Form CDFI-0001 2007 CDFI Program Combined Application

FY 2007 CDFI Program
Combined Application for
Financial Assistance and/or
Technical Assistance

FY 2007 CDFI Program
Combined Application for
Financial Assistance and/or
Technical Assistance

Pending Renewal OMB No. 1559-0025
Application Approval Number is pending from the Office of Management and Budget. Application is considered
DRAFT until this number is renewed.

CDFI-0001
Paperwork Reduction Act Notice
This submission requirements package is provided to Applicants for awards under the CDFI Program. The Estimated
average burden associated with this collection of information is 50 hours per respondent, depending on individual
circumstances. Comments concerning the accuracy of this burden estimate and suggestions for reducing this burden should
be directed to the Department of the Treasury, Community Development Financial Institutions Fund, 601 Thirteenth Street,
N.W., Suite 200-South, Washington, DC 20005.
All materials are available on the CDFI Fund Website: www.cdfifund.gov.
Catalog of Federal Domestic Assistance Number:

21.020

FY 2007 CDFI PROGRAM
COMBINED APPLICATION FOR FA and / or TA

TABLE OF CONTENTS
Introduction and Instructions
Application Eligibility Factors............................................................................................................. 3
Application Materials and Deadlines .................................................................................................. 6
Application Review and Awardee Selection ........................................................................................ 8
Contacting the Fund ...................................................................................................................... 11
Application Checklist ...................................................................................................................... 12

Part I: Legal Certifications
Environmental Review Form ........................................................................................................... 14
Assurances and Certifications ......................................................................................................... 15
501(c)(4) Questionnaire ................................................................................................................. 17

Part II: Emerging CDFI Certification Eligibility Questionnaire
CDFI Certification Eligibility Checklist .............................................................................................. 19
Primary Mission Requirement ......................................................................................................... 20
Financing Entity Requirement ......................................................................................................... 21
Target Market Requirement ............................................................................................................ 23
Development Services Requirement ................................................................................................ 24
Accountability Requirement ............................................................................................................ 24
Non-Government Entity Requirement .............................................................................................. 25

Part III: Comprehensive Business Plan
General Guidance .......................................................................................................................... 26
Matching Funds (FA Applicants Only) .............................................................................................. 27
Technical Assistance Proposal ......................................................................................................... 31
Activities Level Chart Categories ..................................................................................................... 39
Executive Summary ....................................................................................................................... 40
Market Analysis ............................................................................................................................. 41
Business Strategy .......................................................................................................................... 43
Community Development Performance and Effective Use ................................................................. 45
Management ................................................................................................................................. 48
Financial Health and Viability .......................................................................................................... 51

Application Charts
A. Matching Funds Data Chart....................................................................................................... 56
B. Matching Funds Retained Earnings Calculators ........................................................................... 57
(B1 for Non-Regulated CDFIs, B2 for Credit Unions, and B3 for Bank/Thrifts/Holding Companies)
C. TA Budget Chart ...................................................................................................................... 60
D. Activities Level Chart ................................................................................................................ 61
E. Community Development Impact Chart ..................................................................................... 62
F. Financial Data Input Chart ........................................................................................................ 63
(F1 for Non-Regulated, F2 for Credit Unions, and F3 for Bank/Thrifts/Holding Companies)
G. Loan Portfolio Quality Chart ...................................................................................................... 69
H. Equity Investment Portfolio Valuation Chart ............................................................................... 70

INTRODUCTION AND INSTRUCTIONS
NOTE

Capitalized terms (other than titles) are defined in the Notice of Funds Availability (NOFA)
for the FY 2007 funding round, the CDFI Program Regulations, or the CDFI Fund Program Glossary,
which may be downloaded from the Fund’s website at www.cdfifund.gov. Certain terms used
throughout the Application have meanings unique to the CDFI Program. Applicants should make
sure that they are familiar with these meanings by consulting the NOFA, regulations, and glossary.

CDFI Fund: Mission and Programs
The mission of the Community Development Financial Institutions Fund (the Fund) is to expand the
capacity of financial institutions to serve populations and communities lacking adequate access to
Financial Products and Financial Services. The Fund achieves its mission by directly investing in and
supporting Community Development Financial Institutions (CDFIs), Community Development Entities
(CDEs), and other financial institutions through the following programs and initiatives:
− CDFI Program (includes Financial Assistance (FA) and Technical Assistance (TA)).
− Bank Enterprise Award (BEA) Program.
− New Markets Tax Credit (NMTC) Program.
− Native Initiatives.
Information on the Fund’s programs can be found on the Fund’s website at www.cdfifund.gov. From
the home page, click on “What We Do” then “Information for Applicants.” Click on the link for the
various programs of interest.

Fiscal Year 2007 CDFI Program
For fiscal years 2006 and 2007, the Fund released a single NOFA and Application for Applicants
seeking FA and/or TA. The key component for applying for either award type is the submission of the
Comprehensive Business Plan (CBP). A single Application allows an Applicant seeking either or both
types of awards to submit a single CBP. Please note that the revised NOFA was published in August
2006 for the FY 2007 funding round only (subject to funding availability). The deadline for the FY
2007 funding round is November 14, 2006.

Funding for Financial Assistance (FA)
Financial Assistance funds can be requested to support the Applicant's business strategy in a variety
of ways. The most popular use of these funds is for direct financing of the Applicant's financial
products. Awardees have also used FA funds to cover staff costs or other operating expenses, restore
or increase loan loss reserves, or otherwise strengthen the Awardee’s capital structure, e.g., by
increasing net assets. Applicants may use FA funds in any way that supports the Comprehensive
Business Plan. When considering the use of the requested award, Applicants should be aware that
successful awardees will be required to demonstrate that at least 80% of the FA award has been
deployed in financing, i.e., loans or equity investments, over the three year reporting period.
Therefore, while the Applicant may not choose to use the award for direct financing, the intention of
the CDFI Fund award is that it will support the Applicant's financing activities.

CDFI Fund, Form CDFI-0020

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FY 2007 CDFI Program Application

Only a certified CDFI may receive an FA award. The Fund provides FA in the form of grants, loans,
Equity Investments (including, in the case of Insured Credit Unions, Secondary Capital accounts),
deposits, and Insured Credit Union Shares. The amount of FA an Applicant can request is determined
by the Applicant’s Category (see more information below). The form of the FA is based on the type of
Matching Funds the Applicant demonstrates it has available (in-hand, firmly committed, or to be
raised (for certain Applicant types explained further under the Eligibility section below)). The Fund
will match the size and form of the assistance provided by the non-federal source. For example, an
Applicant demonstrating Matching Funds in the form of a 10-year, 2% loan for $200,000 will receive a
10-year, 2% loan from the Fund, if it is approved for an FA award.
The amount of FA an Applicant can request depends on its category. This category determination is
predominantly driven by asset size and age. Applicants requesting FA fall into one of two categories
for the purposes of the FY 2007 Application:
Category I: Small and/or Emerging CDFI Assistance (SECA). A Category I/SECA Applicant
may request up to $500,000 in FA plus up to $100,000 in TA. To be considered a SECA Applicant, a
CDFI may not have been selected to receive in excess of $500,000 in FA in the aggregate from the
CDFI Program or Native Initiatives funding programs prior to the FY 2007 Application deadline. To
qualify, an Applicant must also meet an asset test or an age test as follows:
−
−

Began operations on or after January 1, 2003.
OR
Has Total Assets as of the end of the Applicant’s most recent fiscal year or December 31, 2006
as follows:
Institution Type
Insured Depository Institution / Holding Company
Insured Credit Union or Venture Capital Fund
Other CDFIs (Loan Funds)

SECA Asset Maximum
up to $250 million
up to $10 million
up to $5 million

Category II: Core. A Category II/Core Applicant may request up to $2 million in FA and up to
$100,000 in TA. A Category II/Core Applicant is a Certified CDFI or a Certifiable CDFI (defined below)
that meets all other eligibility requirements described in the NOFA for the FY 2007 funding round.

Funding for Technical Assistance (TA)
Technical Assistance funds can be requested to strengthen the capacity of the CDFI Applicant, or help
an Applicant that has not yet been certified to achieve its status as a certified CDFI. TA awards are
grant funds and do not require a corresponding matching fund source. TA grants can be used to
cover operating expenses such as personnel salaries and fringe benefits, training, travel, professional
services, material and supplies, equipment, and other costs. A detailed description of the TA
categories and related application requirements can be found in part III of this application under
“Technical Assistance Proposal.”
Applicants can choose to apply for FA and TA together, FA only, or TA only.

TIP

The Fund will not make an award over the requested amount. Applicants are advised to
consider organizational needs and projected costs carefully in developing the award request.

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FY 2007 CDFI Program Application

Application Eligibility Factors
There are several factors that determine whether an organization is eligible to apply under the FY
2007 funding round. The information below explains these factors and which type of funding (FA vs.
TA) an organization is eligible to apply for based on its certification and compliance status.

Certification Status
Only a certified CDFI is eligible to receive FA from the Fund. The Fund, however, may award and
disburse a TA award to an entity not certified as a CDFI and that does not, at the time of the award or
disbursement, meet all six certification requirements – if it demonstrates, to the Fund’s satisfaction
that it has a reasonable plan to become certified by December 31, 2009. For purposes of this
Application, the Fund refers to such an Applicant as an “Emerging CDFI.” Also for purposes of this
Application, the Fund refers to an Applicant that is not certified – but that currently meets all six
certification requirements – as a “Certifiable CDFI.”
Even if the Fund finds an Emerging CDFI or Certifiable CDFI eligible to receive an award, such an
organization will not be certified as a CDFI until it submits a CDFI Certification Application and the
Fund determines that the organization meets each of the requirements for certification. For details
concerning the requirements to become a certified CDFI refer to the CDFI Program Regulations and
CDFI Certification Application available from the Fund’s website.
Required eligibility materials depend on the Applicant’s certification status (Certified, Certifiable, or
Emerging) and whether it is seeking FA. Failure to submit the required eligibility materials in the
specified timeframe may result in the funding and/or certification applications being deemed
incomplete and rejected without further review. Applicants are eligible to apply for FA and/or TA as
follows:
Applicant Type

Eligible
Funding

What to Submit

Certified CDFIs

FA
and / or
TA

Certification of Material Event Form
− Submit the Certification of Material Event Form to the
Fund by October 11, 2006, in accordance with
instructions on the Fund’s website.
− The Form and related guidance are available on the
Fund’s website at www.cdfifund.gov.

Certifiable CDFIs

FA
and / or
TA

If seeking FA and / or TA: CDFI Certification Application
− Certifiable CDFIs seeking FA must submit a CDFI
certification application to the Fund by October 11, 2006.
− The CDFI Certification Application is available on the
Fund’s website at www.cdfifund.gov.

Any certified CDFI whose certification
has not expired and that has not been
notified by the Fund that its certification
has been terminated.

For purposes of this Application, a
Certifiable CDFI is an entity from which
the Fund receives a complete CDFI
Certification Application no later than
October 11, 2006 evidencing that the
Applicant meets the requirements to be
certified as a CDFI.

Note: The Fund will only certify as a
CDFI an entity that submits a CDFI
Certification Application that the
Fund determines meets each
certification requirement.

CDFI Fund, Form CDFI-0020

If seeking TA Only: Emerging CDFI Eligibility Questionnaire
− Part II of this Application.
− Certifiable CDFIs seeking TA Only may submit a CDFI
certification application – but are not required to do so.

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FY 2007 CDFI Program Application

Applicant Type
Emerging CDFIs

For purposes of this Application, an
Emerging CDFI is an entity that
demonstrates to the Fund that it has a
reasonable plan to be certified as a CDFI
by December 31, 2009.

TIP

Eligible
Funding

What to Submit

TA Only

Emerging CDFI Eligibility Questionnaire
−

Part II of this Application

The difference between a Certifiable CDFI and an Emerging CDFI:

•

A Certifiable CDFI meets all six certification requirements at the time it submits the CDFI
Certification Application. Therefore, the Fund will certify such an entity upon its confirmation
that the entity meets the certification requirements.

•

An Emerging CDFI, on the other hand, does not meet all certification requirements at time of
Application (either for certification or funding). Therefore, the Fund will not certify such an
entity a CDFI.

The difference between the CDFI Certification Application and the Emerging CDFI Eligibility
Questionnaire:
•

The CDFI Certification Application is used to demonstrate that an Applicant currently meets all
six of the certification requirements as of the date of the application.

•

The Emerging CDFI Eligibility Questionnaire, on the other hand, is used to demonstrate that
the Applicant has a reasonable plan to become a certified CDFI by December 31, 2009.

Entities with CDFI Certification Applications Currently Pending with the Fund: An Applicant
seeking TA (either solely or in conjunction with FA) that has a CDFI Certification Application pending
with the Fund – but has not received notification that it has been certified – does not need to submit
the Emerging CDFI Eligibility Questionnaire (Part III of this Application). If such Applicant is not
certified as a CDFI based on the pending CDFI Certification Application, the Fund may use the
information in the pending Certification Applicant to determine if the Applicant qualifies as an
Emerging CDFI and is therefore eligible to be considered for the TA portion of the Application.

Legal Entity
At the time an entity submits its Application, it must be a duly organized and validly existing legal
entity under the laws of the applicable jurisdiction (including a Tribal jurisdiction), in which it is
incorporated or otherwise established.

Prior Fund Awardees or Allocatees
Success (or failure) in a prior funding round is not indicative of success (or failure) under this
Application. However, previous compliance and timeliness of reporting does play a factor – and (in
certain instances) can make an Applicant ineligible for consideration for an award. Prior Fund
Awardees are eligible to apply under this CDFI Program Application, but with some limitations:
•

$5 Million Funding Cap. The Fund is generally prohibited from obligating more than $5 million
in assistance, in the aggregate, to any one organization and its Affiliates during any three-year
period. In general, the period extends back three years from the date that the Fund signs a
Notice of Award issued to an Awardee under this NOFA. In applying this criteria in determining
eligibility for this funding round, the Fund will count any assistance with a Notice of Award dated

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FY 2007 CDFI Program Application

between July 31, 2004 and July 31, 2007 (which is the anticipated date that the Fund will issue
Notices of Award for the FY 2007 funding round).
•

Failure to Meet Reporting Requirements. The Fund will not consider an Application if the
Applicant, or an entity that Controls the Applicant, is Controlled by the Applicant or shares
common management officials with the Applicant (as determined by the Fund) is a prior Fund
Awardee or Allocatee under any Fund program and is not current on the reporting requirements
set forth in a previously executed Assistance, Allocation or Award Agreement(s), as of the
Application deadline. The Fund only acknowledges the receipt of reports that are complete. As
such, incomplete reports or reports that are lacking required elements are not recognized as
having been received.

•

Pending Resolution of Noncompliance. If an Applicant is a prior Awardee or Allocatee under
any Fund program and if: (i) it has submitted complete and timely reports to the Fund that
demonstrate noncompliance with a previous Assistance, Allocation or Award Agreement; and (ii)
the Fund has yet to make a final determination as to whether the entity is in default of its previous
Assistance, Allocation or Award Agreement, the Fund will consider the Application submitted to
this funding round pending full resolution, in the sole determination of the Fund, of the
noncompliance. Further, if another entity that Controls the Applicant, is Controlled by the Applicant
or shares common management officials with the Applicant (as determined by the Fund), is a prior
Fund Awardee or Allocatee and if such entity: (i) has submitted complete and timely reports to the
Fund that demonstrate noncompliance with a previous Assistance, Allocation or Award Agreement;
and (ii) the Fund has yet to make a final determination as to whether the entity is in default of its
previous assistance, allocation, or award agreement, the Fund will consider the Application
submitted to this funding round pending full resolution, in the sole determination of the Fund, of
the noncompliance.

•

Default Status. The Fund will not consider an Application submitted by an Applicant that is a
prior Fund Awardee or Allocatee under any Fund program if, as of the applicable Application
deadline of this Application, the Fund has made a final determination that such Applicant is in
default of a previously executed Assistance, Allocation or Award Agreement(s). Further, an entity
is not eligible to apply for an award if, as of the applicable Application deadline, the Fund has
made a final determination that another entity that Controls the Applicant, is Controlled by the
Applicant or shares common management officials with the Applicant (as determined by the Fund)
is a prior Fund Awardee or Allocatee under any Fund program and has been determined by the
Fund to be in default of a previously executed Assistance, Allocation or Award Agreement(s).

•

Termination in Default. The Fund will not consider an application submitted by an Applicant
that is a prior Fund Awardee or allocatee under any Fund program if: (i) the Fund has made a
final determination that such Applicant’s prior award or allocation terminated in default of a
previously executed assistance, allocation or award agreement(s); and (ii) the final reporting
period end date for the applicable terminated assistance, allocation or award agreement(s) falls in
calendar year 2006. Further, an entity is not eligible to apply for an award pursuant to this NOFA
if: (i) the Fund has made a final determination that another entity that Controls the Applicant, is
Controlled by the Applicant or shares common management officials with the Applicant (as
determined by the Fund), is a prior Fund Awardee or allocatee under any Fund program whose
award or allocation terminated in default of a previously executed assistance, allocation or award
agreement(s); and (ii) the final reporting period end date for the applicable terminated assistance,
allocation or award agreement(s) falls in calendar year 2006 .

•

Undisbursed Balances. The Fund will not consider an Application submitted by an Applicant
that is a prior Fund Awardee under any Fund program if the Applicant has a balance of
undisbursed funds under said prior award(s), as of the Application deadline. Further, an entity is
not eligible to apply for an award if another entity that Controls the Applicant, is Controlled by the

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FY 2007 CDFI Program Application

Applicant or shares common management officials with the Applicant (as determined by the
Fund), is a prior Fund Awardee under any Fund program, and has a balance of undisbursed funds
under said prior award(s), as of the Application deadline. In a case where another entity that
Controls the Applicant, is Controlled by the Applicant or shares common management officials with
the Applicant (as determined by the Fund), is a prior Fund Awardee under any Fund program, and
has a balance of undisbursed funds under said prior award(s), as of the Application deadline, the
Fund will include the combined awards of the Applicant and such Affiliated entities when
calculating the amount of undisbursed funds. See NOFA for details on how undisbursed funds are
calculated.
•

Exception for Applicants Impacted by Hurricanes Katrina or Rita. Please note that the
provisions above for “Failure to Meet Reporting Requirements” and “Undisbursed Balances” do not
apply to any Applicant that has an office located in, or that provides a significant volume of
services or financing to residents of and/or businesses located in, a county that is within a “major
disaster area” as declared by the FEMA as a result of Hurricanes Katrina or Rita. Said
requirements are waived for those Applicants for this funding round.

TIP

Any Applicant that is a prior Fund Awardee or Allocatee should:

•

Comply with all requirements specified in Assistance, Allocation, and/or Award
Agreement(s).

•

Ensure that all required reports are submitted by the deadlines specified in the
Assistance, Allocation, and/or Award Agreement(s) governing said prior awards.

•

Contact the Fund to ensure that all necessary actions are underway for the disbursement
or deobligation of any outstanding balance of said prior award(s). All outstanding
reports, disbursement, or compliance questions should be directed to the Grants Manager.

•

Ensure that any outstanding Matching Funds on a prior Award are in-hand and a
complete disbursement request is submitted to the Fund’s Grants Manager at least 10
business days prior to the Application deadline.

Application Materials and Deadlines
Grants.Gov Submission Requirement
The CDFI Fund is required to accept CDFI Program Applications only through Grants.gov, the official
Federal government-wide E-grant website, in compliance with Public Law 106-107 and Section 5(a) of the
Federal Financial Assistance Management Improvement Act.
Downloading Templates and Other Application Material
Detailed instructions for submitting the application through Grants.gov are included in the document
titled Grants dot Gov Instructions FY2007, available on the CDFI Program page of the Fund’s website.
The link to that page is accessible from the “What We Do” –> “Information for Applicants” link path. To
download the complete application package, including application, Excel chart workbook, and MS Word
templates for completing the various submission documents, go to www.Grants.gov, click on “Apply for
Grants” and search for the package using the CDFI Fund’s CFDA Number: 21.020. The application
documents will also be available on the CDFI Program page, however, the Grants.gov website is the
primary source.

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FY 2007 CDFI Program Application

Grants.Gov Registration
Applicants must have both an individual and organization accounts registered with Grants.gov in order to
submit a CDFI Fund application through the system. The one-time registration process involves several
steps and will take several days to complete. Applicants are encouraged to start the registration process
as early as possible. Detailed registration instructions can be found go directly to the “Get Registered”
screen from the Grants.Gov home page We recommend downloading Grants.gov’s 2-page version of the
instructions for “Get Started Now…” located at
http://www.grants.gov/section910/Grants.govRegistrationBrochure.pdf

Submission Deadlines
The Grants dot Gov Instructions FY2007 document includes a table listing each Application
component, the format of preparation, and how it is submitted (either as an electronic attachment via
Grants.gov or as a paper attachment). The deadlines are as follows:
•

Electronic Attachments: “Sign and Submit Application” button within the Grants.gov provided
software must be clicked by 5:00 p.m. Eastern Time (ET) on Tuesday, November 14, 2006.

•

Paper Attachments: must be received by BPD (at the address specified below) by 5:00 p.m. ET
on Friday, November 17, 2006:
CDFI Fund Grants Manager
CDFI Program
Bureau of Public Debt
200 Third Street
Parkersburg, WV 26101-5312
(304) 480-6088
− Paper attachments received in the BPD offices designated above after 5:00 p.m. ET on
November 17, 2006 will be rejected and returned to the sender.
− Paper attachments will not be accepted at the Fund’s offices in Washington, DC. Applications
received in the Fund’s Washington DC offices will be returned to the sender. Applications sent
by facsimile or e-mail will not be accepted.
− The Fund will not grant exceptions or waivers for late delivery of documents including, but not
limited to, late delivery that is caused by third parties such as the United States Postal Service,
couriers, or overnight delivery services.

Applicants are advised to allow at least 3 business days (i.e., not Saturday
or Sunday) for overnight delivery to BPD’s offices in West Virginia. Allow
even longer if using first class postal mail delivery.

Ensuring that the Application Is Complete
Complete Versus Incomplete Applications: A complete Application is one that includes all
required material listed on the Application Checklist. Some items – if missing or incomplete – will
result in the immediate rejection of the entire Application. If the SF 424 is missing or is missing a
valid EIN, the Application will immediately be rejected. No Applicant will be given an opportunity to
provide a missing SF 424 or missing EIN.
The Fund will allow two business days for an Applicant to submit the following items if missing or
incomplete:
IRS Documentation of the Applicant’s EIN.
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FY 2007 CDFI Program Application

−

Provide a hard copy (to BPD) of Internal Revenue Service (IRS) documentation as evidence
the Applicant itself (i.e., not its parent or Affiliate) has been assigned its own unique EIN.

