Community Works Final Report

Community Works Grant Final Report
REGIONAL DISTRICT OF CENTRAL KOOTENAY
Congratulations on the completion of your project!

Please complete all the sections of this report and include the following items:
- Copies of all invoices and receipts for which Community Works funds were used;
- Copy of an unaudited balance sheet and statement of income and expenses for the project, for the year the funds were disbursed;
- List of Executive and Board members

Organization Information
Organization name*
Project title*
Year of Completion*
Project number*
Name of Project Contact*
Contact Phone #*
Contact Email*
example@example.com

Project Outcomes
Please provide a description of the project.*
Please describe the level of success ths project attained with respect to the original goals and projected impacts of the project (eg., productivity, economic growth, strong cities and communities, reduced GHGs, clean air, etc.)*

Project Financials
Please attach supporting documentation, including invoices, receipts, list of executive and board members, and financial statements.*

Cancelof
Project Revenue
Community Works Funding Received ($)*

Please list any other revenue sources.

	Description	Amount ($)
1
2
3
4
5

Total Revenue
Project Expenses

	Amount ($)
Professional, Design, Consultant Fees
Construction, Manufacturing Cost
Tangible Capital Asset Cost Acquisition, Construction or Restoration
Debt Financing Charges
Environmental Assessment Monitoring

Please list any other expenses here.

	Description	Amount ($)
1
2

Please provide any additional comments.
Total Expenses
Signature*

Clear
Name*
First and Last Name
Should be Empty: