Third Places Grant Completion Report

  • General Information

    Grant Completion Reports must be submitted at the conclusion of the project or project phase prior to receiving the grant award as a reimbursement.
  • Found on your grant contract
  • Found on your grant contract
  • Project Information

  • Approximation of first working day
    MM slash DD slash YYYY
  • Approximation of last working day
    MM slash DD slash YYYY
  • Describe the project as complete and any notable impacts it had and how the funding was useful for the project and community.
  • Describe any changes from the originally approved scope of work, including but not limited to time, cost, materials, or methods.
  • Provide the number of PAID jobs created from this project. In other words, how many different people worked on the project. If possible, please include a breakdown of jobs created according to work elements or roles (eg. 1 lead contractor, 4 on foundation, and 4 others on the roof).
  • Please also indicate the number of people or hours of VOLUNTEER or DONATED labor used, if any (eg. 2 board members and 2 volunteers spent 3 hours each clearing the building of debris and unused equipment prior to construction work).
  • Project Expenditures and Reimbursement Summary

    Typically, reimbursements are issued after the entire project is completed and paid for. For large projects with multiple phases or grantees that need assistance with cash flow from one phase to the next, they may request up to a total of 3 partial reimbursements after some work has been completed and paid for. Partial reimbursements must be coordinated and approved in advance, so please contact grants@nullpreservewa.org if you have any questions.
  • Please list each project phase / work element, its cost, and what project element it was related to. Most grantees will only have one project phase. Use the "+" to the right of the boxes to add as many rows as you need. This step is SUMMARIZE only; you may attach a more detailed itemized expense spreadsheet later.
    Project Phase / Work ElementCash ExpendedValue of Donated Labor & MaterialsOwner Cash & In-kind MatchGrant Funds Reimbursed (if any already)Grant Funds Expected (through this reimbursement) 
  • This amount should be total of "Grant Funds Expected" if you have multiple Project Phases or Work Elements from the input above. This amount should also not exceed the Grant Award as stated on your grant contract. Partial reimbursements must be coordinated and approved in advance, so please contact grants@nullpreservewa.org if you have any questions.
  • In this section, upload digital copies of financial documents that relate to each item listed above in the "List of Project Expenses." This should include receipts/invoices and proof of payment for each expense.

    For items paid with credit card, please make sure the receipt(s) included contain both the itemized items purchased and the payment information. For items paid via check, please upload copies of each check. You may also include a report from accounting software such as QuickBooks or an detailed Excel spreadsheet that indicates work items, payee, payment type/check numbers, dates, and amounts.
    Drop files here or
    Max. file size: 50 MB.
    • Program Requirements

    • Check all that you have completed. If any are missing or you have questions about, please contact grants@nullpreservewa.org
    • If you have already submitted it to staff, you may re-upload or skip.
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      Max. file size: 50 MB.
      • If you have already submitted it to staff, you may re-upload or skip. Proof includes the final draft of the easement and is notarized by the clerk.
        Drop files here or
        Max. file size: 50 MB.
        • Please note any virtual or in-person site visits conducted or planned with program staff.
        • Project Images

        • Please upload 4-6 high-resolution images of the building and project areas prior to work starting. You may re-upload or refer to your application photos.
          Drop files here or
          Max. file size: 50 MB.
          • Please upload 4-6 high-resolution images of the project in progress.
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            Max. file size: 50 MB.
            • Please upload 4-6 high-resolution images of the entire building / resource after project completion.
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              Max. file size: 50 MB.
              • Please upload 4-6 high-resolution images of the specific project area that the grant funds went toward, after project completion.
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                Max. file size: 50 MB.
                • Please upload a text document with image captions and image credits that correspond with the file names of the images you are uploading.
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                  Accepted file types: txt, doc, docx, xls, xlsx, pages, Max. file size: 50 MB.
                  • Submission

                    Thank you for completing the Third Places Grant program. Staff will review your completion report and reach out if we have any questions or if anything is missing. Reimbursement may take 2-4 weeks to process. Please contact grants@nullpreservewa.org if you have any questions.
                  • MM slash DD slash YYYY
                  • Please use this prompt to provide any additional comments you may have regarding the grant program (staff, application, process, requirements, outreach, etc.) or contextualize any previous answers or file attachments.