Print Form
FORT FUND FINANCIAL REPORT FORM
Mid-year Report (For Tier #1 Recipients Only)
Final Report
NAME OF PERSON PREPARING THIS REPORT: ___________________________________________________
ADDRESS: ________________________________________________ DAYTIME PHONE:_________________
NAME OF ORGANIZATION: _____________________________________________________________________
NAME OF EVENT(S):___________________________________________________________________________
DATE(S) OF EVENT(S):_____________________________ ESTIMATED ATTENDANCE: __________________
CASH EXPENSES
PROJECTED
ACTUAL
FEES FOR SPEAKERS/
PERFORMERS:
TECHNICAL/
PRODUCTION COSTS:
SPACE RENTAL:
TRAVEL COSTS:
MARKETING/PUBLICITY:
PRINTED PROGRAMS:
CONCESSIONS COSTS:
OTHER (Please List):
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REVENUES
PROJECTED
ACTUAL
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ADMISSION CHARGES/
TICKETS:
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CONCESSIONS INCOME: _________
ADVERTISING SALES: _________
GRANTS/SPONSORSHIPS/
DONATIONS (Please List):
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___Fort Fund
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ORGANIZATION
ALLOCATION:
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TOTAL CASH EXPENSES: _________
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TOTAL CASH INCOME: _________
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TOTAL PROFIT/LOSS FOR EVENT: ________________
IN-KIND CONTRIBUTIONS RECEIVED
FEES FOR SPEAKERS/PERFORMERS:
TECHNICAL/PRODUCTION COSTS:
SPACE RENTAL:
TRAVEL:
MARKETING/PUBLICITY:
OTHER (List):
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TOTAL IN-KIND CONTRIBUTIONS:
(IF APPLICABLE)
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I CERTIFY THAT THE FORT FUND LOGO
WAS USED FOR ALL PUBLICITY OF
THE FUNDED EVENT(S). (Please attach sample.)
INITIAL _________
I CERTIFY THAT THE FUNDED EVENT(S)
WAS POSTED ON THE FORT COLLINS
CONVENTION & VISITORS BUREAU
WEB CALENDAR.
INITIAL _________
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THE UNDERSIGNED HEREBY CERTIFIES AND REPRESENTS THAT TO THE BEST OF THEIR
KNOWLEDGE THE FOREGOING INFORMATION IS TRUE AND COMPLETE, AND ACKNOWLEDGES
THAT THE CITY OF FORT COLLINS MAY REASONABLY RELY ON THIS INFORMATION IN TAKING
ANY AND ALL FURTHER ACTIONS IN CONNECTION WITH THE SUBJECT CONTRACT AND ANY
FUTURE APPLICATIONS FOR FORT FUND FUNDS, PROJECTS OR CONTRACTS OF THE CONTRACTOR
OR RELATED PERSONS OR ORGANIZATIONS.
BY:__________________________________________________ TITLE: ________________________________