CLICK HERE TO DOWNLOAD THE FORM
Important Notes:
Description of Activity:
Activity Start/End Dates:
Fundraising Vendor:
Sponsoring Organization:
Contact Name:
Contact Email & Phone:
Building Administrator Signature & Date:
FUNDRAISER REVENUE
| Description of Activity | $ |
| Contribution | $ |
| Admission Charges | $ |
| Games of Chance (Raffles, carnival games, etc.) | $ |
| Other (Specify ___________________________) | $ |
| Total Revenue | $ |
FUNDRAISER EXPENSES
| Product Cost or Services | $ |
| Games of Chance Expenses | $ |
| Gambling Tax | $ |
| Award/Sales Incentives | $ |
| Facility Use/Labor Costs | $ |
| Other (Specify_____________________________) | $ |
| Total Expenses | $ |
| Fundraising Profit (Revenue Minus Expenses) | $ |
Profit Has Been Deposited In: (Check One)
_____ *District Student Activity Account (Fund 21)
*Provide district account code: ______________________________
_____PTO Bank Account
_____ Other (Specify ____________________________________________)
Date Summary Was Received:
Related Policy: 1005.4; 1005.4-R; 1005.4-E1