Grantee Outcome Report

Contact Information

Project Name*

Organization Name

Contact Name*

First Last

Title

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

Email*

Website

Tax ID Number

Recap briefly the goal(s) of this project*

Include a brief organization overview if new to the Belvedere Community Foundation

Date grant received*

Amount of grant request*

Outcomes

Discuss the outcome(s) of the project, including whether you met your goal(s) (if not, why not) and who has benefited.

Grant Expenditures

Provide a breakdown of grant expenditures and describe any significant variances as compared to the original grant request (i.e. expenses vs budget.)

Next Steps

What, if any, are the next steps for the project? What are the associated funding requirements and potential sources of funds?

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