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Sivinski Fund Completion Report
Step
1
of
4
25%
General Information
Name of historic building / resource funded
Sponsoring organization
Contact name
First
Last
Email
Phone
Mailing address
Street Address
City
State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
Does the sponsoring organization have a current membership with the Washington Trust?
Yes
No
Not sure
The sponsoring organization
must be a current member
at the organizational level of the Washington Trust for Historic Preservation before grant funds are distributed. Click
here
to join or renew.
The sponsoring organization
must be a current member
at the organizational level of the Washington Trust for Historic Preservation before grant funds are distributed.
If you are unsure of your organization's membership status, please contact Kristy Conrad by
email
.
Project Information
Project beginning date
MM slash DD slash YYYY
Project completion date
MM slash DD slash YYYY
Total project cost
Sivinski Fund amount awarded
Are you returning unused award funds?
Yes
No
Amount of funding returned
Reason for return of funds:
Please provide a brief description of the needs / problems the grant was intended to address:
Please provide a brief description of the accomplishments / results of your project:
Images
IN-PROGRESS
Please upload 4-6 high-resolution images of the project in progress.
Drop files here or
Select files
Max. file size: 50 MB.
OVERALL IMAGES
Please upload 4-6 high-resolution images of the entire building / resource after project completion.
Drop files here or
Select files
Max. file size: 50 MB.
DETAIL IMAGES
Please upload 4-6 high-resolution images of the specific project area that the grant funds went toward, after project completion.
Drop files here or
Select files
Max. file size: 50 MB.
IMAGE CAPTIONS AND CREDITS
Please upload a text document with image captions and image credits that correspond with the file names of the images you are uploading.
Drop files here or
Select files
Accepted file types: txt, doc, docx, xls, xlsx, pages, Max. file size: 50 MB.
List of Project Expenses
Please list each project expense, its cost, and what project element it was related to. Use the "+" to the right of the boxes to add as many rows as you need.
Please list each project expense, its cost, and what project element it was related to. Use the "+" to the right of the boxes to add as many rows as you need.
Item / Service
Payee
Amount
Related Project Element
Supporting Documentation
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 that indicates check numbers, dates, and amounts.
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 that indicates check numbers, dates, and amounts.
Drop files here or
Select files
Max. file size: 50 MB.
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