This is the 12-Month reporting form for the Community Benefit Round 5 grant cycle. The 12-Month grant period for this round ended on December 31, 2018. If you were provided with an amended report date, please submit at that time. 

In addition to questions on the form, please be sure to share any pictures related to the HCBF-funded project or program. We would love to see all the great work going on in our community! 

For questions, please call HCBF at 310-997-7116 or email Tamanna at 

Thank you!