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                                                                                                                  OMB No. 3136-0134
                                                                                                                  EXPIRES 6/30/2009


                                                          FINAL FINANCIAL STATUS REPORT
This form is an abbreviated version of the standard financial status report prescribed by the Office of Management and Budget
(Standard Form 269 or 269A) and may, at your discretion, be used instead of the OMB forms. Questions concerning this form or
its completion should be sent to the NEH Office of Grant Management at the address below, or you may call (202) 606-8494.
Within 90 days after the completion date of the grant, the original and two copies of this report should be forwarded to the
OFFICE OF GRANT MANAGEMENT, Room 311, National Endowment for the Humanities, 1100 Pennsylvania Avenue, N.W.,
Washington, D.C. 20506

 GRANTEE ORGANIZATION                                            NEH GRANT ID NUMBER _________________________
 (Name and complete address, including zip code)                                     (Format as XX - # # # # # - # #)
                                                                 GRANT PERIOD/PERIOD COVERED BY REPORT
                                                                 (this report should be cumulative for the entire grant period)
                                                                 FROM _______________ THRU_______________
                                                                        (month/year)         (month/year)

STATUS OF FUNDS
1. TOTAL PROJECT EXPENDITURES                                                              1. $_________________________

2. LESS: COST SHARING OR NONFEDERAL SHARE OF OUTLAYS                                       2. $_________________________
   (Include expenditures covered by cash and noncash (in-kind) contributions from your
   organization and/or third parties and any gifts certified to obtain NEH matching funds)
3. TOTAL EXPENDITURES CHARGED TO NEH                                                       3. $_________________________
   (Item 1 minus Item 2)
4. TOTAL AMOUNT OF NEH AWARD                                                               4. $_________________________

5. AMOUNT OF NEH AWARD UNEXPENDED                                                          5. $_________________________
   (Item 4 minus Item 3)
REMINDER: Any unexpended grant payments must be returned to NEH. A refund check referencing the NEH grant
number and made payable to "National Endowment for the Humanities" should be attached to this form.
INDIRECT COST INFORMATION
The amount charged for indirect costs should be included in the total expenditure amounts above. Please itemize the charges for
indirect costs in the space below. Use an additional sheet of paper if necessary.
PERIOD RATE IN EFFECT (from/to)           RATE(%)        BASE($)        TOTAL AMOUNT($)                 FEDERAL SHARE ($)




                                                         TOTALS         $                     0   $                               0

I certify that to the best of my knowledge this report is correct and complete, that there are no outstanding unpaid commitments of
federal funds, and that all expenditures are for the purposes set forth in the award documents.
SIGNATURE_______________________________________________________________DATE_______________________
PRINTED NAME & TITLE_________________________________________________________________________________
TELEPHONE________________________________                E-MAIL:__________________________________________________
             (include area code)
NEH estimates that it takes an average of two hours to review the instructions for this form, gather the necessary data, and enter
the data on the form. Please send any comments regarding this estimated completion time or any other aspect of the form,
including suggestions for reducing completion time, to the Director, Office of Publications, National Endowment for the
Humanities, Washington D.C. 20506; and to the Office of Management and Budget, Paperwork Reduction Project (3136-0134),
Washington, D.C. 20503. According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection
of information unless it displays a valid OMB control number.