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EXHIBITS AND FORMS
Exhibit Number Description Page
1 Sample Form of Minutes of a Lodge .................................................................................... 2-3
1A Generic Blank Form for Minutes of a Lodge ....................................................................... 2-6
2 Request for Educational Pamphlets for Candidates (if available)........................................ 2-14
3 Sample Letter of Notification to Candidate for Degrees...................................................... 2-15
3A Sample Letter of Notification to Rejected Candidate........................................................... 2-16
4 Secretary’s Candidate Checklist ........................................................................................... 2-17
5 Order for Grand Lodge Master Mason Diplomas................................................................. 2-18
6 Sample form of By-laws Certification.................................................................................. 2-19
7 Secretary’s Monthly Reports - Instructions .......................................................................... 2-20
8 Sample Monthly Report Forms............................................................................................. 2-21
9 Annual Recapitulation of Membership Form....................................................................... 2-27
10 Notification of Death of Member (Widow’s name) ............................................................. 2-28
11 Masonic Membership Record Card / Treasurer’s Dues Report Form.................................. 2-29
12 Request for Certified Masonic Record ................................................................................. 2-30
13 Request for Masonic Veteran’s Medal ................................................................................. 2-31
14 Return of Officers Form ....................................................................................................... 2-32
15 Treasurer’s Claim for Deductions Form............................................................................... 2-33
16 Grand Lodge Annual Return Form....................................................................................... 2-34
17 Secretary’s Delinquent Member Tracking Sheet.................................................................. 2-35
18 Schedule of Prepayment of Grand Lodge Dues for Life ...................................................... 2-36
18-A Grand Lodge Dues History ................................................................................................... 2-37
19 Sample Demit Form (Grand Lodge) ..................................................................................... 2-38
20 Sample Certificate of Clearance Form (Grand Lodge)......................................................... 2-39
21 Sample Certificate of Prior Membership Form (Grand Lodge) ........................................... 2-40
22 Sample Certificate of Good Standing Form (Local Lodge) ................................................. 2-41
23 Statement of Beliefs (NM-1) ................................................................................................ 2-42
24 Recommendation Form (NM-2) ........................................................................................... 2-43
25 Investigator’s Report Questionnaire Form (NM-3) .............................................................. 2-45
26 Appointment to Investigating Committee - Degrees (NM-4) ............................................... 2-47
27 Application for Affiliation (AF-1)........................................................................................ 2-49
28 Appointment to Investigating Committee - Affiliation (AF-2) ............................................ 2-51
29 Financial Planning/Budget -- Sample Worksheets ............................................................... 2-53
30 Sample Receipt for Money Received or Funds Distributed ................................................. 2-57
31 Sample Invoices When No Original Invoices Exist ............................................................. 2-58
32 Sample Spreadsheets for Income and Deposits .................................................................... 2-59
33 Sample Memorial Sheet for Lodge Records......................................................................... 2-60
34 Inspection Recap Worksheet ................................................................................................ 2-61
35 Inspection Report.................................................................................................................. 2-62
36 Order Form for Grand Lodge Supply Office ........................................................................ 2-63
37 Rulings of Grand Masters..................................................................................................... 2-65
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EXHIBIT 1
GUIDE FOR LODGE MINUTES
JUNE 5, 1958
The 257th Regular Communication of Composite Lodge A.F. & A.M. was held in the Masonic Apartments 15 Doric Street.
Huron. Mass. on Thursday. June 5. 1958. Lodge was opened on the Second Degree, in Form, by Wor. John P. Adams, at 5:00 P.M.
Officers Present
Wor. John P. Adams Master
Bro. Carlton S. Black Senior Warden
Bro. Ivan G. Rust Junior Warden
Wor. Frank W Pierce Treasurer
R.W. Earl W. Taylor Secretary
R.W. Rev. D. Joseph Imler Chaplain
Wor. George D. Lincoln Marshal
Bro. Charles D. Wood as Senior Deacon
Bro. John A. Banks Junior Deacon
Bro. Elisha M. Drape Senior Steward
Bro. Benjamin R. Smith Junior Steward
Bro. Jacob P. Stiles Inside Sentinel
Bro. George R Loud Organist
Bro. Walter A. Monk Tyler
Examination of Candidates
BROS. JOHN HENRY ASTOR, ASA MANLEY BROWN, AND CHARLES WALTER SAMPSON were examined on the
lecture of the Fellowcraft Degree and declared proficient.
Third Degree
The Lodge was changed to the Third Degree, and after the first section was conferred on all the candidates, Bro. JOHN HENRY
ASTOR was raised in short form by the Senior Warden, and Bro. ASA MANLEY BROWN was raised in short form by the Junior Warden.
The Lodge was then called from labor to refreshment for dinner.
(Note: if there is a speaker or other entertainment during the dinner hour it should be recorded here.)
Business Meeting
The Lodge was called from refreshment to labor again at 7:30 P.M. for the regular business meeting. The records of the regular
meeting on May 1, 1958, and the special meeting on May 22, 1958, were read and approved as amended.
Balloting
With the reports of two of the Committees of Investigation being full and favorable, separate secret ballots were taken and
EARLE JOHN SIMPSON and GEORGE CADMAM JONES were elected to receive the degrees.
The report of the Committee of Investigation on the application of BRUCE HORACE ALLEN was not unanimous. Two of the
Committee reporting favorably and one reporting unfavorably. Three ballots were taken at the discretion of the Master, all of which were
not clear and BRUCE HORACE ALLEN was declared rejected for the degrees.
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EXHIBIT 1, continued
With the report of the Committee of Investigation on the application of Bro. JAMES LAURENCE THOMAS for affiliation being
full and favorable, a ballot was taken and he was declared elected to membership. Bro. Thomas being in the ante-room, was escorted into
the Lodge room and introduced to the members. He then signed the By-laws.
With the report of the Committee of Investigation on the application of Bro. JOSHUA WHITE for affiliation being full and
favorable, a ballot was taken and he also was declared elected to membership. But since Bro. White still holds membership in a Lodge in
Iowa, he was instructed that he would have to secure his demit from his Lodge in Iowa and deposit it with our Secretary before he would
be entitled to sign the By-Laws of Composite Lodge, because Iowa does not permit dual membership.
Reinstatement
The next ballot to be taken was on the petition of Bro. WALTER EDMOND KNOWLES for reinstatement; he having been
suspended for non-payment of dues on July 10, 1953. Since his suspension was less than five years old, his reinstatement depended on his
getting a majority favorable ballot of the members present. The official count was taken showing 63 members present, thus making it
necessary for there to be at least 32 yeas cast. Ballots were distributed for the required secret vote, 45 votes were collected, 25 being in the
affirmative and 20 being in the negative. Failing to receive the required 32 favorable votes, Bro. WALTER EDMOND KNOWLES was
declared rejected for reinstatement and the Secretary was instructed to issue to Bro. Knowles a Certificate of Good Standing dated June 5,
1958 as required by the Grand Constitutions.
Honorary Member
A secret ballot was taken on the nomination of M.W. JOSEPH EARL PERRY for Honorary Membership. The ballot was clear
and he was declared elected as an Honorary Emeritus Member of the Lodge.
Demits
The Secretary announced that upon their written requests, and they being clear on the books, demits had been issued to Bro.
HENRY JAMES GORDON dated May 10, 1958, and to Bro. WILLIAM HARVEY JONES dated June 1, 1958. Bro. ALLAN CROSBY,
who had been suspended June 4, 1940 for nonpayment of dues, paid up his arrears on May 20, 1958 and requested a demit. In accordance
with Sec. 507 of the Grand Constitutions, the demit was issued under the date of May 20, 1958.
Suspension
Upon recommendation of the Finance Committee it was Voted: That Bro. VANCE ELIOT STEDMAN be suspended for non-
payments of dues. Such suspension to take effect July 10, 1958, if his dues were not received by the Secretary on or before that date.
Applications
The following applications were received and referred to investigating committees:
For Degrees
ALLYN BENJAMIN CROSS: b. Sept. 1 1930. Bath, Maine
Clarence A. Conley) Res. 2 Market St., Erie, Mass.
Edward H. Butters) Occupation: Salesman
Frank B. Jones ) Committee Recom. by Wor. Harvey N. Stassen
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EXHIBIT 1, continued
For Affiliation
Bro. CHAUNCEY HERBERT WHITE: b Aug. 22. 1886 Troy N Y.
Michael Storm) Res. 33 Main St., Marion Mass.
James H. Strong) Occupation Banker
Patrick B. Hardy) Committee Recom. by Bro. Arthur D. Browne
Initiated: Feb. 26, 1918 Hancock No. 101
Passed: Apr. 6, 1918 Greenfield,
Raised: May 31, 1918 Indiana
Demitted: Dec. 1, 1925
Affiliated: Feb. 28, 1926 St. Paul’s No. 500
Suspended: Apr. 11, 1929 Springfield
Reinstated: June 17, 1937 Illinois
Demitted: May 13, 1956
For Reinstatement
Bro. MANLEY PARKER: Res. 1250 Tenth Ave. New York City
Frank P. Stearns) Susp N.P.D. July 10, 1943
Charles M. Ashby)
Thomas S. Gross ) Committee
Nomination for Honorary Membership
M.W. PAUL LLEWELLYN POWERS
Res. Freeport Maine
Member of Freeport Lodge No. 23. Freeport Maine
Recom. by Master & Wardens
Necrology
The Master called up the Lodge and read the Necrology of Wor. Bro. FREDERICK ARTHUR WELLS, who passed away at his
home in St. Petersburg Florida, on Saturday May 10, 1958. A Masonic Funeral Service was conducted on our behalf by Sunshine Lodge
No. 288, of St. Petersburg. The Brethren stood for a moment of silence while the Chaplain offered prayer. A. page of the records is
appended hereto in memory of our departed Brother.
Completion of Work
Visitors were then readmitted and cordially welcomed and work was resumed.
Bro. CHARLES WALTER SAMPSON was raised in long form by the Worshipful Master assisted by a cousin of the candidate,
Bro. James K. Sampson, as Senior Deacon.
Closing
Lodge was closed in Due Form at 10:00 P.M.
Attendance: Members 63, Visitors 10, Candidates 3 - Total 76.
A true abstract of the record.
Attest:
Earl W. Taylor
Secretary
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EXHIBIT 1A
SAMPLE LODGE, A.F. & A.M.
