The Delta Kappa Gamma Society International
Annual Report of Chapter Treasurer
for Fiscal Year July 1, 2020June 30, 2021
Due July 15, 2021
05/2021 (LF)
Form 15
2020-2021 Fiscal year
DIRECTIONS: One copy of this form and all attachments are to be sent to each of the following:
1) State Organization Treasurer 2) Chapter Finance Chair 3) Chapter Treasurer’s file 4) Chapter President’s file
Name of Chapter State (e.g., Texas, Alberta, Sweden)
Date of Report
Name of Chapter Treasurer
Country
E-mail Address
Home Phone Number
TOTAL MEMBERSHIP on July 1, 2020 ...................................................................................................................................................... = ______________
TOTAL MEMBERSHIP on June 30, 2021 .................................................................................................................................. = ______________
. Complete this section if applicable
Complete this section if applicable
CHAPTER GRANTS-IN-AID AWARDED
CHAPTER SCHOLARSHIPS AWARDED
(For Non-Members Only)
(For Members Only)
__________@ $________ = $__________ _________@ $ ____________ = $ ____________
__________@ $ _________= $ _________ _________@ $ ____________ = $ ____________
(Use additional pages if necessary) (Use additional pages if necessary)
TOTAL Disbursements of Grants-In-Aid # _______ $__________ TOTAL Disbursements of Scholarships # ________ $ __________
We have a grant-in-aid, but it was not awarded this year. We have a scholarship, but it was not awarded this year.
I will continue to serve as chapter treasurer for
2021-22
My chapter will have a new treasurer in 2021-22.
Include name, address, phone and email below.
I filed the Form 990n with the IRS (U.S. only) 2019-
2020 between July 1, 2020 and November 15, 2020.
We have conducted a financial review of our records for
the 2020-2021 fiscal year.
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