Date of Report(check one) Progress ReportFinal Report

Instructions:In the spaces provided below, please type or print (blue or black ink) all information requested

AGENCY INFORMATION

Agency Name:
Address:
Street / City / State / Zip Code
Person submitting report: / Title:
Telephone: / ( ) / Ext: / Fax: / ( )
Federal Tax ID Number: / E-mail:

GRANT INFORMATION

Program Name:

(e.g., multi-site public housing reading program; after-school teen recreation and mentor program)

Program Start Date: / Program End Date:

(month, day, year)(month,day,year)

Amount of Jaguars Foundation grant: / $
Brief description of funded program:

GRANT REPORT NARRATIVE

Please respond to all of the questions in this section using a maximum of 4 typed pages:

  1. Briefly outline your original goals and objectives, as stated in your proposal and the progress you have made toward these goals and objectives. What activities led to meeting these goals and objectives? How were these objectively monitored and measured?
  1. Describe the population served or community reached during the grant period. Be specific, such as, number of individuals served, race/ethnicity, gender, geographic location, etc.
  1. What were the results/outcomes of your funded program, either positive or negative. What obstacles did you encounter while implementing this program, and how did you address each one? What changes did you or will you make based on these results/outcomes?
  1. What did you learn because of this grant that will assist you or others in serving disadvantaged youth and families? What plans, if any, do you have to share your results or findings with other organizations?
  1. (If applicable) What are your plans for sustaining this program?

FINANCIAL REPORT

  1. Please attach an income and expense statement for this grant period. If this is a Progress Report, the statement should include income and expenses for the grant period to-date. If this is a Final Report, the statement should include actual income and expenses. Also include:
  • your original program budget;
  • narratives for your expenses and income, if necessary; and
  • a list of additional funders, including amounts received for this program.

 Please do not send copies of checks, receipts, invoices, etc. unless requested by JJF.

  1. If funds from this grant were not used as originally intended, please explain why and how they were used differently?
  1. If you have a surplus of grant funds at the end of the grant period, please explain.

Please Note for Financial Report items 2 and 3: Use of grant funds for purposes other than those noted in your Agreement letter requires authorization from the Foundation. Surplus funds at the end of the grant period must be returned to the Foundation unless other arrangements have been made as authorized by the Foundation.

Please email your completed report (including financial report) to:

Phone: (904) 633-6599 / Fax: (904) 633-5683