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16 <br />EXIiIBIT B-Report Form <br />. PROJECT IMPACTS FORtyI <br />2010 Tobacco Communities Reinvestment Fund Demonstration Grant Pro~•am <br />Project Title: <br />Project Coordinator: <br />Report date: (please /a box} <br />Interim <br />Final <br />Coordinator's Signature: <br />Investment <br />Your out-of-pocket expenses (Cash, credit, etc.} <br />In-kind expenditures (The value of items that you contribute to the <br />project, for which you do not pay, e.g. your tabor, farm equipment, etc.} <br />Grant award amount <br />Total Investment (add above three tines) <br />Employment <br />Paid Inbor <br />How many people {including yourself or family members) were hired to <br />work on the pro}ect who would not otherwise work on the farm? <br />How many hours per week? <br />Is the job seasonal? <br />Do any other farm employees provide labor for the grant funded project? <br />How many hours per week? <br />Is the job seasonal? <br />tlitp~rid labor <br />Do you or others provide unpaid labor to the project? <br />How many hours per r~veek? <br />How has the project affected the outlook far labor on your farm? <br />