Acknowledgement of Rebate Check Requirements
ACSA REGION XV
CHARTER ACTION PLAN 2017-18
9/20/17 / Charter / Covina-ValleyPresident / Jessica Houpt
Year / 2017-2018
9/20/17
9/20/17
9/20/17 / Activity / Person Responsible / Topic / Location / Budget
9/20/17 / Action Plan Due / Charter President / Upload to Website
9/20/17 / Regional Assembly / Charter President/Membership/Committee Chairs / Coco’s
10/19/17 / Women’s Leadership Network / Pasadena American Legion
11/2-4/17 / ACSA Leadership Summit / Sacramento
11/15/17 / Every Student Succeeding / Charter President / TBD
1/10/18* / Award Nominations Due / Charter President / Send to Maria Thompson
1/17/18 / Regional Assembly / Charter President/Membership/Committee Chairs / Coco’s
2/28/18 / Student Oratory Contest / Charter President / Pasadena American Legion
3/10/18 / Region Symposium / Members / Monrovia HS
4/11/18 / Regional Assembly / Members / Coco’s
4/15-16/18 / Legislative Action Day / President /Pres Elect/Membership / Sacramento
4/30/18 / Spring Awards Banquet / Everybody / Castaways/Burbank
6/16-17/16 / Leadership Retreat / Charter President/Committee Chairs/Membership / Marriott VBR
Charter Membership Promotional Activity
Fall / Membership Meeting / Monica Makiewicz / Recuitment/Information / Mt. SAC / 100.00
Winter / Membership Drive / Monica Makiewicz / Recuitment/Information / Covina-Valley PDC / 100.00
Spring / Membership Updates / Monica Makiewicz / Guest Speaker / Covina-Valley PDC / 100.00
Charter Activities
Charters should have at least four membership meetings per year (monthly meetings are best).
9/12/17 / CVLA Meeting / CVLA Board / Millie’s Bakery / 0
10/10/17 / CVLA Meeting / CVLA Board / Millie’s Bakery / 0
11/28/17 / CVLA Meeting / CVLA Board / Millie’s Bakery / 0
1/30/18 / CVLA Meeting / CVLA Board / Millie’s Bakery / 0
3/6/18 / CVLA Meeting / CVLA Board / Millie’s Bakery / 0
5/1/18 / CVLA Meeting / CVLA Board / Millie’s Bakery / 0
Maintain Charter Section of acsaregionxv.com
Charter Social Activities/Programs
6/22-23/17 / Leadership Retreat / CVLA Board / 100.00
9/17 / Back to School BBQ Bash / CVLA Board / Eminhizer / 0
12/13/17 / Holiday Party / CVLA Board / Bread and Barley / 100.00
6/14/18 / Schools Out for the Summer / CVLA Board / Sheehan / 0
Acknowledgement of Rebate Check Requirements:
Name of individual receiving check: ______Title of Individual receiving check: ______
FULL Address of individual to receive check: ______
Phone number of individual receiving check: ______email ______
Area CodePhone
I acknowledge that the above budget analysis highlights where rebate funds will be expended.
On or before June 1, 2016 a list of all rebate funds issued for scholarships/grants; the name/complete address of the recipient will be forwarded to the Region Controller. In addition a list with the amount of funds paid to individual(s) and/or company/organization and W-9 will be forwarded to the Region Controller.
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SignedDate
This form will be kept on file in the Controller’s Office for State ACSA audit purposes.