Form CDFI 0030 CDFI 0030 Awardee Financing Profile Details

Project Funded by CDFI Fund Awardee/Allocatee

Award Program (check all that apply):

 CDFI  NMTC  BEA  NACA

Total Project Amount: Amount Financed by Awardee/Allocatee:

$ ___________________ $______________________

Other Financing Partners:

___________________________________________________________________________

Financing Type (check all that apply):

 Term Loan  Line of Credit  Equity

 Debt with Equity

 Other: ________________

Purpose of Financing (check all that apply):

 Consumer

 Business

 Microenterprise

 Home Purchase Mortgage or Home Improvement Loan

 Residential Real Estate

 Predevelopment/Construction

 Rehabilitation/Acquisition

 Multi-Family

 Single-Family

 Rental

 For-Sale

 Commercial Real Estate

 Predevelopment/Construction/Permanent/Acquisition

 Rehabilitation

 Office

 Retail

 Manufacturing

 Community Facility

 Other: ______________________________

Geographic Area (check all that apply):

 Major Urban  Minor Urban

 Rural  Native

Subject Property Location:

City:__________________________

State:_______

Zip+4:___________________

Census Tract: ________________

Description of Project/Borrower Financed: Please limit response to 1/2 page

Benefits to Borrower or Investee: Please limit response to 1/2 page

Community & Economic Impacts: Please limit response to 1/2 page

Leveraging/Value-Added Effect of CDFI Award on the Awardee/Allocatee’s ability to serve its Target Market: Please limit response to 1/2 page

Supplemental Comments About the Project: Please limit response to 1/2 page

Awardee/Allocatee Name: __________________________________________________

Awardee/Allocatee Address:

City:__________________________

State:_______

Zip+4:___________________

Contact Person:

Name: ___________________________

Title: __________________________

Contact Information:

Phone: ______________

Email: ________________________

NOTE: Awardee/Allocatee is encouraged to attach photo(s) of project.