MYRA GRAND CHAPTER – OES PHA

ANNUAL RETURNS

______Chapter No.: ______

Charter Date: ______

Meeting Location: ______

City, State and Zip Code: ______

Day and Time of Meeting: ______

For the year beginning November 1, 2014 and closing October 31, 2015

Officers elected ______, 20______, and installed ______, 20______

Worthy Matron / Phone
Address
Worthy Patron / Phone:
Address
Associate Matron / Phone:
Address
Associate Patron / Phone:
Address
Conductress / Phone
Address
Associate Conductress / Phone:
Address
Financial Secretary / Phone:
Address
Recording Secretary / Phone:
Address
Treasurer / Phone:
Address
Chairman of Trustees / Phone:
Address
Trustee 2 Year / Phone:
Address
Trustee 3 Year / Phone:
Address

MGC Annual Returns Form #1 Page 1
______Chapter No.:______

APPOINTED OFFICERS

Marshal / Phone:
Address
Musician / Phone:
Address
Christian Flag Bearer / Phone:
Address
US Flag Bearer / Phone:
Address
OES Flag Bearer / Phone:
Address
Chaplain / Phone:
Address
Warder / Phone:
Address
Sentinel / Phone:
Address
Adah / Phone:
Address
Ruth / Phone:
Address
Esther / Phone:
Address
Martha / Phone:
Address
Electa / Phone:
Address
Ways & Means Chairman / Phone:
Address
Ways & Means Co-Chairman / Phone:
Address
MGC Annual Returns Form #2 Page 2

______Chapter No.:______

LIST OF MEMBERS

List Alphabetically All Living Members and Present Officers

Sisters First – Brothers Last
Name / Phone:
Address
Name / Phone:
Address
Name / Phone:
Address
Name / Phone:
Address
Name / Phone:
Address
Name / Phone:
Address
Name / Phone:
Address
Name / Phone:
Address
Name / Phone:
Address
Name / Phone:
Address
Name / Phone:
Address
Name / Phone:
Address
Name / Phone:
Address
Name / Phone:
Address
MGC Annual Returns Form #3 (May be duplicated for additional names) Page 3

______Chapter No.:______

PAST MATRONS and PAST PATRONS

List Names Alphabetically – Past Matrons First, then Past Patrons

Names (Last Name First) Names (Last Name First)

MGC Annual Returns Form #4 Page 4


______Chapter No.:______

PAST GRAND OFFICERS

Print alphabetically names with titles and year served

Names (Last Name First) Title Year Served

MGC Annual Returns Form #5 Page 5

______Chapter No.______

DEGREES CONFERRED

Name (Last, First Middle Initial) / Eastern Star Degree / Queen of the South Degree / Amaranth Degree / Healed

MGC Annual Returns Form #6 Page 6

______Chapter No. ______

OTHER ACTIONS

Name / Affiliated / Demitted
In/Out / Rejected / Withdrawal / Dropped / Suspended / Expelled / Death

MGC Annual Return Form #7 Page 7

______Chapter No.______

MEMBERS EXEMPTED FROM CONSTITUTENT CHAPTER

List Names, Addresses and Dates Exempted (90 years of age or 50 years of consecutive service)

Name / Date Exempted
Address
Name / Date Exempted
Address
Name / Date Exempted
Address
Name / Date Exempted
Address
Name / Date Exempted
Address
Name / Date Exempted
Address
Name / Date Exempted
Address
Name / Date Exempted
Address
Name / Date Exempted
Address
Name / Date Exempted
Address
Name / Date Exempted
Address
Name / Date Exempted
Address
Name / Date Exempted
Address
Name / Date Exempted
Address
Name / Date Exempted
Address

MGC Form 8 Page 8

______Chapter No. ______

RECAPITULATION

Additions Deductions

Number Initiated: ______Number Deceased: ______

Number Reinstated: ______Number Suspended: ______

Number Affiliated: ______Number Expelled: ______

Number Restored: ______Number Dropped: ______

Number Demitted In: ______Number Demitted Out: ______

Total Additions: ______Total Deductions: ______

______

SUMMARIZATION

Number of members returned last year: ______

Plus total additions (above): ______

Sub-total:______

Less Total Deductions (above): ______

Present Membership:

(Should agree with number of members reported on form #3 __

No. of female members______

No. of male members______

FINANCIAL STATEMENT OF THE CHAPTER

Balance Brought Forward November 1, 20______$______

Total Receipts Received during fiscal year 20______$______

Dues $______

Activities $______

Donations, etc. $______

Total Expenditures during fiscal year $______

Grand Lodge Maintenance Tax $______

Status as of October 31, 20______$______

Savings $______

Checking $______

Paraphernalia $______

Monetary Worth of Chapter $______

MGC Annual Returns Form #9 Page 9

______Chapter No.______

Present Membership (Taxable): ______

4th Quarter Tax @ $2.00 per member on roll $______

Representative Fees 4 @ $2.00 $______

Total submitted to Myra Grand Chapter $______

Exempt Members:

·  Age 90 or 50+ years of consecutive Service ______

·  Past Grand Matrons ______

·  Past Grand Patrons ______

We hereby certify that the forgoing is a true statement to the work done in

______Chapter No.______

For the year beginning ______, 20______, and ending ______, 20_____.

In witness thereof, we, herewith, ascribe our names and affix the seal of the Chapter

______, 20______

______, Retiring Worthy Matron

Seal

______, Retiring Financial Secretary

Countersign:

______

Worthy Matron (elect) Financial Secretary (elect)

FOR GRAND CHAPTER SECRETARY OFFICE ONLY

Date Returns Received: ______

Amount Due Myra Grand Chapter: $______

Amount Received: $______Check Number: ______

______

Grand Secretary Grand Financial Secretary

MGC Annual Returns Form #10 Page 10