Travel information form



UFMCC Annual Report for 20__Information for Database and CommunicationsChurch NameHas the church legally changed the name since last report? If yes, what is the old name? Year and Date AffiliatedChurch Employer Identification NumberDoes the church use the MCC 501c3 umbrella for tax exemption? If no, what is the church’s 501c3 number? Church Mailing AddressChurch Office AddressChurch Telephone NumberChurch Fax NumberChurch Email AddressChurch WebsiteChurch FacebookChurch PropertyIf your church currently rents space for worship and church activities, what is your monthly rental amount? (in USD)If your church owns or is purchasing land only, but no buildings: What is the approximate market value of the land? What is the current mortgage balance owed on the land?The approximate size of the land is:If your church owns or is purchasing land and buildings:What is the approximate market value of the property?The current mortgage balance:The approximate size of the land:The approximate size of all buildings:Associated Non-Profit Social Service Organization, Foundation, or other Charitable OrganizationIf your church has formed an associated Social Service Organization, please provide the following information for each organization:Name of OrganizationEmployer Identification NumberType of Work PerformedChurch Leadership InformationPlease provide the following information for Staff and Volunteer Clergy, Lay Staff Members, Lay Delegates and Alternates, Board Members.Position/TitleNameEmailTelephoneMailing AddressMusic DirectorJohn Doejohndoe@2015551212123 Apple Lane, Anytown, MD 20174Demographics of Church Leadership Please insert the number of individuals that meet the criteria specified. This information is helpful in providing us with an accurate picture of the diversity of our church leaders.Gender IdentityPastorOrdainedChurch StaffLay ChurchStaffBoardMembersLayDelegatesMinistryLeadersMaleFemaleTrans*Gender NonconformingIntersexOtherAgePastorOrdainedChurch StaffLay ChurchStaffBoardMembersLayDelegatesMinistryLeaders17 years or younger18 to 35 years36 to 50 yearsOver 50 yearsAbilityPastorOrdainedChurch StaffLay ChurchStaffBoardMembersLayDelegatesMinistryLeadersNo apparent limitationVisual limitationHearing limitationMobility limitationDevelopmental limitationEthnic Self IdentityPastorOrdainedChurch StaffLay ChurchStaffBoardMembersLayDelegatesMinistryLeadersAfricanAsianEuropeanLatinxNative or First NationsOtherSexual OrientationPastorOrdainedChurch StaffLay ChurchStaffBoardMembersLayDelegatesMinistryLeadersAsexualBisexualHeterosexualHomosexualOtherChurch GovernanceYour Church’s Articles of Incorporation should be submitted to MCC for provision to the Internal Revenue Service. Have your Articles of Incorporation been submitted to MCC?No ?Yes ?If Yes, when were they submitted?If No, when can we expect your submission?Have your current Bylaws been approved by and submitted to MCC?No ?Yes ?If Yes, when were they submitted?If No, when can we expect your submission?In what month does your church holds its Annual Congregational Meeting?Risk ManagementEvery Board of Directors is strongly encouraged to complete a Risk Management Audit once a year. For a copy of the recommended form, please click here.Note: Most states require that the Articles of Incorporation/Organization/Statement of Information be renewed annually. The renewal date varies by state, but usually coincides with either the anniversary of your incorporation or calendar year (Jan. 1). See the USA Secretary of State Re-filing Chart on the next page.Name of the insurance company that provides the church’s:General Liability PolicyEmployer Liability PolicyWorker’s Compensation PolicyEmployee Health InsuranceUSA Secretary of State Re-filing ChartDoes Your State Require Re-filing?Check yearly to be sure.StateIs a State Incorporation Renewal Certificate Required?Secretary of State WebsiteAlabamaYes Arkansas (Every 2 years) ColoradoYes ConnecticutNo DelawareYes of ColombiaYes (Due 01/01 – 05/01) (Due 01/01 – 4/01) (odd # years) (Position 13B) No (Position 13, Chapter 81 or 93) (Due 10/01) (if filed as MSA317A) No (if filed as MSA315)? ( due 04/15) (Odd # Years) Hampshire JerseyYeshttp:// New MexicoYes YorkYes Carolina DakotaYes (Every 5 years) RicoYes IslandYes (Due 06/01) CarolinaYes Dakota (Only as changes are made in the corporation) Virginia (if incorporated under chapter 181) No (if incorporated under chapter 187)http: Wyoming ................
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