| Bank Enterprise Award Program | |
| 2009 Application | |
| Table of Contents | |
| Applicant Information | |
| Worksheet 1 - CDFI Applicants | |
| Worksheet 1 - non-CDFI Applicants | |
| Report of Transactions | |
| Instructions: | |
| Complete the Applicant Information worksheet, the Worksheet 1 that is appropriate for your organizational type (CDFI or non-CDFI), and a Report of Transactions and attach it to your SF 424. The Fund requires applicants to provide the name of their organization and other identifying information so that staff can assemble the various components of each application. | |
| Please save this document with the following naming convention: My Bank Name 2009 BEA Charts | |
| Instructions: Please complete the yellow cells. Please be sure to answer all questions. Failure to respond to any of the questions could result in your application being rejected. The Applicant Organization Name and EIN must match the information provided in the SF 424. | Alaska | |
| Applicant Information | ||
| Applicant Organization Name: | Arkansas | |
| Taxpayer/Employer Identification Number (EIN): | ||
| FDIC Certificate Number: | Colorado | |
| How many hours did it take you to complete this application? | ||
| Applicant’s Total Assets (in thousands) from 12/31/2008 Call Report / TFR. | $ | Iowa |
| Indicate whether any of the following apply to your institution: | Idaho | |
| Minority Bank. An institution in which minorities have at least 51% ownership, the majority of Board Directors or account holders are minority, or the community that the institution services is predominantly minority. Minorities include: African-Americans, Native Americans, Alaska Natives, Native Hawaiians, Hispanic Americans, Asian-Americans, or women. | No | Illinois |
| Community Bank. An institution that identifies itself as a community bank. | No | Indiana |
| Certified CDFI. An institution certified as a CDFI by the Fund as of 12/31/2008. | No | Kentucky |
| Applicant's Type of Charter: | Louisiana | |
| State in which the Applicant’s headquarters is physically located: | Massachusetts | |
| Indicate which of the following states are within your service area: | Maryland | |
| Alaska | No | Maine |
| Alabama | No | Marshall Islands |
| Arkansas | No | Michigan |
| American Samoa | No | Minnesota |
| Arizona | No | Missouri |
| California | No | Northern Mariana Isl. |
| Colorado | No | Mississippi |
| Connecticut | No | Montana |
| District of Columbia | No | North Carolina |
| Delaware | No | North Dakota |
| Florida | No | Nebraska |
| Fed. St. of Micronesia | No | New Hampshire |
| Georgia | No | New Jersey |
| Guam | No | New Mexico |
| Hawaii | No | Nevada |
| Iowa | No | New York |
| Idaho | No | Ohio |
| Illinois | No | Oklahoma |
| Indiana | No | Oregon |
| Kansas | No | Pennsylvania |
| Kentucky | No | Puerto Rico |
| Louisiana | No | Palau |
| Massachusetts | No | Rhode Island |
| Maryland | No | South Carolina |
| Maine | No | South Dakota |
| Marshall Islands | No | Tennessee |
| Michigan | No | Texas |
| Minnesota | No | Utah |
| Missouri | No | Virginia |
| Northern Mariana Isl. | No | Virgin Islands |
| Mississippi | No | Vermont |
| Montana | No | Washington |
| North Carolina | No | Wisconsin |
| North Dakota | No | West Virginia |
| Nebraska | No | Wyoming |
| New Hampshire | No | |
| New Jersey | No | |
| New Mexico | No | |
| Nevada | No | |
| New York | No | |
| Ohio | No | |
| Oklahoma | No | |
| Oregon | No | |
| Pennsylvania | No | |
| Puerto Rico | No | |
| Palau | No | |
| Rhode Island | No | |
| South Carolina | No | |
| South Dakota | No | |
| Tennessee | No | |
| Texas | No | |
| Utah | No | |
| Virginia | No | |
| Virgin Islands | No | |
