Grassroots Arts Program
Subgrant Final Report Form FY 2025-26
I. Organizational Information
Name of Organization
*
Name of Fiscal Agent, if applicable
Contact Person's Name
*
First Name
Last Name
Contact Person's Title:
*
Preferred Phone Number
*
Please enter a valid phone number.
Organization's Mailing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
County
*
Email Address
*
example@example.com
Website
example.com
Organization's EIN
*
Organization's UEI
*
If unavailable, enter "NA"
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II. Project Description
Project Name
*
Please provide a short description of your project using 35 words or less.
*
0/35
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III. Total Project Expenses
What was the actual amount of your grant from the Grassroots Arts Program?
*
What was the actual amount of the matching funds used to complete your project?
*
Please include all funds required to complete the funded project.
What was the actual amount of your Total Project Expenses?
*
Sum of Grant Amount plus Matching Funds.
Project Expenses
*
Grassroots Grant +
Matching Funds =
Project Total
Staff - Administrative
Staff - Artistic
Staff - Technical/Production
Artistic Contracts
Other Contracts
Space Rental
Travel
Marketing
Remaining Project Expenses
Project Expense Totals
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IV. Participation Statistics
What is the total number of participants and audience members that were engaged in person or directly involved in the project?
*
Of the total number of participants and audience members, specify the number who are children and youths (pre-K through grade 12)?
*
Of the total number of participants and audience members, specify the number who are artists directly involved in the project?
*
Did 50% or more of the project activities involve arts education; increasing the knowledge and skills in the arts to grades Pre-K to 12?
*
Yes
No
Did 50% or more of the award support multicultural artists and/or organizations?
*
Yes
No
Has your organization ever received a Grassroots Arts Program subgrant before July 2024?
*
Yes
No
What type of organization are you?
*
Please Select
Arts
Community
School
Municipality
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V. Attachments
Publicity Materials (required) - Upload up to 3 files (i.e., pdf, doc, jpg, png) showing examples of marketing materials using the Lee County Arts Council's logo and the North Carolina Arts Council's logo and credit line.
*
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Legislative Letters (required) - Upload up to 3 pdfs of the letters and/or emails you sent to your state legislators notifying them of your project and your appreciation of this grant.
*
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Project Images (optional) - We encourage you to submit photographs (up to 5) with possible publication in mind (good focus and lighting, close-ups, subjects of interest). Photos taken in public spaces do not require a signed release unless the image is of a clearly identifiable minor child, then a parent/legal guardian's consent is required.
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Other Deliverables (optional) - Upload up to 3 pdfs of any formal plan created or supporting documents.
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