Spreadsheet: 3949825c-83df-4b67-bc40-53b4fc932913
Sheet: FINAL EVALUATION FY 11-12

IRVING ARTS CENTER |  |  |  |  |  | FY2010-11
FINAL EVALUATION REPORT
* Report must be typed.
 |  |  |  |  | Applicant Organization
 | [NAME]
I | Organizational Information:
 | Organization
 | Address |  |  |  | Office - Phone
 | City, State  ZIP |  |  |  | Fax - Phone
 | [NAME]: |  |  |  | Other - Phone
 | Board President
 | Address |  |  |  | Office - Phone
 | City, State  ZIP |  |  |  | Fax - Phone
 | [NAME]: |  |  |  | Other - Phone
 | Individual Completing Form:
 | Title
 | Address |  |  |  | Office - Phone
 | City, State  ZIP |  |  |  | Fax - Phone
 | [NAME]: |  |  |  | Other - Phone
II | Required Attachments:
 | Copies of Promotional Materials, Programs, and Advertisements with required Arts Board  acknowledgement highlighted.
 | Copies of surveys or evaluations used to measure success of tourism and marketing goals.
 | Copies of Reviews or Media Coverage.
 | Copies of Letters of Support (if available).
 | Photographic Documentation (if available).
 |  |  |  | Actual from below | a. Direct Participants
 |  |  |  | Estimate | b. Indirect Participants
 |  |  |  | [NAME] | c. Artistic
III | Statistical Analysis |  |  | [NAME] | d. Other
 | Date | Event/Activity |  |  | Source * | Attendance
 | 2009-01-01 00:00:00 | Subscription Concert |  |  | [NAME] | 279
1
 |  |  |  |  | TOTAL
 | *  Source:  Method used to calculate attendance - IAC Attendance Counts, Head count, Estimate (best guess).
IV | Narrative Description.
 | Explain what took place during the granting period.  Describe any notable outcomes that occurred as a result of this grant.  Were the proposed activities completed as presented in the approved application?  If no, explain changes.  (Example: events proposed but not completed or changes in number and type of programs.)
V | FINANCIAL INFORMATION
 |  |  |  | Revised | Actual | Deviation
 |  |  |  | FY 10-11 | FY 10-11 | FY 10-11
 | Earned Revenue
19 | Revenues
a | Ticket Sales
b | Contract Services
20 | Interest Income
21 | Memberships
22 | Non-Irving Revenue
23 | Concessions
24 | Tuition/Workshop Fees
25 | Other
a
b
c
26 | Total Earned (Boxes 19 thru 25)
 | Unearned/Contributed Revenue
27 | IAB Grant Amount
 |  |  |  |  | actual grant award
28 | Contributions
a | Auxiliary / Guild
b | Individuals
c | Corporate
d | Foundations
e | Government
 | 1.) Federal
 | 2.) State
 | 3.) Other Local
29 | Cash from Reserves (if required)
30 | In-Kind Goods & Services
31 | Other (Itemize)
32 | Total Unearned (Boxes 28 thru 31)
 | Do not include IAB [NAME]
33 a | Organizational Revenues
33 b | Total Application Revenues
VI | FINANCIAL INFORMATION Continued
 |  |  | Paid by | Revised | Actual | Deviation
 |  |  | [NAME] | FY 10-11 | FY 10-11 | FY 10-11
 |  |  |  | a           - | b           = | c
 | Expenditures
34 | Staff Salaries/Benefits
35 | Professional Services
a | Artistic
b | Technical
36 | Contractual Services
37 | Rental Equipment
38 | Other Production Expenditures
39 | Advertising
a | Paid Media
b | Publicity Expenditures
40 | Direct Mail
a | Printing
b | Postage
41 | Promotion
42 | Program/Playbill Printing
43 | Other Printing
44 | Royalties
45 | Music Rental
46 | Facilities Rental
a | Administration
b | Production
47 | Insurance
48 | Admin. Postage
49 | Receptions
50 | Travel & Transportation
51 | Financial Review
52 | Miscellaneous (itemize)
a
b
c
d
e
53 | In-Kind Goods & Services
54 | Non-Irving Expenditures
55 | Total Expenditures *
 | (Boxes 34 thru 54)
 | * Matching Requirements:
 | Organizational Assistance requires a 2 to 1 match
 | Project Assistance requires a 1 to 1 match
56-60 Eliminated with guideline revision.
VII |  |  | Actual | Revised | Actual | Deviation
 | Financial Summary: |  | FY 10-11 | FY 11-12 | FY 11-12 | FY 11-12
61 | Total Application Revenue
62 | Total Application Expenditures
63 | Difference (explain below)
64 | Ending Reserve Fund Balance
 | Authenticity Statements:
 | The applicant hereby assures that:
 | We hereby certify that all figures and representations made in this application, including any attachments are true and correct to the best of our knowledge.
67 | Signatures
 | Authorizing Official/Title |  |  |  | Date
 | Individual Completing Form/Title |  |  |  | Date
 | Attachment A (Required if In-Kind funds are included in application budget.)
VIII | Actual In-Kind Detail Schedule for donated goods & services with supporting documents.
 | Donor/Source |  | Item/Contribution |  | Calculation | Cash Value
 | Ex:  [NAME], [NAME] |  | Season Brochure Design |  | 6 hours at $50 each. | 300
1
 |  | TOTAL IN-KIND GOODS/SERVICES
Attach supporting documentation to verify in-kind donations.