Community Support Agency Grant Program
END OF YEAR FINANCIAL REPORTING FORM
Provide a summary of your agency’s financial activity for the second half of the fiscal year (January
through June) and for the full fiscal year (July through June). Submit this form by July 15 along with the
End of Year Performance Measures Report Form and the Final Payment Request form.
Agency Name: ________________________________________________________________________
Contact Person: __________________________________
Phone: _________________ Email: ___________________
2
nd
Half Fiscal Year
(January-June)
Full Fiscal Year
(July-June)
Current Accounts and Notes Payable:
_________________________ ___ _________________________________ ___________
Signature of Authorized Official Typed Name of Authorized Official Date
Send this form in hardcopy or electronic format to:
City of Newport News
Department of Budget & Evaluation
2400 Washington Avenue, 9th Floor
Newport News, VA 23607
757) 926-8733
budget@nnva.gov
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