ANNUAL SURVEY OF FRATERNAL ACTIVITY

For Twelve Month Period Ending December 31, 2009

20__

Council Number ___________________ Location ____________________________________

city/town state/province
I. NUMBER OF MEETINGS HELD DURING YEAR:
Youth Activities DOLLARS ONLY:
1. Regular
3. a. Columbian Squires
2. Social
b. Scouting
3. Special
c. Youth Groups
d. Youth Welfare/Services
TOTAL NUMBER OF MEETINGS HELD , 0
e. Athletics
f. Scholarships/Education
II. ACTIVITY EXPENSE DOLLARS ONLY: g. Miscellaneous
1. a. Printing and Postage
b. Food and Refreshments Total Youth Disbursements 0
c. Prizes
TOTAL CHARITABLE (Church, Community
d. Projects
e. Entertainment and Youth) DISBURSEMENTS 0
f. Miscellaneous
IV. FRATERNAL COMMITMENT:
TOTAL ACTIVITY EXPENSES 0
1. Number of visits to:
a. Sick
III. CHARITABLE DISBURSEMENTS:
b. Bereaved
Church Activities DOLLARS ONLY:
Total Visits 0
1. a. Church Facilities
b. Catholic Schools 2. Number of blood donors , ,
c. Religious Education 3. Habitat for Humanity Projects , ,
d. Seminarians/RSVP
e. Seminaries
Estimated hours of volunteer service:
f. Vocations Projects
g. Miscellaneous
4. a. Church
b. Community
Total Church Disbursements 0
, , c. Youth
d. Habitat for Humanity
Community Activities DOLLARS ONLY: e: Miscellaneous
2. a. Elderly , ,
b. Physically Disabled , , Total Volunteer Hours 0
c. Special Olympics , ,
d. Intellectual Disabilities , , Estimated hours of fraternal service:
e. Human Needs , ,
f. Pro-Life Programs , , 5. Sick/disabled members and their families
g. Victims of Disasters , ,
h. Hospitals/Institutions , , (Signed) _____________________________________________________
i. Health and Service Organizations , , (Grand Knight)

j. Community–wide Projects , ,
k. Habitat for Humanity Projects , , (Signed) _____________________________________________________
(Financial Secretary)
l: Miscellaneous
Date: _______________________________________________________
Total Community Disbursements 0
, ,