BCCC Final Grant Report BCCC Final Grant Report Final Grant Reports are due within 30 days of project completion or December 31, whichever is earlier. The Final Grant Reports must be successfully completed in order to be eligible to submit a Letter of Intent to request funds in the next BCCC grant cycle. Any unused BCCC funds must be returned by check, payable to the Benton County Cultural Coalition within 30 days of the approved completion date or December 31st, whichever is earlier. Complete and submit this online form. NOTE: Our format requires you to complete the form in one sitting. You may want to prepare your answers before you begin. You can see a PDF of the questions you will need to answer here. If you have questions, email us at bentoncoalition@gmail.com Congratulations on your project completion! Name of Organization* Contact Name* First Last Email Contact Evening Phone (###) ###-####*Organization Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Please enter the dollar amount of your TOTAL project budget (No $ sign or commas):* Please enter the dollar amount of your BCCC grant award (No $ sign or commas):* Please enter the total dollar amount of funds that you received from other sources (Difference of the above fields. No $ sign or commas):* If you received funding from sources other than BCCC (i.e. the above field is not zero), please list the dollar amounts and sources for those funds (If zero, indicate N/A):* Estimate how many individuals benefited from and/or participated in your project or event? (no commas)* Please provide 2 – 3 sentences to describe the BCCC funded project. Please be concise.*Please select any of the following OCT benchmarks that you feel were met by your project or program.* Strengthen organization or individual capacity Improve or Preserve physical building or structures Increase participation in or access to culture Lifelong learning Stories/Oral traditions Public Art Cultural tourism Youth Economic development Where did you display the OCT and BCCC logos to acknowledge funding? Were there any additional ways in which you acknowledged funding?*Do you have any unused grant funds to return to BCCC?* Yes No If yes, please provide the dollar amount that will be returned (no commas, no cents): Any unused funds must be returned within 30 days of the approved completion date or December 31, whichever is earlier, via a check made payable to: Benton County Cultural Coalition PO Box #1504, Philomath, Oregon 97370