Annual Residental Organizational Impact & Compliance Report

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For Resident Organizations Supported by Kranzberg Arts Foundation

At the Kranzberg Arts Foundation, we are committed to supporting the continued growth and success of each of our resident organizations. This Annual Organizational Impact & Compliance Report helps us gauge your organization’s impact, measure year-over-year growth, and better understand how our support impacts your work in the community. At the request of our Executive Director, Chris Hansen, please complete this required form no later than (insert date). If you would like to arrange a one-on-one discussion about any part of the form or share a testimonial, please contact Shanatalle Ruiz at community@kranzbergartsfoundation.org to schedule a meeting.

Estimated Time to Complete

Overall Estimated Time to Complete: 30–60 Minutes
If data is readily available (financials, audience statistics, etc.), completing the form could take closer to 30 minutes.
If your organization needs to gather information from multiple team members (finance, programming, community engagement), it may extend to 45–60 minutes or more.

Ensuring you have these items ready will help you complete the Annual Organizational Impact & Compliance Report efficiently.

Organizational Details

Organization Name, Primary Contact (Name, Email, Phone)
Number of Employees (Full-Time / Part-Time)

Mission & Key Updates

Current Mission Statement (or “No change”)
Major Projects, Initiatives, or Challenges from the Past Year

Financial & Compliance

Most Recent IRS 990
Current Operating Budget
Top Funding Sources (approximate percentages)
Any Major Financial Changes

Facility Usage & Outcomes

Which Kranzberg Arts Foundation Facilities/Resources You Used
Frequency of Use (Daily, Weekly, Monthly, As Needed)
Outcomes/Projects Enabled (key metrics or highlights)

Community & Audience Impact

Total Individuals Served
Audience Growth/Engagement Details
Key Collaborations or Partnerships

Future Plans

Primary Goals for the Coming Year
Willingness to Provide a Testimonial or Participate in a Case Study (Yes/No)

Submission & Verification

Name & Title of Person Completing the Form
Date & E-Signature (if applicable)

Section 1: Organizational & Contact Information

Organization Name(Required)

Organization Name

Executive Director / Primary Contact Name(Required)

Name

Email(Required)

Phone(Required)

Preferred Email for Foundation Communications(Required)

Number of Employees (Full-time / Part-time)(Required)

Number of Active Volunteers

If volunteer involvement is a key metric for your organization, please provide the relevant information here. Otherwise, please enter “0” if it does not apply.

If any of the above has changed significantly from last year, please explain.

No longer a resident organization within the last 12 months?

Yes

If Yes(Required)

We kindly request you still complete any relevant sections of this form to help us measure the impact of your time in residence. You may skip those questions that clearly no longer apply to your current status or mark them “N/A.” If you have questions about which sections to complete, please contact us for clarification.

Agree

Section 2: Mission & Key Updates

Mission Statement

Major Changes & Key Initiatives(Required)

Significant Challenges & Strategies(Required)

Role of Foundation Support(Required)

Rating (1 as the lowest and 5 as the highest)

1	2	3	4	5

Please Explain(Required)

Section 3: Financial & Compliance

Most Recent IRS 990(Required)

Max. file size: 50 MB.

Current Operating Budget(Required)

Max. file size: 50 MB.

Top Three Funding Sources
Essential for understanding your organization’s revenue mix. Provide approximate percentages of each source.

Source 1(Required)
Please included percentage of overall funding.

Source 2(Required)
Please included percentage of overall funding.

Source 3(Required)
Please included percentage of overall funding.

Financial Changes(Required)

Section 4: Foundation Facilities & Resources
Facilities Used(Required)
Check all that apply.
Office Space
Performance Venue
Exhibition/Gallery
Rehearsal/Studio
Admin Support
Tech/Production Support
Others
Frequency of Use(Required)

Daily

Weekly

Monthly

As Needed
Outcomes & Projects(Required)
Overall Impact of Kranzberg Infrastructure(Required)
1 = Minimal Impact, 5 = Transformational
1 2 3 4 5

Section 5: Community & Audience Impact
Individuals Served(Required)
Audience Growth & Engagement(Required)
Collaborations & Partnerships(Required)
Culture & Belonging(Required)
Awards & Press(Required)

Section 6: Future Plans
Primary Goals for Next Year(Required)
Testimonial or Case Study
If you feel that the application does not fully capture the depth of your organization's work and impact, we invite you to share additional information. Please indicate your interest in providing further details, and we will follow up with next steps.
Are you able to provide a Testimonial or Case Study?(Required)

Yes

No
Thank you! Please provide details.(Required)

Submission & Verification
Name & Title of Person Completing
Full Name
Date
MM slash DD slash YYYY

Signature(Required)
Consent
I confirm that I have completed this form to the best of my knowledge.