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Sons of Union Veterans of the Civil War Department Annual Report Form 35 (Due at National Headquarters on or before May 31 of each year Retain duplicate for Department Records) From the Department of Report for year 20 LAST ANNUAL REPORT Members Associates Jr. Members Jr. Assoc Total Brothers in Good Standing + + + = Camps in Good Standing Gain 1 Members Associates Jr. Members Jr. Assoc Total By Organization By Initiation By Transfer By Reinstatement Total Gains (add) + + + = Loss Members Associates Jr. Members Jr. Assoc Total By Death By Drop By Honorable Discharge By Transfer Total Losses (subtract) + + + = THIS ANNUAL REPORT Members Associates Jr. Members Jr. Assoc Total Brothers in Good Standing + + + = Combined Brothers: Juniors: Camps in Good Standing Summary Information Members Associates Total Dual Brothers + = New Members New Members under 40 PER CAPITA DUES Exemptions Life Members Real Sons Brothers in War Zone 2 Honorary Members 3 Junior s Junior Associates NOTE: A copy of the application for each NEW Brother being reported for the first time and not previously reported using a Camp Status Report (Form 30) MUST be enclosed with this report. 1 Report totals since last annual report 2 Attach letter including name, rank & branch and location of service. List brothers in section on page 4. 3 Only Nationally approved Honorary Members are exempt from National Per Capita Dues 4 Only include amount for National Per Capita if applicable Total Exemptions (subtract)... Brothers Subject to National Per Capita Dues 4.... Rate. x $23.00 Due 4 $ New Brothers report minus previously submitted Rate. x $5.00 Due. $ Total Amount Due...$ Department Secretary Certification: Signature: Printed Name: Form 35 - Revised December 2011 Page 1 of 6 pages

Department of Annual Report for 20 Department Treasurer s Annual Report Balance on hand last Annual Report $ Balance on hand this Annual Report $ EIN Number. Date Department last filed with IRS Please Note: * All monies and other assets, including real and personal property held by Camps, departments, and the National Organization are charged with a trust for the purposes for which the Order exists, as stated in its Act of Incorporation. Any use of said monies or other assets, including real and personal property for other purposes is illegal and shall subject the parties concerned to disciplinary action under Article VI of Chapter V and may be restrained by the Commander-in-Chief or Council of Administration to the extent, if necessary, of taking possession and control of the money or assets involved. For record keeping, please furnish the names of each financial institution in which Camp funds are being held. Please attach a separate sheet if necessary. Thank you. *National Regulations, Chapter I, Article I, Section 4 Please list all financial institutions in which Department funds are being held. Bank/Financial Institution Name Street Address City/State Department Treasurer Certification: Signature: Printed Name: Department Commander Approval: Signature: Date Printed Name: Honorary Membership Roster (List all Honorary Members within your Department) Name Street Address City/State/Zip Camp Number Page 2 of 6 pages

Department of Annual Report for 20 Camp Name Report of Camps Organized, Reinstated, Suspended, Dropped, or Disbanded (Use only to report new Camps or Camps lost) Date Date Camp Location Organized Date Dropped / No. (City/State) Reinstated Suspended Disbanded Number of Brothers Report on Deceased Brothers Not Previously Reported (The National Chaplain requires this information to prepare the Annual Necrology Report for the National Encampment and publication in the Proceedings. ) Date of Name Address Death Camp Name and Number Report of Brothers Added and Lost not previously reported Initiated (I), Transferred into Camp (TI), Transferred out of Camp (TR), Reinstated (R), Dropped (DP), Discharged (DS), or Death (DA) Name Address Camp No. Code Page 3 of 6 pages

Department of Annual Report for 20 Report of Change of Address Not Previously Reported Name Street Address City/State Email Camp Name and No.. Life Membership/Real Sons (List all Life Members and Real Sons in the Department) Name Street Address City/State Life Member Number Camp Name and Number Junior Members and Junior Associates (List all Junior Members and Junior Associates in the Department) Name Address Date of Birth Camp Name and Number Brothers Assigned in War Zone (Brother must currently be assigned in a designated War Zone) Name Duty Station Location Camp Name and Number Received at National Headquarters by: Date: Page 4 of 6 pages

