2025 Compensation Report Name(Required) First Last Position(Required) Minister Associate Interim Temporary/Stated Supply CLP DCE Employment Status(Required) Full Time Part-Time # of hours(Required)Church(Required)Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone(Required)Email(Required) Do you have employment income other than from the position listed above?(Required) Yes No List other employment(Required)Sabbatical if in current call 7+ years(Required) yes planned n/a Dates(Required)Dates(Required)Salary Information2024 - Salary(Required)2025 Salary(Required)2024 Use ofManse (30% of salary) OR Housing Allowance(Required)2025 Use ofManse (30% of salary) OR Housing Allowance(Required)In which medical benefits plan are you enrolled?(Required)Select a PlanCongregational Pastor's Package Member ONLY 16%Congregational Pastor's Package DependentsTransitional Pastor's Participation 33%CLP/No Insurance2024 Pension & Medical(37% of Effective Salary)(Required)2025 Pension (10% of effective salary)(Required)2025 Medical (based on answer above)(Required)2024 Other Insurance (specify)(Required)2025 Other Insurance (specify)(Required)2024 SECA Reimbursement (7.65% of Effective Salary)(Required)2025 SECA Reimbursement (7.65% of Effective Salary)(Required)2024 Mileage Allowance (current IRS rate)(Required)2025 Mileage Allowance (current IRS rate)(Required)2024 Continuing Education Allowance(Required)2025 Continuing Education Allowance(Required)2024 Other (specify)(Required)2025 Other (specify)(Required)Were 12 weeks of family leave added to your contract?(Required) yes no Is a professional expense reimbursement account used?(Required) yes no Was an Annual Review of Compensation conducted?(Required) yes no Who completed this form?(Required) Pastor Clerk of Session Clerk of Session's Name(Required) First Last Clerk of Session's Email(Required) Clerk of Session's Name(Required) First Last Clerk of Session's Email(Required) Pastor's Signature(Required)
