GRANT REPORT TEMPLATE

GRANT ISSUING ORGANIZATION NAME GRANT NAME GRANT NUMBER

SUBMITTED TO ADDRESS / EMAIL OF RECEIVER DATE SUBMITTED

REPORT PREPARED BY ADDRESS / EMAIL OF PREPARER PREPARER PHONE

GRANTEE FINAL NARRATIVE

LEGAL NAME OF ORGANIZATION COMMON NAME OF ORGANIZATION GRANT START DATE GRANT END DATE REPORT START DATE REPORT END DATE

MAJOR OUTCOMES

To what extent has the project advanced the strategic objective and contributed to the strategic metric?

Explain the extent to which each objective and outcome listed in your proposal was or was not met.

Describe any additional outcomes not directly associated with your project's objectives.

Were there any unanticipated positive and / or negative developments?

Specify estimated achievement dates.

Describe longer-term outcomes.

Describe what you perceive to be the project's most remarkable finding or outcome.

What geographic regions are impacted by this funding?

EVALUATION

Summarize evaluation activities and results. Provide reports, if applicable.

COMMUNICATION

Summarize communication activities and results. Provide reports, if applicable.

LESSONS LEARNED

What strategies and activities worked? What strategies and activities didn't work? What would you do differently next time? What was learned about working with particular populations / demographics, regions, etc.? What parallels can be drawn
between this and other projects?

LESSONS APPLIED
 How will the lessons learned impact future work? What additional questions did this project raise? What measures are in place to sustain the momentum of this project? Detail any additional concerns and comments.

FINANCIAL

Discuss any budget issues. Complete Budget Report, below.

BUDGET REPORT PREPARED BY EMAIL ADDRESS PHONE

BUDGET REPORT

BUDGET CATEGORIES APPROVED SUPPORT

TOTAL ACTUAL VARIANCE
SUPPORT EXPENDITURES Budget Less Actual
DIRECT PROJECT COSTS YEAR 1 YEAR 2 YEAR 3 YEAR 4

PERSONNEL EXPENSES

Salaries $ 8,600 $ 8,600 $ 8,600 $ 8,600 $ 34,400 $ 32,000 $ 2,400

Benefits $ 5,000 $ 5,000 $ 5,000 $ 5,000 $ 20,000 $ 25,000 $ (5,000)

Other $ 2,600 $ 2,600 $ 2,600 $ 2,600 $ 10,400 $ 10,400 $ -

SUBTOTAL PERSONNEL EXPENSES $ 16,200 $ 16,200 $ 16,200 $ 16,200 $ 64,800 $ 67,400 $ (2,600)

OTHER DIRECT EXPENSES

Materials and Supplies $ 3,200 $ 3,200 $ 3,200 $ 3,200 $ 12,800 $ 10,000 $ 2,800

Equipment Rental / Purchase $ 2,650 $ 2,650 $ 2,650 $ 2,650 $ 10,600 $ 8,000 $ 2,600

Travel $ 1,000 $ 1,000 $ 1,000 $ 1,000 $ 4,000 $ 3,800 $ 200

Meetings / Conferences $ 2,800 $ 2,800 $ 2,800 $ 2,800 $ 11,200 $ 12,000 $ (800)

Consultants $ 28,000 $ 28,000 $ 28,000 $ 28,000 $ 112,000 $ 100,000 $ 12,000

Evaluation $ 4,200 $ 5,000 $ 5,000 $ 5,000 $ 19,200 $ 20,000 $ (800)

Communication $ 3,200 $ 3,200 $ 3,200 $ 3,200 $ 12,800 $ 8,000 $ 4,800

Subcontracts or Sub-Grants $ 2,650 $ 2,650 $ 2,650 $ 2,650 $ 10,600 $ 5,000 $ 5,600

Third-Party Grant Management $ 1,000 $ 1,000 $ 1,000 $ 1,000 $ 4,000 $ 4,000 $ -

Other $ 10,000 $ 10,000 $ 10,000 $ 10,000 $ 40,000 $ 40,000 $ -

Other $ 28,000 $ 28,000 $ 28,000 $ 28,000 $ 112,000 $ 112,000 $ -

Other $ - $ -

SUBTOTAL OTHER DIRECT EXPENSES $ 86,700 $ 87,500 $ 87,500 $ 87,500 $ 349,200 $ 322,800 $ 26,400

INDIRECT COSTS

Indirect Expenses $ - $ -

Other $ - $ -
Other $ - $ -

SUBTOTAL INDIRECT EXPENSES $ - $ - $ - $ - $ - $ - $ -

GRAND TOTAL $ 102,900 $ 103,700 $ 103,700 $ 103,700 $ 414,000 $ 390,200 $ 23,800

GRANT REPORT TEMPLATE
GRANT ISSUING ORGANIZATION NAME GRANT NAME GRANT NUMBER

SUBMITTED TO ADDRESS / EMAIL OF RECEIVER DATE SUBMITTED

REPORT PREPARED BY ADDRESS / EMAIL OF PREPARER PREPARER PHONE

GRANTEE FINAL NARRATIVE

LEGAL NAME OF ORGANIZATION COMMON NAME OF ORGANIZATION GRANT START DATE GRANT END DATE REPORT START DATE REPORT END DATE

MAJOR OUTCOMES

EVALUATION

COMMUNICATION

LESSONS LEARNED

LESSONS APPLIED
BUDGET REPORT PREPARED BY EMAIL ADDRESS PHONE

BUDGET REPORT

BUDGET CATEGORIES APPROVED SUPPORT

TOTAL ACTUAL VARIANCE
SUPPORT EXPENDITURES Budget Less Actual
DIRECT PROJECT COSTS YEAR 1 YEAR 2 YEAR 3 YEAR 4

PERSONNEL EXPENSES

Salaries $ - $ -

Benefits $ - $ -

Other $ - $ -

SUBTOTAL PERSONNEL EXPENSES $ - $ - $ - $ - $ - $ - $ -

OTHER DIRECT EXPENSES

Materials and Supplies $ - $ -

Equipment Rental / Purchase $ - $ -

Travel $ - $ -

Meetings / Conferences $ - $ -

Consultants $ - $ -

Evaluation $ - $ -

Communication $ - $ -

Subcontracts or Sub-grants $ - $ -

Third-Party Grant Management $ - $ -

Other $ - $ -

Other $ - $ -

Other $ - $ -

SUBTOTAL OTHER DIRECT EXPENSES $ - $ - $ - $ - $ - $ - $ -

INDIRECT COSTS

Indirect Expenses $ - $ -

Other $ - $ -

Other $ - $ -

SUBTOTAL INDIRECT EXPENSES $ - $ - $ - $ - $ - $ - $ -

GRAND TOTAL $ - $ - $ - $ - $ - $ - $ -
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