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NBLCThe New Born Lighthouse Church
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of the Apostolic Faith, Inc.
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2026
"Annual Church Report"
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Headquarters
P.O. Box 31426
810 Rollins Avenue
Capitol Heights, MD 20743
(301) 499-2105 (church)
(301) 499-2145 (fax)
www.nblchurch.org
NBLCEmail@gmail.com

Letterhead void without official
organization seal placed below
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Church's Full Official Name:
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Church's Street Address:
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Church's Mailing Address:
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Church's Telephone Number:
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Church's FAX Number:
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Church's WEB Site:
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Church's E-mail Address:
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Pastor's Name:
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First Lady's Name:
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Pastor's Home Address:
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Pastor's Cell Telephone:
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Pastor's E-Mail Address:
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CHURCH INFORMATION
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Church Seating Capacity:
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Number of Church Members:
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Number of New Members Since Last Convocation:
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Number of Water Baptisms Since Last Convocation:
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Number That Received the Holy Ghost Since Last Convocation:
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Is Your Church Officially Registered as a Tax-exempt or Non-Profit Organization?
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CHURCH DEPARTMENT INFORMATION
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Name of Church Secretary/Clerk:
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Name of Men's President:
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Name of Women's President:
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Name of Sunday School Superintendent:
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Name of Youth & Young Adults President:
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Name of Usher's President:
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Organization Membership dues
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(Please list and identify each person on the credentials form, upon your Pastor's or leader's approval)
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The Board of Directors and Pastors agreed to ask each member to give Organization Membership Dues throughout the year to better fund the organization. All membership dues should be given to your local church, then your local church would in turn send in one church check monthly for the total amount collected for that particular month to the headquarter church for recording and depositing into the organization account. Each pastor is asked to appoint someone in their local assembly who would be responsible for collecting and maintaining a list each month of those who turn in their membership dues. The dues amounts are listed below:
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Bishop/Pastor $ 100.00 Elder$75.00 Minister$50.00
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Deacon $ 50.00 Mother$30.00 Brother$30.00
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Sister $ 30.00 Children$15.00
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Membership Dues Participants
Enter Total Count of
Dues to CollectDues Collected
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Bishops, Pastors, & Overseers
$ -
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Elders/Non-Pastors
$ -
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Ministers $ -
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Deacons $ -
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Mothers $ -
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Brother $ -
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Sisters $ -
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Children $ -
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TOTALS: $ - $ -
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Please provide a single church check for the total amount of your collections,
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or for the difference if you have been sending in payments throughout the year.
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Pastor's or Leadership's Review and Certification
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As pastor or leader of this church, I certify that I have reviewed this form and the information entered,
and attest and affirm that all information entered is correct and complete to the best of my knowledge.



_____________________________________________________
(Please sign your signature above)


_____________________________________________________
(Please print your name above)


_____________________________________________________
(Please enter above the date you reviewed and signed)
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