East Missouri Foundation

Gifts that matter... for hope... for life

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Grant Report Form

Please complete all information and return this form to the East Missouri Foundation no later than 90 days after the end of the organization’s fiscal year end. Quantify grant funds that remain unused for the fiscal year.

  • MM slash DD slash YYYY
  • I certify this project has not used any portion of these funds for any purpose other than the purpose stated in the application for grant. Further, no portion of these funds has been or will be used to carry on propaganda or otherwise attempt to influence legislation, to influence the outcome of a public election, to carry on a voter registration drive, to make a grant that does not comply with I.R.C. § 4945(d)(3) or (4), or to finance an activity for any purpose other than the charitable purposes stated in I.R.C. § 170(c)(2)(B).
  • MM slash DD slash YYYY
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