Community Arts Grant FINAL REPORT

C O M M U N I T Y A R T S G R A N T F I N A L R E P O R T

Final Reports in this format may be filled out online and emailed to the coordinator; however, all requested supplemental material must also be sent such as copies of programs, brochures, posters, flyers, newspaper articles, etc. They may be scanned and emailed or mailed in the traditional fashion.

REMEMBER THAT ELIGIBILITY FOR CONSIDERATION FOR FUTURE FUNDING DEPENDS ON SATISFACTORY COMPLETION OF THIS YEAR'S AGREEMENT, INCLUDING THE FINAL REPORT.

Please email Final Report to: [email protected]

or mail to: Community Arts Grant c/o LARAC 7 Lapham Place Glens Falls, NY 12801 C O M M U N I T Y A R T S G R A N T F I N A L R E P O R T

Name of Organization Report prepared by: Name Telephone Date

ELIGIBILITY FOR FUTURE FUNDING DEPENDS ON SATISFACTORY COMPLETION OF THIS YEAR'S AGREEMENT, INCLUDING THE FINAL REPORT.

------PROGRAM INFORMATION: Use separate sheets if more space is required.

1a. Title of funded project.

1b. Was the program completed as presented in your original application? yes no Did you place a Change of Request for the changes made? yes no If your program had to be adjusted, please describe how your program varied from the application.

2. List below dates, times, and locations of the funded programs. PROJECT DATE TIME PLACE

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4. What benefit do you feel this event provided to the community, what outreach did you perform to get more people involved in this event?

5. How would the program have changed had you not received COMMUNITY ARTS GRANT funding?

3 8. Attach proof that the program was presented and that you gave public credit for funding. Include copies of press releases, programs, promotional materials, newspaper articles, and flyers Without these attachments, your final report will be considered incomplete.

FINANCIAL INFORMATION

List any in-kind contributions donated to the project. (i.e., non-money items that were donated by individuals or businesses.)

Source of donation Item donated Estimated Dollar Value

PROJECT FINANCES Round off to the nearest dollar. (STATE FIGURES ONLY FOR THE ACTIVITY FOR WHICH FUNDING WAS RECEIVED.) EXPENSES REVENUE PERSONNEL (Specify) EARNED REVENUE Administrative Tickets, Admissions $ $ Price/ticket $ $ Tuitions, Workshop fees $ Artistic Ind. Fee $ $ Subscriptions $ $ Concessions, sales $ $ Other (Specify Technical $ $ $ $ OTHER UNEARNED REVENUE Advertising/Publicity $ Contributions $ Copies $ Grants (do not include this grant) Equipment Rental or Purchases $ Government $ Printing $ Individual $ Space Rental $ Corporate $ Travel or Transportation $ Memberships $ Other (Specify) REMAINING OPERATING EXPENSES $ Costumes $ $ Insurance $ Phone $ TOTAL REVENUE (A) $ Postage $ Sets/Lights $ ARTS INITIATIVE GRANT (B) Supplies $ TOTAL (A + B) Miscellaneous TOTAL EXPENSES (C) $ SURPLUS or (DEFICIT) after grant $ If a surplus, explain why: TOTAL EXPENSES (C) $

4 I hereby certify that ______has performed the services and/or Name of Organization activities, as stated in the Agreement with LARAC.

______Signature Title Date

Mail report to: Candice Frye, Community Arts Grant, c/o LARAC, 7 Lapham Place, Glens Falls, NY 12801 or email as an attachment to [email protected]; however information from #8 must be sent by mail or fax (518) 798-9122.