Dun and Bradstreet Data Universal Numbering System (DUNS) Number.
− Any entity applying for Federal assistance is required to have a DUNS number.
− To obtain this number, call 1-866-705-5711 or visit www.DNB.com.
Emerging CDFI Eligibility Questionnaire.
Environmental & Legal Certifications
Certification of Material Events Form

TIP

Do not wait until the last minute to obtain a DUNS or EIN documentation. The Fund strongly
encourages Applicants to allow sufficient time to obtain the necessary numbers or documentation. If
either the DUNS or EIN documentation is missing from the initial paper submission of the Application
materials, the 2-days allowed by the Fund to submit these items may not be sufficient time to obtain
them. It is always better to ensure that the initial Application submission contains all required items
and documentation.

Paper Application Submission Request – Due by October 11, 2006
If an Applicant lacks the information technology to complete and submit the Application via
Grants.gov, the Fund may allow it to submit the entire Application in paper. An Applicant must
request and receive advance permission from the Fund to submit a paper Application. The Fund will
not consider paper Applications received from Applicants that did not receive advance permission from
the Fund. Requests to submit a paper Application can be made via:
•

E-mail at [email protected]; or

•

Fax request to the Fund’s Chief Information Officer (CIO) at (202) 622-7754.

The Fund will not honor requests submitted via any other means. Requests must include the
following information: the Applicant’s name, the name and phone number of a contact person, a
mailing address (a street address for courier or overnight service deliveries), and an explanation of
why the Applicant cannot complete the electronic Application.
Requests to submit all paper Applications will be reviewed within two business days of receipt by the
Fund. The Fund will not respond to requests for paper Applications that are received after 5:00 p.m.
ET October 11, 2006. Requests received after 5:00 p.m. ET October 11, 2006 will not be reviewed
and the Applicant must submit an electronic Application in order to be considered for funding.

Application Review and Awardee Selection Process
After an Application is submitted, the Fund will determine whether it was submitted by the deadline
and is complete. If the Application is determined to be complete, the Fund will then determine
whether it meets the basic eligibility requirements described above. If the Application is found to be
eligible, it will receive a two-part substantive review in accordance with the criteria and procedures
described in the NOFA and this Application.

Application Scoring
The Fund will evaluate the CBP on a 100-point scale with certain points assigned for each of the five
sections. TA Only Applications are reviewed and scored by a single reviewer while Applications for FA
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FY 2007 CDFI Program Application

are reviewed and scored initially by a team of three readers. In the case of an Applicant that has
previously received funding from the Fund through any Fund program, after the readers establish the
base score, the Fund will deduct points for:
•

The Applicant’s noncompliance with any active award or award that terminated in calendar year
2006 in meeting its performance goals, financial soundness covenants (if applicable), reporting
deadlines, and other requirements set forth in the assistance or award agreement(s) with the
Fund during the Applicant’s two complete fiscal years prior to the Application deadline, generally
FY 2005 and FY 2006;

•

The Applicant’s failure to make timely loan payments to the Fund during the Applicant’s two
complete fiscal years prior to the Application deadline (if applicable);

•

Performance on any prior Assistance Agreement as part of the overall assessment of the
Applicant’s ability to carry out its Comprehensive Business Plan; and

•

FA deobligated from a FY 2004, FY 2005 or FY 2006 award (for FA Applicants) if:
− The amount of deobligated funds is at least $200,000; and
− The deobligation occurred subsequent to the expiration of the period of funds availability
(generally, after September 30th following the year in which the award was made).

After the compliance scoring, Applications will receive follow-up reviews (including an assessment of
available Matching Funds) performed by a single reviewer (typically a Fund staff person). An
Applicant must receive a minimum score in each evaluation criteria to move forward for the follow-up
review. The purpose of the follow-up review is to determine the appropriate award amount based on
the first phase readers’ comments, score, and available Matching Funds. (For TA Only Applicants, the
compliance scoring actually happens after the follow-up review.)
As part of the review process, the Fund may contact the Applicant by telephone, e-mail, or through an
on-site visit for the purpose of obtaining clarifying or confirming Application information. The
Applicant may be required to submit additional information to assist the Fund in its evaluation
process. Such requests must be responded to within the time parameters set by the Fund. Further
information on the review process is detailed in the NOFA.

Application Ranking and Awardee Selection
Once the follow-up review is completed, the Fund will rank Applications by their scores, from highest
to lowest, as follows:
•

TA-only Applicants and Category I/SECA Applicants will be ranked from highest to lowest, based
on each Applicant’s scores for all five criteria categories added together.

•

Category II/Core Applicants must receive scores in both the Management category and the
Financial Health and Viability category that each equal at least 50 percent of the available points in
each of those sections. For Category II/Core Applicants that exceed this threshold, the Fund will
use the combined scores of the Market Analysis, Business Strategy, and Community Development
Performance and Effective Use categories to rank them, highest to lowest.

The Fund selects Awardees from the top of the ranking list until it runs out of available funds.

Awardee Notification
For the FY 2007 funding round, the Fund will notify Applicants selected to receive an award by late
June 2007. The Fund notifies Applicants of award decisions (positive or negative) via e-mail to the
designated Authorized Representative. If selected for an award, an Applicant will access the notice of
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FY 2007 CDFI Program Application

that award through its myCDFIFund account (see more information below). By logging into the
organization account the Awardee will be able to download (and print) a Notice of Award, which
contains the general terms and conditions underlying the Fund's provision of assistance, including the
signing of an Assistance Agreement. Only the Applicant’s myCDFIFund Account Administrator can
access a Notice of Award.

MyCDFIFund Accounts
MyCDFIFund is the primary vehicle through which the CDFI Fund communicates with its constituent
awardees and applicants. It allows users to update contact information, including address and emails
as staff changes occur. MyCDFIFund, as opposed to Grants.gov, is managed and controlled by the
CDFI Fund. Data submitted through Grants.gov does not automatically create a myCDFIFund account
for applicants. Applicants must establish a personal and organization account by clicking on the link
that reads “Log onto myCDFI Fund” from the Fund’s website, www.cdfifund.gov. All application
decisions are communicated through emails established in the myCDFIFund accounts. Because an
Applicant will be notified via e-mail, it is essential that the emails identified in the SF 424 document
are the same as the ones provided in the myCDFIFund account. If an Applicant’s e-mail system has a
spam blocker function, please ensure that the Fund’s main email addresses ([email protected],
[email protected], [email protected]) are listed as acceptable sources. Otherwise,
the award notification email may never be received.

Organizations Not Selected for Funding
The Fund generally rejects or declines an Application at one of three phases. First, at the Application
deadline phase, the Fund will reject an Application if it is received late. Second, at the completeness
and eligibility review phase, the Fund will reject an Application received on time – if it is found to be
incomplete or ineligible. The Fund will notify an Applicant declined for one or both of these reasons
via email usually within a month of the Application deadline. Third, at the Application review stage,
the Fund may decline an Applicant that satisfies the eligibility and completeness requirements for
substantive reasons (i.e., low position on the ranking list relative to available funds or a low score
resulting from a poorly presented CBP). The Fund will notify an Applicant declined for substantive
reasons via email shortly after awards are announced (usually by late September).

Award Closing and Reporting
Upon notification, all Awardees must print, sign, and return the Notice of Award. Within several
months, the Fund will contact the Awardee to begin the closing process, which includes entering into
an Assistance Agreement. FA Awardees will enter into a three-year Assistance Agreement and TA
Awardees will enter into a two-year Assistance Agreement. The Assistance Agreement is a contract
that outlines the terms of the award including expectations for the Awardee to provide reports and
remain in compliance. Once the Assistance Agreement has been signed, the Fund will authorize the
award disbursement. The Fund disburses FA awards based on the Matching Funds documentation in
hand at the time of award closing. The Fund disburses TA awards in one lump sum upon closing.
The Fund will collect information, on at least an annual basis, from all Awardees, including: (i) annual
reports related to, among other matters, Awardee compliance with the performance goals and
measures as set forth in the Assistance Agreement; (ii) audited or reviewed Financial Statements; (iii)
uses of FA and Matching Funds; and (iv) such other information as the Fund may require, including
transaction level data. The Fund reserves the right, in its sole discretion, to modify these reporting
requirements if it determines it to be appropriate and necessary; however, such reporting
requirements will be modified only after due notice to the Awardee.

CDFI Fund, Form CDFI-0020

- 10 -

FY 2007 CDFI Program Application

Contacting the CDFI Fund
The Fund will respond to questions between the hours of 9:00 a.m. and 5:00 p.m. ET, through
November 10, 2006 (two business days before the Application deadline). The Fund will not respond to
phone calls or e-mail inquiries that are received after 5:00 p.m. ET on November 10, 2006, until after
the funding Application deadline of November 14, 2006. NOTE: These are not toll-free numbers.
Main Office:

(202) 622-8662
www.cdfifund.gov
(202) 622-7754 (fax)

General inquiries; phone numbers for individual
Fund staff; access to myCDFIFund and program
webpage.

Program Support:

(202) 622-6355

CBP questions, how to complete tables,
certification.

Grants Management
Support

(202) 622-8226
[email protected] Application deadlines; Application submission
requirements; completing the Signature Page or
(202) 622-9625 (fax)

Compliance and
Monitoring Support

(202) 622-8226
[email protected]
(202) 622-9625 (fax)

Status of compliance with other awards
including outstanding reports.

IT Support

(202) 622-2455

Registering and creating accounts on
myCDFIFund.

Legal Support

If you have any questions or matters that you believe require response by the Fund’s Office of Legal Counsel,
please refer to the document titled “How to Request a Legal Review“, found on the Fund’s web site at
www.cdfifund.gov.

[email protected]

Environmental Review Form; Questions
regarding EIN Documentation, DUNS,
disbursements, and Notices of Awards.

[email protected]

Contacting the Fund Regarding CDFI Certification: The Fund will respond to questions and
provide support concerning CDFI certification related to this NOFA between the hours of 9:00 a.m.
and 5:00 p.m. ET, through October 9, 2006. The Fund will not respond to questions or provide
support concerning CDFI certification, related to this NOFA, that are received after 5:00 p.m. ET on
October 9, 2006, until after the deadline for submitting such applications. The CDFI Certification
Application and other information regarding CDFI certification may be obtained from the Fund’s
website at http://www.cdfifund.gov.

CDFI Fund, Form CDFI-0020

- 11 -

FY 2007 CDFI Program Application

APPLICATION CHECKLIST
Application
Component

Prepare
In…

TA Only Applicants vs.

Submit via…

FA Applicants
Both TA Only Applicants and FA Applicants:
• Complete form online and send hard copy to BPD as
cover page to paper attachments.
Both TA Only Applicants and FA Applicants:
• Documentation from the IRS that they have their own
unique EIN.
Both TA Only Applicants and FA Applicants:
• Environmental Review Form and the 501(c)(4)
Certification (if applicable):
− Complete MS Word Templates.
• Assurances and Certifications: Electronic Signature on the
SF 424 certifies this form – it is not necessary to submit a
separate copy.

Standard Form (SF)
424

Grants.gov
Online Form

Grants.gov and
Mail to BPD

Documentation of
EIN

Paper

Mail to BPD

Environmental
Review Form

MS Word
Templates

Grants.gov
upload under
Attachments

Emerging CDFI
Certification
Eligibility Application

MS Word

Grants.gov
upload under
Attachments

Comprehensive
Business Plan
(Narrative)

MS Word

Grants.gov
upload under
Attachments

Application Charts

MS Excel

Matching Funds
Documentation

Paper

Grants.gov
upload under
Attachments
Mail to BPD

Financial Statements

Paper

Mail to BPD

Organizational Chart
& Resumes

Paper

Mail to BPD

Both TA Only Applicants and FA Applicants:
• Mail originals and four copies to BPD address above.

Scope of Work
Statements

Paper

Mail to BPD

TA Applicants (Professional Service Costs Only):
• Mail originals and four copies to BPD address above.

501 (c)(4)
Certification
Assurances and
Certifications

FA Applicants:
Not Applicable – FA Applicants must already be certified
or submit a certification application by 10/11/06.
TA Only Applicants:
• If not certified as a CDFI: Complete in MS Word.
Both TA Only Applicants and FA Applicants:
• Complete MS Word template.
Both TA Only Applicants and FA Applicants:
• Complete all applicable charts in the Excel Workbook.
TA Only Applicants:
• Not Applicable – TA awards do not require Matching
Funds.
FA Applicants:
• Mail original and four copies of Matching Funds
documentation to BPD address above.
Both TA Only Applicants and FA Applicants:
• Mail originals and four copies to BPD address above.

Important Deadlines
•
•
•
•

Certification Application: Received at the Fund by October 11, 2006
Certification of Material Events Form: Received via Fax at the Fund by October 11, 2006
Electronic Attachments: Grants.Gov submission by 5:00pm ET, Tuesday, November 14,
2006
Paper Attachments: Received at BPD offices by Friday, November 17, 2006.

Incomplete Applications: Applications received after the submission deadlines noted above and/or
missing any of the items listed below will be considered incomplete and immediately rejected from
consideration for an award without an opportunity to rectify:
• SF 424
• EIN
• Substantially income CBP section of the Application
CDFI Fund, Form CDFI-0020

- 12 -

FY 2007 CDFI Program Application

PART I:
ENVIRONMEMTAL AND LEGAL
CERTIFICATIONS
WHO MUST COMPLETE THIS SECTION:
•

ALL APPLICANTS

IS THERE ANYTHING IN THIS SECTION THAT MAY CAUSE MY APPLICATION TO BE
REJECTED IF I MISS IT?
•

Failure to submit required forms.

THINGS TO NOTE:
•

In certain cases, the Fund will allow a limited window of two (2) business days to submit some
piece of missing documentation including a missing Environmental Review Form.

CDFI Fund, Form CDFI-0020

- 13 -

FY 2007 CDFI Program Application

ENVIRONMENTAL REVIEW FORM
Applicant Name:
The Fund’s environmental review requirements are set forth in 12 CFR Part 1815. The Applicant should
review such regulations carefully before completing this section. In order to assure compliance with those
regulations and other requirements related to the environment, the Applicant shall provide the following
information:
YES
NO
1. Are there any actions proposed in the Application that do not constitute a
“categorical exclusion” as defined in 12 CFR 1815.110?
If YES, would any of these actions normally require an environmental impact
statement (see 12 CFR 1815.108)?
2. Are there any activities proposed in the Application that involve:
(a) Historical or archeological sites listed on the National Register of Historic Places or
that may be eligible for such listing?
(b) Wilderness areas designated or proposed under the Wilderness Act?
(c) Wild or scenic rivers proposed or listed under the Wild and Scenic Rivers Act?
(d) Critical habitats of endangered or threatened species?
(e) Natural landmarks listed on the National Registry of Natural Landmarks?
(f) Coastal barrier resource systems?
(g) Coastal Zone Management Areas?
(h) Sole Source Aquifer Recharge Areas designated by EPA?
(i) Wetlands?
(j) Flood plains?
(k) Prime and unique farmland?
(l) Properties listed or under consideration for listing on the Environmental Protection
Agency’s List of Violating Facilities?

If YES to any of the above questions, attach a detailed description of each action, clearly identifying the
category in which the action falls.
NOTIFICATION
As stated in 12 CFR 1815.105, if the Fund determines that the Application proposes actions which require an
environmental assessment or an environmental impact statement, any approval and funding of the Application will
be contingent upon:
1. The Applicant supplying to the Fund all information necessary for the Fund to perform or have performed any
required environmental review;
2. The Applicant not using any Fund Financial Assistance to perform any of the proposed actions in the
Application requiring an environmental review until approval is received from the Fund; and
3. The outcome of the required environmental review.
In addition, as stated in 12 CFR 1815.106, if the Fund determines that an Application, or any part thereof, is not
sufficiently definite to perform a meaningful environmental review prior to approval of the Application, final
approval and funding of the Application shall require supplemental environmental review prior to the taking of any
action directly using Fund Financial Assistance for any action that is not a categorical exclusion.

CDFI Fund, Form CDFI-0020

- 14 -

FY 2007 CDFI Program Application

ASSURANCES AND CERTIFICATIONS
Signing the certification on SF 424 certifies that the Applicant will comply with the Assurances and Certifications listed below if an award is made.
Certain of these Assurances and Certifications may not be applicable to the Applicant. An Applicant may not modify any of the Assurances and
Certifications.
A.
Standard Form 424B: Assurances -- Non-Construction Programs
As the duly authorized representative of the Applicant, I certify that the Applicant:
1.
Has the legal authority to apply for Federal assistance, and the institutional,
managerial and financial capability (including funds sufficient to pay the nonFederal share of project costs) to ensure proper planning, management and
completion of the project described in this Application.
2.
Will give the awarding agency, the Comptroller General of the United States, and if
appropriate, the State, through any authorized representative, access to and the
right to examine all records, books, papers, or documents related to the award; and
will establish a proper accounting system in accordance with generally accepted
accounting standards or agency directives.
3.
Will establish safeguards to prohibit employees from using their positions for a
purpose that constitutes or presents the appearance of personal or organizational
conflict of interest, or personal gain.
4.
Will initiate and complete the work (activities in Application) within the applicable
time frame after receipt of approval of the awarding agency.
5.
Will comply with the Intergovernmental Personnel Act of 1970 (42 U.S.C. 47284763) relating to prescribed standards for merit systems for programs funded
under one of the nineteen statutes or regulations specifies in Appendix A of OPM’s
Standards for a Merit System of Personnel Administration (5 CFR 900, Subpart F).
6.
Will comply with all Federal statutes relating to nondiscrimination. These include
but are not limited to: (a) Title VI of the Civil Rights Act of 1964 (P.L.88-352) which
prohibits discrimination on the basis of race, color or national origin; (b) Title IX of
the Education Amendments of 1972, as amended (20 U.S.C.1681-1683, 16851686), which prohibits discrimination on the basis of sex; (c) Section 504 of the
Rehabilitation Act of 1973, as amended (29 U.S.C.794), which prohibits
discrimination on the basis of handicaps; (d) the Age Discrimination Act of 1975, as
amended (42 U.S.C.6101-6107), which prohibits discrimination on the basis of
age; (e) the Drug Abuse Office and Treatment Act of 1972 (P.L. 92-255), as
amended, relating to nondiscrimination on the basis of drug abuse; (f) the
Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and
Rehabilitation Act of 1970 (P.L.91-616), as amended, relating to nondiscrimination
on the basis of alcohol abuse or alcoholism; (g) Sections 523 and 527 of the
Public Health Service Act of 1912 (42 U.S.C. 290 dd-3 and 290 ee-3), as
amended, relating to confidentiality of alcohol and drug abuse patient records; (h)
Title VIII of the Civil Rights Act of 1968 (42 U.S.C.3601 et seq.), as amended,
relating to nondiscrimination in the sale, rental or financing of housing; (i) any other
nondiscrimination provisions in the specific statute(s) under which Application for
Federal assistance is being made; and (j) the requirements of any other
nondiscrimination statutes which may apply to the Application.
7.
Will comply, or has already complied, with the requirements of Titles II and III of the
Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970
(P.L. 91-646) which provide for fair and equitable treatment of persons displaced or
whose property is acquired as a result of Federal or federally assisted programs.
These requirements apply to all interests in real property acquired for project
purposes regardless of Federal participation in purchases.
8.
Will comply with the provisions of the Hatch Act (5 U.S.C.1501-1508 & 7324-7328)
which limit the political activities of employees whose principal employment
activities are funded in whole or in part with Federal funds.
9.
Will comply, as applicable, with the provisions of the Davis-Bacon Act (40 U.S.C.
276a to 276a-7), the Copeland Act (40 U.S.C. 276c and 18 U.S.C. 874), and the
Contract Work Hours and Safety Standards Act (40 U.S.C. 327-333), regarding
labor standards for federally assisted construction subagreements.
10. Will comply, if applicable, with flood insurance purchase requirements of Section
102(a) of the Flood Disaster Protection Act of 1973 (P.L. 93-234) which requires
recipients in a special flood hazard area to participate in the program and to
purchase flood insurance if the total cost of insurable construction and acquisition
is $10,000 or more.
11. Will comply with environmental standards which may be prescribed pursuant to the
following: (a) institution of environmental quality control measures under the
National Environmental Policy Act of 1969 (P.L.91-190) and Executive Order
11514; (b) notification of violating facilities pursuant to EO 11738; (c) protection of
wetlands pursuant to EO 11990; (d) evaluation of flood hazards in floodplains in
accordance with EO 11988; (e) assurance of project consistency with the approved
State management program developed under the Coastal Zone Management Act
of 1972 (16 U.S.C. 1451et seq.); (f) conformity of Federal actions to State
Implementation Plans under Section 176(c) of the Clear Air Act of 1955, as

CDFI Fund, Form CDFI-0020

- 15 -

12.
13.

14.
15.

16.
17.
18.

amended (42 U.S.C. 7401 et seq.); (g) protection of underground sources of
drinking water under the Safe Drinking Water Act of 1974, as amended, (P.L.93523); and (h) protection of endangered species under the Endangered Species Act
of 1973, as amended, (P.L.93-205).
Will comply with the Wild and Scenic Rivers Act of 1968 (16 U.S.C. 1271 et seq.)
related to protecting components or potential components of the national wild and
scenic rivers system.
Will assist the awarding agency in assuring compliance with Section 106 of the
National Historic Preservation Act of 1966, as amended (16 U.S.C. 470), EO
11593 (identification and protection of historic properties), and the Archaeological
and Historic Preservation Act of 1974 (16 U.S.C. 469a-1 et seq.).
Will comply with P.L. 93-348 regarding the protection of human subjects involved in
research, development, and related activities supported by this award of
assistance.
Will comply with the Laboratory Animal Welfare Act of 1966 (P.L. 89-544, as
amended, 7 U.S.C. 2131 et seq.) pertaining to the care, handling, and treatment of
warm blooded animals held for research, teaching, or other activities supported by
this award of assistance.
Will comply with the Lead-Based Paint Poisoning Prevention Act (42 U.S.C. 4801
et seq.) which prohibits the use of lead based paint in construction or rehabilitation
of residence structures.
Will cause to be performed the required financial and compliance audits in
accordance with the Single Audit Act of 1984.
Will comply with all applicable requirements of all other Federal laws, executive
orders, regulations and policies governing this program.

B. Additional Certifications
In addition to the assurances and certifications provided by the Applicant pursuant to
OMB Standard Form 424B, the Applicant hereby assures and certifies that:
1.
It is duly organized and validly existing under the laws of the jurisdiction in which it
was incorporated or otherwise established, and is (or within 30 days will be)
authorized to do business in any jurisdiction in which it proposes to undertake
activities specified in this Application;
2.

3.

4.

5.

6.

