Form 4971 - Competitive Grant Assistance Program (Cgap) Narrative Report (Nr) Page 2
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24971, Page 2
Instructions for Form 4971
Competitive Grant Assistance Program (CGAP) Narrative Report
The numbers listed below coincide with the numbers on the Narrative Report. Lines not listed are explained on the form.
PART 1: PROJECT INFORMATION
1. Grant Number: Fill in the respective grant number that was assigned by the Michigan Department of Treasury.
2. Project Title: Short name that was used on the grant application to describe the project.
3. Primary Local Unit Name: the Primary Local Unit that has the authority and the responsibility for the administration of
the project in accordance with the project conditions. For example, “City of Blank” is acceptable.
4. Telephone Number: Phone number, including area code, of the Primary Local Unit.
5. Mailing Address: Street number and name, including suite number if applicable, of the Primary Local Unit.
6. Period Start Date: Indicate the quarterly period start date of this report. For the FINAL report, indicate the start date of
the grant (i.e. 10/01/2011).
7. Period End Date: Indicate the quarterly period end date of this report. For the FINAL report, indicate the end date of
the grant (i.e. actual project completion date).
8. Report Type: Check whether this is a quarterly or the final report.
9. Percentage Completed: Indicate the estimated percentage (%) completed of the project work plan.
10. Estimated Completion Date: Indicate the estimated project completion date. For the FINAL report, indicate the actual
project completion date.
PART 2: PROJECT NARRATIVE
Lines 11-14: If you are unable to fit your narrative descriptions in the boxes provided, please type in “see attached” and
attach a copy of the complete narrative.
Return this completed report within thirty (30) days after the end of the quarter (i.e. due by January 30th; April 30th; July
30th; October 30th). FINAL reports are due within thirty (30) days after the completion of the project.
Return this completed report via e-mail to TreasRevenueSharing@michigan.gov or by mail to:
Michigan Department of Treasury
Office of Revenue and Tax Analysis
PO Box 30722
Lansing, MI 48909
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