Name of person completing this form (*)
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Contact Email (*)
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Name of Pastor
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Years at this church
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Full Time
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If Part Time, what percent?
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Name of Church
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Size
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City
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Presbytery Minimums Amount (*items only)
Please enter amounts.
I. Total Effective Salary
*A. Cash salary
*$32,295 plus manse plus utilities or *$42,000 [including housing] [Include employee contributions to 403(b)(9) plans, tax-sheltered annuity plans, unvouchered book, car and study allowances; vacation pay and overtime]
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B. Housing/Utilities/Furnishing allowance
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Was your Housing/Utilities/Furnishing Allowance for 2012 designated prior to December 31, 2011?
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Designated by
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Designation Date
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C. Employing organization contributions to 403(b)(9) plans, tax-sheltered annuity plans and equity allowances [Matching contributions to the Board’s Retirement Savings Plan are not included]
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F. Manse amount
[must be at least 30 percent of lines A-E for members residing in employer-provided housing]
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D. Bonus [for the current year only; if continuing, report annually]
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Year in which bonus is paid
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E. Other allowances
_ [Including co-payment, medical, furnishings and utility allowances and reimbursement of SECA in excess of 50%] Do not include expenses reimbursed through vouchers.
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G. Total Annual Effective Salary (ES)** [total of lines A-F] Board of Pensions dues are computed and benefits are determined on this amount.
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*H. Benefits Plan Dues*Full Multiply ES by 32.25% [11% pension, 1% death & disability, 20.25% medical]
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II. Reimbursable and Allowances
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*A. Travel
*IRS allowable rate (1/1/2012- $ .555/mile)
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*B. Professional development *$800, cumulative up to 3 years
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C. SECA offset (50% or less)
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*D. Books/other professional expenses *$300
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E. Other vouchered/reimbursable expenses:
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*F. Moving costs *Full
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G. One-time moving expense
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III. Non-monetary terms of call - If different from those listed below please explain
*A. Vacation *One month, 4 Sundays A month is at least 30 days including 4 Sundays
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*B. Professional development time *2 weeks, cumulative up to (3) years
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** Board of Pensions publication, Understanding Effective Salary, is available at http://www.pensions.org/library/publications/pln-103.pdf. For further information, contact the Board of Pensions at 800.723.7752 or the Presbytery Office, at 888.271.6567/office@lakemichiganpresbytery.org.
Note: The IRS milage rate for business expenses changes from time to time. Pastors and churches have the responsibility to use the rate current at the time travel expenses were incurred.
