Foundation Grant Report - Okefenoke REMC

Congratulations on receiving an OREMC Foundation Grant! As outlined in your initial grant application, the funds you received were limited in scope to the items listed and approved in your completed application. Addtionaly, a grantee report on program results would be requested at least one year after funds are received and before another grant application can be considered. Complete the form below and attach supporting documents or download a Grantee Final Report and email to foundation@oremc.com.

Date *

Legal Name of Organization *

Street Address *

Mailing Address (If different than street address) *

City/State/Zip Code *

Contact Person (person completing report) *

Phone (with area code) *

Email Address *

Name of Project Funded *

Grant Amount *

Start date of program/project *

How many individuals have been served by the funded project/program and in which counties? *

Please include the following supporting documents with this form:

Pictures/video of the project/program "before" and in action (if available) *

(jpg, jpeg, png, pdf)

Summary of the progress/results using the goals listed in the original grant application. *

(jpg, jpeg, png, pdf)

Describe any significant challenges or achievements experiences related to the funded program/project. *

(jpg, jpeg, png, pdf)

I certify that I (Contact Person) am authorized to act on behalf of my organization to submit this final reporting of funds received from the OREMC Foundation. I understand that the OREMC Foundation has the right to fully audit the use of this donation at any time. Further, I acknowledge that the OREMC Foundation and Okefenoke REMC may use the results and attachments for publicity and promotional purposes.