Forms & Documents

Document Type

Secure File Uploading

To securely send a form with personal information to FCMM, please use our secure file exchange portal.

Forms (Participants), Information

00 Participant Enrollment Packet for Retirement Plan

Retirement Plan Participant Enrollment information, including Forms 01, 02, 03, and 12
Filename: 00 Participant Enrollment Packet (FILLABLE) 2301.pdf
Size: 1368 KB
Forms (Participants)

01 Enrollment Application for Retirement Plan

Participant enrollment application for Retirement Plan for employee of an FCMM-participating organization. This form is also used when a participant moves to a new sponsoring employer.
Filename: 01 Enrollment_Application (FILLABLE) 2305.pdf
Size: 435 KB
Forms (Participants)

02 Beneficiary Designation for Retirement Plan

Retirement Plan participant beneficiary designation
Filename: 02 Beneficiary Designation (FILLABLE) 2303.pdf
Size: 499 KB
Forms (Participants)

03 Investment Selection for Retirement Plan (and optional Salary Deferral)

Participant Investment Selection form (including salary deferral agreement if applicable)
Filename: 03 Investment Selection & Salary Deferral Form (FILLABLE) 2305.pdf
Size: 420 KB
Forms (Participants)

04 American Funds Selection

Participant investment selection: American Funds (Option F) See Form 04Supp for detailed allocations of Portfolio Funds.
Filename: 04 American Funds Selection 1901.pdf
Size: 405 KB
Forms (Participants)

04Supp American Funds Portfolios Supplement

Additional information detailing the makeup of American Funds Portfolios listed on Form 04 Participant Investment Selection
Filename: 04Supp American Funds Portfolios Supplement 2103.pdf
Size: 2301 KB
Forms (Participants)

05 Vanguard Funds Selection

Participant investment selection: Vanguard Funds (Option G)
Filename: 05 Vanguard Funds Selection 2006.pdf
Size: 591 KB
Forms (Participants)

06 Christian Investors Financial Selection

Participant investment selection: Christian Investors Financial (Option H)
Filename: 06 Christian Investors Financial Selection (FILLABLE) 2209.pdf
Size: 178 KB
Forms (Participants)

07 Biblically Responsible Funds Selection

Participant Investment Selection: Biblically Responsible Funds (Option J) See Form 07Supp for detailed allocations of Portfolio Funds.
Filename: 07 Biblically Responsible Funds Selection 2001.pdf
Size: 433 KB
Forms (Participants)

07Supp Biblically Responsible - Timothy Plan Funds Portfolio Supplement

Additional information detailing the makeup of Biblically Responsible - Timothy Plan Funds Portfolios listed on Form 07 Participant Investment Selection
Filename: 07Supp Biblically Responsible Funds Portfolios Supplement 2103.pdf
Size: 213 KB
Forms (Participants)

08 Transfer/Rollover Request (into FCMM)

Complete this form to initiate the movement of funds from another retirement plan into your FCMM account.
Filename: 08 Transfer_Rollover to FCMM 403(b) (FILLABLE) 2303.pdf
Size: 619 KB
Forms (Participants)

09 Cash Withdrawal Request

To request this form to initiate a cash withdrawal from your FCMM Retirement Plan Account, please call FCMM Client Services at (800) 995-5357.
Forms (Participants)

09R Recurring Cash Withdrawal Request

To request this form to initiate a monthly recurring withdrawal from your FCMM Retirement Plan Account, please call FCMM Client Services at (800) 995-5357.
Forms (Participants)

09S Stop Request - Recurring Cash Withdrawals

Complete this form to discontinue a current monthly recurring withdrawal from your FCMM Retirement Plan Account.
Filename: 09S Stop Request Recurring Withdrawal (FILLABLE) 2202.pdf
Size: 293 KB
Forms (Participants)

10 Rollout Request (from FCMM)

To request this form to initiate a rollover or transfer from your FCMM Retirement Plan Account to another qualified account, please call FCMM Client Services at (800) 995-5357.
Forms (Participants)

