2017-2018 KSRA Local Council Officer Report
Please complete this form so that KSRA has pertinent information regarding your council's officers. You must complete a separate officers report for for ILA, which should be available by March 25 at www.reading.org and will be due by July 1.

Please complete this form no later than April 15, 2017.

Council Information
Council Name
Your answer
Region
President 2017-2018
Note: If your council has a co-president, there is a place further down on this form to indicate this person.
President's Name
Your answer
President's mailing address
Your answer
President's contact phone number
Your answer
This phone number is (Pres.):
Note: If you would like to list a fax number, please check "other" and add it (in addition to checking which number you listed above.)
Required
President's email address
Your answer
President's IRA number
Your answer
President Elect 2017-2018
President Elect's Name
Your answer
President Elect's Mailing Address
Your answer
President Elect's contact phone number
Your answer
This phone number is (PE):
Note: If you would like to list a fax number, please check "other" and add it (in addition to checking which number you listed above).
President Elect's email
Your answer
President Elect's IRA Number
Your answer
Vice President 2017-2018
Vice President's Name
Your answer
Vice President's Mailing Address
Your answer
Vice President's contact phone number
Your answer
This phone number is (VP):
Note: If you would like to list a fax number, please check "other" and add it (in addition to checking which number you listed above).
Vice President's email address
Your answer
Vice President's IRA number
Your answer
Secretary 2017-2018
Secretary's name
Your answer
Secretary's mailing address
Your answer
Secretary's contact phone number
Your answer
This phone number is (Secy):
Note: If you would like to list a fax number, please check "other" and add it (in addition to checking which number you listed above).
Secretary's email address
Your answer
Secretary's IRA number
Your answer
Treasurer 2017-2018
Treasurer's name
Your answer
Treasurer's mailing address
Your answer
Treasurer's contact phone number
Your answer
This phone number is (treasurer):
Note: If you would like to list a fax number, please check "other" and add it (in addition to checking which number you listed above).
Required
Treasurer's email address
Your answer
Treasurer's IRA number
Your answer
Membership Chair 2017-2018
Membership Chair's name
Your answer
Membership Chair's mailing address
Your answer
Membership Chair's contact phone number
Your answer
This phone number is (MC):
Note: If you would like to list a fax number, please check "other" and add it (in addition to checking which number you listed above).
Required
Membership Chair's email address
Your answer
Membership Chair's IRA number
Your answer
Literacy Advocacy Chair 2017-2018
Literacy Advocacy Chair's Name
Your answer
Literacy Advocacy Chair's mailing address
Your answer
Literacy Advocacy Chair's contact phone number
Your answer
This phone number is (Literacy Advocacy):
Note: If you would like to list a fax number, please check "other" and add it (in addition to checking which number you listed above).
Required
Advocacy's Chair's email
Your answer
Advocacy's Chair's IRA number
Your answer
Additional Officer Information for 2017-2018
Some councils have co-presidents or other variations on the officers above. This section provides space for you to provide information for one or more additional officers.
Additional Officer's Title/Position
Your answer
Other officer's name
Your answer
Other officer's mailing address
Your answer
Other officer's contact phone number
Your answer
This phone number is (other):
Note: If you would like to list a fax number, please check "other" and add it (in addition to checking which number you listed above).
Other officer's email address
Your answer
Other officer's IRA number
Your answer
Additional Officer Information
If you have any other officers of which we should be aware, please note the position, name, mailing address, phone number, email address, and IRA number.
Your answer
Additional Information/Comments
If there is any other information or comments regarding your council's officers, please let us know in the space below.
Your answer
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