CHISHOLM COMMUNITY FOUNDATION – Grant Final Report

Responsibility of Grantee

All grantee’s awarded funds from the Chisholm Community Foundation must use the funds for the specific purpose it was originally intended.

The Chisholm Community Foundation requires that a detailed accounting of all funds along with a follow-up report be submitted. Grantee’s must use the awarded funds and submit a grant final report or request an extension within one year of the award. Extension requests will be reviewed on a case-by-case basis and subject to approval from the CCF Grant Committee. Contact CCF directly to request an extension. No future funds will be granted to an organization with an outstanding grant final report. If the grantee is unable to use the funds awarded within the one-year time frame or receive an approved extension, the funds must be returned to the Chisholm Community Foundation. 

We respectfully request that you share information about your project with the community through press releases, social media and with other non-profits on how working together with the Chisholm Community Foundation helps enhance the quality of life for our residents. By working together, Chisholm will remain vital for years to come.

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Date of Final Report(Required)

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Name of Project/Purpose(Required)

Organization(Required)

Project Director/Contact Person(Required)

First Last

Address of Contact Person(Required)

Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code

Email(Required)

Phone(Required)

Date of Grant from Chisholm Community Foundation(Required)

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Amount of Grant from Chisholm Community Foundation(Required)

Report period from(Required)

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Report period to(Required)

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Narrative Section

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Please list your project’s goals and objectives.(Required)

Describe the project outcomes under each goal and the activities accomplished during this reporting period. Please email photos of your project to ccfmn@qwestoffice.net for use in our newsletter.

Describe any changes in the project (i.e. staff, work program and budget).(Required)

What specific efforts have been made for project continuation beyond this grant period? What ongoing funding support plans have been made for this project?(Required)

Attach copies of project publicity, newspaper articles, brochures, schedules of events, newsletters, etc. Describe any indications of community interest and involvement.(Required)

Drop files here or Select files

Max. file size: 50 MB.

Financial Section

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Please provide invoices and other necessary financial information relative to this grant by using the Grant Expenditures and Sources of Funding Report below.

Grant Expenditures(Required)

Category (Itemized List of Expenses)

CCF -Original Budget

Grantee -Original Budget

Other -Original Budget

Total -Original Budget

CCF - Actual

Grantee - Actual

Other - Actual

Total - Actual

 

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Sources of Funding(Required)

Source (i.e., CCF, Grantee, or Other)

Budget (from Original Budget)

Total Actual Receipts to Date

 

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Total Original Budget(Required)

Total Receipts to Date(Required)

Expenditures Over (Under) Sources - Original Budget(Required)

Expenditures Over (Under) Sources - Actual Receipts(Required)

Upload Invoice Documents(Required)

Drop files here or Select files

Max. file size: 50 MB.

Final Project Data Report

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Please complete the Final Project Data Report below to identify the number of participants, communities and organizations served by this project. Also please share two anecdotes that represent the positive impacts this project had on its target audience.

Please provide the Chisholm Community Foundation with the information requested below as it relates to your total project (include numbers for each box).

Data Report(Required)

Number of Children + Youth Served

Number of Adults Served

Area Served

 

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Anecdote #1(Required)

Anecdote #2(Required)

Signature(Required)