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APPLICATION FOR PARTICIPATION (FORM APP110)
By completing this document, you apply for membership and participation in the Ministers’ Retirement Plan (MRP). It is vital that you:

1. Complete the application in its entirety and then click SUBMIT. Please note that if you click on Submit and you are given a message that the application is not complete and then you are taken to a Signature Page without being asked to e-mail the application to the Benefits Board, your application has not been sent. Please press the Back button on your browser and complete the application, making sure that all appropriate boxes are checked.
2. Complete and sign the Signature Page and send the original Signature Page to the Benefits Board, Post Office Box 4608, Cleveland, TN 37320-4608. Make a copy for your records. For your beneficiary designation to be valid, you must verify the names again on the Signature Page. The Signature Page must be received before your application is complete.
3. An application must be submitted and accepted by the Benefits Board prior to making any contributions.
4. Information concerning your enrollment in the Ministers’ Retirement Plan will be returned to you by e-mail in no more than 2 working days from the time your application is received by the Benefits Board.

SALARY REDUCTION AGREEMENT (FORM APP120)
A Salary Reduction Agreement is an agreement between the employer and employee under which the employee takes a reduction in salary for the purpose of participating in the Plan. The participant must sign a new agreement each time you seek a change in the amount withheld through the Salary Reduction Agreement. This form remains with the employer (with a copy for the employee) and is not returned to the Benefits Board.You may fill the application in electronically, but it must be printed out, signed and maintained by the employer.

GROWTH POTENTIAL PROJECTION SHEET (FORM APP170)
This form is an illustration on the growth potential of accumulations of monthly deposits using a projected rate of interest earnings. The form is for illustration purposes only since the Board does not guarantee a specific rate of return.

OTHER MATERIALS OF INTEREST

1. Frequently Asked Questions (Form APP140)
2. Distribution Options (Form APP150)
3. Important Legal Notices (Form APP160)

The Church of God Ministers’ Retirement Plan is a retirement income account provided for under Section 403(b) of the IRS Code. Because the Retirement Plan is a “before tax” plan, the contributions must be made through a local church or other Church of God agencies from which you receive ministerial income. YOU ARE NOT PERMITTED TO SEND A PERSONAL CHECK, unless you are a chaplain or an evangelist.

Since this Plan is a retirement account (not a savings account), no distributions are allowed until the age of 59½, except in cases of extreme hardship as defined by the IRS. Early distributions for hardship situations (prior to age 59½) are subject to early surrender fees and penalties.

Shortly after you become a member, you will receive a set of vouchers with your name and file number on each. A completed voucher should accompany each contribution.

For further information please contact us by phone at (423) 478-7131, toll-free at
(877) 478-7190, by e-mail at info@benefitsboard.com, or by writing to:

CHURCH OF GOD BENEFITS BOARD, INC.
P. O. Box 4608
Cleveland, TN 37320-4608

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