460 Masonic Avenue
Mytown, MA 01234
The _______________ , a Regular (Special) Communication of Sample Lodge, A.F. & A.M. was held
on Thursday, ____________________________, 20______, at the Masonic Hall, 460 Masonic Avenue,
Mytown, MA. The Lodge was organized at __________ P.M. and opened at __________ P.M., on the
Degree in (due) form by the Worshipful Master.
OFFICERS PRESENT
Worshipful Master
Senior Warden
Junior Warden
Treasurer
Secretary
Chaplain
Chaplain
Marshal
Senior Deacon
Junior Deacon
Senior Steward
Junior Steward
Inside Sentinel
Organist
Electrician
Tyler
Soloist
EXEMPLIFICATION OF PROFICIENCY:
After the Lodge was opened, Bro. was exemplified on the
candidate's work on the degree by _________________________ to the
satisfaction of the Worshipful Master.
______________ DEGREE:
P.M. CHANGE: The Lodge was changed to the degree.
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COMMENTS:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______
WORK:
________ P.M. WORK: First Section, ________________Degree
______________________________________, _____________________________________,
______________________________________, _____________________________________,
and _________________________________________ was/were received and obligated a
____________________________________ by the Worshipful Master.
___________ DEGREE:
___________P.M. CHANGE: The Lodge was changed to the __________________ Degree.
WORK:
__________ P.M. WORK: The Second Section of the _______________ Degree was
performed by the Worshipful Master.
COMMENTS:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
THIRD DEGREE:
__________ P.M. CHANGE: The Lodge was changed to the Third Degree.
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CALL TO REFRESHMENT:
6:30 P.M. The Lodge was called from labor to refreshment by the Worshipful Master. The
Brethren retired to the dining hall for a ______________________________ dinner.
BUSINESS MEETING:
__________ P.M. The Lodge was called from refreshment to labor again by the Master for the
stated monthly business meeting.
SECRETARY'S REPORT:
The Secretary's report for the_____________________ Communication was (waived) read and
accepted (as amended).
TREASURER'S REPORT:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
CORRESPONDENCE:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
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BALLOT FOR THE DEGREES:
(DEGREES, AFFILIATIONS, REINSTATEMENTS, HONORARY, SUSPENSIONS)
The report of the investigation committee upon the application for the degrees by
_____________________________was read by the Secretary. With the report being full
(partial) (in the majority) and favorable, a ballot was conducted by the Worshipful Master. Mr.
__________________________was unanimously elected to receive the degrees in Sample
Lodge.
The report of the investigation committee upon the application for affiliation by Bro.
__________________________________, currently a member of/demitted of
__________________________________ Lodge was read by the Secretary. With the report
being full (partial) (in the majority) and favorable, a ballot was conducted by the Worshipful
Master. Bro. __________________________ was unanimously elected an affiliate member of
Sample Lodge.
APPLICATIONS FOR DEGREES:
Applications for the Degrees were read from the following:
________________________________________________
Resides:
Born:
Occupation:
Proposed by:
________________________________________________
Resides:
Born:
Occupation:
Proposed by:
________________________________________________
Resides:
Born:
Occupation:
Proposed by:
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APPLICATIONS FOR AFFILIATION:
Applications for affiliation were read from the following:
________________________________________________
Resides:
Born:
Occupation:
Member of:
Recommended by:
________________________________________________
Resides:
Born:
Occupation:
Member of:
Recommended by:
________________________________________________
Resides:
Born:
Occupation:
Member of:
Recommended by:
OTHER APPLICATIONS (Reinstatements, Honorary, Demits):
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
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COMMITTEE REPORTS:
Blood: ________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Membership: __________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Service: ______________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Elder Affairs: __________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Other: ________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
OTHER BUSINESS OLD/NEW:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
ANNOUNCEMENTS AND COMMENTS:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
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NECROLOGY:
The Necrology was read and a memorial prayer was offered by the Chaplain for
___________________________________________ who recently departed to the Celestial
Lodge above.
__________ P.M. There being no further business, the Business Meeting was closed.
RECEPTION OF THE DISTRICT DEPUTY GRAND MASTER
__________P.M.: Right Worshipful , District Deputy Grand
Master of the (Number) Masonic District, accompanied by Wor.
_____________________________________, District Deputy Grand Marshal, Wor.
____________________________, District Deputy Grand Secretary, and a suite of distinguished
Masons was received by a committee of Past Masters, chaired by Wor.
_____________________, for the purpose of making a Fraternal (Official) Visit to Sample
Lodge. He conveyed the warm fraternal greetings of Most Worshipful
_______________________________, Grand Master of Masons in Massachusetts, to those
assembled as well as his own personal greetings.
_________ DEGREE:
_________ P.M. CHANGE: The Lodge was changed to the __________Degree.
_________ P.M. WORK: __________________ Degree, Second Section
The lecture of this section was presented to the candidate by _____________________,
________________, and _______________________.
WORK Third Section:
The lecture of this section was presented to the candidate by the Worshipful Master, assisted by
____________________________________.
Following the completion of the degree work of the evening the candidates were presented with
the necessary educational materials by _______________________.
Following the ritualistic work of the evening, remarks were made by the Worshipful Master,
________________________, and ______ Past Masters.
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COMMENTS:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
CLOSE:
__________ P.M. CLOSE: The Lodge was closed in (due) form by the Worshipful Master.
Present at this communication were _____members, _____guests and _____candidates. A
collation was available in the dining hall following which the Brethren retired to their homes at a
reasonable hour.
A true abstract of the record.
Attest:
______________________________
Secretary
rev:022005
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EXHIBIT 2
Request for Educational Pamphlets for Candidates
____________________
Supply Department
Room 201, Masonic Building ________________________20_____
186 Tremont Street, Boston, MA 02111-1095
Please forward the necessary number of pamphlets for the following
named candidates who have been elected to receive the degrees.
_____________________________
_____________________________
_____________________________ ________________________Lodge
_____________________________ ________________________Secretary
_____________________________ ________________________Address
Please send requisition seasonably: i.e., immediately after election.
E - 15
2-15
EXHIBIT 3
Sample Letter of Notification to Candidate for the Degrees
SAMPLE LODGE, A.F. & A.M.
P. O. Box 444
Anytown, MA 04644
Date:
Dear Mr._______________________
It is with pleasure that I inform you that at the last regular communication of Sample Lodge, you
were elected to receive the degrees in Freemasonry. Let me congratulate you on this and allow me to say
that the Lodge is looking forward to your joining the greatest organization on earth.
Your attention is specially directed to the following extract from the Grand Constitutions of
Massachusetts, Part IV, Article III, Section 4, which states:
“Every candidate elected to receive the degrees shall be notified thereof by the
Secretary. The notice shall specify the time and place at which he may present himself to
receive the first degree, and if, through his own fault or neglect, he does not receive the
degree within one year from that time, the ballot by which he was elected shall be void
and all fees he has paid shall be forfeited to the Lodge.”
Sample Lodge is located at the corner of Main and Adams Street on the second floor. Entrance
may be gained by ringing the doorbell on the Main St. entrance to the building.
Your Entered Apprentice Degree has been scheduled for _________________ at the Masonic
Building in Anytown. Please be there at ___________________o’clock. If you have any questions,
please feel free to contact either the Worshipful Master or myself.
The fee for this degree is: $ .
Sincerely yours,
_______________________
Secretary
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EXHIBIT 3A
Sample Letter of Notification to Rejected Candidate
SAMPLE LODGE, A.F. & A.M.
P O Box 444
Anytown, MA 04644
Date:
Dear Mr.________________________
I regret to inform you that, at a regular meeting of the Lodge held on________________, you
have failed to be elected to receive the degrees in Freemasonry in our Lodge. The fees you have paid are
herewith returned to you.
Your attention is specially directed to the following extract from the Grand Constitutions of
Massachusetts, Article 415, which states:
“Every candidate whose application for the degrees has been rejected shall be notified thereof by the
Secretary and all fees he has paid shall be returned to him. The notice shall specify the date of the
rejection, the constitutional period which must elapse before the candidate may apply again to that
Lodge, and also the period which must elapse before he may be balloted for in any other Lodge without
the consent and recommendation of the Lodge, which has rejected his application.”
You may reapply to this Lodge after six months time, but may not apply to any other Lodge
within the jurisdiction of Massachusetts within five years without a written recommendation from the
Master, Wardens and three members of this Lodge.
Sincerely yours,
__________________________
Secretary
2-17
EXHIBIT 4
SAMPLE LODGE, A.F. & A.M.
SECRETARY'S CANDIDATE CHECKLIST
CANDIDATE'S NAME: ___________________________________ PHONE: _________________
ADDRESS: ____________________________CITY: ______________STATE: ____ZIP: ________
SPONSOR'S NAME: ________________________________________ PHONE: _______________
FIRST DEGREE FEE ($50.00) RECEIVED: ______________________CHECK No: ____________
SECOND DEGREE FEE ($50.00) RECEIVED: ___________________ CHECK No: ____________
THIRD DEGREE FEE ($50.00) RECEIVED:______________________CHECK No:_____________
AFFILIATION FEE ($50.00) RECEIVED: ________________________CHECK No: ____________
COMPLETED PRE-AP FORMS SENT TO MEMBERSHIP COMMITTEE: ____________________
APPLICATIONS RECEIVED: _______________APPLICATIONS READ IN LODGE: ___________
SPONSOR THANK-YOU LETTER SENT:_____________________
INVESTIGATION LETTERS SENT TO: DATE SENT DATE RECEIVED
1. ____________________________________ _________________ ____________________
2. ____________________________________ _________________ ____________________
3. ____________________________________ _________________ ____________________
REQUEST FOR CERTIFIED MASONIC RECORD SENT: _____________ RCVD: ____________
ELECTION SCHEDULED FOR: _____________ � ELECTED
CANDIDATE SPONSOR
NOTIFICATION OF ELECTION/REJECTION SENT: _________________ ______________
LETTER SCHEDULING FIRST DEGREE SENT: _________________ ______________
LETTER SCHEDULING SECOND DEGREE SENT: _________________ ______________
LETTER SCHEDULING THIRD DEGREE SENT: _________________ ______________
NOTIFICATION OF INSTRUCTIONAL SESSION SENT: _________________ ______________
NOTIFICATION OF BY-LAWS SIGNING SENT: _________________ ______________
NOTES:
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EXHIBIT 5
Order For Grand Lodge Diplomas
As Needed for Immediate Use
______________________
TO THE SUPPLY DEPARTMENT OF THE GRAND OF MASSACHUSETTS, A.F. & A.M.
Please send me Master Mason Diplomas for presentation to the following named candidates
who have received the Second Degree and are now eligible to receive the Third Degree.
