GRANT RECIPIENT PROGRESS REPORT

Organization ______

(please print)

Project Sub-title (if applicable) ______

Address ______Zip ______Phone______

E-Mail address ______

Exec Director______Contact for this grant ______

CHECKAgency Partner Endowment Building Metro Springfield

WHICH Arts & Culture Senior Issues

AWARD Coover Regional Poverty  Other ______CYCLE Field of Interest

 1 yr. report  Other ______

Amount of Grant $ ______Grant amount used to date $ ______

On a separate sheet, please answer the following questions. Use no more than two pages for the narrative and then complete the budget page,for a total of three pages.

  1. What was the purpose of the original request and its intended objectives?
  1. Who was/are the beneficiaries of this program? Please include the number of clients served.
  1. What measurement is/has been used to determine the successful completion of the objectives listed in question #1?
  1. Please list otherfunding sourcesthat will allow theprogram to continue.
  1. If other funding sources are unavailable, what methods will be used to continue the program?
  1. Please provide examples of printed materials, publicity received and any other press information generated by your organization receiving this grant.

______

Please return this report to: Community Foundation of the Ozarks

Attn: Randy Russell

P.O. Box 8960, Springfield MO 65801

Contact Information: Randy Russell, Senior Program Officer

(for approval of content/budget changes) 417-864-6199

BUDGET REPORTING PAGE

A EXPENSESas listed in the original proposal Grant Award Amount of $______

EXPENSE

/

AMOUNT

B ACTUAL EXPENSES:For grant auditing purposes, remember to attach copies of receiptsand/or invoices. (If you are e-mailing your report, please send receipts/invoices by snail mail.) A copy of your agency’s expense ledger with grant budget items highlighted is also acceptable. Please arrange your receipts in order of the above listed categories, and mark sub-totals accordingly, so we may expedite your report in a timely manner.
TOTAL ACTUAL EXPENSES:

Please explain any discrepancies between table A and B that have not been previously approved by the Foundation.

NOTE: If you have NOT spent all your grant monies by the time you submit your One-Year Final Grant Progress Report, please contact us to see what additions/changes may be made, within the parameters of the grant proposal, in order to fully utilize all of your funds.