Local Poverty Relief Fund Report
Diocese of Allentown
Organization
*
Full Name of Organization
What is the name of your project or program?
*
Project/program Name
Check One:
*
The project is not yet complete so this is an INTERIM REPORT
The project is complete and Poverty Relief Grant funds have been expended so this is a FINAL REPORT
Organization Address
Organization Address
Organization Address Line 2
Organization City
Organization State
Organization Zip Code
Organization Leader
First Name
Last Name
Email
Organization Leader's Email
Organization Phone Number
-
Area Code
Phone Number
Contact Person
*
First Name
Last Name
Contact Person Phone Number
*
-
Area Code
Phone Number
Contact Person Email
*
example@example.com
Briefly describe the project which received funding
*
What was the grant amount that you received?
*
Please provide a summary of activities provided with Poverty Relief Funds to date.
*
Expenses paid from grant
Description
Amount
1)
2)
3)
4)
5)
6)
7)
8)
9)
Total
Please describe how the project is working in relationship to the goals and outcomes described in your original grant proposal.
Please describe your plan to spend any remaining grant funds.
Is there any additional information you would like to provide?
Submit
Should be Empty: