Measure R & U - Performance Report

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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: *

Is this a Multi-Year Award? *

Year Reporting On?

Organization *

Name of Program *

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

Deliverable 4:

Additional goals listed in application? *

Yes

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

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? *

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

Upload expense documentation here.

Expense 2:

Amount

Description of Expense

Amount: Measure U

Amount: Cash Match

Amount: In-Kind

Total:

$0.00

Upload expense documentation here.

Expense 3:

Amount

Description of Expense

Amount: Measure U

Amount: Cash Match

Amount: In-Kind

Total:

$0.00

Upload expense documentation here.

Expense 4:

Amount

Description of Expense

Amount: Measure U

Amount: Cash Match

Amount: In-Kind

Total:

$0.00

Upload expense documentation here.

Expense 5:

Amount

Description of Expense

Amount: Measure U

Amount: Cash Match

Amount: In-Kind

Total:

$0.00

Upload expense documentation here.

Total Cost of Expense Items:

0.00

Total Measure U: 🛈

$0.00

Total Cash Match:

0.00

Total In-Kind:

0.00

Total Cash Match + In-Kind:

$0.00

Is the Cash Match + In-Kind ≥ Measure U? *

Is the Cash Match ≥ 50% of the total match? *

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 *

Zip Code *

Phone Number *

Email *

Website and/or Social Media