Orange County NC Website
30 <br /> O i l l TOBACCO TRUST FUND COMMISSION <br /> Exhibit B: Grantee Quarterly & Final Report Form <br /> l Quarterly Report Period: to <br /> ❑ Quarterly Report <br /> •• ❑ Final Report—The Final Report must ALSO include a summary of how the project <br /> goals and objectives were met,resulting benefits and future status of project. <br /> The Final Report will include a detailed financial statement on how the grant <br /> funds were spent <br /> Date Submitted: Contact Person: <br /> (To be filed no later than fifteen days after the end of the third month of the calendar quarter) <br /> Project Title: Piedmont Value-Added Shared-Use Food &Agricultural Processing Center <br /> Project Number. 2008-041-22 <br /> Grantee: Orange County, North Carolina <br /> Address: County: <br /> Phone: Email: <br /> Start date of the project Anticipated completion date: December 2010 <br /> 1. PROJECT NARRATIVE:On a separate page or pages,write a summary of progress on your project for this <br /> report period.Provide a minimum half page narrative summary addressing the status of each of the project <br /> objectives noted in Exhibit A 'Scope of Services"plus any other pertinent information. <br /> In addition to the summary,your quarterly narrative report should also address any of the following issues <br /> affecting your project during this last quarter. <br /> a) Explain any project costs that were below or above expectations. <br /> b) Explain any problems your project has encountered and steps taken to overcome them. <br /> 2. STATUS(check pertinent boxes): <br /> Project Status: ❑On Schedule ❑Completed ❑ Delayed ❑Canceled <br /> Project Cost Status: ❑Cost Unchanged ❑ Cost Overrun ❑ Cost Underrun <br /> 3. PROJECT IMPACT NARRATIVE: On a separate page or pages,write a summary of how grant-funded <br /> activities are affecting specific populations of people.Who are these people and how many are being served? <br /> Where do these people live? Name specific counties,towns,or neighborhoods. <br /> 4. PROJECT IMPACT TABLE: Complete all line items that pertain to your project and the activities funded by <br /> your grant. <br /> IMPACT TYPE Quarterly Impact Project to Date <br /> Jobs Created <br /> Workers Re-Employed <br /> Former Quota Holders Assisted <br /> Worker Skills Upgraded(#of Workers) <br /> Persons Receiving Increased Educational Training <br /> Amount of New Income for Former Tobacco Workers <br /> Current or Former Tobacco Farmers Assisted <br /> Acres of Farmland Protected <br /> Acres of New Crop Production <br /> Total Number of People Served <br /> Dollars Leveraged <br /> State Tax Revenue Generated <br /> Other(Explain) <br /> Other(Explain) <br /> 5. EXHIBIT C: Attach your most recent Exhibit C,Financial Request Form,with the signature of the Chief <br /> Financial Officer. <br /> Authorized Signature: <br /> Print Name: Title: <br /> BOCC Meeting, January 22, 2009, Page 30/39 <br />