_____________________________
_____________________________
_____________________________ ________________________Lodge
_____________________________ ________________________Secretary
_____________________________ ________________________Address
NOT MORE THAN FIVE DIPLOMAS TO BE CALLED FOR ON ONE BLANK
Please do not call for any supplies on this blank. Send order for Diplomas seasonably.
Please do not date the Diplomas in advance of the candidates receiving the Third Degree.
2-19
EXHIBIT 6
SAMPLE FORM OF BY-LAWS CERTIFICATION
SAMPLE LODGE, A.F. & A.M.
P. O. Box 444
Anytown, MA 04644
March 18, 20xx
I hereby certify that the following proposed amendment to the By-Laws of Sample Lodge was
adopted by the Lodge at the Regular Communication on (Date of Vote) by the required two-thirds vote
of the members present and voting:
Article VI Section 2. Every member shall pay annually on or before the first day of September
the sum of twenty-five dollars as dues for the support of the Lodge.
(Signature)
Secretary, Sample Lodge
(Seal) (Date)
The certification must be submitted in duplicate on Lodge stationery, signed by the Lodge
Secretary, and sealed with the Lodge seal. Only the wording of the proposed amendment is required and
more than one amendment may be submitted on the certification form. However, it is requested that not
less than two inches of space at the bottom of the page be left clear for the certification of the Grand
Secretary.
Following approval, a certified copy of the approved By-Laws amendments will be returned to
the Lodge Secretary for the Lodge records.
2-20
EXHIBIT 7
SECRETARY’S MONTHLY REPORTS
ABBREVIATIONS
POB Place of Birth EA Entered Apprentice
DOB Date of Birth FC Fellow Craft
OCC Occupation MM Master Mason
EL Elected BL By-Laws
INSTRUCTIONS
Use FULL NAMES: Last, First, Middle
Initials that do not represent a name are to be put in quotes: “E” “G” Marshall. For no middle name or initial, enter NMI after
first name: Jones, John NMI Dates are to be entered in numerals: Year-Month-Day: 1983-12-24
TYPE OR PRINT LEGIBLY.
PART I - CANDIDATES
Enter full name, address, POB, DOB, and OCC when EL is reported for a candidate elected AFTER August 31,
1982
Enter FULL NAME ONLY when reporting degree or By-Laws dates for a candidate ELECTED AND REPORTED
after August 31, 1982.
Enter full name, address, and date of last activity, whether EL or a degree for a candidate elected BEFORE
AUGUST 31, 1982.
If a candidate has not taken the next degree within one year of the preceding degree enter “Dropped, lack of interest”
or “Dropped, lost contact” together with his full name and last degree date.
COURTESY WORK
To report degrees conferred by another Lodge on your candidate:
Enter data as instructed above.
Place asterisk (*) after degree date conferred by other Lodge.
Enter name and location of other Lodge in next column.
To report degrees conferred by your Lodge on a candidate of another Lodge:
Enter FULL NAME only.
Enter degree date and circle.
Enter name and location of candidate’s Lodge in next column.
2-21
EXHIBIT 8
MONTHLY REPORT CONTROL SHEET
Lodge___________________________________________________________
Report for the Month of _____________________________________20_____
CHECK THE BOX FOR EACH CATEGORY IN WHICH AN ENTRY IS MADE
Part I Candidates
Part II Affiliates
Part III Reinstatements
Part IV Demits or Certificates of Clearance
Part V Suspended Members Demitting Without Resuming Membership
Part VI Deaths
Part VII Rejections of Withdrawn Applications
Part VIII Suspensions
Part IX Address Changes
CHECK THE BOX FOR EACH TYPE OF ENCLOSURE
Lodge Notice
Demits or Certificates to be Certified -- Number: __________
Masonic Record Requests -- Number: __________
Release of Jurisdiction Requests -- Number: __________
Return of Officers
Other: ____________________________________________________________
TOTAL MEMBERSHIP AS OF LAST MONTH __________
TOTAL MEMBERSHIP AS OF THIS MONTH __________
Lodge Secretary: __________________________________________________________
Date: ___________________________________________________________________
2-22
PART I
Candidates PLEASE FILL IN ALL SPACES
Full Name:_______________________________________ Elected: _______________________________________
Street: ___________________________________________ Entered Apprentice: _____________________________
City: ____________________________________________ Fellow Craft: ___________________________________
State: ___________ Zip: ________________-___________ Master Mason: _________________________________
Occupation: ______________________________________ Signed By-Laws: ________________________________
Place of Birth: _____________________________________ Date of Birth: __________________________________
Full Name:_______________________________________ Elected: _______________________________________
Street: ___________________________________________ Entered Apprentice: _____________________________
City: ____________________________________________ Fellow Craft: ___________________________________
State: ___________ Zip: ________________-___________ Master Mason: _________________________________
Occupation: ______________________________________ Signed By-Laws: ________________________________
Place of Birth: _____________________________________ Date of Birth: __________________________________
Full Name:_______________________________________ Elected: _______________________________________
Street: ___________________________________________ Entered Apprentice: _____________________________
City: ____________________________________________ Fellow Craft: ___________________________________
State: ___________ Zip: ________________-___________ Master Mason: _________________________________
Occupation: ______________________________________ Signed By-Laws: ________________________________
Place of Birth: _____________________________________ Date of Birth: __________________________________
Full Name:_______________________________________ Elected: _______________________________________
Street: ___________________________________________ Entered Apprentice: _____________________________
City: ____________________________________________ Fellow Craft: ___________________________________
State: ___________ Zip: ________________-___________ Master Mason: _________________________________
Occupation: ______________________________________ Signed By-Laws: ________________________________
Place of Birth: _____________________________________ Date of Birth: __________________________________
Full Name:_______________________________________ Elected: _______________________________________
Street: ___________________________________________ Entered Apprentice: _____________________________
City: ____________________________________________ Fellow Craft: ___________________________________
State: ___________ Zip: ________________-___________ Master Mason: _________________________________
Occupation: ______________________________________ Signed By-Laws: ________________________________
Place of Birth: _____________________________________ Date of Birth: __________________________________
Courtesy Degree Candidates
Lodge By or For: __________________________________ Location: _____________________________________
Full Name: _______________________________________ Entered Apprentice: _____________________________
Fellow Craft: _____________________________________ Master Mason: _________________________________
Lodge By or For: __________________________________ Location: _____________________________________
Full Name: _______________________________________ Entered Apprentice: _____________________________
Fellow Craft: _____________________________________ Master Mason: _________________________________
Lodge By or For: __________________________________ Location: _____________________________________
Full Name: _______________________________________ Entered Apprentice: _____________________________
Fellow Craft: _____________________________________ Master Mason: _________________________________
Lodge: ________________________________________________________________
Report for the Month of: _____________________________________________20___
2-23
Part II
Affiliates
Full Name: _____________________________________ Entered Apprentice: ______________________________
Street: _________________________________________ Lodge: ________________________________________
City: __________________________________________ State: ________ Zip: ________________-____________
Place of Birth: ___________________________________ Date of Birth: __________________________________
Occupation: _____________________________________ Place of Business: _______________________________
Elected for Affiliation: _____________________________ Signed By-Laws: ________________________________
Full Name: _____________________________________ Entered Apprentice: ______________________________
Street: _________________________________________ Lodge: ________________________________________
City: __________________________________________ State: ________ Zip: ________________-____________
Place of Birth: ___________________________________ Date of Birth: __________________________________
Occupation: _____________________________________ Place of Business: _______________________________
Elected for Affiliation: _____________________________ Signed By-Laws: ________________________________
Full Name: _____________________________________ Entered Apprentice: ______________________________
Street: _________________________________________ Lodge: ________________________________________
City: __________________________________________ State: ________ Zip: ________________-____________
Place of Birth: ___________________________________ Date of Birth: __________________________________
Occupation: _____________________________________ Place of Business: _______________________________
Elected for Affiliation: _____________________________ Signed By-Laws: ________________________________
Full Name: _____________________________________ Entered Apprentice: ______________________________
Street: _________________________________________ Lodge: ________________________________________
City: __________________________________________ State: ________ Zip: ________________-____________
Place of Birth: ___________________________________ Date of Birth: __________________________________
Occupation: _____________________________________ Place of Business: _______________________________
Elected for Affiliation: _____________________________ Signed By-Laws: ________________________________
Part III
Reinstatements
Full Name: ______________________________________ Entered Apprentice: _____________________________
Street: __________________________________________ Lodge: _______________________________________
City: ___________________________________________ State: _________ Zip: _______________-___________
Suspended: ______________________________________ Reinstated: ____________________________________
Full Name: ______________________________________ Entered Apprentice: _____________________________
Street: __________________________________________ Lodge: _______________________________________
City: ___________________________________________ State: _________ Zip: _______________-___________
Suspended: ______________________________________ Reinstated: ____________________________________
Full Name: ______________________________________ Entered Apprentice: _____________________________
Street: __________________________________________ Lodge: _______________________________________
City: ___________________________________________ State: _________ Zip: _______________-___________
Suspended: ______________________________________ Reinstated: ____________________________________
Lodge: _____________________________________________________________
Report for the Month of: _________________________________________ 20___
2-24
Part IV
Demits or Certificates of Clearance
Full Name: ______________________________________ Demit Date: ____________________________________
Lodge: __________________________________________ Entered Apprentice: ______________________________
Reason Member is Demitting: ________________________________________________________________________
Member’s Current Address: __________________ City: ___________________State______ Zip: ________-_______
Full Name: ______________________________________ Demit Date: ____________________________________
Lodge: __________________________________________ Entered Apprentice: ______________________________
Reason Member is Demitting: ________________________________________________________________________
Member’s Current Address: __________________ City: ___________________State______ Zip: ________-_______
Full Name: ______________________________________ Demit Date: ____________________________________
Lodge: __________________________________________ Entered Apprentice: ______________________________
Reason Member is Demitting: ________________________________________________________________________
Member’s Current Address: __________________ City: ___________________State______ Zip: ________-_______
Part V
Suspended Members Demitting Without Resuming Membership
Full Name: ______________________________________ Demit Date: ____________________________________
Lodge: __________________________________________
Entered Apprentice: _______________________________ Suspended: ____________________________________
Reason Member is Demitting:________________________________________________________________________
Member’s Current Address: __________________ City: ___________________State______ Zip: ________-_______
Full Name: ______________________________________ Demit Date: ____________________________________
Lodge: __________________________________________
Entered Apprentice: _______________________________ Suspended: ____________________________________
Reason Member is Demitting:________________________________________________________________________
Member’s Current Address: __________________ City: ___________________State______ Zip: ________-_______
Full Name: ______________________________________ Demit Date: ____________________________________
Lodge: __________________________________________
Entered Apprentice: _______________________________ Suspended: ____________________________________
Reason Member is Demitting:________________________________________________________________________
