4-H

Van Buren County 4-H Fundraiser Report Form

This form needs to be completed and returned to the Van Buren County 4-H Office 10 business days after the approved fund-raising activity is held.

What was the approved fundraising activity? ________________________________________

__________________________________________________________________________

Where and when did the approved fundraising activity take place?

___________________________________________________________________________

Income from approved fundraising activity $________________________

Expenses from approved fundraising activity $________________________

(Please list general expenses)

____________________________________

Profits from approved fundraising activity $________________________

Club Name: ________________________________________________________

Address: _____________________________________________________

Phone: __________________________

Return to:

MSU Extension

4-H Youth Development Extension Educator
219 Paw Paw Street, Suite 201
Paw Paw MI 49079