Year-End Progress Report form
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MARIE C. & JOSEPH C. WILSON FOUNDATION
160 Allens Creek Road
Rochester, NY 1461
(585) 461-4696 (585) 473-5206 Fax
email report to: mcjcwilsonfdn@frontiernet.net
YEAR-END REPORT FORM
PLEASE ANSWER THE FOLLOWING AS COMPLETELY BUT SUCCINCTLY AS POSSIBLE.
SECTION A (Complete Section A directly on this sheet)
Organization Name:
Address:
Contact Person:
Phone:
Time Frame Covered By Grant:
Time Frame Covered By Report:
Grant Amount: Report Due:
Project Name:
TYPE OF SUPPORT
¨ Capital ¨ Construction ¨ Equipment
¨ Endowment ¨ General Support ¨ Program/Project
¨ Renovation ¨ Other (describe)
Signature:
Title: Date:
SECTION B (Answer all of the following questions in a total of no more than four pages.)
RESOURCES
1) Provide income and expense information related to this grant. If any of the grant dollars have not been spent, explain.
2) Has this grant been instrumental in attracting additional support in the form of people, money, goods, services or publicity? If so, describe.
RESULTS
3) What difference did this project/grant make and how do you know? Include information about participant satisfactions, if appropriate?
4) We understand that variance from original project plans often occurs. Did this project meet, exceed, fall short of or vary in any other way from your initial expectations? Describe how and why.
COOPERATION
5) Describe the impact of any cooperative efforts involved in planning, implementing, funding and/or evaluating this project/grant.
FUTURE
6) What is your vision of this project over the next three years? If applicable, include plans for ongoing funding, expansion, replication or termination.
6/11/01
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