INTERNATIONAL READING ASSOCIATION LOCAL/SPECIAL INTEREST/STUDENT COUNCIL OFFICERS REPORT FORM 2013-14.

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IRA relies on an accurate and complete Officers Report Form to ensure effective communication with your council's leadership team throughout the year. The Officer Report Form also provides important legal information regarding council functioning and organizational management. It is strongly suggested that the IRA Local/Special Interest/Student President complete the Officer Report Form, as he/she is your official liaison with IRA.

Important Requirements for Local/Special Interest/Student Councils to Remain Active:

* The Officer Report Form needs to be completed between April 15 and June 30, 2013.

* A minimum of 3 officers should be submitted with complete contact information. All officers must be current IRA members and maintain membership throughout their leadership term.

* A current council membership list (preferably in an Excel Spreadsheet) needs to be attached. Each council must have 10 IRA members, which should be clearly indicated.

* Sections marked with an asterisk must be completed prior to submission of the form.

LOCAL/SPECIAL INTEREST/STUDENT COUNCIL INFORMATION

* Full Local/Special Interest/Student Council Name (no abbreviations)

* State/Prov

* Annual Dues

* Total Council Membership

Total IRA Members

Council Website URL

Upload Local/Special Interest/Student Council Membership List

Upload Local/Special Interest/Student Council Membership List (Excel Spreadsheet is recommended. Please indicate 10 IRA members).

2013-2014 Local/Special Interest/Student Council Leaders

IMMEDIATE PAST PRESIDENT

First Name

Last Name

IRA Number

Preferred Email Address

Confirm Email Address

Preferred Telephone Number

Preferred Mailing Address

PRESIDENT

First Name

Last Name

IRA Number

Preferred Email Address

Confirm Email Address

Preferred Telephone Number

Preferred Mailing Address

* Permission to publish president's name on IRA website directory

Yes

PRESIDENT (Only complete this section if you have 2 people serving in this position)

First Name

Last Name

IRA Number

Preferred Email Address

Confirm Email Address

Preferred Telephone Number

Preferred Mailing Address

Permission to publish president's name on IRA website directory

Yes

PRESIDENT - ELECT

First Name

Last Name

IRA Number

Preferred Email Address

Confirm Email Address

Preferred Telephone Number

Preferred Mailing Address

VICE PRESIDENT

First Name

Last Name

IRA Number

Preferred Email Address

Confirm Email Address

Preferred Telephone Number

Preferred Mailing Address

SECRETARY

First Name

Last Name

IRA Number

Preferred Email Address

Confirm Email Address

Preferred Telephone Number

Preferred Mailing Address

SECRETARY (Only complete this section if you have 2 people serving in this position)

First Name

Last Name

IRA Number

Preferred Email Address

Confirm Email Address

Preferred Telephone Number

Preferred Mailing Address

TREASURER

First Name

Last Name

IRA Number

Preferred Email Address

Confirm Email Address

Preferred Telephone Number

Preferred Mailing Address

MEMBERSHIP CHAIR

First Name

Last Name

IRA Number

Preferred Email Address

Confirm Email Address

Preferred Telephone Number

Preferred Mailing Address

US Local/Special Interest/Student Councils Only - Required Financial/Legal Documentation

Employer Identification Number (EIN)

Attach IRS 990N (E-postcard) Reporting Confirmation for FY ending June 30, 2012.

* US Local/Special Interest/Student Council Incorporated

Yes

Individual Completing Form

* First Name

* Last Name

* Email Address (upon successful completion, a confirmation email will be sent to this address)

* Confirm Email Address

* Preferred Telephone Number

* NAME OF STATE COORDINATOR

* Indicates Response Required