UC Santa Cruz Foundation Gift Report | Form C

The Community Foundation wants to learn about the activities supported by your gift! Use this form to describe how your gift funds were spent. Candor in your reporting helps us understand the successes and challenges encountered—and informs our future grantmaking. Please keep responses brief and specific.
Form C Directions
1.  Refer to your original gift agreement BEFORE completing this report.
2.  Save this report form on your computer with a new name as a Microsoft Word document.
3.  Reopen the form and type your information directly into the gray shaded form fields.
·  Use your mouse or the <Tab> key to move from field to field.
·  Font defaults at 11 or 12-points. Formatting (italics, bold, paragraph indents) is NOT available.
·  Text fields will expand as you type to the maximum character limits allowed.
4.  When complete, follow the instructions for submission found at the BOTTOM of the form.
Materials such as publications, photographs, or news clippings may be attached, but are not required.
We encourage you to share your stories and photos for possible inclusion in our publications and website.
To do so, go to: www.cfscc.org/ShareYourStory.
5.  Questions? Problems with the form? Contact the Foundation at 831.662.2000 or .
Reminder: The Community Foundation requires all reports be up to date before considering new requests or releasing new gifts.

I. Organization Information

Organization: / UC Santa Cruz Foundation / Gift Number:
Department
or Project:
Gift Amt: / $ / Report Type (click to select): / FinalProgress / Report Due Date:
Address:
City: / State: / Zip:

II. Report Contact Person (Who prepared report)

Name: / Title:
Phone: / () / Email:
FOUNDATION USE ONLY / Comments:

III. Impact

A. Briefly describe the activities supported by this gift and how they furthered your organization’s mission and goals. Please keep response brief and concise.

IV. Expenditure

A. Have all the grant funds been expended? (click to select) / YesNo
B. If you have answered no, when do you expect to expend them?

How to Submit Your Report

Use one of the following delivery methods

E-mail:

Fax: 831. 662.2001

–OR–

Mail: Community Foundation Santa Cruz County

7807 Soquel Drive, Aptos, CA 95003

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