Earl C. Sams Foundation



EARL C. SAMS FOUNDATION PROGRESS REPORT

Year of Grant: _________

Description of project funded by grant: _________________________________________

___________________________________________________________________________________

___________________________________________________________________________________

Organization Contact Person: ____________________________________________________

Address: __________________________________________________________________

Telephone: _______________________________________________________________

Fax: _______________________________________________________________________

E-mail: ____________________________________________________________________

In numerical order, please provide the following information:

1. Description of project/program objectives, including original objectives and any variances which may have occurred. (Any substantial variances should include an explanation.)

2. Explanation of the degree to which objectives have been realized: (Please provide evidence to support your conclusions.)

3. Fiscal Report. Fiscal report to include: schedule of budgeted amounts per original proposal; actual expenditures and variances; accounting of the use of the Earl C. Sams Foundation, Inc. funds. (Any substantial variances should include an explanation.) Expenditures for equipment or construction with copies of receipts for single expenditures in excess of $500.

4. With respect to the work supported by this grant, what problems and prospects do you foresee for the future?

5. Indicate how this project will be funded in the future.

SUBMITTED, this the ______ day of _______________, 20___.

[Insert Name of Organization Here]

By: __________________________________________________

[Insert printed name, title here]

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