Grant Fulfillment Form

Fulfillment Reports are due by October 15 of the year following a received grant.

*-Required Fields

Grantee Organization

Project Title

Contact Person

Phone

Address

Original Grant Amount

Grant funds spent as of this report

Grant funds unspent as of this report

Summarize the original project and objectives.

What progress has been made in accomplishing the grant purpose? If appropriate, address problems or concerns encountered, resolution to those problems as well as an update on the next steps for the project.

Tell a brief “story” of how this grant has made a measurable impact on your organization and/or on the wider Pella community.

Itemize the expenditures for this grant with descriptions and the amount of each item and attach copies of invoices and/or receipts for items over $250

Receipts/invoices of items over $250.

Upload File

Upload supported file (Max 15MB)

Photos suitible for PCF publicity.

Upload File

Upload supported file (Max 15MB)

Publicity efforts to recognize PCF as a donor and partner in this project.

Upload File

Upload supported file (Max 15MB)

Thanks for submitting!