Member’s Current Address: __________________ City: ___________________State______ Zip: ________-_______
Part VI
Deceased
Full Name: _______________________________________ Date of Death: _________________________________
Lodge: __________________________________________ Entered Apprentice: _____________________________
Full Name: _______________________________________ Date of Death: _________________________________
Lodge: __________________________________________ Entered Apprentice: _____________________________
Full Name: _______________________________________ Date of Death: _________________________________
Lodge: __________________________________________ Entered Apprentice: _____________________________
Lodge: ____________________________________________________________
Report for the Month of: ________________________________________ 20____
2-25
Part VII
Rejections or Withdrawn Applications
Full Name: _______________________________________ Date of Birth: ___________________________________
Address: _________________________________ City: _________________ State: _____ Zip: _________-________
Occupation: ______________________________________
Date of Application Withdrawal: _____________________ Date of Rejection: ________________________________
Full Name: _______________________________________ Date of Birth: ___________________________________
Address: _________________________________ City: _________________ State: _____ Zip: _________-________
Occupation: ______________________________________
Date of Application Withdrawal: _____________________ Date of Rejection: ________________________________
Part VIII
Suspensions
Full Name: _______________________________________ Date of Suspension: ______________________________
Lodge: ___________________________________________ Entered Apprentice: ______________________________
Date Certified Letter Sent: ___________________________
Reason For Suspension: __________________________________________________________________________
Full Name: _______________________________________ Date of Suspension: ______________________________
Lodge: ___________________________________________ Entered Apprentice: ______________________________
Date Certified Letter Sent: ___________________________
Reason For Suspension: __________________________________________________________________________
Full Name: _______________________________________ Date of Suspension: ______________________________
Lodge: ___________________________________________ Entered Apprentice: ______________________________
Date Certified Letter Sent: ___________________________
Reason For Suspension: __________________________________________________________________________
Full Name: _______________________________________ Date of Suspension: ______________________________
Lodge: ___________________________________________ Entered Apprentice: ______________________________
Date Certified Letter Sent: ___________________________
Reason For Suspension: __________________________________________________________________________
Full Name: _______________________________________ Date of Suspension: ______________________________
Lodge: ___________________________________________ Entered Apprentice: _____________________________
Date Certified Letter Sent: ___________________________
Reason For Suspension: __________________________________________________________________________
Full Name: _______________________________________ Date of Suspension: _____________________________
Lodge: ___________________________________________ Entered Apprentice:_____________________________
Date Certified Letter Sent: ___________________________
Reason For Suspension: __________________________________________________________________________
Full Name: _______________________________________ Date of Suspension: _____________________________
Lodge: ___________________________________________ Entered Apprentice: _____________________________
Date Certified Letter Sent: ___________________________
Reason For Suspension: __________________________________________________________________________
Lodge: ___________________________________________________________
Report for the Month of : _____________________________________ 20_____
2-26
Part IX
Address Changes
Full Name: ______________________________________ Effective Date: _______________________________ Old Address New Address
Address: _____________________________________ Address:____________________________________
City: ___________________________________________ City: ______________________________________
State: ______________ Zip: ____________-___________ State: __________ Zip _____________-__________
Full Name: ______________________________________ Effective Date: ______________________________ Old Address New Address
Address: ________________________________________ Address: ___________________________________
City: ___________________________________________ City: ______________________________________
State: ______________ Zip: ____________-___________ State: __________ Zip _____________-__________
Full Name: ______________________________________ Effective Date: ______________________________ Old Address New Address
Address: ________________________________________ Address: ___________________________________
City: ___________________________________________ City:_______________________________________
State: ______________ Zip: ____________-___________ State: __________ Zip _____________-___________
Full Name: ______________________________________ Effective Date: ______________________________ Old Address New Address
Address: ________________________________________ Address: ___________________________________
City: ___________________________________________ City:_______________________________________
State: ______________ Zip: ____________-___________ State: __________ Zip _____________-__________
Full Name: ______________________________________ Effective Date: ______________________________ Old Address New Address
Address: ________________________________________ Address: ___________________________________
City: ___________________________________________ City: ______________________________________
State: ______________ Zip: ____________-___________ State: __________ Zip _____________-__________
Full Name: ______________________________________ Effective Date: ______________________________ Old Address New Address
Address: ________________________________________ Address: ___________________________________
City: ___________________________________________ City: ______________________________________
State: ______________ Zip: ____________-___________ State: __________ Zip _____________-__________
Full Name: ______________________________________ Effective Date: ______________________________ Old Address New Address
Address: ________________________________________ Address: ___________________________________
City: ___________________________________________ City:_______________________________________
State: ______________ Zip: ____________-___________ State: __________ Zip _____________-__________
Full Name: ______________________________________ Effective Date:_______________________________ Old Address New Address
Address: ________________________________________ Address: ___________________________________
City: ___________________________________________ City: ______________________________________
State: ______________ Zip: ____________-___________ State: __________ Zip _____________-__________
Lodge: _________________________________________________________
Report for the Month of: ________________________________ 20________
2-27
EXHIBIT 9
Elected Entered Passed Raised Affiliated By-Laws Reinstated Suspended Demitted Deceased
September
October
November
December
January
February
March
April
May
June
July
August
TOTALS
Membership as of September 1, 20___
Add Gains +
Subtract Losses -
Membership as of August 31, 20___
Net Gain / Loss
_______________ Lodge, A.F. & A.M. Annual Recapitulation of Membership
Based on Grand Lodge Monthly Reports
2-28
EXHIBIT 10
NOTIFICATION OF DEATH OF MEMBER,
To Masonic Service Department
NOTIFICATION OF DEATH OF MEMBER
To Masonic Service Department
Date: __________________________
Member’s Name: ____________________________________________
Date of Death: ______________________________________________
Widow’s Name and Address: __________________________________
__________________________________
__________________________________
Lodge Name: _______________________________________________
Please Return To The Grand Secretary’s Office
2-29
EXHIBIT 11
SAMPLE MEMBER’S INFORMATION CARD
REVERSE
WITH DUES CHECKOFF
2-30
EXHIBIT 12
REQUEST FOR CERTIFIED MASONIC RECORD
For purposes of affiliation, please forward the certified Masonic record of the Brother listed below:
Name: _______________________________________________________________________
Lodge:______________________________ City: _______________________ State: ________
E.A.______________________ F.C. _____________________ M.M. _____________________
Date and Place of Birth:__________________________________________________________
Other Information: ______________________________________________________________
__________________________________Secretary
_____________________________________Lodge
_____________________________________ Date
Form
GS-2 (This form is for your convenience in requesting certified Masonic records)
2-31
EXHIBIT 13
REQUEST FOR VETERAN'S MEDAL
Lodge: _______________________________________________________________________
Member's full name: ____________________________________________________________
Member's address: ______________________________________________________________
_______________________________________________________________
Date of Raising: ________________________________________________________________
Can he attend your Lodge to receive the award? _______________________________________
If not, what will his address be at the time of the presentation? ___________________________
If the member has not accumulated a record of 50 years' good standing as an affiliated Master Mason,
please answer the following questions for the Grand Master's consideration in determining the member's
eligibility for the Medal:
1. What is his present interest in Lodge affairs?
_________________________________________________________________
_________________________________________________________________
2. Does he attend Lodge meetings regularly, occasionally, rarely, or not at all?
__________________________________________________________________
3. Are his dues current and does he meet his financial obligations to his Lodge and Grand Lodge
promptly?_____________________________________________________________________
Additional remarks: _____________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Fraternally yours,
___________________________________Secretary
______________________________(Date)
Note: The Grand Secretary’s Office will produce a list of those members of your Lodge eligible to
receive a 50-year Veteran’s Medal. You should review this list and if you feel a worthy Brother is
not listed, this form should be used to make your request for a Medal to be issued.
2-32
EXHIBIT 14
RETURN OF OFFICERS FORM
2-33
EXHIBIT 15
Memorandum
DATE: June 10, 20___
TO: ALL SECRETARIES
FROM: R.W. TUBAL CAIN, GRAND TREASURER
RE: FINAL G.L.D. INVOICE AND ADJUSTMENT FORM
________________________________________________________________________
Final Grand Lodge Dues Invoice for 20___ is attached.
The changes that have been implemented for 20___, by allowing for the deduction of affiliated and
prepaid life members at the beginning of the year ( September 1, 20___) has resulted in a shorter and.
much simpler ending deduction form.
Affiliated Members -- No additional deductions allowed, since all members must have been affiliated
prior to September 1, 20___. Deduction was already allowed for all affiliated members on the original
listing.
Prepaid Life Members - The only additional deductions that will be allowed, are any new prepaid
certificates dated September 1, 20___ that have been issued since September 1, 20___ and not included
on the original listing. Those new certificates are listed on this form.
Deaths, Suspensions and Remissions - We have preprinted the deaths and suspensions reported to us
as of the date of the form. Please review the deaths and delete any member who had paid dues before
death. Add any additional deaths and any suspensions and all remissions.
Special Instructions - Claim for prior 20___ year will be accepted on a separate request on your Lodge
Letterhead. This would be for members suspended owing two years dues etc. Please give Brothers name
and date of action. Do not make this request before sending 20___ G.L.D. form.
Also, if a situation arises after filing your G.L.D. form that a member is suspended or dies owing 20___
dues, submit a request for a refund on your Lodge Letterhead.
We hope this method has helped your Lodge Cash Flow.
Any comments or suggestions will be appreciated.
ALL COMPLETED G.L.D. FORMS AND FINAL
PAYMENTS ARE DUE ON AUGUST 1, 20___
2-34
EXHIBIT 16
GRAND LODGE RETURN
___________________________________LODGE
GRAND LODGE FEES
FOR THE PERIOD SEPTEMBER 1, 20___ - AUGUST 31, 20___
______Initiates, George Washington Memorial at $5.00 each .............................................$__________
______Initiates, Grand Lodge Fee (See. 329) at $15.00 each ...............................................$__________
______Initiates, Masonic Home Fund (Sec. 605) at $5.00 each ...........................................$__________
______Affiliates and/or Reinstatements (Sec. 606) at $5.00 each ........................................$__________
______Reinstatements and Other Suspendees - Grand Lodge Dues Owed at Date
of Suspension at $8.00/$12.00/$15.00/$20.00/$21.00/$24.00/$27.00 each..............$__________
______Miscellaneous ........................................... ................................................................$__________
______Voluntary contribution to DeMolay/Rainbow ...........................................................$__________
TOTAL AMOUNT DUE GRAND LODGE $__________
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
I, , Presiding Master on August 31, 20___ of
Lodge, certify to the Grand Lodge that all required
Monthly Reports for the Masonic year ended August 31, 20___ have been filed, and that the above
specified amount of $ is the true amount due the Grand Lodge.
