Form CDFI Form 0005 CDFI Form 0005 CDFI Certification Application

Community
Development
Financial
Institutions
Fund

CDFI Certification
Application
(For Public Comment May 2008)

Community Development Financial Institutions Fund

CDFI Certification Application
PAPERWORK REDUCTION ACT NOTICE
CDFI - 0005
OMB Control Number: 1559-0028
This submission requirements package is provided to applicants for certification as Community
Development Financial Institutions. Applicants are not required to respond to this collection of information
unless it displays a currently valid OMB number. The estimated average burden associated with this
collection of information is thirty seven and a half hours per applicant. Comments concerning the
accuracy of this burden estimate and suggestions for reducing this burden should be directed to the
Certification and Training Program Manager, Department of the Treasury, Community Development
Financial Institutions Fund, 601 13th Street, NW, Suite 200 South, Washington, DC 20005.

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Community Development Financial Institutions Fund

CDFI Certification Application
COMMUNITY DEVELOPMENT FINANCIAL INSTITUTIONS FUND (CDFI FUND) MISSION
The mission of the CDFI Fund is to expand the capacity of financial institutions to provide credit, capital,
and financial services to underserved populations and communities in the United States.
WHAT IS A COMMUNITY DEVELOPMENT FINANCIAL INSTITUTION (CDFI)?
Generally, CDFIs are community-based specialized financial institutions that serve Low-Income people or
work in economically distressed communities, often working in market niches that may be underserved by
traditional financial institutions. CDFIs provide a unique and wide range of Development Services,
Financial Products and Financial Services that help their customers build wealth and achieve the goal of
participating in the “ownership” society. While the types of products made available may be similar to
those provided by mainstream financial institutions (such as mortgage financing for Low-Income and firsttime homebuyers, small business lending, and lending for community facilities), CDFIs generally lend to
and make equity investments in markets not served by traditional financial institutions. CDFIs may offer
rates and terms that are more flexible than those provided by traditional financial institutions. CDFIs also
seek to provide services that will help ensure that credit is used effectively, such as technical assistance
to small businesses, and home buying and credit counseling to consumers. CDFIs include regulated
institutions such as community development banks and credit unions, and non-regulated institutions such
as loan funds and venture capital funds, among others.
CDFI CERTIFICATION DESIGNATION
CDFI certification is a designation conferred by the CDFI Fund. In order to be certified as a CDFI, a
financial institution must meet each of the following seven certification criteria at the time a CDFI
Certification Application is submitted to the CDFI Fund:
§
§
§
§
§
§
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Be a legal entity;
Have a primary mission of promoting community development;
Be a financing entity;
Primarily serve one or more Target Markets;
Provide Development Services in conjunction with its financing activities;
Maintain accountability to its defined target market; and
Be a non-government entity and not be under control of any government entity (tribal governments
typically excluded).

CDFI Certification does not constitute an opinion by the CDFI Fund as to the effectiveness or
financial viability of the Applicant.
CDFI CERTIFICATION BENEFIT
An entity must be certified by the CDFI Fund as a CDFI in order to be eligible to receive a Financial
Assistance award through the CDFI and Native American CDFI Assistance (NACA) programs. In
addition, a certified CDFI can partner with an FDIC-insured depository institution to apply for a Bank
Enterprise Award (BEA) from the CDFI Fund to support investments in the CDFI. CDFI certification may
provide access to the New Markets Tax Credit Program by allowing the CDFI to become a Community
Development Entity (CDE). CDFI certification may also enhance a financial institution’s ability to attract
private sector capital, including funding from foundations, state and local governments, and other banks
and financial institutions.

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Community Development Financial Institutions Fund

CDFI Certification Application
SPECIAL PROVISIONS FOR DEPOSITORY INSTITUTION HOLDING COMPANIES AND INSURED
DEPOSITORY INSTITUTIONS
(1) A Depository Institution Holding Company (DIHC) may qualify as a CDFI only if it and its Affiliates
collectively satisfy each of the certification criteria;
(2) No Affiliate of a DIHC may qualify as a CDFI unless the holding company and all of its Affiliates
collectively meet the requirements described for each certification criteria;
(3) No Subsidiary of an Insured Depository Institution (IDI) may qualify as a CDFI if the IDI and its
Subsidiaries do not collectively meet the requirements for each certification criteria; and
(4) For the purposes of this application, an Applicant will be considered to be a Subsidiary of any IDI
or DIHC that controls 25 percent or more of any class of the Applicant’s voting shares, or otherwise
controls, in any manner, the election of a majority of directors of the Applicant.
APPLICATION PROCESS OVERVIEW
Note: Each CDFI Certification Applicant must have its own valid Employer Identification Number (EIN)
and be a legal entity at the time it submits the CDFI Certification Application. Failure to include this
information for any entity will result in the rejection of the entire application without a substantive review.
Additionally, an EIN and a Dun & Bradstreet Number are required in order to establish a “myCDFI Fund”
organizational account.
Additional Questions and Resources: Please contact the CDFI Program staff if you have questions
regarding the CDFI Certification application. CDFI Program staff can be contacted by telephone at (202)
622-6355, and by e-mail at [email protected]. Information regarding the CDFI Certification
application and process can also be obtained by visiting the CDFI Fund’s CDFI Certification page located
at www.cdfifund.gov.
Application Completion Steps:
•

