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Report Format is COMMON REPORT FORM FORMAT. There are a variety of reports and the reports are for different uses and purposes. The first step of making a report is to pick up a proper format. The purpose of the Common Report Form is to help grantees save time in reporting to you and to help grantmakers simplify the process of gathering standard grant evaluation information.

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COMMON REPORT FORM FORMAT
Cover Sheet
The purpose of the Common Report Form is to help grantees save time in reporting to
you and to help grantmakers simplify the process of gathering standard grant evaluation
information.
Date of this Report: _________________ This is a: _____Final Report _____Interim Report
Legal name of organization :_____________________________________________
(Should be same as on IRS determination letter and as supplied on IRS Form 990.)
Executive Director/CEO: _________________________________Phone number____________
Contact person/title/phone number
(if different from executive director): __________________________________________________
____________________________________________________________________
Address (principal/administrative office): ________________________________________________
City/State/Zip: ________________________________________________________________
Fax Number: ___________________________E-mail Address:__________________________
Project/Program Name:__________________________________________________________
Purpose of Grant (one sentence):______________________________________________________
______________________________________________________________________________
Dates of the Project:_________________ Amount of Grant Awarded: $__________________
Have there been any changes to your organization’s IRS 501(c)(3) not-for-profit status since your
request for this grant? (yes or no):__________If yes, please detail___________________________
______________________________________________________________________________
Dates covered by this report: from________________________to________________________.
I declare that the following information and financial report is true, correct and complete, to the best
of my knowledge.
_____________________________________ _________________
Signature, Executive Director/CEO
Date
_____________________________________
Typed Name and Title
Report Format
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