1. To maintain active status, each council/lodge must complete this form and return it to the Home Office at the end of each quarter, regardless of activity level.

2. Return it by:

First Quarter (Jan./Feb/Mar.) Due by April 15th
Second Quarter (Apr./May/June) Due by July 15th
Third Quarter (July/Aug./Sept.) Due by October 15th
Fourth Quarter (Oct./Nov./Dec.) Due by January 15th

3. To qualify for the 5 Star program, completed forms must be received by the applicable deadline.

Report council/lodge meetings only (time spent addressing council/lodge business; exclude time spent for social activity, etc.) Social time should be included on the following page). Council/Lodge should have at least two meetings per quarter. To include your meeting minutes, please include on a separate sheet of paper and submit with packet. 20 pts. per meeting (max 80 points per quarter)

Only report events completed by your Council/Lodge (Social, Fundraisers, etc…).
10 pts. per event (max 30 points per quarter)

(Religious, Charitable and Other Organizations)

Only report Community Service completed by your Council/Lodge.
20 pts. per event (max 60 points per quarter)

Funds donated to charity, community agencies, religious organizations, youth organizations, scholarships, etc. Include approximate value of food baskets, clothing, supplies, etc. If you wish to do a matching funds donation, please get form located the forms section. The matching funds form must be filled out and submitted to the home office along with copy of check donation.

Only fill out if you had your president’s visit during this quarter.
200 points for a free visit – 100 points for a paid visit 400 points if you do a joint president’s visit with another Adult council/lodge. A Council/Lodge who doesn’t have another council or lodge within 50 miles from them will receive an additional 100 points.

How many in attendance