11 Hardship Certification

To request this form to initiate a hardship withdrawal from your FCMM Retirement Plan Account, please call FCMM Client Services at (800) 995-5357.
Forms (Participants)

12 Third Party Disclosure Authorization

Third party disclosure authorization allows you to give permission for another party (such as spouse or financial adviser) to discuss the specifics of your account with FCMM. A separate Form 12 must be on file for each person you wish to include. TO REQUEST THIS FORM, please call FCMM Client Services at (800) 995-5357.
Forms (Participants)

15 Asset Transfer Election (Non-Roth)

This form can be used to transfer non-Roth funds among the Retirement Plan investment options.
Filename: 15 Asset Transfer (FILLABLE) 2301.pdf
Size: 324 KB
Forms (Participants)

16 Asset Transfer Election (Roth)

Use this form to request a transfer of your Roth funds among the Retirement Plan investment options.
Filename: 16 Asset Transfer ROTH or AT (FILLABLE) 2301.pdf
Size: 325 KB
Forms (Participants)

18 In-Plan Roth Conversion Request

Complete this form to request in-plan conversion of all or a portion of your non-Roth funds in your FCMM Retirement Plan Account into Roth funds. Pre-tax funds converted to Roth funds will result in additional reported income that is subject to income tax.
Filename: 18 In-Plan Roth Conversion Request (FILLABLE) 2101.pdf
Size: 311 KB
Forms (Churches/Employers)

20 Employer Adoption Agreement for Retirement Plan

Employer Adoption Agreement - used by church or organization to adopt FCMM Retirement Plan as the employer's retirement plan, to state the manner in which contributions will be made, and to determine any unique terms.
Filename: 20 EMPLOYER Adoption Agreement (FILLABLE) 2303+.pdf
Size: 640 KB
Forms (Churches/Employers), Information

21 Employer Guide for Retirement Plan

Compliance and "How to" information to help a treasurer, bookkeeper, executive pastor, or administrator understand the employer’s responsibility in regard to the FCMM Retirement Plan. Updated annually.
Filename: 21 FCMM Employer Guide 2301.pdf
Size: 2278 KB
Forms, Information

23 Enrollment Procedures for Retirement Plan

Lists procedures.for enrolling in the Retirement Plan, including employer adoption and employee enrollment.
Filename: 23 Enrollment Procedures 2103.pdf
Size: 195 KB
Forms (Churches/Employers)

24 Contribution Remittance Instructions

Follow these instructions when remitting Retirement Plan contributions to FCMM.
Filename: 24 Contribution Remittance Guide 2001.pdf
Size: 191 KB
Forms (Churches/Employers)

25 Contribution Remittance Form

Blank form for employer to complete and send with the remittance of Retirement Plan contribution(s) to FCMM. See Form 24 for instructions. More information is also available in Form 21 Employer Guide. A customized remittance form is provided with each confirmation of contributions. The customized remittance is also available as an Excel file upon request.
Filename: 25 Contribution Remittance Form (FILLABLE) 2103.pdf
Size: 229 KB
Forms (Churches/Employers)

27 TEMPLATE-Annual Notice of Right to Participate in 403b

FCMM recommends that employers annually notify employees of their eligibility to participate in the Retirement Plan. This fillable form template can serve that purpose. The template also provides documentation for the eligible employee to opt out of participating. If an employer wishes to customize the template, it may request an editable Word version of the notice by emailing fcmm@fcmmbenefits.org.
Filename: 27 FORM_Annual Notice of Right to Participate in 403b (FILLABLE) 2110.pdf
Size: 221 KB
Forms, Information

30 Retirement Plan Document

The complete Plan Document for the FCMM Retirement Plan [403(b)(9)], revision effective 1/1/2022. (This is the detailed Plan Document. For a summary of features for participants, see Form 38 Summary Plan Document.)
Filename: 30 FCMM Retirement Plan Document 202201.pdf
Size: 316 KB
Forms (Participants), Information

