Grants Management Interim and Final Financial Report by c0aAXw

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									                            Missouri Foundation for Health
                                   INTERIM REPORT
Date:                                              Grant Number:
Grantee Name:
Project Title:
Grant Period:                                      Reporting Period:
Email:                                             Phone:

                                         Interim Financial Report
1. Using the MFH electronic financial spreadsheet, report expenses since the project start date
   in the column titled ‘YTD Actual Expenses’ for MFH funds only.

2. Provide a brief financial variance explanation if actual expenses vary from the approved
   budget. This is not approval to make budget changes. Any changes to the approved
   budget in Attachment B of the Grant Award Agreement require prior written approval from
   your Grants Manager and Program Officer.
 Before your grant ends . . .
        If necessary, a no-cost grant extension can be requested 60 days prior to the project end
         date («Request_Project_End_Date»).
        If all grant funds are not expected to be spent by the project end date
         («Request_Project_End_Date»), contact your Grants Manager.


                                    Project Status Report Questions

    These questions are different for each MFH funding program.




Certification: I have reviewed the above financial and program requirements. I verify that
the enclosed report materials accurately reflect the status of the aforementioned grant.

Authorized Signature:                                                Date:

Print Name:                                                          Title:
                           Missouri Foundation for Health
                                    FINAL REPORT
Date:                                           Grant Number:
Grantee Name:
Project Title:
Grant Period:                                   Reporting Period:
Email:                                          Phone:

                                       Final Financial Report
1. Using the MFH electronic financial spreadsheet, report expenses since the project start date
   in the column titled ‘YTD Actual Expenses’ for MFH funds only.
2. Provide a brief financial variance explanation if actual expenses vary from the approved
   budget. This is not approval to make budget changes.
3. Unless otherwise instructed, provide supporting documentation for the entire grant period
   («Request_Project_Start_Date» - «Request_Project_End_Date») for the following line
   items:
                   Expense Category         Appropriate Documentation
                         Salary                Payroll Register
                      Conferences                Paid Invoice
                 Major & Minor Equipment         Paid Invoice
                        Printing                 Paid Invoice
                         Travel                  Paid Invoice (airfare & hotel only)
                      Other Direct               Paid Invoice
Note: Grant funds not spent by the project end date («Request_Project_End_Date») will be
      reimbursed to MFH and/or the final disbursement will be reduced. Please contact your
      Grants Manager.

                                  Project Status Report Questions

    These questions are different for each MFH funding program.




Certification: I have reviewed the above financial and program requirements. I verify that
the enclosed report materials accurately reflect the status of the aforementioned grant.

Authorized Signature:                                             Date:

Print Name:                                                       Title:

								
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