DDGM Report Form
Grand Lodge, A.F. & A.M., of Virginia. 4115 Nine Mile Road Richmond, Virginia 23223-4926
Grand Secretary, Alan W. Adkins, PGM 804-222-3110
grandsecretary@glova.org
District Deputy Grand Masters
www.ddgm.vamasons.org
REV. E11-18
* Required
DDGM Information:
Email (This is YOUR email address, NOT the Grand Secretary's.)
*
The form will be emailed to all email address(es) entered. Comma " , " separated. Please double check that you entered YOUR email address correctly. AGAIN, you MUST use a Comma " , " NOT a Semicolon " ; " Otherwise you will not receive the email.
Your answer
Name
DDGM full name
Your answer
District
Masonic District No. i.e. 3, 54, 1B
Your answer
Lodge Information:
Lodge Name
Name only. Do not use "Lodge"
Your answer
Lodge Number
i.e. 16, 22
Your answer
Participation:
Average
Average attendance at meetings in the past 12 months?
Your answer
Length
Average length of meetings in the past 12 months? (Enter as minutes. i.e. 60, 90, 120 )
Your answer
Visits
The number of fraternal visits (not the number of members) made to other Lodges by your Lodge in the last 12 months?
Your answer
Projects
How many service projects did the Lodge sponsor in the past 12 months? (Meals on Wheels, hospital or doctor transportation, etc.) 0 if none
Your answer
Community
How many community events did the Lodge participate in over the past 12 months? (Sponsor a youth team in sports, 4-H program, scholarship at schools, etc.) 0 if none
Your answer
Leadership:
PM
*
Is the Worshipful Master a Past Master?
Yes
No
(Not Selected)
Repeating
*
Is the Worshipful Master repeating from the immediate previous year?
Yes
No
(Not Selected)
LIW
*
Does the Lodge have a Lodge Instructor of Work?
Yes
No
(Not Selected)
LEO
*
Does the Lodge have a Lodge Educational Officer?
Yes
No
(Not Selected)
MaHoVa
*
Does the Lodge have a Masonic Home Representative?
Yes
No
(Not Selected)
LBC
*
Does the Lodge have a Lodge Blood Coordinator?
Yes
No
(Not Selected)
DEO
*
Did the DEO make a planned visit to the Lodge and present a program for the meeting?
Yes
No
(Not Selected)
Fiscal:
Budget
*
Does the Lodge have a budget?
Yes
No
(Not Selected)
Budget Committee
*
If so, is there a Budget committee in place?
Yes
No
(Not Selected)
Members Owe
How many members owe more than the current year’s dues? 0 if none
Your answer
Personal Contact
*
Has personal contact been made with the delinquent members by the Worshipful Master or Secretary?
Yes
No
(Not Selected)
Treasurer
*
Are the Treasurer’s records up-to-date and do they balance with the audit report?
Yes
No
(Not Selected)
IRS
*
As required by IRS law, did the Lodge file Form 990-N, Form 990-EZ, or Form 990 last year?
Yes
No
(Not Selected)
Audit
*
Was the Audit Committee Report available and did the committee sign it?
Yes
No
(Not Selected)
Trustees Report
*
Was the Trustees' Report available and did the committee sign it?
Yes
No
(Not Selected)
Trustees Recorded
*
Are the current Trustees recorded with the Circuit Court?
Yes
No
(Not Selected)
Building
*
Does the Lodge own its building?
Yes
No
(Not Selected)
Condition
*
What is the condition of the building?
Excellent
Good
Poor
(Not Selected)
Insurance
*
Does the Lodge have Liability and Property Insurance on the facilities and furniture?
Yes
No
(Not Selected)
Ritual:
Confer
*
Can the Lodge confer all degrees?
Yes
No
(Not Selected)
Lectures
*
Can the Lodge deliver the lectures in all degrees?
Yes
No
(Not Selected)
Coaches
*
Does the Lodge have an adequate number of Catechism Coaches?
Yes
No
(Not Selected)
Lecturer
*
Does the Lodge utilize the DIW and/or Division Lecturer?
Yes
No
(Not Selected)
JW Degree of Past Master
*
Did the Junior Warden receive the Degree of Past Master?
Yes
No
(Not Selected)
Location JW PM
*
If the JW did receive his Degree of Past Master, where was it obtained at?
Provisional Lodge
Royal Arch Chapter
(Not Selected)
Date JW PM
Date the JW received the Degree of Past Master?
MM
/
DD
/
YYYY
JW Previous Service
*
If “no,” has the Junior Warden previously served as Worshipful Master?
Yes
No
(Not Selected)
SW Certificate
*
Does the Senior Warden have a Certificate of Qualification?
Yes
No
(Not Selected)
SW Certificate Number
Senior Warden Certificate Number
Your answer
JW Certificate
*
Does the Junior Warden have a Certificate of Qualification?
Yes
No
(Not Selected)
JW Certificate Number
Junior Warden Certificate Number
Your answer
OTHER:
Minutes Signed
*
Are the minutes of the Lodge signed by the Worshipful Master and Secretary up to the last meeting?
Yes
No
(Not Selected)
Methodical Digest
*
Does the Lodge have a current copy of the Methodical Digest?
Yes
No
(Not Selected)
List of Lodges
*
Does the Lodge have a “List of Lodges Masonic”?
Yes
No
(Not Selected)
List of Lodges Year
If so, what year is it? (yyyy)
Your answer
Compiled and Submitted by:
Compiled
*
Compiled by: Secretary full name?
Your answer
Compiled Date
MM
/
DD
/
YYYY
Comments
Is there anything that you would like us to know?
Your answer
After you click submit, this form will be emailed to you as an attached PDF. Please make sure you have entered your correct email address at the top.
Submit
Never submit passwords through Google Forms.
This form was created inside of Grand Lodge of Virginia.
Report Abuse
Forms