| Vermont | No | |
| Washington | No | |
| Wisconsin | No | |
| West Virginia | No | |
| Wyoming | No | |
| Instructions: If your bank is certified as a CDFI, complete this Worksheet 1 by entering your total activities for 2007 and 2008 in the yellow cells. Include all activities that you are reporting on in your baseline, even if you did not receive an award in the last round. For example: ABC Bank made a $500,000 loan to a certified CDFI last year and made $5 million in Commercial Real Estate Loans in qualifying census tract 5001.01 last year. ABC Bank received an award last year for its CDFI Related activities, but due to lack of funding, did not receive an award for its distressed community financing activities. This year, ABC Bank has made $1 million in loans to certified CDFIs and $5 million in Commercial Real Estate Loans in qualifying census tract 5001.01. ABC Bank must count all of last year's activities in their baseline. Therefore, ABC Bank will show a $500,000 increase in CDFI Related activities and no increase in its Commercial Real Estate lending. The white cells are locked and can not be accessed. Organization name should pre-populate from the previous worksheet. Do not change the formatting of this form or it will not upload properly. | |||||||
| Worksheet 1: Final BEA Rating and Calculations - CDFI Applicants | |||||||
| Applicant Organization Name: | ='Applicant Information'!$B$4 | ||||||
| CDFI RELATED ACTIVITIES | |||||||
| A | B | C | D | E | F | ||
| Not Reporting | Baseline Period 2007 | Assessment Period 2008 | Change in Activity | Award Percent | Estimated Award Amount | ||
| 1 | Equity Investments (CEI)/ Equity-Like Loans (ELL)/ Grants (CG) | No | $- | 15% | $- | ||
| 2 | CDFI Support Activities: Loans (LNS), CDFI Deposits/Shares (DS),Technical Assistance (TAC) | No | $- | 18% | $- | ||
| 3 | Estimated Award Amount for CDFI Related Activities: | $- | |||||
| DISTRESSED COMMUNITY FINANCING ACTIVITIES | |||||||
| A | B | C | D | E | F | ||
| Not Reporting | Baseline Period 2007 | Assessment Period 2008 | Change in Activity | Priority Factor | Weighted Value | ||
| 4 | Affordable Home Mortgage Loans (AHM) | No | $- | 3 | $- | ||
| 5 | Affordable Housing Development Loans and Project Investments (AHD) | No | $- | 2 | $- | ||
| 6 | Small Business Loans and Project Investments (SBL) | No | $- | 3 | $- | ||
| 7 | Home Improvement Loans (HIL) | No | $- | 3 | $- | ||
| 8 | Education Loans (EDU) | No | $- | 3 | $- | ||
| 9 | Commercial Real Estate Loans and Project Investments (CRE) | No | $- | 2 | $- | ||
| 10 | Total Score: | $- | |||||
| 11 | Estimated Award Amount for Distressed Community Financing Activities: Total Score x 0.09 | 0.09 | $- | ||||
| SERVICE ACTIVITIES | |||||||
| A | B | C | D | E | F | ||
| Not Reporting | Baseline Period 2007 | Assessment Period 2008 | Change in Activity | Priority Factor | Weighted Value | ||
| 12 | Deposits (D) | No | $- | 1 | $- | ||
| 13 | Community Services (CS) | No | $- | 1 | $- | ||
| 14 | Financial Services (FS) | No | $- | 1 | $- | ||
| 15 | Targeted Financial Services (TFS) | No | $- | 3 | $- | ||
| 16 | Targeted Retail Savings/Investment Products (TSP) | No | $- | 3 | $- | ||
| 17 | Total Score: | $- | |||||
| 18 | Estimated Award Amount for Service Activities: Total Score x 0.09 | 0.09 | $- | ||||
| ESTIMATED AWARD | |||||||
| 19 | PRIORITY ONE AWARD (CDFI Related) | $- | |||||
| 20 | PRIORITY TWO AWARD (Distressed Community Financing) | $- | |||||
| 21 | PRIORITY THREE AWARD (Service Activities) | $- | |||||
| 22 | TOTAL ESTIMATED AWARD | $- | |||||
