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Important Notes:
- The Fundraising Project Summary is due six weeks after the activity ends.
- All groups are required to submit an annual report by the end of the school year to the business office specifying how all fundraising proceeds were spent.
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
