America 250 North Carolina Local Grants Program

America 250 North Carolina Local Grants Program

Interim Project Report – Community Grant
Project Name
Organizations
County
Project Director Name

First NameLast Name
Project Director Email
example@example.com
Project Director Phone
Please enter a valid phone number.Format: (000) 000-0000.
Reporting Period Start Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Reporting Period End Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Total Grant Amount
Total Disbursed to Date
Instructions: Interim Reports must be submitted according to the reporting period outlined in your grant agreement. Answer the questions below. Attach any documents or items for review.
Summarize the work completed on the project during this reporting period as it relates to the objectives of this grant and identify the articles of the grant agreement that this work satisfies.
Briefly describe any problems, delays, or adverse conditions that will impair the ability to meet the objectives of this grant and include a statement of the action taken, or contemplated, and any assistance needed to resolve the situation.
Briefly describe to-date expenses and cost share match. Note: volunteer hours are valued at a rate of $25 per hour. Pro-bono professional services are valued at the standard fee of the vendor(s).

Funds Expended to Date Please fill out the following table to show where expenses have been applied thus far. This should be a running total of funding you have spent to date on the project and includes both grant funds and any matching share required.

Rows	Grant Funds	Matching Funds	Total
1. Salary and Wages
2. Travel
3. Supplies, Materials, Etc.
4. Contracts
5. Other Costs
Total

Project Statistics to Date

Rows	Number
Total Project Attendance
Number of Students Served
Deliverables distribution (booklets, brochures, printed materials)
Number of meetings/events/workshops held
Project website or webpage total visitors
Social media impressions
Number of downloads, if any, from website

Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

America 250 North Carolina Local Grants Program

Instructions: Interim Reports must be submitted according to the reporting period outlined in your grant agreement. Answer the questions below. Attach any documents or items for review.