Newark Minigrant Program Reporting

Funded by the American Rescue Plan Act and the City of Newark, DE

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Requirements:

Please complete this form 6 and 12 months after you received your TNP mini grant funding.

Reporting Form

Organization Name

Organization EIN

Organization Type Organization Type Business Nonprofit

Contact Name

Contact Title

Contact Phone

Contact Email

When did you secure your mini grant funds?

Upload documentation of funds received (may be a bank statement or screenshot of banking) Choose FilesNo Files ChosenAccepted file types: jpg, jpeg, jpe, gif, pdf. Max. file size: 1 MB

What were the funds used for?

Please upload documentation, such as receipts or payroll stubs, to account for the description. Choose FilesNo Files ChosenAccepted file types: jpg, jpeg, jpe, gif, pdf. Max. file size: 1 MB

Is the project for which you received funds completed? Is the project for which you received funds completed? Yes No

If not, is this an ongoing, sustainable program? If not, is this an ongoing, sustainable program? Yes No

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