31 Investment Option Descriptions

A description of the investment fund Options available in the FCMM Retirement Plan.
Filename: 31 FCMM Fund Options Descriptions 2201.pdf
Size: 207 KB
Forms (Participants), Information

33 Privacy Notice

Description of FCMM's policy and practices for collection and security of participant data.
Filename: 33 FCMM Privacy Notice 1805.pdf
Size: 92 KB
Forms (Participants), Information

34 Retirement Plan Investment Policy

Retirement plan investment and asset allocation policy for FCMM-managed funds, including moral screening.
Filename: 34 Retirement Plan Investment Policy 2101.pdf
Size: 253 KB
Forms (Participants), Information

35 How to Start Receiving Retirement Plan Benefits

Quick description of how to start receiving benefits from your FCMM Retirement Plan.
Filename: 35 Starting Retirement Benefits 2001.pdf
Size: 69 KB
Forms (Participants), Information

36 Monthly Income Benefit Information

A description of the in-plan method for converting some or all of your FCMM Retirement Plan account assets into a Monthly Income Benefit ("annuity").
Filename: 36 Monthly Income Benefit Information 2201.pdf
Size: 225 KB
Forms (Participants), Information

37 Incorporation Bylaws

Filename: 37_Incorporation___Bylaws_1301.pdf
Size: 738 KB
Forms, Information

38 Summary of Important Plan Features for Participants (Summary Plan Document)

The Summary Plan Document for participants in the FCMM Retirement Plan, Form 38. (For the detailed Plan Document, see Form 30 Retirement Plan Document.)
Filename: 38 FCMM Summary Retirement Plan Document 2301.pdf
Size: 293 KB
Forms (Participants), Information, Reports

40 Performance Report for the Year 2022

Information about portfolios and performance for FCMM Managed Funds for 2022
Filename: 40 12312022 Performance Report 2302.pdf
Size: 251 KB
Forms (Participants), Information, Reports

40 Performance Report for the Year 2021

Information about portfolios and performance for FCMM Managed Funds for 2021.
Filename: 40 12312021 Performance Report 2202.pdf
Size: 249 KB
Forms (Participants), Information, Reports

40 Performance Report for the Year 2020

Information about portfolios and performance for FCMM Managed Funds for 2020.
Filename: 40 12312020 Performance Report 2102.pdf
Size: 245 KB
Forms (Participants), Information, Reports

40 Performance Report for the year 2019

Information about portfolios and performance for FCMM Managed Funds for 2019
Filename: 40 12312019 Performance Report 2003.pdf
Size: 246 KB
Forms (Participants), Information, Reports

40 Performance Report for the year 2018

Information about portfolios and performance for FCMM Managed Funds for 2018
Filename: 40 12312018 Performance Report 1902.pdf
Size: 248 KB
Forms (Participants), Information, Reports

40 Performance Report for 2017

Information about strategy and performance of FCMM funds for the year 2017
Filename: 40 12312017 Performance Report 1804.pdf
Size: 103 KB
Forms (Participants), Information, Reports

40 Performance Report 2016

Information about strategy and performance of FCMM funds for the year 2016
Filename: 40 12312016 Performance Report 1704.pdf
Size: 50 KB
Forms (Participants), Information, Reports

40 Performance Report 2015

Information about strategy and performance of FCMM funds for the year 2015
Filename: 40 12312015 Performance Report 1605.pdf
Size: 50 KB
Forms (Participants), Information, Reports

40 Performance Report 2014

Information about strategy and performance of FCMM funds for the year 2014
Filename: 40 12312014 Performance Report 1502.pdf
Size: 39 KB
Forms (Participants), Information, Reports

41 Retirement Plan Fees for 2023

FCMM Retirement Plan information on fees in the Plan, applicable to 2023
Filename: 41 Retirement Plan Fees for 2023 2302.pdf
Size: 183 KB
Forms (Participants), Information, Reports

41 Retirement Plan Fees for 2022

FCMM Retirement Plan information on fees in the Plan, applicable to 2022
Filename: 41 Retirement Plan Fees for 2022 2201.pdf
Size: 181 KB
Forms (Participants), Information, Reports

