Troop Financial Report 2013 - Girl Scouts of the Missouri Heartland

Bank Account InformationName of Bank _____________________________ Checking Account Number _________________Branch Address ____________________________________ Branch Phone Number ____________Persons authorized to sign checks (name and phone number)1.______________________________________ Phone______________________2.______________________________________ Phone______________________3.______________________________________ Phone______________________Troop MaterialsBooks/Publications belonging to troop/group (please mark all that apply and list to the side)□ Volunteer Resources CD□ Handbooks/Journeys: _________________________________________________________□ Other Books: ________________________________________________________________□ Resource Materials: ___________________________________________________________□ Other Items: _________________________________________________________________Equipment/Supplies belonging to troop/group (please mark all that apply and list to the side)□ Cooking Equipment: ___________________________________________________________□ Office Supplies: ______________________________________________________________□ Flags □ Tents □ Other: _________________________________________________Location of equipment and suppliesName: ______________________________________ Phone: __________________________Address: _______________________________ City/State: ________________ Zip: ________Troop LeadershipAre you interested in continuing as a leader? □ Yes □ NoIs your assistant leader interested in continuing? □ Yes □ NoIf one of you does not plan to continue, please suggest someone who may be interested:Name: ______________________________________ Phone: __________________________Address: _______________________________ City/State: ________________ Zip: ________Verification (This Troop Financial Report must be verified by three non-related adult troop members.)I have verified the accuracy of this Troop Financial Report by auditing the checkbook and bank statements.1. _________________________ _______________________ _________Name (please print) Signature Date2. _________________________ _______________________ _________Name (please print) Signature Date3. _________________________ _______________________ _________Name (please print) Signature DateReport submitted by: ___________________________ ________________________ _________Name Signature DateFor Office Use Only:Date Received ___________ Audited by (CMDS) _________________________Girl Scouts of the Missouri Heartland, Inc.T 877-312-4764 ● F 417-862-4120 ● www.girlscoutsmoheartland.org ● gscouts@girlscoutsmoheartland.org(page 2 of 2)P:\GSMOHEARTLAND DATA\Forms\Troop Financial Report 4-27-12