2011 APTi Chapter Financial Statement Form
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APTi Chapter Financial Statement Form
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Notes:
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Chapter Name
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Chapter Location
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Treasurer Name
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Treasurer Phone Number
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Treasurer Email Address
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State I.D. No. (optional)
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2011 Income
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Full/Professional chapter member dues collected
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Retired chapter member dues collected
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Student chapter member dues collected
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Scholarship/Lifetime/Honorary chapter member dues collected0
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Chapter conference & program fees collected
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Affiliate member dues collected for APTi in 2011Should match outstanding bills at year end below with $15 collected x # of your affiliate members as of 12/31/2011 (non-APTi members)
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Interest
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Other revenues - 2011 (e.g. book sales, donations, etc.)Should account for any other revenues in 2011
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Total Income0
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2011 Expenses
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Account/Bank Fees
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APTi Conference Registration fees
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Affiliate member dues paid to APTi for 2010$15 x # of your affiliate members as of 12/31/2010 *(non-APTi members) paid to APTi by 2/1/2011
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Insurance
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Legal Services
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Web Services
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Postage and Mailing
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Printing and Photocopies
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Office & Equipment Rental
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Payroll Salaries
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Speaker & Instructor Fees
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Supplies
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Telephone
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Travel & Accomodations
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Other (please specify)If your expenses don't fit these categories well you may want to add other lines to complete an accurate picture.
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Total Expenses0
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2011 Opening Balances as of 1/1/2011These balances must be provided for Opening
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Checking Account
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Investment Accounts
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Accounts Receivable
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Other Accounts (specify)
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Total Balance0
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2011 Closing Balances as 12/31/2011These balances must be provided for Closing
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Checking Account
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Investment Accounts
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Accounts Receivable
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Other Accounts (specify)
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Total Balance0
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Outstanding Bills at year end 12/31/11
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Affiliate member dues to APTi for 2011 due Feb. 1, 2012 or earlier$15 x # of your affiliate members as of 12/31/2011 (non-APTi members)
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Other Liabilities (please specify)
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