AFRICAN METHODIST EPISCOPAL CHURCH PASTOR'S ANNUAL REPORT

Pastor's Annual Report
Part A: CONTACT AND ADDRESS INFORMATION
EPISCOPAL DISTRICT*
ANNUAL CONFERENCE OPENING DATE

MonthDayYear
Date
ANNUAL CONFERENCE*
NAME OF CHURCH*
PRESIDING ELDER DISTRICT*
CHURCH PHYSICAL ADDRESS*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
CHURCH MAILING ADDRESS (if different from physical address)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
CHURCH PHONE NUMBER
Please enter a valid phone number.
CHURCH EMAIL ADDRESS
example@example.com
U.S. CONGRESSIONAL DISTRICT WHERE CHURCH IS LOCATED
U.S. CONGRESSIONAL DISTRICT NUMBER
U.S. CONGRESSPERSON (HOUSE OF REPRESENTATIVE)
U.S. CONGRESSPERSON (U.S. SENTATE)
PRESIDING BISHOP*
PRESIDING BISHOP'S ADDRESS

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
PRESIDING BISHOP'S EMAIL ADDRESS
example@example.com
PRESIDING BISHOP'S PHONE
Please enter a valid phone number.
PRESIDING FIRST ELDER'S NAME*
PRESIDING ELDER'S MIDDLE NAME
PRESIDING ELDER'S LAST NAME*
PRESIDING ELDER'S ADDRESS

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
PRESIDING ELDER'S EMAIL ADDRESS*
example@example.com
PRESIDING ELDER'S PHONE
Please enter a valid phone number.
PASTOR'S FIRST NAME*
PASTOR'S MIDDLE NAME
PASTOR'S LAST NAME*
PASTOR'S HOME ADDRESS*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
PASTOR'S EMAIL ADDRESS*
example@example.com
PASTOR'S PHONE NUMBER*
Please enter a valid phone number.
Part B: ACTIVITIES AND DEMOGRAPHICS
1. NUMBER OF CONVERSIONS*
2. NUMBER OF BAPTISMS

Please break down by category
a. Number of Adult Baptisms (18 and over)
b. Number of Youth Baptisms (13-17 years old)
c. Number of Children Baptisms (6 to 12)
d. Number of Infant Baptisms (a few weeks to 5 years old)
e. Total Number of Baptisms*
3. NUMBER OF ACCESSIONS*
4. NUMBER OF TRANSFERS IN*
5. NUMBER OF TRANSFERS OUT*
6. NUMBER OF DEATHS*
7. NUMBER FULL MEMBERS

Please break down by category
a. Number of Adults
b. Number of Youth
c. Number of Children
d. Number of Retirees (also include in Adult total)
e. Total Membership *
8. CHURCH SCHOOL MEMBERSHIP

Please break down by category
a. Teachers/Officers
b. Infants
c. Children
d. Youth
e. Adults
F. Total Church School Membership*
9. NUMBER OF REGISTERED VOTERS IN THE CONGREGATION*
10. MARRIAGES PERFORMED*
11. LOCAL LAY ORGANIZATION MEMBERSHIP*
12. WMS MEMBERSHIP*
13. YPD MEMBERSHIP*
14. SONS OF ALLEN MEMBERSHIP*
15. RAYAC MEMBERSHIP*
16. HEALTH MINISTRY MEMBERSHIP*
16a. Does your charge/church have an active health ministry?*

YESNOIN PRGGRESS
16b. Did your charge/church engage in ministry or awareness events towards eliminating or addressing congregation or community needs associated with the HIV/AIDS pandemic?*

YESNO
16c. Provide information about Health Ministry event(s) (Optional)
17. ANNUAL CONFERENCE MEMBERSHIP

Please break down by category
17a. Number of Itinerant Elders/Deacons*
17b. Number of Local Elders/Deacons*
17c. Licensed Evangelists/Missionaries*
17d. Retired Elders/Deacons*
17e. Licentiates*
17f. Supernumeraries*
17g. TOTAL ANNUAL CONFERENCE MEMBERSHIP*
Part C: FINANCIAL STATISTICS
18. FUNDS RAISED FOR THE LOCAL CHURCH*
19. INDEBTEDNESS OF THE LOCAL CHURCH

Please break down by category
a. Stewards *
b. Trustees*
c. Central Treasury/Budget*
d. Other*
e. TOTAL INDEBTEDNESS OF THE LOCAL CONGREGATION*
20. CHURCH TREASURY BALANCE

Please break down by category
a. Stewards *
b. Trustees*
c. Building Fund*
d. Central Treasury/Budget*
e. Other*
f. TOTAL TREASURY BALANCE*
21. PASTOR COMPENSATION

Please break down by category
21A. Base Salary*
21B. Housing Allowance*
21C. Requisites (Health Ins, Auto, etc.)*
22. PRESIDING ELDER DISTRICT BUDGET AMOUNT
23. RETIREMENT SERVICES

Please break down by category
23A. Presiding Elders retirement contribution paid by Church/Charge*
23A. Pastor's retirement contribution paid by Church/Charge*
24. Receipt on General Budget*
25. Cash on General Budget*
26. Total General Budget Paid*
27. General Conference Sustentation*
28. Annual Conference Sustentation*
29. SUBSCRIPTIONS

Please break down by category
29A - The Christian Recorder*
29B - The AME Church Review*
29C - The Voice of Missions*
29D - The Journal of Christian Education*
29E - The Missionary Magazine*
29F - The Secret Chamber*
29G - The YPD Gazette*
29H. TOTAL SUBSCRIPTIONS*
30. EPISCOPAL DISTRICT BUDGET*
Part D: CHURCH SPONSORED NOT-FOR-PROFITS

(CHILD CARE, SENIOR CARE, HOUSING, TUTORIAL, ETC.)

Rows	Program A	Program B	Program C	Program D
31. Name (Type)
32. Federal Tax ID
33. Amount of Federal Funds
34. Amount of State Funds
35. Amount of Local Funds
36. Amount of Private Funds
37. Fund Balance

Part E: REAL ESTATE

(CHILD CARE, SENIOR CARE, HOUSING, TUTORIAL, ETC.)

Section 1 - Church Statistics

Rows	Bldg. A	Parsonage	Bldg. C	Bldg. D
38. Property Valuation
39. Mortgage Balance
40. Insurance Company
41. Insurance Premium
42. Coverage Amount
43. Coverage Type

Section 2 - Legal Description
Legal Description of the property owned by the church (e.g. sanctuary and other buildings):
Signature*

Powered by Jotform SignClear
Should be Empty:

Pastor's Annual Report

Part A: CONTACT AND ADDRESS INFORMATION

Part B: ACTIVITIES AND DEMOGRAPHICS

2. NUMBER OF BAPTISMS

7. NUMBER FULL MEMBERS

8. CHURCH SCHOOL MEMBERSHIP

17. ANNUAL CONFERENCE MEMBERSHIP

Part C: FINANCIAL STATISTICS

19. INDEBTEDNESS OF THE LOCAL CHURCH

20. CHURCH TREASURY BALANCE

21. PASTOR COMPENSATION

23. RETIREMENT SERVICES

29. SUBSCRIPTIONS

Part D: CHURCH SPONSORED NOT-FOR-PROFITS

Part E: REAL ESTATE