Cultural Endowment Program
Fund
Trustee Organization Annual Report
Organization:
END Number:
Number of State Matching Sha
res:
This report is to be submitted to the Division of Cultural Affairs no later than July 30
th
.
Fiscal Year Begin:
Fiscal Year End:
Has any portion of the endowment principal ($600,000) been expended?
Yes No
Has either the corpus or the income of the Endowment Program Fund been used as
collateral or otherwise subject to a lien?
Yes No
Has the organization filed for protection under federal bankruptcy provisions?
Yes No
Has the organization ceased sponsoring cultural programming operations?
Yes No
Has the organization provided sponsor credit to the Florida Department of State,
Division of Cultural Affairs? (Documentation Required)
Yes
No
Does your organization conduct an annual audit? Yes No
If Yes, please forward to the Division of Cultural Affairs upon completion.
Describe the specific use of the fund income and how much money you spent on
each usage (attach additional document if needed)
Describe the specific benefits to your organization derived therefrom (attach additional document if needed)
Cultural Endowment Program Annual Report Form (CA2E100), eff. 04/2020
Chapter 1T-1.001, Florida Administrative Code
Please list the Cultural Endowment Program Fund account(s) assets as of the organization's fiscal year end date.
Face Value
Investment Instrument
Market Value
Interest Earned for FY*
1
2
3
4
5
6
7
8
9
10
11
Total
Required Attachments:
1. Copy of monthly or quarterly statements inclusive of the organization’s last completed fiscal year from the
financial investment institution maintaining the Endowment Program Fund.
2. Copy of the most recent monthly or quarterly statement from the financial investment institution maintaining the
Endowment Program Fund.
3. Copy of your organization's program/exhibition schedule inclusive of the reporting period.
By signi
ng below, the authorized official certifies that the endowment principal is still intact and that no portion has
been expended during the previous fiscal year:
Signed By:
Date:
*Maintain the schedule of how you calculated interest earned which may be subject to audit
The Auditor General and the Department are each authorized by law to require and receive from the recipient Cultural
Organization, or from its independent auditor, any such supplemental data relative to the operation of such Cultural
Sponsoring Organization.
Cultural Endowment Program Annual Report Form (CA2E100), eff. 04/2020
Chapter 1T-1.001, Florida Administrative Code