Agency Year End Reporting

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UW Allocation Year End Report

Please answer the following questions as they relate to the funding allocation awarded to your agency by United Way of Colquitt County for each of your funded programs. These reports are vital to the health of the nonprofit sector and answering donors about what it is we do!  If you are not reporting accurately or in detail, we will take notice and it will reflect in your funding for future years. If you have more than one UW funded program, please complete this report for each program.

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Agency Name *

Agency's Physical Address *

Address Line 1

Address Line 2

City

— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

State

Zip Code

Website / URL

Agency Phone Number *

Agency's Mailing Address *

Address Line 1

Address Line 2

City

— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

State

Zip Code

Agency Fiscal Year *

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Agency Director *

First

Last

Person Completing Report *

First

Last

Person Completing Report's Title *

Person Completing Report's Email *

Director's Email *

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