NEW SHORT FORM: CHURCH STATISTICAL REPORT TO THE AC & GC 2025

LEGAL CHURCH NAME* This field is required.This Information Will Be Published in the Official CMC Church Directory

CHURCH EIN* This field is required.Each Church Is Required to Have Its Own Unique EIN XX-XXXXXXX. (Required to be Recognized as a CM Church in Good Standing for 501 (c)3 purposes. Do You Need an EIN? https://www.irs.gov/businesses/small-businesses-self-employed/do-you-need-an-ein

CHURCH ADDRESS* This field is required.This Information Will Be Published in the Official CMC Church Directory

Physical Street Address (Google/Apple Maps)

Mailing Address (If Different from Physical Address or PO Box)

Church Office Phone

Church Office Email

Primary Church Contact Person: Name* This field is required.This Information Will Be Published in the Official CMC Church Directory

POC Name

POC Title

Cell Phone

Primary Email

Alternate Church Contact Person: NameThis Information Will Be Published in the Official CMC Church Directory

POC Name

POC Title

Cell Phone

Primary Email

SOCIAL MEDIA & WEBSITE* This field is required.This Information Will Be Published in the Official CMC Church Directory If you do not have an official website or social media - type n/a in the box.

CHURCH WEBSITE URL

CHURCH FACEBOOK / INSTAGRAM / SOCIAL MEDIA NAME

Assigned Annual Conference* This field is required.Choose The Annual Conference Your Church is Part of: The Statistical Data from this report is only available to the your assigned Annual Conference and the General Conference.

Alabama Annual Conference

Georgia Annual Conference

Louisianna Annual Conference

Mid-Atlantic Annual Conference

Mississippi Annual Conference

Missouri Annual Conference

Northcentral Annual Conference

Rio Grande Annual Conference

Tennessee Annual Conference

East Texas Annual Conference

North Texas Annual Conference

South Texas Annual Conference

Southeast Coastal Annual Conference

Church Engagement with Annual and General Conference* This field is required.Select All That Apply

We support our local Annual Conference by sending delegates.

We support our local Annual Conference with a percentage of our local tithes and offerings.

We support our General Conference by sending delegates.

We support our General Confernence with a percentage of our local tithes and offerings.

We support our GC Missions Program by promoting and taking offerings for this work.

We support our GC Church Ministries by promoting and using discipleship material and training resources. (Sunday School, Church Health, Consulting, etc.)

Total Number of Adult Members* This field is required.Only include the total number of active adult members with voting rights. This data is used for statistical purposes only. Local Church Membership (BOD 20ed. Page 21)

Number: Adult Members

Average Weekly Adult Attendance* This field is required.Includes visitors and non-members. This data is used for statistical purposes only.

Number: Weekly Adult Attendance

Average Weekly Children & Youth Attendance* This field is required.Includes visitors and non-members. This data is used for statistical purposes only.

Number: Weekly Children and Youth Attendance

Number of New Members ADDED to Official Member Role Book* This field is required.Over the course of the past year (Jan - Dec) how many new members have been accepted? (Does not include Jr. members) This data is used for statistical purposes only.

Total Number of New Members (1 Year)

Number of Members REMOVED from Official Member Role Book* This field is required.Over the course of the past year, how many members have been removed? (Does not include Jr. members) Include those members who have transferred, passed away, or have been removed due to inactivity. This data is used for statistical purposes only.

Total Number of Removed Members (1 Year)

Church Memorial Record:Each Year, we lose members to their heavenly home. To honor them, we record their names in the Annual Conference Minutes. Please Include their Name, Appropriate Title, Life Span Dates Please indicate if the Memorial is for a CM Pastor or Licensed Minister.

Total Income* This field is required.Include Tithes & Offering, Other Cash Donations, Fundraising, and Other Income. This data is used for statistical purposes only.

Total Income Reported on the Income and Expense Report (Jan - Dec).

Total Salaries, Benefits, & Employer Tax Expense* This field is required.Include Full-time and Part-Time W-2 and 1099 Employees (Not Independent Contractors) Please combine all employee salaries, benefits, and taxes. This data is used for statistical purposes only.

Total Employee Expense (Jan - Dec).

Total Facility Maintenance, Insurance, & Utilities Expense* This field is required.Combine the total of all facility maintenance, insurance, and utilities from the Income and Expense Report. This data is used for statistical purposes only.

Total Facility Maintenance, Insurance, & Utilities (Jan - Dec).

Total Ministry & Administration Expense* This field is required.Combine the total of all office, ministry, and general operation expenses from the Income and Expense Report. Do not include Employee Expenses, Facility Expenses, or Mission Outreach. This data is used for statistical purposes only.

Total office, local ministry, and general operations expenses (Jan - Dec).

Total Expense* This field is required.Include all expenses from your income and expense report from January to December. This total will include all the categories and any expenses not included. This data is used for statistical purposes only.

By completing and submitting this form, we understand that the contact information provided, such as name, address, phone, and email, will be included in the official CMC Directory for 2026.* This field is required.

YESNO

We, the officers and members of this Congregational Methodist Church, reaffirm our faith in Jesus Christ as Savior and Lord and our full agreement with the doctrines and principles of The Discipline of the Congregational Methodist Church (20th Edition). * This field is required.

YESNO

NEW SHORT FORM: CHURCH STATISTICAL REPORT TO THE AC & GC 2025 - 2026