Roster Form Annual Roster Submission Email Address of Person Submitting This Form * If you are experiencing difficulty with this form, please email S.K. Seth Anthony or S.K. Richard Muth. (Their email addresses are available via the Roster.) Section Name of Person Submitting This Form * Commandery Name and Number (Please Select) * Select Your Commandery from the list.Pittsburgh No. 1Jacques DeMolay No. 3St. John's No. 4St. Omer's No. 7St. John's No. 8Reading No. 9Mountain No. 10Pilgrim No. 11Crusade No. 12Lancaster No. 13Palestine No. 14Northern No. 16Melita-Coeur DeLion No. 17Kedron No. 18Hugh DePayens No. 19Allen-Beauceant No. 20York-Gethsemane No. 21Baldwin II No. 22Packer No. 23Hermit No. 24Lewistown No. 26St. Andrews No. 27Mt. Olivet No. 30Constans No. 33Allegheny No. 35Mary No. 36Calvary No. 37Prince of Peace No. 39Constantine No. 41Franklin No. 44Dieu LeVeut No. 45Hospitaller No. 46St. Alban No. 47Kensington-Kadosh No. 54Centennial No. 55Continental No. 56Trinity No. 58Oriental No. 61Warren No. 63Huntingdon No. 65Mt. Calvary No. 67Potter No. 69Nativity No. 71Duquesne No. 72Shamokin No. 77Chartiers No. 78Gettysburg No. 79McKean No. 80Samuel S. Yohe No. 81Beaver Valley No. 84Mt. Hermon No. 85Lorraine No. 87Savona No. 89Damascus No. 95Mizpah No. 96Bethel No. 98Holyrood No. 100 What is the date of constitution of your Commandery? (MM/DD/YYYY) Address of the Meeting Location of the Commandery * Address of the Meeting Location of the Commandery Street Address Street Address Street Address Line 2 (if needed) Street Address Line 2 (if needed) City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Phone Number for the Place of Meeting of the Commandery (if available) On what day and time does your Commandery meet? (EXAMPLES: 4th Tues. OR 1st Mon. 7:00 p.m. OR 3rd Thurs. Mar Apr June Oct Dec) * Incoming Commander's Name * If the Commander has previously earned a title from the Grand Commandery, choose only the highest rank that applies. P.C. (Past Commander) P.D.C. (Past Division Commander) R.E.P.G.C. (Right Eminent Past Grand Commander) OtherOther Name of the Commander's Spouse (if applicable) Full Mailing Address of the Commander * Full Mailing Address of the Commander Street Address Street Address Street Address Line 2 (if needed) Street Address Line 2 (if needed) City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Commander's Phone Number * Commander Alternate Phone Number (Cell, Work, etc.) Please indicate what type of phone number this is. Work Cell OtherOther Commander's Email Address Incoming Generalissimo's Name * If the Generalissimo has previously earned a title from the Grand Commandery, choose only the highest rank that applies. P.C. (Past Commander) P.D.C. (Past Division Commander) R.E.P.G.C. (Right Eminent Past Grand Commander) OtherOther Name of the Generalissimo's Spouse (if applicable) Generalissimo's Full Mailing Address Generalissimo's Full Mailing Address Street Address Street Address Street Address Line 2 (if needed) Street Address Line 2 (if needed) City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Generalissimo's Phone Number * Generalissmo's Alternate Phone Number (Cell, Work, etc.) Please indicate what type of number this is. Work Cell OtherOther Generalissimo's Email Address Incoming Captain General's Name * If the Captain General has previously earned a title from the Grand Commandery, choose only the highest rank that applies. P.C. (Past Commander) P.D.C. (Past Division Commander) R.E.G.P.C. (Right Eminent Past Grand Commander) OtherOther Name of the Captain General's Spouse (if applicable) Captain General's Full Mailing Address * Captain General's Full Mailing Address Street Address Street Address Street Address Line 2 (if needed) Street Address Line 2 (if needed) City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Captain General's Phone Number * Captain General's Alternate Phone Number (Cell, Work, etc.) Please indicate what type of number this is. Work Cell OtherOther Captain General's Email Address Incoming Recorder's Name (if you have a Recorder / Treasurer, please use the Recorder section to supply information and check the box below.) * Does your Recorder also serve as Treasurer? * Yes, we have a Recorder / Treasurer. No, we have one Sir Knight who serves as Recorder and another Sir Knight who serves as Treasurer. If the Recorder has previously earned a title from the Grand Commandery, choose only the highest rank that applies. P.C. (Past Commander) P.D.C. (Past Division Commander) R.E.G.P.C. (Right Eminent Past Grand Commander) OtherOther Name of Recorder's Spouse (if applicable) Recorder's Full Mailing Address Recorder's Full Mailing Address Street Address Street Address Street Address Line 2 (if needed) Street Address Line 2 (if needed) City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Recorder's Phone Number * Recorder's Alternate Phone Number (Cell, Work, etc.) Please indicate what type of number this is. Work Cell OtherOther Recorder's Email Address Incoming Treasurer's Name * If the Treasurer has previously earned a title from the Grand Commandery, choose only the highest rank that applies. P.C. (Past Commander) P.D.C. (Past Division Commander) R.E.P.G.C. (Right Eminent Past Grand Commander) OtherOther Name of Treasurer's Spouse (if applicable) Treasurer's Full Mailing Address Treasurer's Full Mailing Address Street Address Street Address Street Address Line 2 (if needed) Street Address Line 2 (if needed) City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Treasurer's Phone Number Treasurer's Alternate Phone Number (Cell, Work, etc.) Please indicate what type of number this is. Work Cell OtherOther Treasurer's Email Address Please provide a list of Past Commanders who should be removed since your last Roster Report (such as deceased, suspended, demitted, etc.) (If none, state "none.") * Please provide a list of Living Past Commanders who should be added since your last Roster Report. (If none, state "none.") Added Past Commanders should have the year(s) installed included after their name, without a comma before the first two-digit year. Examples: John A. Doe 19 J. Robert Smith 14,19 * Submit