In Testimony Whereof, I have set my hand hereto, and the
seal of ___________________________ Lodge has been
affixed hereto, at _______________________ this _____
day of _____________________, 20____.
Attest: __________________________________ ______________________________
Secretary of Lodge Master of Lodge
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
$____________________ _____________________________,20____
Received of ___________________________ Lodge, holden at _________________________
by the hand of _______________________________________________, Treasurer, the sum of
_________________________________________Dollars, agreeably to the foregoing Return, for
which I have signed duplicate receipts.
______________________________D.D.G.M, _________________________ Masonic District
Seal
2-35
EXHIBIT 17
_______________ LODGE , A.F. & A.M.
DELINQUENT MEMBER TRACKING SHEET
NAME: ____________________________________________________________
ADDRESS: _________________________________________________________
CITY:______________________________ STATE:_____ZIP: ________________
HOME PHONE:_____________________ BUS. PHONE_____________________
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
YEAR LODGE GRAND LODGE TOTAL
l. _______________ _______________ _______________ _______________
2. _______________ _______________ _______________ _______________
3. _______________ _______________ _______________ _______________
TOTALS: _______________ _______________ _______________
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
FIRST DUES NOTICE FOR 20_____ (current year): _______________
SECOND DUES NOTICE FOR 20_____: _______________
THIRD DUES NOTICE FOR 20____ : _______________
FIRST DELINQUENT NOTICE: _______________
SECOND DELINQUENT NOTICE: _______________
TWO-PAGE LETTER: _______________
TWO-PAGE LETTER FOLLOW-UP: _______________
NOTICE OF INTENT TO SUSPEND (CERTIFIED) _______________
AMNESTY OFFER: _______________
PERSONAL PLEA: _______________
PERSONAL CONTACT BY MASTER: _______________
VOTE TO SUSPEND BY LODGE: _______________
GRAND LODGE NOTIFIED: _______________
NOTICE OF SUSPENSION: _______________
COMMENTS:
Age
2-36
EXHIBIT 18
2010 SCHEDULE FOR PREPAYMENT OF GRAND LODGE DUES FOR LIFE
GRAND LODGE OF MASSACHUSETTS
PREPAYMENT OF GRAND LODGE DUES FOR LIFE
Based on Grand Lodge dues of $29.00 per year. 9/1/2009
Age Amount Age Amount Age Amount Age Amount Age Amount
18 $850.00 32 $826.50 46 $623.50 60 $420.50 74 $217.50
19 $850.00 33 $812.00 47 $609.00 61 $406.00 75 $203.00
20 $850.00 34 $797.50 48 $594.50 62 $391.50 76 $188.50
21 $986.00 35 $783.00 49 $580.00 63 $377.00 77 $174.00
22 $971.50 36 $768.50 50 $565.50 64 $362.50 78 $159.50
23 $957.00 37 $754.00 51 $551.00 65 $348.00 79 $145.00
24 $942.50 38 $739.50 52 $536.50 66 $333.50 80 $130.50
25 $928.00 39 $725.00 53 $522.00 67 $319.00 81 $116.00
26 $913.50 40 $710.50 54 $507.50 68 $304.50 82 $101.50
27 $899.00 41 $696.00 55 $493.00 69 $290.00 83 $87.00
28 $884.50 42 $681.50 56 $478.50 70 $275.50 84 $72.50
29 $870.00 43 $667.00 57 $464.00 71 $261.00 85 $58.00
30 $855.50 44 $652.50 58 $449.50 72 $246.50 86 $43.50
31 $841.00 45 $638.00 59 $435.00 73 $232.00 87 $29.00
88 $14.50
Age in years as of September 1st of the current year.
Make checks payable to: The Grand Lodge of Massachusetts
Send to: Grand Treasurer's Office, 186 Tremont Street, Room 207, Boston, MA 02111-1095
Name _________________________________________________________
Lodge _________________________________________________________
Date of Birth ____________________________________________________
Age as of September 1, this year: _______
Fee From Schedule $ ___________________________
Note: This chart is subject to change as Grand Lodge Dues are adjusted.
2-37
EXHIBIT 18-A
GRAND LODGE OF MASSACHUSETTS
Grand Lodge Dues History
1968 $3.00 1983 $12.00 1998 $21.00 2013
1969 $5.00 1984 $12.00 1999 $21.00 2014
1970 $5.00 1985 $12.00 2000 $21.00 2015 1971 $5.00 1986 $15.00 2001 $21.00 2016
1972 $5.00 1987 $15.00 2002 $21.00 2017
1973 $5.00 1988 $15.00 2003 $21.00 2018
1974 $5.00 1989 $15.00 2004 $24.00 2019
1975 $5.00 1990 $15.00 2005 $25.00 2020
1976 $5.00 1991 $15.00 2006 $26.00 2021
1977 $8.00 1992 $15.00 2007 $27.00 2022
1978 $8.00 1993 $15.00 2008 $27.00 2023
1979 $8.00 1994 $15.00 2009 $27.00 2024
1980 $8.00 1995 $15.00 2010 $29.00 2025
1981 $8.00 1996 $15.00 2011 2026
1982 $8.00 1997 $20.00 2012 2027
2-38
EXHIBIT 19
SAMPLE DEMIT FORM
REVERSE
2-39
EXHIBIT 20
SAMPLE CERTIFICATE OF CLEARANCE
REVERSE
2-40
EXHIBIT 21
SAMPLE CERTIFICATE OF PRIOR MEMBERSHIP
REVERSE
2-41
EXHIBIT 22
____________Lodge, A.F. & A.M. _____________, MA
* * *
Certificate of Good Standing
Date
To Whom It May Concern:
This is to Certify that __________________________ is at this time (was at the time of
his death) a member in Good Standing of _______________ Lodge, A.F. & A.M., of
_________________, Massachusetts. His Masonic Record is as follows:
Born:
Initiated:
Passed:
Raised:
Suspended:
Reinstated:
Demitted:
Re-Affiliated:
Affiliated:
Deceased:
Sincerely and Fraternally,
________________ Lodge, A.F. & A.M.
(Lodge Seal)
_____________________________
Secretary
NOTE: Utilize whatever topics are appropriate, discarding those not deemed necessary.
2-42
______________________, A.F. & A.M. ______________________, Massachusetts
Statement of Beliefs
To be filed with the Membership Committee
before an application is issued.
To the Applicant for Membership:
You may know very little about Freemasonry, so before a lodge accepts your signed membership petition, it
must inform you of certain aspects of the institution that may affect your decision to seek membership in the Masonic
fraternity.
1. Freemasonry has always required that a man should apply for membership entirely of his own free will and
accord. You should not apply as a result of any curiosity about the fraternity, but because you have a favorable
opinion of Freemasonry, a desire for knowledge and a sincere commitment to be of service to your fellowmen.
2. Freemasonry is a fellowship of friends and Brothers who meet together for fraternal relations and
association. This fellowship is founded upon a system of morality based on a belief in the existence of a Supreme
Being; no atheist or agnostic can be made a Mason. Freemasonry teaches the Brotherhood of Man, the Immortality of
the Soul and the duty every man has to his god, his house of worship, his country, his neighbor and himself. It
interferes with neither religion nor politics, but endeavors to bring out man's highest and noblest qualities. The aim of
the true Mason is to promote a brotherly feeling among men and to help the distressed and afflicted to the best of his
ability.
3. The purpose of Freemasonry is moral and spiritual improvement, not the gaining of any material advantage.
It should be clearly understood and remembered that a man should not seek membership in Freemasonry in the hope of
material gain or advancement; admission must not be sought for mercenary or selfish motives. A man who joins for
those reasons will be disappointed.
4. It cannot be emphasized too strongly that Freemasonry is not a benefit society. Membership will not confer
upon any member any right to sick benefits, death benefits, burial expenses, education of your children or support of
your dependents. Failure to understand this has sometimes caused families to hold false impressions which have led to
disappointment, misunderstanding and embarrassment. The practice of charity is, however, a fundamental virtue taught
in Freemasonry, limited in its practice by the means available to the individual member and Masonic organization.
5. Lodge members bear the responsibility for financially supporting the cost of Lodge operations and functions.
An applicant must, therefore, be in a position to meet his obligations for the degree fees and annual dues without
material handicap or detriment to his family or dependents.
6. Loyalty to one's country is an essential qualification in Freemasonry, and only those men who cheerfully
conform to the laws of his country, state and community may join the fraternity. Disloyalty to the country and its laws,
in any form, is inconsistent with the Masonic teachings.
7. The aims of Freemasonry are noble and unselfish. The fraternity deserves and expects of each member a sin-
cere interest and faithful service to Freemasonry of its members. Membership will make certain demands upon your time
and energies. Attendance at Masonic meetings and contributing to Masonic operations and charitable initiatives should
be considered a duty and a privilege.
8. Each member is required to obligate himself to secrecy in purely Masonic matters, such as the ritual, means of
recognition, names of candidates, results of balloting on membership petitions.
If after serious consideration of the foregoing you feel sincerely disposed to seek to membership in the Masonic
fraternity, sign this statement of personal beliefs, after which the senior officers of the Masonic lodge may accept your
petition for membership and begin the process of bringing your petition to the full membership of the Lodge.
I have read, understood and accept the forgoing.
____________________________________________
GL/NM-1/Rev 2008
Please Sign Name in Full
EXHIBIT 23
2 – 43
This form must be filled out by the applicant in his own handwriting.
Application for Degrees
To the Worshipful Master, Wardens and Brethren of
______________________________ Lodge
I, ____________________________________________, the subscriber, by my application
herewith, respectfully shows I entertain a favorable opinion of your ancient Institution and
desire to be admitted a member thereof, and that I believe in the existence of a Supreme
being.
