Community Fund Grant Report Form
Your grant report is due 30 days after your grant period, completion of your project – or at the time of your next application, whichever comes first. If we do not receive this form back, you will not be eligible for future funding.
Organization Information
Organization Name
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Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Name of Project
*
Grant Award Date
*
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Month
-
Day
Year
Date
Project Start Date
*
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Month
-
Day
Year
Date
Project Completion Date
*
/
Month
/
Day
Year
Date
Specifically, what did you ask the Foundation to fund?
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Were there any barriers to completing the project? (if yes, describe.)
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How did this project benefit the community at large?
*
Describe those who served this on this project, specially referring to those who volunteered their time/skills/resources to complete the project.
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Back
Next
Financial Information
What was the final cost of the project?
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What was the total amount granted or donated this project?
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What was the total amount your organization committed to this project?
*
Did you successfully raise the necessary funds to implement the project as planned?
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Please list all financial resources that were available and include all grant amounts that were awarded for this project.
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Briefly describe the specific use of the Foundation grant monies. (expenditures, purpose, etc.)
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How did you publicize/promote that you were the recipient of this grant?
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Applicant's Name
*
First & Last Name
Title
Applicants Email Address
*
example@example.com
Signature
*
Clear
Please attach your financial report along with receipts for project expenditures.
*
Submit
Should be Empty: