Final Report by maclaren1


      Grants to                               PROJECT
Contract Requirements
Submitting the Final Report is the last contractual requirement for each Grants to Organizations Program
grant. The Final Report documents the services provided, meets the requirements of the State of
Washington for audit compliance, fulfills the requirements for WSAC's funding from the National
Endowment for the Arts (NEA), and provides statistics used for reports to the state budget office, the state
legislature, the NEA and Congress.
Report Deadlines for PSP
The Final Report, with attachments, must be received by the Grants to Organizations Program at the
Commission office, no later than February 1, 2010 for Round One grants, and August 2, 2010 for Round
Two grants.
Required Attachments
A complete Final Report includes: 1) the Final Report form; 2) documentation of the actual expenditure of
the PSP grant funds, (i.e., copies of cancelled checks, bills for the expenses, or proof that the final budget
was approved by the board via board meeting minutes or a letter from the board president documenting
the approval); AND 3) published material from the organization giving credit to WSAC and/or the NEA
for the financial support provided by this grant.
General Instructions
Download the Final Report form from the WSAC website: Select the link Grants to
Organizations, then select Final Reports. Download to your computer, fill out and print out. The Final

Penalties · Failure to Report
Future funding and payment of any pending applications, grants or contracts is contingent upon the
timely receipt, evaluation and acceptance of the Final Report by the Grants to Organizations Program. The
Final Report is a contractual obligation. Failure to submit a Final Report by the published deadline will
result in a 10% penalty deducted from any subsequent grant. Failure to submit a Final Report in a timely
and reasonable manner mayalso result in the denial of eligibility of future applications, withholding of
grant payments until the report obligations are met, or the denial of funding for a set period of time. If a
grantee's contract must be turned over to the Attorney General's office for collection, the grantee will not
be eligible for funding for one fiscal year after the date of resolution of the collection.

Glossary of Terms
Definitions for terms used here can be found in the WSAC General Guidelines "Glossary of Terms,"
found in the Project Support Program section of the agency website.

Mail the Final Report To:                                                    Questions?
   Grants to Organizations Program · FINAL REPORT                            PHONE       360/753-3858
   WASHINGTON STATE ARTS COMMISSION                                          FAX         360/586-5351
   P.O. BOX 42675                                                  
   OLYMPIA WA 98504-2675                                           
   Street Address: 711 Capitol Wy. S. #600, Olympia, WA 98501      
      Grants to                                           PROJECT
    Organizations                                         SUPPORT
      Program                                                FY2010
                                                                                                Contract #2010
Excel users note: Please type all information in the cell directly to the right of its label.
      1.       Applicant Organization Legal Name:
                        Organization STREET Address:
                                     Street Address City:                                      County :
                                   Street Address State:                           Zip Code+4:
                       Organization MAILING Address:
                                    Mailing Address City:                                      County :
                                  Mailing Address State:                           Zip Code+4:
                                                       Organization Business Area Code/Phone:
                                                         Organization Business Area Code/FAX:
                      Organization's Web Site Address:
                       Managing Director's First Name:
                       Managing Director's Last Name:
           Mr./Ms.:           Managing Director's Title:
                                                         Managing Director's Area Code/Phone:
                    Managing Director's E-Mail Address:
                Authorizing Official's First & Last Name:
           Mr./Ms.:          Authorizing Official's Title:
                    Grant Contact Person's First Name:
                    Grant Contact Person's Last Name:
           Mr./Ms.:        Grant Contact Person's Title:
                                                      Grant Contact Person's Area Code/Phone:
                Grant Contact Person's E-Mail Address:

2. Fiscal Agent (if applicable)
                           Fiscal Agent Legal Last Name:
                         Fiscal Agent Authorizing Official:
                                  Fiscal Agent Area Code:                                       Phone:

Signatures of persons named above - use blue ink:

Managing Director:                                                                                Date:

Authorizing Official:                                                                             Date:

Grant Contact Person:                                                                             Date:

 1) Copies of canceled checks or bills for the expenses covered by WSAC grant funds. As an alternative, proof
 that the final project budget has been approved by the Board of Directors may accompany the Final Report.
 Submit board meeting minutes or a letter from the President of the Board that document this approval.
 2) Attach published material giving credit to the WSAC and/or the NEA for financial support under this grant

                                                             Final Report - Page 1
      Applicant Name:

Report Narrative
Describe how you did or did not meet your organization's desired outcomes for this project.
Was it an artistic success? Did you reach your target audience?
What benefit did you provide to the public or to your community?



Credit to the Washington State Arts Commission (WSAC) is required in published material
regarding this PSP grant, and if you received federal funds, credit to the National Endowment for the
Arts (NEA). Describe in the text box when and where credit to WSAC or the NEA was published?
REQUIRED: Attach example of printed credits to WSAC and/or the NEA.

