Lodge/Home Association name *

Report year *

BOOK BALANCE - DECEMBER 31

Deposits (Receipts) Jan. 1 - March 31

Transfers Jan. 1 - March 31

TOTAL INCOME JAN. 1 - MARCH 31

Checks (expenses) Jan. 1 - March 31

Transfers Jan. 1 - March 31

TOTAL EXPENSES

BOOK BALANCE - MARCH 31

BANK RECONCILIATION

BANK BALANCE MARCH 31

Outstanding checks

Outstanding deposits

Total (should match book balance)

TOTAL ASSETS OF LODGE

Savings account balance

C.D. (1)

C.D. (2)

Other account balances

Lodge hall value

Other lodge asset value

TOTAL ASSETS OF LODGE

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