Please print full name (no middle initial): _________________________________________
Residence - Street and number: _________________________________________________
City, State, Zip+4: _____________________________________________________
Telephone number: __________________ e-mail: _________________________________
Mailing address (if different) - Street and number / PO Box: __________________________
City, State, Zip+4: _____________________________________________________
Occupation: ________________________________________________________________
Employe___________________________________________________________________
Street and number: _____________________________________________________
City, State, Zip+4: _____________________________________________________
Telephone number: ______________________ e-mail: ________________________
Date of birth: _______________________________________________________________
Place of birth: ______________________________________________________________
(Signed) __________________________________________
(Date) ______________________________
RECOMMENDATION
Recommended by (please print): Brother _________________________________________
Member of: __________________________________________________________ Lodge
(Signed) ___________________________________________
Before this application is accepted, the Statement of Beliefs must be signed and filed with the Secretary for
permanent record with this petition for the degrees.
NM 2 (1/08)
EXHIBIT 24
2 – 44
This page intentionally left blank
2 – 45
Applicant Information Questionnaire
To Applicant for the Degrees in _____________________________ Lodge
For the protection of the fraternity, it is necessary that careful inquiries be made concerning all applicants
for admission. To facilitate such inquiries, you are requested to fill out this form and return it to the lodge
secretary.
1. My full name (no middle initial) is: ______________________________________________________
2. I ___ have / ___ have not served in the US military (if so, indicate branch, grade and years of service):
_____________________________________________________________________________________
3. I ___ have / ___ have not been convicted of a felony or other offense other than a minor traffic violation.
4. I ___ have / ___ have not ever before applied for initiation in this or any other Masonic jurisdiction?
(If so, state the name and location of lodge or lodges, and in what year.) ____________________________
5. I ___ have / ___ have not ever appeared before an application committee in this or any other Masonic jurisdiction?
(If so, state name and location of lodge or lodges, and in what year.)_______________________________
6. I ___ have / ___ have not ever been refused an application for initiation in this or any other Masonic jurisdiction?
(If so, state name and location of lodge or lodges, and in what year.) _______________________________
7. I have lived at the following address(es) over the past five years. (Give number of years and dates of
residence at each location.) _______________________________________________________________
______________________________________________________________________________________
8. I am ___ / am not ___ married. Name of spouse: ____________________________________________
9. I have ___ children. Names and ages of children: ____________________________________________
10. I am a member/officer of the following professional / civic / fraternal organizations: _______________
______________________________________________________________________________________
11. I am an attendant upon the ______________________________________________ house of worship,
of which I am ___ / am not ___ a member.
12. I was educated at the following schools/colleges. (Give the degree, number of years, and dates at each
institution.) ____________________________________________________________________________
______________________________________________________________________________________
13. My business or professional experience is as follows. (Give names of employers, character of
employment, and dates of service with each. If self-employed, give the nature of your profession, with
locations and dates.) _____________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
14. My reason for desiring to become a Mason is: _____________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
_____________________________________________________________________________________
NM 3 (1/08)
EXHIBIT 25
2 – 46
I refer the lodge to the following neighbors and school / business associates for further information. (If the
applicant has been out of school for more than ten years, names of school associates may be deferred in
favor of more contemporary references.) Please provide at least six references.
Name ___ Address Telephone # e-mail Address__
1.________________________ _____________________ ________________ _______________
2.________________________ _____________________ ________________ _______________
3. ________________________ ____________________ _________________ ______________
4.________________________ _____________________ ________________ _______________
5.________________________ _____________________ ________________ _______________
6.________________________ _____________________ ________________ _______________
7.________________________ _____________________ ________________ _______________
8.________________________ _____________________ ________________ _______________
9. ________________________ ____________________ _________________ ______________
(Signed)_______________________________________________
(Date) ________________________________________________
NM 3 Back (1/08)
2 – 47
EXHIBIT 26
Committee Report, Degrees
Investigation of Applicant for the Degrees
_______________________ Lodge
Date: _______________________________________
Dear Brother:
The Master has appointed you as one of a Committee of Investigation upon the application for the
degrees of:
Name:_________________________________________________________________________
Residence:______________________________________________________________________
Date of Birth:___________________________________________________________________
Place of Birth:__________________________________________________________________
Occupation:____________________________________________________________________
Place of Business:_______________________________________________________________
Recommended By:
(name, telephone number
and email address)_________________________________________ _____________________________________
You are requested to make a thorough investigation, and report by mail to the Secretary, as soon as
you can consistently with thoroughness and care, if possible at least three days before the next
communication. A simple report of "favorable" will not be sufficient. To aid your investigation,
you are furnished herewith information supplied by the applicant, and you are asked to answer the
questions on the reverse side of this sheet.
Fraternally yours,
Secretary
Committee on Investigation: (include name, address, telephone number and email address of each member):
Chairman:
_______________________________________________________________________________
Member:
_______________________________________________________________________________
Member: __ ___________________________________________________________________________________________
NM 4 (1/08)
2 – 48
Have you personally met with the applicant?___________________________________________
Does he believe in the existence of the Supreme
Being?_________________________________________________________________________
What facts stated by him have you verified from
independent sources? (Indicate by inserting the
numbers affixed to items in the applicant's
statement.)_____________________________________________________________________
Have you found any of his statements untrue, if so,
which? (Indicate by numbers.)______________________________________________________
Which of his references have you consulted?
(Indicate by numbers)_____________________________________________________________
Have you consulted any person other than those
named by the applicant, such as former employers,
teachers, or associates?____________________________________________________________
What information have you obtained as to his
character and habits?______________________________________________________________
Do you consider him qualified mentally and
physically to be a Mason?__________________________________________________________
Can he incur the financial obligations of Masonry
without apparent harm to himself and family?__________________________________________
Is he a citizen of the United States?__________________________________________________
If not, why not?__________________________________________________________________
Is he thoroughly loyal to the government and laws
of the United States?______________________________________________________________
Has he any desire for social or political reforms,
and if yes, what and how brought about?______________________________________________
What is your personal impression of him as gained
through an interview?_____________________________________________________________
Would you like to associate with him as a member
of the Lodge?___________________________________________________________________
Is your report "favorable" or "unfavorable?"___________________________________________
What further comments have you to make on his application?
______________________________________________________________________________
______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
___________________________________________
Signature of Committee Member
NM4 (1/08)
2 – 49
EXHIBIT 27
To the Master, Wardens and Members of
............................................................. Lodge
of Ancient Free and Accepted Masons
I, the subscriber, a Master Mason in good standing, am desirous, if found worthy, to be admitted to membership in your Lodge.
I regularly received the Degrees in Freemasonry in ...........................................................................................Lodge situated in
.................................................................... as follows:
ENTERED APPRENTICE .........................................................................................................................................................
FELLOWCRAFT.........................................................................................................................................................................
MASTER MASON.......................................................................................................................................................................
I am at present (a member of ) ..................................................................................................................................Lodge.
(demitted from )
If demitted give date. ....................................................................................................................................................................
My full name is ............................................................................................................................................................................. Use No Initials
My residence is.............................................................................................................................................................................. Street and Town
Place and Date of Birth ................................................................................................................................................................
Occupation .............................................................................. with..........................................................................................
......................................................................................................................................................................................................... Street and Town
I refer to:
Name....................................................................................................................................................................................... Street and Town
Name....................................................................................................................................................................................... Street and Town
Name....................................................................................................................................................................................... Street and Town
Signed......................................................................................
Date................................................................20 ..........
RECOMMENDATION
I, ........................................................................., a member of .............................................................................……
lodge aforesaid, hereby recommend said Brother.........................................................................................................for
membership.
Signed.......................................................................................
Date. ..................................................... 20 .......
AF 1
2 – 50
This page intentionally left blank
2 – 51
INVESTIGATION OF APPLICANT FOR AFFILIATION
........................................................... A.F.& A.M.
Dear Sir and Brother:
The Master has appointed you on a Committee of Investigation upon the application for
affiliation of:
Brother ...............................................................................................................
Residence ............................................................................................................
Occupation...........................................................................................................
With ....................................................................................................................
At ........................................................................................................................
Place of birth ...................... ......................................Date ....................................
Entered ............................... Passed .............................Raised ..............................
In ........................................ Lodge. At .................................................................
And is ................................. Lodge. At ................................................................. [Member of- or demitted from]
REFERENCES
Recommended by ...........................................................
.................................................. Secretary
Committee on Investigation
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................……………………
=============================================================== It is a "Masonic Duty" that you make a thorough investigation, as the Lodge depends on your
recommendation and the applicant expects it...Committee members should feel free to consult with
each other if that seems desirable...The above-mentioned Lodge has been notified and you will be
advised if any adverse comments are made...Please report to the Secretary on the reverse side of
this sheet AT LEAST THREE DAYS prior to the next regular meeting.
===============================================================
(over)
AF2
EXHIBIT 28
2 – 52
INVESTIGATION OF APPLICANT FOR AFFILIATION
-------------------------------------------------
To Be Answered by the Member Investigating
1. If now a member have you seen his current receipt for dues? ........................................
2. Has he ever been suspended? ....................Discharged? ................Expelled? .................
3. Have you checked his references? ..................................................................................
........................................................................................................................... 4. What are his family responsibilities? ...............................................................................
........................................................................................................................... 5. Are his habits good? ....................................................................................................….
........................................................................................................................... 6. Would he fit comfortably into the membership of your Lodge? ......................................
........................................................................................................................... 7. To what other organizations does he belong? ..............................................................…
........................................................................................................................... 8. What is your impression of him after interview? .............................................................
...........................................................................................................................
9. Would he incur any financial hardship in affiliating? ......................................................
...........................................................................................................................
10. State applicant’s reason for wanting to affiliate ............................................................
........................................................................................................................... Comment: ......................................................................................................................…..
...........................................................................................................................
........................................................................................................................... ================================================================
........................20...........
To the Secretary:--
I have carefully investigated the applicant, and do ................. believe him to be a proper person
for membership. My report is .................................................................... [Favorable or unfavorable]
Signature ...............................................
