CITY OF BERKELEY CIVIC ARTS GRANT PROGRAM FINAL REPORT

CITY OF BERKELEY CIVIC ARTS GRANT PROGRAM
FINAL REPORT - ORGANIZATIONS
For the period of July 1, 2017- June 30, 2018
Deadline: Your Final Report must be received by our office on or
before June 30, 2018.
Applicant/Organization Name:
Funding Category: (check one)
□ Large Organizations (Budget over $500,000)
□ Small to Mid-Size Organizations (budget under $500,000)
Address:
Mailing Address (if different):
Phone:
Email:
(If applicable): Fiscal Sponsor:
Phone:
Contact Person:
Title:
(If applicable): Fiscal Sponsor Address:
Total operating budget (or program budget):
Grant amount awarded:
Total number of Persons Attending:
Number of artists involved:
Please limit your answers to the space provided covering items #1-6,
plus ONE additional page that you may attach to cover ALL “overflow”
answers.
1.
Summarize your project or activity during the past year supported
by this grant.
2.
Did your program change in scope from the one originally proposed?
If so, please provide an explanation.
3.
Did you achieve your goals? Explain how.
4.
What methods were used for evaluating your program, project or
activity?
5.
How did your activities or program benefit the community?
6. Did you reach the audiences (in numbers) that you wanted to target?
Please explain.
BUDGET
Please submit your organization’s operating budget for the fiscal year
for which you received the grant, including:
Expenses: administrative salary and wages; professional services
(consultants, technician, etc.); artists fees or salaries (e.g.
dancers, actors, musicians, storytellers); supplies and materials;
production costs; promotions and publicity; and any other expenses.
Revenue: earned revenues (list ticket price, entry fees, concessions,
other income); government grants; foundation grants; corporate
contributions in-kind (provide complete list).
CERTIFICATION
=============
The Board of Director’s has reviewed and approved this document
submitted to the City of Berkeley in accordance with the conditions
stipulated for receipt of civic arts grants funds. The undersigned
hereby certifies that the information contained within this document
is complete and correct to the best of his/her knowledge and that the
original, supporting documents including receipts are on file in the
organization’s office should and independent audit be required.
______________________________________ ___________________
Signature of Board President, Organization Date
Executive Director or Other Authorized Agent
______________________________________
Print Name
______________________________________ ___________________
Signature of Fiscal Sponsor (if applicable) Date
______________________________________
Print Name
In order to complete this portion of the Civic Arts Grant, you need to
send a copy via mail or
deliver it in person with original signatures.
Send to: City of Berkeley Civic Arts Program
Attn: Chrystal O’Malley
2180 Milvia Street, 5th Floor
Berkeley, CA 94704
2180 Milvia Street, 5th Floor, Berkeley, CA 94704 ● Tel: (510)
981-7539 ● TDD: (510) 981-6903 ● Fax: (510) 981-7099
Email: [email protected]