Innovation – Final Report | Hemophilia Alliance Foundation

Innovation Grant Final Report

Grant recipients are required to submit a final report on completion of the project. The report must follow the format below, and must be submitted electronically by September 15th, 2024 at 11:59 PDT.

The Hemophilia Alliance Foundation Board expects projects to be completed in the grant-year timeline.

Failure to submit a Final Report will result in ineligibility to apply for a grant the following year.

"*" indicates required fields

Grant-Funded Year*

1. Applicant Type*

2. Name of organization*

3. Person with authority to incur obligations on organization’s behalf

3a. Name of authorized person*

3b. Authorized person's signature*

4. Contact information

4a. Name of main contact*

4b. Email of main contact*

4c. Phone of main contact*

4d. Name of backup person*

4e. Email of backup person*

4f. Phone of backup person*

5. Name of Project*

6. Amount of grant awarded*

7. Did you change the grant project?*

Yes

8. Objectives of the project*

9. Describe how well the proposed objectives were met*

10. Describe how the project strengthened the organization and/or its patients/consumers.*

11. Financial report: Please reproduce here the original budget, adding a column showing actual expenses.*
EXAMPLE:

Budget Report

Item

Budgeted

Actual Spent

12. Unused funds. If you have unused funds from this project, how much is it and why? If you have used all funds, put $0.*

If overspent, please identify from where additional funds derive*

Amount overspent

Source of overspent funds

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