Monthly Statistics Report - P4K 2023-2024 - Long Island Cares | The Harry Chapin Food Bank

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Careers
En Español
631-582-FOOD

Monthly Statistics Report - P4K

Year(Required)

Month(Required)

Agency Name(Required)

County(Required)

Report Prepared By(Required)

Phone(Required)

Deliveries from Long Island Cares

Total Deliveries (From Long Island Cares Only) this Month(Required)

None

One

Two

Three

Four

Five

More than Five

1st Delivery Date

MM slash DD slash YYYY

2nd Delivery Date

MM slash DD slash YYYY

3rd Delivery Date

MM slash DD slash YYYY

4th Delivery Date

MM slash DD slash YYYY

5th Delivery Date

MM slash DD slash YYYY

Please list any additional Delivery Dates here

Statistics

Total Number of Distributions this Month(Required)

One

Two

Three

Four

Five

More than Five

1st Distribution Date

MM slash DD slash YYYY

# of Packages Distributed at 1st Distribution

2nd Distribution Date

MM slash DD slash YYYY

# of Packages Distributed at 2nd Distribution

3rd Distribution Date

MM slash DD slash YYYY

# of Packages Distributed at 3rd Distribution

4th Distribution Date

MM slash DD slash YYYY

# of Packages Distributed at 4th Distribution

5th Distribution Date

MM slash DD slash YYYY

# of Packages Distributed at 5th Distribution

Please list any additional Distribution Dates and # of Packages Distributed here

Total Number of Packages Distributed this Month(Required)

Total Number of Children Receiving Packages this Month(Required)

Did you receive enough food to adequately feed all those you wanted to serve?(Required)

Yes

No

If no, please explain why

Client's income below poverty level (%)(Required)

Client's income above poverty level (%)(Required)

Comments

Please upload any additional files that may need for reporting

Max. file size: 256 MB.

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Volunteer Volunteer Shop Our Store Shop Our Store Find Food Find Food Donate Now Donate Now

Wings of Change
Who We Are
What We Do
How to Help
Event Calendar
News
Studies & Assessments

Agency Support
Careers
En Español
631-582-FOOD

Long Island Cares
10 Davids Drive
(Harry Chapin Way)
Hauppauge, NY 11788-2039

E: [email protected]
P: 631-582-FOOD (3663)
F: 631-273-2184

EIN: 11-2524512
Long Island Cares is a 501(c)(3) registered charity

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