Employment Business Expenses Reimbursement Letters by tkx61813

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Employment Business Expenses Reimbursement Letters document sample

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									                                                                             CLASS YEAR _______________
Financial Report for Princeton Classes 1934-2008:                               July 1, 2008 - June 30, 2009

I.       Class Dues and Dues Arrears
         A.     Total number on Active Mail Roll (as of July 1, 2008)
         B.     Number of dues payers for year (paid through June 30, 2009)
         C.     Percentage of dues payers for year (Item A into Item B)
         D.     Dues rate                                                                 $
         E.     Dates of dues notice mailings issued for the year _________,
                ________, ________, ________
         F.     Dues rate for your next fiscal year                                       $
         G.     Arrears billings: ( ) Yearly      ( ) Every ___ year(s)
                ( ) Occasionally or ( ) Never

II.      Cash Receipts
         A.     Membership dues                                                           $
         B.     Reunion fees
         C.     Gifts & Contributions:
                 - Cash
                 - Non-cash (attach a statement with the following information provided
                 for each gift: describe property, provide date received & value)
         D.     Interest (see instructions)
         E.     Dividends (see instructions)
         F.     Gain (Loss) from sale of securities (see instructions)
         G.     Other cash receipts (e.g. class functions, miscellaneous)
                1._______________________________ $
                2._______________________________
                3._______________________________
                Total Other Cash Receipts                                                                   0

                                                                   Total Cash Receipts $                -       (1)

III.     Cash Disbursements
         A.     Supplies (stationery, etc.)                                            $
         B.     Telephone
         C.     Mailings (postage, printing & addressing for letters,
                         newsletters & directories )
         D.     PAW subscriptions
         E.     Travel
         F.     Alumni council dues
         G.     Reunions
         H.     Transfers to Princeton (contributions, e.g. payments for
                                       annually-funded scholarships)
                Please describe purpose of transfer ______________________
         I.     Other cash disbursements (e.g. class functions, miscellaneous)
                1._______________________________ $
                2._______________________________
                3._______________________________
                Total Other Cash Disbursements                                                              0
                                                              Total Cash Disbursements $                -       (2)

Excess (Deficit) for the Year [Cash Receipts less Cash Disbursements:
     Line (1) minus Line (2)]                                                             $             -       (3)




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  Class Financial Report

  IV.     Assets - Beginning of Current Fiscal Year (7/1/08)
                   (Exclude class memorial insurance funds, scholarship and other funds already given to
                   the University. Include all other funds including all separate reunion funds as well as those
                   held by the University.) These numbers will equal the prior year's ending assets.

  Name                          Account Type               Purpose                      Amount
  (Name of bank or              (No interest, interest     (e.g., reunion fund,
  investment fund)              bearing, or dividend       undesignated)
                                producing)
                                                                                         $




                                                                                  Total $                  -   (4)


  IV.     Assets - End of Current Fiscal Year (6/30/09)
                   (Exclude class memorial insurance funds, scholarship and other funds already given to
                   the University. Include all other funds including all separate reunion funds as well as those
                   held by the University.)

  Name                          Account Type               Purpose                      Amount
  (Name of bank or              (No interest, interest     (e.g., reunion fund,
  investment fund)              bearing, or dividend       undesignated)
                                producing)
                                                                                         $




                                                                                  Total $                  -   (5)

                                                            TOTAL of Lines (3) and (4) $                   -   (6)


                                NOTE: Lines (5) and (6) MUST EQUAL each other.




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  Class Financial Report

  VI.       Questions

            If you are uncertain about the answers to the following questions please check
            with the other officers of your Organization to help answer the questions.

            (PLEASE ATTACH EXPLANATION IF ANSWERED "Yes")                                 Yes         No

  1.        Are there any accounts receivable (amounts due from others)
            or accounts payable (amounts due to others) as of June 30, 2009?
            (Please estimate where exact amounts are not known and indicate
            the type of revenue/expense.)


                                    Amount                        Description
            Receivable: $




            Payable:            $




  2.        To the best of your knowledge, are any of the Organization's officers,
            directors, trustees, or key employees related to each other, or to a
            third party who was paid by the Organization during the fiscal year?

            For the purposes of this question, "related" means a family or business relationship.
            "Family relationships" include an officer's spouse, parents and grandparents, children,
            grandchildren, great-grandchildren, siblings, and the spouses of officer's children,
            grandchildren, great-grandchildren, and siblings.
            "Business relationships" include employment and contractual relationships and common
            ownership of a business where any individuals possess more than 10% ownership interest.
            (If yes, please attach a statement that identifies the individual(s) or business(es)
            and explains the relationship(s).)

