2015 BHN Annual Report Episcopal Charities (EC) continues its two year funding cycle that allows programs funded in 2015 to be
eligible for 2016 funding upon satisfactory review of 2015 year-end reports.
Reporting Period: January 1, 2015 through October 31, 2015
To be eligible for funding in 2016, the following three items are required:
1) This report must be submitted by November 30, 2015.
2) Your EC Sunday has been held OR scheduled for December 2015.
3) Your EC Sunday Outreach Collection has been sent.
Date Report Submitted: _____ /_____ /______
Program/Ministry Title:
Sponsoring Church and City:
Program Contact:
Amount Awarded:
Amount Spent:
1 Expenses (EXAMPLE):
Please document your EC Grant expenses in the fields form below the following the EXAMPLE below.
Example documentation:
Salaries allocated to Program
$ [Amount]
Program Supplies (List)
$ [Amount]
Rent/Utilities (if program not on church property)
$ [Amount]
Other (List)
$ [Amount]
Your Expenses
Enter your EC Grant expense information in the spaces provided below referring to the Expenses Example
above:
Salaries allocated to Program
$ _______________
Rent/Utilities (if program not on church property)
$ _______________ Program Supplies
$ _______________ Program Supplies
$ _______________ Program Supplies
$ _______________ Program Supplies
$ _______________ Other
$ _______________ Other
$ _______________ Other
$ _______________ Other
$ _______________ Other
$ _______________ Other
$ _______________ 2 Goals
In the space provided below, list your goals from your 2014 BHN application in the space provided below.
Address their successes and challenges. What did you learn and what would you do differently.
For example: Number of people you planned to serve or amount of food you hoped to distribute. You
succeeded or fell short of your goal because of ……… Next year you will …….
3 Costs
Costs for All Feeding Programs including Food Pantries:
Cost of one bag of food or one meal. (% of food purchased and % donated. Total should equal 100%).
EXAMPLE:
Feeding Program Cost Per Meal: Purchased Food for meals in 2015 All Direct costs of running program 70% of building, utilities and out of pocket costs of operating this program Total Costs $10,715 95,725 $106,440 Number of Meals Served Purchased Donated 60% 40% Purchased Donated 10% 90% 35,483 $3.00 Total Cost of One Meal Food Pantry ‐ Cost for a Bag or Box: Purchased Food for bags/boxes in 2015 All Direct costs of running program 70% of building, utilities and out of pocket costs of operating this program $2,400 41,025 Total Costs $43,425 Number of bags/boxes distributed 10,289 $4.22 Total Cost of One Bag/Box From What sources do donations of food come: List churches, synagogues, civic groups, restaurants, food banks, grocery stores and other: Sources of food donations include the following: The general public, the USPS annual food drive, St James in‐the Hills, St Johns, St Anne's, St Andrews, All Saints Episcopal Churches, Project Lifeline of United Way of Broward, Feeding South Florida, B's Wholesale, Publix, Cheesecake Factory, KFC, Pizza Hut, Entemann's and the Olive Garden. 4 Costs
Costs for All Feeding Programs including Food Pantries:
Cost of one bag of food or one meal. (% of food purchased and % donated. Total should equal 100%).
Enter your data below in the spaces provided. (Refer to EXAMPLE on previous page.)
Feeding Program Cost Per Meal: Purchased Food for meals in 2015 $___________ All Direct costs of running program: ______% of building, $___________ utilities and out of pocket costs of operating this program Total Costs $___________ Number of Meals Served $___________ Total Cost of One Meal $___________ Purchased Donated _____ % _____ % Purchased Donated _____ % _____ % Food Pantry ‐ Cost for a Bag or Box: Purchased Food for bags/boxes in 2015 $___________ All Direct costs of running program: ______% of building, $___________ utilities and out of pocket costs of operating this program Total Costs $___________ Number of Bags/Boxes distributed $___________ Total Cost of One Bag/Box $___________ From What sources do donations of food come: List churches, synagogues, civic groups, restaurants, food banks, grocery stores and other in the space below: Sources of food donations include the following: 5 Tell us about an individual or family you have helped with this project in the space provided below.
[Please provide pictures, if possible]
Instruction for submission:
1) Save this form to your computer when completed
2) Email the completed form
3) Print a copy for your records
1) Save Form
2) Email Form
3) Print Form
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