NORFOLK COMMISSION ON THE ARTS AND HUMANITIES
FY10 FINAL REPORT
500 East Main Street, Suite 1500, Norfolk, VA 23510
DUE SEPTEMBER 30, 2010
(757) 664-4330
ORGANIZATION/PROJECT TITLE
GRANT AMOUNT
MAILING ADDRESS/CITY/STATE/ZIP
EXECUTIVE DIRECTOR
GRANT ADMINISTRATOR
TELEPHONE NUMBER
Provide 2009-2010 season schedule and audience figures for grant-supported Norfolk activities.
PLEASE GROUP AND SUBTOTAL ACTIVITIES/PERFORMANCES BY TYPE, for example: mainstage productions, in-school
programs, arts instruction, community outreach programs, exhibitions, etc.
Dates
Activity/Performance
Norfolk Venue
# of
Perfs.
# Paid
Admission
# Comp.
Admission
Total
Attendance
Totals:
INDICATE NUMBER OF SPECIAL INDIVIDUALS SERVED (IF EXACT NUMBERS ARE UNKNOWN, PLEASE GIVE ESTIMATE AND INDICATE WITH *) BY GRANT SUPPORTED ACTIVITY
CHILDREN ____________
RACIAL MINORITIES ____________
HANDICAPPED ____________
OTHERS (DESCRIBE) _______________________________________________________________________
SENIOR CITIZENS ____________
MILITARY ____________
NUMBER OF PARTICIPATING ARTISTS ______________________
FY10 OVERALL ACTIVITY OF YOUR ORGANIZATION IN NORFOLK:
NUMBER OF DISTINCT CULTURAL EVENTS offered in Norfolk by your organization during the granting period (9/1/09-8/31/10) open to the public:
___________# OF FREE EVENTS ___________# OF EVENTS WITH ADMISSIONS CHARGE
OVERALL ATTENDANCE AT YOUR ORGANIZATION’S CULTURAL EVENTS IN NORFOLK:
___________TOTAL ATTENDING FREE EVENTS ___________TOTAL ATTENDING EVENTS WITH ADMISSIONS CHARGE
FY10 EDUCATION and OUTREACH ACTIVITY OF YOUR ORGANIZATION IN NORFOLK—please note that these figures are a subset of, not an addition to, figures above:
__________NUMBER OF THE FREE OR TICKETED EVENTS LISTED ABOVE THAT ARE IN-SCHOOL OR STUDENT ACTIVITIES _________TOTAL ATTENDING THESE ACTIVITIES
__________NUMBER OF THE FREE OR TICKETED EVENTS LISTED ABOVE THAT ARE COMMUNITY OUTREACH ACTIVITIES __________TOTAL ATTENDING THESE ACTIVITIES
FY10 EMPLOYMENT
__________NUMBER OF FULL TIME EMPLOYEES __________NUMBER OF PART-TIME EMPLOYEES
FY10 BOARD OF DIRECTORS PARTICIPATION:
___________# OF BOARD MEMBERS __________% OF BOARD MEMBERS CONTRIBUTING FINANCIALLY
DESCRIBE EFFECT OF GRANT—ESPECIALLY ANY SPECIFIC, NOTABLE OUTCOMES--ATTACH LETTERS, REVIEWS, NEWS CLIPPINGS, ETC.
INDICATE METHOD OF GRANT ACKNOWLEDGMENT (ATTACH PROGRAM, ADS, ETC.)
PROJECT BUDGET SUMMARY Grant Guidelines require a copy of the organization’s most recent annual audited financial statement. If the audit is not yet
available, an unaudited statement should be attached, and the audit should be submitted when it becomes available. If the organization is not audited, the unaudited statement should
be attached. IN EITHER CASE, THE BUDGET SHOULD BE SUMMARIZED BELOW (i.e., FILL IN THIS FORM).
EXPENSES
$
TOTAL EXPENSES
INCOME
$
$
SUB-TOTAL
NORFOLK COMMISSION GRANT
TOTAL INCOME
EXCESS (DEFICIT)
TOTAL CUMULATIVE EXCESS (DEFICIT)
$
$
$
DIRECT REVENUES RETURNED TO NORFOLK UNDER THIS GRANT (IF PARKING IS ESTIMATED, INDICATE BY (*)
ADMISSION TAXES $_______________
REAL ESTATE TAXES $_______________
FACILITIES RENTALS (NOT SERVICES) PAID TO CITY* $_______________
SALES TAXES $_______________
BUSINESS LICENSES $_______________
STAFF/PERFORMER/PATRON PARKING $____________/____________/____________
OTHER (DESCRIBE) $_______________
*Note that facilities rentals refers to City-owned facilities, not university, church, or private venues.
TOTAL RETURNED TO NORFOLK IN FY09 $_______________
I HEREBY CERTIFY THAT, TO THE BEST OF MY KNOWLEDGE, ALL INFORMATION IN THIS FINAL REPORT IS COMPLETE AND ACCURATE.
NAME AND TITLE OF AUTHORIZED OFFICIAL (PRINT OR TYPE)
SIGNATURE/DATE