2012 Form I BYZRSVXQ

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					                                       2012 Form I - Pastoral Support Report
                            Due one week before Charge/Church Conference - send to District Office
                                   First, Read Planning Your Pastor's Support for 2012
                                Complete a report for each pastor appointed to the charge.
                                    Yellow cells: Have a drop-down list, from which you must choose one.
                                          Blue cells: The response, if applicable, must be typed in.
                                              Effective Date:                                  Church number (of lead church):
Charge:                                                   Churches(if more than one):
Pastor:                                                        Check:         pastor                                associate pastor
Pastor's conference relationship:         Elder in full connection

Pastor's Appointment Status - Select one (Full time; 3/4 time; 1/2 time or 1/4 time) Full time
CASH COMPENSATION
1.Gross Compensation (Annual)……………………….…………………………….…….…..…………………………………………………..                                                                 $0.00

2. Conference Support: (Check if receiving)                                                          Equitable Compensation…….…
                                               Other:
HOUSING EXCLUSION
3. Housing Exclusion…………………………….…….……………...…………………………………………………………………….

EXPENSE REIMBURSEMENT PROVIDED FOR THE PASTOR
4. Housing Allowance paid to the pastor if no parsonage (or other housing) is provided………...…………..……………….………                                   $0.00
   Pastor's Housing: Pastor lives in parsonage or other housing provided by the church
5. Travel expenses budgeted (reimbursed at the IRS rate)…………..………………………….……..……………………………..
     Non-Travel Reimbursed Expenses:
       6. Continuing education………………………...……………….……………………………………………………
       7. Annual Conference attendance…………….……..…….………………………………………………………..
       8. Other reimbursed expenses……………...……………..…………………………………………………………
       9. Total Non-Travel Reimbursed Expenses ………….………...…………………………….                                                                             $0.00
BENEFITS DIRECT-BILLED TO THE CHURCH FOR THE PASTOR
10. Appointment Fee for health insurance*        Pastor is appointed full-time or 3/4 time             …………………………….                        $12,480.00
11. Church/charge share of pension ………….………………………………………………………………………...……….…...……                                                                $0.00
                     Has the Pastor Waived out of the Pension Program?          No, Pension Not Waived

      If this self-calculating worksheet does not cover your situation, please contact your District Superintendent. Do not modify the formulas.
SHARING OF PASTORAL SUPPORT
12. Gross Compensation from line 1 on front…………………….…….…………………………..                                                         $0.00
                                           Church 1                Church 2                Church 3                                 Church 4
13. Church Names:
        Church Number:                         0
14. Percent share of total                 100.00%
15. Each church's share                     $0.00                    $0.00                   $0.00                                     $0.00
16. If a parsonage (or other housing) is provided, how are parsonage maintenance expenses shared?

17. If no parsonage is provided, each church's share of housing allowance (line 14)
                                                     $0.00                      $0.00                               $0.00                          $0.00

Enter each church's share of the following:
18. Travel expense (line 5)                              $0.00                          $0.00                       $0.00                          $0.00
19. Total Non-travel expenses
       (line 9)                                        $0.00                            $0.00                       $0.00                          $0.00
20.Health insurance(line 10)                      $12,480.00                            $0.00                       $0.00                          $0.00
21. Pension (line 11)                                  $0.00                            $0.00                       $0.00                          $0.00
           Totals per church                      $12,480.00                            $0.00                       $0.00                          $0.00



                                                           2011 Form I - New Format                                                    11/30/2011
22. Treasurer (check which applies)
            one treasurer is responsible for all direct billing &compensation amounts: NAME:
                                                                                       Phone #:
                                                     EMAIL:
            other (describe)

ADOPTION STEPS COMPLETED:

SPRC Chair Signature:                                                                               Date:

Church Council (Admin. Board/Council) Chair Signatures:

Church One Signature:                                                                               Date:

Church Two Signature:                                                                               Date:

Church Three Signature:                                                                             Date:

Church Four Signature:                                                                              Date:


Pastor's Signature:                                                                                 Date:


Presiding Elder Signature:                                                                          Date:
(If Applicable)

Superintendent Signature:                                                                           Date:

  Send a copy of this report to the district office at least one week before the church conference. Keep a copy for your records.




                                                                2011 Form I - New Format                            11/30/2011
Please Select a conference relationship - >                Pastor lives in parsonage or other housing provided by the church
Elder in full connection                                   Pastor lives in his/her own housing
Elder in full connection - less than full time
Elder member of other UM conference
Probationary Elder
Probationary member of other UM conf
Deacon in full connection
Deacon member of other UM conf
Probationary Deacon
Associate member
Associate member-part time
Full time licensed Local Pastor
Part time licensed Local Pastor
Student licensed Local Pastor
Retired Elder
Retired Deacon
Retired Associate Member
Retired licensed Local Pastor
Other denomination, full time
Other denomination, part time
ODM in other denomination pension plan
Certified Lay Minister
Supervised Lay Missioner
Supervised certified Lay Speaker
Temporary pulpit supply

Pastor is appointed full-time or 3/4 time                                       12480          (2011)
Pastor is appointed less than 3/4 time                                              0          (2011)




Church/Charge pension share, maximum                                       500000.00           (2009)
CPP Pension, maximum                                                       500000.00           (2009)


Column1                                          Pension Waived?
                                                 No, Pension Not Waived
                                                 Yes, Pension Waived
ovided by the church




                 Pastor's Appointment Status:
                 Full time
                 3/4 time
                 1/2 time
                 1/4 time




                 Pastor's share of Health Insurance (test figures)
                 Less than 3/4 time, not eligible                    0
                 HDHP Single Plan                                    0
                 HDHP Family Plan                                 4920

				
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