14
Required
District Dues Payment
For Local PTAs and PTSAs
Use this Form to Send District Membership Dues.
Donations to your district’s projects, such as scholarships (if applicable), may also be sent with this form.
Please Copy this Form. You May Need to Use it Several Times.
Deadline: Contact your district president or treasurer.
At least one dues payment of national and state dues must be made by October 15 to be a unit in good standing.
Mail Completed Form and Check to: Your District Treasurer or President
District Dues are _____ Per Member (See back of this page for district dues amounts)
Make Check Payable to: _____District PTA
If no district leadership, send district dues payment to Kentucky PTA office when submitting state and national dues.
Complete this Form
Date ___________________________
_______Members @ ______ $_________
Grades ______ to ______
Donation to _____ District PTA
_________
County _________________________
______________ Program
_________
PTA District _____________________
TOTAL Amount Enclosed
_________
Name of PTA/PTSA ______________________________________________________________________
Name of President ________________________________________________________________________
Address ________________________________________________________________________________
Street/P. O. Box
City
State
Zip
Telephone: Day (_____)_________________________ Evening/Cell (_____)_______________________
E-mail address __________________________________________________________________________
Name of Treasurer _______________________________________________________________________
Address ________________________________________________________________________________
Street/P. O. Box
City
State
Zip
Telephone: Day (_____)_________________________ Evening/Cell (_____) ________________________
E-mail address ___________________________________________________________________________
All PTAs and PTSAs to be a unit
Contact Your District President for your district treasurer’s name,
in good standing MUST:
address, telephone number and your district dues deadline date.
Send at least one national
See the back of this page for a list of districts/counties and dues
and state dues payment
amount.
($3.50 per member) to the
Kentucky PTA office no later
than October 15;
If you need help with the name, address
Send district dues to district
or phone number of your district president
treasurer or Kentucky PTA
you may contact the Kentucky PTA office at:
as required;
148 Consumer Lane, Frankfort, KY 40601
File 990 Tax Form with IRS
phone 502-226-6607; fax 502-226-6610 or
th
by Nov. 15
and send copy to
E-mail:
kentuckypta@bellsouth.net
Kentucky PTA;
.
Send the PTA financial
For District Use:
review form to the Kentucky
___________________________________District Treasurer
th
PTA by Aug. 15
; and
Send bylaws for approval by
___________________________________________
Kentucky PTA every 5 years.
___________________________________________
Phone (_____) _______________________________
E-mail _____________________________________
Part IV – Financial Matters
Kentucky PTA Leaders’ Notebook for PTAs and PTSAs
2015-2016