The Western Assembly Disciples of Christ Churches, Inc

The Western Assembly

Disciples of Christ Churches, Inc.

Founded in 1872

Post Office Box 405, Newton Grove, NC28366
(910) 594-0397
Charles J. Williams, Sr., Bishop
(919) 735-5273
Calvin E. Davis, Vice Bishop
Sylvia Adams, Treasurer
Oscar Williams, Auditor
Julius Brackeen, Building Fund / Local Church Annual Report / Linda Owens, Recording Secretary
Linda Haley, Financial Secretary
(919) 934-6201
Deborah Underwood, Asst Rec. Secretary
Erika Harris, Corresponding Secretary
Lenard Chesnutt, Steering Committee
Section I
Date / Session
Name of Church / Address
Telephone
Pastor / Address
Telephone
Church Secretary / Address
Telephone
Sunday School Superintendent / Address
Telephone
Chairman of Trustee Board / Address
Telephone
Home Mission President / Address
Telephone
Miss Western Assembly Contestant / Address
Telephone
Name of Delegates
Address
Telephone
Address
Telephone
Mother Board Chairman / Address
Telephone
List of Mother Board Members
Address
Telephone
Address
Telephone
Address
Telephone
Address
Telephone
Address
Telephone
Address
Telephone
Address
Telephone
Address
Telephone
Section II / ASSEMBLY REPRESENTATION
Church Assessment / $
Food Assessment
Less than 51 members = $20.00 / 50 members or more = $40.00 / $
Pastor’s Assessment ($100.00) / $
Elder, Eldress, Evangelist($75.00 each) / $
Name(s)
Address / $
Telephone
Address / $
Telephone
Address / $
Telephone
Address / $
Telephone
Local Ministers ($50.00 each)
Address / $
Telephone
Address / $
Telephone
Address / $
Telephone
Address / $
Telephone
Total Number of Ministers_____Amount / $

Section III- Deacons’ Representation – ($50.00 each)

Name(s) / Address and Telephone Number
Address / $
Telephone
Address / $
Telephone
Address / $
Telephone
Address / $
Telephone
Address / $
Telephone
Address / $
Telephone
Total Number of Deacons_____Amount / $

Section IV - W. L. Williams Scholarship Fund

Assessment / Amount
Pastor ($15.00) / $
Elder, Eldress, Evangelist ($10.00 each) / $
Local Ministers ($8.00 each) / $
Deacons ($5.00 each) / $
Each Church Member ($2.00) / $
Total Scholarship Fund / $

Section V – Income

Tithes and Offerings...... $

Donations...... $

Anniversaries...... $

Rallies...... $

Sick-Mission Offerings...... $

Public Offerings...... $

Tax Refunds...... $

Building Fund...... $

Money Sent to Outreach (Outside of church to groups or other ministries)...... $

Other (please specify)______...... $

______...... $

______...... $

Total Church Annual Income...... $

Expenditures for the Year

Electric Bill...... $

Water Bill...... $

Telephone Bill...... $

Fuel Bill...... $

Repairs...... $

Pastor’s Salary...... $

Other Staff Salaries...... $

Custodian/Janitor...... $

Mortgage Payment...... $

Visiting Minister(s)...... $

Miscellaneous...... $

Sick & Foreign Mission Paid Out...... $

Total Church Annual Expenditures...... $

Church Assets

Property...... $

Other...... $

Church Liabilities

Loan Payments

Company Name ______

Amount of Payment...... $

Frequency of Payment: ( ) Monthly ( ) Semi-Monthly ( ) Quarterly ( ) Semi-Annually ( ) Annual

Section VI

Checking Account...... $

Saving Account...... $

Other (please specify)______$

Church Membership

Description / Total
Total Church Membership
(All members on Church Roll regardless of degree of participation)
Active Members
(Participating members those who attend, contribute, show continuing interest in Church)
New Member Received / Baptisms (Total number of persons added to church roll)
Transfers (Total number of persons from other congregations)
Deceased Members (Total number of deceased members)
Member Lost (Total number of persons that left church)
In Active Members(Total of non-participating members not attending)
Average Worship Attendance for the Year
(Include non members, average number participating weekly )
Average Number of Sunday School Attendance for the Year
(Include non members, average number participating weekly )
Average Number of CWF/Home Mission Members for the Year
(Include non members, average number participating weekly )

Church Demographics

1. Number of people in congregation by race and/or ethnicity

Black / African American / Native American Indian / Hispanic
White / Asian / Korean / Other

1. Number of people in congregation in each of the following age categories (years old)

0-5 / 6-11 / 12-17 / 18-24 / 25-34
35-44 / 55-64 / 65-74 / 75-84 / Over 85

Please complete all items, sign and return with payment to the Financial Secretary bythis date ______ (Checks should be made payable to Western Assembly DOC)

______/ ______

Signature of Person Completing the Form / Phone Number

Mail to the Attention of

Mother Linda Haley, Financial Secretary

Western Assembly Disciples of Christ Churches, Inc.

PO Box 405, Newton Grove, NC 28366

Attach additional pages as needed

Western Assembly Annual Assessment Report (rev 12/14/2014)Page 1 of 6