C.
1.
2.

Its Board of Directors (or similar governing body) has by proper resolution or
similar action authorized the filing of this Application, including all understandings
and assurances contained herein, and directed and authorized the person
identified as the authorized representative of the Applicant to act in connection with
this Application and to provide such additional information as may be required;
It will comply with all applicable requirements of the Community Development
Banking and Financial Institutions Act of 1994 (the Act) [12 U.S.C. 4701 et seq.],
regulations implementing the Act and all other applicable Department of the
Treasury regulations and implementing procedures (and any regulations or
procedures which are later promulgated to supplement or replace them);
It will comply, as applicable and appropriate, with the requirements of OMB
Circulars (e.g., A-110 and A-133) and any regulations and circulars which are later
promulgated to supplement or replace them, including standards for fund control
and accountability;
It has not knowingly and willfully made or used a document or writing containing
any false, fictitious or fraudulent statement or entry as part of this Application or
any related document, correspondence or communication. (The Applicant and its
authorized representative should be aware that, under 18 U.S.C. 1001, whoever
knowingly and willfully makes or uses such document or writing shall be fined or
imprisoned for not more than five years, or both); and
The information in this Application, and in these assurances and certifications in
support of the Application, is true and correct to the best of the Applicant’s
knowledge and belief and the filing of this Application has been duly authorized.
Certification Regarding Debarment, Suspension, and Other Responsibility
Matters -- Primary Covered Transactions: Instructions for Certification
By signing and submitting this Application, the prospective primary participant (the
Applicant) is providing the certification set out below.
The inability of a person to provide the certification required below will not
necessarily result in the denial of participation in this covered transaction. The
prospective Applicant shall submit an explanation of why it cannot provide the
certification set out below. The certification or explanation will be considered in
connection with the Fund’s determination whether to enter into this transaction
(approval and funding of the Application). However, failure of the Applicant to

FY 2007 CDFI Program Application

3.

4.
5.

6.

7.

8.

9.

10.

D.
1.

2.
E.
1.

furnish a certification or an explanation shall disqualify such person from
(i) the dangers of drug abuse in the workplace;
participation in this transaction.
(ii) the Applicant’s policy of maintaining a drug-free workplace;
This certification is a material representation of fact upon which reliance is placed
(iii) any available drug counseling, rehabilitation, and employee assistance
when the Fund determines to enter into this transaction. If it is later determined
program;
that the Applicant knowingly rendered an erroneous certification, in addition to
(iv) the penalties that may be imposed upon employees for drug abuse
other remedies available to the Federal Government, the Fund may terminate this
violations occurring in the workplace
transaction for cause or default.
(c) making it a requirement that each employee to be engaged in the
The Applicant shall provide immediate written notice to the Fund if at any time the
performance of the award be given a copy of the statement required by
Applicant learns that its certification was erroneous when submitted or has become
subparagraph (a);
erroneous by reason of changed circumstances.
(d) notifying the employee in the statement required by subparagraph (a) that,
The terms “covered transactions,” “debarred,” “suspended,” “ineligible,” “lower tier
as a condition of employment in such grant, the employee will:
covered transaction,” “participant,” “person,” “primary covered transaction,”
(i) abide by the terms of the statement; and
“principal,” “proposal”, and “voluntarily excluded,” as used in this clause
(ii) notify the employer of any criminal drug use statute conviction for a
(certification), have the meanings set out in the Definitions and Coverage sections
violation occurring in the workplace no later than five calendar days
of the rules implementing Executive Order 12549. You may contact the Fund for
after such conviction;
assistance in obtaining a copy of those regulations (31 CFR part 19).
(e) notifying the granting agency in writing, within ten calendar days after
The Applicant agrees by submitting this Application that, should the proposed
receiving notice of a conviction under subparagraph (d) (ii) from an
covered transaction be entered into, it shall not knowingly enter into any lower tier
employee or otherwise receiving actual notice of such conviction;
covered transaction with a person who is debarred, suspended, declared ineligible,
(f) taking one of the following actions, within 30 days of receiving notice under
or voluntarily excluded from participation in this covered transaction, unless
subparagraph (d)(ii), with respect to any employee who is so convicted:
authorized by the Fund.
(i) taking appropriate personnel action against such an employee, up to
The Applicant further agrees by submitting this Application that it will include the
and including termination, consistent with the requirements of the
clause titled “Certification Regarding Debarment, Suspension, Ineligibility and
Rehabilitation Act of 1973, as amended; or
Voluntary Exclusion-Lower Tier Covered Transaction,” to be provided by the Fund,
(ii) requiring such employee to participate satisfactorily in a drug abuse
without modification, in all lower tier covered transactions and in all solicitations for
assistance or rehabilitation program approved for such purposes by a
lower tier covered transactions (see 31 CFR part 19, Appendix B).
Federal, State, or local health, law enforcement, or other appropriate
A participant in a covered transaction may rely upon a certification of a prospective
agency; and
participant in a lower tier covered transaction that it is not debarred, suspended,
(g) making a good faith effort to continue to maintain a drug-free workplace
ineligible, or voluntarily excluded from the covered transaction, unless it knows that
through implementation of subparagraphs (a), (b), (c), (d), (e), and (f).
the certification is erroneous. A participant may decide the method and frequency
2.
The Applicant may insert in the space provided below the site(s) for the
by which it determines the eligibility of its principals. Each participant may, but is
performance of work (activities carried out by the Applicant) to be done in
not required to, check the Nonprocurement List.
connection with the award (Place of Performance (Street Address, City, County,
Nothing contained in the foregoing shall be construed to require establishment of a
State and zip Code)):
system of records in order to render in good faith the certification required by this
Not Applicable
clause. The knowledge and information of a participant is not required to exceed
that which is normally possessed by a prudent person in the ordinary course of
F. Certification Regarding Lobbying
business dealings.
1.
The Applicant certifies, to the best of its knowledge and belief, that:
Except for transactions authorized under paragraph 6 of these instructions, if a
(a) No Federal appropriated funds have been paid or will be paid, by or on
participant in a covered transaction knowingly enters into a lower tier covered
behalf of the Applicant, to any person for influencing or attempting to
transaction with a person who is suspended, debarred, ineligible, or voluntarily
influence an officer or employee of any agency, a Member of Congress, an
excluded from participation in this transaction, in addition to other remedies
officer or employee of Congress, or an employee of a Member of Congress
available to the Federal Government, the Fund may terminate this transaction for
in connection with the awarding of any Federal contract, the making of any
cause or default.
Federal grant, the making of any Federal loan, the entering into of any
Certification Regarding Debarment, Suspension, and Other Responsibility
cooperative agreement, and the extension, continuation, renewal,
Matters -- Primary Covered Transactions
amendment, or modification of any Federal contract, grant, loan, or
The prospective primary participant (the Applicant) certifies to the best of its
cooperative agreement;
knowledge and belief, that it and its principals:
(b) If any funds other than Federal appropriated funds have been paid or will be
(a) are not presently debarred, suspended, proposed for debarment, declared
paid to any person for influencing or attempting to influence an officer or
ineligible, or voluntarily excluded from covered transactions by any Federal
employee of any agency, a Member of Congress, an officer or employee of
department or agency;
Congress, or an employee of a Member of Congress in connection with this
(b) have not within a three-year period preceding this Application been
Application, the undersigned shall complete and submit Standard Form LLL,
convicted of or had a civil judgment rendered against them for commission of
“Disclosure Form to Report Lobbying, “ in accordance with its instructions;
fraud or a criminal offense in connection with obtaining, attempting to obtain,
and
or performing a public (Federal, State or local) transaction or contract under
(c) The Applicant shall require that the language of this certification be included
a public transaction; violation of Federal or State antitrust statutes or
in the award documents for all subawards of all tiers (including subcontracts,
commission of embezzlement, theft, forgery, bribery, falsification or
subgrants, and contracts under grants, loans, and cooperative agreements)
destruction of records, making false statements, or receiving stolen property;
and that all subrecipients shall certify and disclose accordingly.
(c) are not presently indicted for or otherwise criminally or civilly charged by a
2. This certification is a material representation of fact upon which reliance is placed
governmental entity (Federal, State or local) with commission of any of the
when this transaction is made or entered into. Submission of this certification is a
offenses enumerated in paragraph (1)(b) of this certification; and
prerequisite for making or entering into this transaction imposed by section 1352,
(d) Have not within a three-year period preceding this Application had one or
title 31, U.S. Code. Any person who fails to file the required certification shall be
more public transactions (Federal, State or local) terminated for cause or
subject to a civil penalty of not less than $10,000 and not more than $100,000 for
default.
each such failure.
Where the Applicant is unable to certify to any of the statements in this certification,
such Applicant shall attach an explanation to this proposal.
Certification Regarding Drug-Free Workplace Requirements
The Applicant certifies that it will provide a drug-free workplace by:

(a) publishing a statement notifying employees that the unlawful manufacture,

(b)

distribution, dispensing, possession, or use of a controlled substance is
prohibited in the Applicant’s workplace and specifying the actions that will be
taken against employee for violations of such prohibition;
establishing a drug-free awareness program to inform employees about:

CDFI Fund, Form CDFI-0020

- 16 -

FY 2007 CDFI Program Application

501(C)(4) QUESTIONNAIRE
This questionnaire is necessary for the Fund to determine whether an Applicant with a 501(c)(4) designation from the IRS is eligible
to receive an award from the Fund (see 12 C.F.R. § 1805.200(a)(3)). Please read all definitions before responding to the questions
and continue to refer to such definitions in responding to this questionnaire. If the answer to any question is yes, please describe in
detail the facts and circumstances, subject matter, date(s), names and titles of all individuals and their employers and their
organizations on a separate sheet(s) of paper. The Fund reserves the right to seek follow-up responses from an Applicant. Failure
to complete this questionnaire and, if applicable, respond timely to follow-up questions, will delay the Fund’s processing of the
Application, and may result in the disqualification of the Application from further consideration. After submitting responses to this
questionnaire, the Applicant is under a continuing obligation to: (1) supplement its responses upon a change in circumstances; and
(2) revise or modify its responses within 10 business days of having actual or constructive knowledge that the responses previously
submitted and certified are no longer complete, accurate, or true. You may call the Fund’s Office of Legal Counsel at (202) 6228662 if you have any questions about this form.

Scope: The scope of this questionnaire is limited to activities on or after January 1, 1996.
Questions
1. Has any officer, employee, director, partner, proprietor, or board member contacted1 a Covered Executive Branch Official2 with
regard to the formulation, modification, or adoption of Federal legislation (including legislative proposals)

Yes
No

2.

Has any officer, employee, director, partner, proprietor, or board member contacted a Covered Executive Branch Official with
regard to the formulation, modification, or adoption of a Federal rule, regulation, Executive Order, or any other program, policy, or
position of the United States Government?

Yes
No

3.

Has any officer, employee, director, partner, proprietor, or Board member contacted a Covered Executive Branch Official with
regard to the administration or execution of a Federal program or policy (including the negotiation, award, or administration or a
Federal contract, grant, loan, permit, or license)?

Yes
No

4.

Has any officer, employee, director, partner, proprietor, or Board member contacted a Covered Executive Branch Official with
regard to the nomination or confirmation of a person for a position subject to confirmation by the United States Senate?

Yes
No

5.

Has any officer, employee, director, partner, proprietor, or Board member engaged in efforts supporting and coordinating the
contact by others of a Covered Executive Branch Official including preparation and planning activities, research and other
background work that was intended, at the time performed, for a purpose described in Questions 1-4?

Yes
No

6.

Has any officer, employee, director, partner, proprietor, or Board member contacted a Covered Executive Branch Official with
regard to the formulation, modification, or adoption of Federal legislation (including legislative proposals)?

Yes
No

7.

Has any officer, employee, director, partner, proprietor, or Board member contacted a Covered Executive Branch Official with
regard to the formulation, modification, or adoption of a Federal rule, regulation, Executive Order, or any other program, policy, or
position of the United States Government?

Yes
No

8.

Has any officer employee, director, partner, proprietor, or Board member contacted a Covered Executive Branch Official with
regard to the administration or execution of a Federal program or policy (including the negotiation, award, or administration of a
Federal contract, grant, loan, permit, or license)?

Yes
No

9.

Has any officer, employee, director, partner, proprietor, or Board member contacted a Covered Executive Branch Official with
regard to the nomination or confirmation of a person for a position subject to confirmation by the United States Senate?

Yes
No

10. Has any officer, employee, director, partner, proprietor, or Board member engaged in efforts supporting and coordinating the

Yes
No

contact by others of a Covered Legislative Branch Official3 including preparation and planning activities, research and other
background work that was intended, at the time performed, for a purpose described in Questions 6-9?

Signature
Signing the certification on SF 424 certifies that the answers to the 501(c)(4) Questionnaire and the written explanations attached
thereto are true, accurate, and complete to the best of its information, knowledge, and belief and that, since January 1, 1996, the
Applicant has not engaged in Lobbying Activities as defined in Section 3 (7) of the Lobbying Disclosure Act of 1995, P.L. 104-65, as
amended.

“Contacted” means any oral or written communication including an electronic communication.
executive branch official” means: (a) the President; (b) the Vice President; (c) any officer or employee, or any other individual functioning in the capacity of such an officer or employee, in the
Executive Office of the President; (d) any officer or employee serving in an Executive Level I-V position, a “Schedule C” position, or any official in a Senior Executive Service position; (e) any member of the
uniformed services serving at grade 0-7 or above; or (f) any officer or employee serving in a position of a confidential, policy-determining, policy-making, or policy-advocating character.
3 “Covered legislative branch official” means: (a) a member of Congress; (b) an elected officer of either House of Congress; and (c) any employee of the House or Senate, including employees of Members,
committees, leadership and working groups or caucuses organized to provide legislative services or other assistance to Members of Congress.
1

2 “Covered

CDFI Fund, Form CDFI-0020

- 17 -

FY 2006 CDFI Program Application

SECTION II:
EMERGING CDFI ELIGIBILITY
QUESTIONNAIRE
WHO MUST COMPLETE THIS SECTION?
•

An Applicant requesting TA Only that has not been certified as a CDFI by the Fund.
− An Emerging CDFI seeking TA Only must complete and submit the Emerging CDFI Eligibility
Questionnaire.
− A Certifiable CDFI seeking TA Only may either submit the Emerging CDFI Eligibility
Questionnaire or a CDFI Certification Application.

THINGS TO NOTE:
•

To be considered for FA, an Applicant must:
− Be certified by the Fund as a CDFI, or
− Have a CDFI Certification Application pending with the Fund – such application having been
submitted to the Fund on or before October 11, 2006.
~ The CDFI Certification Application is available on the Certification page of the Fund’s website at
www.cdfifund.gov.

•

A Certified CDFI or one with a pending CDFI Certification Application must submit a Certification of
Material Event Form by October 11, 2006. The Certification of Material Event form is available on
the Certification page of the Fund’s website at www.cdfifund.gov.

•

Applicants that are not certified by the Fund as a CDFI and are seeking FA in conjunction with TA:
if the Fund reviews the CDFI Certification Application and finds that the Applicant cannot be
certified, but that it demonstrates a reasonable plan to become certified within two years of
receiving a TA grant, the Applicant will be considered ineligible for FA, but eligible for TA.

INSTRUCTIONS
The Applicant will use the MS Word template provided in the application documents available from
Grants.gov to address each certification requirement. The narrative responses must demonstrate that
the Applicant currently meets or has a viable plan to meet (including any requested TA) each
certification requirement by December 31, 2009. The Fund will assess the reasonableness of the plan
to become certified – taking into account any requested TA. For example, if the Applicant does not
meet the Financing Entity requirement because it has yet to start lending, it might describe using TA
to hire a consultant to develop underwriting policies and procedures to support its ability to start
lending.
The Fund will not provide an opportunity for an Applicant to submit information not included in the
questionnaire. The Fund will not consider attachments other than the Governing Board list requested
in the Accountability section. Do not submit copies of annual reports, articles of incorporation, or
other documents to support this eligibility section, as they will not be reviewed.

CDFI Fund, Form CDFI-0020

- 18 -

FY 2006 CDFI Program Application

CDFI Certification Requirements
To be certified as a CDFI, an organization must be a legal entity, and must meet the following
certification requirements, as detailed in the CDFI Program Regulations:
1. The organization has a Primary Mission of promoting community development;
2. The organization is a Financing Entity;
3. The organization principally serves one or more Target Market;
4. The organization provides Development Services in conjunction with its financing activities;
5. The organization maintains Accountability to its defined Target Market; and
6. The organization is a Non-Governmental Entity, and is not controlled by one or more governmental
entities.
To complete this section of the application, the Applicant will use the MS Word template to write a
narrative that addresses each certification requirement.
The following pages contain guidance on the contents of the narratives according to whether the
Applicant meets the requirement (“Meet the --- Requirement”) or not (“Does Not Meet the --Requirement”). Each narrative must demonstrate that the Applicant either currently meets or has a
reasonable plan to meet (including any requested TA) each certification requirement by December 31,
2009. The Fund will assess the reasonableness of the plan to become certified – taking into account
any requested TA. The CDFI Certification Eligibility narrative(s) must be entirely self-supporting. In
determining whether the narrative(s) demonstrate a reasonable plan to be certified by December 31,
2009, the Fund reviewers will not:
− Consider materials or information contained in other sections of this application such as the
Comprehensive Business Plan or Application Charts;
− Provide an opportunity for an Applicant to subsequently submit information;
− Contact an Applicant for clarification of its responses; or
− Consider attachments (e.g., copies of annual reports, articles of incorporation) other than the
Governing Board list requested in the Accountability section.
For details on the requirements to become a CDFI refer to the CDFI Program Regulation and CDFI
Certification Application available from the Fund’s website.
CDFI Certification Eligibility Checklist: An Applicant may use the checklist below to identify
which certification requirements it currently meets. If the Applicant cannot answer affirmatively in
either column, then it is not considered eligible and should not proceed with the Application.

CDFI Certification Eligibility Checklist

Currently
Meets

Will Meet by
12/31/09

Primary Mission:

The Applicant’s activities are purposefully directed toward improving the social or economic conditions
of underserved people or residents of distressed communities.

Financing Entity:

The Applicant’s predominant business activity is the provision, in arms-length transactions, of Financial
Products, and/or other similar financing.

Target Market:

The Applicant has identified and serves an eligible Target Market. At least 60% of the Applicant’s
activities are provided to its designated Target Market(s).

Development Services:

The Applicant provides Development Services (e.g., training to customers) in conjunction with its
Financial Products.
CDFI Fund, Form CDFI-0020

- 19 -

FY 2007 CDFI Program Application

Accountability:

The Applicant maintains accountability to its Target Market through representation on its Governing
Board or otherwise.

Non-Government Entity:

The Applicant is not an agency or instrumentality of the United States, or any State or political
subdivision thereof. The Applicant demonstrates that it is not Controlled by any governmental entity.

Special Requirement for IDIs, DIHCs, and Affiliates: Insured Depository Institutions (IDIs),
Depository Institution Holding Companies (DIHCs), and Subsidiaries or Affiliates of IDIs or DIHCs
must demonstrate that they individually and collectively with any Affiliates and Subsidiaries meet each
of the six certification requirements.

Pr i m a r y M i s s i o n R e q ui r e m e nt
A CDFI must have a primary mission of promoting community development. The Fund will consider
whether the activities of the Applicant are purposefully directed toward improving the social and/or
economic conditions of underserved people and/or residents of economically distressed communities.
Generally, the Fund will consider an entity to meet the Primary Mission requirement if its mission or
purpose specifically reference “distressed communities,” “low-income” individuals, “underserved”
individuals, or similar statement that clearly indicates that the organization primarily serves
distressed or underserved communities and/or populations.
Does Not Meet the Primary Mission Requirement
If the Applicant’s organizational documents do not reference a primary mission of community
development, provide a narrative describing the Applicant’s plan (including any requested TA) and
timeframe for meeting this requirement. Make sure that the timeline addresses whether the
Governing Board or other body must approve any changes or amendments to an entity’s organizing
documents.
Meets the Primary Mission Requirement
Provide a narrative summarizing the Applicant’s primary purpose or mission as stated in its signed,
Governing Board-approved incorporating documents, bylaws, annual reports, or other organizational
documents. Identify the exact document(s) and date of filing, if applicable, of the document(s) cited.
Example: ABC Loan Fund’s Articles of Incorporation were filed with the State of Delaware on 9/2/98.
The articles include a “Purpose” section that states “The Corporation’s purpose is to provide micro loans
to low-income residents of Delaware.” That same mission is included on our marketing materials and
most recent annual report.

Special Provision for Credit Unions. The Fund will consider a credit union that has been
designated by the National Credit Union Administration to be a Low-Income Credit Union to meet the
Primary Mission requirement.

CDFI Fund, Form CDFI-0020

- 20 -

FY 2007 CDFI Program Application

Fi na nc i ng E nt i t y R e q ui r e m e nt
A CDFI’s predominant business activity must be the provision, in Arms-Length Transactions, of
Financial Products and/or other similar financing. Due to their status as regulated financial
institutions, IDIs, DIHCs and Insured Credit Unions will automatically be determined to meet the
Financing Entity requirement. Non-Regulated Applicants must demonstrate four things to meet the
Financing Entity requirement:
•
•
•
•

The Applicant uses its own funds to provide Financial Products to non-Affiliates;
The majority or plurality of its assets are dedicated to providing Financial Products and/or other
similar financing;
The majority or plurality of its staff time is dedicated to providing Financial Products, Development
Services, and/or other similar financing; and
The Applicant maintains sufficient capital to support its financing activities for at least three
months.

Does Not Meet the Financing Entity Requirement
Provide a narrative explaining the Applicant’s plan (including any requested TA) to meet each
requirement by December 31, 2009. Describe the specific requirement(s) the Applicant currently does
not meet, specific actions to be taken, and a projected time line for completion.
Example: Our 2005 Financial Statements demonstrate that less than 50% of assets are dedicated to
financing activities. We plan to raise $500,000 in loan capital by January 2007. This new infusion of
cash would increase our total eligible assets to meet the 50% rule. In addition, our staff resources are
currently predominantly dedicated to our real estate activities, not our financing activities. We expect to
transfer the real estate assets and activities to our subsidiary within the next six months. We would
then have 100% of staff time dedicated to providing Financial Products and Development Services.

Meets the Financing Entity Requirement
IDIs, DIHCs, and ICUs must identify themselves as such. Other Applicants must provide brief
statements addressing the four areas below:
1. Providing Financing to Non-Affiliated Parties. Briefly describe the Financial Products the Applicant
provides and the users of such products. The intent of this section is to determine that the
Applicant’s transactions are Arms-Length, not to evaluate the affordability of the Financial
Products, so details about the financing terms are not needed here.
Example: Ace CDC provides microenterprise loans to individual entrepreneurs who have no affiliation
with the Applicant.

2. Assets Dedicated to Financing Activity. Based on the Applicant’s most recent Financial
Statements, state the percentage of Total Assets that Financial Products (or other similar
financing) represent and the percentage dedicated to the provision of Development Services? For
example:

CDFI Fund, Form CDFI-0020

- 21 -

FY 2007 CDFI Program Application

Balance Sheet
Line Item

Total
Amount

Eligible
Amount

Eligible
%

Cash & Cash
equivalents

$80,000

$20,000

25%

Total cash ($80,000) less three months operating reserves ($60,000) can be used
for lending.

