Grant Report for Special Event Sponsorship

Legal Name of Organization*

DBA (if applicable)

Street 1*

Street 2

City*

State*

Zip*

Phone* (do not include dashes)

Fax

Employer Identification Number (EIN)* (do not include the dash)

Website

Organization Email*

CEO/Executive Director

Phone (do not include dashes)

Report Contact & Title (if not the CEO/Executive Director)

Phone (do not include dashes)

Grant Amount* (do not include commas)

Event Name*

Event Date*

How many people attended the event?* (do not include commas)

What were the successes and challenges of the event?*

If the event was a fundraiser, what was the net income raised? (do not include commas)

Were actual event costs consistent with original estimates?* (do not include commas)
Please explain:*

What was the event gross revenue?* (do not include commas)

What were the event expenses?* (do not include commas)

Any additional Information you would like to include?

By checking here, I certify that the information contained in this report is true and correct to the best of my knowledge.

* Denotes required field