Strategy Grant Interim Report Form

The Rhode Island Foundation is interested in the impact our grant award has made on your organization and in the community. Submit your completed report form by emailing it to . Email subject line must contain your organization name and the associated grant number. If you are reporting on more than one grant, please submit a separate form for each grant number. Reports are shared internally, please do not copy nor email Foundation staff directly.

Grant number: Grant amount:

Organization name:

Project name:

Project contact person and title:

Telephone number: Extension:

Email address:

Date report submitted:


Part 1 – Financial

PROJECT EXPENSES
PERSONNEL EXPENSES / AMOUNT GRANTED
FROM RHODE ISLAND FOUNDATION / AMOUNT OF RHODE
ISLAND FOUNDATION GRANT SPENT TO DATE / BALANCE OF RIF FUNDS
Salaries and wages (break down by position)
Fringe benefits and payroll taxes
Consultant fees (list below)
PROGRAM EXPENSES (list below)
Total Project Expenses
FUNDING SUPPORT FROM OTHER ORGANIZATIONS / BUDGET / ACTUAL / DIFFERENCE
Total Other Support


Part 2 – Narrative

1.  Please describe how your project is progressing including strengths and challenges.

2.  Referring to your approved application, address the status of major activities. Based on the work to date, are you on track to complete activities with budget and time remaining? If not, what is the reason and what steps are you taking to get back on track? (Please refer to the implementation plan submitted with your grant application and the evaluation bullets in your award letter to address this question.)

3.  Address the status of data collection to support the outcomes submitted with your application. Use this space to identify any particular successes or challenges related to data collection and tracking outcomes. Have challenges required modifications to your plan for data collection or edits to your outcome measures?

4.  If Rhode Island Foundation grant money is not completely spent, when do you anticipate funds being exhausted?

Revised 6/2017 3