Loans Outstanding

$500,000

$350,000

70%

$500,000 consists of loans to small businesses ($350,000 / 70%) and loans to
subsidiaries ($150,000 / 30%), which are not eligible.

Total Eligible Assets

$580,000

$370,000

64%

Eligible assets equal 64% ($370,000) of total assets ($580,000) appearing on our
FY2005 balance sheet.

Explanation

3. Staff Dedicated to CDFI Financing Activity. List staff and describe their responsibilities related to
providing Financial Products (and other financing) and Development Services. If the Applicant
does not have its own staff or relies on consultants to supplement its staff resources, list these
individuals in the table, identify them as non-staff, and explain their relationship (e.g., Affiliate
staff or consultant). Include the percentage of staff time devoted to providing financing activities
for the Applicant. For example:
Name and Title

CDFI Activity

Job Description and Time Commitment

John Daniels, Executive
Director

Financing and DS

Spends 50% of staff time on non-financing activity and 50% on financing activity
including oversight, management and fundraising.

John Doe, Loan Manager Financing

Spends 100% of time on financing including Financial Product development and
marketing, supervising loan officers, and underwriting and closing loans.

Jane Smith, Business
Development Manager

DS

Spends 50% of staff time on non-financing activity and 50% on DS as follows:
financial counseling to clients and teaching small business workshops.

Loan officers: Ann Lee,

Financing

Three staff spend 100% of time on financing activity marketing loan products,
underwriting and closing loans.

N/A

Spends 100% of his staff time on the organization’s non-financing activity: real
estate development.

John Taylor,
Susan Jones
Andrew Johnson, Real
Estate Analyst

Of the 7 full-time staff listed above, five full-time equivalents or 71% are dedicated to the Applicant’s financing entity related activity.

4. Sufficient Capital. To demonstrate that the Applicant maintains adequate funds to support its
financing activities for at least three months (one quarter):
a. State the average three-month number and dollar amount of financing transactions
provided by the Applicant based on its most recent fiscal year (e.g., annual activity ÷ 4
months).
b. State the amount of liquid assets available for financing activities based on the
Applicant’s most recent Financial Statement. Liquid assets include cash and cash
equivalents appearing on the balance sheet or amounts available to draw from a line of
credit. For example:
The following entries from our balance sheet make up our liquid assets:
Cash and cash equivalents:

$20,000

Money Market Accounts:

$60,000

Total Liquid Assets:

$70,000

In FY2005 our loan closings averaged $50,000 per quarter and our operating expenses averaged $40,000 per quarter.
Based on these FY2005 figures, we needed $90,000 in liquid funds to cover both financing and operating expenses for
the first three months of FY2006. While the balance sheet assets were $20,000 short of our needs, we do have ready
access to additional funds. In November 2005 we partnered with ABC Bank to establish an $800,000 line of credit. This
line of credit is restricted to CDFI eligible financing activity.

CDFI Fund, Form CDFI-0020

- 22 -

FY 2007 CDFI Program Application

Target Market Requirement
A CDFI must principally serve an eligible Target Market. The Target Market must meet the Fund’s
eligibility criteria and the Applicant must demonstrate that it directs at least 60% of its activities to
that Target Market. An eligible Target Market may consist of a combination of one or more eligible
Investment Areas, Low-Income Targeted Populations, or Other Targeted Populations.
Does Not Meet the Target Market Requirement
Provide a narrative explaining the strategy (including any requested TA) for meeting the Target Market
requirement within the required timeframe. Also, identify each Target Market the Applicant plans to
designate and describe the Applicant’s strategy for directing at least 60% of its activities to the
qualifying Target Market within the required timeframe. Include a timeline and specific action items.
Meets the Target Market Requirement
For each designated Target Market address the following:
•

Investment Areas: Use the Fund’s online mapping system (CIMS) to identify eligible Investment
Areas. Provide a narrative description of the identified Investment Areas. Please save these
Investment Areas to the Applicant’s myCDFIFund account as the Fund may ask to verify this
information.
Example: ABC Loan Fund serves a Target Market made up of 55 Investment Areas in New York City.

•

Low-Income Targeted Population (LITP): Identify geographic service area from which the LITP is
drawn (i.e., city, county, or state).
Example: ABC Loan Fund’s Target Market consists of an LITP in Johnson County, Georgia.

•

Other Targeted Population (OTP): Identify each designated OTP and geographic service area from
which the OTP is drawn (i.e., city, county, or state). Describe how the designated OTP lacks
access to credit or capital in the designated geographic service area because of reasons unrelated
to their investment or credit-worthiness. Applicants may reference recent (within five years)
studies, surveys, etc. conducted by non-affiliated entities as long as the study, survey, etc. was
performed for the designated OTP in the designated service area.
Example: ABC Loan Fund is serving a Target Market consisting of women living in Ohio. A June 2004
study by the Ohio Women’s Business Center described how only 20% of female loan Applicants with
qualifying credit scores were approved for business loans at traditional lending institutions while 50% of
their male counterparts, with the same or similar credit scores, were approved for business loans.
The “lacks access to credit” description is not required for the following OTPs: African-Americans (Blacks),
Alaska Natives residing in Alaska, Hispanics (Latinos), Native Americans, Native Hawaiians residing in
Hawaii, Other Pacific Islanders residing in the Pacific Islands.

•

Using the Applicant’s most recently completed fiscal year of the activity, identify the percentage of
the Financial Products and Development Services provided to each component of the identified
Target.
Example: ABC Loan Fund made 100 loans in FY2004, 70 of those were to women borrowers, and
therefore 70% of our activity was provided to our Target Market.

CDFI Fund, Form CDFI-0020

- 23 -

FY 2007 CDFI Program Application

D e v e l o p m e nt S e r v i c e s R e q ui r e m e nt
The Applicant must provide Development Services in conjunction with its Financial Products.
Development Services are training or technical assistance that help to prepare borrowers/investees for a
CDFI’s Financial Products, and may include: individual credit counseling; homebuyer education classes;
business mentoring services; or construction financing advisory services. Development Services may be
provided by the CDFI directly, through an Affiliate, or through a contract with another provider.
Does Not Meet the Development Services Requirement
If the Applicant does not currently meet the requirements for this section, provide a narrative
explaining the strategy (including any requested TA) for meeting the Development Services
requirement within the required time. Include a timeline and specific action items.
Meets the Development Services Requirement
Describe the Development Services that the Applicant provides. Explain the relationship between the
Development Services and the Financial Products the Applicant provides (e.g., are borrowers required
to receive Development Services prior to receiving the Applicant’s loans?).
Example: ABC Loan Fund’s monthly class called “How to Get a Loan for Your Small Business” educates
participants about the underwriting process used by banks and the process used by ABC Loan Fund.
Attendees who submit a loan application receive one hour of one-on-one financial and credit counseling
ending in a written plan for meeting the ABC Loan Fund financial soundness criteria.

A c c o unt a b i l i t y R e q ui r e m e nt
An Applicant must be accountable to its Target Market. An Applicant can demonstrate accountability
through membership composition of its Governing Board or through other methods, such as advisory
boards, focus groups, and community meetings. If the Applicant’s designated Target Market consists
of multiple segments (i.e., Investment Areas, LITP, and OTP), it must demonstrate that it maintains
accountability to each segment. For example, if an Applicant designated as its Target Market an
Investment Area consisting of a county in New York and an OTP of Hispanics drawn from the entire
state, the Applicant must demonstrate accountability to both the Investment Area and an OTP of
Hispanics. An individual board member may represent more than one segment of a Target Market.
Does Not Meet the Accountability Requirement
If the Applicant does not currently meet the requirements for this section, provide a narrative
explaining the strategy (including any requested TA) for meeting the Accountability requirement within
the required time. Include a timeline and specific action items.
Meets the Accountability Requirement
•

Governing or Advisory Board. State whether accountability is met through a Governing or an
advisory board. List the members who represent the Target Market. For each member:
− Identify the Target Market he/she represents, and
− Explain how he/she meets either or both of the following: (a) he/she is a member of the
Target Market (e.g., resident of the Investment Area, or a member of the LITP or OTP); or (b)
he/she is a staff or board member of an organization serving the Target Market.
~ Example: ABC Loan Fund’s Governing Board has six members, two of whom are Low-Income

residents of the LITP service area. Another director is the President of Jobs for Georgia, a nonprofit
that trains Low-Income workers for entry-level jobs. Jobs for Georgia serves residents of the LITP
service area.

CDFI Fund, Form CDFI-0020

- 24 -

FY 2007 CDFI Program Application

•

Other Method of Accountability. Identify what method(s) the Applicant uses to maintain
accountability (e.g., focus groups, community group meetings, customer survey, etc.) and explain
how this method provides for representation from the designated Target Market. Also explain the
frequency with which the Applicant collects information through this method(s) and how such
information is used by the Governing Board to affect the Financial Products, Financial Services,
Development Services, and other activities of the Applicant.
Example: ABC Loan Fund is a member of the Neighborhood Advisory Council for each community
identified in our Target Market. Through these councils we attend meetings with our LITP community
members no less than quarterly. After each meeting, management makes a presentation and makes
recommendations to the board based on the input of residents represented at the Neighborhood
Advisory Council meetings.

N o n- G o v e r nm e nt E nt i t y R e q ui r e m e nt
A CDFI cannot be or be Controlled by any governmental entity (i.e., an agency or instrumentality of the
United States, or any State or political subdivision thereof). A Tribal government is not considered an
agency or instrumentality of the United States or any State or any political subdivision thereof. Thus, an
entity that is operated or controlled by a Tribal government may meet this requirement.
Does Not Meet the Non-Government Entity Requirement
If the Applicant does not currently meet the requirements for this section, provide a narrative
explaining the strategy (including any requested TA) for meeting the Non-Government Entity
requirement within the required time. Include a timeline and specific action items.
Meets the Non-Government Entity Requirement
Provide an explanation if any of the situations listed below exist for the Applicant. Provide an
explanation for each applicable situation.
Example: Our bylaws require that one of the 12 seats on our Governing Board be filled by a
representative from the county office of economic development, and that the remaining board seats are
filled by four neighborhood residents and seven community organizations. Therefore the decisionmaking for the organization is not concentrated with any government entity or representative.

Do one or more government entities or officials control the election or appointment of a majority
of the members of the Governing Board of the Applicant?
Do the articles of incorporation or bylaws of the Applicant require that a certain number of the
Applicant's Governing Board members be government employees or elected or appointed
government officials?
Do one or more government entities select or have veto power over the selection of the executive
director, chief executive officer, or comparable official of the Applicant?
Do one or more government entities control or have veto power over the financing decisions of
the Applicant?
Is the majority of the Applicant's Governing Board members elected or appointed government
officials?
Does any government entity provide more than 50% of the Applicant's operating budget or
financing capital?
If the Applicant organization is controlled by another entity, is that entity controlled by one or
more government entities?

CDFI Fund, Form CDFI-0020

- 25 -

FY 2007 CDFI Program Application

SECTION III:
COMPREHENSIVE BUSINESS PLAN
WHO MUST COMPLETE THIS SECTION?
•

All Applicants

IS THERE ANYTHING IN THIS SECTION THAT WILL CAUSE MY APPLICATION TO BE
REJECTED IF I MISS IT?
•

The Applicant will use the specified MS Word template provided in the application documents
available from Grants.gov to respond to the CBP questions. An Applicant will be able to submit the
CBP document even if there are no responses to the questions or the responses are incomplete.
However, the lack of information will prevent reviewers from completing their evaluation. Therefore,
if the Fund determines that there is insufficient information in the CBP section to evaluate the
Application, it will not forward it for review. No Applicant will be provided an opportunity to provide
supplemental information for the CBP.

THINGS TO NOTE:
•

Be sure to pay close attention to the Tips as well as the questions.

•

The charts are all in a single MS Excel workbook. An electronic version of this Excel file is included
in the application documents available from Grants.gov.

•

The completed Excel Workbook and completed MS Word CBP template will be submitted
electronically through Grants.gov.

GENERAL GUIDANCE
The CBP includes an Executive Summary, TA Proposal (if applicable), and five key sections, each of
which includes several subcomponents. The maximum points available for each section are as
follows:
Comprehensive Business Plan (CBP) Sections
Market Analysis
Business Strategy
Community Development Performance and Effective Use
Management
Financial Health and Viability
Technical Assistance Proposal

TA-only
Applicants
25 points
25 points
20 points
20 points
10 points
Not Scored

Category
I/SECA
25 points
25 points
20 points
20 points
10 points
Not Scored

Category
II/Core
20 points
20 points
20 points
20 points
20 points
Not Scored

Charts and Attachments
The charts and attachments required to complement and supplement the CBP narrative are detailed
within each section of the CBP. Make sure the charts and all attachments are submitted appropriately.

CDFI Fund, Form CDFI-0020

- 26 -

FY 2007 CDFI Program Application

MATCHING FUNDS (FA APPLICANTS ONLY)
Matching Funds are required for all FA awards. In accordance with the NOFA, the Fund will not
consider for FA funding any Applicant that has no Matching Funds in-hand or committed as of the
Application deadline. Matching Funds are not required for TA grants.
•

Matching Funds Window: Matching Funds In-Hand (received), or Firmly Committed, on or after
January 1, 2005, and on or before March 14, 2008, will be considered when determining Matching
Funds eligibility.

•

Applicants that do not obtain the projected Matching Funds: The Fund reserves the right
to: (1) rescind all or a portion of a FA award and re-allocate the rescinded award amount to other
qualified Applicant(s) if an Applicant fails to obtain the required Matching Funds In-Hand by March
14, 2008 (with documentation of such receipt to be received by the CDFI Fund not later than
March 31, 2008); or (2) to grant an extension of such Matching Funds deadline, if the Fund deems
it appropriate.

•

Comparable Form: Matching Funds must be at least comparable in form and value to the FA
award provided by the Fund. For example, if an Applicant seeks a FA grant from the Fund, the
Applicant must obtain Matching Funds through grants from non-Federal sources that are at least
equal to the amount requested from the Fund. For loans or Deposits, the terms will be matched
by the Fund to the extent possible and in the sole discretion of the Fund. Thus, if a 10-year loan
at 2% interest, with interest only payments is requested from the Fund, the Applicant must match
the request with a loan with the same terms. If several loans with different terms and rates are
used as Matching Funds for a loan, the Fund will calculate a blended term and rate of the loan
portion of the Fund’s FA award.

•

Non-Federal Source: Matching Funds must come from sources other than the Federal
government and, regardless of the source, consist of non-Federal funds. Community Development
Block Grant Program and other funds provided pursuant to the Housing and Community
Development Act of 1974, as amended, are considered Federal government funds and cannot be
used as Matching Funds.

•

Previously Used Matching Funds: Funds used by an Applicant as Matching Funds for a prior
award under the CDFI Program or under another Federal grant or award program cannot be used
to satisfy the Matching Funds requirement for this FA request. If an Applicant seeks to use as
Matching Funds, monies received from an organization that was a prior Awardee under the CDFI
Program, the Fund will deem such funds to be Federal funds, unless the funding entity establishes,
to the reasonable satisfaction of the Fund, that such funds do not consist, in whole or in part, of
CDFI Program funds or other Federal funds. An Applicant using Matching Funds from an Affiliate
entity must be able to demonstrate that the Affiliate entity received the same amount from an
eligible, non-Affiliate source within the eligible Matching Funds window, described above.

Matching Funds Data Chart
The Matching Funds Data Chart captures information, as of the submission date of the Application, on
Matching Funds In-Hand, Firmly Committed, and To Be Raised. The Matching Funds Data Chart is
Chart A in the Application Charts Excel Workbook. Before completing the chart, it is highly
recommended that the Applicant:
− Carefully read the chart instructions below and the Sample Completed Chart.
− Read the Matching Funds guidance available on the Fund’s website at www.cdfifund.gov.
− Gather all documentation so that dates, amounts, and other data are readily available.

CDFI Fund, Form CDFI-0020

- 27 -

FY 2007 CDFI Program Application

All FA Applicants must complete the chart. Only a Category I/SECA Applicant may identify Matching
Funds To Be Raised. A Category II/Core Applicant must have all funds In Hand or Committed.

Required Documentation
Matching Funds In-Hand: For each Matching Funds In-Hand transaction provide a copy of
executed documentation evidencing (i) the form of Matching Funds and (ii) that the Matching
Funds were disbursed. Acceptable documentation of the form of Matching Funds is as follows:
Grant: grant transmittal letters; grant agreements; a letter from the match source indicating
the grant amount and the purpose of the grant. Signed copy required.
Loan: promissory notes, loan agreements. Signed copy required.
Equity Investment: stock certificates, subscription agreements and private placement
memoranda. Signed copy required.
Deposit/Shares: certificates of deposit or share certificates.
Secondary Capital: secondary capital agreement and the Disclosure and Acknowledgement
Statement. Signed copy required.
Retained Earnings: see special section below describing using Retained Earnings as match.
Acceptable evidence that the Matching Funds were disbursed to the Applicant includes: (1) a copy
of the check; (2) a copy of wire transfer transaction; or (3) other disbursement document deemed
acceptable by the Fund.
Matching Funds Firmly Committed: For each source of Matching Funds Firmly Committed,
provide written documentation evidencing that the Applicant has entered into or received a legally
binding commitment from the Matching Funds source that the Matching Funds have been
committed, and are to be disbursed to the Applicant (such as a loan agreement, promissory note,
or grant agreement). Matching Funds Firmly Committed documents must be in writing, signed
and dated by the funder, indicate that the Matching Funds are for the Applicant, correspond in
form to the FA requested (i.e., grant for grant, loan for loan), and provide a date by which the
Matching Funds will be disbursed to the Applicant. Commitments may be contingent upon receipt
of a Fund FA award, and other contingencies deemed reasonable by the Fund, in its sole
discretion.
To Be Raised (Category 1/SECA Applicants): Submit letters of interest from potential funders
or documentation demonstrating the likelihood of raising Matching Funds by March 14, 2008.
Small Contributions: If an Applicant has identified more than five small contributions (under
$1,000) as Matching Funds, create a list with the name and amount of each donor/contributor. In the
Matching Funds Summary Chart, record the total sum of these small contributions as a single entry.
Select “Small Contributions” in the “Source of Matching Funds” column. Submit the list and copies of
disbursement documents (checks, cover letters and pledge forms). At a minimum, the Fund needs a
copy of the check from each individual to find the funds eligible.

TIP

If the Applicant has a large number of Matching Funds documents, please separate
the documentation for each source with either tabs or colored paper, and number each page.

Using Retained Earnings To Satisfy Matching Funds Requirement
An Applicant may use its Retained Earnings to match a request for a grant from the Fund. An
Applicant that proposes to meet all or a portion of its Matching Funds requirements by committing
CDFI Fund, Form CDFI-0020

- 28 -

FY 2007 CDFI Program Application

available earnings retained from its operations shall be subject to the restrictions described in this
section. Retained Earnings shall be calculated as directed by the Fund in the NOFA, Application,
and/or related guidance materials. Retained Earnings accumulated after the end of the Applicant’s
most recent fiscal year ending prior to the appropriate Application deadline may not be used as
Matching Funds.
If using Retained Earnings as Matching Funds, the Applicant must complete the Retained Earnings
Chart appropriate for its organization type. The Matching Funds Retained Earnings Calculators are
labeled as worksheets B1, B2, and B3 in the Excel Charts Workbook.
Eligible Retained Earnings for All Applicants Other Than ICUs. For an Applicant other than an
Insured Credit Union (ICU), Retained Earnings that may be used for Matching Funds purposes shall
consist of:
− The increase in Retained Earnings (meaning, operating income minus operating expenses less
any dividend payments) that has occurred over the Applicant’s most recent fiscal year (e.g.,
Retained Earnings at the end of FY 2003 less Retained Earnings at the end of FY 2002); or
− The annual average of such increases that occurred over the Applicant’s three most recent
fiscal years.
Chart for a For-Profit Applicant: Complete Chart B1 or B3, as appropriate, using the Applicant’s
unconsolidated audited Financial Statements.
Chart for a Non-Profit Applicant (other than an ICU): Complete Chart B1 using the Applicant’s
Financial Statements.
Eligible Retained Earnings for ICU Applicants. In the case of an Applicant that is an ICU
(including a State-Insured Credit Union), Retained Earnings that may be used for Matching Funds
purposes shall consist of:
− Option 1: The increase in Retained Earnings that has occurred over the Applicant’s most
recent fiscal year;
− Option 2: The annual average of such increases that has occurred over the Applicant’s three
most recent fiscal years; or
− Option 3: The entire Retained Earnings that have been accumulated since the inception of the
Applicant, provided that the Applicant increases its Member and/or Non-Member Shares or
total loans outstanding by an amount that is equal to the amount of Retained Earnings that is
committed as Matching Funds by the end of the Awardee’s second performance period, as set
forth in its Assistance Agreement.
Chart for an ICU Applicant: Complete Chart B2 using the Applicant’s NCUA 5300 Call Report.
If using Option 3, complete the chart, including the narrative explaining the Applicant’s methodology
for increasing its total shares or loans. The Fund will verify the amounts entered in the data portion
of the chart using the Applicant's NCUA 5300 Call Report. If the Applicant is chosen to receive an
award, the Fund will confirm the projected increase in Total Member And/Or Non-Member Shares or
total loans using the Applicant’s NCUA 5300 Call Report for the appropriate fiscal year. The baseline
level of member/nonmember shares or loans outstanding will be calculated as of the Applicant's most
recent fiscal year end prior to Application submission.

Instructions for filling out the Matching Funds Summary Chart
The Applicant will identify the Matching Funds by entering one Matching Fund transaction on each
row. One transaction is any payment or expected payment. Therefore, if one grant is being
distributed in three different installments, the chart should include three different rows – one
CDFI Fund, Form CDFI-0020

- 29 -

FY 2007 CDFI Program Application

corresponding to each payment date. If Retained Earnings are being proposed as a source, the
Retained Earnings Calculator must be completed and submitted with the Excel Workbook linked to the
Application. Follow the instructions below for information on what to enter in each column.
Name of Source: Name or other identifier for each unique match source.
Type: Select an option from the dropdown list in the table. See more information about each
type (Loan, Grant, etc.) in the Matching Funds Q&A document.
Amount [3 columns]: Enter the amount under the column corresponding to the status of the
match: In-Hand, Committed, or To Be Raised.
Date: Enter a date corresponding to the status of the match as follows: In-Hand = Final
Disbursement Date; Committed = Date on Commitment Letter; To Be Raised = Expected Date of
Final Disbursement. All dates must be on or after January 1, 2005, and on or before March 14,
2008.
Comments & Contact Data: If the Matching Funds are from a state and/or local government
agency, the Applicant is required to provide the contact name, title, and phone number of the
Matching Funds source in the Comments/Contact column. Use same column for any additional
comments relevant to the Matching Funds.
SAMPLE CHART TO BE COMPLETED IN ONLINE APPLICATION
A: Matching Funds Data Chart
Name of Source

Type

Amount
In-Hand

Amount
Committed

Amount
to be
Raised

50,000

Date

Fall Fundraiser

Small Contributions

ABC Foundation

Grant

ABC Foundation

Grant

VLL Foundation

Grant

Spring Fundraiser

Small Contributions

Mars Foundation

Grant

10,000

12/31/2005

McKay Foundation

Loan

50,000

12/1/2005

100,000
1,400,000
90,000
154,689

Nat'l CU Foundation Secondary Capital

50,000

Baltimore County
Gov't
Bank One

85,000

Deposits/Shares

N/A

Retained Earnings

Grant

Totals

CDFI Fund, Form CDFI-0020

9/12/2005 123 donations, each less
than $1,000.
8/7/2004 ACH transfer, payment #1
of 2 on $1.5 million
commitment.
12/31/2005 ACH transfer, payment #2
of 2 on $1.5 million
commitment.
10/1/2006
4/1/2006

8/1/2004
12/20/2004 John Doe, Director; 401222-2222.
4/12/2004

1,000,000
50,000

1,335,000

Comments & Contact
Data

12/31/2004 See Matching Funds
Calculator

1,460,000 244,689

- 30 -

FY 2007 CDFI Program Application

TECHNICAL ASSISTANCE PROPOSAL
Requirements for Applying for TA
Any applicant applying for TA, either alone or in conjunction with FA, must complete a TA Proposal
(TAP), which consists of (1) the TA Budget (Chart C), and (2) a detailed narrative explanation and
justification for each requested use. The MS Word template for the CBP responses includes a section
for the TAP narrative. The narrative must include the following information:
•

A summary of the organizational improvements needed to achieve the objectives of the CBP and
how the requested TA will address such.

