2014-2015 MID YEAR RETURN
Most Worshipful Prince Hall Grand Lodge; F. & A. M., Inc.
For Maryland and its Jurisdiction
Mid-Year Report Worksheet
LODGE No. ______
Number of Brothers (end-of year)................
(1)
Number of Grand Lodge Exempt Brothers..
(2)
Number of Assessment Paying Brothers......
(3) [Subtract (2) from (1)]
Number of Brothers (Reclamation Form)…._________
Semi-annual Maintenance Tax (Number of paying Brothers times $25.00)
Make check payable to: MWPHGL, Trustees Account
Per Capita Tax (Number of paying Brothers times $25.00)
Make check payable to: MWPHGL, Grand Lodge Account
Reinstated Brothers (submit $60 times the number of Brothers not paid to the
Grand Lodge during the year)
Make check payable to: MWPHGL, Grand Lodge Account
KOP Fund (Number of paying Brothers times $5.00)
Make check payable to: MWPHGL, KOP Fund Account
$ .00
$ .00
$ .00
$ .00
Temple Renovation Fund (Number of Brothers paying times $100.00)
Make check payable to: MWPHGL, Temple Renovation Fund Account
Old Building Fund (Number of Brothers paying times $150.00)
$ .00
Make check payable to: MWPHGL, Old Building Fund Account
TOTAL DUE WITH THE ANNUAL RETURN
$ .00
NOTE: No Mid-Year Return will be accepted without BOTH the total amount due (above) and the
printed return.
Witness our hand and seal this
day of
.
WM
Secretary
Please print or type two (2) copies of these returns Legibly and Accurately and they must
reach the office of the Grand Secretary no later than Friday, May 08, 2015 accompanied by
the proper payments.
2014-2015 Mid-Year Return - PAGE 1
MASTER MASONS
(INCLUDE ALL FINANCIALLY CURRENT MEMBERS)
(ALSO INCLUDE ALL GRAND LODGE EXEMPT MEMBERS)
List Names
Alphabetically
Age
Address
(Include City, State and Zip Code)
Telephone No.
(Include Area Code)
PAGE _______ OF _______
2014-2015 Mid-Year Return - PAGE 2
2014-2015 Reclamation Form
REINSTATEMENTS
(Members name must be included in Master Mason’s List)
NAMES
LISTED ALPHABETICALLY
DATE
REINSTATED
DATE PAID
REINSATEMENT
FEES
DATE PAID
OLD BLDG.
FUND
(if applicable)***
DATE PAID
TEMPLE
RENOVATION
FUND
***PLEASE NOTE:
1. BROTHERS RAISED BEFORE 4/30/96 SHOULD HAVE PAID $150.00 FOR THE OLD
BUILDING FUND ASSESSMENT & $100.00 FOR TEMPLE RENOVATION FUND.
2. BROTHERS RAISED AFTER 4/30/96 PAY ONLY $100.00 FOR THE TEMPLE
RENOVATION FUND.
2014-2015 Mid-Year Return - PAGE 3