41 Retirement Plan Fees for 2021

FCMM Retirement Plan information on fees in the Plan, applicable to 2021
Filename: 41 Retirement Plan Fees for 2021 2101.pdf
Size: 181 KB
Forms (Participants), Information, Reports

41 Retirement Plan Fees for 2020

FCMM Retirement Plan information on fees in the Plan, applicable to 2020
Filename: 41 Retirement Plan Fees for 2020 2001.pdf
Size: 181 KB
Forms (Participants), Information

42 Special Tax Notice for Distributions

Explains special tax rules on distributions.
Filename: 42 Special Tax Notice 2020-62 - 2101.pdf
Size: 88 KB
Forms (Participants), Information

50 FCMM Retirement Plan Member Welcome Packet

Upon enrollment in the FCMM Retirement Plan, a new Member receives this Welcome Packet with important information.
Filename: 50 FCMM Member Welcome Packet 2302.pdf
Size: 1962 KB
Information, Reports

Financial Statement for 2021 - Auditor's Report

Final audited Financial Statement for 2021
Filename: FCMM 2021 FS Final Audit.pdf
Size: 302 KB
Information, Reports

Financial Statement for 2020 - Auditor's Report

Final audited Financial Statement for 2020
Filename: FCMM FS 2020 Final.pdf
Size: 371 KB
Information, Reports

Financial Statement for 2019 - Auditor's Report

Final audited Financial Statement for 2019
Filename: FCMM FS 2019 Final.pdf
Size: 140 KB
Information, Reports

Financial Statement for 2018 - Auditor's Report

Final audited Financial Statement for 2018
Filename: FCMM 2018 FS Final.pdf
Size: 239 KB
Information, Reports

Financial Statement for 2017 - Auditor's Report

Final audited Financial Statement for 2017
Filename: FCMM 2017 FS Final.pdf
Size: 286 KB
Information, Reports

Financial Statement for 2016 - Auditor's Report

Final audited Financial Statement for 2016
Filename: FCMM 2016 FS Final.pdf
Size: 153 KB
Information, Reports

Financial Statement for 2015 - Auditor's Report

Final audited Financial Statement for 2015
Filename: FCMM 2015 FS Final.pdf
Size: 154 KB
Information, Reports

Financial Statement for 2014 - Auditor's Report

Final audited Financial Statement for 2014
Filename: FCMM 2014 Audited Financial Statement.pdf
Size: 182 KB
Information, Reports

Financial Statement for 2013 - Auditor's Report

Final audited Financial Statement for 2013
Filename: FCMM 2013 Audited Financial Statement.pdf
Size: 380 KB
Information, Reports

Financial Statement for 2012 - Auditor's Report

Final audited Financial Statement for 2012
Filename: FCMM 2012 Audited Financial Statement.pdf
Size: 369 KB
Information, Reports

Financial Statement for 2011 - Auditor's Report

Final audited Financial Statement for 2011
Filename: FCMM 2011 Audited Financial Statement.pdf
Size: 306 KB
Information, Reports

Financial Statement for 2010 - Auditor's Report

Final audited Financial Statement for 2010
Filename: FCMM 2010 Audited Financial Statement.pdf
Size: 255 KB
Forms (Participants)

100 2023 Benefit Plan Enrollment Application Packet

This form is required for newly eligible employees enrolling in either the Standard Plan (LTD & Life/AD&D Insurance) or PLUS Plan (STD, LTD, & Life/AD&D Insurance) for coverage starting January 1, 2023 or later. Packet includes 101, Limitations & Exclusions, 102, 103, and 138.
Filename: 100-Benefit Plan Enrollment Application Packet FILLABLE - 2023.pdf
Size: 1105 KB
Forms (Participants)

102 2023 Benefit Plan Beneficiary Designation

Included in the Enrollment Application Packet (Form 100) and can be used to update beneficiary information, which affects the LTD survivor benefit and Life/AD&D insurance. As required by the insurance carrier, the original, hard copy of this form must be mailed to FCMM.
Filename: 102-Benefit Plan Beneficiary Designation FILLABLE - 2023.pdf
Size: 397 KB
Forms (Participants)

