Capital Grant Interim Report

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Organization Name

Grant Title

From your Grant Agreement

Grant ID#

From your Grant Agreement

Grant Amount

Do not use commas or dollar signs

Primary Contact

Please notify the Foundation if this has changed.

1. Attach a year-to-date financial statement for your Capital Project with Actual vs Budget numbers.

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2. Please explain Actual-to-Budget variances.

0/10000 Max words

3. List pending funding sources from the application for this grant.

4. Provide an update on the major funding sources, names and dollar amounts, secured for this project. Include information about the sources noted as pending on the list above and for any new funders.

Example: ABC Foundation – $10,000; XYZ Corp – $5,000 pending; etc.

0/10000 Max words

5. What challenges have arisen that could impact the project? How are you addressing them?

0/10000 Max words

6. What percentage of your board has participated in the campaign to date?

Format percentage as a whole number and do NOT use the percent sign.

7. What is your board's total contribution amount to date?

Do NOT use commas or dollar signs

8. Have there been any major changes in the campaign or building design? If yes, please explain.

0/10000 Max words

9. Have you met your fundraising goal? If not, please explain your strategy to raise the remaining funds.

0/10000 Max words

10. Describe any significant turnover in executive leadership during the past year

Include board, staff and or other leadership changes

0/10000 Max words

11. Anything else you want to tell us? (optional)