Fillable Cleveland Foundation - Grant Modification Request Form

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Cleveland Foundation - Grant Modification Request Form

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Complete the appropriate section(s) of this form to request the following changes to a grant: grant
period extension or budget realignment/reallocation. Email this form to grantsmg
mt@clevefdn.org.
Please allow up to 5 business days for a response.
O
RGANIZATION
GRANT ID NUMBER
GRANT AMOUNT
If you are not the Executive Director/President, you certify they have reviewed/approved
this request for modification.
Name Phone
Date
* * * * * * * * * * *
EXTENSION OF GRANT PERIOD
Current grant end-date
New end-date requested
Current balance of unspent grant funds:
Reason for extending the grant period
Briefly describe the circumstances necessitating an extension
G
RANT
M
ODIFICATION
REQUEST FORM
The Cleveland Foundation and its Supporting Organizations
VERIFICATION
The Cleveland Foundation
GrantsMgmt@CleveFdn.org
1422 Euclid Avenue, Suite 1300
Cleveland, OH 44115
www.clevelandfoundation.org
(216) 861-3810
REALLOCATION OF REMAINING GRANT FUNDS
Current balance of unspent grant funds:
Complete the line items below by entering the awarded amounts (if a budget was provided with your
award letter)
and the change you are requesting. Click outside the table to exit.
PROJ ECT EXPENS ES Foundation Award Requested changes
Salaries and wages
Consultants and professional services
Travel
Equipment
Office Supplies/Materials
Postage and mailing
Rent/Occupancy
Indirect expenses ie: rent/occupancy,
utilities, maintenance
Other
TOTAL
Briefly describe the new use of funds and the reason for reallocating.
* * * * * *
For any questions, contact Grants Management at 216-615-7254 or grantsmgmt@clevefdn.org
*******
For any questions, contact Grants Management at 216-615-7254 or grantsmgmt@clevefdn.org
The Cleveland Foundation
GrantsMgmt@CleveFdn.org
1422 Euclid Avenue, Suite 1300
Cleveland, OH 44115
www.clevelandfoundation.org
(216) 861-3810
$ 0.00
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Cleveland Foundation - Grant Modification Request Form

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Completed 24 May 2020

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