A description of each requested TA use entered on the TA Budget (Chart C). Each description
must include:
− A description of the requested use,
− How the use will improve the Applicant’s capacity to serve its Target Market or become
certified as a CDFI and, therefore, achieve the objectives of the CBP,
− How the Applicant calculated the requested amount, and
− A timeline of when the activity/purchase will be completed.
If the Applicant is a prior Fund Awardee, it must describe how it has used the prior assistance and
explain the need for additional Fund dollars over and above such prior assistance. Such an Applicant
also must describe the additional benefits that would accrue to its capacity or to the Target Market(s)
if the Applicant receives another award from the Fund, such as plans for expansion of staff, market, or
products. The Fund will not provide funding for the same activities funded in prior awards.
•

Note the following when writing the TAP and the CBP:
•

Generally, all TA funds awarded must be used within 24 months of receipt.

•

The Fund will evaluate the TAP for the eligibility and appropriateness of the proposed uses of TA.

•

If the Applicant identifies a capacity-building need related to any section of the CBP (e.g., if the
Applicant requires a market need analysis or a community development impact tracking/reporting
system), the Fund will assess its plan to use the TA grant to address said needs. Make sure these
plans are clearly detailed in the CBP or the TAP.

•

If the Applicant is not a Certified CDFI and requests TA to address certification requirements, it
must explain how the requested TA grant will assist the Applicant in meeting the certification
requirement. The Fund will assess the reasonableness of the plan to become certified by
December 31, 2009, taking into account the requested TA.

•

For each requested TA use, the Applicant must clearly describe the benefit that is expected to
accrue to its capacity or to its Target Market (such as plans for expansion of staff, market, or
products) as a result of the TA award.

CDFI Fund, Form CDFI-0020

- 31 -

FY 2007 CDFI Program Application

TAP Calculation Methodology and Narrative Justification
A: Personnel (Salary).
− An Applicant may request a TA grant to cover the salary paid currently or accrued by the
organization for services rendered by its permanent staff in carrying out a distinct project or
for a set period during the 2-year (for TA Only awards) or 3-year (for FA or FA/TA awards)
performance period defined in the assistance agreement. The Fund will only cover salary for
duties that are related to the purpose of the Award (including activities related to the Applicant
becoming certified as a CDFI). Compensation paid for employees engaged in activities funded
with a TA grant must be consistent with that paid for similar work within the Applicant
organization.
− Calculation Methodology Narrative: The narrative must clearly identify each staff person’s
annual salary rate and the percentage of time carrying out CDFI-related activities that will be
covered by the TA grant (e.g., 50% of the loan officer’s annual salary for two years). List each
position by name and title/position of employee.
− Narrative Justification: The narrative justification must describe how the activities that the
identified staff person is expected to carry out within the covered timeframe will build the
Applicant’s capacity to serve its Target Market or become certified as a CDFI.
~ For example, the justification for a request to cover a year’s salary of a lending officer must explain
the capacity improvements expected at the end of that year, i.e., quantified increase in lending,
development of new lending products, etc.

−

Although there are no age or asset size limitations on the eligibility for this category, a more
established or larger Applicant should pay particular attention to making the case for how the
requested personnel activities will improve its capacity over the covered timeframe.

B: Personnel (Fringe Benefits).
− An Applicant may request a TA grant to cover the fringe benefits paid currently or accrued by
the organization for services rendered by its permanent staff in carrying out a distinct project
or for a set period during the 2-year (for TA Only awards) or 3-year (for FA or FA/TA awards)
performance period defined in the assistance agreement. Fringe benefits are for personnel
listed in budget category A (above) and only for the percentage of time devoted to the CDFIrelated activities during the performance period. Fringe benefits must be reported separately
from salary, but Applicants may use the same narrative justification. Fringe benefits should be
based on actual known costs or an established formula. Fringe benefits on overtime hours are
limited to FICA, Workman’s Compensation, and Unemployment Compensation. Compensation
paid for employees engaged in activities funded with a TA grant must be consistent with that
paid for similar work within the Applicant organization.
− Calculation Methodology Narrative: Clearly identify the source of the calculation and
which portion will be covered by the TA grant (e.g., 50% of the loan officer’s fringe benefits
for two years). Applicants may only request fringe benefits for personnel listed in budget
category (A) and the portion covered must correspond to the portion of salary requested for
the same time period. Fringe benefits should not be included in Personnel (Salary).
− Narrative Justification: The narrative justification should describe how the activities that
the identified staff person is expected to carry out within the covered timeframe will build the
Applicant’s capacity to serve its Target Market or become certified as a CDFI. Fringe benefits
must be reported separately from salary, but Applicants may use the same narrative
justification.

CDFI Fund, Form CDFI-0020

- 32 -

FY 2007 CDFI Program Application

C: Training.
− An Applicant may request a TA grant to acquire external training for its staff, volunteers, or
board members in order to increase the effectiveness of its existing and future administrative
operations and programs by developing its human capital. Training may be provided on-site
by a third party or obtained off-site. Costs associated with the staff time for providing training
to the Applicant’s customers and volunteers should be requested under Salary / Fringe
Benefits. As noted below, travel associated with training activities must be requested
separately.
− Calculation Methodology Narrative: Itemize each training class or course to be funded by
the TA grant separately by the name of the training. The computation should include the costs
of tuition, fees, training materials, and textbooks. Travel, subsistence, and salary for staff
attending the training should be requested under the Travel and Personnel categories (as
appropriate).
− Narrative Justification: Training content must be specific and consistent with the needs of
the trainees – i.e., financial management training for finance staff, loan-underwriting training
for lending staff, etc. Do not request training funds for conferences without specifying the
expected training content to be achieved. Examples of eligible training activities include:
~ Staff training in loan underwriting or in the provision of Development Services.
~ New Board member training in CDFI operations.
D: Travel.
− An Applicant may request a TA grant to cover travel expenses for staff, consultants, or board
members. Allowable travel-related expenses include air or train fare, lodging, mileage, rental
cars, taxi and subsistence (e.g., meals). Travel expenses must be reasonable and consistent
with the Applicant's own travel policies. In the absence of a travel policy, the Federal travel
regulations apply for all grant related travel. Travel expenses associated with attending any
requested training must be included in this category rather than under Training.
− Calculation Methodology Narrative: Travel expenses must be itemized by purpose in the
TA Budget chart. The narrative description of the methodology used to calculate the request
must clearly identify the details of the total computation. Travel and meals should be listed
separately. Show the number of individuals traveling and the unit costs involved. Identify the
location of travel, if known.
~ For example: Travel associated with underwriting training for four staff for a total of $3,320
includes the following: Airfare @ $350 each roundtrip + lodging at 125/night for 3 nights +
$35/day each for subsistence.

−

Narrative Justification: Travel expenses must be reasonable and consistent with the
Applicant's own travel policies. Indicate source of travel policies applied: Applicant or Federal
Travel Regulations.

E: Professional Service Costs (Consulting and Contracts).
− An Applicant may request a TA grant to acquire external expertise that will increase its
capacity to serve and benefit its Target Market or become certified as a CDFI. This category
includes two types of Professional Services: consulting and contracts. Engaging a person with
expert knowledge in a field or area to provide a service or produce a document should be
requested under Consulting. Engaging (on a competitive basis) a company, corporation, or
other entity to provide a service or produce a document should be requested under Contracts.
Consultant expenses must be classified based on relevant expense category (e.g., Consultant
supplies must be included under Materials and Supplies). Contract fees, excluding travel, must
be inclusive of all expenses related to the delivery of the product or service. Requested
CDFI Fund, Form CDFI-0020

- 33 -

FY 2007 CDFI Program Application

−

−

−

services should be non-recurring, i.e., distinct projects resulting a delivered product (e.g., a
report), product specific, and closely linked to the achievement of the Applicant's CBP. For all
professional services requested, consultant and/or contractor, a Statement of Work outlining
the specific activities and work product(s) must also be included as an attachment to the
Application.
Examples of Professional Service Costs include:
~ Hiring a consultant to develop lending policies and procedures.
~ Hiring a consultant to develop a market analysis with recommendations for expansion.
~ Hiring a company to evaluate existing or new financial products or training services.
~ Hiring a company to deliver training to potential borrowers.
Calculation Methodology Narrative: The computation must include the vendor name
(consultant or contractor), if known, product or services to be provided, rate of compensation,
and estimated time required. The rate of compensation for a consultant covered by a TA grant
cannot exceed the daily or hourly rate equivalent to the ES-4 federal salary. Current rates can
be found at the Office of Personnel Management (OPM) website (www.opm.gov). Contract
fees should be inclusive of all professional service costs (salary, printing, supplies, rent,
telephone, etc.) related to the delivery of the product or service.
Narrative Justification: Requested services should be non-recurring, i.e., distinct projects
resulting a delivered product (e.g., a report), product specific, and closely linked to the
achievement of the Applicant's CBP. The narrative must indicate whether the Applicant will
follow its own written procurement policy or the Federal Acquisition Regulations in seeking and
engaging consultants or contractors. The narrative must indicate whether applicant has
formal, written procurement policies.

F: Materials and Supplies.
− An Applicant may request a TA grant to purchase supplies and/or to produce materials (such
as training materials associated with providing Development Services or outreach materials to
promote the Applicant’s loan products). Generally, supplies include any materials that are
expended or consumed over time. Supplies or equipment must have a value equal to or less
than $15,000. The costs of developing materials should be requested either under Personnel
or Professional Service Costs, as appropriate.
− Calculation Methodology Narrative: The narrative description of the calculation must
include details on the type of materials or supplies and per unit cost.
− Narrative Justification: The narrative should explain how the requested items will be used
to build the Applicant’s capacity to serve its Target market or to become certified as a CDFI.
G. Equipment and Other Capital Expenditures.
− An Applicant may request TA to acquire new equipment or to enhance existing equipment.
Include non-expendable, tangible property having a useful life of more than two years and an
acquisition cost of $5,000 or more per unit. Expendable items should be requested under
"Materials and Supplies" or under "Other." Items costing less than $5,000 may be included if
the Applicant's capitalization policy recognizes these as capital assets. For purposes of this
Application, non-expendable items include computer hardware, computer software, related
peripherals, and office equipment. Training related to use of new equipment should be
included in this category rather than under Training. Engaging a consultant or contractor to
install new equipment should be requested in this category. Engaging a consultant or
contractor for other technology-related services (such as website development or
recommendations for purchasing hardware) should be included under Professional Service
Costs.
CDFI Fund, Form CDFI-0020

- 34 -

FY 2007 CDFI Program Application

−

−

Calculation Methodology Narrative: List non-expendable items that are to be purchased
with the TA grant by each individual item. Under Computation, list the per unit cost times the
number of units to be purchased. Peripherals costing less than $250 should be added into the
cost of the main item to be purchased (such as the computer or copier). List computer
software separately from computer hardware -- even if the software is purchased at the same
time as the computer and will be loaded onto said computer by the vendor prior to shipping.
Expendable items should be included either in Materials and Supplies or in the Other category.
Narrative Justification: The narrative should describe the procurement method to be used
to acquire equipment. Applicants should analyze the cost-benefits of purchasing versus
leasing equipment, especially high cost items and those subject to rapid technical advances.
Rented or leased equipment costs should be requested under Contracts.

H: Other Expenses.
− An Applicant may request a TA grant to cover other direct expenses allowable under OMB
Circular A-122 – but only if the Applicant can demonstrate, to the satisfaction of the Fund, that
the activity will enhance its capacity to serve its Target Market and/or to become certified as a
CDFI. As with all categories, the Applicant seeking a TA grant in this category must clearly link
the expense to the achievement of a capacity building objective. Construction or rehabilitation
expenses are not allowable uses of TA.
− Calculation Methodology Narrative: Clearly explain the basis for the calculation.
− Narrative Justification: Narrative should demonstrate that the requested task or activity
will enhance the Applicant’s capacity to serve its Target Market and/or to become certified as a
CDFI. As with all categories, the Applicant seeking a TA grant in this category must clearly link
the expense to the achievement of a capacity building objective.

TA Request Questions in CBP
All uses of TA must support one of the key sections of the CBP or the Applicant’s ability to meet a
certification requirement (if applicable). Each section of the CBP includes a question about how TA
will improve the Applicant’s capacity for that section. In response to these questions the applicant will
do one of the following:
− Summarize any items described in the TAP as supporting that section of the CBP. The
Applicant will describe and justify how the requested TA supports that section of the CBP. For
example, the Applicant’s narrative may address such issues as how the requested TA will allow
it to provide enhanced services to a larger market without increased staff expenses, improve
the quality of services provided to the Target Market, or enhance financial management so
that more dollars may be directed to loan capital.
− Explain why TA was not requested if applicant does have deficiencies for this section – i.e.,
perhaps they are being addressed in some other way.
Note – Do not repeat the justification for each TA item for each CBP question response. If certain TA
requests will improve the capacity of more than one CBP section, simply reference the item stating
that the detailed justification can be found in the previous CBP TA question.

CDFI Fund, Form CDFI-0020

- 35 -

FY 2007 CDFI Program Application

TA Budget Chart: Instructions and Sample Chart
Follow the instructions on the chart completing one row for each TA request. Insert more rows above
the subtotal line if necessary.

C. TA Budget Chart
Identify all items and / or tasks to be financed with the TA grant. A detailed description, justification, and
explanation of the calculation methodology for the amount requested for each entry must be included in the TA
Proposal (TAP) section of the application. Provide the requested information for each requested use. Complete
a separate entry for each individual use. Insert more rows above the appropriate subtotal line if additional rows
are needed. Additional instructions (and a sample chart) can be found in the FY 2007 Combined CDFI Program
application.

A. Personnel (Salary)
Under Name, list the staff person's name for which salary is requested. Under Position, identify the staff person's title.
Under Computation, list the annual salary rate and the percentage to be covered by the requested TA grant (which should
correspond to the percentage of time to be devoted to an identified project / task or for carrying out CDFI-related activities
as described in the narrative justification). Under Cost, list the total salary amount calculated using the methodology
described under Computation. List each staff person on a separate line.

Name

Position

Computation

Cost

John Smith

Executive Director

Abby Jones

Loan Officer

10% of annual salary of $60,000 for time spent
developing marketing plan for new loan product.
50% of annual salary of $45,000 for two years for
time spent developing new loan product, underwriting
new loan product, and other lending related activities.

Personnel (Salary) Sub-Total:

6,000
45,000

$51,000

B. Personnel (Fringe Benefits)
Fringe benefits are for personnel listed in cost category (A). Under Name, list the staff person's name for which fringe
benefits are requested. Under Position, identify the staff person's title. Under Computation, identify the source of the
calculation, list the annual amount of fringe benefits and the percentage to be covered by the requested TA grant (which
should correspond to the percentage of time to be devoted to an identified project / task or for carrying out CDFI related
activities as described in the narrative justification). Under Cost, list the total amount of fringe benefits calculated using the
methodology described under Computation. List each staff person on a separate line.

Name

Position

Computation

John Smith

Executive Director

Abby Jones

Loan Officer

10% of fringe benefits (30% of annual salary of
$60,000) for time spent developing marketing plan for
new loan product.
50% of fringe benefits (30% of annual salary of
$45,000) for two years for time spent developing new
loan product, underwriting new loan product, and
other lending related activities.

Cost

Personnel (Fringe Benefits) Sub-Total:

1,800

27,000

$28,800

C. Training
List each training class or course funded by the TA grant separately by the name of the training. Under Name of Training,
identify the name of the training event. Under Training Provider, identify the name of the training provider. Under
Computation, identify all items to be covered by the TA grant including costs of tuition, fees, training materials, and
textbooks (travel, subsistence, and salary for staff attending the training should be reflected in the Travel and Personnel
categories). Under Cost, list the total cost computed for each training event calculated using the methodology described
under Computation.

Name of Training

Training
Provider

Computation

Cost

Homebuyer Counseling
Certification Course
Business Lending
Workshops

NeighborWorks

2 attendees*$1,400 (tuition) + $100 (registration fee)

American Bankers
Association

1 attendee * $500 (tuition)

$500

Training Sub-Total:
CDFI Fund, Form CDFI-0020

- 36 -

$3,000

$3,500

FY 2007 CDFI Program Application

D. Travel
List each travel expenses by purpose (e.g., consultant travel, staff to training, field interviews, advisory group meetings,
etc.). Under Location, identify the location of travel, if known. Under Computation, show the basis of computation. The
computation must include: the length of the trip, the number of people traveling, and the unit costs involved (i.e., the cost
of transportation, the cost of lodging, and the cost of subsistence). Under Cost, list the total cost of each trip calculated
using the methodology described under Computation.

Purpose of Travel

Location

Homebuyer Counseling
Waco, TX
Certification Course
(NeighborWorks)
Business Lending Workshops
New York, NY
(ABA)
Jane Smith (Consultant) travel Washington, DC
to Applicant's offices for work
related to market analysis

Computation

Cost

2 attendees * $300 (airfare) + $30 (per diem for 5
days)

$900

1 attendee * $440 (airfare) + $30 (per diem for 4
days)
1 attendee * $200 (airfare) + $30 (per diem for 3
days)

$560
$290

Travel Sub-Total:

$1,750

E. Professional Service Costs
Consultant:
Itemize each consultant by task performed or service provided. Under Name of Consultant, enter the name, if
known, of the consultant or consulting firm. Under Task, enter a brief description of the services to be
provided. Under Computation, show the basis for the total cost (e.g., hourly or daily fee times estimated time
on the project). Consultant fees covered by the TA grant cannot exceed the daily or hourly rate equivalent to
the ES-4 federal salary. The current rates can be found at the Office of Personnel Management website at
www.opm.gov.
Name of Consultant
Task
Computation
Cost
Jane Smith

Market Analysis

$75/hour x 10 hours

$750

Consultant Fees Sub-Total:

$750

Contracts:
Itemize each contract by task performed or service provided. Under Name of Contractor, enter the name, if
known, of the company providing the service or product. Under Task, enter a brief description of the services or
product to be provided. Under Computation, show the basis for the total cost (e.g., salary plus travel plus other
expenses such as supplies).
Name of Contractor
Task
Computation
Cost
National CDFI Consulting
Company

Underwriting
Policies

($125 per hour (salary) * 30 hours) + $400 (travel) +
$50 (postage) + $50 (copying)

$4,700

Contracts Sub-Total:
Professional Services Sub-Total:

$4,700
$5,450

F. Materials and Supplies
List items by type (office supplies, postage, training materials, copying paper, and expendable equipment items
less than $5,000, such as books, hand held tape recorders). Under Computation, show the basis for the total
cost (i.e., number of units times the per unit value). Under Cost, list the cost calculated under Computation.

Item

Computation

Cost

Printing new marketing postcards and brochures
from ABC Printing Co.
Full library of Low-Income Housing Tax Credit
Lending Guides from the LIHTC Company
Postage for market surveys (for market analysis
conducted by Jane Smith)

$1 per postcard * 500

$500

$25 per guide * 10 guides

$250

20 cents * 500 surveys

$100

Materials and Supplies Sub-Total:
G. Equipment and Other Capital Expenditures

CDFI Fund, Form CDFI-0020

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$850

FY 2007 CDFI Program Application

List equipment to be purchased with the TA grant by each individual item. Under Item, list the equipment to be
purchased. Under Vendor, list the name of the vendor, if known. Under Computation, list the per unit cost
times the number of units to be purchased. Peripherals costing less than $250 should be added into the cost of
the main item to be purchased (such as the computer or copier). List computer software separately from
computer hardware. Under Cost, list the cost calculated under computation.

Item

Vendor

Computation

Cost

New desktop computers
Microsoft Office Suite (for
two new desktop
computers)
Portfolio Management
Software
Color Copier

Dell, Inc.
Dell, Inc.

2 computers @ $500 each
2 software packages @ 250 each

$1,000
$500

Community Lending
Software, Inc.
Office Equipment
World

$5,000 software cost + $250 (related peripherals) +
$250 (installation) + 500 (training staff)
1 copier @ $500

$6,000
$500

Equipment Sub-Total:

$8,000

H. Other Costs
List items by cost category as described in OMB Circular A-122. Under Expense, indicate the cost category from
A-122. Under Description, enter a brief explanation of the proposed use to be funded by the TA grant. Under
Computation, enter the basis of the computation including all associated direct costs. Under Cost, enter the
requested amount obtained using the calculation methodology under Computation.

Expense

Description

Computation

Memberships,
subscriptions, and
professional activity costs

Subscription to
Community
Development Expert
Weekly Report

1 year subscription of $650

Budget Category
A. Personnel (Salary)
B. Personnel (Fringe Benefits)
C. Training
D. Travel
E. Professional Services
F. Materials / Supplies
G. Equipment and Other Capital
Expenditures
H. Other Costs
TOTAL TA Budget

CDFI Fund, Form CDFI-0020

Cost
$650

Other Costs Sub-Total:
Summary Totals by Category
Amount

$650

$51,000
$28,800
$3,500
$1,750
$5,450
$850
$8,000
$650
$100,000

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FY 2007 CDFI Program Application

ACTIVITIES LEVEL CHART CATEGORIES
Chart D, the Activities Level Chart, is an important supplement to the narrative responses provided in
the CBP. This table is provided to clarify the financial product and service selection options in Chart D.
These “Activity” categories are loosely based on the transaction “Purpose” options found in the
Community Investment Impact System (CIIS), the Fund’s online data reporting tool. CDFIs that
successfully receive an FA award are required to report their financing activity through CIIS annually.
To learn more about CIIS click on the CIIS link under “What We Do” on the Fund’s website,
www.cdfifund.gov.
Business Products: Investments used to finance working capital or non-real estate fixed asset purchases.
Commonly financed working capital includes payroll, rent, or utility expenses. Commonly financed fixed assets
include machinery and equipment, furniture and fixtures, and leasehold improvements. Select one of the three
categories that most accurately identifies the type of borrower to whom the product is targeted, and the type of
investment made.
Activity Option

Description

Business - Equity
Investments

Equity Investments made to support for-profit entities. Intermediaries should use
this category for equity investments made to for-profit CDFIs.