2 – 53
_______________ Lodge A.F. & A.M.
________________, Massachusetts
Operating Budget for the Year beginning September 1, 20___
Income Statement Receipts:
Membership Dues and Application Fees .00 Donations and Gifts .00 Investment Income .00 Transfers from Other Accounts .00
Budgeted Total Receipts .00
Disbursements:
Facilities Costs .00 Lodge Meeting Expenses, Net .00 Member Communications .00 Personnel Costs .00 Other Administrative Costs .00 Grand Lodge Dues and Fees .00 Transfers to Other Accounts .00 Community Service and Masonic Awareness, Net .00 Member Programs, Net .00 Member Services, Net .00
Total Budgeted Disbursements .00
Budgeted Funds Flow Statement
Undesignated Fund Balance, Beginning of Year .00 Budgeted Total Receipts + .00 Budgeted Total Disbursements - .00
Undesignated Fund Balance, Year End = .00
EXHIBIT 29
2 – 54
Receipts Membership Dues And Application Fees
Number Rate per Person Receipts
Blue Lodge Dues 0 .00 .00 Grand Lodge Dues 0 .00 .00 Application Fees
Degrees 0 .00 .00 Affiliation 0 .00 .00
Degree Fees 0 .00 .00 .00
Total Lodge Members 8/31/___ 0 Grand Lodge Life Members (+Age 88) 0 Grand Lodge via Other Lodges 0 Blue Lodge Life Members (+Waivers) 0
Donations and Gifts
Bequests .00 Gifts .00 Building Use By Other Organizations (only if received by Lodge) .00 Memorials .00 Other .00
.00 .00 .00 .00
Investment Income
Interest .00 Dividends .00 Realized Investment Gains / Losses .00 Other .00
.00 .00 .00 .00
Transfers From Other Accounts
Charity Funds .00 Life Membership Account .00 Permanent Fund .00 Other .00
.00 .00 .00 .00
Total Receipts .00
2 – 55
Disbursements Facilities Costs
Rent (or building costs, if recorded on Lodge records) .00 Insurance .00 Other .00
.00 .00
Lodge Meeting Expenses
Receipts Disbursements Cost/(Revenue) Meals and Collations .00 .00 .00 Member Jewels, Aprons, Awards and Pins .00 Officers Jewels and Aprons .00 Speakers .00 Other .00
.00 .00
Member Communications
Printing Meeting Notices .00 Printing Dues Bills, Envelopes and Other .00 Postage .00 Other .00
.00 .00
Personnel Costs
Salaries: Secretary, Treasurer, Custodial, Other .00 Benefits .00 Employee Taxes .00 Officer Training and Education .00 Other .00
.00 .00
Other Administrative Costs
Accounting and Legal Fees .00 Bank Service Charges .00 Officer Association Fees .00 Other .00 .00
Grand Lodge Dues and Fees
Number Rate per Person Payments Membership Dues 0 .00 .00 Candidate Fees 0 .00 .00 Other .00 Affiliations 0 .00 .00 .00
Transfers to Other Accounts
Anniversary Fund .00 Building Fund .00 Charity Fund .00 Permanent Fund .00 Collation Fund .00 .00
2 – 56
Community Service And Masonic Awareness
Receipts Disbursements Cost/(Revenue) Community Service Programs
Awards .00 .00 .00 Blood Drives .00 .00 .00 DARE .00 .00 .00 Holiday Programs .00 .00 .00 Scholarships .00 .00 .00
Fellowship Nights .00 .00 .00 Public Events 0.00
Dances .00 .00 .00 Breakfasts / Suppers .00 .00 .00 Parades .00 .00 .00
Yard Sales .00 .00 .00 Other .00 .00 .00
.00 .00 .00 .00 .00 .00 .00 .00 .00 .00
Member Programs
Receipts Disbursements Cost/(Revenue) Educational Programs .00 .00 .00 Grand Lodge Charities .00 .00 .00 Grand Master's Fair .00 .00 .00 Holiday Celebration .00 .00 .00 Masonic Gift Promotions .00 .00 .00 Meeting Speakers .00 .00 .00 St. John's Sunday .00 .00 .00 Table Lodge .00 .00 .00 Other: .00 .00 .00
.00 .00 .00 .00 .00 .00 .00 .00 .00 .00
Member Services
Receipts Disbursements Cost/(Revenue) Birthday Remembrances .00 .00 .00 Holiday Gifts .00 .00 .00 Memorial Gifts .00 .00 .00 Service Committee .00 .00 .00 Training and Education .00 .00 .00 Widows Program .00 .00 .00 Other .00 .00 .00
.00 .00 .00 .00 .00 .00 .00 .00 .00 .00
Total Disbursements .00
2 – 57
EXHIBIT 30
SAMPLE RECEIPT FOR MONEY RECEIVED OR FUNDS DISTRIBUTED
No. __________________ Date:_________________
_____________________ LODGE, A.F. & A.M.
Received of: ___________________________________________________________________________
_______________________________Dollars, consisting of ______________cash, ____________ checks.
Lodge Dues.........____________ G.L. Dues........... ____________ Welfare Fund ......____________
Dinners.............. ____________ G. W. Fund........ ____________ General Fund...... ____________
Relief.................. ____________ Masonic Home Fund _________ DeMolay............ ____________
Membership....... ____________ G. L. Fee............ ____________ Rainbow............. ____________
Degrees.............. ____________ ____________ ____________
____________ ____________ ____________
2 – 58
Sample Invoices to be used when no invoices exist, e.g. monthly building assessments etc.
_________ LODGE A.F. & A.M.
_______________, MA
DATE_____________________
Invoice from the desk of the Secretary
PLEASE ISSUE A CHECK TO:
__________________________________
In the amount of $ ______________.____
for _______________________________
__________________________________
Thank You
____________________Secretary
EXHIBIT 31
_________ LODGE A.F. & A.M.
_______________, MA
DATE_____________________
Invoice from the desk of the Secretary
PLEASE ISSUE A CHECK TO:
__________________________________
In the amount of $ ______________.____
for _______________________________
__________________________________
Thank You
____________________Secretary
_________ LODGE A.F. & A.M. _______________, MA
DATE_____________________
Invoice from the desk of the Secretary
PLEASE ISSUE A CHECK TO:
__________________________________
In the amount of $ ______________.____
for _______________________________
__________________________________
Thank You
____________________Secretary
_________ LODGE A.F. & A.M. _______________, MA
DATE_____________________
Invoice from the desk of the Secretary
PLEASE ISSUE A CHECK TO:
__________________________________
In the amount of $ ______________.____
for _______________________________
__________________________________
Thank You
____________________Secretary
EXHIBIT 32
SAMPLE SPREADSHEET FORMATS FOR INCOME AND DEPOSITS C
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2-59
2 – 60
Sample Lodge, A.F. & A.M. Masonville, Massachusetts
aving completed the designs laid down upon life’s Trestleboard,
Brother has answered the last summons of the Grand Warden of Heaven and entered that Celestial Lodge above, over which the Supreme Architect of the Universe presides. Though our beloved and respected Brother has passed through the portals of eternity, his memory remains to inspire us to live respected and die regretted.
In Memoriam Brother
a member of
SAMPLE LODGE, A.F. & A.M. Masonville, Massachusetts
Born:
Entered:
Passed:
Raised:
Departed: for that Immortal Temple Eternal in the Heaven.
_________________________________________ __________________________________________
Secretary Worshipful Master
H
EXHIBIT 33 SAMPLE MEMORIAL SHEET FOR
LODGE RECORDS
REC
AP
FOR
___
____
____
____
____
____
____
____
____
____
___
LOD
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TE: _
____
____
____
____
____
_
Sept
.O
ct.
Nov
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Jan.
Feb.
Mar
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May
June
July
Aug
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____
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(3):
EXHIBIT 35
2-62
REPORT OF ANNUAL INSPECTION AND OFFICIAL VISIT
______________________________ LODGE
Date of Inspection______________________ Date of Official Visit ________________________
_____ Number of Lodge Notices attached to reports.
_____ Number of Meetings during the previous year. ________ Number of Minutes in records.
(Report for all listed meetings in Lodge Notices. Report for all Funerals if Lodge Opened.)
_____ Number of Grand Lodge Reports in records. Reason for deviation from 12: ____________
_______________________________________________________________________________.
1. By-Laws signatures current and timely (Degrees and Affiliations)? � Yes � No � n/a*
2. Reinstatements properly acted upon? � Yes � No � n/a
3. Membership list available and current? � Yes � No � n/a
4. Lodge membership figures balanced to Grand Lodge figures? � Yes � No � n/a
5. G.L.D. forms submitted to Grand Lodge by July 25th
? � Yes � No � n/a
6. Deaths properly published and reported? � Yes � No � n/a
7. Suspension criteria properly followed? � Yes � No � n/a
8. Demits properly acted upon? � Yes � No � n/a
9. Degree candidates properly published and reported? � Yes � No � n/a
10. Affiliation candidates properly published and reported? � Yes � No � n/a
11. Masonic Awareness notebook and video available? � Yes � No � n/a
12. Current copy of Grand Constitutions available? � Yes � No � n/a
13. Correspondence (dispensations, etc.) from Grand Lodge available? � Yes � No � n/a
14. Visitor’s register properly kept? (All visitors vouched for?) � Yes � No � n/a
15. Amount of Grand Lodge Returns verified and collected? � Yes � No � n/a
__________ Beginning Member Count, September 1, _______
__________ Plus Degree Candidates By-Laws Signed
__________ Plus Affiliate Candidates By-Laws Signed
__________ Plus Reinstatements
__________ Less Deaths
__________ Less Suspensions
__________ Less Demits
__________ Ending Member Count, August 31, ________
All discrepancies or other comments to be noted on the reverse of this report. � See reverse.
I have inspected the records of ___________________________ Lodge and do (not) find them to be
in compliance with the regulations of the Grand Lodge.
______________________________________
District Deputy Grand Master (Secretary)
Date of Report: _________________________ * not applicable
This report to be completed in triplicate. One copy to be sent to
the Grand Secretary’s Office with the returns of the Lodge. One
copy to be presented to the Secretary of the Lodge and one copy
to be retained by the District Deputy Grand Master.