103 2023 Benefit Plan Salary Worksheet

Included in the Enrollment Application Packet (Form 100) and can be used to update salary information, which affects disability premiums and benefit amount.
Filename: 103-Benefit Plan Salary Worksheet FILLABLE - 2023.pdf
Size: 266 KB
Forms (Churches/Employers)

104 2023 Benefit Plan Application Addendum for Updates

This form can only be completed during the annual open enrollment period after an employer updates their Employer Benefit Agreement (Form 120). Employees receiving a change to their benefits must complete this form.
Filename: 104-Benefit Plan Application Addendum for Updates FILLABLE - 2023.pdf
Size: 294 KB
Forms (Churches/Employers), Information

120 2023 Benefit Plan Employer Agreement

New employers to the Benefit Plan must complete this form upon initially entering the plan. Current employers can only updated benefits and coverage during the annual open enrollment period by completing this form. The form details two benefit plan options, employee eligibility, payment methods, and Life/AD&D coverage amounts.
Filename: 120-Benefit Plan Employer Benefit Agreement FILLABLE - 2023.pdf
Size: 383 KB
Forms (Churches/Employers), Information

121 2023 Benefit Plan Employer Guide

Contains helpful resources for whomever is administering the Benefit Plan at an organization. The guide contains information regarding coverage highlights, form descriptions, how to complete the Employer Benefit Agreement, premium amounts, payment method descriptions, paying invoice online, and frequently asked questions.
Filename: 121-Benefit Plan Employer Guide - 2023.pdf
Size: 1186 KB
Forms

135 Benefit Plan - How to File a Long Term Disability Claim

Steps to follow when filing a claim for Long Term Disability benefit.
Filename: 135 How to File a Long Term Disability Claim 2101.pdf
Size: 160 KB
Forms (Participants), Information

138 2023 Benefit Plan Coverage Overview

Summary of Benefit Plan coverage for Short Term Disability, Long Term Disability, and Life with Accidental Death and Dismemberment Insurance.
Filename: 138-Benefit Plan Coverage Overview - 2023.pdf
Size: 250 KB
Forms (Participants), Information

150 2023 Benefit Plan Employee Welcome Packet

Contains helpful resources for newly enrolled employees in the Benefit Plan. The welcome packet contains information regarding coverage highlights, premium rates, and frequently asked questions.
Filename: 150-Benefit Plan Employee Welcome Packet - 2023.pdf
Size: 1501 KB
Forms, Brochures

FCMM Retirement Plan Brochure

Advantages | How Contributions Work | Multiple Investment Options | Contribution Limits | Forms of Distributions | Contact Information
Filename: 20180101_FCMMBrochure_RetirementPlan (web).pdf
Size: 287 KB
Forms, Information, Brochures

FCMM Benefit Plan Brochure (effective Jan 2023)

Benefits | Features | Rates | Payment Methods
Filename: 2022 FCMMBrochure_BenefitPlan (web).pdf
Size: 1506 KB
Information, Newsletter

Winter 2022-2023 "News & Notes" Newsletter

Winter 2022-2023 Issue of "News & Notes": Changing Investments | RMD Start Age Moves to 73
Filename: 2022-2023 Winter Newsletter (web).pdf
Size: 367 KB
Information, Newsletter

Fall 2022 "News & Notes" Newsletter

Fall 2022 Issue of "News & Notes": Bless Your Pastor | Benefit Plan Open Enrollment | MinistryWorks Payroll Service | GuideStone Group Health Insurance
Filename: 2022 Fall Newsletter (web).pdf
Size: 329 KB
Information, Newsletter

Summer 2022 "News & Notes" Newsletter

Summer 2022 Issue of "News & Notes": New Options for Benefit Plan | Portfolio Diversification | Diversification Within FCMM Retirement Plan
Filename: 2022 Summer Newsletter (web).pdf
Size: 1099 KB
Information, Newsletter

