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Performance Report
This form is to be completed within 30 days of the completion of the Program, or within 30 days of the end of the Performance Period (
June 30
), whichever comes first.
Additional funding will not be considered until all reporting requirements are completed.
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Reporting on Performance Period:
*
July 1, 2021 - June 30, 2022
July 1, 2022 - June 30, 2023
July 1, 2023 - June 30, 2024
July 1, 2024 - June 30, 2025
Is this a Multi-Year Award?
*
Yes
No
Year Reporting On?
Year 1 of 3
Year 2 of 3
Year 3 of 3
Organization
*
Name of Program
*
Would you like a copy of your Progress Report emailed to you?
*
Yes
No
Please enter your email address. A copy of this report will be emailed after submission.
Please describe how you met each of the goals/deliverables for the project. If a deliverable wasn't met or only partially met, please describe the circumstances and what modifications will be made to meet it in the future. (Refer to deliverables listed on application to answer these questions appropriately.)
Deliverable 1:
*
Deliverable 2:
*
Deliverable 3:
*
Additional goals listed in application?
*
Yes
No
Deliverable 4:
Additional goals listed in application?
*
Yes
No
Deliverable 5:
How many people were involved in your programming?
Attendees - Locals
*
Attendees - Visitors
*
Volunteers
*
Paid Staff
*
Organizers
*
Was this an increase or decrease over last year?
*
Increase
Decrease
N/A (First Year Program)
Please explain.
*
Please upload examples of how Measure U Grant funding, project partners and sponsors were recognized.
How has your program enhanced the quality of life and/or provided an economic benefit to the community? Do you have a "real-life" story we can share?
*
Do you plan to continue this program?
*
Yes
No
What measures will you take to grow this program and make it self-sustaining?
What factors led to that decision?
Is there anything you would do differently for this program given the opportunity?
*
Amount of Award
*
Full award spent?
*
Yes
No
Amount of Award Remaining?
Please list all expenses incurred to date as part of this program and upload documentation (receipt, timecard, invoice, payroll, etc.). (Two decimal places)
*Expenses should match those listed on application and progress report.
Expense 1:
Amount
*
Description of Expense
*
Amount: Measure U
Amount: Cash Match
Amount: In-Kind
Total:
$
0.00
Calculate
Upload expense documentation here.
Expense 2:
Amount
Description of Expense
Amount: Measure U
Amount: Cash Match
Amount: In-Kind
Total:
$
0.00
Calculate
Upload expense documentation here.
Expense 3:
Amount
Description of Expense
Amount: Measure U
Amount: Cash Match
Amount: In-Kind
Total:
$
0.00
Calculate
Upload expense documentation here.
Expense 4:
Amount
Description of Expense
Amount: Measure U
Amount: Cash Match
Amount: In-Kind
Total:
$
0.00
Calculate
Upload expense documentation here.
Expense 5:
Amount
Description of Expense
Amount: Measure U
Amount: Cash Match
Amount: In-Kind
Total:
$
0.00
Calculate
Upload expense documentation here.
Total Cost of Expense Items:
0.00
Calculate
Total Measure U:
🛈
$
0.00
Calculate
Total Cash Match:
0.00
Calculate
Total In-Kind:
0.00
Calculate
Total Cash Match + In-Kind:
$
0.00
Calculate
Is the Cash Match + In-Kind ≥ Measure U?
*
Yes
No
Is the Cash Match ≥ 50% of the total match?
*
Yes
No
STOP! The amount of Measure U Funding awarded must be matched 1:1 with Cash Match and In-kind. In-kind may not be greater than 50% of the match.
If you have additional expenses, please list the amount and description on a separate document and upload here.
Contact Information
Point of Contact
*
Title
*
Mailing Address
*
Business Address
*
City
*
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
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Hawaii
Idaho
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Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
*
Phone Number
*
Email
*
Website and/or Social Media