COLUMBIAN SQUIRES CIRCLE SEMIANNUAL
STATUS AND AUDIT REPORT
FOR PERIOD JULY 1 – DECEMBER 31, 20___
Due By: MARCH 1
CIRCLE No. _______________ CITY _______________________________________ STATE/PROVINCE ____________
_____________________________________________________________________________________________
SECTION 1
CIRCLE STATUS
_____________________________________________________________________________________________
M is active
The circle:
M is inactive, but is being reorganized
M is inactive, please remove from active status
During this six month period, the circle held meetings/activities:
M regularly
M infrequently
M not at all
Date of most recent circle meeting/activity: ________________________________________
Number of Squires attending: ____________________________________________________
Number of counselors attending: _________________________________________________
The circle has a regular meeting location: M yes
M no
The circle’s current chief counselor is: Name ______________________________________________________________________________
Address ____________________________________________________________________________
Town/City _________________________________________________ State/Province ______________
Postal Code ___________________
The circle has ________________ active counselors.
List your circle’s strengths and weaknesses: __________________________________________________________________________________
_______________________________________________________________________________________________________________________
List any suggestions for improving the Columbian Squires program materials, activities, policies, forms, procedures, etc.: _________________
_______________________________________________________________________________________________________________________
M Yes
M No A copy of “Squires Newsletter/Major Activity Report” (Form # 363, pages 21-22 of the Circle Report Forms Booklet) is enclosed.
_____________________________________________________________________________________________
SECTION 2
MEMBERSHIP STATUS
____________________________________________________________________________________________
ADDITIONS
DEDUCTIONS
Total Members July 1, 20___
__________________
Suspensions
__________________
New Members
__________________
Deaths
__________________
Transfers into circle
__________________
Permanent Removals
__________________
Reinstatements
__________________
Transfers to other circles
__________________
Total for Period
0.00
__________________
Minus Total Deductions
0.00
__________________
Number Members December 31, 20___
247-NC 1/07
__________________
Total Deductions
0.00
__________________
FOR PERIOD JULY 1 – DECEMBER 31, 20___
____________________________________________________________________________________________
SECTION 3
SCHEDULE A — CASH TRANSACTIONS
____________________________________________________________________________________________
Bursar
Disbursements
Cash on Hand July 1, 20___
Interest Earned on Investments
Cash Received-Dues, Initiations
Cash Received from other Sources:
(Explain Kind and Amount)
___________________________$ ___________
___________________________$ ___________
___________________________$ ___________
Total Cash Received
Less Total Disbursements
Net Balance on Hand December 31, 20___
$ __________________
$ __________________
$ __________________
Per Capita:
Supreme Council
State Circle
General Circle Expenses
Miscellaneous
Total Disbursements
$ __________________
$ __________________
$ __________________
$ __________________
$ __________________
__________________
$ __________________
$ __________________
$ __________________
__________________
____________________________________________________________________________________________
SCHEDULE B — ASSETS AND LIABILITIES
____________________________________________________________________________________________
ASSETS
LIABILITIES
Cash:
Undeposited Funds
Bank — General — Acct.
— Special Acct.
— Savings & Invest. Acct.
Due from _________ Members
(number)
Total Current Assets
$ __________________
$ __________________
$ __________________
$ __________________
$ __________________
$ __________________
__________________
Less Total Current Liabilities
Net Current Assets
$ __________________
$ __________________
__________________
Due to Supreme Council:
Per Capita
Supplies
Other
Due to State Circle
Advance Payments by _____ Members
(number)
Misc. Liabilities:
__________________________
__________________________
__________________________
Total Current Liabilities
$ __________________
$ __________________
$ __________________
$ __________________
$ __________________
$ __________________
$ __________________
$ __________________
$ __________________
$ __________________
__________________
Circle Advisory Committee Statement
Signed this _______________________ day of _______________________ 20 _____
Grand Knight _____________________________________________________
Please complete all items.
Insert “None” where no figures are to be shown.
FORWARD TO: Supreme Secretary
State Squire Chairman
Deputy Grand Knight ______________________________________________
Chief Counselor ___________________________________________________
Chief Squire ______________________________________________________
COPY TO: Circle File
247-NC 1/07