2021Bylaws

Page 4

ABC SHRINERS STATEMENT OF ACTIVITIES AND CHANGES IN NET ASSETS December 31, 20 _____ (with comparative amounts for December 31, 20 _____ )

Revenues, gains and other support:

Without Donor With Donor

20__ 20__

Restrictions

Restrictions

Total

Total

Initiation fees Membership dues and PCT Less Dues Write Offs Rental income Investment return, net Miscellaneous income Gain on disposition of Assets Donations

Fundraising Fundraising - Gross Charitable Fundraising - Gross Net assets released from restrictions: Satisfaction of program restrictions Satisfaction of equipment acquisitions restrictions Expiration of time restrictions Satisfactionof any related donor restrictions

__________ __________ _______ _______

$

$

$

$

TOTAL REVENUES, GAINS AND OTHER SUPPORT

Expenses and losses:

Without Donor With Donor

20__ 20__

Restrictions

Restrictions

Total

Total

Shriners International and PCT Administrative Fundraising total direct costs Building operations Business sessions and ceremonials Social activities /Entertainment Visitations and pilgrimages Promotions and publicity Unit and club expenses Donations to fraternal groups Members’ relations Donations to charities Hospital patient transportation

__________ __________ _______ _______

$

$

$

$

TOTAL EXPENSES AND LOSSES (NOTE D)

Change in net assets

Transfer of net assests

Net assets at beginning of year

__________ __________ _______ _______ NET ASSETS AT END OF YEAR $ __________ $ _______ $ _______ $ ______ The accompanying notes are an integral part of these financial statements.

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