Rachel B. Banks Fund Status Report

Rachel B. Banks Fund Status Report
Name of contact person for follow-up questions:

First NameLast Name
Preferred Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email address of contact person
example@example.com
Organization Name:
Name of Project:
Grant Year
Did the project meet your intended project goal?
Number of people attended:
Reimbursement Amount Requested:
If the program was successful, will it continue beyond the time period of requesting funding?
If yes, what are your long-term funding plans?
Budget

Please submit an actual budget of the program and the percent funded by the grant.

For the following fields, only use numbers:
- Total Program Cost (dollar amount)
- Total Cost Requested (dollar amount)
- Amount of Income (dollar amount)
Text may be used for the following:
- Program Expenses (text)
- Sources(s) of Income (text)
- Notes (text)

Budget Table

Rows	Program Expenses (text)	Total Program Cost (dollar amount)	Total Cost Requested (dollar amount)	Amount of Income (dollar amount)	Source(s) of Income (text)	Notes (text)
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