THECLEVELAND FOUNDATIONANDITS

SUPPORTINGORGANIZATIONS

STANDARDGRANT REPORTFORM

InterimReport☐FinalReport☐GrantID Number:GrantAmount:ContactPerson:

ContactPhone:ContactPersonEmail:Purpose of Grant:

SECTIONI -Expenses / ClevelandFoundationGrant Dollars only
ProjectExpenses / ExpendedtoDate(itemized) / Balance
(should be$0if finalreport)*
SalariesWages
Consultantsprofessionalservices
Travel
Equipment
OfficeSupplies/Materials
Postage/Mailing
IndirectExpenses (i.e.rent/occupancy,utilities,maintenance)
Other
CapitalExpenses(ifapplicable)
LandCosts
BuildingCosts
Construction/RenovationCosts
Fees
Equipment
Other
TOTAL / 0 / 0

PleasereportontheprogressagainsttheoutcomesthatwereoutlinedintheFoundation’sawardletteryoureceived.Ifthis grant did not have specifiedoutcomes,refer to thepurposeof thegrant asidentified in your award letterwhenanswering the questionsbelow.

SECTIONII -InterimReportQuestions

1.Isimplementation ofyour outcomes on track? Please describe anyunforeseencircumstancesthatareaffectingimplementationofyour outcomes

2.Dogoals oroutcomesneed to beadjustedatthistime? Ifyes,describethecircumstancesand theFoundationwillcontactyou to discussanyadjustedoutcomes.

The Foundationrecognizesthatcircumstancescanchange,possibleaffectingtheprojecttimeline andbudget.Withthisinmind,ifyouneedtorequest anymodificationstothe grant(i.e.grantperiodextension,orbudget reallocation)pleasecompletethe Grant ModificationFormlocatedon ourGranteeToolkit page.

Section III -FinalReportQuestions

1.Describe the results ofyour project/program/activityoutcomes.

2.Iftherewereanyunanticipatedoutcomes,outcomesthat exceededexpectations,outcomesthatfell short ofexpectations,orchangesthat hadtobemadetotheproject,pleasedescribethecircumstancesandimpact.

3.Willthisproject/program/activitycontinuepast thegrantperiod?IfYes,

  • How will it befunded in thefuture?
  • Willtherebesignificant changesbased on learningfromworkcompletedduringthegrantperiod, orfromother/new information orcircumstances?

4.If other fundingwassoughtfor thisproject/program, did itcomethroughasexpected? Explain anyadjustment to the projectas aresult ofincreased ordecreasedfunding.

5.Didthisgranthelpyourorganizationleverageother funding– eitherforthis project orforotherareas ofyour organization’swork?Pleasehelpusunderstandifthisgranthelpedyourorganizationinthisway:

  • Thisgrant helpedusleverage approx.$from otherfoundations
  • Thisgrant helpedusleverage approx.$fromcorporations/privatesponsors
  • Thisgrant helpedusleverage approx.$from public sources(i.e.governmentcontracts)

6.As aresult ofreceivingthisgrantfrom theClevelandFoundation,haveyoubeenabletopositionyourorganizationforfuture fundingopportunitiesthatyouotherwisemayhave notbeeneligible/preparedtoapplyfor?Some examplesinclude:

  • Yourorganizationisnoweligibletoapplyfor a Countycontractto continuetheprogram;
  • Yourorganizationhiredadditional staff/providedadditional trainingforstaff/purchasednew equipmentwhichexpandedthecapacityforyourprogramtobringinearnedrevenue/additional contracts/competeforotherfunding.

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□Icertifythatthisreport isaccurate andthattheawardedgrantfunds havebeenexpendedinaccordancewiththeTermsandConditions ofGrant.

Name:

Title:Date:

Thankyouforcompletingthisgrantreport.We greatlyappreciateyourthoughtfulreviewofthis grant.Be assuredthatwe do not shareyour reportwith anyorganizations orfunders.

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