REPORT OF OFFICIAL INSPECTION RW Bro. Deputy Grand Lecturer District No.

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The Most Worshipful 1 Prince Hall Grand Lodge of Ohio Free and Accepted Masons REPORT OF OFFICIAL INSPECTION RW Bro. Deputy Grand Lecturer District No. SECTION 1 THROUGH SECTION 6L (To be completed by Inspected Lodges) SECTION 1: Identification Data: Lodge s Name & Number: Lodge s Address: Worshipful Master: Secretary: SECTION 2: Meetings / Attendance Data: Meetings: First: Second: (Day) (Time) (Day) (Time) Number of meetings held since last official inspection: SECTION 3: Membership Data: (Since last Official Inspection) Number of Degrees Conferred: EA:, FC:, MM:, Number of Reinstatements: Demits (In):, Non-PH Masons Healed:, Total Increase: Number of Expulsions:, Suspensions:, Demits (Out):, Deaths:, Total Deductions: Percentage of Net Increase: % or Net Decrease: % Total Current Membership: Number of Members Exempted From Payment of Dues: SECTION 4: Grand Lodge s Support Data: (List activities attended since last inspection) 1. 3. 2. 4. SECTION 5: District s Support Data: (List activities attended since last inspection) 1. 5. 2. 6. 3. 7. 4. 8.

REPORT OF OFFICIAL INSPECTION (CONT D) 2 Lodges observances of Most Worshipful Prince Hall Grand Lodge Programs (Attendance): St. John s (Baptist) Day %, Prince Hall/Americanism Day %, St. John s (Evangelist) Day % District Meeting %, Grand Lodge Scholarship Fund RaiserProgram Amount of tickets received Amount Sold Scholarship Tickets Sold % SECTION 6: Lodge s Activities Data: A. Educational Programs: (Please check application method used to educate Lodge s members) Masonic Classes: Forums / Debates: Lectures: Libraries History Club: Others: B. Communication Program: (Please check applicable medium used to communicate with Lodge s members) Newsletters: Email Telephone Post Cards Other medium (specify),,, Do not communicate C. Widows Program: (List specific activities designed for widows) D. Youth Program: (List youth organizations sponsored. Pythagorans, Boy Scouts, Drill Teams, other, etc.) E. Charity Programs: (List local organization / groups who are recipients of financial donations or services) F. Civic Programs: (List Civic Organizations supported) G. Special / Social Programs: (List social functions planned and or completed)

REPORT OF OFFICIAL INSPECTION (CONT D) 3 H. Fund Raising Programs: (Please check applicable functions held or planned) (X) No. Attended Percentage of Members attended (%) Banquet & Dinners Balls and Dances Socials Plays Other I. Non-Prince Hall Masons Program: Describe program(s) available to entice Non-Prince Hall Masons to apply for membership into your lodge. Number of Non-Prince Hall Masons who have approached Lodge Members: J. Awards Programs: (Please check applicable awards presented to Lodge s members) Service Awards: 10 Years 25 Years 50 Years Other (specify): Certificates, Pins, Gavels, PM s Aprons Other (specify): Mason of the Year Plaque, Merit awards / working in Lodge or community Other types of awards (specify):

REPORT OF OFFICIAL INSPECTION (CONT D) 4 FOR OFFICIAL USE ONLY: (To be completed by Deputy Grand Lecturer) SECTION 1. Grand Lodge Support: (Workshop, Annual Communication, Building Fund, etc. ) Was Per Capita Tax current? Yes: No:. If Yes, enter date of check: Does Lodge responds to Grand Lodge s correspondence/directives? Yes: No: Does Lodge supports Grand Lodge s programs? Yes:, No: How do you rate Lodge s support to the MWPHGL of Ohio? SECTION 2. District s Support: Does Lodge participates in District s meetings? Yes: No:, Attendance % St. John s (Baptist) Day? Yes: No:, Attendance %. Prince Hall / Americanism Day? Yes: No:, Attendance % St. John s (Evangelist) Day? Yes: No: Attendance %, Other District Programs? Yes No How do you rate Lodge s Participation? SECTION 3. Lodge s Charter/Regalia/Facilities: Excellent Good Fair Poor Condition of Lodge s Charter: Condition of Lodge s Regalia: Condition of Lodge s Furniture: Condition of Lodge s Facilities: Deputy s Remarks: SECTION 4. Lodge s Books: Was a Bound Minutes book in use to record Lodge s minutes? Yes: No:. Was a Membership Ledger Book being maintained? Yes: No. Was a Black Book of Suspensions being maintained? Yes No. Were Receipt Books in use? Yes: No:. Was Checkbook properly maintained? Yes: No. Was a reasonable records system available to receive and pay out the Lodge s money? Yes: No:. Was a current Constitution and Code available? Yes: No:. Were updated Grand Lodge Pamphlet for instruction of candidates, as they progress from degree to degree used? Yes: No:. How do you rate the Lodge s Book Keeping practices? SECTION 5. Youth Programs: Does the Lodge sponsor a Pythagoran Chapter? Yes: No:. Does lodge supports a Pythagoran Chapter? Yes No. Does Lodge sponsor the Grand Lodge Scholarship Raffle? Yes No. What percentage of Grand Lodge Scholarship Fund Raiser tickets sold? %. How do you rate the Lodge s Youth Programs? SECTION 6. Charity Program: Has a charity program been established? Yes: No. Are Charitable Donations given to its widows? Yes: No:. How do you rate Lodge s Charitable Efforts? SECTION 7. Voter Registration/Voting Program: Has an active Voter Registration Program been established to assist citizens to register? Yes: No:. Has an active Voting Program been established to educate citizens on the importance of voting? Yes: No Are citizens transported to the nearest voting poles to cast their ballots? Yes: No:. How do you rate Lodge s Registration / Voting Program?

REPORT OF OFFICIAL INSPECTION (CONT D) 5 FOR OFFICIAL USE ONLY (To be Completed by Deputy Grand Lecturer) SECTION 8. Widows Programs: Has an active Widows Program been established? Yes: No:. If yes, explain: Is financial or other assistance provided to Lodge s widows? Yes: No:. If yes, explain: Are widows recognized or honored at annual social functions? Yes: No:. If yes, when was the last social function held in their honor? (Date) How do you Rate Lodge s Widows Program? SECTION 9. Ritualistic Work Programs: Has a Funeral Team been established? Yes: No:. Have Degree Teams been established? Yes: No: Is ritualistic work (Degree or Funeral) exemplified by Lodge without assistance? Yes: No:. Is assistance in ritualistic work (Degree or Funeral) furnished smaller Lodges upon request? Yes: No:. How do you Rate Lodge s Ritualistic Work Programs? DEGREE WORKINSPECTION DURING OFFICIAL VISITATION Ritualistic work was presented in the Degree, using candidate(s). (Actual or substitute) Degree work was performed by: Team, Past Masters, Lodge Officers. Lectures were given by: WM, PMs, SD, Lodge Officiers. Ritualistic Rendition: Excellent, Good, Fair, Poor. Floor Work: Excellent, Good, Fair, Poor. Was Degree Work conducted in a dignified manner without induction of roughness or hilarity? Yes No How do you Rate Lodge s Ritualistic Performance: SECTION 10. General: State any irregularities not already identified in this report: State any suggestions, which will benefit the Lodge and the Fraternity as a whole: What is your overall rating of this lodge? (Rating Scale: 1 20: Use Criteria for Lodge Rating): points. Fraternally, CC: MW Grand Master RW Grand Lecturer R.W. Deputy Grand Lecturer, District no.