Grant Report – Part II

To be submitted by approved grantees only.

For approved Grantees to receive the second 50% of their approved grant amount, Part II must be submitted (attach documents as necessary) no later than one month AFTER the completion date of the event/project/program as noted in the Grant Application.

2024 ACPC Grant Report – Part II

Name of Organization or Grant Recipient*
Full Name of Authorized Contact Person*
Email of Authorized Contact Person*
Phone Number of Authorized Contact Person
Name, address, contact information of the fiscal sponsor, if applicable
Program Information
Brief description of your event/project/program (300 words max.)*
Opening date of your event/project/program*
MM slash DD slash YYYY
Completion date of your event/project/program*
MM slash DD slash YYYY

(program to be completed by the end of December 2024)
Approximately what percentage of the event/project/program budget was covered by funds received from ACPC?*
Provide a detailed financial breakdown of how the ACPC grant funds were spent.*
(This is critical information required by ACPC.)
How many people do you estimate participated in the event/project/program?*
(This also pertains to an artist or group creating something in the community.)
Did your event/project program lead to other benefits such as workforce development, business attraction and retention, etc.? If so explain. (300 words max.)*
Did your event/project/program create temporary, part-time, or full-time paid jobs? (300 words max)*
What percentage of your attendees do you estimate were Placer County residents?*
What percentage of your attendees do you estimate were from out of Placer County?*
What percentage of your attendees do you estimate stayed overnight in a hotel or short-term rental?*
What percentage of your attendees do you estimate dined out?*
What percentage of your attendees do you estimate visited local businesses/shops*
How did you accommodate the special needs population?*

(Special area set aside for wheelchairs, strollers, ramps, ASL or bilingual interpreters, etc.)
What was the age group of your attendees?*
Describe the success of your event/project/program (300 words max.)*
Final Comments and Documentation
Additional comments/questions/observations (optional) (300 words max.)
Submit as much appropriate support documentation that best represents your event/project/program*
Drop files here or

Accepted file types: pdf, doc, gif, jpg, png, mp4, mov, Max. file size: 10 MB, Max. files: 10.
Please include any of the following that ACPC may use for publicity: • Quote/testimonial describing how this grant helped you achieve your goals for this event/project/program. This may be used in ACPC publicity and attributed to the contact person listed, unless specified otherwise. • Marketing materials and/or high-resolution photographs or videos (that may be posted on ACPC website, YouTube, Facebook, Instagram). • Press Release(s). • Brochures. • Advertisements. • Announcements. • Notices of public appearances. • Videos. You may also upload your W9 tax form here.
I/We agree to post ACPC Logo on our website, promotional and marketing materials acknowledging ACPC as a sponsor of our event/project/program*
- Yes
Electronic Signature
I agree that the insertion of data into the following fields constitutes an electronic signature.*
- Yes
I certify that I am authorized by the Executive Director and / or Board of Directors to submit this proposal on behalf of the organization.*
- Yes
I understand and agree to comply with the requirements of this Grant Application Part II Grant Report.*
- Yes
The information I have submitted herein is true and accurate.*
- Yes

Grant Report – Part II

To be submitted by approved grantees only.

For approved Grantees to receive the second 50% of their approved grant amount, Part II must be submitted (attach documents as necessary) no later than one month AFTER the completion date of the event/project/program as noted in the Grant Application.

2024 ACPC Grant Report – Part II

Program Information

Final Comments and Documentation

Electronic Signature

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