Final Report template

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SME Instrument Phase 1 Final Report template Version 1.1 12 December 2014 Disclaimer This document is aimed at informing potential applicants for Horizon 2020 funding. It serves only as an example. The actual Web forms and templates, provided in the online proposal submission system under the Participant Portal, might differ from this example. Proposals must be prepared and submitted.via the online proposal submission system under the Participant Portal.

History of changes Version Date Change Page 1.1 12.12.2014 The financial statement is aligned with the modified grant agreement template into 2 tables. The cover page was extended with references to grant agreement, amendment numbers 5-6 1

SME INSTRUMENT PHASE 1 - FINAL REPORT SME Instrument Phase 1 FINAL REPORT Grant Agreement number: Acronym: Title: Type of the action: SME Instrument Phase 1 The report is elaborated on the basis of the: - Original Grant agreement - Amended Grant Agreement through amendment n. x Start date of the project: Duration of the project: Date of submission: Version: Disclaimer This document is aimed at informing beneficiaries of Horizon 2020 funding. It serves only as an example. The actual Web forms and templates, provided in project management system available under the Participant Portal, might differ from this example. The Final Report must be prepared and submitted via the online project management system under the Participant Portal. 1

General guidelines Phase 1 of the SME Instrument aims to provide support to businesses to determine the technological, practical and economic viability of an innovative business idea, together with the resources needed to implement it and the risks involved. A positive outcome of Phase 1 will result in an innovation project that demonstrates high potential in terms of company competitiveness and growth, underpinned by a strategic business plan. The final report 1 shall contain: 1. Technical report (1a. Publishable Summary; 1b. Feasibility Study) 2. the answer to a questionnaire on socio-economic implications 3. a financial report including the request for payment of the balance 1. Technical report 1a. Publishable Summary The technical report shall start with a summary not exceeding 2500 characters with spaces, including description of the action context and objectives, of the work performed and the main results achieved. This summary is publishable, so it shall not contain confidential information or company secrets. 1b. Feasibility Study (Maximum 20 pages to be uploaded as Pdf) The feasibility study (which will not be published) shall contain two parts: 1. an overview of the work done and the results for the main actions described in the grant agreement (e.g. market study, freedom to operate, technical tests). Try to provide key content in a minimum of words. 2. The conclusion of the action, i.e. an updated status of your business idea that was described in the application. The content of this part differs according to the conclusions you draw : o o if the business idea is abandoned, explain why and clarify your intention for further developments; If the project shall continue, please explain how the strategic vision has evolved as a result of the work undertaken: detail in particular changes to the objectives, the concept and approach, and the impact (as described in the grant agreement), explain what kind of support would be useful to develop your business further (partners, expertise, access to funding, other); 1 In line with Article 20 of the model grant agreement for the SME instrument Phase 1 2

2. Report on socio-economic implications (answers to questionnaire) 1. Did you benefit from coaching activities? YES NO If yes please rate its usefulness on a scale from 1 to 10 (1=low; 10=high) 2. Will you pursue the project idea? YES NO 2.a. If no, what are the reasons? Please tick the appropriate item from the drop list: Insufficient commercial potential User/client needs not met IPR blockage Lack of suitable partners Insufficient financing Too ambitious for the company Not the right time in the development cycle of the company Technical feasibility issues Other, please specify: 2.b. If yes, what source of finance do you intend to use? Please tick the appropriate item from the drop list: SME instrument phase 2 National/ Regional Programme Own resources Loan(s) Angel funding Crowd funding Venture capital Horizon 2020 or other EU support schemes (e.g. structural funds, COSME), please specify: Other, please specify: 2.c. Please fill in the table with your estimated forecasts: 3

1 Year after market launch of the business idea 2 Years after market launch of the business idea 3 Years after market launch of the business idea Turnover (in ) Employment (Headcount) 3. What are the main results of the grant? Please rate each of the following items on a scale from 1 to 10 (1=no progress; 10 = most progresses) according to the importance of the progresses made: Better understanding of clients' needs Better knowledge about competitors Better understanding of IPR issues Better understanding of technical issues Better internal work organisation Better knowledge about marketing methods More strategic approach in change management More strategic approach for identifying risks and risk management Increased reputation/visibility of the company Better relation with local business support organisations Other: 4

3. Financial report (Annex 4 of the Grant Agreement different for Mono and Multi-beneficiary) MODEL ANNEX 4 FOR H2020 SME Ph1 MONO FINANCIAL STATEMENT FOR BENEFICIARY [name] Eligible 1 costs (per budget category) A. Costs of the feasibility study (direct Total costs Reimbursement rate % and indirect costs) EU contribution Maximum EU contribution Requested EU contribution Form of costs 2 Lump sum Beneficiary 50 000 71 429 70% 50 000 50 000 The beneficiary hereby confirms that: The information provided is complete, reliable and true. The costs declared are eligible (see Article 6). The costs can be substantiated by adequate records and supporting documentation that will be produced upon request or in the context of checks, reviews, audits and investigations (see Articles 17, 18 and 22). 1 See Article 6 for the eligibility conditions 2 See Article 5 for the forms of costs 5

MODEL ANNEX 4 FOR H2020 SME Ph1 MULTI FINANCIAL STATEMENT FOR CONSORTIUM [name] Eligible 1 costs (per budget category) A. Costs of the feasibility study (direct and indirect costs) Total costs Reimbursement rate % EU contribution Maximum EU contribution Requested EU contribution Form of costs 2 Lump sum Consortium 50 000 71 429 70% 50 000 50 000 The consortium hereby confirms that: The information provided is complete, reliable and true. The costs declared are eligible (see Article 6). The costs can be substantiated by adequate records and supporting documentation that will be produced upon request or in the context of checks, reviews, audits and investigations (see Articles 17, 18 and 22). 1 See Article 6 for the eligibility conditions 2 See Article 5 for the forms of costs 6