  3.        To the best of your knowledge, did any current or former officer, director,
            trustee, or key employee receive compensation from Princeton University
            or any related Organization during the fiscal year? (If yes, please attach
            a statement that identifies the individual, the employer, and the amounts
            paid.)

  4.        Has the Organization engaged in any activities not included in the
            governing documents for the Organization? (Anything unusual?)

  5.        Were any changes made in the organizing or governing documents such
            as the constitution or bylaws? (If yes, please enclose a copy of the
            changes.)

  6.        Does the Organization have a written conflicts of interest policy?
            (If yes, are officers, directors, trustees, and key employees required to
            update a list of potential conflicts annually?)




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   Class Financial Report

             Questions (cont'd)
                                                                                            Yes   No
   7.        Did the Organization have any vendors or persons that were paid more
             than $100,000 for services during the current fiscal year? (If yes, please
             identify name, address, type of service received and the amount paid.)

   8.        During the year, did the Organization attempt to influence national,
             state or local legislation or elections including any attempt to influence
             public opinion on a legislative matter or referendum? (If so, please provide
             the following details.)

             A. Describe the activities conducted
             B. Expenditures related to a political campaign (candidates election)
             C. Volunteers hours related to a political campaign (candidates election)
             D. Expenditures to influence public opinion (grass roots lobbying)
             E. Expenditures to influence legislators (direct lobbying)

             For the purposes of the following question, use the same definition of
             “family member” that you used in responding to Question 2.

   9.        During the year, did the Organization, either directly or indirectly, engage
             in any of the following acts with any of its current or former trustees,
             directors, officers, creators, key employees, highest paid employees
             (over $100,000 in compensation) or members of their families:

             A. Sale, exchange or leasing of property?
             B. Lending of money or other extension of credit?
             C. Payment of compensation (or payment or reimbursement of expenses
                 if more than $1,000?)
             D. Transfer of any part of your income or assets?
             E. First class, charter or travel for companions?
             F. Tax indemnification and gross-up payments?
             G. Discretionary spending account?
             H. Housing allowance or residents for personal use?
             I. Payments for business use of personal residence?
             J. Health or social club dues?
             K. Personal services (e.g. maid, chauffer, chef?)

             If yes, please attach a statement explaining the transactions.

   10.       Did the Organization follow a written policy regarding payment of the
             amounts above?

   11.       Did the Organization require substantiation of the accounts above prior to
             payment?

   12.       Did the Organization receive any contribution for $5,000 or more during the
             year? (If yes, please identify the name and address of the contributor,
             the total amount received, and the date of the contribution.)




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Class Financial Report

          Questions (cont'd)
                                                                                               Yes   No
13.       Did the Organization engage in any transfer (cash or other assets) ,
          transaction, or relationship with a related non-profit Organization (including
          the University) ? Transactions would include a contribution, the sale or
          purchase of assets, rental of facilities or equipment, reimbursement
          arrangements, loans or loan guarantees, performance of services or
          fundraising solicitations, or the sharing of facilities, equipment, mailing
          lists, or paid employees. (If yes, please identify the related Organization,
          the amount, and purpose of the transaction.)

14.       Did your Organization sponsor an event that had as its intended
          purpose both an education program and a fundraising solicitation?
          (If yes, please estimate the costs directly attributable to the
          program portion $_______________ and the fundraising portion
          $______________.)

          If the total revenue generated from events exceeded $15,000, please
          provide the following detail for each event for which revenue exceeded
          $5,000:

          A. Gross receipts                                                                $
          B. Charitable contributions received                                             $
          C. Cash prizes awarded                                                           $
          D. Non-cash prizes awarded                                                       $
          E. Rent / facility cost                                                          $
          F. Other direct expenses                                                         $




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Class Financial Report

     ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~



Under penalty of perjury, I hereby state that the foregoing information is correct and complete to the best
of my information and belief, and The Trustees of Princeton University are authorized to include the
information in a Group Return.

Class Year                                                           Date

Treasurer's Name                                                Signature
                          (Please print or type)



Please return completed Financial Report to:

                                                      Richard C. Kelleher
                                                      Associate Controller
                                                      Princeton University
                                                           PO Box 35
                                                   Princeton, NJ 08543-0035




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