Business Loans Community
Organizations

Loans supporting non-profit or not-for-profit entities. Intermediaries should use this
category for loans and EQ2 investments made to non-profit CDFIs.

Business Loans - NonMicro

Loans supporting non-microenterprise, for-profit entities.

Business Loans –
Microenterprise

Loans supporting microenterprise, for-profit entities.

Consumer Loans

Personal (secured or unsecured) loans to one or more individuals for health,
education, emergency, credit repair, debt consolidation, or other consumer purposes
(including car loans).

Home Purchase – 1st
Mortgage

Non-subordinated loans supporting the purchase of a primary residence.

Home Purchase Subordinate

Subordinated loans supporting the purchase of a primary residence and is not in first
position. This includes down-payment assistance loans.

Home Improvement

Loans for the renovation or other improvement of an owner-occupied home,
irregardless of lien position.

Real Estate Products: Investments used for any real estate financing. Common real estate uses include
acquisition, predevelopment, construction or permanent financing of office, retail, or manufacturing, space.
Select one of the three categories which most accurately identifies the type of borrower the product is targeted.
Real Estate-Commercial

Loans or equity investments that support commercial for-profit entities. Select this
option for mixed-use real estate combining both commercial and residential use.

Real Estate-AHD

Loans or equity investments that support that support affordable housing
development (AHD).

Real Estate-Community
Loans or equity investments that support community facilities.
Facilities
Savings/Checking/
Share/Draft Accounts

Deposit accounts offered by regulated financial institutions.

Other

Select this category for any grant programs or other financing not identified above.

CDFI Fund, Form CDFI-0020

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FY 2007 CDFI Program Application

EXECUTIVE SUMMARY
No Points
•

Provide a narrative describing the Applicant’s mission, key products and services, community
development track record, and impacts to date in its Target Market.

•

Include a paragraph stating the exact amount of the total award request. Include a sentence for
FA, if requested, which details the exact amount and intended use of funds. The FA total must
also be broken out on the Award Budget, a table on the Data Chart within the Excel Workbook.

•

Summarize the key elements of the CBP, expected outcomes, and proposed uses of FA and TA, if
applicable.
− An Emerging CDFI should also discuss plans to become certified as a CDFI, particularly
focusing on its plans to begin its financing activities, and to begin providing Development
Services.

TIP

If an Applicant is seeking TA Only, it must generally answer the same questions as an
Applicant seeking FA. However, the Fund expects that the response from the TA Only
Applicant will be shorter (e.g., 1-2 paragraphs versus 1-2 pages) and have less detail than for
an FA Applicant. Please contact the Program staff at the Fund for further clarification.

COMMUNITY PARTNER
The Fund’s statute provides specific conditions for an Applicant’s working with a Community Partner
through a Community Partnership. The term “community partner” means an entity that provides
loans, equity investments, or Development Services, including a DIHC, an IDI, an ICU, a nonprofit
organization, a State or local government agency, a quasi-governmental entity, and an investment
company authorized to operate pursuant to the Small Business Investment Act of 1958. The term
“community partnership” means an agreement between a CDFI and a Community Partner to provide
Development Services, loans, or equity investments to a Target Market.
If the Applicant has a Community Partner, attach the written agreement between the Applicant and
the Community Partner. Briefly discuss the role of the Community Partner in delivering products,
services, and projects in the Target Market. Describe how the Applicant will ensure quality
performance by the Community Partner, how the Community Partner will enhance the likelihood of
success of the CBP, and how service to the Target Market will be better performed by a partnership
than by the Applicant alone.

TIP

The CBP must be written from the Applicant‘s perspective. An Applicant may reference
activities of its Affiliates (such as a parent organization) to the extent they are relevant to the
Applicant’s ability to carry out its CBP.

CDFI Fund, Form CDFI-0020

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FY 2007 CDFI Program Application

MARKET ANALYSIS
TA-only Applicants: 25 points; Category I/SECA: 25 points; Category II/Core: 20 points
The Fund will evaluate: (i) the extent and nature of the economic distress within the designated
Target Market including the Applicant's understanding of its current and prospective customers; and
(ii) the extent of demand for the Applicant’s Financial Products, Development Services, and Financial
Services within the designated Target Market.
Charts and Attachments
Activities Level Chart (Chart D in the Application Charts Excel Workbook)
Narrative
1. Briefly describe the Applicant’s current or proposed Target Market.
− What is the Applicant’s Target Market (i.e., Investment Area, OTP, LITP)? Discuss the extent of
economic distress within the designated Target Market including quantitative and qualitative
data (e.g., unemployment, poverty, number of families needing housing, etc.).
− Discuss any market opportunities, factors or trends that may influence the Applicant’s ability to
deliver its products and services to its Target Market. Provide quantitative and qualitative data
on the Target Market context (e.g., population, population shifts, business environment,
number of small businesses, largest employers). Illustrate the Applicant’s understanding of its
current and prospective customers by discussing the implications.
− Indicate if the Applicant has an office that is located in, or provides a significant volume of
services or financing to residents of or businesses located in, (i) any county that was
designated by FEMA as eligible for “individual” or “individual and public” assistance as a result
of Hurricanes Katrina and/or Rita; or (ii) a state designated by FEMA as a reception state as a
result of Hurricanes Katrina and/or Rita. To the extent the Applicant is headquartered in a
FEMA-designated “reception state”, indicate the ways in which the Applicant will target
activities towards persons that have been displaced as a result of Hurricanes Katrina or Rita.
2. Describe the need for the CDFI by providing a sense of the financial marketplace
currently available to the community.
− Identify and discuss other sources of Financial Products, Development Services, and/or
Financial Services in the Target Market (including state programs, banks, credit unions, other
CDFIs, payday lenders, check cashers, pawnshops, rent-to-own merchants, car dealers, etc.).
3. Discuss the demand for the Applicant’s Financial Products, Development Services,
and/or Financial Services within the Target Market.
− Discuss and quantify the extent of demand for the Applicant’s Financial Products, Development
Services, and/or Financial Services within the current or proposed Target Market. Explain how
the Applicant ascertained that there was demand for the Financial Products, Development
Services, and/or Financial Services. Discussion should put the level of demand in the context
of the broader market and include indicators of demand such as number of inquiries per
month and/or the number of Target Market members turned away by other sources.
− Describe the distress indicators in comparison to areas that have been typically served by the
Applicant over the past five years.
4. TA Request Narrative:
− Discuss the extent to which the Applicant lacks one of the elements above or is a start up. For
those TA request entries described in the TAP as improving the Market Analysis capacity,
CDFI Fund, Form CDFI-0020

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FY 2007 CDFI Program Application

explain how the requested TA will address the deficiencies or strengthen the Applicant’s
capacity in the area of Market Analysis.

CDFI Fund, Form CDFI-0020

- 42 -

FY 2007 CDFI Program Application

BUSINESS STRATEGY
(TA-only Applicants: 25 points; Category I/SECA: 25 points; Category II/Core: 20 points)
The Fund will evaluate the Applicant’s business strategy for addressing market demand and creating
community development impact through: (i) its Financial Products, Development Services, and/or
Financial Services; (ii) its marketing, outreach, and delivery strategy; and (iii) the extent, quality and
nature of coordination with other similar providers of Financial Products and Financial Services,
government agencies, and other key community development entities within the Target Market. The
Fund will take into consideration whether the Applicant is proposing to expand into a new Target
Market.
Charts and Attachments
Activities Level Chart (Chart D in the Application Charts Excel Workbook)
Narrative
5. Describe the Applicant’s Financial Products and Financial Services.
− List each of the Applicant’s current or proposed Financial Products and/or Financial Services.
For each: identify the dollar range, interest rate, terms, and describe the customer profile.
− Discuss how their design or proposed design is appropriate for the Target Market (e.g. flexible
underwriting criteria, nontraditional forms of collateral, low down payment requirements,
closing costs assistance, etc.).
− Discuss how the Applicant’s current or proposed Financial Products and/or Financial Services
are or will be similar or different from other sources within the Target Market.
− If the Applicant is expanding its Financial Products and/or Financial Services, identify the new
products and/or services and explain why the Applicant decided to provide such to its Target
Market. If the Financial Products and/or Financial Services are to be developed, briefly discuss
the Applicant’s development strategy, including timelines, expected deliverables, and progress
to date.
− Discuss any activities the Applicant regularly engages in to develop, test, and adapt its
Financial Products and/or Financial Services in response to customer needs, demand, and
market opportunities.
− Provide an example of a past, current, or anticipated project or initiative and how this project
or initiative addresses the current level of needs and demand of the Target Market.
6. Describe the Applicant’s Development Services.
− List each of the Applicant’s current or proposed Development Service offerings. Typical
examples include credit and financial counseling, homebuyer classes, business development
classes, or project financing consultations for affordable housing development CDFIs. For
each: identify the format (i.e., one-on-one vs. group); frequency of offerings, fees/costs, and
the system used to evaluate the effectiveness of these offerings.
−
−
−

Discuss how Development Services are linked to Financial Products and/or Financial Services?
What are Applicant’s plans for pre-and post-loan support?
Who provides (include description of partners) Development Services?

7. Describe the Applicant’s marketing, outreach, and delivery strategy.
− Describe the Applicant’s strategies to deliver and build demand for its current or proposed
Financial Products, Development Services, and/or Financial Services to the Target Market.
CDFI Fund, Form CDFI-0020

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FY 2007 CDFI Program Application

−

Discuss how the Applicant will sustain its delivery mechanisms.

8. Discuss the Applicant’s collaboration, coordination, and partnerships.
− To the extent not previously discussed, describe other collaboration, coordination, and
partnerships with other providers of Financial Products, Development Services, and Financial
Services (e.g., banks, credit unions, loan funds, CDFIs); local, state and tribal government
agencies; and other relevant public and private entities (Affiliates, community organizations,
etc.). Illustrate how coordinating enables the Applicant to better serve its Target Market.
− Discuss the extent of community support in the Target Market for the Applicant and its
activities.
− Discuss the extent to which the Applicant’s activities are consistent with existing economic,
community, and housing development plans adopted by or applicable to the Target Market.
− Discuss the Applicant’s strategy for leveraging assistance from the Fund with support from
private sector financial resources and other government programs.
9. TA Request Narrative.
− Discuss the extent to which the Applicant lacks one of the elements above or is a start up. For
those TA request entries described in the TAP as improving the Business Strategy capacity,
explain how the requested TA will address the deficiencies or strengthen the Applicant’s
capacity in the area of Business Strategy. Examples may include requests to support
partnership development or other collaborations, marketing activities and material, or other
outreach tools.

CDFI Fund, Form CDFI-0020

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FY 2007 CDFI Program Application

COMMUNITY DEVELOPMENT PERFORMANCE AND
EFFECTIVE USE
TA-only Applicants: 20 points; Category I/SECA: 20 points; Category II/Core: 20 points
The Fund will evaluate (i) the Applicant's vision for its Target Market, specific outcomes or impacts for
measuring progress towards achieving this vision, and the extent to which this award will allow it to
achieve them; (ii) the Applicant's track record in providing Financial Products, Financial Services, and
Development Services to the Target Market; (iii) the extent to which proposed activities will benefit the
Target Market; (iv) the likelihood of achieving the impact projections, including the extent to which the
activities proposed in the Comprehensive Business Plan will expand economic opportunities or promote
community development within the designated Target Market by promoting homeownership, affordable
housing development, job creation or retention, the provision of affordable financial services, and other
community development objectives; and (v) the extent to which the Applicant will maximize the
effective use of the Fund’s resources.
If an Applicant has a prior track record of serving Investment Areas(s) or Targeted Population(s), it
must demonstrate that (i) it has a record of success in serving said Investment Area(s) or Targeted
Population(s) and (ii) it will expand its operations into a new Investment Area or to serve a new
Targeted Population, offer more products or services, or increase the volume of its current business.
Charts and Attachments
Activities Level Chart (Chart D in the Application Charts Excel Workbook)
Community Development Impacts Chart (Chart E in the Application Charts Excel Workbook)
Narrative
10. Describe the Applicant's community development objectives and how progress toward
those objectives is measured.
− Discuss the Applicant’s long-term vision for its Target Market and describe how this award will
allow the Applicant to realize it.
− Describe the Applicant’s impacts selected in Chart E. Explain key data the Applicant uses to
measure impact over time and how that data is captured.
− Describe the procedures and systems in place (or that will be developed) allowing the
Applicant to track the impacts listed in the Community Development Impacts Chart (E).
− Discuss strategies for organizational self-sufficiency and for achieving the long-term vision for
the Target Market. The Applicant’s vision should be consistent with – and build from – the
described community development impacts.
11. Describe the Applicant's track record in providing Financial Products, Development
Services, and/or Financial Services.
− Discuss the Applicant's past activities focusing on those specifically provided to clients in the
designated Target Market. As appropriate, utilize historic data from the Activities Level Chart
to support the Applicant’s discussion.
− If an Applicant has a prior track record of serving Investment Areas(s) or Targeted
Population(s), discuss (i) its record of success in serving said Investment Area(s) or Targeted
Population(s) and (ii) whether it will use an award from the Fund to expand its operations into
a new Investment Area or to serve a new Targeted Population, offer more products or
services, or increase the volume of its current business.
CDFI Fund, Form CDFI-0020

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FY 2007 CDFI Program Application

−
−

Discuss the extent to which past activity levels are realistic in light of the Applicant’s
organizational structure, current/proposed products and services, and external/market factors.
Describe how the Applicant’s track record of generating community impacts will increase the
likelihood of the Applicant being able to achieve projected impacts. Describe the potential
market risk of not receiving this award.

12. Discuss how the requested award will enable the Applicant to build its capacity as a
CDFI.
− Address the projections and timelines provided in the Activities Level Chart, including: the
extent to which the Applicant will increase the volume and/or quality of activities, offer more
products or services, and/or expand to serve a new Target Market.
− Explain how all projected figures and timelines were calculated.

TIP

The Fund is looking for clearly defined specific outcomes or impacts that will be
achieved during the performance period. For example, as a result of the Applicant’s activities,
it may successfully increase homeownership opportunities for Low Income residents of the
Target Market. In structuring this discussion, keep in mind that outcomes are ultimate goals.
Benchmarks or outputs are interim activities or products that lead to the ultimate
achievement of the Applicant’s goals.

13. Discuss why the Applicant should receive a Fund award given the Fund’s limited
resources.
− For example, will the award enable the Applicant increase its activity or community
development impact, develop new products, serve a new Target Market, or attract additional
resources to the Target Market?
− Describe the Applicant’s request for an award. Discuss what modifications the Applicant would
make to its Business Plan if it did not receive an award from the Fund.
− Provide a timeline for achieving the major objectives of the CBP. For example, if the
Applicant’s projected activities include creating or becoming certified as a CDFI, the timeline
should address the following:
~ Appoint or Elect Governing Board
~ Hire First Staff Person / Hire Executive Director (or equivalent)
~ Approve Lending Policies and Procedures
~ Disburse First Loan
~ Receive CDFI Certification
−

−

Applicants seeking FA should address: (1) how the Applicant plans to use the FA award (for
equity capital, lending capital, to fund loan loss reserves, to fund a new product, etc.); (2) how
the FA award will benefit the Applicant; and (3) any leverage that will be created by the FA
award in terms of funding or other resources.
Applicants seeking TA grants should address how each component of the TA request will
improve the Applicant’s capacity to serve its Target Market; address specific weaknesses in the
CBP; and/or get certified (if not already certified).

14. Prior Awardees. If the Applicant or an Affiliate has received an award under any of the Fund’s
programs, discuss the extent to which the Applicant has been successful in utilizing the award(s)
to build its capacity. Discuss the extent to which the Applicant has been successful in meeting
performance goals and reporting requirements. Additionally, please include the following
information:
CDFI Fund, Form CDFI-0020

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FY 2007 CDFI Program Application

−
−

Name of the entity that received the award(s) and relationship to the Applicant.
Previous FA Awardees: At any time during the performance period, did the Awardee fail to
meet a performance measure or a financial soundness covenant? If yes:
~ What caused the failure?
~ How have the issues leading to the failure been addressed/resolved?
~ Is the Awardee requesting FA for the same type of activities? If yes, do the projected activity levels
coincide with that of the previous award?

−

Previous TA Awardees:
~ Did the Awardee expend all the TA funds within the 2-year period? If not, why?
~ Is the Awardee requesting TA funds in this Application for activities previously funded by a TA
Award? If yes, identify the activities and state the reasons why?

−

−

If a previous TA award was to assist the Awardee in becoming a certified CDFI, but this
objective was not achieved, explain why. If the Applicant is again requesting TA Funds to
assist in achieving CDFI certification, explain why the additional assistance is needed and how
the Applicant will achieve certification.
Has the Applicant and/or any Affiliate previously received a financial award (includes any
awards made under the CDFI Program, Native American Programs, and BEA Program) or
NMTC Allocation from the CDFI Fund? (Yes or No). If yes, please list all of those previous
awards and/or allocations:
Previous Awards
Name of
EIN of
Awardee
Awardee

Award Control
Number

Total
Award/Allocation
Amount

Award Type

15. TA Request Narrative:
− Discuss the extent to which the Applicant lacks one of the elements above or is a start up. For
those TA request entries described in the TAP as improving the community development and
effective use capacity, explain how the requested TA will address the deficiencies or strengthen
the Applicant’s capacity in the area of community development and effective use. Examples
may include requests to develop, monitor or report on impact measures.

CDFI Fund, Form CDFI-0020

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FY 2007 CDFI Program Application

MANAGEMENT
TA-only Applicants: 20 points; Category I/SECA: 20 points; Category II/Core: 20 points
The Fund will evaluate the Applicant’s organizational capacity to achieve the objectives set forth in its
Comprehensive Business Plan as well as its ability to use its award successfully and maintain compliance
with its Assistance Agreement through an evaluation of: (i) the capacity, skills, size and experience of
the Applicant’s current and proposed Governing Board, management team, and key staff; and (ii) the
Applicant’s management controls and risk mitigation strategies including policies and procedures for
portfolio underwriting and review, financial management, risk management, management information
systems.
Charts and Attachments
Organizational Chart
− Chart should illustrate all positions as of the date of the Application including (i) Governing
Board; (ii) management; (iii) all staff including shared or donated staff from other
organizations or Affiliates; and (iii) volunteers and consultants who are an integral part of the
Applicant’s operations. Show reporting relationships for all positions.
Up-to-date resumes of Key Board Members (chairpersons of the Governing Board, advisory board
(if applicable), and key committees), Management Team, and Key Staff.
Up-to-date resumes of each person for whom "Personnel" costs are requested in the TA Budget.
Up-to-date resumes of any consultants or contractors for whom "Professional Services" costs are
requested in the TA Budget.
Scope of Work documents for each “Professional Services" project requested in the TA Budget.
Narrative
16. Describe the capacity, skills, size and experience of the Applicant’s current and/or
proposed Governing Board.
− List the members of the Applicant’s Governing Board, advisory board, and any key committees
that are an integral part of the Applicant’s operations (e.g., loan/investment committee, audit
committee).
− For each member, provide a brief (one paragraph) description of that individual’s capacity,
skills, and experience – especially as it relates to his or her position on the board or
committee.
− If the Applicant’s has an Advisory Board, describe its role in advising policies and mission.
17. Describe the capacity, skills, and experience of the Applicant’s current and/or
proposed management team and key staff.
− For each member of the management team and any key staff who are integral to
implementing the Comprehensive Business Plan (e.g., loan officers or marketing professional)
provide a brief (1-2 paragraph) description of: (i) the position held by the individual including
role and responsibilities; (ii) the individual’s capacity, skills, and experience as it relates to his
or her position; and (iii) the individual’s role in carrying out the Comprehensive Business Plan.
− For any vacancies or new positions, describe the status of filling the position and the strategy
for doing so, as well as the expected date of filling the position.

CDFI Fund, Form CDFI-0020

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FY 2007 CDFI Program Application

18. Describe the Applicant’s underwriting policies and procedures.
− Describe the underwriting process and review criteria for each product. Note whether the
Applicant has written, board-approved policies in place and the date the policy was most
recently approved or updated by the Governing Board.
− FA Applicants Only: Address the roles and responsibilities for due diligence, initial
recommendation, setting the interest rate, determining the risk level, and making the final
loan decision.
− FA Applicants Only: Describe the methodology for Write-Off/Charge-Offs of unrecoverable
loans. Explain if Applicant does not Write-Off/Charge-Off loans delinquent greater than 120
days.
19. Describe the Applicant’s portfolio monitoring policies and procedures.
− Discuss the Applicant’s methodology for portfolio review, including the role of staff and/or
Governing Board and/or committee members. Note whether the Applicant has written, boardapproved policies in place and the date the policy was most recently approved or updated by
Governing Board.
− FA Applicants Only: Address the types of reports that borrowers or investees are required
to submit.
− FA Applicants Only: Describe the frequency of portfolio review (e.g., monthly, quarterly,
semi-annual, annual).
− FA Applicants Only: Describe how the Applicant addressed delinquencies and defaults in its
portfolio.
− If the Applicant is requesting an award for a new product, explain if policies and procedures
have been developed or the timeframe for doing so.
− FA Applicants Only: If Applicant provides Equity Investments:
~ Address how the Applicant determines performance (impact) and financial benchmarks with
investees.

~ Address how the Applicant would be alerted if the investee is experiencing financial and/or
managerial difficulties;

~ Describe the Applicant’s role in company management and board decisions.
~ Describe the types of corrective actions/enforcement/activities that will be taken if benchmarks are
not met.

~ Discuss how the Applicant re-values its investees. Describe the methodology for portfolio valuation.
Discuss if the Applicant revalues its portfolio annually or explain why it does not revalue its
investees at least annually.

20. Describe the Applicant’s financial and risk management policies and procedures.
− Discuss the Applicant’s:
~ Management of financial accounts;
~ System for tracking and reporting on use of funds from public and private sources;
~ Methodology for determining liquidity and operating reserves; and
~ Process for producing internal and audited Financial Statements.
21. Describe the Applicant’s Management Information Systems (MIS).
− Describe the Applicant’s MIS including software and other technology used for: underwriting,
portfolio monitoring, data and impact tracking, developing internal Financial Statements. For
each item, provide the name of the current MIS in use and briefly describe the types of reports
that are generated or explain the Applicant’s strategy for acquiring and implementing an
effective MIS.
CDFI Fund, Form CDFI-0020

- 49 -

FY 2007 CDFI Program Application

−

To the extent the Applicant lacks a system or procedure, explain the strategy for acquiring and
implementing the appropriate information systems and technology.

