Financial Annual Report

Blank Form (#19)

Organization Information

Name of Society:

Do you have your own 501(c)(3) status, or will you be using SanDISCA's 501(c)(3)?

Yes (We have my own 501(c)(3))

No (We will be using SanDISCA's 501(c)(3))

Upload Your Latest Form 990 / 990N (if available):

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Income (Enter amounts in USD)

Grants:

Individual Donations:

Membership Fees:

Other:

Please specify:

Total Income:

Expenses (Enter amounts in USD)

Program Expenses:

Administrative Expenses:

Other:

Please specify:

Total Expenses

General Instructions:

We understand that financial record-keeping practices vary among organizations. Some sections of this form may not apply to your organization. If additional attachments are necessary, please upload them as needed.

File Upload

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Key Programs & Annual Highlights

Briefly describe your organization’s key programs and notable achievements for the year.

Contacts

Organization Information

Income (Enter amounts in USD)

Expenses (Enter amounts in USD)

General Instructions:

Key Programs & Annual Highlights

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