Grant Disbursement

MCF follows our grants from request to completion, ensuring that funds are used for the purposes that they were intended.

Grant Disbursement Information

As part of the executed grant agreement, within thirty (30) days after completing the use of grant funds, grantees are required to provide MCF with a Grant Disbursement Report below along with any applicable expenditure documents (receipts, invoices, etc.).

Grant Disbursement Form

Please complete and return the Grant Disbursement below.

MM slash DD slash YYYY

Funding/Completion Period

MM slash DD slash YYYY
MM slash DD slash YYYY
Each purchase must be itemized and invoices and/or receipts submitted to Midlands Community Foundation. Credit card receipts, copies of checks, etc., must accompany the Disbursement Report showing proof-of-purchase for each item within 30 days of purchase.
Date of Purchase
Item/Service Purchased
Supplier
$ Total Cost
 

In the event that purchases cannot be made within the 12-month timeframe of the grant awarded and the schedule needs to be extended, you must provide an explanation of why and receive pre-authorization from Midlands Community Foundation to extend the timeframe. The grantee certifies that, to the best of their knowledge, all information documented in this report is true and correct.

Drop files here or
Max. file size: 300 MB.

    The Disbursement Report will serve as proof that the grant has been closed. As a general rule, organizations with an active grant are not eligible for another grant.
    The figures reported in this report should total the original costs outlined in the grant application and agreement.

    This field is for validation purposes and should be left unchanged.