Michigan District 1 Forms
The following forms are available on this website in other locations. They have been gathered here for your convenience. Depending on the computer being used, you may have to "right click" to download the form.
2025 August 125th Anniversary Fourth Degree Exemplification
The 2025 August 125th Anniversary Fourth Degree Exemplification is scheduled for August 23rd, 2025, at St. Christopher Catholic Church, 1000 Michigan Ave, Marysville, MI 48040 (click here for map). Registration will start at 12:30pm. The exemplification is schedule to begin at 1:30pm and last until 3:30pm. At 4:30pm, we will have Mass in anticipation of the 21st Sunday in Ordinary Time at St. Christopher.
Following Mass, the banquet will be help at Knight Club, 1195 Gratiot Blvd, Marysville, MI 48040 (click here for map). See the program for more information.
Please note that there WILL NOT be a Ladies program this exemplification. We have been given permission by the Supreme Master to allow others (i.e., family members) in the chamber for the full ceremonial for all exemplifications performed after February 22, 2025.
Registration for the Exemplification must be in the hands of the District August 1, 2025. LATE REGISTRATIONS WILL NOT BE TAKEN, NOR WILL WALK-INS ON THE DAY OF THE REGISTRATION.
The dress code for this event will be enforced. Anyone not properly dressed will not be allowed to participate. For men, the dress code is the Fourth Degree Uniform, or, a tux or dark suit, white shirt, dark long tie, black socks and shoes.
2025 November Fourth Degree Exemplification
A November 2025 Fourth Degree Exemplification is being contemplated. It is expected to be in the Waterford - White Like - Milford area. More information will be posted here when available.
District One General Forms
District Master Award (formerly Red, White and Blue Award)
Due: August 15
Veterans Administration Volunteer Services (VAVS) Forms
General Forms - Supreme
Survey of Fraternal Activity Individual Member Worksheet (Form 1728A)
Note: This will get the most recent form from the KofC Supreme website.
This form is intended to be sent to individual members for them to record their activity that would be included in the Annual Survey. Consider sending this to your members in late November or early December so they can return it in early January.
Annual Survey of Fraternal Activity (Form 1728)
Due: January 31
Note: This will get the most recent form from the KofC Supreme website.
If emailed, send this form to fraternalmission@kofc.org, District Master, VSM and assembly file
To Be a Patriot Award Entry Form
Due: April 30 (for Assemblies)
Note: This will get the most recent form from the KofC Supreme website.
If emailed, send this form to District Master and assembly file
RSVP Refund and Plaque Application for Assemblies
Due: June 30
Note: This will get the most recent form from the KofC Supreme website.
If emailed, send this form to fraternalmission@kofc.org, District Master, VSM, state vocations chairman and assembly file
Civic Award Application (Form 2321)
Due: June 30
Note: This will get the most recent form from the KofC Supreme website.
If emailed, send this form to fraternalmission@kofc.org, District Master, VSM and assembly file
Report of Officers Chosen for the Term (Form 186)
Due: July 1
Note: This will get the most recent form from the KofC Supreme website.
If emailed, send this form to membershiprecords@kofc.org, District Master, VSM and assembly file
Annual Assembly Audit Report (Form 1315)
Due: August 1
Note: This will get the most recent form from the KofC Supreme website.
If emailed, send this form to suprememaster@kofc.org, District Master, VSM and assembly file
Reference Material - Supreme
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Master's Staff
District Friar:
Rev. Paul Ballien
Master:
Gene Suchyta
Sr. Marshal:
George Roumaya
Marshal:
Curt Best
Marshal:
Bob Greening
Marshal:
Dale Miller
Comptroller:
Norm Pranger
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Contact Us
Email: Click on any name listed under Master's Staff
Phone: 734.748.2644
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