Voice: (815) 756-5633 ext. 222
FAX: (815)748-9087
E-mail: JDELBY@TBC.NET
OFFICIAL REPORT OF FUND RAISING BY LIONESS & LIONS CLUBS
FOR VISION AND HEARING SERVICES.
This information covers collections received by all the Clubs in the state participating in
Tootsie Pop Day.
Please complete and return to the Lions of Illinois Foundation office, 2814
De Kalb Ave., Sycamore, IL 60178.
YOUR FULL COOPERATION IS APPRECIATED.
CLUB NAME________________________________________________DISTRICT 1-_______
TOOTSIE POP DAY CHAIRPERSON______________________________________________
ADDRESS_____________________________________CITY____________________ZIP____
TOTAL MEMBERSHIP_______________ (Please Submit Membership For Awards)
TOOTSIE POP DAY RESULTS: (Please answer all questions):
Number of Cases Used ________________
Collections from TOOTSIE POP $__________________________
Collections from UNDERWRITERS $__________________________
Gross Total Collections from ALL SOURCES $__________________________
Candy Cost $__________________________
NET $__________________________
Date___________(Signed)___________________________Title__________________________
CONTRIBUTION TO: (Please make all checks payable to The Lions of Illinois Foundation.)
60% of net to the Foundation retaining the balance of 40% for local aid to the blind and deaf activities.
LIONS OF ILLINOIS FOUNDATION PROJECTS $_________________________
(As required for tax deductible status)
This report should be completed and mailed to the Foundation Office no later than June 15, 2008.