2025 Arts Council Technical Assistance Grant Final Report

1. FY *This question is required.

2. PWCAC Member/Organization Name *This question is required.

3. PWCAC Member/Organization Address *This question is required.

4. Prepared By: *This question is required.

5. Email Address *This question is required. This question requires a valid email address.

6. Today's Date: *This question is required. This question requires a valid date format of MM/DD/YYYY.

calendar

Details of Funding

7. Grant Amount Original Request: *This question is required. This question requires a valid currency format.

8. Final Purchase Price (excluding tax, shipping, other fees) *This question is required. This question requires a valid currency format.

9. Difference *This question is required. This question requires a valid currency format.

10. Grant Funds were used for which of the below listed eligible activities? (Please select one). *This question is required.

11. Details of Items/Service Purchased (Do Not Include $ Next to Amount)

TA Grants are Reimbursement Grants, and ONLY pay for the reimbursement of products and services pre-tax. The cost of shipping, tax, and other fees are not eligible for TA Grant Payments.

Space Cell	Quantity	Item or Service	Each Cost (Pre-Tax) $	Total Cost (Pre-Tax) $
•	•: Quantity	•: Item or Service	•: Each Cost (Pre-Tax) $	•: Total Cost (Pre-Tax) $
•	•: Quantity	•: Item or Service	•: Each Cost (Pre-Tax) $	•: Total Cost (Pre-Tax) $
•	•: Quantity	•: Item or Service	•: Each Cost (Pre-Tax) $	•: Total Cost (Pre-Tax) $
•	•: Quantity	•: Item or Service	•: Each Cost (Pre-Tax) $	•: Total Cost (Pre-Tax) $
•	•: Quantity	•: Item or Service	•: Each Cost (Pre-Tax) $	•: Total Cost (Pre-Tax) $
•	•: Quantity	•: Item or Service	•: Each Cost (Pre-Tax) $	•: Total Cost (Pre-Tax) $

12. Summary Narrative of how funds were used. Please include any needed explanation of dollar amount changes from time of request and Board Vote of approval, to time of purchase and final total expense.