Project Completion & Financial Report

Project Completion & Financial Report

For Capital and Organizational Assistance Grants
If previous funding has been provided, this document should be completed in full and submitted to the the Crossfield Recreation Board prior to being eligible for any additional funding.

Should you require assitance with completing this form please reach out to Eris Latham at erisl@crossfieldalberta.com or by calling (403) 946-5565, extension 261.
Organization Name*
Amount of funding received from Crossfield Recreation Board*
Date and year funding was approved*

How did these grant funds enhance your program/project?*

Please indicate which target group benefitted from your program/project. If more than one group benefitted, please assign a percentage (%) to each group.*

	Number	Percentage (%)
Children/Youth
Families
Adults
Seniors

How many volunteers were involved with your project?*
Number of volunteer hours*

REVENUE - List all sources and amounts of revenue, including grants. If more space is required, please use the box below. Please use "N/A" in boxes you don't require.*

	Revenue Source	Amount
Revenue Source
Revenue Source
Revenue Source
Revenue Source
Revenue Source
Revenue Source

EXPENDITURES - List all project expenses. If more space is required, please use the box below. Please use "N/A" in boxes you don't require.*

	Expense	Amount
Expense
Expense
Expense
Expense
Expense
Expense

Add any additional information below.

TOTALS*

	Amount
Total project expenditure
Total project revenue
Total Crossfield Rec Board contribution
Total contributions from other sources
Net gain or loss following project completion

How did you recognize the Crossfield Recreation Board for this funding?*

Report prepared by*
Title*
Phone number*
Email*
example@example.com
Date*

MonthDayYear
Date
Signature*

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