REPORT OF OFFICERS CHOSEN FOR THE TERM
JULY 1, 20__ TO JUNE 30, 20__
Council #____________ DATE OF ELECTION____________________
THIS REPORT CAN BE COMPLETED USING MEMBER MANAGEMENT. Due By:
OTHERWISE PLEASE PRINT — INDICATE MEMBERSHIP NUMBERS JUNE 30
COUNCIL ADDRESS (Meeting Location)
STREET ADDITIONAL ADDRESS
CITY ST/PROV. ZIP/POSTAL CODE
GRAND KNIGHT MEMBERSHIP NO. LAST NAME FIRST NAME INITIAL
STREET CITY STATE/PROVINCE ZIP/POSTAL CODE
□ ADDRESS CHANGE
TELEPHONE
NEWLY ELECTED RE-ELECTED AREA CODE PHONE NO. EMAIL:
CHAPLAIN MEMBERSHIP NO. LAST NAME FIRST NAME INITIAL EMAIL
STREET CITY STATE/PROVINCE ZIP/POSTAL CODE
□ ADDRESS CHANGE
DEPUTY MEMBERSHIP NO. LAST NAME FIRST NAME INITIAL EMAIL
GRAND KNIGHT
STREET CITY STATE/PROVINCE ZIP/POSTAL CODE
□ ADDRESS CHANGE
CHANCELLOR MEMBERSHIP NO. LAST NAME FIRST NAME INITIAL EMAIL
STREET CITY STATE/PROVINCE ZIP/POSTAL CODE
□ ADDRESS CHANGE
RECORDER MEMBERSHIP NO. LAST NAME FIRST NAME INITIAL EMAIL
STREET CITY STATE/PROVINCE ZIP/POSTAL CODE
□ ADDRESS CHANGE
TREASURER MEMBERSHIP NO. LAST NAME FIRST NAME INITIAL EMAIL
STREET CITY STATE/PROVINCE ZIP/POSTAL CODE
□ ADDRESS CHANGE
LECTURER MEMBERSHIP NO. LAST NAME FIRST NAME INITIAL EMAIL
STREET CITY STATE/PROVINCE ZIP/POSTAL CODE
□ ADDRESS CHANGE
ADVOCATE MEMBERSHIP NO. LAST NAME FIRST NAME INITIAL EMAIL
STREET CITY STATE/PROVINCE ZIP/POSTAL CODE
□ ADDRESS CHANGE
WARDEN MEMBERSHIP NO. LAST NAME FIRST NAME INITIAL EMAIL
STREET CITY STATE/PROVINCE ZIP/POSTAL CODE
□ ADDRESS CHANGE
INSIDE GUARD MEMBERSHIP NO. LAST NAME FIRST NAME INITIAL EMAIL
OUTSIDE GUARD MEMBERSHIP NO. LAST NAME FIRST NAME INITIAL EMAIL
TRUSTEE FOR MEMBERSHIP NO. LAST NAME FIRST NAME INITIAL EMAIL
ONE YEAR
TRUSTEE FOR MEMBERSHIP NO. LAST NAME FIRST NAME INITIAL EMAIL
TWO YEARS
TRUSTEE FOR MEMBERSHIP NO. LAST NAME FIRST NAME INITIAL EMAIL
____________________________________________________________________________________
THREE YEARS
COUNCIL MEETS
SIGNED F.S.
• THIS INFORMATION IS ESSENTIAL FOR TRANSACTION OF OFFICIAL BUSINESS AND DIRECT MAIL COMMUNICATIONS WITH OFFICERS.
• APPOINTMENT OF FINANCIAL SECRETARY. (SECTION 128, LAWS AND RULES).
THE FINANCIAL SECRETARY SHALL BE APPOINTED BY THE SUPREME KNIGHT. HE SHALL HOLD OFFICE AT THE WILL OF THE SUPREME KNIGHT.
SEND ORIGINAL TO: Membership Records (email: AddressChange@kofc.org)
SEND COPIES TO: State Deputy, District Deputy, Council File 185 4/18