Susquehanna Conference – A Pennsylvania Conference of the ...



1777365-175260FORM #4a CHARGE: FORMTEXT ????? YEAR 2019 CHURCH: FORMTEXT ????? DISTRICT: FORMTEXT ????? Local Church Officers Form – Positions are effective Jan. 1, 2020Church Name FORMTEXT ?????Pastor(s) FORMTEXT ?????Section 1 – Please provide full contact information for every officer in this section If part of a multi-point charge, Leave S/PPRC space BLANK on Form 4a - Form 4b is requiredStaff/Pastor Parish Chair (single point church only)Lay Leader Name FORMTEXT ?????Name FORMTEXT ?????Street Address FORMTEXT ?????Street Address FORMTEXT ?????City/State/Zip+4 FORMTEXT ?????City/State/Zip+4 FORMTEXT ?????Phone FORMTEXT ?????Phone FORMTEXT ?????Email FORMTEXT ?????Email FORMTEXT ?????AD BD/CO ChairTrustees Chair (Church)Name FORMTEXT ?????Name FORMTEXT ?????Street Address FORMTEXT ?????Street Address FORMTEXT ?????City/State/Zip+4 FORMTEXT ?????City/State/Zip+4 FORMTEXT ?????Phone FORMTEXT ?????Phone FORMTEXT ?????Email FORMTEXT ?????Email FORMTEXT ?????Treasurer (Church)Finance ChairName FORMTEXT ?????Name FORMTEXT ?????Street Address FORMTEXT ?????Street Address FORMTEXT ?????City/State/Zip+4 FORMTEXT ?????City/State/Zip+4 FORMTEXT ?????Phone FORMTEXT ?????Phone FORMTEXT ?????Email FORMTEXT ?????Email FORMTEXT ?????Stewardship ChairChurch Office ContactName FORMTEXT ?????Name FORMTEXT ?????Street Address FORMTEXT ?????Street Address FORMTEXT ?????City/State/Zip+4 FORMTEXT ?????City/State/Zip+4 FORMTEXT ?????Phone FORMTEXT ?????Phone FORMTEXT ?????Email FORMTEXT ?????Email FORMTEXT ?????HistorianUMYF PresidentName FORMTEXT ?????Name FORMTEXT ?????Street Address FORMTEXT ?????Street Address FORMTEXT ?????City/State/Zip+4 FORMTEXT ?????City/State/Zip+4 FORMTEXT ?????Phone FORMTEXT ?????Phone FORMTEXT ?????Email FORMTEXT ?????Email FORMTEXT ?????UMM PresidentUMW PresidentName FORMTEXT ?????Name FORMTEXT ?????Street Address FORMTEXT ?????Street Address FORMTEXT ?????City/State/Zip+4 FORMTEXT ?????City/State/Zip+4 FORMTEXT ?????Phone FORMTEXT ?????Phone FORMTEXT ?????Email FORMTEXT ?????Email FORMTEXT ?????Safe Sanctuaries CoordinatorCamping ContactName FORMTEXT ?????Name FORMTEXT ?????Street Address FORMTEXT ?????Street Address FORMTEXT ?????City/State/Zip+4 FORMTEXT ?????City/State/Zip+4 FORMTEXT ?????Phone FORMTEXT ?????Phone FORMTEXT ?????Email FORMTEXT ?????Email FORMTEXT ?????Section 2 - Please provide contact information for those offices that apply to your congregationOrganist/PianistChoir DirectorName FORMTEXT ?????Name FORMTEXT ?????Street Address FORMTEXT ?????Street Address FORMTEXT ?????City/State/Zip+4 FORMTEXT ?????City/State/Zip+4 FORMTEXT ?????Phone FORMTEXT ?????Phone FORMTEXT ?????Email FORMTEXT ?????Email FORMTEXT ?????Worship Chair Council On Ministries ChairName FORMTEXT ?????Name FORMTEXT ?????Street Address FORMTEXT ?????Street Address FORMTEXT ?????City/State/Zip+4 FORMTEXT ?????City/State/Zip+4 FORMTEXT ?????Phone FORMTEXT ?????Phone FORMTEXT ?????Email FORMTEXT ?????Email FORMTEXT ?????Mission/Outreach/Evangelism ChairMember Care/Nurture ChairName FORMTEXT ?????Name FORMTEXT ?????Street Address FORMTEXT ?????Street Address FORMTEXT ?????City/State/Zip+4 FORMTEXT ?????City/State/Zip+4 FORMTEXT ?????Phone FORMTEXT ?????Phone FORMTEXT ?????Email FORMTEXT ?????Email FORMTEXT ?????Sunday School SuperintendentEducation ChairName FORMTEXT ?????Name FORMTEXT ?????Street Address FORMTEXT ?????Street Address FORMTEXT ?????City/State/Zip+4 FORMTEXT ?????City/State/Zip+4 FORMTEXT ?????Phone FORMTEXT ?????Phone FORMTEXT ?????Email FORMTEXT ?????Email FORMTEXT ?????Small Groups CoordinatorChildren’s CoordinatorName FORMTEXT ?????Name FORMTEXT ?????Street Address FORMTEXT ?????Street Address FORMTEXT ?????City/State/Zip+4 FORMTEXT ?????City/State/Zip+4 FORMTEXT ?????Phone FORMTEXT ?????Phone FORMTEXT ?????Email FORMTEXT ?????Email FORMTEXT ?????Youth CoordinatorYoung Adult CoordinatorName FORMTEXT ?????Name FORMTEXT ?????Street Address FORMTEXT ?????Street Address FORMTEXT ?????City/State/Zip+4 FORMTEXT ?????City/State/Zip+4 FORMTEXT ?????Phone FORMTEXT ?????Phone FORMTEXT ?????Email FORMTEXT ?????Email FORMTEXT ?????Health Ministries ContactHunger Ministries ContactName FORMTEXT ?????Name FORMTEXT ?????Street Address FORMTEXT ?????Street Address FORMTEXT ?????City/State/Zip+4 FORMTEXT ?????City/State/Zip+4 FORMTEXT ?????Phone FORMTEXT ?????Phone FORMTEXT ?????Email FORMTEXT ?????Email FORMTEXT ?????Religion & Race ContactStatus & Role of Women ContactName FORMTEXT ?????Name FORMTEXT ?????Street Address FORMTEXT ?????Street Address FORMTEXT ?????City/State/Zip+4 FORMTEXT ?????City/State/Zip+4 FORMTEXT ?????Phone FORMTEXT ?????Phone FORMTEXT ?????Email FORMTEXT ?????Email FORMTEXT ?????Communications ChairName FORMTEXT ?????Street Address FORMTEXT ?????City/State/Zip+4 FORMTEXT ?????Phone FORMTEXT ?????Email FORMTEXT ????? ................
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