Grant Report Payette Lakes Progressive Club

Payette Lakes Progressive Club Grant Program | Grant Report
In accordance with the Payette Lakes Progressive Club Grant policy and because of our genuine interest in your project, we require that you submit a grant report. The report is due by May 1, of the year following the year you receive your grant money.
Grantee Organization Name*
Organization Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Date of Grant Application*

MonthDayYear
Date
Grant Amount*
Use of Funds

Please provide a brief synopsis below, including:
1. When and how the funds were expended.
2. The progress made toward achieving the objectives for which the grant was made.
3. The impact of the funds granted (how this grant made a difference).
4. Whether or not the funds have been diverted from the purposes of the grant and specify why.
5. And if there are any remaining funds, also explain how they will be used by June 1 of the year following the receipt of your grant money.
Use of Funds Synopsis*
The Grant Applicant has executed this instrument on:

MonthDayYear
Date
Grantee:*
Name of Organization
By:
Full Name and Position of Grantee Representative
Should be Empty:

Payette Lakes Progressive Club Grant Program | Grant Report