End of Grant Report & Feedback
Supervised Spend
This form should be completed by organisations who have received a grant form an individual to
purchase goods, training or other services on their behalf
Grant Reference Number:
Organisation Name:
Contact Person:
Organisation Address:
Post Code:
Daytime Number:
Email Address:
About the grant
Grant Recipient’s name:
Please tell us how the grant has helped your client:
If your grant was a contribution towards training please tell us the outcome:
Please provide a positive quote on how our funding has made a difference to your client.
If possible we would like to receive a small selection of photographs when you submit this form. If you
are sending them by email please send no more than 5 images and ensure each image size does not
exceed 2.5MB
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Expenditure
Amount of Grant (A)
£
List below all items of expenditure, number and attach a copy of the corresponding receipt.
Description of item
Receipt Number
SUB TOTAL (B)
Amount £
£
Reconciliation
Amount of
Grant (A)
Total Spent
(B)
Final Total
(C)
(A Minus B)
If Field C is a positive amount then monies are owed to CDCF of amount in Field C. Please enclose
with this form a cheque to the sum of Field D made payable to County Durham Community
Foundation and write the grant reference number on the reverse of the cheque. Please contact us if
you wish to return the amount owing by BACS transfer.
Customer Satisfaction
Please indicate your opinion towards our grants process? (provide an X in relevant box below):
Excellent
Very Good
Acceptable
Poor
Very Poor
Declaration
I confirm that I am authorised to submit this report on behalf of my client. I certify that the information
enclosed is true and correct to the best of my knowledge. I give permission for CDCF to record this
information electronically. I give CFCF full rights to use our photographic images for fundraising,
publicity or other purposes. This might include (but is not limited to), the right to use them in CDCF’s
printed and online publicity, social media, press releases and funding applications. I confirm that the all
relevant permissions and approvals have been sought in respect of the photographic images.
Name
Signature (must
be over 18)
Date
DD/MM/YYY
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Failure to return this form will result in you not being eligible to apply to CDCF for any further
funding.
Email to: [email protected]
Post to : County Durham Community Foundation
Victoria House, Whitfield Court
St John’s Road
Meadowfield Industrial Estate
County Durham, DH7 8XL
Charity no:1047625
Company no:3072153 ENTRUST no:581043
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