Carefully review the CDFI Program Revised Interim Regulations, 12 CFR Part 1805, also
available on the CDFI Fund’s CDFI Certification page located at www.cdfifund.gov.

•

Consult the Glossary of Terms and the CDFI Program Revised Interim Regulations (12 CFR Part
1805) for clarification of defined and capitalized terms. These documents may be found on the
CDFI Fund’s CDFI Certification page located at www.cdfifund.gov.

•

Review the CDFI Certification Application guidance documents provided on the CDFI Fund’s
CDFI Certification page located at www.cdfifund.gov.

•

Create a (or access an existing) customized web portal “myCDFI Fund” user account located at
the CDFI Fund’s homepage, www.cdfifund.gov.

•

Create a (or access an existing) customized web portal “myCDFI Fund” organizational account
for the Applicant from your myCDFI Fund user account.

•

Open a CDFI Certification Application for the Applicant from your “myCDFI Fund” organizational
account.

•

Complete and submit the CDFI Certification Application electronically, making sure to answer all
required questions and attach all required documents, tables and maps.

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Community Development Financial Institutions Fund

CDFI Certification Application
BASIC INFORMATION
Enter name of Applicant:
Enter Dun and Bradstreet Number:
Enter type of organization:
Is the Applicant a Subsidiary of any Insured Depository Institution (IDI) or a Depository Institution Holding
Company (DIHC) (i.e. does any IDI or DIHC control 25% or more of any class of the Applicant’s voting
shares or otherwise control, in any manner, the election of a majority of directors of the Applicant)?
(Yes/No):
If the Applicant issues stock, provide a brief narrative indicating the proportion of voting securities held by
IDIs or DIHCs and any control that could be exercised by IDIs or DIHCs over the election of a majority of
directors of the Applicant:
* Attach, if the Applicant issues stock, stock certificate summary reports that support the above narrative
indicating the proportion of voting securities held by IDIs and DIHCs.
* Attach a copy of the Applicant’s board-approved by-laws, (by-laws must demonstrate evidence that
they are board-approved).
Congressional District:
Fiscal Year End Date (mm/dd):
Does the Applicant want to be designated as a Native American CDFI (Yes/No):
If “Yes”, indicate the percentage of activities provided to Native American communities during the
most recent fiscal year:
Applicant Organizational Address(es):
Mailing Address

Shipping Address

Affiliate Information
Affiliate Name

Affiliate EIN

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Community Development Financial Institutions Fund

CDFI Certification Application
Applicant Contact Information
Authorized Representative:
Name
Phone
Fax
Email

Application Contact:
Name
Phone
Fax
Email

Certification and Signature
I hereby certify that all of the information provided in connection with the above-named entity’s
certification as a CDFI is true, accurate and complete. The submission of such information has been duly
authorized by the above-named entity’s governing body.
Authorized Representative Signature:
Date:

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Community Development Financial Institutions Fund

CDFI Certification Application
Criteria: LEGAL ENTITY
As of the date its CDFI Certification Application is submitted (signed by Authorized Representative), the
Applicant must be duly organized and validly exist under the laws of the state jurisdiction in which it is
incorporated or established. The Applicant must also have a valid Employer Identification Number (EIN).
EMPLOYER IDENTIFICATION NUMBER (EIN)
Enter EIN:
* Attach one of the following:
- Official letter from IRS providing EIN;
- Confirmation fax from local IRS office with the organization’s name and EIN; or
- A printout of completed and submitted online SS-4 (with organization’s EIN in upper right hand
corner) from IRS’ website, accompanied by a printout of the online confirmation of receipt of EIN
from IRS’ website.
EVIDENCE OF INCORPORATION/ORGANIZATION/ESTABLISHMENT
Enter Date of Incorporation/Organization/Establishment:
> For Non-Regulated Institutions:
* Attach a copy of one of the following (documents must be signed, stamped, and filed with the
appropriate state agency):
- Articles of Incorporation
- Certificate of Incorporation
- Organization Certificate
- Other: (list)
* Attach any amendments to attached organizing documents, (documents must be signed, stamped, and
filed with the appropriate state agency):
> For Regulated institutions:
Indicate the Applicant’s federal or state regulator:
- ___ Federal Reserve
- ___ Office of Thrift Supervision
- ___ Office of the Comptroller of the Currency
- ___ National Credit Union Administration
- ___ Federal Deposit Insurance Corporation
- ___ Other (list):
* Attach a copy of one of the following issued by the appropriate Federal Banking agency or State
agency, (documents must be signed, stamped, and filed with the appropriate agency):
- Regulatory Charter
- Certificate of Incorporation
- Organization Certificate
- Other (list):
* Attach copies of any amendments to attached organizing documents, (documents must be signed,
stamped, and filed with the appropriate agency):
Enter Charter Number:
Enter FDIC Insurance Certificate number:

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Community Development Financial Institutions Fund

CDFI Certification Application
Criteria: PRIMARY MISSION
A CDFI shall have a primary mission of promoting community development. In determining whether an
Applicant has such a primary mission, the CDFI Fund will consider whether the activities of the Applicant
are purposefully directed toward improving the social and/or economic conditions of underserved people
(which may include Low-Income persons and persons who lack adequate access to capital and/or
Financial Services) and/or residents of economically distressed communities (which may include
Investment Areas).
Indicate type of board-approved organizational documents that provide evidence of Applicant’s primary
mission of promoting community development (check as many as necessary):
-

___ Articles of Incorporation or organization (signed and filed)
___ Bylaws (board-approved)
___ Board resolution
___ Annual report containing a signed letter from the Board Chairperson
___ Board-approved, one-page narrative that specifically states how the organization’s collective
activities and products evidence the primary mission certification criteria
___ Other similar board-approved documents
___ NCUA Low-Income designation letter (For credit unions only)

* Attach: Copies of the Applicant’s organizational documents, as indicated above, that provide evidence
of a primary mission of promoting community development. (Do not submit a second copy of these
documents, if they will already be submitted in response to another section of the application.)
Enter primary mission of Applicant (as stated in board-approved document(s) indicated above):
* Complete and Attach the PRODUCT TABLE.
Provide a narrative describing how Applicant’s primary mission is consistent with the CDFI Certification
definition regarding primary mission, as stated above – be sure to include, (1) discussion of how the
Applicant’s activities and financial products and services support the Applicant’s primary mission; and (2)
a brief profile of the Applicant’s customers/clients:
> For Depository Institution Holding Companies (DIHCs), Affiliates of DIHCs, and Subsidiaries of Insured
Depository Institutions – provide the following information for each Affiliate or Subsidiary, repeat as
necessary.
Enter Affiliate or Subsidiary Name:
Indicate type of board-approved organizational documents that provide evidence of the primary mission
of promoting community development of the Applicant’s Affiliate or Subsidiary (check as many as
necessary):
-

___ Articles of Incorporation or organization (signed and filed)
___ Bylaws (board-approved)
___ Board resolution
___ Annual report containing a signed letter from the Board Chairperson
___ Board-approved, one-page narrative that specifically states how the organization’s collective
activities and products evidence the primary mission certification criteria
___ Other similar board-approved documents
___ NCUA Low-Income designation letter (for credit unions only)

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Community Development Financial Institutions Fund

CDFI Certification Application

* Attach: Applicant Affiliate’s or Subsidiary’s organizational documents, as indicated above, that provide
evidence of a primary mission of promoting community development. (Do not submit a second copy of
these documents, if they have already been attached in another section of the application.)
Enter primary mission of Applicant’s Affiliate or Subsidary (as stated in board approved document(s)
indicated above):
Provide a narrative describing how Applicant Affiliate’s or Subsidiary’s primary mission is consistent with
the CDFI Certification definition of primary mission, as stated above – be sure to include: (1) discussion of
how the Applicant Affiliate’s or Subsidiary’s activities and Financial Products and Services support the
Applicant Affiliate’s or Subsidiary’s primary mission; and (2) a brief profile of the Applicant Affiliate’s or
Subsidiary’s customers/clients:

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Community Development Financial Institutions Fund