                                             Final Report - Page 2
                     Applicant Name:

Final Project Support Budget
    (For "Staff Support" Budget, use Page 4)

                INCOME                         DESCRIBE                      CASH
     Admissions                                                     $
     Contracted Services                                            $
     Other Revenue                                                  $
     Corporate Support                                              $
     Foundation Support                                             $
     Individual Support                                          $
     Other Private Support                                       $
     Government - not WSAC                                       $
     Other WSAC Grants                                           $
     Applicant Cash                                              $
                                               Income Sub-Total: $                  -
                           PSP STATE Grant Award                    $
                                           Actual Total Project
                                             CASH INCOME: $                         -

              EXPENSES                         DESCRIBE                      CASH            IN-KIND
     Personnel Administrative                                       $                   $
     Personnel Artistic                                             $                   $
                                                                    $                   $
     Personnel Technical                                            $                   $
     and Production                                                 $                   $
     Outside Artistic Fees                                          $                   $
                                                                    $                   $
     Outside Fees Other                                             $                   $
     Tech/Prod Expenses                                             $                   $
     Space Rental                                                   $                   $
     Travel                                                         $                   $
     Marketing                                                      $                   $
     Remaining Expenses                                             $                   $
                                                                    $                   $
                                                                    $                   $
                                          Actual Total Project
                                           CASH EXPENSES: $                         - $                 -
                                                                                            Total In-Kind
REQUIRED ATTACHMENT: To meet state audit requirements, submit copies of                       Donations
canceled checks or bills for the expenses covered by WSAC grant funds. As an
                                                                                            to the Project
alternative, proof that the final project budget paid has been approved by the
Board of Directors may accompany the Final Report. Submit board meeting
minutes or a letter from the President of the Board that document this approval.

                                                     Final Report - Page 3
                     Applicant Name:

National Information Standard                      (All grantees must complete this section including Page 5)
The National Endowment for the Arts requires the following information for all grantees and
programs of the Washington State Arts Commission. The statistics and answers should be from the
project or events covered by Project Support, Challenge America or Staff Support funds.

Project Descriptors
If any of the descriptors below comprise a significant portion (50% or more) of the grant's activities
mark with a "Y" for "Yes". If none apply, or if the descriptors apply to a small or
 indeterminate portion of your activities, mark with a "N" for "No".

Accessibility:                                  ( 50% or more )
Services related to ADA/504 Compliance or other activities that increase
access to the arts for persons with disabilities.
International:                                  ( 50% or more )
Programs or activities supporting any of the following: grantees visiting other countries, foreign artists
visiting the USA, any cultural exchange program, linkages with artists or institutions in other countries,
or establishing/administering international programs in your own agency.
Presenting/Touring:                             ( 50% or more )
Grants or services resulting in the movement of artists and artworks for performances, readings, screenings,
exhibits, etc., in different geographic areas. Mark this descriptor if funds awarded were used for either the
hosting/presentation of works originating outside of the grantee community or for the fees paid to artists
or arts organizations that were, themselves, touring in different areas.
Technology:                                  ( 50% or more )
Grants or services using technology for the creation or dissemination of artworks or the use of
technology for organizational management purposes.
Youth at Risk:                                 ( 50% or more )
Grants or services designed primarily to serve at-risk youth. Include arts-related intervention programs
(for violence, drug/alcohol abuse and crime) as well as other creative programming specifically
involving at-risk youth as primary project participants or beneficiaries.
Older Adults:                                  ( 50% or more )
Grants or projects designed specifically to serve older adults. Include creative programming involving
older adults as the primary project artists, participants or beneficiaries, as well as arts-related programs
in elder care settings, senior recreation centers or retirement residences.
Health/Healing:                                ( 50% or more )
Programs or activities using the arts specifically to promote good physical or mental health or to aid
in healing. May be applied to programs serving individuals as well as institutions or communities
(such as community healing efforts in response to natural disasters or other tragedies).
Economic Development:                          ( 50% or more )
Grants or services specifically designed to use the arts as an economic development tool, to support
business improvement districts through the arts, to stimulate the creation of creative-sector job
opportunities or to integrate the arts into existing economic development programs, polices or initiatives.
Cultural Heritage Tourism:                      ( 50% or more )
Activities that promote cultural events specifically to tourist populations and/or use arts, heritage
or history offerings as traveler destinations. Include initiatives and partnerships that integrate
culture into tourism development plans.

      (Continue to Page 5)

                                                     Final Report - Page 4
               Applicant Name:

Arts Education:
If your project includes a systematic educational effort with the goal of increasing the participant's
knowledge of and/or skills in the arts with measurable outcomes, please respond as:
    01 If it is 50% or more of this project's activities,
    02 If it is less than 50% of this project's activities
If the program involves no systematic educational effort or a general public performance or exhibit
where students are simply in attendance, code it as:
     99 No arts education
If you wish to add a code for the ages of the students, add one of these letters after the code:
      A K-12 students;
    B Higher educations students;
    C Pre-kindergarten children (including teachers and artists)
    D Adult learners

Enter Total Number of Individuals Benefiting:
The total number of individuals who were directly involved in the funded activity as artists, non-artist project
participants or audience members between the grant or project start and end dates. Figures should
include totals from the Artists Participating and Youth Benefiting fields.
If actual figures are not available, please just estimate! Do not leave this blank!

Number of Youth Benefiting:
The total number of children and youth (those under 18 years old as students, participants, or
audience members) benefiting directly from the funded project. This figure should be one portion
of the total number reported as "Individuals Benefiting" noted above.

Number of Artists Participating:
The total number of artists directly involved in providing art or artistic services specifically identified with
the project. Include living artists whose work is represented, regardless of whether the work was provided
by the artist or by another institution.

Washington State Artists Participating:
Of the total artists involved, how many were Washington artists?

Number of Project Events:
How many arts opportunities were available to the public? A single concert is an event;
two concerts are two events. An art exhibition is a single event, but can be counted as more than one event
day. A festival may be one event day, but may include over thirty distinct events on that single day.
Give a fair count of the number of events.
    Number of public events:
       Number of event days:

        (End of form! Thank you! )

                                                 Final Report - Page 5

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