 - Donations from Members: This category includes financial contributions from Active and Associate members, including the secret collection taken up at conference meetings. It is not necessary to isolate and count checks written by members and included in parish collections. Line 2 - Church/Poor Box Collections: This category includes financial support from Church collections, Poor Box collections, alms from distribution of religious papers at the Church door, allocations from parish funds and other Church related offerings, such as special collections at Thanksgiving, etc. Line 3a - Fundraising Special Works: Enter the total gross income from all special works operated by the conference Line 3b - Fundraising Stores: Enter the total gross income from all thrift stores operated by the conference. Line 3c - Fundraising Special Events/Other: * Enter the total gross income from special fundraising activities, such as Friends of the Poor Walk and other fundraising activities of the conference such as dinners, golf tournaments, memorials, etc. *For all fundraising events over $5,000, list event name, date, total donations and expenses. This information is needed for IRS filing by Council. Line 4a Funds received from other conferences: This category includes financial support received by your conference from any other Vincentian conference. Friends of the Poor grants are included in this category. (Do not include funds that are transferred to the conference from stores or special works operated by the conference.) Line 4b Funds received from District: This category includes funds received from the District Council. (Do not include funds that were paid to vendors directly by the District on behalf of requests from your conference.) Line 4c - Funds received from the St Louis Council: This category includes funds received by your conference from the St Louis Council. This does not include bills paid directly to vendors by the Council for any Council Program requests from your conference. Line 5a - Capital Campaign Funds: This includes all money received for a formally defined, non-operating capital campaign fund for your conference. For example, if your conference has established a capital campaign to raise funds to build a new pantry/office or make major renovations to an existing one, then the funds collected are restricted for that use and can be included here. Line 5b - Other Restricted Funds: This includes all funds received for special projects for which a fundraising campaign was designated. For example, if your conference has a special campaign to raise funds for a Back-To-School Program, then the funds collected are restricted to that use. This does not include "memo" designations on checks or special conference designated funds. For example, if someone writes "for food" on their check in the memo area, these would not be considered restricted funds. Also, conference designations as part of a budget do not restrict funds. Line 5c - Other Miscellaneous Receipts: ** All other sources of income such as donations from private individuals or groups not included in Church collections, such as donations from groups like the Knights of Columbus, memorial donations, bank adjustments, interest, legacies, etc. **For donations over $5,000 list name and address of donor and amount of donation on a separate sheet of paper. This information is needed for IRS filing by Council. Total Receipts: This is the sum of all receipts included in lines 1 through 5c. Cash Available: This is the sum of Beginning Balance (A) plus Total Receipts. EXPENSES (Round to nearest dollar amount)

3 Line 6a. I Gas/Propane: Include funds disbursed to local gas company (normally Spire (formerly Laclede Gas) or a local propane company.) Line 6a. Il Electric: Include funds disbursed to local electric company (normally Ameren or another electric company.) Line 6a.lll Water: Include funds disbursed to local water company (if local utility issues a combined water/sewer bill, it goes on this line) Line 6a. Line 6b. - Food (Vouchers/Pantry): Include funds used to purchase food or food vouchers Line 6c. - Clothing: Include funds used to buy clothing for clients. (Does not include credits used at SVDP Thrift Stores) Line 6d. - Furniture/Appliances: Include funds used to purchase furniture or appliances, and for appliance repairs Line 6e. - Medical/Prescriptions: Include funds used to pay for medical/dental needs of clients, such as appointments, medical equipment, medications (do not include value of prescriptions supplied from Council Pharmacy Program). Line 6f. - Housing: Include funds used to pay for rent or mortgage payments or hotel bills for clients. Line 6g.i - Transportation (Car Repair): Include conference funds disbursed for client automobile repair costs. Line 6g.ii. - Transportation (Car Purchase): Include conference funds disbursed toward client car purchase. Line 6g.iii. - Transportation (Other): All other transportation expenses, such as bus tickets, gas for client cars etc. Line 6h. -Tuition Assistance: Funds to pay for tuition fees for clients Line 6i. - Burial: Funds spent by the conference to help with burial costs (This does not include funds spent by the council on its burial program or funds spent for masses or flowers for deceased members). Line 6j. - Other: Funds spent on any item for clients not included in above categories. (Please attach an explanation) Line 6k - Subtotal of Lines 6a thru 6j. Total of all above Direct Assistance expense categories Line 7. - Disaster contributions: Conference funds contributed to local, national, or international disaster funds. Line 8a. - Domestic twinning: Conference funds sent to another conference or upper council, such as your district council or the St Louis Council, other than disaster contributions which go on Line 7 above. Line 8b. - International twinning: Funds sent to a conference or council outside the United States for other than disaster relief (must be coordinated through the National Council) Line 8c. - Subtotal of lines 7 through 8b. Line 9. - Solidarity Contributions: The funds sent to the St Louis Council for the Annual Dues (due in the first quarter of each fiscal year) Line 10a.- Operating Expenses Special Works: This includes all funds spent to operate special works. This does not include dollars spent as direct aid to those in need from those special works. (Direct aid is not an operational expense.) Line 10b. - Operating Expense Stores: This includes all funds expended to operate stores, such as rent, utilities, wages etc. This does not include dollars spent as direct aid to those in need from those stores, which is not an operating expense.