Spring 2022 "News & Notes" Newsletter

Spring 2022 Issue of "News & Notes": Morally Responsible Investing | Payroll Service Phase Out | Increasing Employee Contributions
Filename: 2022 Spring Newsletter (web).pdf
Size: 342 KB
Information, Newsletter

Winter 2021-2022 "News & Notes" Newsletter

Winter 2021-2022 Issue of "News & Notes": Rollouts | Rates & Fees | 2022 Contribution Limits
Filename: 2021-2022 Winter Newsletter (web).pdf
Size: 272 KB
Information, Newsletter

Fall 2021 "News & Notes" Newsletter

Fall 2021 Issue of "News & Notes": Benefit Plan Open Enrollment | Pros & Cons of Monthly Income Benefit ("annuity")
Filename: 2021 Fall Newsletter (web).pdf
Size: 343 KB
Information, Newsletter

Summer 2021 "News & Notes" Newsletter

Summer 2021 Issue of "News & Notes": Forms of Retirement Distributions | Review Your Retirement Plan Administration | Reporting Changes to Personal Information | Benefit Plan Open Enrollment Coming in October
Filename: 2021 Summer Newsletter (web).pdf
Size: 442 KB
Information, Newsletter

Winter 2020-2021 "News & Notes" Newsletter

Winter 2020-2021 Issue of "News & Notes": 50 Years Serving Ministers, Missionaries, and Church Staff | History of FCMM | Rates and Fees for 2021
Filename: 2020-2021 Winter Newsletter - (WEB).pdf
Size: 313 KB
Information, Newsletter

Fall 2020 "News & Notes" Newsletter

Fall 2020 Issue of "News & Notes": Benefit Plan Open Enrollment | 1099-R Tax Forms | Form W-2
Filename: 2020 Fall Newsletter (web).pdf
Size: 329 KB
Information, Newsletter

Summer 2020 "News & Notes" Newsletter

Summer 2020 Issue of "News & Notes": Matching Grant Still Available | Enrollment Windows for Retirement Plan and Benefit Plan | Reminders for Changes to Personal Information and Updates for Beneficiaries
Filename: 2020 Summer Newsletter_WEB.pdf
Size: 440 KB
Information, Newsletter

Spring 2020 "News & Notes" Newsletter

Spring 2020 Issue of "News & Notes": Managing Financial Life After Opting Out of SS | Option C Rate Adjusted | FCMM Operation During COVID-19
Filename: 2020 Spring Newsletter (web).pdf
Size: 335 KB
Information, Newsletter

Winter 2019-2020 "News & Notes" Newsletter

Winter 2019-2020 Issue of "News & Notes": Considering Opting Out of SS: Critical Issues | Option C Rate for 2020 | Change in Required Minimum Distributions Start Date
Filename: 2019-2020 Winter Newsletter (web).pdf
Size: 453 KB
Information, Newsletter

Fall 2019 "News & Notes" Newsletter

LTD: New Option and Improvements | New "ICHRA" Arrangement | Ministers' Pay Essentials
Filename: 2019 Fall Newsletter (web).pdf
Size: 422 KB
Information, Newsletter

Summer 2019 "News and Notes" Newsletter

The Corrective for Volatility in Investments? Think Long-Term!
Filename: 2019 Summer Newsletter (web).pdf
Size: 306 KB
Information, Newsletter

Spring 2019 "News & Notes" Newsletter

Housing Allowance Upheld | "Prepare Today" Matching Retirement Contribution Grant | EFCAOne Opportunities with FCMM | Stay Alert to Scammers | Keep Beneficiary Information Up-to-Date
Filename: 2019 Spring Newsletter (web).pdf
Size: 401 KB
Information, Newsletter

Winter 2018-2019 "News & Notes" Newsletter

Time for Payroll Service? | Retirement Contribution Limits for 2019 | 1099-R Basics | Employer's Compass | Prepare Today Matching Grant
Filename: 2018-2019 Winter Newsletter (web).pdf
Size: 825 KB