Pilgrim Holiness Church of New York, Inc.
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1 Pilgrim Holiness Church of New York, Inc. Local Church Statistical Report to the Annual Conference Due to Statistician by June 10 th. To type text in a PDF: open in Adobe, click Fill and Sign, click where you want to type, and type in the answers or you may open in a word processing program like word by downloading the PDF, right click on the file and scroll down to Open With and then click the program to edit it. GENERAL CONTACT INFORMATION Name of pastor: Pastor s Address: Name of Church: Church s Address: Report for Year Ending: Year Are you a (X in the blank) Established church Home mission Mission Other: Church Phone #: ( ) - Church Fax #: ( ) - Church address: Church Secretary s name: Church Secretary s phone #: ( ) - Church Secretary s address: Church Treasurer s name: Church Treasurer s phone #: ( ) - Church Treasurer s address: SS Superintendent s name: SS Superintendent s phone #: ( ) - SS Superintendent s address: Missionary Leader s name: Missionary Leader s phone #: ( ) - Missionary Leader s address:
2 Youth Leader s name: Youth Leader s phone #: ( ) - Youth Leader s address: FINANCIAL INFORMATION Furnished by the local church: (X all that apply) Parsonage Water Sewer Electric Gas Phone Trash Other: Income 1. Beginning of year cash balance of all departments 2. Total church offerings 3. Total Sunday School offerings 4. Total youth offerings 5. Monies borrowed 6. Other income 7. Total annual income Sum of items TOTAL CASH AVAILABLE Sum of items 1 & 7 Expenses Salaries/Wages 9. Salary paid to senior pastor 10. Social Security Benefits paid for senior pastor 11. Salary paid to any other pastoral staff 12. Social security benefits paid for any other pastoral staff 13. Amount paid for evangelists or special meetings Other Local Church Expenditures 14. Utility expenses 15. Property insurance expenses 16. Sunday School expenses 17. Day school expenses 18. Amount paid on indebtedness 19. Amount paid on interest 20. Amount spent on new property/repairs/improvements 21. All other local expenses
3 22. TOTAL LOCAL CHURCH EXPENDITURES Sum of items 9-22 Local Church Conference Expenditures 23. Pastor s Tithe 24. Other minister s tithe 25. $2 per member assessment 26. Home missions offerings (Include Easter self-denial offering) 27. Ministerial benevolence fund 28. Pastoral subsidies 29. 2% Pastoral supplemental income fund 30. All other conference items 31. TOTAL CONFERENCE EXPENDITURES Sum of items Local Church External Offering Expenditures 32. Foreign Missions (Do not include Thanksgiving self-denial offering) 33. Thanksgiving Self-denial offering 34. Bible school offerings 35. All other external offerings 36. Total external offering expenditures Sum of items TOTAL EXPENDITURES Sum of items 23, 32, & END OF YEAR CASH BALANCE Subtract item 38 from item 8 Were your church treasurer s books audited last year? (X in the blank) Yes No If yes, by whom: If no, which books were not audited: Insurance and Indebtedness Values 1. Church s insured value 2. Parsonage s insured value 3. Other building s insured value 4. COMBINED PROPERTY INSURED VALUE Sum of items 1-3
4 Indebtedness 1. Indebtedness for Church 2. Indebtedness for parsonage 3. Indebtedness for other buildings 4. TOTAL COMBINED BUILDING INDEBTEDNESS Sum of items 1-3 Date of Last Insurance Coverage Update 1. Church 2. Parsonage 3. Other buildings MEMBERSHIP/ATTENDANCE Membership 1. Lay ministers licensed by the local church 2. TOTAL START-OF-YEAR MEMBERSHIP (full & preparatory) Addition 3. Addition of members (full and preparatory) by profession of faith 4. Addition of members (full and preparatory) by letter of transfer 5. TOTAL ADDITION OF MEMBERS (full and preparatory) Sum of items 3 & 4 Removal 6. Removal of members by dismissal or withdrawal (full and preparatory) 7. Removal of members by transfers (full and preparatory) 8. Removal of members by death (full and preparatory) 9. TOTAL REMOVAL OF MEMBERS (full and preparatory) Sum of items TOTAL END-OF-YEAR MEMBERSHIP (full and preparatory) Subtract item 9 from item 2 Membership Type 11. Number of full members 12. Number of preparatory members 13. TOTAL NUMBER OF FULL & PREPARATORY MEMBERS Attendance 14. Average Sunday School Attendance 15. Average Morning Worship Attendance 16. Average Sunday Evening Service 17. Average mid-week service
5 PASTORAL REPORT 1. Time on present charge 2. Sermons preached (anywhere) 3. Prayer meeting services conducted 4. Revivals worked in 5. Revivals held in local church 6. Number of individuals baptized 7. Number of children dedicated 8. Number of marriages conducted 9. Number of funerals conducted 10. Number of pastoral calls to church membership 11. Number of pastoral calls to non-membership 12. TOTAL PASTORAL CALLS Sum of items 10 & Number of days spent at zone camp 14. Number of days spent working at zone camp 15. Number of days attending ministerial 16. Number of days at annual conference 17. Number of youth rallies attended 18. Number of days volunteered at youth camp 19. Amount of gifts and donations Signature & Title of Preparer FEEDBACK: How easy did you find this form to be compared to prior years? Do you have an suggestions to make this form better for future years: Date Conference Statistician Jason R. Morford 4172 St John Dr Syracuse, NY (570)
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