2024-2025 Emergency Grant Final Report

IMPORTANT: The period for documentation is January 1, 2025 - June 30, 2025. Please keep appropriate documentation showing how ALL the money was spent. You may over-document.

COMPLETE final reports and receipts are required be held by each organization for 7 years in accordance with TEFAP regulations. You will be supplied a copy of your completed final report via email upon submission.

All funds must be spent down by June 30, 2025.

TEFAP Program ID*

E.g. C1234-01, TFG1234, A12345, ABCDE1, 1234. Not sure? Contact your regional Food Bank. Tribal Nations without ID enter 0.

Federal Tax ID*

If you are a Tribal Nation enter 0

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

Name of Non-Profit 501(c)(3)Affiliated Organization Name

Name of Grant Contact:*

First NameLast Name

Phone Number

Please enter a valid phone number.

E-mail Address:*

example@example.com

Food Shelf or Tribal Nation Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Total Grant Award Amount:*

Please document how much you spent on each of the below categories. If none, enter "0".*

	Amount Spent
Building Repairs
Transportation Expenses (Vehicle Rental or Repair)
Equipment Expenses
Space/Rental Expenses
Utilities
Personnel/Salaries
Other Operating Expenses
TOTAL

Please explain what other operating expenses the grant funds were used to cover, If none, type N/A:*

1. How did the funding impact your agency?*

2. Please provide any additional comments below. This will help demonstrate the need for future funding (please be as detailed as possible on how these funds helped your program).*

By checking each item below, you are confirming that your Agency or Tribal Nation understands and commits to meeting the following requirements:*

Eligible Entities: Grantee must be a non-profit tax exempt 501(c)(3) organization, affiliated with another organization with tax exempt 501(c)(3), or a Tribal Nation.TEFAP Provider: Grantee must be a TEFAP provider and maintain compliance with the MN TEFAP Policy and Operations Manual, found on the Minnesota TEFAP website.

TEFAP providers must be committed to making it as easy as possible for those in need to get food, create policies and rules that are respectful and encourage generosity and flexibility, and guarantee the same level of service for all participants.
For example, TEFAP providers ensure non-discrimination practices, do not ask for or require identification, allow self-declaration by the food recipient when determining eligibility, and provide services regardless of geographic location.

Allowable Expenses: Grantee must 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.Reporting Statistics: Grantee must 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, and pounds distributed.Final Report: Grantee must submit a Final Report documenting how MFSP funding was spent to HSM and/or MN DCYF-OEO.Site Visits and Monitoring: Grantee must participate in site visits (on-site or virtual) by HSM and/or MN DCYF OEO and will address any corrective actions identified. Fiscal monitoring will be performed for grantees receiving $50,000 or more, as required by Minnesota Department of Administration, Office of Grants Management Policy 08-10.Record Keeping: Grantee must retain all MFSP grant related documents for 7 years, including but not limited to source documentation (receipts, invoices, etc.).Data Privacy: Grantee must be responsible for proper handling & safeguarding of client information and will get required permission before sharing any personal information including names and addresses.The applicant understands that the above are requirements for receiving funding from the Minnesota Food Shelf Program (MFSP) and agrees to use MFSP funding in accordance with Federal, State & local laws, rules, regulations, terms, and conditions as required by the Minnesota Department of Children, Youth and Families, Office of Economic Opportunity (DCYF-OEO) and Hunger Solutions Minnesota (HSM).

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

Please read carefully, sign this Final Report, and return to The Food Group (TFG)/ Hunger Solutions Minnesota (HSM) no later than July 15, 2025.

Title *

Name*

First NameLast Name

Phone Number*

Please enter a valid phone number.

Email*

example@example.com

Signature

Emergency Grant Final Report Form

Allocation

Financial Reporting