INSTRUCTIONS FOR COMPLETING FORM 35 DEPARTMENT ANNUAL REPORT This form is not only an annual report to National on your Department, but also serves as an update for your Department status by also reporting items since your last Form 30 forwarded to National. The Department must submit Form 35 to the National Executive Director with all supporting documentation, including the check for all money due to the National Organization, before May 31 of each year. This includes a corrected copy of the roster sent to you at the beginning of the year by the Executive Director. In this way, the National Organization can check their records and try to keep them accurate. Rosters need to be legible and include: 1) Full name (please do not use nicknames. 2) Address 3) Status (Member, Associate, Junior Member, Junior Associate, Real Son, etc.) 4) Phone number 5) Email address 6) Date of birth (especially for Junior Members and Junior Associates) Include a copy of all Camp Form 27 s with the submission of Form 35 to National Executive Director for auditing purposes. Please attach a copy of each new brother s completed application. Use the most current application form, to assist National officers who have to enter this data into the computer. After filing this report, additions, deletions and changes to the Department membership will be reported to National by forwarding the Form 30 with supporting documentation as required. The annual per capita dues due the National organization is $23.00 for each existing brother (except Life Members, Junior Members, Junior Associates, nationally approved Honorary Members, Real Sons, and Brothers in a War Zone). Junior Members and Junior Associates do not receive the BANNER, unless they pay for a subscription. Junior Members will automatically be upgraded to Member in the National database on their 14th birthday, if their date of birth has been reported. Junior Associates will automatically be upgraded to Associate in the National database on their 14th birthday, if their date of birth has been reported. PRO-RATED PER CAPITA DUES - The following is a handy reference: New Brother (Jan to Mar) $5.00 application fee + $23.00 per capita dues = $28.00 New Brother (Apr to Jun) $5.00 application fee + 17.25 per capita dues = $22.25 New Brother (Jul to Sep) $5.00 application fee + 11.50 per capita dues = $16.50 New Brother (Oct to Dec) $5.00 application fee + 5.75 per capita dues = $10.75 Junior Member or Junior Associate $5.00 application fee and no per capita dues Reinstated brother $10.00 reinstatement fee + $23.00 per capita dues regardless of time of year. Pro-rated Per Capita dues is calculated upon date of election, not when the Form 30 is sent in. Page 5 of 6 pages

INSTRUCTIONS FOR COMPLETING FORM 35 DEPARTMENT ANNUAL REPORT OLD FORMS Please use the current edition of the forms. They are available on the Order s web site. If you have a problem getting the current form from the website, please contact the National Executive Director, who will gladly mail to you the proper form. Every Commanderin-Chief for the last several years has included in his General Orders, the requirement that only current forms be used. It will make the job at Department and National so much easier. Remember, someday, that may be you! JUNIORS MEMBERS AND JUNIOR ASSOCIATES Please be sure that applications for each Junior Member and Junior Associate includes a date of birth, so they can be automatically upgraded to Member or Associate, as appropriate, when they reach appropriate age. DATE OF DEATH Please be sure to include the date of death for deceased Brothers. The Department Chaplain and the National Chaplain need this information and will really appreciate it. GENERAL REQUIREMENTS Please be sure the name of the Camp and Department are listed on each application form submitted. Please use a brother s proper name in all reports, not nicknames. We hope you find this information useful and helpful in the performance of your duties. We believe this reporting system will save us all a lot of time and effort, facilitate the sharing of accurate information, and result in more efficient operation. It is important for the Department officers to understand this form and use it correctly, so if you have any questions, please do not hesitate to contact the Executive Director or National Secretary for assistance. If you have any suggestions to improve this process, we would be very happy to hear from you. Mail Form to: SUVCW National HQ, 1 Lincoln Circle at Reservoir Park, Suite 240 (Nat l Civil War Museum Bldg.), Harrisburg PA 17103-2411. Page 6 of 6 pages