

The report starts off advising what period this report is for. The state, lodge name, and lodge number are also completed.
The next area is the total number of members that are listed on the National Roster, followed by the Total Number of members that your lodge paid per capita on. This should agree with the total number of members on the National Roster but it doesn't always. This is the last part of the form that is already filled in when you get it.
There are 4 ways to lose members. 1.) They transfer to another lodge. 2.)They die. 3.) They resign from the FOP**. 4.)They are suspended by you for non payment of their dues.
Enter the number of each type of loss that you are currently reporting. You should also complete a Loss form. If for example you reported the death of two members about 2 weeks ago and now you get the form today;DO NOT REPORT THOSE TWO MEMBERS AGAIN.
Enter the Total Loss of Membership in the space provided. Subtract that number from the number shown that you last paid per capita on. If this number is different from the number of members on the national roster, then look at your local roster and find out who is not listed as a member. Enter that number in the block titled "TOTAL".
Enter the number of each type of gain that you are currently reporting. You should also complete a Gains form. If for example you reported two new members 2 weeks ago and now you get the form today; Do NOT REPORT THOSE TWO MEMBERS AGAIN. Here's why.........2 weeks ago you completed the gains sheet on two members and sent in the checks for national and state per capita along with the forms. Now you report them in the totals on this report and send in the checks. You have paid per capita taxes on these two members twice.
Add these up and put it in the Total Gain of Membership block. Add this number to the number that you put in the TOTAL block and enter that number in the TOTAL NUMBER OF MEMBERS PER CAPITA TAX IS DUE ON Block.
Now multiply the number of members that you have times the amount of per capita you want to pay. Either the half year rate or the full year rate. Do this for the state per capita and also the national per capita.