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Income Statement
Fundraising Statement
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Affiliate Income Statement
This form is to be turned in to the NAMI Illinois State Office
on a quarterly basis and at the end of the fiscal year.
Quarters are:
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July 1 through September
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October through December
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January through March
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April through June
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Income Statement
Fiscal Year Ending
F.E.I.N. #
Affiliate Name
Date
Contact Person
INCOME
Membership Dues
General Donations
Memorials
Fundraisers
Other:
TOTAL INCOME
EXPENSES
Membership Dues
Postage
Printing
Supplies
Other:
TOTAL EXPENSES
FUND BALANCE (INCOME LESS EXPENSES)
Mail
To:
NAMI
Illinois
218
West Lawrence
Springfield,
Illinois 62704
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Illinois'
Voice on Mental Illness - NAMI Illinois