EmailMe Form - National ALD Annual Report

University *

ALD Chapter Website URL

Chapter Advisor Name *

Prefix First Last Suffix

Chapter Advisor Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country

Chapter Advisor E-mail *

Confirm e-mail

Chapter Advisor Phone *

### - ### - ####

2nd Advisor Name

Prefix First Last Suffix

2nd Advisor Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country

2nd Advisor E-mail

Confirm e-mail

2nd Advisor Phone

### - ### - ####

Incoming President Name *

First Last

If your chapter's officers for next year haven't been elected yet, please enter "TBE" in both fields

Incoming President's E-mail

Confirm e-mail

Incoming President's summer address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country

Incoming VP Name

First Last

Incoming VP E-mail

Incoming Secretary

First Last

Incoming Secretary E-mail

Incoming Treasurer

First Last

Incoming Treasurer E-mail

Incoming Historian

First Last

Incoming Historian E-mail

What activities has your chapter conducted, sponsored, or participated in this year? *

If your chapter hasn't engaged in any programming this year, just type "No activities" into the field.

Enter your chapter's beginning balance as of April 15, 2010 *

$ Dollars . Cents

This field is required. Without this information, Alpha Lambda Delta cannot file your chapter's Form 990-N. If you do not know your chapter's account balance as of 4/15/10, contact the National Office.

How much does your chapter charge for local dues? *

$ Dollars . Cents

Does your chapter offer any local scholarships? *

Yes

No

If yes, how many scholarships do you offer...

...and how much does your chapter spend on scholarships?

$ Dollars . Cents

Where does your chapter maintain its funds account? *

With the university/college

In a local/state bank or credit union

Other (please describe)

Enter your chapter's ending balance as of April 15, 2011 *

$ Dollars . Cents

This field is required. Without this information, Alpha Lambda Delta cannot file your chapter's Form 990-N.

We certify that the above information is correct to the best of our knowledge and hereby authorize the Executive Director of National Alpha Lambda Delta to include our Chapter in the Group Tax Return, as required by the Internal Revenue Service.

Please indicate your acknowledgement of the above statement by providing the following information:

Name of the person completing this report *

Prefix First Last Suffix

Email

Phone

### - ### - ####

Please note: Once you click "Submit," your report will be sent to National ALD. Please do NOT click "Back" or attempt to resubmit your report. If you receive an error message, please send a copy of that error message to lee@nationalald.org.

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