MADG Form 2022-2023

Combined Membership and Activity Report (M&A) and DG Contest (DG)
Lions year July 1, 2022 to June 30, 2023
 

This report is designed to make it easier and quicker for secretaries to file their monthly reports with District 14-N.  It may also encourage more clubs to participate in the DG Contest.  This report must be filed by the fifth day of the month after the month of the report (July's by August 5).

International's membership and activity reports must also be filed at www.lionsclubs.org by the current month's end.  Click here to go to the member login page:  https://mylci.lionsclubs.org/Login.aspx?l=EN

Membership and activity reports must be filed each month with International.

Participation in the DG Contest is voluntary, but if a club uses these points as a set of goals for their club, it will be an outstanding club.  Plaques will be awarded by the District Governor at the Passing of the Banner and will be awarded for each category:  Class A - over 35 members; Class B - 24 to 35 members; Class C - under 24 members. 

Membership is based on International's data as of July 1, 2022

-->

Secretary's Name                   Club             Club ID Number    
                   

Email address                                                                Month and Year              
Total Membership (all types of members)                   
Average monthly attendance/percent of active members only     Number of completed service activities this month  
Number of board meetings held this month                          Your club meets:    Weekly     Semi-Monthly     Other  

List below the number of members dropped for each reason.  Please use only one reason for each dropped member.
Resigned in good standing - Code 1     Non-Payment of Dues - Code 2     Non-attendance - Code 3    
Non-attendance, non-payment of dues - Code 4     Transferred in good standing - Code 5     Moved - dues unpaid - Code 6     Deceased - Code 7      Other - please specify - Code 8  

Please list all dropped member's names and the reason for the drop (see codes above).
Name 1:  
Name 2:  
Name 3:  

List below each new member.  Be sure he/she is in the proper category:  A, B or C
New Member (Category A):     Sponsor:   
New Member (Category A):     Sponsor:   
New Member (Category A):     Sponsor:   
New Member (Category A):     Sponsor:   
Reinstated Member (Category B):    
Transferred Member (Category C):     Member's former club:  
Number of Members from last report 

Total Members Dropped 

Total New Members  Members at this Month's End 
 
Please report service activities, fundraising activities and upcoming events in the box below.

District Governor's Contest

Reporting
1.    For submission of each MADG report emailed by the fifth day of the month after the month being reported. 100 points each month Your points  
 Membership
2.    For each new club member 1,000 points per member Your points   
3.    For each new female club member 500 extra points per member Your points   
4.    For each new family club member living in the same household 500 extra points per member Your points   
5.    For each new club member who is a veteran 500 extra points per member Your points  
6.    For each member lost other than for transfer or death -500 points each loss Your points  
7.    For each club with a net plus two (2) as of June 30, 2023 2,000 points, one-time credit Your points  
8.    For any club that, as of June 30, 2023, does not drop a member other than for transfer or death 1,500 points, one-time credit Your points  

Extension
9.    For sponsoring a new Lions or branch club 2,000 points each event Your points  
10.  For sponsoring a current Leo club or sponsoring and chartering a new Leo club 2,000 points each event Your points  
11.  For completing a Lions Quest program 2,000 points each event Your points  
12.  For sponsoring a Peace Poster contest 1,000 points each event Your points  
13.  For sponsoring a Drug Poster contest 1,000 points each event Your points  
14.  For each club participating in the Reading Action Program 1,000 points per month of participation Your points  
Leadership
15.  For any club officer who attends the District leadership training or completes LCI's leadership training program online 1,000 points per club officer Your points  
16.  For each club member serving on the District Cabinet 1,500 points per member, one-time credit Your points  
17.  For each club member serving on a District Committee 1,000 points per member, one-time credit Your points  
18.  For each club member serving on a State Committee 1,500 points per member, one-time credit Your points  

