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DRDCF Post Designated Fund Disbursement Report
To be filled in by every organization receiving a designated disbursement from the Deep River and District Community Foundation at completion of project.
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* Indicates required question
Email
*
Your email
Disbursement Year and Number (YY-xxx)
Your answer
Name of DRDCF Designated Fund Disbursed
*
Your answer
Organization Name
*
Your answer
Name of Contact Person
*
Your answer
Email of Contact Person
*
Your answer
Phone Number of Contact Person
*
Your answer
Amount of Designated Fund Disbursed
*
Your answer
Please describe how the disbursement was spent, the alignment with the application and the benefits provided to the community.
*
Your answer
How has your organization publicly acknowledged the DRDCF as the provider of this disbursement?
*
Your answer
Submitting Date
*
MM
/
DD
/
YYYY
For Office Use - Grant #
Your answer
A copy of your responses will be emailed to the address you provided.
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