If you are a current grant recipient of the McDonnell Family Foundation, please complete this annual form below. No further grant requests from your organization can be considered until this report has been submitted.
Organization Information
Contact Name:
Name of Organization Reporting:
Address:
City:
State:
Zip Code:
Phone Number:
Fax Number:
Email Address:
Executive Director:
Grant Information
Dates covered by this grant:
to
Project/Program Name:
Amount of Grant:
$
Purpose of Grant:
Have there been any changes to your organization's IRS 501(c)(3) not-for-profit status since you were awarded this grant? Yes No If yes, please explain:
Grant Recipient Narrative
A. Results/Outcomes
1. Please describe the progress made toward the stated goals and objectives related to this specific grant. (Please include those stated goals and objectives in your response):
2. What difference did this grant make in your community or neighborhood and for the population you are serving? Please discuss evidence of effect (e.g., numbers served, demographic information, client satisfaction survey results, pre- and post-test results, community indicators, outcomes, etc.). Note: If you have evaluation materials that document outcomes and impacts of your work, feel free to mail us a copy of those materials following submission of this form:
3. Were there any unanticipated results, either positive or negative, that you have not already described in A2 above? If yes, please describe the implications:
4. Describe collaborations, if any, related to the work funded by this grant and how it impacted your efforts:
B. Lessons Learned
1. Describe what you learned based on the results/outcomes you reported in Section A above and what, if any, programmatic or organizational changes you will make based on your results/outcomes:
2. Did external or environmental factors (e.g., a flood, an economic downturn, a partner organization stopped providing services, etc.) affect the achievement of your program or organizational goals or the anticipated timeline? If yes, what did you do to address these issues?
C. Future Plans
1. If you will be continuing this program, what are the plans for sustaining or expanding the program, including a future-funding plan? (For a general operating grant, please answer in terms of the organization.) If discontinuing the program, what factors led to this decision?
2. What plans do you have to communicate your outcomes and lessons learned with others?
3. If you have identified areas where increased collaboration between organizations or sectors would lead to increased positive outcomes for your constituents, briefly describe your ideas:
D. Other Comments
1. Please share with us any recommendations you have for our grant making or reporting process:
Grant Financials
1. Please mail us your organization's financial statements (Balance Sheet and Income & Expense Statement) for the year(s) in which the grant was used. Please explain any significant changes in your financial position.
2. If reporting on a specific project/program, please also mail us income and expenditure information compared to the approved budget for that project or program. If there are any major variances, please explain.
3. What amount do you anticipate to request for your next eligible funding cycle?
$
I hereby certify that the above information is true and accurate
