WORKER'S COMP & FINANCE REPORT: 2018

CHURCH

STATE

Indiana

Michigan

PROPERTY & FINANCE

CURRENT PROPERTY VALUE (church, parsonages, other property)

CASH BALANCE (savings, checking, cash on hand)

OTHER ASSETS (stocks, bonds, CDs, etc.)

TOTAL LIABILITIES (mortages, loans, credit cards, outstanding credit balances)

Has your Federal ID number changed? If yes, enter new number below

Yes

Has your State Sales Tax Exemption number changed? If yes, enter new number below

Yes

CREDENTIALED EMPLOYEES

(Only include employees issued a W-2 form, not a 1099.)

Total 2018 Wages

Total 2018 Housing

NON-CREDENTIALED EMPLOYEES

(Only include employees issued a W-2 form, not a 1099.)

Student Ministries Leader

Children's Ministries Leader

Worship Ministries Leader

Office Workers

Janitor

Daycare Workers (wages must be reported if you have daycare)

OTHER WORKERS

Title

NAME OF PERSON COMPLETING THIS REPORT

Thank you! Your 2018 Worker's Comp & Financial Report has been submitted. If you need to make changes, please contact Lisa at the MCNCD. 574.293.1332 Lisa@mcncd.org