This amended 12-month reporting form is for recipients of HCBF Community Benefit grants, Round 3. When crafting your report, consider building upon the six-month report you've submitted. 

The Grant period for this round began on 1/1/2016. This form is for grantees that were given an extension on the initial grant terms. Be sure to document any and all changes from the original grant.

For questions, Meghan ( Thanks! 

This is the 12-Month reporting form for Healthy Harbor, Round 5. The 12-Month grant period for this round ended on August 31, 2017. The 12-Month reports are due no later than September 30, 2017. For questions, please call HCBF at 310-997-7116 or email Meghan: 

Notice for Round 4 Grantees

If you are a grantee in the 4th round of our Community Benefit Grant Program, your 12-month period ends on 12/31/2017, and your 12-month report is due no later than 1/31/18

About the 12-Month Progress Report

The12-month progress report is intended to be the final status of your HCBF grant. This is an opportunity to share a more detailed account of your grant, including data collection and budget review. 

Please upload a Word document, single-spaced, 12 point font, of no more than two pages, that addresses the following points: 
  1. Provide an overview of your grant activities for the full 12-months.
  2. List any adjustments made to the scope or budget, and why. IF the budget changed please provide a revised budget with actuals.
  3. List any outside funding obtained as a result of this grant, or any new partnerships formed.
  4. Please provide data for the outcomes of your project/program: qualitative and/or quantitative.
If you report does not follow the requirements for the Word doc or does not contain all of the above requested information, it will not be accepted. If you have questions, please contact HCBF at 310-997-7116 or