to be completed by church clerk

* 1. Church Name:

* 2. Messengers to the Associational Meeting:

* 3. Deaths during the year: (Collected & used for Memorial Service at Annual Meeting)

* 4. Association Board of Directors Members: (Pastor plus one lay person as elected by each church)

* 5. Other Minister who is a member of our church:

* 6. Other Minister who is a member of our church:

* 7. Meeting Times

* 8. Historical Events: (newsworthy events such as new building / remodel, church plants, etc.)

* 9. Upcoming significant celebrations: (Include date if available)

* 10. Please list names & position of any NEW STAFF that has been added since our last Annual Meeting in October 2015:

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