| Report of Shrine Clubs and Temple Units |
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(File with Temple Office) |
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| Name of Shrine Club or Unit |
Employer
Identification Number (Shrine Clubs Only) |
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| Address |
Temple Hav=
ing
Jurisdiction |
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| Place of Meetings |
Charter or
Organization Date |
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| Membership End of Year |
Date Regul=
ar Meetings
Held |
| Financial Statements |
| Stateme=
nt of
Activities |
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Financial Position |
| Year En=
ded December
31, 2008 |
|
Year Ended December 31, 2008 |
| REVENUE=
S |
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ASSETS |
| Code |
| D |
Contributions, =
Gifts
& Donations…………. |
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Cash - on hand............................ |
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| E |
Social Activities and
Meals……………. |
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Cash - in checking*……………=
230;.. |
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| F |
Fraternal Meetings &
Visitations……… |
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Cash - savings flec account*…….. |
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| G |
Dues, Initiation Fees and
Assessments |
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Certificates of Deposit……………=
;.. |
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| H |
Investment Income*………...……&=
#8230; |
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Accounts Receivable*……………..=
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| I |
Fund Raising (Gross)*-Fraternal………̷=
0; |
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Inventories for sale or use…………
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| J |
Fund Raising (Gross)*-Charitable………..
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Prepaid
expenses*………………… |
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| K |
Sales Tax
Collected…….…………………=
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Investments*………………=
230;…….. |
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| L |
Other
Revenues*……..…………………=
;… |
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Land, building& equipment @ cost |
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Total Revenues @ (D through L)……=
…. |
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(attach schedule of property) |
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| Expenditures |
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Minus accumulated depreciation… |
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| 1 |
Administrative
Costs……………………... |
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| 1a |
Telephone and
Utilities…………………… |
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Other
assets*……………………….
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| 1b |
Office Supplies and Expenses………….=
. |
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| 1c |
Taxes, Licenses and Professional Fees.. |
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Total
Assets………………………..
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| 1d |
Interest Expense on
Indebtedness……… |
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| <=
/td>
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Liabilities |
| 2 |
Building Operations and Maintenance#.. |
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Accounts payable & accrued exp.. |
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| 3 |
Social Activities and
Meals……………… |
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Mortgages & other notes payable*. |
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| 4 |
Fratertnal Meetings and Visitations……. |
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Other
Liabilities*……………………. |
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| 5 |
Dues
Paid…………………………=
;………. |
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Total
Liabilities………………………=
; |
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| 6 |
Promotion and
Publicity…………………. |
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| 7 |
Charitable
Contributions*………………… |
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Member's Equity |
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| 8 |
Fund Raising (Gross)*-Fraternal………̷=
0; |
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| 9 |
Fund Raising (Gross)*-Charitable……….
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Balance, beginning of year……….. |
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| 10 |
Member's
Relations……………………….=
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Surplus (Deficit) same as line 14.. |
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| 11 |
Transfer to
Temple………………………..
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Balance, end of
year………………. |
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| 12 |
Other
Expenditures*……………………R=
30; |
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Total Expenditures…………… |
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Total Liabilities & Yearend Balance |
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(1 through 12) |
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Member's Equity |
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Excess of
Revenues/(Expenditures)…… |
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| 13 |
Depreciation………………=
230;……………. |
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| 14 |
Surplus/(Deficit)……………̷=
0;…………… |
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# Exclude depreciation. Provision reported o=
n line
13 |
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* Attach detailed list of activity |
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@ If amount is greater than $25000, the
temple's =
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accountant must include this report with the |
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annual 990 group return for this year. |
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