Organization: 2015 PCCHC Arts Final Report PASSAIC COUNTY CULTURAL & HERITAGE COUNCIL The Passaic County Arts Re-grant Program CY2015 Final Report Organization: Legal/Business Address: City, State, Zip: Daytime Phone: Mailing Address: (if different) Email Address: Website: Chief Admin. Officer: Title: Project Director: Title: Starting Date: Ending Date: SUMMARY OF GRANT IMPACT: (Please provide figures requested as completely and accurately as possible.) 1. Total number of public activities or events produced as a result of the Arts re-grant: _____ (Total number of performances, workshops, exhibits, etc.) 2. Live Audience Number of Adults attending event(s): _____ Number of Children (18 and under) attending event(s): _____ 3. Total audience not attending live event and/or performance but indirectly benefiting through the broadcast of an event or performance or the publication of literary work: _____ Please check: Radio TV Publication YouTube Other: Indirect beneficiaries refers to individuals “receiving a substantial artistic product through listenership, viewership or readership via broadcast, internet or publication, etc”. It does not include articles or radio interviews, TV news coverage, advertising, visits to websites, etc. (For publications, report the number of persons using the materials or copies actually distributed, not the number of copies printed. For broadcasting, use estimates if reliable sources exist. If no reliable estimates are available, do not include or substitute with general population information. For internet programs, report specific individual users benefiting from an artistic product. Re-grantees are not required to have indirect beneficiaries. Please list TV/Radio broadcast, publication or online activities below: _____ 4. Number of professional artists engaged per event. (If an artist performs in 2 shows, count 2 times) = _____ Total number of professional minority artists participating (count once): _____ Total number of professional New Jersey artists participating (count once): _____ 1 Organization: 2015 PCCHC Arts Final Report CULTURAL DIVERSITY: The New Jersey State Council on the Arts (NJSCA) requests information on minority participation for statistical purposes. Please estimate, as accurately as possible, the following categories of minorities. Of the total number of audience members, estimate percentages for the following: (Total should equal 100%.) _____ African-American _____ Hispanic/Latino _____ Asian-American/ Pacific Islander _____ Native American/ Alaskan Native _____ Middle Eastern _____ Caucasian ____ Other Additional Statistics: Please estimate percentages as accurately as possible: (Does not need to equal 100%.) _____ Seniors _____ Person with Disabilities NARRATIVE Use a separate page with your organization’s name at the top. Please number your answers. 1. Provide a brief description of your project with where and when it occurred, and include: a. b. c. d. e. f. g. the professional quality of the program and artists; any special achievements or challenges; publicity efforts; the audience’s reaction; the impact on the community; success in attracting diverse and/or underserved communities; and, any interesting anecdotes, noteworthy collaborations or awards. 2. Provide an explanation of the figures indicated on your Project Expenses on page 4 (bulleted lists are acceptable). 3. How can the Passaic County Cultural & Heritage Council (PCCHC) help you, other than through funding? Are there any workshops you would like for us to sponsor? SUPPORT MATERIALS 1. Include up to 5 examples of support materials, including fliers, programs, publications, press releases and newspaper articles with funding credit to PCCHC highlighted. Photo(s) may be included (with proper release) as support material, but no longer required. (Digital photos preferred, if submitted.) 2. Only one (1) signed copy of the final report and only one (1) set of support materials should be mailed/emailed to: Nicholas Rodriguez Assistant Director - PCCHC Passaic County Community College One College Blvd. Paterson, NJ 07505 Contact: nrodriguez@pccc.edu 973-684-6507 2 Organization: 2015 PCCHC Arts Final Report FINANCIAL REPORT: Please use provided forms and note: Cash expenses are those that you pay for. In-kind expenses are services and/or goods donated to your organization and have a documented value. You must include the full PCCHC re-grant amount in your income, not just the first half. Any monies paid by your organization toward this project (i.e. percentage of administrative salaries, rentals, transfer from budget) should be listed as income. Your income and expenses should be in agreement. FINANCIAL STATEMENT: Complete this section last. TOTAL INCOME Cash Income (include total grant) $ In-Kind Income $ TOTAL INCOME $ TOTAL EXPENSES Cash Expenses $ In-Kind Expenses $ TOTAL EXPENSES $ PLEASE NOTE: Total expenses should equal total income. Total expenses must equal at least twice the amount of the re-grant. Signature of person completing the report: Title: Date: Daytime Phone: E-mail: 3 Organization: 2015 PCCHC Arts Final Report PROJECT EXPENSES Expense Categories List each expense/describe in narrative Cash Expenses Personnel Salary (match only) In-Kind Expenses Category Totals Total In-kind Expenses Total Expenses Technical / Production Staff Professional Services / Artists (Fees, Stipends) Space Rental Equipment Rental Supplies / Materials Photocopying Printing / Typesetting Publicity / PR Postage (match only) Hospitality (match only) Other (list below) Total Cash Expenses TOTALS Matching Cash is the amount actually paid for goods and/or services. In-kind is the dollar amount of goods and/or services donated. Remember: You must provide an explanation of the figures indicated above in your narrative. 4 Organization: Report 2015 PCCHC Arts Final PROJECT INCOME Include funds from membership, admission fees, registrations, grants, sale of program ads, local government, private and corporate donations and your organization itself. Source: Amount: PCCHC Regrant (full grant) TOTAL CASH INCOME (for page 3) *Please note: Cash income should equal cash expenses. IN-KIND INCOME: These are donated goods and services, for which the organization does not pay cash, but which have a documented cash value. Examples include: donated administrative services; rental fees of any space allotted for your project's use for which you are not being charged; volunteer services; and donated equipment, supplies or professional services for your project. Source: (detail contribution, i.e. 7 hours X $10/hour) Amount: TOTAL IN-KIND INCOME (for page 3) *Please note: In-kind income should match in-kind expenses. 5