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* 1. Name of Your Credit Union

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* 3. Total Number of Full-Time Employees

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* 4. Total Number of Part-Time Employees

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* 5. SCHOLARSHIPS & CHARITABLE GIVING
Total amount donated or raised by your credit union in 2016 for scholarships:

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* 6. Total amount donated or raised by your credit union in 2016 for charitable causes:

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* 7. TAXES PAID (please include taxes paid by all locations and CUSOs)
Total amount of property taxes paid by your credit union in 2016 (for all locations)

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* 8. Total amount of sales/excise tax paid by your credit union in 2016:

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* 9. Total amount of employment taxes paid by your credit union in 2016:

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* 10. Total amount of any other taxes paid by your credit union in 2016:

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* 11. FINANCIAL LITERACY & TRAINING
Estimate number of students who benefited in 2016 from financial literacy programs offered by your credit union:

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* 12. Estimate number of adults who benefited in 2016 from financial counseling/programs offered by your credit union:

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* 13. Estimate number of staff/volunteer hours committed by your credit union in 2016 to financial training, presentations, and programs for both students and adults:

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* 14. FINANCIAL SUPPORT FOR LOW- AND MIDDLE-INCOME MEMBERS
Estimate total number of accounts you maintain for adults (age 18+) with an average balance of $100 or less:

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* 15. If you offer small dollar loans to your members ($2,000 or less), estimate total number of small dollar loans made in 2016:

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* 16. Estimate total amount held in checking/savings accounts where the account holder is a child under age 18:

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* 17. PERSONAL STORIES
Please share any quotes or stories you may have from members, scholarship recipients or others who have benefited from your credit union's services and community involvement. Photos are also appreciated. You may email photos to amclard@heartlandcua.org.

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