Grantee Final Report
For Mercer Island Community Fund Grant
Name of Project:
i.e. cultural, social services, etc.
Name of group who received the MICF Grant:
Contact Name
First Name
Last Name
Contact Email
example@example.com
Grant Use Evaluation
How did your organization utilize the MICF Grant?
How many people were impacted?
Explain how the funds benefitted the Mercer Island Community:
If funds were not fully used or were used for purposes other than outlined in your grant proposal, please explain:
Financial Report
Please provide us with your expense report detailing how you spent your award money and whether or not all funds were utilized.
Note: line item descriptions are suggestions only and you may deviate or disregard as needed.
Line Item Name/Description
Amount Allocated
Amount Used
Balance
PERSONNEL
ex. Program staff stipend
ex. Vendor Fees
ex. Technical support fee
TECHNICAL NEEDS
ex. Costumes
ex. Photographer
ex. Room Rental
ex. Equipment Rental
CONSUMABLE SUPPLIES
ex. Program specific supplies
ex. Promotional Material
ex. Postage
ex. Food & Beverages
TOTAL BUDGET
(must equal grant amount received)
We would like to see images from your project. Please upload images we may use on the MICF website or use in promotional MICF communications.
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If you have any questions, please contact
Brad Newcomer
, MICF Grant Committee Chair.
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