2022-2023 American Rescue Plan Act (ARPA) Final Report

2022-2023 American Rescue Plan Act (ARPA) Food Support Grants

Grantee Final Report
This form serves as the Final Report for the 2022-2023 American Rescue Plan Act (ARPA) Food Support Grant for food shelves, on-site meal programs, and Tribal nations. Budget documentation in the form of receipts and source documentation must be dated within the grant period 5/1/2022 to 6/30/2023 and must be available upon request. Budget documentation must equal grant amount and indicate what the funds were used for. All grant related documentation must be retained for 7 years.

Funds must be spent by June 30, 2023.

This final report must be completed by July 15, 2023.

Each grant recipient is required to complete this final report. For example, if an organization has multiple brick and mortar sites and received separate ARPA funds for each site, you are required to submit a report for each grant received.

Please note: Upon completion of this form, you will receive an automatic reply with a copy for your records. You cannot save your process along the way while filling out this form.
Food Program Name:*
Indicate what grant type(s) were received:*

Food ShelfOn-site meal program
Grant contact name:*

First NameLast Name
Grant contact phone number:*
Please enter a valid phone number.
Physical address of food program*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mailing Address (If different)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Grant Allocation
Total grant amount awarded:*
Grant Reporting

Please report how grant funds were used. Enter 0 if no grant funds were used on an item listed. *

	Total Spent
Food (including cultural connected foods)
Personnel or staffing
Space and Rental
Utilities
Equipment including refrigeration, merchandising, storage, or distribution equipment
Transportation including vehicle purchases, rentals, delivery costs, repairs, gas cards, mileage, or fuel
PPE, hygiene supplies, cleaning/disinfecting items
Technology or computers
Training & technical assistance
Translation / interpretation services
Marketing or advertising costs
Other approved costs not yet listed*
TOTAL GRANT AWARD

*Please describe what other costs not yet listed are:

0/800
How much of your food budget was spent on culturally specific foods?*
Please enter dollar amount only. (Can match the above amount).
Was a vehicle used for transporting food purchased or rented with ARPA grant funding?:*

YesNo
How did this funding most impact your food program or Tribal Nation? Check the TOP THREE that apply:*

More food purchased for distributionTransportation became less of a barrierAdded paid staff member(s)Increased our hours of operationAdded new equipment that helped us expand our services, serve more people, store more food, and reduce operation costsMore people learned about our services through outreachBetter able to serve BIPOC (Black, Indigenous, People of Color) communitiesSource and distributed more culturally specific foodsModified our service or distribution models to provide more options for accessing food (ex: curb side pick-up, drive through, mass distributions, or order-ahead) with COVID safety protocolsImplemented SuperShelf methods and/or SuperShelf transformationUtilized new technologies to better serve the community (ex: online ordering, digital check-ins, client database platforms)
Please provide a description of how this ARPA funding impacted your food program (food shelf or on-site meal program). Please be as specific as possible and give examples when possible. *

0/800
You may upload your documentation for your records here. (This is not required but an option for your document retention).

Cancelof
Name*

First NameLast Name
Title*
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Signature*

Clear
Please select 'Submit' at the bottom of the form to complete the document.

By signing this final report form, the above named grantee attests to their use of ARPA Food Support grant funding in accordance with Federal, State & Local laws, rules & regulations and terms and conditions as required by Hunger Solutions Minnesota and the State of Minnesota as detailed below:

1. Grant funding was used to support allowable food program related expenses, focused on COVID impact.

2. Grant funds were subdistributed to any agency beyond the applicant.

3. ARPA Food Support Grant funding was used by June 30, 2023.

4. Grantees abided by all CDC and MDH health and safety recommendations in regards to COVID-19. This applies to all food distributions, staff and volunteer work, and participant and community interactions.

5. Receipts must be available upon request that equal grant amount and indicate how funds were used.

6. Food was distributed to persons in need at no charge regardless of race, color, religion, creed, national origin, sex, marital status, status with regards to public assistance, membership or activity in a local commission, disability, sexual orientation, age or other criteria unrelated to need.

7. The food program did not require ID, proof of residency/address, or proof of income from participants.

8. The food program was not used to foster or advance religious or political views.

9. The food program had a stable address, updated phone and website information, and provided direct service to individuals and families.

10. The food program was accessible to people with a disability and has a plan in place to serve disabled participants in compliance with the Americans with Disabilities Act (ADA).

11. The food program made voter registration materials available to participants. https://www.revisor.mn.gov/statutes/cite/201.162 (Not applicable Tribal Nations).

12. The food program made SNAP food support materials available to participants. www.hungersolutions.org/store (Not applicable for Tribal Nations).

13. The food program responsibly and properly handled and safeguarded participant information and received required permission before sharing any personal information including names and addresses.

14. The food program repaid any funds if there was discrimination in service or if there was failure to comply with other terms and conditions of the contract.

15. All grant related documents will be retained for 7 years.
Should be Empty:

2022-2023 American Rescue Plan Act (ARPA) Food Support Grants

Grant Allocation

Grant Reporting