22. Discuss the extent to which the Applicant has in place the systems and procedures to
ensure ongoing compliance with of a CDFI Fund Assistance Agreement, focusing on
the ability to:
− Submit reports in a timely manner based on the applicable reporting periods;
− Report electronically through the Community Investment Impact System (CIIS) on its financial
management, institutional level, and transaction level data required to meet the Fund’s annual
reporting requirements.
− FA Applicants Only: Identify the geographic location and/or Targeted Populations to which
its Financial Products and/or Financial Services will be deployed;
23. Describe any plans in place or being developed for the Applicant to merge with,
acquire, or be acquired by another entity.
− Identify the entity and whether it is a certified CDFI. Explain the expected timeframe and
strategy for the merger, acquisition, and/or operational joint venture and what impact it will
have on the Applicant’s staffing, operations and ability to serve its Target Market.
24. TA Request Narrative:
− Discuss the extent to which the Applicant lacks one of the elements above or is a start up. For
those TA request entries described in the TAP as improving the Management capacity, explain
how the requested TA will address the deficiencies or strengthen the Applicant’s capacity in
the area of Management. Examples may include requests to develop or enhance policies and
procedures or train staff and or board members in specific areas related to CDFI management
and financing. Describe the applicable activities and/or purchases and how they will improve
the organization’s ability to achieve community development impact.

CDFI Fund, Form CDFI-0020

- 50 -

FY 2007 CDFI Program Application

FINANCIAL HEALTH AND VIABILITY
TA-only Applicants: 10 points; Category I/SECA: 10 points; Category II/Core: 20 points
The Fund will evaluate the Applicant’s: (i) audited or otherwise prepared Financial Statements; (ii)
safety and soundness, including an analysis of the Applicant’s financial services industry ratios (capital,
liquidity, deployment and self-sufficiency) and ability to sustain positive net revenue; (iii) projected
financial health, including its ability to raise operating support from sources other than the Fund and its
capitalization strategy; and (iv) portfolio performance including loan delinquency, loan losses, and loan
loss reserves. If an Applicant does not have 100 percent of the required matching funds in-hand
(versus committed), the Applicant must demonstrate to the satisfaction of the Fund that it will raise the
outstanding balance of matching funds within the time table set forth in the NOFA.

Financial Ratio Minimum Prudent Standards (MPS)
Measure
Capital

Non-Regulated CDFIs

Insured Credit
Unions

IDIs / DIHCs

Net Asset Ratio > 20%
Net Assets divided by Total Assets

Net Worth Ratio >
6%
Net Worth divided by
Total Assets

Tier 1 Leverage
Capital > 8%

Current Ratio = 1.25: 1
Current assets divided by current
liabilities.

Narrative Only

Narrative Only

Is the structure of the Applicant’s debt
appropriate for its financial products?

Deployment

Deployment Ratio > 50%

Narrative Only

Net Loans & Leases
To Deposits >50%

Measures the underlying financial
strength of an Awardee and whether it
has sufficient cushion of assets to cover
unexpected losses. The capital ratio
identifies the percentage of the CDFI’s
total assets unencumbered by debt.

Asset-Liability Management

Measures how much of the Applicant’s
available funds are lent out or invested.

Self-Sufficiency
Measures the percentage of operating
costs a CDFI can cover with earned
revenue.

Operating Liquidity
Measures whether the Applicant has
sufficient cash to cover at least 3 months
of operating expenses. The operating
ratio reports the availability of cash to
cover short-term operating expenses.

Earnings
Measures whether the Applicant is
earning sufficient revenue to cover its
expenses.

Self-Sufficiency Ratio = > 40% Narrative Only
(non-profit) > 70% (for-profit)

Narrative Only

Operating Liquidity Ratio= 1: 1 Narrative Only
Cash and Cash Equivalents that are
not restricted in a manner that
prevents their use in satisfying
obligations represented by
operating expenses DIVIDED BY
25% of total operating expenses
for the four most recently
completed quarters.
Net Income = $0
Break Even ($0)
Gross Revenues (including grants
or other contributions) less Total
Expenses. For-profit Applicants
should deduct total pre-tax
expenses from Total Revenue.

Narrative Only

Break Even ($0)

TIP

Failure to meet any of the historic and/or projected MPS does not necessarily preclude
the Applicant from receiving a Financial Assistance and/or Technical Assistance award.
However, the Applicant must explain why it believes it is financially sound despite not
meeting the MPS.

CDFI Fund, Form CDFI-0020

- 51 -

FY 2007 CDFI Program Application

Charts and Attachments
Financial Data Input Chart (Chart F1, F2, or F3 in the Application Charts Excel Workbook).
− Chart F summarizes both the historic and projected financial performance of the Applicant.
Complete the chart entering data in the green cells only. Yellow cells are formula calculations.
View cell comments in Excel for line item definitions. Applicant will enter historic data using
its last three years of financial statements and portfolio data, if necessary. Applicant should
develop the three years of projected financial information based on portfolio projections,
expected revenue, and other business planning information.
Submit Financial Statements for the Applicant’s three most recently completed fiscal years (or as
many years as are available if the Applicant has been in operation less than three years).
− Non-Regulated Applicants: Submit audited or reviewed Financial Statements. If audited or
reviewed Financial Statements are not available, submit internally generated balance sheets
(statements of financial position) and Income and Expense Statements (statements of
activities), and respond to question 25, below.
− Applicants with Affiliate(s): If the audited Financial Statements of the Applicant are
consolidated with its Affiliate(s) and do not include separate schedules of the Applicant’s
financial position and Income and Expense Statements, submit a separate set of internally
generated Financial Statements for the Applicant.
− ICUs, IDIs, and DIHCs: Submit Financial Statements for the last three completed fiscal years
that have been reviewed by the Applicant’s Appropriate Federal Banking Agency (e.g., National
Credit Union Administration Form 5300, or Uniform Bank Performance Report). Submit
Financial Performance Ratios (FPR) prepared by the Applicant’s Appropriate Federal Banking
Agency for the last three completed fiscal years.
Loan Portfolio Quality Chart (Chart G in the Application Charts Excel Workbook).
Equity Investment Portfolio Valuation Chart (Chart H in the Application Charts Excel Workbook)
Narrative:
25. Describe the type of Financial Statements included with the Application, audited,
reviewed, internally prepared.
− If applicable, explain why anything less than the most recent three years of audited Financial
Statements were not included. If applicable, explain measures being taken to address any
negative findings reported in the audits. Explain any major discrepancies between key
financial statement line items and corresponding entries in Chart F.
26. Provide key assumptions underlying the projections for the projected three years (FY
2007-FY 2009) identified in the Financial Data Input Chart. Address the following:
− Explain the basis for the change in outstanding financing during the projected years. For
example, is this based on a % increase, if so what percentage. If not based on a percentage
increase, what data was used to identify the projection pattern.
− Identify new products or services impacting the outstanding financing figure for the three
projected years. These should correspond to products or services on the Activities Level Chart.
− Explain any significant non-earned revenue sources embedded in the chart and the likelihood
of those being realized.
− Describe the figures used to determine expenses, i.e., assumptions about new hires, new
offices/branches, etc.

CDFI Fund, Form CDFI-0020

- 52 -

FY 2007 CDFI Program Application

−

Does the Applicant have sufficient financing capital to meet the current and projected level of
demand for its Financial Products and/or Financial Services? (When discussing, refer back to
discussion of product demand.)

27. For each Financial Ratio:
− State the Applicant’s ratio result as calculated on the Financial Data Input chart and whether
that result meets the Fund’s minimum prudent standard.
− For all ratios, including those where the Fund has not stated a definitive MPS, explain the
organization’s expectation or goal for this ratio and how those expectations were developed,
e.g., trade association or regulator standards.
− For regulated Applicants, discuss any regulatory constraints or agreements affecting the MPS.
− If the ratio does not meet the MPS add the following to the narrative:
~ Explain why the Applicant is financially sound although it does not meet the MPS. Include specific
information relative to that ratio. For example, a capital ratio statement may address the Sources
and terms of the debt that might mitigate the organization’s financial risk, i.e., (20 different EQ2
investments, the earliest of which is due to roll over in 2020); OR

~ Explain how the requested FA and/or TA will help increase the Applicant’s ratio.
~ Capital Ratio: Explain why the Applicant’s debts exceed 80% of its total assets and how the
organization protects itself from financial risks related to this debt level.

~ Earnings Ratio. Explain such factors as unusual losses, plans for preventing such losses in the

future, strategy for increasing earnings, and how the requested FA and/or TA will help the Applicant
increase its earning potential. The Fund expects CDFIs to sustain positive net revenue each year
but recognizes the nature of CDFI funding sources makes that difficult. The Fund’s MPS is,
therefore, based on a three-year time frame.

~ Operating Liquidity [Non-Regulated] or Capital Liquidity [Regulated] Ratio. Address the factors

affecting the Applicant’s ability to meet its liabilities with off-balance sheet resources or other
strategies.

~ Self-Sufficiency Ratio. (Not applicable for ICUs, IDIs, and DIHCs.) Describe the Applicant’s strategy
and timeline for increasing total earned income and/or decreasing expenses. Explain any inflexible
impediments to self-sufficiency and why they are considered inflexible (e.g., product mix or market
served discussions.)

28. Portfolio Management Ratios. Review the chart below, which outlines the MPS for each of
three portfolio management ratios: Portfolio-at-Risk (PAR), Annual Net Loan Loss Ratio, and Loan
Loss Reserves (LLR) or Provision for Losses.
Loan Portfolio Quality Minimum Prudent Standard (MPS)
for Non-Regulated Entities
Product Grouping

Portfolio-at-Risk
(PAR)

Annual Net Loan
Loss Ratio

Affordable Housing-First Lien

< 7.00%

< 1%

Affordable HousingSubordinate Lien

< 7.00%

< 3%

Business

< 10.00%

< 5%

Consumer & Micro-enterprise

< 12.00%

< 9%

Overall MPS

< 15.00%

Narrative Only

CDFI Fund, Form CDFI-0020

- 53 -

Loan Loss Reserves (LLR) Or
Provision for Losses
Loan Loss Reserves are expected to be no less
than half the actual Portfolio-at-risk and no
more than one and a half times the actual
portfolio at risk: .5 PAR < LLR < 1.5 PAR

FY 2007 CDFI Program Application

Loan Portfolio Quality Minimum Prudent Standard (MPS)
for Regulated Entities
Institution Type
Insured Credit Unions

IDIs / DIHCs

−

−
−

Portfolio-at-Risk
(PAR)
Delinquent
Loans/Total Loans <
3.5%
Non current Loans &
Leases/Total Loans &
Leases < 2.0%

Annual Net Loan
Loss Ratio

Loan Loss Reserves (LLR) Or
Provision for Losses

Comparing the two most recent fiscal years,
Net Charge
offs/Average Loans < Applicant’s provision for loan losses changed by
at least the same percentage and direction as
0.75%.
the change in delinquent loans.

Net Loss/Avg Total
Loans & Leases <
0.5%

Loans & Leases Allowance/Total Loans & Leases
> 0.5% PAR

Applicants will complete the Loan Portfolio Quality Chart (Chart G) and compare their threeyear average historical ratios to the MPS above. Use the narrative responses to explain any
discrepancies.
Overall MPS should be based on the product with the largest dollar percentage in your
portfolio at the close of your last fiscal year.
For each portfolio management ratio, the Applicant will address the following results reported
in the Loan Portfolio Quality Chart:
~ State whether the Applicant met the MPS. For the Delinquency (PAR) Ratio, the narrative should
address each product grouping PAR ratio. For Net Loan Loss (NLL) and Loan Loss Reserve (LLR),
address the aggregate portfolio result as they compare to the MPS.

~ Explain the organization’s expectation or goal for the portfolio ratio and how it was developed, e.g.,
trade association or regulator standards.

~ If the Applicant failed the portfolio MPS, further explain why the Applicant believes it has reasonable
risk management despite not meeting the MPS or describe the steps being taken to address this
failure.

29. Equity Investor Financial Health [applicable only for Venture Capital Funds]
− Complete the Equity Investment Portfolio Valuation Chart (Chart H) and briefly answer the
following questions:
~ Describe the terms of the Equity Investments made by the Applicant.
~ Explain the Fund’s life cycle and where the Applicant is in that life cycle.
~ Describe the Fund’s status in meeting both capitalization and investment goals compared to the
original plans.

−

Provide a summary of investments including total number, breakout by investment type (i.e.,
pure equity vs. equity-like), and investment age.

30. TA Request Narrative:
− Discuss the extent to which the Applicant lacks one of the elements above or is a start up. For
those TA request entries described in the TAP as improving the Financial Health and Viability
capacity, explain how the requested TA will address the deficiencies or strengthen the
Applicant’s capacity in the area of Financial Health and Viability Examples may include requests
for training in financial management or capital development, or operating expenses related to
capitalization. Describe the applicable activities and/or purchases and how they will improve
the organization’s ability to achieve community development impact.

CDFI Fund, Form CDFI-0020

- 54 -

FY 2007 CDFI Program Application

APPLICATION CHARTS
•

The DATA FORM is the first worksheet found in the Excel Workbook. It must be completed in its
entirety.

•

The charts (A-H) are included in this Application for visual reference only. All Application charts are
available – and must be submitted – as an Excel file through the Grants.gov system.

•

Applicants will complete each chart and save the completed Workbook.

•

Applicants must upload the completed Excel workbook into the online interface via Grants.gov by
the application deadline.

•

Applicant should print and retain a hard copy of all charts submitted for future reference. Applicant
should NOT submit hard copies to BPD.

•

Excel tip: To print all worksheets in a workbook choose “Print” then in the “Print What” box in the
lower left corner select the radio button for “Entire Workbook.”

CDFI Fund, Form CDFI-0020

- 55 -

FY 2007 CDFI Program Application

A. Matching Funds Data Chart
Instructions: Detailed instructions and a sample chart can be found in the Application. Review those
carefully and have Matching Funds documents available when completing this chart. Remember the
following important points:
1) Fill in only one "Amount" column for each row. The date entry should correspond to the amount column
and match status as explained in the Application instructions.
2) If the Matching Funds are from a state and/or local government agency, Applicants must provide the
contact name, title, and phone number of the Matching Funds source in the far right column. Use same
column for any additional comments relevant to the Matching Funds entry.
3) The appropriate Retained Earnings calculator (charts B1, B2, or B3) must be completed if the Applicant
includes a Retained Earnings entry in this chart.
4) If additional rows are needed insert them in the middle of the table so that the "Total" formulas are
automatically updated.
Name of Source

Totals

CDFI Fund, Form CDFI-0020

Type

Amount InHand

Amount
Committed

0

0

- 56 -

Amount to
be Raised

Date

Comments & Contact
Data

0

FY 2006 CDFI Program Application

B1. Retained Earnings Calculator Chart
(Non-Regulated Applicants)
Instructions: This chart must be completed by any non-regulated (for- or non-profit) Applicant proposing to use retained
earnings as a matching funds source.
The Applicant must demonstrate in this chart that the proposed retained earnings meet the following criteria:
(1) No federal funds are being proposed as part of the retained earnings.
(2) Applicant is not double-counting match fund sources in Chart A (list of match fund sources).
(3) Matching Funds meet applicable FY guidelines (see NOFA).
The Applicant's electronic signature on SF-424 attests that all information reported in the Retained Earnings chart is accurate at
the time of application. To the extent possible, the Fund will verify the table entries against the financial statements provided with
the application. The information reported here is subject to audit; therefore, Applicant must be accurate in reporting Federal
income and associated expenses.
Non-regulated Applicants have two options for calculating Retained Earnings:
(A) The increase in Retained Earnings over the Applicant's most recently completed fiscal year; or
(B) The annual average increase in Retained Earnings over the Applicant's three most recently completed fiscal years.
Fill out the data for each of the fiscal years.
Yellow cells automatically calculate based on entries made in the green cells. Complete green cells for each fiscal year using
line items from the Applicant's financial statements and historical accounting records.
The chart assumes the Applicant's most recently completed fiscal year is 2005. If the most recently completed fiscal year is
2006, adjust the fiscal years by changing 2005 to 2006 – the other years will update automatically.
Rows A and E should be found on the Income Statements. Other rows may need to be calculated or researched from
accounting records.
Itemize income and expenses associated with federal sources under Line B. Itemize income that the Applicant is also using
as a source of match (as reported on Chart A) on line A. If additional rows are needed for reporting itemized data (Line B
and Line C), add rows from middle of the section in order to maintain the sum formula on line B or C.
A positive result in either of line J Col 3 or Line K Col 3 can be proposed as "Retained Earnings" match in Chart A.
Line
A

Col 1

Col 2

Col 3

Col 4

Financial Data

2003

2004

2005

Total Operating Income/Revenue

B

LESS Income from Federal Sources
(Itemize source and amount in the lines below. Add additional lines as
necessary)

0

0

0

C

LESS Income listed as Matching Funds on Chart A

0

0

0

0

0

0

0

0

0

(Itemize source and amount in the lines below. Add additional lines as
necessary)

D

Subtotal: Adjusted Operating Income/Revenue

E

Total Operating Expenses

F

LESS Total Expenses Associated with Lines B and C
(Itemize source and amount in the lines below. Add additional lines as
necessary)

G

LESS Dividends Paid Out (For-profit CDFIs only)

H

Subtotal: Adjusted Operating Expenses

0

0

0

I

TOTAL RETAINED EARNINGS

0

0

0

Either Result Below Can Be Used for FY 2007 Application
J

Retained Earnings Increase from Most Recent FYEnd

$0

K

Three Year Average Retained Earnings Increase

$0

CDFI Fund, Form CDFI-0020

- 57 -

FY 2006 CDFI Program Application

B2. Retained Earnings Calculator Chart for
Credit Unions
Instructions: This chart must be completed by any credit union Applicant proposing to use retaining earnings as a source of matching
funds.
The Applicant must demonstrate in this chart that the proposed retained earnings meet the following criteria:
(1) No federal funds are being proposed as part of the retained earnings.
(2) Applicant is not double-counting match fund sources in Chart A (list of match fund sources).
(3) Matching Funds meet applicable FY guidelines (see NOFA).
The Applicant's electronic signature on SF-424 attests that all information reported in the Retained Earnings chart is accurate at the time of
application. To the extent possible, the Fund will verify the table entries against the financial statements provided with the application.
The information reported here is subject to audit; therefore, Applicant must be accurate in reporting Federal income and associated
expenses.
Credit Unions have three options for calculating Retained Earnings:
(A) The increase in Retained Earnings over the Applicant's most recently completed fiscal year;
(B) The annual average increase in Retained Earnings over the Applicant's three most recently completed fiscal years; or
(C) Retained Earnings accumulated since its inception.
Fill out the data for each of the fiscal years.
Yellow cells automatically calculate based on entries made in the green cells. Complete green cells for each fiscal year using line
items from the Applicant's financial statements and historical accounting records.
The chart assumes the Applicant's most recently completed fiscal year is 2005. If the most recently completed fiscal year is 2006,
adjust the fiscal years by changing 2005 to 2006 – the other years will update automatically.
If using the "Since Inception" calculation, the Applicant need only complete the "Since Inception" column – available Retained
Earnings will calculated in cell C19.
Itemize income and expenses associated with federal sources under Line B. Itemize income that the Applicant is also using as a
source of match (as reported on Chart A) on line A. If additional rows are needed for reporting itemized data (Line B and Line C),
add rows from middle of the section in order to maintain the sum formula on line B or C.
For Insured Credit Unions using choice (C), the Applicant must ALSO increase its Member and/or Non-Member Shares or total loans
outstanding by an amount that is equal to the amount of Retained Earnings that is committed as Matching Funds by the end of the
Awardee’s second performance period, as set forth in its Assistance Agreement. For example, if Retained Earnings since inception is equal
to $50,000 and the Applicant designates the entire amount as match, the Applicant must raise its Total Member/Nonmember Shares or
loans outstanding by $50,000.
Applicants using Retained Earnings under choice (C) must include a narrative in the box below discussing its strategy for raising the
required shares or loans.
Line
A
B

Col 1

Col 2

Col 3

Col 4

Col 5

Call Report and other Financial Data

Since Inception

2004

2005

2006

Undivided earnings
Subtract income from Federal Sources

C

Regular Reserves

D

Other Reserves

E

Subtotal (A+B+C)

F

Reserves dedicated to losses

G
H
I
J
K

$0

$0

$0

$0

$0

$0

$0

$0

$0

$0

$0

$0

Income from Federal sources
Income used to match a Federal grant or
previous award
Subtotal of Adjustments (E+F+G)
Available Retained Earnings
(D-H)

$0

Annual Average Retained Earnings

Any of the Results Below Can Be Used As Match:
Retained Earnings Increase from Most Recent FYEnd:
3-Year Average Retained Earnings Increase:
Retained Earnings From Inception:

CDFI Fund, Form CDFI-0020

- 58 -

$0
#DIV/0!
$0

FY 2006 CDFI Program Application

B3: Retained Earnings Calculator Chart for Banks,
Thrifts, and Holding Companies
Instructions: This chart must be completed by any bank, thrift, holding company Applicant proposing to use retained earnings as
a matching funds source.
The Applicant must demonstrate in this chart that the proposed retained earnings meet the following criteria:
(1) No federal funds are being proposed as part of the retained earnings.
(2) Applicant is not double-counting match fund sources in Chart A (list of match fund sources).
(3) Matching Funds meet applicable FY guidelines (see NOFA).
The Applicant's electronic signature on SF-424 attests that all information reported in the Retained Earnings chart is accurate at the
time of application. The Fund will verify the table entries against the financial statements provided with the application or data on
the FFIEC website. The information reported here is subject to audit; therefore, Applicant must be accurate in reporting Federal
income and associated expenses.
Bank, thrift, and holding company Applicants have two options for calculating Retained Earnings:
(A) The increase in Retained Earnings over the Applicant's most recently completed fiscal year; or
(B) The annual average increase in Retained Earnings over the Applicant's three most recently completed fiscal years.
Fill out the data for each of the fiscal years.
Yellow cells automatically calculate based on entries made in the green cells. Complete green cells for each fiscal year using
line items from the Applicant's financial statements and historical accounting records.
The chart assumes the Applicant's most recently completed fiscal year is 2005. If the most recently completed fiscal year is
2006, adjust the fiscal years by changing 2005 to 2006 – the other years will update automatically.
Rows A and E should be found on the Income Statements. Other rows may need to be calculated or researched from
accounting records.
Itemize income and expenses associated with federal sources under Line B. Itemize income that the Applicant is also using as
a source of match (as reported on Chart A) on line A. If additional rows are needed for reporting itemized data (Line B and
Line C), add rows from middle of the section in order to maintain the sum formula on line B or C.
A positive result in either of line J Col 3 or Line K Col 3 can be proposed as "Retained Earnings" match in Chart A.

