Emergency Response Food Shelf Grant Final Report

IMPORTANT: The period for documentation is May 1, 2023 - June 30, 2024. Please keep appropriate documentation showing how ALL the money was spent. You may over-document. These documents must be kept at your site, you DO NOT have to return them with this report to Hunger Solutions Minnesota.

Keep all Emergency Response Food Shelf Grant documentation for your records for 7 years.

COMPLETE final reports and receipts will be held by each organization for 7 years in accordance with TEFAP regulations. You will be asked to fill out your final report online and hold onto your receipts in house. You will be supplied a copy of your completed final report via email upon submission. If you elect to do so, you may attach digital copies of your receipts in the online form, but this is not required. If your organization is selected for monitoring, you will be contacted separately with instructions for document submission.

All funds must be spent down by June 30, 2024.

Name of Non-Profit 501(c)(3) or Tribal Nation:*

Food Shelf Name:*

Primary Grant Contact Name:*

First NameLast Name

Primary Grant Contact Email:*

example@example.com

Total Grant Award Amount:*

Amount Spent on Food:

Amount Spent on Transportation Expenses:

Amount Spent on Mobile Food Expenses:

Amount Spent on Equipment Expenses:

Amount Spent on Space/Rental Expenses:

Amount Spent on Utilities:

Amount Spent on Personnel/Salaries:

Amount Spent on Other Operating Expenses:

(Can include personal protective equipment, technology, storage needs, trainings, etc.)

Please explain what other operating expenses the grant funds were used to cover:

This funding impacted our food shelf in the following ways: (select all that apply)

Allowed us to purchase more food.Allowed us to purchase equipment or storage needed for operationsAllowed us to purchase more culturally specific foods.Allowed us to expand hours of operation.Helped our agency stay open or stay afloat during increased need.Allowed us to increase the number of visits a participant can make in a month.Allowed us to offer more poundage per visit to our participants.Allowed us to pay for transportation costsOther

Please describe in more detail how this grant impacted your food shelf:

Please share any quotes, anecdotes, or stories from your participants that demonstrate the impact of these funds or services from your agency:

Signature*

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

Name*

First NameLast Name

Title *

Email*

example@example.com

Phone Number*

Please enter a valid phone number.

Please verify that you are human*

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

Please read carefully, sign this Final Report, and return to Hunger Solutions Minnesota (HSM) no later than July 17, 2024.

By signing this application, the applicant agrees to use Minnesota Food Shelf Program (MFSP) funding in accordance with Federal, State & Local laws, rules & regulations and terms and conditions as required by HSM and the Minnesota Department of Human Services, Office of Economic Opportunity (MN DHS OEO)

The grantee:

1. Is a non-profit tax exempt 501(c)(3) organization, is affiliated with another organization with tax exempt 501(c)(3), or is a Tribal Nation.

2. Will adhere to regulations as detailed in MN state statute 256E.34 FOOD SHELF.

3. Will use MFSP funding on allowable expenses including, but not limited to: food, operating costs, personnel, space/rental, utilities, transportation, refrigeration and storage needs, mobile food costs, technology, PPE, and training.

4. Will submit a Final Report documenting how the grant money was spent (HSM and/or MN DHS OEO may request funds back if Final Reports are not received by due date)

5. Will retain all grant related documents for 7 years including, but not limited to source documentation for grant funds (receipts, invoices, etc.).

6. Will participate in site visits (on-site or virtual) by HSM and/or MN DHS OEO and will address any corrective actions proposed by HSM and/or MN DHS OEO

7. Will distribute food 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.

8. Will not foster or advance religious or political views.

9. Has a stable address and provides direct service to individuals and families.

10. Will make services accessible to people with a disability or have a plan in place to serve disabled clients in compliance with the Americans with Disabilities Act (ADA).

11. Will make voter registration materials available to eligible participants (not applicable for Tribal nations).

12. Will make SNAP materials available to eligible clients participants (not applicable for Tribal nations).

13. Will be responsible for proper handling & safeguarding of client information and will get required permission before sharing any personal information including names and addresses.

14. Will comply with all requirements relating to food safety and food recalls with 7 CFR Part 250.4(c)(2).

15. Will submit accurate service statistics to their regional food bank by the 10th of each following month including the number of children, adults, and seniors served, households served, pounds distributed.

16. Must also distribute TEFAP.

17. Will maintain compliance with the MN TEFAP Policy and Operations Manual. Including, but not limited to TEFAP eligibility and intake.

18. TEFAP providers cannot require participants to provide any of the following in order to receive food:

ID for anyone in the household
Proof of income (TEFAP regulations do not allow providers to ask for or collect income documentation like pay stubs, or other income data from program participants,)
Proof of address (TEFAP providers are required to provide food assistance to all households that express need whether or not they reside within the provider’s “self-identified” service area.)

19. Will provide the same level of service to all program participants.

The grantee will repay funds if there is discrimination in service or if there is failure to comply with other terms and conditions of the contract.

Failure to abide by the terms of this agreement will make the grantee ineligible to receive state funds.

Emergency Response Food Shelf Grant Final Report

Allocation

Reporting