GRAND LODGE OF MASSACHUSETTS
SUPPLY OFFICE ORDER FORM
Date: ________________________
Name: ________________________________ Email address: _________________________________
Address: ______________________________ City: ___________________________ State: ________
Telephone: ____________________________ Cell phone: ____________________________________
Lodge name: ___________________________ Office: _______________________________________
Ship to: ______________________________________________________________________________
____________________________________________________ Bill Me: [ ] Bill Lodge [ ]
Mail completed form to: Grand Lodge of Massachusetts, 186 Tremont St., Boston, MA 02111, Attn: Supply Office
Forms: (Indicate quantity of forms needed)
Application Forms: NM-1: _____ NM-2: _____ NM-3: _____ NM-4: _____
AF-1: _____ AF-2: _____
Secretary’s Monthly Reports: _____ / set(s) Demits: _____ Certificates of Clearance: _____
Diplomas: _____ Candidate Cards: _____
Books: (Indicate quantity you are ordering)
Description Quantity Price Total
Candidate Bible _______ $20.00 / ea _______
Candidate Ciphers (Set of three) _______ $3.50 / set _______
Cipher _______ $8.00 / ea _______
Grand Lodge Constitutions and Regulations _______ $7.00 / ea _______
Grand Lodge Proceedings, hard cover _______ $50.00 / ea _______
Grand Lodge Proceedings, soft cover _______ $20.00 / ea _______
Grand Lodge Proceedings, CD _______ $5.00 / ea _______
Heirloom Bible _______ $45.00 / ea _______
List of Lodges, Masonic _______ $7.00 / ea _______
Masonic Journal _______ $5.00 / ea _______
Member’s Handbook _______ n/c _______
Member’s Register _______ $30.00 / ea _______
Member’s Visitor Register _______ $65.00 / ea _______
Officer’s Manual _______ $8.00 / ea _______
Secretary’s Cash Book _______ $75.00 / ea _______
Secretary’s Handbook _______ n/c _______
The Craft and Its Symbols _______ $9.00 / ea _______
Treasurer’s Cash Book _______ $120.00 / ea _______
Trestle-Board _______ $7.00 / ea _______
Visitor’s Register _______ $18.00 ea _______
Aprons: (Indicate quantity you are ordering)
Description Quantity Price Total
Apron Case _______ $75.00 ea _______
Apron Cover _______ n/c _______
Lambskin (candidate’s apron) _______ $20.00 / ea _______
Clothing: (Indicate quantity you are ordering)
Description Quantity Price Total
Bow Tie (Purple) _______ $25.00 / ea _______
Tie, Purple _______ $11.00 / ea _______
White Gloves _______ $7.00 / pair _______
2 - 63
EXHIBIT 36
Miscellaneous:
Description Quantity Price Total
Bobble-head doll: Benjamin Franklin _______ $10.00 / ea _______
Car Emblems _______ $5.00 / ea _______
Reflections of our Grand Masters CD _______ $4.77 / ea _______
Masonic Throw Quilt _______ $30.00 / ea _______
Frame: 8-1/2 x 11 Black Wooden _______ $6.00 ea _______
Frame: 11 x 14 Black wooden _______ $10.00 / ea _______
Pins
Description Quantity Price Total
Anniversary Pins: 25-yr ___, 60-yr ___, 65-yr ___, 70-yr ___, 75-yr _____ $3.00 / ea _______
Joseph Warren Lapel Pin _______ $5.00 / ea _______
Widow’s Pin _______ $5.00 / ea _______
Square and Compasses Tie Tack _______ $7.00 ea _______
275th
Anniversary Keepsakes
Description Quantity Price Total
Lead-Crystal High Ball Glass _______ $22.50 ea/2 for $40.00 _______
Lead Crystal Wine Glass _______ $22.50 ea/2 for $40.00 _______
Framed Print of Trinity Church _______ $30.00 / ea _______
Cuff Links _______ $50.00 / pair _______
Knight Photo Pen and Gift Set _______ $7.50 / ea _______
Ceramic Coaster _______ $5.00 / ea _______
275th Anniversary Shirt _______ $35.00 / ea _______
Shirt Sizes available: (Med, Large, XXLarge) Specify Size: _______
Silk Tie _______ $35.00 / ea _______
Sebastians:
Description Quantity Price Total
Eagle Scout _______ $30.00 / ea _______
George Washington _______ $30.00 / ea _______
186 Tremont Street _______ $30.00 / ea _______
Charlton Water Tower _______ $30.00 / ea _______
Henry Price _______ $37.00 / ea _______
Paul Revere Plaque _______ $30.00 / ea _______
Bunch of Grapes Tavern _______ $30.00 / ea _______
Marketing Materials:
Description Quantity Price
Freemasonry – Brochure / Application (50 maximum) _______ n/c
Freemasonry and Religion (25 maximum) _______ n/c
Prospective Member Folder (featuring: What It Means To Be A Mason,
Proud To Be A Mason DVD, Letter from Grand Master) (10 maximum) _______ n/c
Proud To Be A Mason DVD (25 maximum) _______ n/c
10 Reasons To Become A Mason – Brochure
(English, Spanish, or Portuguese, - please specify) (25 maximum) _______ n/c
What It Means to Be A Mason – Brochure (25 maximum) _______ n/c
When Masons Serve Children, the future is brighter (25 maximum) _______ n/c
NOTE: Prices and availability subject to change without notice________________ For Supply Office Use Only
Order Received On: ____________________ Order Completed and Sent on: ___________________
Back Ordered Items: ___________________ Back Ordered Items Shipped on: __________________
Date Sent to Treasurer’s Office for Invoicing: ________________________
2 - 64 Rev: June 2009
2 – 65
EXHIBIT 37
Rulings of various Grand Masters from Grand Lodge Proceedings
1963-Present
RULING ....................................................................YEAR.............GRAND MASTER
Adam’s Rib ................................................................1988................Ames
Admittance of Visiting Brethren................................1973................Vose
Alcoholic Beverages in Masonic Temples.................1975, 1977......Maxwell
Alcoholic Beverages and Liquor Licenses.................1977................Maxwell
Alcohol Usage............................................................1991................Darling
Annual Lodge Memorial Service ...............................1982................Berquist
Anti-Masonic Publicity..............................................1985................Richardson
Appointments.............................................................1976................Maxwell
Approaching the East of a Lodge by
Non-members..........................................................2002................Hicks
Beano .........................................................................1972................Vose
Candidates Dress........................................................1980................Melanson
Candidates permitted to sign the
Lodge by-laws on the same night
as their Third Degree..............................................2006................Hodgdon
Chain Letters ..............................................................1964................Osgood
Change meeting location/amend Charter ...................2002................Hicks
Charity Funds, Contributions
Permitted from Lodge .............................................1971................Jaynes
Charity and Relief Funds ...........................................1969................Jaynes
Cocktails, Prizes, Lotteries ........................................1966................Booth
Costumes in Degree Work, Use of.............................1977................Maxwell
Degree Teams ............................................................1975................Maxwell
1981................Berquist
Demits ........................................................................1972................Vose
Demits and Suspensions ............................................1968................Booth
1975..............Maxwell
1976..............Maxwell
DeMolay Committee Chairman .................................1973................Vose
DeMolay and Rainbow ..............................................1968................Booth
Discrimination............................................................1976................Maxwell
Dispensations .............................................................1978................Melanson
1980................Melanson
Door Prizes, Raffles ...................................................1963................Osgood
1986................Richardson
Distribution of Lodge Relief Trust Funds..................2000................Bauer
Dress for Masonic Funerals .......................................1983................Berquist
Duties of a Worshipful Master...................................1977................Maxwell
2 – 66
Gambling and Liquor .................................................1975................Maxwell
Games of Chance .......................................................1977................Maxwell
2002................Hicks
Grand Lodge Dues .....................................................1983................Berquist
1984................Richardson
1985................Richardson
Grand Lodge Building Ruling....................................2007................Hodgdon
Grand Lodge Protocol ................................................1980................Melanson
Funeral Services.........................................................1991................Darling
Handicapped Persons .................................................1971................Jaynes
Healings .....................................................................1980................Melanson
Honorary Membership of a Lodge .............................1991................Darling
Identification numbers ...............................................1963................Osgood
Inter-jurisdictional Correspondence...........................1970................Jaynes
Interval Between Degrees ..........................................1964................Osgood
Landmarks – Adult Male ...........................................2003................Hicks
Lapel Pins...................................................................2005................Hodgdon
Lecture on the First Degree........................................1975................Maxwell
Lewis Jewel................................................................2007................Hodgdon
Lodge Ambassador Jewel ..........................................2005................Hodgdon
Lodge Inserts and Flyers ............................................1988................Ames
1975................Maxwell
Lodge Notices ............................................................1985................Richardson
Lodge Protocol...........................................................1983................Berquist
Lowering of Age Requirements .................................1973................Vose
Masonic Awareness Committee ................................1988................Ames
Masonic Emblems......................................................1977................Maxwell
1979................Melanson
Masonic Funerals .......................................................1990................Ames
1991................Darling
Masonic Funeral Dress...............................................1975................Maxwell
1981................Berquist
Masonic Home...........................................................1979................Melanson
Masonic Home and Nursing Home............................1977................Maxwell
Masters Lecture on the EA Degree ............................1975................Maxwell
Material Accompanying Lodge Notices ....................1972................Vose
Membership ...............................................................1968................Booth
Mergers ......................................................................1986................Richardson
Officer Training .........................................................1963................Osgood
Official Ritual Cipher, Use of ....................................1975................Maxwell
Opening Lodge...........................................................2002................Hicks
Negro Masonry...........................................................1969................Jaynes
2 – 67
Negro Masonry in the United States, Report of
The Committee to Study .........................................1968................Booth
Past Master’s Jewel....................................................1963................Osgood
Permission to take Photographs .................................2002................Hicks
Previous Rulings still in force....................................1968................Melanson
Prince Hall Masonry ..................................................1970................Jaynes
1999................Darling
Prince Hall Masons, National Meetings of ................1970................Jaynes
Prizes and Lotteries....................................................1965................Osgood
Prizes and Games of Chance......................................1977................Maxwell
Prohibit Solicitation ...................................................2000................Bauer
Protocol ......................................................................1987................Ames
1984................Richardson
Public Installations.....................................................1963................Osgood
Public Relations .........................................................1989................Ames
1981................Berquist
1982................Richardson
Resolution on Contribution to the George Washington Masonic
National Memorial Association ...............................1979................Melanson
Ritual Changes ...........................................................1978................Melanson
Roman Catholic & Massachusetts Masonry ..............1981................Berquist
Shortening Time Between Degrees............................1966................Booth
Social Functions, Cocktails, Prizes and Lotteries ......1971................Jaynes
Solicitation of Funds ..................................................1968................Booth
Street Advertisement Sign .........................................1979................Melanson
Suitable Proficiency ...................................................2001................Bauer
Sunday Meetings........................................................1976................Maxwell
1979................Berquist
Reaffirming Resolution prohibiting Games
Of Chance ................................................................2002................Hicks
2003................Hicks
Suspensions and Demits ............................................1968................Booth
Suspension of Brother age 88 or older.......................1994................Lovering
Table Lodges..............................................................1971................Jaynes
1966................Booth
Taxation of Masonic Temples ...................................1968................Booth
Universal League of Freemasons ...............................1972................Vose
Use of Lodge Funds ...................................................1968................Booth
Use of Lodge Charity Funds ......................................1977................Maxwell
Use of the words Masonic Building instead of
Masonic Temple....................................................1994................Lovering
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Wearing of a Past Master’s Apron.............................1963................Osgood
Website and Email Communications.........................2005................Hodgdon