Organization Name
Project Name
This report must be certified by the person requesting the grant and returned by
October 30, 2016.
Be sure to keep a copy for your records. Return this completed document with attachments to the
ECGRA offices via email, fax, or mail. For technical assistance, please call Diane Kuvshinikov (814)
897-2690 or email dianek@ecgra.org
.
Name of Organization:
Project Name:
Main Office/HQ Address:
Contact Person/Title:
Phone:
Email:
Grant Amount:
Section 1. Summary Narrative – Please attach a narrative summarizing your project (not exceed two pages). Use the following questions as a guide to writing your summary:
1. Briefly describe your funding year, including highlights and accomplishments.
2. Describe benefits to and impacts on your organization and the community through expenditure of the grant.
3. Did you collaborate with others? Did you form lasting partnerships? Tell us about it.
4. Please include letters, articles, at least one picture, press releases, testimonials, programs, etc., to illustrate your project’s/event’s impact.

Organization Name
Project Name
Section 2. Financial Report –
Please provide an overview of income and expenditures for your project/event using the form below. Refer to the budget submitted with your application.
Project/Event Income – Include supporting financial report (QuickBooks, Excel, etc.)
Income Source Please specify details (e.g. name of funding source) Amount
Federal Government
State Government
Local Government
Sponsorship
Other Income
( include own contribution )
Earned Income
ECGRA Grant i.e., box office, ticket/program/food sales, workshop fees, membership
Total Project Income
Project/Event Expenses – Include supporting financial report (QuickBooks, Excel, etc.)
Expense Area Please refer to details in your application. Add rows as needed. Amount
Personnel/Benefits
Construction
Facility Expense
Equipment
Supplies
Marketing
Contracted Services
Other
In-Kind Support
In-Kind Sources Please specify details (refer to your application)
Volunteers
Local Government
Local Business
Other Community Groups
No. of Volunteers ______ Total volunteer hours ______ x $10 per hour
Total In-Kind Support
Total Project Expenses
Amount

Organization Name
Project Name
Section 3. Collaboration – List the groups/partners involved in your project/event.
Type of Group Name of Group # of Years in Partnership
Federal Government
State Government
Local Government
Charities
Private Sector
Cultural Amenities
Community
Social Services
Section 4. Certification
I certify that the project described above was used for the approved purpose. To the best of my knowledge, the summary narrative and financial reports are true and fair.
Name:___________________________________Signature:_________________________________
Organization: _______________________________________________________________________
Position in organization:_________________________________________Date:_________________
Please keep a copy of this report for your records.