Preliminary Report for Recipients Of

FINAL REPORT FOR RECIPIENTS OF

2016 LICENSE PLATE PROGRAM GRANTS

Due to MAC no later than July 15, 2017

NOTE: Please submit one copy of this Final Report Form, the 2016 Final Report Animal Tracking Log, and the 2016 LP Grant Final Marketing & Promotion Report (which will be released by 2-28-17) with your 2017 grant application package (postmarked byApril 1, 2017).

If you are not filing an application for the 2017 grant cycle, this Final Report is due by July 15, 2017. Please email (preferred) or mail to MAC at P.O. Box 766, Westborough, MA 01581.

Date report submitted: ______

Name of Organization: ______

Person filling out report: ______

Title: ______

Phone number: ______

Email: ______

Amount of 2016 grant: ______

Select the appropriate option:

____ All 2016 grant funds are spent: this is the final report.

____ We are applying for a 2017 grant, but have not spent all of our 2016 grant funds. We have filled out the report below with information to date and have explained the funds status in Question 4 below. We will submit a final report by July 15, 2017.

Please complete the appropriate log in the attached Excel workbook. There is a separate log for each animal type.

1. Please summarize the results of your project and identify any challenges you encountered and how you handled them.

2. How did you adjust your project to best utilize the amount of grant funding you received?

3. Please feel free to share any other information with us that reflects how you used these funds and benefited from this grant:

4. Please answer this question only if you are applying for 2017 grant funding but have not yet spent all of your 2016 grant funds.

How much of your 2016 grant funds remain unspent?______Please explain your plans for spending this available funds balance, and how this unspent balance affects your 2017 application.

Please submit one copy of this Final Report with your 2017 grant application package (postmarked byApril 1, 2017).

If you are not filing a 2017grant application, this Final Report is due by July 15, 2017. Please email to (preferred) or mail to MAC at P.O. Box 766, Westborough, MA 01581.