Congregation Health Ministry Activity Grant Program

WeRaise Crowdfunding Project Financial Report Form

Project Name:

Complete this form, sign it, save it, and upload it as part of the WeRaise Final Report online at www.wheatridge.org/grantreport. Describe how you used the funds raised through your crowdfunding campaign, add cells as needed. Actual Expenses $ Amount Example: Painting Supplies $50

Cost of campaign perks (optional) ____ @ $___ /per $ Total Project Expenses $

Project Figures Grant Award from Wheat Ridge (total gifts – platform fees) $

Excess Funds/ Other Details: If your campaign raised more money than you budgeted for in your fundraising goal, please describe how you spent excess funds in the space below. For example, any additional funds raised were used to expand the project further or excess funds were used to cover unexpected needs. Any other details on expenses can be included here also. Details on Use of Excess Funds/ Other Details:

Signature: ______Printed Name: ______Date:______Financial Report Form Guidelines Actual Expenses: Please list all actual expenses paid for using Wheat Ridge grant funds - including staff salary and benefits, supplies, equipment, marketing costs, and other items. Grant Award from Wheat Ridge: This is NOT your fundraising goal; it is the amount that you actually raised minus the platform fees. This is the amount on the check sent to you from Wheat Ridge after the campaign ended.

Upload completed form using the online WeRaise Final Report at www.wheatridge.org/grantreport. One Pierce Place, Suite 250E  Itasca, IL 60143  (800) 762-6748  www.wheatridge.org ©2014 Wheat Ridge Ministries