CDFI Certification Application
Criteria: FINANCING ENTITY
A CDFI shall be an entity whose predominant business activity is the provision, in arms-length
transactions, of Financial Products, Development Services, and/or other similar financing.
> For regulated institutions
A regulated Insured Depository Institution, Depository Institution Holding Company, and Insured Credit
Union is presumed to meet the financing entity certification criterion by virtue of being chartered by an
appropriate federal banking agency, which licenses such entities to provide Financial Products. The
organization does not have to submit any additional information to demonstrate this certification criterion.
> For non-regulated institutions
* Attach: Applicant’s most recent audited year-end financial statements.
* Attach: Applicant’s most recent year-to-date internal financial statements.
* Complete and Attach the ASSET TABLE.
* Complete and Attach the STAFF TABLE.
Provide narrative discussions that address the following:
Describe how the Applicant’s activities and financial products and services, as indicated in the
primary mission criteria narratives and Product Table, are reflected in the Applicant’s financial
statements and Asset Table.
Describe how each FTE position (including significant volunteer positions) supports Financial
Product and Development Services activities. Explain how the organization utilizes consultants
or Affiliate staff to provide the above-stated activities:
Describe the types and amounts of liquid assets that are available for financing activity and how
they meet the demand in the Applicant’s pipeline of transactions:

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Community Development Financial Institutions Fund

CDFI Certification Application
Criteria: TARGET MARKET
An Applicant may be found to serve a Target Market by virtue of serving one or more Investment Areas
and/or Targeted Populations.
Types of Target Markets
> Investment Area (IA)
> Low-Income Targeted Population (LITP)
> Other Targeted Population (OTP)
Is the Applicant’s primary business activity to provide Financial Products to CDFIs and/or emerging
CDFIs (Yes/No):
Provide a brief description of the entire market (including geographic areas and populations) currently
served by the Applicant:
* Create Target Market Maps and Save them to the Applicant’s myCDFI Fund Account.
* Complete and Attach TARGET MARKET TABLE.
If the Applicant estimated values entered in the Target Market Table, provide a narrative explaining the
methodologies used to derive the estimated values:
If the Applicant’s Target Market(s) include Investment Area(s), provide narrative description(s) of the
significant unmet capital or financial service needs within each identified Investment Area:
If the Applicant’s Target Market(s) include OTPs other than African Americans, Alaska Natives residing in
Alaska, Hispanics, Native Americans, and Native Hawaiians residing in Hawaii, provide narrative
description(s) of the significant unmet capital or financial service needs for each selected OTP:
Explain how the Applicant verifies that its financial activities (including all products and services) are
directed to its identified Target Markets. Answer separately for each type of Target Market served.
a. For IAs:
b. For LITPs:
c. For OTPs:
For Applicants serving other CDFIs (i.e. CDFI Intermediaries), provide a narrative explaining how the
Applicant’s products and services serve one or more eligible Target Markets:

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Community Development Financial Institutions Fund

CDFI Certification Application
Criteria: ACCOUNTABILITY
A CDFI must maintain accountability to residents of its Investment Area(s) or Targeted Population(s)
through representation on its governing board or otherwise.
For governing and advisory boards, the options for how board members may be representative of target
markets are as follows:
For Other Targeted
For Investment Areas
For Low-Income Targeted
Populations Board members
Populations Board members
Board members may be:
may be:
may be:
Residents of the Investment Area.

Low-Income individuals who live or
work in the area served.

Business owners located in the
Investment Area. (Business should
employ residents of the Investment
area and/or provide goods and/or
services to the Investment Area.)
Elected officials for the Investment
Area.
Individuals who work for (as
employee or board member) an
organization that primarily provides
services to residents of the
Investment Area.

Individuals who work for (as
employee or board member) an
organization that primarily provides
services to Low-Income people in the
area served.

Members of the Other Targeted
Population who live or work in the
area served:
African American; Alaskan Native
living in Alaska; Hispanic; Native
Hawaiian living in Hawaii; or Other
(as described in TARGET MARKET
Criteria section).