Attendance
19.  For each club member who attends a Zone meeting 500 points per member per Zone meeting Your points  
20.  For each club member who attends a District cabinet meeting 1,000 points per member per cabinet meeting Your points   
21.  For each Lion who attends the Passing of the Banner ceremony in 2022 500 points per member Your points   
22.  For each club member who attends the Fall Rally or Spring Convention (Bonus points:  3,000 points will be awarded to the club in each class (A, B, C) that has the most Lions attending the Fall Rally and Spring Convention; 2,000 points will be awarded to the second place clubs and 1,000 points will be awarded to the third place clubs.  These points will be added by the District Governor's Contest Committee, not by the club secretary.) 500 points per member per event Your points  
23.  For each club member who attends a State Council meeting or the 2023 State Convention. 500 points per member per council meeting or convention Your points   
24.  For each club member who attends the 2022 USA/Canada Lions Leadership Forum.  500 points per member Your points   
25.  For each club member who attends the 2023 International Convention. 1,000 points per member Your points  
26.  For each club member who attends a Beacon Lodge Work Weekend or Lions Appreciation Day 1,000 points per member per event Your points  
27.  For each club represented by a minimum of three (3) members at another club's fundraiser. 500 points per club per event Your points 
Public Relations
28.  For public service announcements (PSA) of each club event made through the local newspaper, radio, television or other media management venue.  (Flyers promoting a single event in your community are considered a PSA.) 300 points per event Your points  
29.  For each club that has a brochure for public distribution.  A copy MUST be sent to the DG, the VDGs and the District Administrator.  (A brochure is meant to promote your club's mission and purpose, not a single event sponsored by your club.) 500 points, one-time credit Your points  
30.  For each article published in the PA publication, The Pride 1,000 per article Your points  
31.  For each article published in the LION magazine/publication. 3,000 points per article Your points  
Club Visitation
32.  For each club's visitation to a regular meeting of another club (a minimum of three [3] Lions and a maximum of five [5] Lions' points will be credited), excluding District chairs and officers on official business 100 points per Lion, per visit
(minimum points=300)
(maximum points=500)		 Your points  
Community Service
33.  For each club that participates in the World Diabetes Day project, Helen Keller Day, World Sight Day or other Lions sight/hearing events in the community. 300 points per event Your points  
34.  For each club that sponsors a youth exchange or needy children's program/project in the community. 500 points per event Your points  
35.  For each club that holds White Cane Days. Provide the date of the event below.
 300 points per event (not per day) Your points  
36.  For each club that participates in eyeglass or hearing aid recycling. 1,000 points at year's end Your points  
37.  For each pair of eyeglasses or hearing aid purchased by the club. 500 points per item Your points  
38.  For each club that holds an eye-screening event. 1,000 points per event (not per day) Your points  
39.  For each club that sponsors a camper to Beacon Lodge or to any youth or adult camp. Provide the date and camp name below.
 500 points per camper Your points  
40.  For each club that sponsors a youth ball team or Scout troop, etc. 1,000 points, one-time credit per sponsorship Your points  
41.  For each club that honors a Student of the Month. 200 points per student in current month Your points  
42.  For each student scholarship awarded by the club. 500 points per scholarship Your points  
43.  For participation in community events (parade, highway pick-up, Easter egg hunt, etc.) Provide the name of the event(s) below.
 1,000 points per event Your points  
44.  For working with another Lions club on a project.
List below what project the clubs worked on and with whom the project was shared, meetings attended and other statements to document the points claimed.  Undocumented points will not be credited.
 1,000 points per project Your points  
Awards/Honors
45.  For each club that receives a Club Excellence Award for the 2021-2022 year. 1,000 points, one-time credit Your points  
46.  For each club secretary who receives (at the Passing of the Banner) the DG's 100% secretary's award for the 2021-2022 year. 1,000 points, one-time credit Your points  
47.  For each Lions of Pennsylvania Fellowship, Progressive Lions of Pennsylvania Fellowship, Carl Shoemaker, Kidsight Fellowship, PDG John R. Crone Fellowship, Leader Dogs for the Blind Founder's Tribute (bronze, silver, gold) award given by the club in the 2022-2023 year. 500 points per award Your points  
48.  For each Melvin Jones Fellowship or Progressive Melvin Jones Fellowship given by the club in the 2022-2023 year. 1,000 points per award Your points  
49.  For each club member who receives a Melvin Jones, Progressive Melvin Jones, Lions of Pennsylvania Fellowship, Progressive Lions of Pennsylvania Fellowship, PIP Wroblewski, PA Counsellor's, Carl Shoemaker, Kidsight, Crone, Leader Dogs for the Blind or Honor Roll of Lions award from the District in the 2022-2023 year. 1,000 points per award Your points  
50.  For each club that donates at least $500 to Lions Clubs International Foundation (LCIF). 500 points per donation Your points  
Heart of a Lion Award
51.  For each time a club awards a Heart of a Lion award (points awarded after verification by the committee chair).  500 points per award Your points  
Financial
52.  For each club that participates in the Li'l Ivy Jug program. 200 points per month of participation Your points  
53.  For payment of International dues no later than August 31, 2022 (1st half) and February 28, 2023 (2nd half) [$21.50 per member as of July 1, 2022 and January 1, 2023] 1,500 points semi-annually (3,000 points total per Lions' year) Your points  
54.  For payment of Pennsylvania state dues no later than August 31, 2022 (1st half) and February 28, 2023 (2nd half) [$8 per member as of July 1, 2022 and January 1, 2023] 1,500 points semi-annually (3,000 points total per Lions' year) Your points  
55.  For payment of District 14-N dues no later than December 31, 2022  [$3.50 per member as of July 1, 2022] 1,500  points, one-time credit Your points  
56.  For 100% donation to the District Governor's projects at the time of the DG's visit, but no later than December 31, 2022 1,500 points, one-time credit Your points  
57.  For 100% donation to the District Governor's projects by May 31, 2023 (use only if #56 does not apply) 500 points, one-time credit Your points  
58  For donations to Beacon Lodge Challenge and/or the "500" club 500 points each donation Your points  
59.  For other charitable donations, excluding District projects  (food cupboard, Salvation Army, etc.)  Minimum donation - $50  Show details below.
 500 points per donation Your points  
60.  For each club utilizing a District committee chairperson as a program at a club meeting 1,000 points per event Your points  
61.  For the club's submission of the PU-101 form to International and the District by May 15, 2023. (Both forms must be submitted by May 15, 2023 to receive maximum credit of 2000 points.) 1,000 points per submission (2,000 points possible) Your points  
Contest Points from your last report                 Contest Points from this report                  Contest Points to Date  

                  

Thank you for submitting this form.  This is for the District only.  See the top of this form for instructions on submitting forms to Lions Clubs International.

Please click the submit button only once.  It may take a few minutes to transmit the data, depending on your internet connection speed. 
Copies of the report are forwarded to the District officials who are to receive a copy.

When the data has been entered, a confirmation screen will appear that shows what was entered. 
A copy of the record can be printed by clicking "print" at the top of the web browser screen or by right clicking the mouse button and choosing "print."

If you have a problem, please contact the webmaster.

 

Dec. 1, 2024