Final Report Grant Final Report Submit this final report within three months of program/project completion. Please list all information as it appears on your grant application.Organization Name* Phone*Contact Person* First Last Program/Project Name* Date grant was received* Month Day Year Amount Awarded* Number of people who benefit from your grant* 1. State the intended purpose of the original grant proposal.*2. List the goals of this program/project as outlined in the original proposal and state how they were achieved.*3. Explain the difference this grant made in the community and population you serve.*4. What community members were served by this grant? (Please reference geographic location, age range and numbers participating.)*5. What are your detailed plans to ensure your program/project’s future sustainability?*Itemized Project Expenses*Using the budget from your original proposal, compare projected expenses and income for the program/project with actual expenses and income realized. Purchases made prior to the grant application date should not be included on this final report. Instructions: List one project expense per line. Include Details: Expense Name - Proposed Expense ($), Actual Expense ($), Actual Expense covered by MCF($)Provide a narrative that describes any significant budget variances.*Itemized Funding Sources*Include an itemized list of funding sources for this project, including in-kind contributions. Instructions: List one funding source per line. Include Details: Funding Source Name - Amount Still Pending ($), Amount ConfirmedPress Release & Photo*Please submit a copy of the press release and photo you submitted to local media. Drop files here or Select files Max. file size: 5 MB, Max. files: 4. Executive Director or Committee ChairpersonConsent* I have reviewed and agree with the information presented in this form.Signature* Reset signature Signature locked. Reset to sign again Name* First Last If you need further assistance, please call the office at 269-781-2273.