Line

A

Col 1

Col 2

Col 3

Col 4

Call Report Data

2003

2004

2005

Retained earnings
(Line 16c from Holding Company report FR Y-9SP; line 20d from FR Y9LP; Schedule RC, line 26a from Bank Call Report)

B

Accumulated other comprehensive income
(Line 16d from Holding Company report FR Y-9SP; line 20e from TFR Y9LP; Schedule RC, line 26b from Bank Call Report)

C

Other noninterest income
(Schedule RI, TFR, line 5l from Call Report)

D

LESS Income from Federal Sources
(Itemize source and amount in the lines below. Add additional lines as
necessary)

E

LESS Income listed as Matching Funds on Chart A
(Itemize source and amount in the lines below. Add additional lines as
necessary)

E

Eligible Retained earnings for purposes of CDFI Program
matching funds calculation

F

Retained Earnings Increase from Most Recent
Fiscal Year
Three Year Average Retained Earnings Increase

$0

$0

$0

Either Result Below Can Be Used for FY 2007 Application
G

CDFI Fund, Form CDFI-0020

$0
$0

- 59 -

FY 2006 CDFI Program Application

C. TA Budget Chart
Identify all items and / or tasks to be financed with the TA grant. A detailed description, justification, and
explanation of the calculation methodology for the amount requested for each entry must be included in the
TA Proposal (TAP) section of the application. Provide the requested information for each requested use.
Complete a separate entry for each individual use. Insert more rows above the appropriate subtotal line if
additional rows are needed. Additional instructions (and a sample chart) can be found in the FY 2007
Combined CDFI Program application.

A. Personnel (Salary)
Under Name, list the staff person's name for which salary is requested. Under Position, identify the staff person's
title. Under Computation, list the annual salary rate and the percentage to be covered by the requested TA
grant (which should correspond to the percentage of time to be devoted to an identified project / task or for
carrying out CDFI-related activities as described in the narrative justification). Under Cost, list the total salary
amount calculated using the methodology described under Computation. List each staff person on a separate
line.

Name

Position

Computation

Cost

Personnel (Salary) Sub-Total:

$0

B. Personnel (Fringe Benefits)
Fringe benefits are for personnel listed in cost category (A). Under Name, list the staff person's name for which
fringe benefits are requested. Under Position, identify the staff person's title. Under Computation, identify the
source of the calculation, list the annual amount of fringe benefits and the percentage to be covered by the
requested TA grant (which should correspond to the percentage of time to be devoted to an identified project
/ task or for carrying out CDFI related activities as described in the narrative justification). Under Cost, list the
total amount of fringe benefits calculated using the methodology described under Computation. List each staff
person on a separate line.

Name

Position

Computation

Cost

Personnel (Fringe Benefits) Sub-Total:

$0

C. Training
List each training class or course funded by the TA grant separately by the name of the training. Under Name of
Training, identify the name of the training event. Under Training Provider, identify the name of the training
provider. Under Computation, identify all items to be covered by the TA grant including costs of tuition, fees,
training materials, and text books (travel, subsistence, and salary for staff attending the training should be
reflected in the Travel and Personnel categories). Under Cost, list the total cost computed for each training
event calculated using the methodology described under Computation.

Name of Training

Training Provider Computation

Cost

[Partial view of three-page Chart. See full completed sample in Application, Part III]

CDFI Fund, Form CDFI-0020

- 60 -

FY 2006 CDFI Program Application

D. Activities Level Chart
Instructions: Use this chart to identify up to five primary Financial Products and/or Financial Services provided by the Applicant. Select
activity from the options in the "Activity" column dropdown menu. For each activity, identify total # and % of total provided to Target
Market. Report actual figures for the 3 most recently completed fiscal years. Report projected activity for the current fiscal year and the
next three fiscal years. If the Applicant is a start-up, enter information on its parent or its own activities (if it has applicable activities), or
N/A if it has not yet started to provide financial products or services. Provide details about each activity in the CBP, Business Strategy,
question #5 narrative.
Total # and % of Total to TM: Under the # sign enter the total number of transactions closed (or customers served in the case of Financial
Services). Under the % enter percent of those total transactions or customers that would be credited to the Applicant's Target Market.
Total $ and % of Total to TM: Under the $ sign indicate the total dollar amount of transactions (as applicable) closed for that year. Under the %
enter percentage of total $ amount that can be credited to the Applicant's Target Market.

The chart assumes the Applicant's most recently completed fiscal year was 2005. If the most recently completed fiscal year was 2006,
adjust the fiscal years by editing only the entry in cell G7 to 2006 and the other years will update automatically.
Projected Activity

Historic Activity
Activity

2003

2004

2005

2006

2007

2008

2009

#

%

#

%

#

%

#

%

#

%

#

%

#

%

$

%

$

%

$

%

$

%

$

%

$

%

$

%

#

%

#

%

#

%

#

%

#

%

#

%

#

%

$

%

$

%

$

%

$

%

$

%

$

%

$

%

#

%

#

%

#

%

#

%

#

%

#

%

#

%

$

%

$

%

$

%

$

%

$

%

$

%

$

%

#

%

#

%

#

%

#

%

#

%

#

%

#

%

$

%

$

%

$

%

$

%

$

%

$

%

$

%

#

%

#

%

#

%

#

%

#

%

#

%

#

%

$

%

$

%

$

%

$

%

$

%

$

%

$

%

CDFI Fund, Form CDFI-0020

- 61 -

FY 2007 CDFI Program Application

E. Community Development Impact Chart
Instructions: Use this chart to identify up to five community development impacts related to the Financial Products or Financial Services identified on the Activities Level
Chart. Report actual figures for the 3 most recently completed fiscal years. Report projected activity for the current fiscal year and the next three fiscal years. Select
impacts from the options in the dropdown menu. For each impact, identify total # and % of total to Target Market. If the Applicant is a start-up, enter information on its
parent or its own activities (if it has applicable activities), or N/A if it has not yet started to provide financing or financial services. Provide details about each impact in
the CBP, Community Development Performance, question #10 narrative.
The chart assumes the Applicant's most recently completed fiscal year was 2005. If the most recently completed fiscal year was 2006, adjust the fiscal years by editing
only the entry in cell G6 to 2006 and the other years will update automatically.

Historic Activity
2003

Activity

#

Projected Activity

2004
%

2005

2006

2007

2008

2009

#

%

#

%

#

%

#

%

#

%

#

%

100%
$

%

$

%

$

%

$

%

$

%

$

%

$

%

#

%

#

%

#

%

#

%

#

%

#

%

#

%

$

%

$

%

$

%

$

%

$

%

$

%

$

%

#

%

#

%

#

%

#

%

#

%

#

%

#

%

$

%

$

%

$

%

$

%

$

%

$

%

$

%

#

%

#

%

#

%

#

%

#

%

#

%

#

%

$

%

$

%

$

%

$

%

$

%

$

%

$

%

#

%

#

%

#

%

#

%

#

%

#

%

#

%

$

%

$

%

$

%

$

%

$

%

$

%

$

%

CDFI Fund, Form CDFI-0020

- 62 -

FY 2007 CDFI Program Application

F1: Financial Data Input Chart - Non-Regulated Applicant
Non-Regulated Applicant
Financial Data Input Chart

2003

2004

Credit Unions
and Banks,
Thrifts, and
Holding
Companies
should NOT
use this chart.
See Charts F2
and F3.

2005

Assets
a Total cash and cash equivalents
b Unrestricted cash and cash equivalents
c Current: Gross Loans Receivables
d Total Commitments
e Total Current Assets
f Noncurrent: Gross Loans Receivables
g Less: Loan Loss Reserve
h

Total Outstanding Equity Investment Portfolio

I Less: Net Unrealized Loss
Total Gross Loans Receivables and/or Equity
j Investment Portfolio

0

0

0

k Total Assets

Liabilities
l Total Current Liabilities
m Total Notes Payable
n Total Adjusted Notes Payable
o Total Off-Balance Sheet Resources
p Total Liabilities

Net Assets
q Total Net Assets Available for Financing
r Total Net Assets

Income and Expenses
s Interest Payments from Financial Products
Fee Income from Financial Products, Financial
t Services, and other activities
u Total Earned Income
v Total Grants and Contributions
w Total Income
x Total pre-tax Expenses

Financial Health and
Viability - MPS Ratios
y Net Asset Ratio
z Total Financing Capital
aa Deployment Ratio
bb Net Income

2003

2004

3-Year
Historic
Ratios

2005

#DIV/0!

#DIV/0!

#DIV/0!

$0

$0

$0

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!
$0
#DIV/0!

$0

$0

$0

cc Self-Sufficiency Ratio

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

dd Operating Liquidity Ratio

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

ee Current Ratio

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

CDFI Fund, Form CDFI-0020

- 63 -

$0

FY 2007 CDFI Program Application

F1: Financial Data Input Chart - Non-Regulated Applicant
Non-Regulated Applicant
Financial Data Input Chart

2006

2007

2008

2009

Assets
a Total cash and cash equivalents
b Unrestricted cash and cash equivalents
c Current: Gross Loans Receivables
d Total Commitments
e Total Current Assets
f Noncurrent: Gross Loans Receivables
g Less: Loan Loss Reserve
h

Total Outstanding Equity Investment Portfolio

I Less: Net Unrealized Loss
Total Gross Loans Receivables and/or Equity
j Investment Portfolio

0

0

0

0

k Total Assets

Liabilities
l Total Current Liabilities
m Total Notes Payable
n Total Adjusted Notes Payable
o Total Off-Balance Sheet Resources
p Total Liabilities

Net Assets
q Total Net Assets Available for Financing
r Total Net Assets

Income and Expenses
s Interest Payments from Financial Products
Fee Income from Financial Products, Financial
t Services, and other activities
u Total Earned Income
v Total Grants and Contributions
w Total Income
x Total pre-tax Expenses

Financial Health and
Viability - MPS Ratios
y Net Asset Ratio
z Total Financing Capital
aa Deployment Ratio
bb Net Income

2006

2007

2008

3-Year
Projected
Ratios

2009

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

$0

$0

$0

$0

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!
$0
#DIV/0!

$0

$0

$0

$0

cc Self-Sufficiency Ratio

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

dd Operating Liquidity Ratio

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

ee Current Ratio

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

CDFI Fund, Form CDFI-0020

- 64 -

$0

FY 2007 CDFI Program Application

F2: Financial Data Input Chart – Credit Union Applicants
Credit Union Applicant
Financial Data Input Chart

2002

2003

2004

2005

Assets
a Cash on Hand

$

-

$

-

$

b Cash on Deposit

$

-

$

-

$

-

c Cash Equivalents
Investments w/ Maturity or repricing period
d of less than 1 year
e Total Investments

$

-

$

-

$

-

$

-

$

-

$

-

$

-

$

-

$

-

f Total Loans and Leases

$

-

$

-

$

-

g Less: Allowance for Loan & Lease Losses

$

-

$

-

$

-

$

-

$

-

$

-

I Total Borrowings
Accrued Dividends & Interest Payable in
j Shares and Deposits

$

-

$

-

$

-

$

-

$

-

$

-

k Accounts Payable and Other Liabilities

$

-

$

-

$

-

l Total Liabilities

$

-

$

-

$

-

m Total Member Deposits

$

-

$

-

$

-

n Total Non-Member Deposits

$

-

$

-

$

-

o Total Shares and Deposits

$

-

$

-

$

-

p Undivided Earnings

$

-

$

-

$

-

q Regular Reserves
Appropriation for Non-Conforming
r Investments (state-charted credit unions)

$

-

$

-

$

-

$

-

$

-

$

-

s Other Reserves

$

-

$

-

$

-

t Uninsured Secondary Capital
Net Income (unless this amount is already
u included in Undivided Earnings)

$

-

$

-

$

-

$

-

$

-

$

-

v Total Net Worth

$

-

$

-

$

-

w Total Interest Income

$

-

$

-

$

-

x Total Interest Expenses

$

-

$

-

$

-

y Provision for Loan and Lease Losses

$

-

$

-

$

-

z Total Non-Interest Income

$

-

$

-

$

-

aa Total Non-Interest Expense

$

-

$

-

$

-

bb Net Income

$

-

$

-

$

-

h Total Assets

$

-

-

Liabilities

Shares/Deposits

Equity

Income and Expenses

Financial Health and
Viability - MPS Ratios

2003

2004

2005

3-Year
Historic
Ratios

cc Net Worth Ratio
dd Deployment Ratio
ee Earnings

#DIV/0!

#DIV/0!

#DIV/0! #DIV/0!

#DIV/0!

#DIV/0!

#DIV/0! #DIV/0!

#DIV/0!

#DIV/0!

#DIV/0! #DIV/0!

ff Asset Liability Management

#DIV/0!

#DIV/0!

#DIV/0! #DIV/0!

CDFI Fund, Form CDFI-0020

- 65 -

FY 2007 CDFI Program Application

F2: Financial Data Input Chart – Credit Union Applicants
Credit Union Applicant
Financial Data Input Chart

2006

2007

2008

2009

Assets
a Cash on Hand

$

-

$

-

$

-

$

b Cash on Deposit

$

-

$

-

$

-

$

-

c Cash Equivalents
Investments w/ Maturity or repricing period
d of less than 1 year
e Total Investments

$

-

$

-

$

-

$

-

$

-

$

-

$

-

$

-

$

-

$

-

$

-

$

-

f Total Loans and Leases

$

-

$

-

$

-

$

-

g Less: Allowance for Loan & Lease Losses

$

-

$

-

$

-

$

-

h Total Assets

$

-

$

-

$

-

$

-

-

Liabilities
I Total Borrowings
Accrued Dividends & Interest Payable in
j Shares and Deposits

$

-

$

-

$

-

$

-

$

-

$

-

$

-

$

-

k Accounts Payable and Other Liabilities

$

-

$

-

$

-

$

-

l Total Liabilities

$

-

$

-

$

-

$

-

m Total Member Deposits

$

-

$

-

$

-

$

-

n Total Non-Member Deposits

$

-

$

-

$

-

$

-

o Total Shares and Deposits

$

-

$

-

$

-

$

-

p Undivided Earnings

$

-

$

-

$

-

$

-

q Regular Reserves
Appropriation for Non-Conforming
r Investments (state-charted credit unions)

$

-

$

-

$

-

$

-

$

-

$

-

$

-

$

-

s Other Reserves

$

-

$

-

$

-

$

-

t Uninsured Secondary Capital
Net Income (unless this amount is already
u included in Undivided Earnings)

$

-

$

-

$

-

$

-

$

-

$

-

$

-

$

-

v Total Net Worth

$

-

$

-

$

-

$

-

w Total Interest Income

$

-

$

-

$

-

$

-

x Total Interest Expenses

$

-

$

-

$

-

$

-

y Provision for Loan and Lease Losses

$

-

$

-

$

-

$

-

z Total Non-Interest Income

$

-

$

-

$

-

$

-

aa Total Non-Interest Expense

$

-

$

-

$

-

$

-

bb Net Income

$

-

$

-

$

-

$

-

Shares/Deposits

Equity

Income and Expenses

Financial Health and
Viability - MPS Ratios
cc Net Worth Ratio
dd Deployment Ratio
ee Earnings
ff Asset Liability Management

CDFI Fund, Form CDFI-0020

2006

2007

2008

2009

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

- 66 -

#DIV/0!

3-Year
Projected
Ratios
#DIV/0!

FY 2007 CDFI Program Application

F3: Financial Data Input Chart – Bank/Thrift/Holding Companies
Bank/Thrift/ Holding Co.
Financial Data Input Chart
Assets
Cash and balances due from depository
a institutions
b Short-term investments

2003

2004

2005

$

-

$

-

$

-

$

-

$

-

$

-

c Total Investments
d Loans and Leases, net of unearned income

$

-

$

-

$

-

$

-

$

-

$

-

e Less: Allowance for Loan & Lease Losses

$

-

$

-

$

-

f Average Assets, year-to-date

$

-

$

-

$

-

g Long Term Assets

$

-

$

-

$

-

h Total Assets

$

-

$

-

$

-

I Interest-bearing deposits
j Total Deposits

$
$

-

$
$

-

$
$

-

k Total Notes Payable

$

-

$

-

$

-

l Non-Core Liabilities

$

-

$

-

$

-

m Other Liabilities

$

-

$

-

$

-

n Total Liabilities

$

-

$

-

$

-

o Perpetual preferred stock

$

-

$

-

$

-

p Common Stock

$

-

$

-

$

-

q Surplus

$

-

$

-

$

-

r Undivided Profits
s Tier 1 Capital

$
$

-

$
$

-

$
$

-

t Tier 2 Capital

$

-

$

-

$

-

u Total Equity Capital
Income and Expenses

$

-

$

-

$

-

v Total Interest Income

$

-

$

-

$

-

w Total Interest Expenses

$

-

$

-

$

-

x Provision for Loan and Lease Losses

$

-

$

-

$

-

y Total Non-Interest Income

$

-

$

-

$

-

z Total Non-Interest Expense
Income (loss) before income taxes and
aa extraordinary items and other adjustments

$

-

$

-

$

-

$

-

$

-

$

-

bb Net Income (loss)

$

-

$

-

$

-

Liabilities

Equity Capital

Financial Health and
Viability - MPS Ratios

2003

2004

2005

3-Year
Historic
Ratios

cc Tier 1 Leverage Capital Ratio

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

dd Deployment Ratio

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

ee Earnings Ratio

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

ff Asset Liability Management Ratio

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

CDFI Fund, Form CDFI-0020

- 67 -

FY 2007 CDFI Program Application

F3: Financial Data Input Chart – Bank/Thrift/Holding Companies
Bank/Thrift/ Holding Co.
Financial Data Input Chart
Assets
Cash and balances due from depository
a institutions
b Short-term investments

2006

2007

2008

2009

$

-

$

-

$

-

$

-

$

-

$

-

$

-

$

-

c Total Investments
d Loans and Leases, net of unearned income

$

-

$

-

$

-

$

-

$

-

$

-

$

-

$

-

e Less: Allowance for Loan & Lease Losses

$

-

$

-

$

-

$

-

f Average Assets, year-to-date

$

-

$

-

$

-

$

-

g Long Term Assets

$

-

$

-

$

-

$

-

h Total Assets

$

-

$

-

$

-

$

-

I Interest-bearing deposits
j Total Deposits

$
$

-

$
$

-

$
$

-

$
$

-

k Total Notes Payable

$

-

$

-

$

-

$

-

l Non-Core Liabilities

$

-

$

-

$

-

$

-

m Other Liabilities

$

-

$

-

$

-

$

-

n Total Liabilities

$

-

$

-

$

-

$

-

o Perpetual preferred stock

$

-

$

-

$

-

$

-

p Common Stock

$

-

$

-

$

-

$

-

q Surplus

$

-

$

-

$

-

$

-

r Undivided Profits
s Tier 1 Capital

$
$

-

$
$

-

$
$

-

$
$

-

t Tier 2 Capital

$

-

$

-

$

-

$

-

u Total Equity Capital
Income and Expenses

$

-

$

-

$

-

$

-

v Total Interest Income

$

-

$

-

$

-

$

-

w Total Interest Expenses

$

-

$

-

$

-

$

-

x Provision for Loan and Lease Losses

$

-

$

-

$

-

$

-

y Total Non-Interest Income

$

-

$

-

$

-

$

-

z Total Non-Interest Expense
Income (loss) before income taxes and
aa extraordinary items and other adjustments

$

-

$

-

$

-

$

-

$

-

$

-

$

-

$

-

bb Net Income (loss)

$

-

$

-

$

-

$

-

Liabilities

Equity Capital

Financial Health and
Viability - MPS Ratios

2006

2007

2008

2009

3-Year
Projected
Ratios

cc Tier 1 Leverage Capital Ratio

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

dd Deployment Ratio

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

ee Earnings Ratio

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

ff Asset Liability Management Ratio

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

CDFI Fund, Form CDFI-0020

- 68 -

FY 2007 CDFI Program Application

G. Loan Portfolio Quality Chart
Instructions: Provide data for the overall total loan portfolio in the first table. Delinquency is defined as 90+ days past due for non-regulated Applicants
and 12 + months past due for regulated Applicants. The other two tables are optional and allow the Applicant to provide portfolio data for up to two
products within the portfolio. Applicants may choose to use these tables to demonstrate how a particular product's delinquency figures impact the overall
portfolio. For example in one table the Applicant could summarize the business portfolio and in the 2nd the microenterprise portfolio. Enter information in
the green shaded cells only. Insured Credit Unions and Insured Depository Institutions are NOT required to complete this chart.

Aggregate Portfolio

2005
#

2004
$

#

2003
$

#

2002
$

#

Average
PAR:

$

A Portfolio Outstanding
B

Delinquent Portfolio

C

Total Portfolio-at-Risk (b / a)

0.0%

Optional Product:

0.0%

0.0%

2005
#

0.0%

0.0%

2004
$

#

0.0%

0.0%

2003
$

#

0.0%

2002
$

#

0.0%

Average
PAR:

$

A Portfolio Outstanding
B

Delinquent Portfolio

C

Total Portfolio-at-Risk (b / a)

0.0%

Optional Product:

0.0%

0.0%

2005
#

0.0%

0.0%

2004
$

#

0.0%

0.0%

2003
$

#

0.0%

2002
$

#

0.0%

Average
PAR:

$

A Portfolio Outstanding
B

Delinquent Portfolio

C

Total Portfolio-at-Risk (b / a)

Loan Loss and Loan Reserve History for
Aggregate Portfolio
A

Total Outstanding Loan Portfolio

B

Net Write-Offs or Net Charge-Offs

C

Annual Net Loan Loss Ratio (B/A)

D

Loan Loss Reserve (cash)

E

Loan Loss Reserve (accrual)

F

Loan Loss Reserve Ratio ((D + E) / A))

CDFI Fund, Form CDFI-0020

0.0%

0.0%

2005

- 69 -

0.0%

0.0%

2004

0.0%

0.0%

2003

0.0%

0.0%

2002

0.0%

Historic

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

FY 2007 CDFI Program Application

H. Equity Investment Portfolio Valuation Chart
Instructions: Complete the green-shaded cells only. Enter information on your Equity Investment portfolio as of the last day
of your organization's fiscal year for the last three years (if applicable), and the current year to date. Follow-on investments
into the same company should be counted as unique investments.
2002

2003

2004

2005

Investment Portfolio Measures
Number
A

B

C

D
E
F
G

Dollars
gained (lost)

Number

Dollars
gained (lost)

Number

Dollars
gained (lost)

Number

Dollars
gained (lost)

Average holding period (# of
months) of all investments in
portfolio
Equity Investments exited
during the year

$

-

$

-

$

-

$

-

Equity Investments written-off
during the year

$

-

$

-

$

-

$

-

$

-

$

-

$

-

$

-

Unrealized Gains (losses)
Realized Gains (losses)
Projected Rate of Return
Since Inception
Actual Rate of Return Since
Inception

CDFI Fund, Form CDFI-0020

- 70 -

FY 2007 CDFI Program Application