Accountability Report

Accountability Reports are due by 31 August in the year the grant was received.
Please complete parts A, B and C.
Do complete all boxes so that the form will be accepted when you submit.

Part A

Organisation name *

CC Registraion number *

Month/Year grant recevied *

Grant amount recieved *

Grant was approved for *

Name of person completing Accountability Report *

Part B

What has your organisation spent this grant on? *

Please be specific in the breakdown of outgoings.

*Copies of receipts, bank statements or an Annual Report to be attached showing relevant transactions.

Please also provide any project delivery data e.g. number of participants, number of projects or other statistics.

Please set up a statement of expenditure with corroborating documents (receipts, bank statements) and email these directly to admin@commongood.org.nz

Type the subject line of your email as follows:
"(your organisation's name) accountability documents"

Copies of receipts, bank statements or an Annual Report have been sent *

Part C

Please let us know how the grant benefited your organisation. To assist this, please detail one or two success stories from your organisation which highlight how Common Good's grant and your services are vital in the local community. *

Supplementary photos and/or video clips to highlight your success stories (optional)

Please send these through to admin@commongood.org.nz stating permission given to be used on our website to promote your organisation.

Permission

We would appreciate being able to share your success stories, where appropriate, with our donors and wider community. Please state below whether you give permission for CGF to promote your success stories:

Name *

Date *

Permission given *

Yes