SRG Reporting

Acts Ministry, Inc. Service, Reporting & Gifting Guidelines (SRG) Effective January 1, 2016 Name of Individual/Ministry:_________________________________________________________Credential Titles: 1. Ordained Ministers & Pastors__        4. Licensed Missionaries__ 2. Licensed Ministers & Pastors __        5. Licensed Christian workers__ 3. Licensed Ministries__                           6. Licensed Outreaches, Fellowships, Missions, & Outreaches__                 SRG Reporting: Dated: From___/___/___/—to—___/___/___/ Address:__________________________________________________________________________________________________________________________________________________________________________________________________________________________ Type of Works:______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Recent time period results:________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Assets $________________________________ Liabilities $_________________________________Balance$________________ Revenue$______________________________ Expenses $_________________________________Balance $_______________ Outstanding Contingencies: Lawsuit_______________, Personnel change________ Relocation________________ Major Expenditures (Explain)________________________________________________________________________________ Other____________________________________________________________________________________________________________ Attach copy of your latest 990 IRS Filing and any subsequent amendments or clarifications. __________________________________________________________________________________________________________________ SRG Service: Explain your service to Acts Ministry, Inc. for the Reporting above dated from___/___/___/—to—___/___/___: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________                 SRG Giving: Confirm financial support to Acts Ministry, Inc.. Its vision “Unity in Christ through The Holy Spirit,” and mission “Serving where Needed,” by “Doing the Right Thing.” Amount given for the period: $_____________  and I affirm my commitment to the Acts Ministry vision and mission by my signature. Signed________________________________________________ Printed______________________________Dated: __/__/__/ Social Security Number__ __ __-__ __-__ __ __ __ OR EIN __ __- __ __ __ __ __…

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