17th District PTA Remittance Form 2025-2026
Council PTAs must use this sheet when submitting funds to 17th District PTA.
For PTA Councils in San Mateo County
Name of Council: | Council ID #: | ||||||
Address: | |||||||
Contact Person: | Position | ||||||
Phone #: | Email: | ||||||
Check number: |
| Check date: | _____________ | ||||
1. Total from attached Unit Itemization List (Member Dues @ $5.75 ea) | $_____________ | ||||||
2. Council Insurance (Pay $210 DIRECTLY to AIM before Dec 20) | |||||||
3. Freewill Offering (donations to California State PTA) | $_____________ | ||||||
4. Other payments (Council PTA’s Late fee, etc - itemize) | $_____________ | ||||||
Total submitted (Make check payable to: 17th District PTA) | $_____________ | ||||||
Please send this form, the Unit Itemization List and a COPY of each unit’s remittance form
All checks must have two signatures
Mail forms and check to:
17th District PTA Treasurer
c/o: San Mateo County Office of Education
101 Twin Dolphin Drive
Redwood City, CA 94065-1064
Due Dates to 17th District (must be received by):
Oct 10 Ready Set Remit Award for units (submit at least 30 members per unit)
Nov. 15 Deadline for first remittance of per capita (membership) dues
Continue remittance of dues on monthly basis as received.
Nov. 15 Tax filings IRS 990, CA FTB 199, RRF-1, CT-TR1 due; upload copies of filed returns
Dec. 20 Insurance Premium – Pay AIM Insurance directly - $210 per council, $305 per unit
Jan. 30 Online Workers Comp Report (pay any applicable WC Surcharge Insurance Premium to AIM)
Questions? Contact 17th District Treasurer at treasurer@17thdistrictpta.org
Or 17th District Secretary at Email: secretary@17thdistrictpta.org, 650-787-2761
For district use only: Received by __________ Date ________ Deposited by __________ Date ________
Itemization List for Unit Payments submitted through Council
Council Name: Date:
A | B | C | D | E | F |
PTA Unit Name and CA Unit # | Number of New Members | Per Capita $ ($5.75 * B) | Late Fee ($50) | Free Will Offering $ | Other Payment from Unit to 17th District Category / $ |
Totals |
Total of Payments from Units (enter on line 1 of Remittance form): $ _____