Brizy Charitable Hours Report – Charles City Elks Lodge #418

Your project is complete?

Please fill the form below.

Committee Chairs should submit this report within two weeks of the completion of your event so that the Secretary can file the appropriate information with Grand Lodge B.P.O.E.

Feel free to contact the Secretary if you have any questions on this form.

Committee Name*

Event/Activity*

Date of Event*

Number of Participants*

Provide the TOTAL number of program recipients. This total SHOULD NOT include Elks or helpers who worked on the program.

Number of Elks Members Assisting*

The number of Elks who worked on this program.

Number of non-Elks Members Assisting*

The number of non-Elks who worked on this program.

Total Elks Hours*

The number of hours worked on behalf of this program. If accurate hours are not available, estimate as precisely as possible. Remember, if the committee consists of six Elks who worked as a group for an elapsed time of three hours, total ELKS HOURS should be "18" (6 x 3). DO NOT ENTER fraction or decimal parts of an hour - round off to whole hours!

Total non-Elks Hours*

The number of hours worked on behalf of this program. If accurate hours are not available, estimate as precisely as possible. Remember, if the committee consists of six Elks who worked as a group for an elapsed time of three hours, total ELKS HOURS should be "18" (6 x 3). DO NOT ENTER fraction or decimal parts of an hour - round off to whole hours!

Total Elks Miles*

Actual or estimated mileage traveled in preparation for or in the event itself. If four people traveled a distance, the figure entered should be the product of the number of people times distance traveled BOTH WAYS - ROUND TRIP! DO NOT ENTER fraction or decimal parts of an hour - round off to whole miles!

Total non-Elks Miles*

Actual or estimated mileage traveled in preparation for or in the event itself. If four people traveled a distance, the figure entered should be the product of the number of people times distance traveled BOTH WAYS - ROUND TRIP! DO NOT ENTER fraction or decimal parts of an hour - round off to whole miles!

Involvement Contributions • Non-Cash (est. value)*

Cash value or equivalent of actual items (do not include hours or miles; include telephone charges or postage) used or given in a program. If in doubt about value of such items as used clothing or donated eyeglasses, contact other charitable organizations and ask what they or the IRS suggest as valuation guidelines. Door prizes, decks of playing cards for vets, etc - you don't realize how much of value is donated in most programs without being tallied. Round off to whole dollars and enter numbers ONLY!

Involvment Contributions • Cash*

Cash, check or money order given or donated; if a U.S. Savings bond, use purchase value - not value at maturity. DO NOT ENTER dollar signs, cent signs or decimal points or cents - round off to whole dollars and enter numbers ONLY!

Comments

Provide any additional comments that may help clarify numbers provided.

Upload Supporting Information

You may upload supporting files (.PDF, .doc, .xls .jpeg, etc.) for this program if you would like. NOT REQUIRED!