This certificate must be signed by the Organization Officer and included with the Annual Community Grant Results Report. 

Please type or print clearly.

By signing this report, I confirm that to the best of my knowledge these Annual Community Grant funds were spent only for eligible items in accordance with Annual Community Grant guidelines, and that all the information contained herein is true and accurate. Receipts for all project income sources and grant‐funded expenditures have been provided to the Rotary Club of Front Royal, and a copy of the receipts will be maintained by the organization.