MidTexas Compensation Form

MidTexas Compensation Form

2025 V4 - April 9, 2025 - Rev. Jim Noble, CFO, (361)562-9147 / jimnoble@midtexasgmc.org
For additional information on Housing, ARP, and health insurance - click this link to see an informational Jotform page:

Additional Information Jotform
Church/Charge Name
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 Status
Pastor Email
example@example.com
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
Main Contact at Primary Point in Charge
Email of Main Contact at Primary Point in Charge
example@example.com
Church Name of 2nd Point in Charge
Main Contact at 2nd Point in Charge
Email of Main Contact at 2nd Point in Charge
example@example.com
Percentage Appointment of 2nd Point in Charge
Percentage Appointment of 3rd Point in Charge
Church Name of 3rd Point in Charge
Main Contact at 3rd Point in Charge
Email of Main Contact at 3rd Point in Charge
example@example.com
Does the Charge Provide a Parsonage?
Which Church in the Charge Supplies the Parsonage?

Health Insurance?
Amount of Health Insurance Covered by Charge
Optional FSA/HSA Elected by Pastor (Annual Amount)
Amount of Long-Term Disability / Basic Life Insurance (Guidestone)

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 and Wishes to Waive Pension Coverage due to Existing Retirement Benefits? If not, skip. If Yes, check Yes and contact Jim Noble to fill out a waiver form.

Yes
Pension Salary (with Parsonage)
Pension Salary (No Parsonage)
Pastor Personal Pension Contribution
Base Pension (No Parsonage)
Base Pension (Parsonage)
"Matching" Pension
Accountable Reimbursement Plan Amount (If Desired)
Housing Exclusion Amount (If Desired)
Other Costs to be Considered Part of Total Compensation
If there are Moving Costs paid by the Church (For new appointments and negotiable between the church/pastor), how much is the church paying?
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)

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 of PPR Chair or Equivalent in Largest/Only Church in Charge
Email of PPR Chair or Equivalent in Largest/Only Church in Charge
example@example.com
Name of PPR Chair or Equivalent in 2nd Church of Charge
Email of PPR Chair or Equivalent in 2nd Church of Charge
example@example.com
Name of PPR Chair or Equivalent in 3rd Church of Charge
Email of PPR Chair or Equivalent in 3rd Church of Charge
example@example.com
Name of Finance Chair or Equivalent in Largest/Only Church in Charge
Email of Finance Chair or Equivalent in Largest/Only Church in Charge
example@example.com
Name of Finance Chair or Equivalent in 2nd Church of Charge
Email of Finance Chair or Equivalent in 2nd Church of Charge
example@example.com
Name of Finance Chair or Equivalent in 3rd Church of Charge
Email of Finance Chair or Equivalent in 3rd Church of Charge
example@example.com
Name of Council Chair or Equivalent in Largest/Only Church in Charge
Email of Council Chair or Equivalent in Largest/Only Church in Charge
example@example.com
Name of Council Chair or Equivalent in 2nd Church of Charge
Email of Council Chair or Equivalent in 2nd Church of Charge
example@example.com
Name of Council Chair or Equivalent in 3rd Church of Charge
Email of Council Chair or Equivalent in 3rd Church of Charge
example@example.com
Name of Presiding Elder

Housing Exclusion Resolution

Whereas {churchchargeName} 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

Housing Allowance for Clergy (No Parsonage)

Whereas, {churchchargeName} 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.
Should be Empty: