Foundation Funding Report
Name of Organization/Program
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Address of Organization
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Contact Person
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Contact Phone Number
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Please enter a valid phone number.
Report Completed By
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Date
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-
Month
-
Day
Year
Date
Email
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example@example.com
Funds were given for:
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Community Development
Youth Partnerships & Programs
Health
Did you expend all the funds? If not, please explain why not.
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Brief overview of your mission and organization/program:
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Brief description of original request:
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Please provide a description of changes to the original request if any:
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Please describe how funds were used:
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Please provide a description of any challenges you experienced:
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What region/geographic location is/was impacted by this project or program?
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Number of people directly served/impacted by this program/project:
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Age(s) served by this grant:
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What was the overall impact of the program/project to the community?
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Please attach any copies of bids, invoices, price quotes, or project financial statements or budgets to show how funds were utilized.
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Date
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Month
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Day
Year
Date
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