Application for CHURCH or MINISTRY CHARTER

Whereas, ______,

Full Legal Name of Church or Ministry to be listedon Charter

(Internal Revenue Service Federal Employer Identification Number [FEIN] ______,)

Located in the City of ______, County of ______,

and State of______, has in a duly called meeting held this ______day of ______201____, declared its desire to share in the privileges extended to member churches and ministries of Freedom Covenant Global Ministries, and for the purpose of cooperating with other churches and ministries of like precious faith by assuming its responsibilities as set forth in the Constitution and Bylaws of Freedom Covenant GlobalMinistries. Therefore, we, the undersigned, whose names appear on the church or ministry records as Officers/Directorsin good standing, do herebymake application to Freedom Covenant Global Ministries for recognition as a fully affiliated and chartered church or ministry with Freedom Covenant Global Ministries, Marysville WA 98270 USA. We further request that this church or ministry be covered under Freedom Covenant Global Ministries 501(c)(3) Group Exemption Number 3659 and that this church or ministry name and information be reported on the Group Exemption Roster, and copies of all governing documents be included at the next submission to the Internal Revenue Service.

Location of Church or Ministry______

Street or Rural RouteCity, State, Zip

Mailing Address ______

Phone (______) ______Fax (______) ______

Email ______Website______

What was the status of this church or ministry prior to this application: ___ Pioneer Work ___ Independent___ Denominational Affiliate ____ Other - Please explain:______

______

______

Does church or ministry own property? ______

If owned, how is it deeded?______

Name of Pastor or President: ______

Name of Director of CE or S.S. Superintendent ______

Name of Director of Youth’Ministries ______

Name of Director of Women’s Ministries______

Name of Director of Men’s Ministries______

Name of Director of Senior’s Ministries ______

STATISTICS

Church Membership ______Attendance Sunday Morning Service______

Non-Members who attend______Attendance Sunday School ______

Attendance Evening Service______Attendance Midweek Service______

This church or ministry was founded on ______

(Month Day Year)

This church or ministry was reopenedon______

(Month Day Year)

By whose initiative was this church or ministry started?______

Comments: ______

______

______

______

Officers and Board Members***

***Although the Internal Revenue Service requires a minimum of three Directors, FCGM requires a minimum of five Directors, including the President, Secretary, and Treasurer, which are the minimum required officer positions. Any Director may hold more than one office except the President. Also, the Board of Directors must be balanced [more non-related than related members] before the Initial Board of Directors Meeting.

President

  1. ______

Last NameFirst NameMiddle Initial

  1. Address:______

Number & StreetCityStateZip Code

  1. Telephone: ______Email: ______
  1. Place of Birth: ______

CityCountyState

  1. Date of Birth: ______Age: _____ SSA # ______

Month Day Year

  1. Sex: ____ Race: ______Married: ___ Divorced: ___ Separated: ___ Single: ___

VicePresident

1.______

Last NameFirst NameMiddle Initial

  1. Address:______

Number & StreetCityStateZip Code

  1. Telephone: ______Email: ______
  1. Place of Birth: ______

CityCountyState

  1. Date of Birth: ______Age: _____ SSA # ______

Month Day Year

  1. Sex: ____ Race: ______Married: ___ Divorced: ___ Separated: ___ Single: ___

Secretary

1.______

Last NameFirst NameMiddle Initial

  1. Address:______

Number & StreetCityStateZip Code

  1. Telephone: ______Email: ______
  1. Place of Birth: ______

CityCountyState

  1. Date of Birth: ______Age: _____ SSA # ______

Month Day Year

  1. Sex: ____ Race: ______Married: ___ Divorced: ___ Separated: ___ Single: ___

Treasurer

1.______

Last NameFirst NameMiddle Initial

  1. Address:______

Number & StreetCityStateZip Code

  1. Telephone: ______Email: ______
  1. Place of Birth: ______

CityCountyState

  1. Date of Birth: ______Age: _____ SSA # ______

Month Day Year

  1. Sex: ____ Race: ______Married: ___ Divorced: ___ Separated: ___ Single: ___

Director

1.______

Last NameFirst NameMiddle Initial

  1. Address:______

Number & StreetCityStateZip Code

  1. Telephone: ______Email: ______
  1. Place of Birth: ______

CityCountyState

  1. Date of Birth: ______Age: _____ SSA # ______

Month Day Year

  1. Sex: ____ Race: ______Married: ___ Divorced: ___ Separated: ___ Single: ___

Director

1.______

Last NameFirst NameMiddle Initial

  1. Address:______

Number & StreetCityStateZip Code

  1. Telephone: ______Email: ______
  1. Place of Birth: ______

CityCountyState

  1. Date of Birth: ______Age: _____ SSA # ______

Month Day Year

  1. Sex: ____ Race: ______Married: ___ Divorced: ___ Separated: ___ Single: ___

Director

1.______

Last NameFirst NameMiddle Initial

  1. Address:______

Number & StreetCityStateZip Code

  1. Telephone: ______Email: ______
  1. Place of Birth: ______

CityCountyState

  1. Date of Birth: ______Age: _____ SSA # ______

Month Day Year

  1. Sex: ____ Race: ______Married: ___ Divorced: ___ Separated: ___ Single: ___

Add additional pages if necessary.

Date: ______

______Signature of Pastor or Ministry President

______

Signature of Church or Ministry Secretary

Note: This application form should be completed in triplicate. The Administrative Office and the Regional Office copies are to be sent to the Regional Office for endorsement. The local church or ministry copy is to be retained for the permanent records of the church or ministry. The Regional Office will forward the Administrative Office copy to the office of the General Secretary who shall (after it has been approved) prepare the church or ministry charter and send it to the Regional Office for the presentation. The church or ministry charter will be presented to the local church or ministry by the Regional Bishop (or another regional official named by the Bishop) in a special service arranged by the Bishop with the pastor or ministry president. Complete information on ALL Board of Directors members on following pages.

Endorsed by the Freedom Covenant Global Ministries ______Region

Comments: ______

______

______

______

Date: ______

______

Signature of Regional Bishop

For General Secretary’s Office Only:

Date approved______Church or Ministry Charter # ______

Date entered into records______By______

Signed by Presiding Bishop or General Secretary (strike out one)

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