QUARTERLY CHURCH REPORT FORM
District
*
Please Select
Central
Mid East
Mountain
New River
North Central
Northeast
Southeast
Tristate
Conference Year
*
Example: 2022-2023
Please select the correct Quarter
Please Select
1st Quarter (April, May, June)
2nd Quarter (July, August, September)
3rd Quarter (October, November, December)
4th Quarter (January, February, March)
Church Name
*
Church Phone Number
Please enter a valid phone number.
Church Physical Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Church Mailing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
CHURCH & SUNDAY SCHOOL STATISTICAL REPORT
The number received into the church
The number of members taken from the roll
The number of members at the end of the last quarter
The number of members now on the church roll
*
Conversions
*
Water Baptisms
*
Sanctifications
*
Holy Spirit baptisms
*
Average Sunday School attendance this quarter
*
Average Sunday School attendance last quarter
Average Sunday morning attendance this quarter
*
Average Sunday night attendance this quarter
Average mid-week attendance this quarter
Number enrolled in Sunday School
*
Total adherents
*
Number of classes
Number of officers and teachers
*
PLEASE SELECT "YES" OR "NO" BELOW
Does your church own a parsonage?
Please Select
Yes
No
Does your church pay the pastor's housing allowance?
Please Select
Yes
No
Does your church pay the pastor's car expense?
Please Select
Yes
No
Does your church pay the pastor's utilities?
Please Select
Yes
No
Does your church pay the pastor's phone?
Please Select
Yes
No
Does your church pay the pastor's Social Security?
Please Select
Yes
No
Does your church pay the pastor's hospitalization?
Please Select
Yes
No
What is the value of the total church property?
What is your church indebtedness?
Name & Address of the Pastor Appreciation Coordinator
CHURCH FINANCIAL REPORT
1. Balance brought forward (all departments)
*
2. Sunday School Receipts
3. Tithes and Offerings
4. IPCC Missions Receipts
5. Non-IPCC Missions Receipts
6. New Construction (Building Fund)
7. All Other Receipts
8. All Receipts (Lines 3, 4, 5, 6, 7)
*
9. Total Receipts including the Balance Forward (Line 1-7)
*
10. Paid out for the Pastor's Salary
*
11. Paid Out for IPCC Missions
*
12. Paid Out for Non-IPCC Missions
*
13. Paid Out for New Construction
*
14. Paid Out all other Expenses
*
15. Tithable Income (Line 8 less lines 10, 11, 12, 13)
*
16. 10% of Line 15 (Amount Owed to the General Conferene
*
17. Amount Owed and Paid to the General Conference
*
18. Total Paid Out (Lines 10, 11, 12, 13, 14, 17)
*
19. Balance of ALL Departments (Line 9 less Line 18)
*
The number of tithers last year
The number of tithers this year
What is the pastor's goal for the number of tithers next year?
Signature (Church Clerk or Pastor)
*
Name of Pastor
First Name
Last Name
Pastor's Street Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Submit
Submit
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