* Complete and Attach the BOARD TABLE(s). (If the Applicant uses more than one board (governing or
advisory) to provide accountability to its Target Market(s), the Applicant should complete a separate
Board Table for each board.)
* Complete and Attach the ACCOUNTABILITY TABLE.
OTHER ACCOUNTABILITY METHODS
If the Applicant uses Other Accountability Methods, provide narrative discussions describing those
methods and explaining how those methods are incorporated into the Applicant’s governing board
decision-making processes.
•

If an Advisory Board is utilized, provide a narrative that, at a minimum, indicates:
§ How often the advisory board meets:
§ How members are selected:
§ How members obtain input from the Target Market(s):
§ How the input is communicated to the Applicant’s Governing Board:
§ How the input is incorporated into the Applicant’s Governing Board’s decision-making
process:

•

If a Focus Group/Community Meeting is utilized, provide a narrative that, at a minimum,
indicates:
§ How often and where are the meetings held:
§ What are the meeting agenda topics:
§ What type of attendee input is obtained:

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Community Development Financial Institutions Fund

CDFI Certification Application
§
§
•

How the input is communicated to the Applicant’s Governing Board:
How the input is incorporated into the Applicant’s Governing Board’s decision-making
process:

If a Customer Survey is utilized, provide a narrative that, at a minimum, indicates:
§ How the survey instrument is developed:
§ How the instrument is delivered to the Target Market:
§ How the survey data is compiled:
§ How the survey data is communicated to the Applicant’s Governing Board:
§ How the survey data is incorporated into the Applicant’s Governing Board’s decision-making
process:

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Community Development Financial Institutions Fund

CDFI Certification Application
Criteria: DEVELOPMENT SERVICES
A CDFI directly, through an Affiliate, or through a contract with another provider, shall provide
Development Services in conjunction with its Financial Products.
* Complete and Attach the DEVELOPMENT SERVICES TABLE.
Discuss the Applicant’s Financial Products and related Development Services by completing the table
below:
Development
Services activity

Products supported
by Development
Services activity

Description of how Development Services activity is
provided in conjunction with the Applicant’s
products

> For Applicants that have any contractual or financial relationship(s) with another affiliate or non-affiliate
entity to provide Development Services to the Applicant’s Target Market
Identify and describe the nature of the contractual relationship with Affiliate or non-Affiliate entities:
Specify how the Applicant maintains control over the provider’s service provision:
* Attach: Copy of the services contract/agreement for any non-Affiliate entity that provides Development
Services on behalf of the Applicant.

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Community Development Financial Institutions Fund

CDFI Certification Application
Criteria: NON-GOVERMENTAL ENTITY
A CDFI shall not be an agency or instrumentality of the United States, or any State or political subdivision
thereof. An entity that is created by, or that receives substantial assistance from, one or more government
entities may be a CDFI provided it is not controlled by such entities and maintains independent decisionmaking power over its activities.
Do one or more government entities or officials control the election or appointment of a majority of the
members of the Applicant's board of directors, or control a substantial minority of such directors?
(Yes/No):
> If “Yes”, Provide narrative description and explanation:
Does a majority or substantial minority of the Applicant’s board of directors consist of government officials
(elected, appointed, employees, etc.)? (Yes/No):
> If “Yes”, Provide narrative description and explanation:
Do the Applicant’s organizing/establishing documents or by-laws require that a certain number of the
Applicant’s board of directors be government employee’s or elected/appointed government officials?
(Yes/No):
> If “Yes”, Provide narrative description and explanation:
Do one or more government entities have veto power over the selection of the Applicant’s executive
director, CEO, or comparable officer, or specific investment decisions? (Yes/No):
> If “Yes”, Provide narrative description and explanation:
Does any government entity provide more than 50% of the Applicant’s operating and/or capital budget?
> If “Yes”, Provide narrative description and explanation:
If the Applicant receives operating and/or capital funds from a government entity, does that government
entity have the ability to control the use of those funds (for example, does a government entity have veto
power over the lending/investing transactions made with those funds)? (Yes/No):
> If “Yes”, Provide narrative description and explanation:
* Attach copies of any such contract or grant agreements, if such funds are governed by contract or grant
agreements.
Does any government entity manage any aspect of the Applicant’s operations? (Yes/No):
> If “Yes”, Provide narrative description and explanation:
Are any of the employee’s of the Applicant government employees or employees of an organization
controlled by one or more government entities? (Yes/No):
> If “Yes”, Provide narrative description and explanation:
Does any government entity manage any aspect of the Applicant’s operations? (Yes/No):
> If “Yes”, Provide narrative description and explanation:

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Community Development Financial Institutions Fund

CDFI Certification Application

If the Applicant organization is controlled by another entity, is that entity controlled by one or more
government entities? (Yes/No):
> If “Yes”, Provide narrative description and explanation:

> For Applicants that have any contractual or financial relationship with any Federal, State, or Local
government entities.
Describe the nature of the contractual or financial relationship(s) with the Federal, State, or local
government entities:
* Attach copy(s) of contracts with Federal, State or local government entities discussed above.

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