ANNUAL REPORT OF ELDERS

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ANNUAL REPORT OF ELDERS REPORTING TO THE PRESBYTERY OF SHENANGO DECEMBER, 2014 Church Name: Church Address: Web Site Address: Church Phone: Church Office Hours: E-Mail Address: Church Fax: Service Times: Please List Ruling Elders by Classes (Please * any newly elected Elders) E-mail addresses are needed for Presbytery meeting notification. Class Name Address City State Zip Code Phone E-Mail (OVER)

Please Complete All That Apply To Your Church (If Contact Information is listed for a particular indiviual on the front, you do not need to re-list it.) Position Name Address City State Zip Code Phone E-Mail Clerk of Session Church Treasurer Church Secretary Director of Christian Education Chair of Deacons Chair of Christian Education Superintendent of Church School Superintendent of Church School Chair of Worship Chair of Evangelism Chair of Mission Chair of Stewardship Chair of Personnel Chair of Nominations Youth Advisor Youth Advisor Is the salary of your pastor(s) paid in full to December 31, 2014? Yes No Is the Pension of your pastor(s) paid in full to December 31, 2014? Yes No What curriculum are you using for your church school? What materials are you using for youth ministry? Name of Person reporting: Date: Thank you for completing this form. Please make sure that it is returned by January 31, 2015 to: Revised 12/2014 The Presbytery of Shenango, 4197 New Castle Road, Pulaski, PA 16143-9513

NECROLOGY REPORT REPORTING TO THE PRESBYTERY OF SHENANGO DECEMBER, 2014 Notice: To Pastors and Clerks of Session Please report to the Stated Clerk of Shenango Presbytery by January 31, 2015 the death of any elder in your church since January 1, 2014. This information is needed for the Service of Commemoration that is held at the February meeting of Presbytery each year. Elder, not in active service at the time of death should also be included. No report is necessary if there have been no elder deaths. Please type or print information to avoid error. Name Date Ordained Place & Date of Death Age Item of Special Interest Church Name: Note: Item of Special Interest would include Clerk of Session, other office in the church, elder in more than one church, etc. Revised 12/2014

INSURANCE SURVEY REQUESTED BY THE TRUSTEES OF SHENANGO PRESBYTERY DECEMBER, 2014 The Trustees feel the responsibility of being sure that all churches in our Presbytery are properly insured. Please answer the following: a. Do you carry public liability insurance? b. Is your church, manse or other property covered for its replacement value? c. Have you had your buildings professionally appraised within the last 3 years? d. Are all employees covered by Workmen's Compensation? If your answer is to any of the above, please explain on the reverse side of this form. e. Name of your Insurance Company, Agent and Policy #. Please return this form to the Presbytery Office with your Annual Reports. Church Name: Revised 12/2014

MISSION / WORK TRIP REPORT REPORTING TO THE MISSION, COMMUNICATION, AND STEWARDSHIP COMMITTEE DECEMBER, 2014 Please answer the following: 1. Did your congregation sponsor or participate in any work/mission trips in the last calendar year 2. If so, where did your group go? 3. What was the sponsoring organization? (Presbytery, GA, REACH, Constructores Para Cristo, World Vision, etc.) 4. How many people went on the trip? ADULTS YOUTH 5. You may not have planned or sponsored a trip as a congregation, but individuals may have gone with other groups. How many went with other groups/congregations? 6. If your church did not plan the trip, what group did? 7. What kind of support did your congregation give to those who went on such trips? full financial support from church funds partial financial support from church funds allowed them to ask individual members for support held fund raisers to help cover the cost encouraged them to seek Presbytery and Synod funds no financial support whatsoever 8. Would you be willing to serve as a resource for others thinking about such trips? Please return this form to the Presbytery Office with your Annual Reports. Church Name:

CORPORATE AND LEGAL ISSUES REPORTING TO THE PRESBYTERY OF SHENANGO DECEMBER, 2014 Name of Church: Telephone Number: Please list the Federal Employer Number (EIN) for the church: - Is the Church Incorporated? Name on Incorporation Papers Date of Incorporation Corporate papers are filed Please include a copy of your papers or articles of incorporation. Check here if these papers are already on file at the Presbytery Office. Please include a copy of your bylaws. Check here if these papers are already on file at the Presbytery Office. Does the Church have a cemetery? (If you answer, please skip the next question.) Is the cemetery a separate corporate entity with its own charter and papers of incorporation? How do you report pastoral services income to your pastor(s) for tax purposes? Form 1099 Form W2 Other Please specify: Has your treasurer listed every gift by donors of $250 or more? Does your member's annual or quarterly or monthly financial statements include the IRS requirement that the "only benefit derived from the church for their contributions is intangible religious benefits"? Please include a copy of your financial report form. Has the Session read and does the Session understand the Presbytery's Sexual Misconduct Policy? Please return this form to the Presbytery Office with your Annual Reports. Revised 12/2014