Part III - Annual Financial Report     

Part A. Statement of Revenues and Expenses Operating Fund

A-- Statement of Revenue and Expenses Operating Funds
Maps to IRS
Form 990 E-Z
Line # Amount for Line
(1) Annual ACS Allotment (1) 1 Subtotals
(2) New Member Commissions (2) 1
(3) Donations,contributions (3) 1
(3a) Bequests &/or trusts (List separately from line 3) (3a) 1
(4) Rebate from ACS for Councilor travel expenses (4) 1
(5) Program Revenue (Includes newsletters, short courses,lecture series, national
or regional meetings, etc.)
(5) 2
(6) Local Section dues, affiliate dues (6) 3
(7) Interest, dividends (7) 4

Special events and activities (describe and itemize in an attachment; the purpose
of these is to raise funds that are other than contributions to finance exempt
activities. Include events such as dinner dances, raffles, bingo games, etc.)
(8a) Gross revenue (not including contributions reported on line 3) (8a) 6a
(8b) Less: direct expenses other than fundraising expenses (8b) 6b
(8c) Net income (or loss) from special events and activities (line 8a less line 8b) (8c) 6c
(9) Meals (include total meals revenue) (9) 8
(10) Other revenue (10) 8
(11) Total Revenues (add lines 1 through 7 and 8c through 10) (11) will equal line
9 excluding realized
capital gains (losses)

(12) Subsidies to subsections, topical groups, or affiliate groups (12) 10
(13) Awards, scholarships, grants, etc. (13) 10
(14) Administrative expenses (not including postage, printing and shipping)
(14a) Salaries, other compensation (14a) 12
(14b) Professional fees and payments to independent contractors (14b) 13
(14c) Occupancy, rent, utilities and maintenance (14c) 14
(14d) Total administrative expenses (add lines 14a through 14c) (14d)
(15) Printing, publications, newsletters, meeting announcements, postage, and shipping) (15) 15
(16) Local meetings (include speakers' expenses) (16) 16
(17) Meals(include total meal expense) (17) 16
(18) Travel subsidies to Councilors (18) 16
(19) Travel subsidy and fee for Local Section Leadership Conference (19) 16
(20) Other Expenses (20) 16
(21) Total Expenses (add line 12, 13 and 14d through 20) (21) will equal line 17
(22) Excess (Deficit)(Line 11 less line 21) (22) will equal line 18
excluding capital
gains (losses)
 Part B. Balance Sheet as 12/31/00
(23) Investments (estimated current market value of stocks and bonds) &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp (23) 22
Of the amount sited in line 23, indicate how much is restricted by external donor
stipulation for uses such as awards funds, building funds, etc. List individual account and fund purpose if possible.
Account Funds $ Amount
Total Restricted Funds (add lines 23a-d)
(24) CDs, Money Markets&nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp (24) 22
(25) Cash on hand (passbook savings and checkbooks) (25) 22 &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp
(26) Other assets (26) 24
(27) Total Assets (add lines 23, 24, 25 and 26) (27) 25
(28) Average interest earned on assets (%)
(29) Liabilities (if any) (29) 26
(30) Net Assets 12/31/00 (Line 27 less line 29) (30) 27
(31) Last Year's Net Assets, 12/31/99 (line 30, 1999 report) (31) 19
(32) EXCESS (DEFICIT) (line 30 less line 31) (32)
(33) EXCESS (DEFICIT) From line 22 (33) will equal line 13
Explain any differences between lines 22 and 32&nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp

Public Support Test or Reason for Non-Private Foundation Status Local section must normally receive more than 33.3% of its support donations from the general public and not more than 33.3% if its support from investment income. Note: A section that fails the test for 2 consecutive years losses it public charity status and becomes a private foundation.

Public Support Ratio
% (Must be greater than 33.3% to pass)
Gifts, Grants, Contributions, Membership Dues, Exempt Function Revenues Line (1+2+3+4+5+6+9+10)

Gifts, Grants, Contributions, membership Dues, Exempt Function Revenues
Interest, Unrelated Business Income, Tax Revenues, Value of Services & Facilities, Other Sources
=Line 11
Excludes any unrelated business income
Gross Investment Income Ratio
% (Must be less than 33.3% to pass test)
Gross income from interest & dividends =Line 7

Gifts, Grants, Contributions, Membership Dues, Exempt Function Revenues
Interest, Unrelated Business Income, Tax Revenues, Value of Services & Facilities, Other Sources
=Line 11
Was your section required to file any IRS Tax Forms in 1999?
Yes No If Yes, We filed form(s)