401 N Michigan Avenue Chicago, IL 60611 800/245-7462 FAX: 312/673-6694
Annual Income & Expense Summary Report Form
Regional Society (Name/#): Regional Tax ID #: Regional Treasurer: E-Mail: Daytime Telephone: ( Fiscal Period: ) to December 31, 2008 $ $
January 1, 2008
Beginning Bank Balance (01/01/2008) Ending Bank Balance (12/31/2008) INCOME
Dues Educational Meetings Contributions Other Income $ $ $ $
TOTAL INCOME: EXPENSE
Committees Educational Meetings Printing & Postage Other Expenses $ $ $ $
+
$
TOTAL EXPENSE
$
Please complete and return to address below by February 9, 2009. If you have any questions regarding the above, please contact SGNA Headquarters, at 800/245-7462 or sgna@smithbucklin.com. SGNA Headquarters 401 North Michigan Avenue Chicago, IL 60611-4267