Interim Special Program Grant Renewal Grant Progress Report This form must be completed within 60 days of each installment payment.Date:* MM slash DD slash YYYY Name of Organization:* Address:* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Tax Exempt #: Phone Number:*Email Address:* Name of Program/Project Funded:* Amount Funded:* Date of Funding:* MM slash DD slash YYYY Start Date of Program/Project:* MM slash DD slash YYYY Completion Date:* MM slash DD slash YYYY Goal(s) of this project:*How are these goals achieved (examples required)?*What significant changes, if any, were made to the initial content of the project or expenditure of the grant?*What caused these changes?*Describe the project impact on the target population:*Are there any follow up activities planned? If yes, what are they?*How would you rate the funded program(s)?* Below expectations Meets expectations Above expectations Well above expectations How has the organization monitored the effectiveness of the funded program?*Provide any additional information the organization would like to add about the funded project:*Upload an itemized budget outlining the use of the funds you received from the Patrick F. Taylor Foundation.*Accepted file types: pdf, doc, xls, csv, docx, Max. file size: 20 MB.20MB upload limit. Allowed file extensions: .pdf, .doc, .xls, .csv, .docxUpload public statements and publicity about the project.Accepted file types: pdf, doc, docx, Max. file size: 20 MB.20MB upload limit. Allowed file extensions: .pdf, .doc, .docxYou are welcome to upload any additional supporting documentation.Accepted file types: pdf, doc, jpg, gif, png, docx, Max. file size: 20 MB.20MB upload limit. Allowed file extensions: .pdf, .doc, .docx, .jpg, .gif, .png* By checking this box and typing my name below, I am electronically signing my application. I have agreed to submit this application by electronic means. By signing this application electronically, I certify under penalty of perjury and false swearing that my answers are correct and complete to the best of my knowledge. I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature. Name of Person Completing this Report:* First Last Click here to contact us with any questions.
