The Following Were Initiated Into the Order This Year

2016 - 2017 YEAR

GRAND CHAPTER OF VIRGINIA

ORDER OF THE EASTERN STAR

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ANNUAL REPORT FROM April 1, 2016 to March 31, 2017

Chapter Name
Chapter Number
Chapter Street Address
ChapterCity, State, Zip Code
Chapter Phone Number
Secretary's E-Mail
Chapter Meeting Time
Stated Meetings are held on
2017-2018 Secretary

Sister/Brother Secretary:

This report must be in the office of the Grand Secretary NO LATER THAN FIVE (5) DAYS following the installation of officers in your Chapter.

Make the check payable to The Grand Chapter of Virginia and mail to the Grand Secretary's Office at

500 Masonic Lane, Suite B,Henrico, VA 23223.

Check List:

__ Completed the Form__ Checked the math on Recap Page 12

__ Seal used on Page 11__ Check made payable to Grand Chapter for the proper

proper amount is attached.

__ Outgoing Worthy Matron signed on Page 11

__ Credential Sheet is included with Seal and signed

__ Outgoing Secretary signed on Page 11 by the newly installed Worthy Matron and Secretary

List of Officers

2017 – 2018

Chapter Name: No.

Elected at a stated meeting (Date): Installation Date:

Please list name and phone number on the first line and address, city, state and zip code on the second line.

Installed / Title / Name and Address / Phone Number
Worthy Matron
Worthy Patron
Assoc Matron
Assoc Patron
Secretary
Treasurer
Conductress
Associate Conductress
Chaplain
Marshal
Organist
Adah
Ruth
Esther
Martha
Electa
Warder
Sentinel

If the Officer has not been installed, PLEASE enter the word "no" in the Installed column when returning the original form. Once that Officer has been installed, please enter the date and mail the copy to the Grand Secretary.

The following were Initiated into the Order this year:3

List names alphabetically.

Name and Address / Initiation Date
Month/Day/Year
1)
Name
Address
Phone
2)
Name
Address
Phone
3)
Name
Address
Phone
4)
Name
Address
Phone
5)
Name
Address
Phone
6)
Name
Address
Phone
7)
Name
Address
Phone
8)
Name
Address
Phone
9)
Name
Address
Phone
10)
Name
Address
Phone

Total (Insert the total at the (A) on the Recapitulation form.)

The following were Reinstated during this year:4

List names alphabetically.

Name and Title (PM/PP)
Address and Telephone Number / Initiation
Date / Demit
Date / Reinstate
Date
1)
Name
Address
Phone
2)
Name
Address
Phone
3)
Name
Address
Phone
4)
Name
Address
Phone

Total (Insert the total at the (B) on the Recapitulation form).

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The following Affiliated during this year from anotherVirginia Chapter with ademit:

(NOT DUAL members, member in your Chapter only.)

List names alphabetically.

Name and Title (PM/PP)
Address and Telephone Number / Initiation
Date / Affiliation
Date / From Chapter No. & Address
1) Name
Address
Phone
2)
Name
Address
Phone
3)
Name
Address
Phone
4)
Name
Address
Phone

Total (Insert the total at the (C) on the Recapitulation form.)

The following members Affiliated during this year from another Jurisdiction,5

even though they may still be a member from the other jurisdiction.

List names alphabetically.

Name and Title (PM/PP)
Address and Telephone Number / Initiation
Date / Affiliation
Date / From Chapter No. & Address
1) Name
Address
Phone
2)
Name
Address
Phone
3)
Name
Address
Phone
4)
Name
Address
Phone

Total (Insert the total at the (D) on the Recapitulation form.)

======

List all members belonging to your Chapter that hold Primary Membership in a Chapter in another Jurisdiction.

List names alphabetically.

The following were Dual Members on last year's report, but became Primary Members6

at some point this year.

List names alphabetically.

Name and Title (PM/PP)
Address and Telephone Number / Initiation
Date / Dual
Date
1) Name
Address
Phone
2)
Name
Address
Phone
3)
Name
Address
Phone
4)
Name
Address
Phone

Total (Insert the total at the (E) on the Recapitulation form.)

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The following Primary members DIED during this year. 7

List names alphabetically.

Name and Title (PM/PP)
Address / Initiation
Date / Date of
Death
1)
Name
Address
2)
Name
Address
3)
Name
Address
4)
Name
Address
5)
Name
Address
6)
Name
Address
7)
Name
Address
8)
Name
Address
9)
Name
Address
10)
Name
Address
11)
Name
Address
12)
Name
Address
13)
Name
Address
14)
Name
Address

Total Deaths (enter on line F):

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The following Primary members Demitted during this year. 8

Only list the Primary member changes on this page.

List names alphabetically.

Name and Title (PM/PP)
Address / Initiation
Date / Date of
Demit
1)
Name
Address
2)
Name
Address
3)
Name
Address
4)
Name
Address
5)
Name
Address
6)
Name
Address
7)
Name
Address
8)
Name
Address
9)
Name
Address
10)
Name
Address
11)
Name
Address
12)
Name
Address
13)
Name
Address
14)
Name
Address

Total Demits (enter on line G):

======

The following members Suspended or Expelled during the year. 9

(Please indicate by “S” or “E”.)

List names alphabetically.

Name and Title (PM/PP)
Address / Initiation
Date / Date of
"S" Suspension
"E" Expulsion
1)
Name
Address
2)
Name
Address
3)
Name
Address
4)
Name
Address
5)
Name
Address
6)
Name
Address
7)
Name
Address
8)
Name
Address
9)
Name
Address
10)
Name
Address
11)
Name
Address
12)
Name
Address
13)
Name
Address
14)
Name
Address

Total Suspensions (enter on line H):Total Expulsions (enter on line I):

VirginiaDual Membership (membership in two Virginia Chapters) 10

First, list dual members on the roster from last year.

Primary
Chapter / Secondary
Chapter / Name & Title (PM, PP)
Address / Initiation
Date / Dual
Date

Total Insert (J) number secondary VA dual members (on roster last year).

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Second, add the new dual members.

Primary
Chapter / Secondary
Chapter / Name & Title (PM, PP)
Address / Initiation
Date / Dual
Date

Total Insert (K) number secondary VA dual members (signed Bylaws this year).

Virginia Secondary Members11

List Dual members that demitted, died or suspended during this year.

List names alphabetically.

Primary
Chapter / Secondary
Chapter / Name & Title (PM/PP)
Address / Init
Date / Suspend
Date / Demit
Date / Death
Date
1)
2)
3)
4)
5)
6)
7)

Total Dual members Demitted or Died (enter on line L):

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Witness my hand this day of March, 2017.

______

OUTGOING Worthy Matron

(Place seal here)______

OUTGOING Secretary

Telephone:

E-Mail:

NAME OF OUTGOING WORTHY PATRON:

Notice: Per the Constitution, Article XII, Annual Reports, Section 1. Each Subordinate Chapter shall send to the Grand Secretary within five (5) days after the installation of Officers, an abstract of its proceedings for the year, which report shall be signed by the retiring Worthy Matron and retiring Secretary.