Wufoo
Terms of Call Report - 2009
Please complete and submit a separate form for every INSTALLED minister on staff.
Name of Church
*
-- select one --
Aurora First
Batavia
Bethel Murdoch
Blue Ash
Calvin
Carmel
Cherry Fork
College Hill
Community of Faith
Covenant-First
Cranston Memorial
Crescent Springs
Crestview
Dayton First
Dry Ridge
Ft. Thomas First
Glendale First
Grace Community
Greenhills Community
Harrison First
Heritage
Hillsboro First
Immanuel
Indian Hill
Kennedy Heights
Knox
Korean
Lakeside
Loveland
Madeira-Silverwood
Montgomery
Mt. Auburn
Mt. Washington
Mowrystown
North
Northminster
Northwest Community
Pleasant Ridge
Pleasant Run
Providence
Reading-Lockland
Richwood
Seaman United
Seventh
St. John's Westminster
Sycamore
Trinity
Union
Venice
West Chester
West Cincinnati
West Union First
Westwood First
Williamsburg First
Wyoming
LAST Name of Minister
*
Position (choose one)
*
Pastor or Co-Pastor
Associate Pastor
Designated Pastor
Designated Associate Pastor
Certified Christian Educator
Is this a full-time Position
*
Yes
No
If not, number of hours per week
Annual Compensation
Refer to Board of Pensions Change of Salary Form ENR-111 for definitions.
Cash Salary [Line 1 on ENR-111]
*
Housing Allowance [Line 2 on ENR-111]
*
Other [total Lines 3-5 on ENR-111]
*
Manse Allowance [Line 6 on ENR-111]
TOTAL ANNUAL EFFECTIVE SALARY
*
Reimbursable Allowances
Auto reimbursement at IRS maximum rate
*
Continuing Education
*
Other (e.g. Social Security offset less than 50%; other vouchered allowances)
Time Allowances
Vacation
*
Study Leave
*
Attestation
Date of compensation review with minister
*
MM
/
DD
/
YYYY
Date Session approved terms
*
MM
/
DD
/
YYYY
Date congregation approved terms
MM
/
DD
/
YYYY
FULL Name of Clerk of the Session
*
Notes
Use this space for additional information or comments about this form.
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Do Not Fill This Out