4 Line IOC. - Operating Expense Special Events: This includes all funds expended for fundraising events such as dinners, Friends of the Poor Walk, etc. Line IOd. - Operating Expenses Other: Include conference operational expenses such as checks, bank fees, postage, stationery, printing, travel, training, phone, rent and utilities paid by the conference for use of facilities, etc. Line Other expenses: All other expenses not used for direct client help and not covered by another operating expense category, such as memorial donations, having masses said for members, benefactors, etc. (Please attach an explanation). Line 12 Subtotal of Lines 9 through 11. Total Disbursements: Total of all expenses (Lines 6k + 8c +12) Ending Balance (B): Cash Available minus Total Disbursements. PAGE 2 CONFERENCE ACTIVITY AND MEMBERSHIP REPORT IN-KIND GOODS AND SERVICES Provided (Non-cash Contributions NOT included on Page 1) This portion of the report includes the combined in-kind data from the conferences, its stores and special works not included on page 1) In-Kind refers to any non-cash contributions that the conference receives at no cost and passes on directly to clients, both goods (such as food, clothing, furniture, other goods) or professional services provided free of charge (such as legal, medical, dental or other services). Do not include any goods or services for which the conference disbursed its own funds. (For example, if the conference buys some food and gets some donated, only the value of the donated food is included in this category. For example, if the conference gives away 500 bags of food valued at $10/bag, but purchased $300 worth of food for its pantry 500x$10 = $5,OOO - $300= $4,700 in-kind food given away.) Value is the estimated retail value of the goods distributed or services provided at no cost to conference or client. The number of people helped through distribution of in-kind goods or helped with in-kind services should also be included below in the number of people helped through some type of in-person visit. For example, if you helped 500 people with food, these individuals would also be shown below in one of the person to person visit categories, such as home visits or pantry visits. Quarterly Store Credit Reconciliation This information is needed by the Council for IRS filings. f your conference is not sure what your current balance is, contact the council office: LauraS@svdpstl.org or phone VISITS A. Home Visits: Visits to a person's home. Sometimes more than one home visit is required. If you visit a family of 4 three times, you should count 12 people (4 persons x 3 visits) B. Prison Visits: person-to-person visits to prisoners. If you visit multiple persons in prison multiple times, multiply the number seen each visit by the number of visits. C. Hospital Visits: Patients visited at a hospital (two members visiting the same patient counts as one visit.) D. Eldercare Visits: Visits to nursing homes, rest homes, assisted living facilities, convalescent hospitals or other facility for the aged.

5 E. Church/Pantry Visits: Clients seen at the church or pantry. (If you have several members helping in the pantry, you count each individual seen as one visit, but if that individual reports 4 people in the home, the # of people helped with that visit is 4. For example, you see 30 people at your food pantry on Sunday evening, but those people report a total of 90 people in their households. The number of visits is 30, the number of people helped is 90. F. Other Visits: Any other person to person contact at any other location, not included above. G. Subtotal of Person to Person Visits/Persons Helped (include A. through F). H. Telephone Only Contacts: Show number of telephone contacts and total number of people helped. This category represents contact only by telephone; no person to person visit is made. Typically, these are calls that result in a referral of some type to another conference or organization. Do not count calls that are made to set up an appointment for a home or other visit. Total number of people Helped: This includes both those helped via person to person visits or telephone only contacts. Vincentian Hours of Service: All member hours spent in any activity relative to the Society of St Vincent de Paul, including all hours helping people, attending meetings, preparing reports, travel time, workshops, SVDP Spiritual gatherings, etc. Include member hours of service at the conference owned stores or special works also. DO NOT include member hours worked at a store or special work NOT OWNED by the conference. Hours of service by non-members: This includes hours of service at conference owned stores or special works or with special conference projects that are performed by persons who are not active or associate members of the conference, including persons volunteering to complete community service hours or court ordered hours. Estimated Miles in Service: Estimate the miles driven by members to assist those we serve and related activities. Membership Demographics: Only complete this section on the Quarter 4 report. These categories comply with SVDP National requirements. Active Members must belong to the Catholic Church, accept the Rule, Statutes and basic requirements of the Society. Active members need to take part in the life of the conference to which they belong. Participation implies a reasonable degree of involvement in conference meetings, conference works and the spiritual life of the conference, including religious observances. Associate Members, like Active Members, are affiliated with the Society by formal action of the conference or council with which the Associate Member will be joined. Associate Members include those who sincerely and publicly accept the Society's Rule, but may or may not belong to the Catholic Church. They participate, as they are able, in the works of the conference. Associate members are kept informed of the developments and activities of their immediate group, as well as the general progress of the Society. They are invited to attend meetings and special observances of the Society. Prepared by: This information is needed in case there are questions about the report, so we know who to contact and how to best reach that person. In compliance with the National Council, the conference president must also sign the report (may do so electronically) Date Submitted to Council: Please remember, all reports are due within 30 days following the end of the quarter. PAGE 3 MEMBERSHIP UPDATE

6 Please only submit this page if you have new changes in membership to report, including resignation and election/appointment of officers and resignation/death of members or new members. For officer position changes, please also indicate the specific officer position that is being resigned or filled, per the abbreviations at the top of the form. For new members, please indicate if they are active or associate members. In order to add anyone to the data base we need at least their name and street address. It is helpful to also have a phone contact and address as both the St Louis Council and the National Council disseminate information primarily by and occasionally we may need to contact a member via phone. When indicating changes, use all of the identified codes that apply