Funds Tracking

Project Name_____________________________________________

________________________________________________________________

Contact Person / Phone _____________________________________

Today's Date ______________________________________________

Fund Raising start date:  _____________________________________

Expected duration of fund raising ______________________________

Fund destination ___________________________________________

    Address ________________________________________________

Date dispersed ____________________________________________

Is this a fund 'pass through' to an individual?  [  ]  Yes     [  ]  No

If yes, date of Administrative Council approval ____________________


   Give this form to the Office Administrator for proper fund tracking.