MidTexas Compensation Form

For additional instructions (PLEASE read these) and information on Housing, ARP, and health insurance - click this link to see an informational Jotform page:

Instructions & Additional Information

NOTE: ALL AMOUNTS ARE ANNUAL USD UNLESS OTHERWISE NOTED

THIS FORM HAS CONDITIONAL LOGIC THAT OPERATES FROM TOP DOWN. IF YOU CHANGE AMOUNTS IN FIELDS ABOVE OTHER FIELDS, IT MAY BE NECESSARY TO TAB BACK THROUGH THE FIELDS HIGHER ON THE FORM IN ORDER TO PROPERLY UPDATE FIELDS BELOW.

Main Contact Church/Charge Name*

Main Contact Church Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Submitter/Contact Email*

example@example.com

Pastor Name*

First NameLast Name

Pastor Email

example@example.com

Pastor Status

Effective Date of This Compensation Form*

This form and all housing and other resolutions included in it are effective until terminated or until a successor form is completed and signed, even beyond the year indicated in the box immediately above.

Total Percentage of Charge (Single Church or All Churches Combined)

Multi-Point Charge?

Percentage Appointment of Largest/Only Church in Charge

Church Name of 2nd Point in Charge

Percentage Appointment of 2nd Point in Charge

Percentage Appointment of 3rd Point in Charge

Church Name of 3rd Point in Charge

Does the Charge Provide a Parsonage?*

Which Church in the Charge Supplies the Parsonage?

Health Insurance?

Amount of Health Insurance Covered by Charge (This can include other elections like dental, vision, etc.)

Amount of Long-Term Disability / Basic Life Insurance (Guidestone) (ANNUAL AMOUNT)

Base Salary - Primary/Only Church

Base Salary - 2nd Church in Charge

Base Salary - 3rd Church in Charge

Total Charge Salary

Housing Allowance (No Parsonage)

Is the Clergy of Retirement Age (or some other valid reason) and Wishes to Waive Pension Coverage due to Existing Retirement Benefits? If not, skip. If Yes, check Yes. Checking Yes and electronically signing below indicates agreement by the clergy person that they are choosing to opt out of eligible pension benefits. Soon, there will also be a waiver to complete for Guidestone.

Yes

Pension Salary (with Parsonage)

Pension Salary (No Parsonage)

Base Pension (No Parsonage) (Annual)

Base Pension (Parsonage) (Annual)

"Matching" Pension

Accountable Reimbursement Plan Amount (If Desired)

Other Costs to be Considered Part of Total Compensation

What is Included in Other Costs Considered Part of Total Compensation?

Total Budget Cost of Pastor (Total Compensation, No Parsonage)

Total Budget Cost of Pastor (Total Compensation, Parsonage)

Anything below this line, that may or may not appear, is NOT part of Total Budget Cost of the Pastor / Total Compensation

Housing Exclusion Amount (If Desired)

Housing Exclusion is designated by the clergy and approved by the church but is not an additional cost to the church. See the instructions for more information. Housing Exclusion is NOT included in Total Budget Impact / Total Compensation

The following elections made by the clergy and should be payroll deducted. They are NOT included in the Total Budget Cost of Pastor/Total Compensation

Optional FSA/HSA Elected by Pastor (Annual Amount) (Not included in Total Budget Cost, Billed to Church but Payroll Deducted on Paycheck)

Pastor Personal Pension Contribution (Annual) (Not included in Total Budget Cost, Billed to Church but Payroll Deducted on Paycheck)

Moving Costs are irregular and negotiated between the church and appointed clergy (talk to your Presiding Elder). A few years ago, tax law changes made them taxable to clergy when paid by the church. Therefore, any moving costs paid by the church should be included in W2 income to the clergy in the year incurred

If there are Moving Costs paid by the Church (For new appointments and negotiable between the church/pastor), how much is the church paying?

Once the contact fields below have been completed and you've double checked the accuracy of all the information input above, please submit this form. MidTexas CFO Jim Noble will then initiate an electronic signing process for all key parties involved. If you must hand sign, please print the form, have all parties sign it, and mail a copy or scan and email a copy to CFO Jim Noble.

Name & Title of Responsible Church Leader in Largest/Only Church in Charge (Not the Clergy Person)*

It is this person's responsibility, ideally before signing, to ensure all church leadership has been made aware of, and agreed via vote, to the terms of this compensation form.

Email of Responsible Church Leader in Largest/Only Church in Charge*

example@example.com

Name & Title of Responsible Church Leader in 2nd Church of Charge (Not the Clergy Person)

Email of Responsible Church Leader in 2nd Church of Charge

example@example.com

Name & Title of Responsible Church Leader in 3rd Church of Charge (Not the Clergy Person)

Email of Responsible Church Leader in 3rd Church of Charge

example@example.com

Name of District Presiding Elder

Email of District Presiding Elder

example@example.com

Housing Exclusion Resolution

Whereas {mainContact4} provides its pastor rent-free use of a church owned parsonage but desires to provide housing exclusion in addition to the rent-free parsonage as compensation for services rendered to the church in the exercise of
ministry and whereas the church desires to pay its pastor for expenses incurred in maintaining proper housing; and whereas, section 107 of the IRS Code allows a minister of the gospel to exclude from gross income a designated housing allowance, be it resolved that {housingExclusion} is designated as a housing exclusion for {pastorName}. The pastor agrees to keep an accurate record of housing expensditures to substantiate any amounts excluded from gross income
in filing their tax returns. Housing exclusion must be included as part of income for self-employment tax, if applicable. In the event of an audit, the pastor has responsibility of substantiating the uses of such funds. This line is normally reported in Box 14 of the W-2.

Housing Allowance Resolution

Whereas, {mainContact4} does not provide its pastor rent-free use of a church owned parsonage but desires to provide housing allowance instead as compensation for services rendered to the church in the exercise of ministry and whereas the church desires to pay its pastor for expenses incurred in maintaining proper housing; and whereas, section 107 of the IRS Code allows a minister of the gospel to exclude from gross income a designated housing allowance, be it resolved that {housingAllowance} is designated as a housing allowance for {pastorName}. The pastor agrees to keep an accurate record of housing expensditures to substantiate any amounts excluded from gross income in filing their tax returns. Housing exclusion must be included as part of income for self-employment tax, if applicable. In the event of an examination, the pastor has responsibility of substantiating the uses of such funds. This line is normally reported in Box 14 of the W-2.