Clubs Financial Report 2009
Year ending June 30, 2009

Name of Club:
Federal Tax ID# (EIN)::
Treasurer's Name:
Number of Paid Members 08-09:
State Tax ID# (if club has applied for state tex exemption)
Bank Information:
Bank Name and Address:
Account #(s):
Signatories on account(s):
Statement of Receipts and Disbursements for Clubs with gross receipts in current year less than $25,000

ASSETS OF JULY 1, 2008
Checking:
Savings:
TOTAL ASSETS JULY 1, 2008:

RECEIPTS
Bed & Breakfast:
Book Awards:
Dues:
Interest:
Sales Items:
Contributions:
Other:
Fundraising Events/Programs:
TOTAL RECEIPTS:

DISBURSEMENTS
Book Awards:
Club gift(s) to Wellesley:
Meeting/educational uses:
Postage/mailing costs:
Printing:
Refreshments:
Space rental:
Other:
TOTAL DISBURSEMENTS:

CHANGE IN NET WORTH
Total Receipts - Total Disbursements =

NEW ASSETS AS OF JUNE 30, 2009
Total Assets July 1, 2008 + Change in Net Worth =


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