MLK 2021 Grant Recipient FINANCIAL Report

MLK 2021 Grant Recipient
FINANCIAL REPORT

This report is due by 5pm, March 1, 2021.

Please note: If you had activities during 40 Days of Peace - between 1/19/2020 and 2/28/2021 - you must also complete MLK Report #2.

Details:
- This financial report applies to all MLK projects - from the MLK Weekend through 40 Days of Peace.
- Please provide a detailed budget of your expenditures.
- All categories require tracking of receipts.
- "MLK Grant Share" refers to the MLK Grant funds you received from the City of Bloomington MLK Commission.
Questions? Contact Michael Shermis at 812-349-3471 or shermism@bloomington.in.gov.
Project Information
Project Name
Organization Name
Contact Name

First Name Last Name
Contact email address

A. Salaries and Benefits of Staff - Put the dollar amounts and/or in-kind value indicating how much you spent on your project Coordinator and Other Staff.

	Cash Match	In-Kind Match
Project Coordinator
Other Staff
Volunteer Staff* (NOT Service Volunteers)

* for Volunteer Staff (NOT Service Volunteers) - Calculate as follows: # of volunteers (role) x # of hrs x $21.36 (Current National Value of volunteer hour Ref: Independent Sector)

Other Categories - Note: MLK Grant Funds were provided primarily to enable organizations to obtain materials and supplies; therefore your MLK Grant Share (the amount you received from the MLK Commission) should appear in that row under "MLK Grant Share."

	MLK Grant Share	Cash Match	In-Kind Match
B. Travel and Transportation
C. Supplies
D. Contractual and Consultant Services
E. Training
F. Evaluation
G. Other Support Costs
H. Other Costs

If you have any in-kind contributions, you need to fill out an in-kind contribution form.
I. Source of Cash and In-Kind Match

Please describe the source of your matching funds in a narrative.
Support Expenses
please describe
Volunteer Expenses
please describe
*** Please make copies of all receipts for all project expenditures and send to: MLK Commission, Attn: Michael Shermis, PO Box 100, Bloomington IN 47402. Thank you.
THANK YOU!
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MLK 2021 Grant RecipientFINANCIAL REPORT

This report is due by 5pm, March 1, 2021.

Please note: If you had activities during 40 Days of Peace - between 1/19/2020 and 2/28/2021 - you must also complete MLK Report #2.

Details:

Project Information

I. Source of Cash and In-Kind Match

MLK 2021 Grant Recipient
FINANCIAL REPORT