Round 2: 2022 Annual Income & Expense Summary Report Form

Annual Income and Expense Form

The fiscal Period is January 1, 2022 to December 31, 2022. This information is used to file the regional tax returns with the IRS, so please fill this form out as accurately and completely as possible.

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* 1. Regional Society Name and #

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* 2. Regional Tax ID #

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* 3. Regional Treasurer

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* 4. Treasurer Email

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* 5. Treasurer Daytime Telephone Number

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* 6. Beginning Bank Balance (01/01/2022)

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* 7. Ending Bank Balance (12/31/2022)

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* 8. Income- please insert the correct dollar amount of income next to each of the following categories. For example, Dues= $3,000.50.

Dues

Educational Meetings

Contributions

Other Income

Total Income

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* 9. Expense- please insert the correct dollar amount of expenses next to each of the following categories. For example, Committees= $1,000.00

Committees

Educational Meetings

Printing & Postage

Other Expenses

Total Expenses