| Instructions: If your bank is certified as a CDFI, complete this Worksheet 1 by entering your total activities for 2007 and 2008 in the yellow cells. Include all activities that you are reporting on in your baseline, even if you did not receive an award in the last round. For example: ABC Bank made a $500,000 loan to a certified CDFI last year and made $5 million in Commercial Real Estate Loans in qualifying census tract 5001.01 last year. ABC Bank received an award last year for its CDFI Related activities, but due to lack of funding, did not receive an award for its distressed community financing activities. This year, ABC Bank has made $1 million in loans to certified CDFIs and $5 million in Commercial Real Estate Loans in qualifying census tract 5001.01. ABC Bank must count all of last year's activities in their baseline. Therefore, ABC Bank will show a $500,000 increase in CDFI Related activities and no increase in its Commercial Real Estate lending. The white cells are locked and can not be accessed. Organization name should pre-populate from the previous worksheet. Do not change the formatting of this form or it will not upload properly. | |||||||
| Worksheet 1: Final BEA Rating and Calculations - Non-CDFI Applicants | |||||||
| Applicant Organization Name: | ='Applicant Information'!$B$4 | ||||||
| CDFI RELATED ACTIVITIES | |||||||
| A | B | C | D | E | F | ||
| Not Reporting | Baseline Period 2007 | Assessment Period 2008 | Change in Activity | Award Percent | Estimated Award Amount | ||
| 1 | Equity Investments (CEI)/ Equity-Like Loans (ELL)/ Grants (CG) | No | $- | 15% | $- | ||
| 2 | CDFI Support Activities: Loans (LNS), CDFI Deposits/Shares (DS),Technical Assistance (TAC) | No | $- | 6% | $- | ||
| 3 | Estimated Award Amount for CDFI Related Activities: | $- | |||||
| DISTRESSED COMMUNITY FINANCING ACTIVITIES | |||||||
| A | B | C | D | E | F | ||
| Not Reporting | Baseline Period 2007 | Assessment Period 2008 | Change in Activity | Priority Factor | Weighted Value | ||
| 4 | Affordable Home Mortgage Loans (AHM) | No | $- | 3 | $- | ||
| 5 | Affordable Housing Development Loans and Project Investments (AHD) | No | $- | 2 | $- | ||
| 6 | Small Business Loans and Project Investments (SBL) | No | $- | 3 | $- | ||
| 7 | Home Improvement Loans (HIL) | No | $- | 3 | $- | ||
| 8 | Education Loans (EDU) | No | $- | 3 | $- | ||
| 9 | Commercial Real Estate Loans and Project Investments (CRE) | No | $- | 2 | $- | ||
| 10 | Total Score: | $- | |||||
| 11 | Estimated Award Amount for Distressed Community Financing Activities: Total Score x 0.03 | 0.03 | $- | ||||
| SERVICE ACTIVITIES | |||||||
| A | B | C | D | E | F | ||
| Not Reporting | Baseline Period 2007 | Assessment Period 2008 | Change in Activity | Priority Factor | Weighted Value | ||
| 12 | Deposits (D) | No | $- | 1 | $- | ||
| 13 | Community Services (CS) | No | $- | 1 | $- | ||
| 14 | Financial Services (FS) | No | $- | 1 | $- | ||
| 15 | Targeted Financial Services (TFS) | No | $- | 3 | $- | ||
| 16 | Targeted Retail Savings/Investment Products (TSP) | No | $- | 3 | $- | ||
| 17 | Total Score: | $- | |||||
| 18 | Estimated Award Amount for Service Activities: Total Score x 0.03 | 0.03 | $- | ||||
| ESTIMATED AWARD | |||||||
| 19 | PRIORITY ONE AWARD (CDFI Related) | $- | |||||
| 20 | PRIORITY TWO AWARD (Distressed Community Financing) | $- | |||||
| 21 | PRIORITY THREE AWARD (Service Activities) | $- | |||||
| 22 | TOTAL ESTIMATED AWARD | $- | |||||
| Instructions: Do not change the formatting, add transactions outside the assessment period, or include blank lines as this will prevent the chart from uploading into the review database. Do not change the formatting under any circumstances. | ||||||||||||
| 2009 BEA Report of Transactions | ||||||||||||
| Column A: | Column B: | Column C: | Column D: | Column E: | Column F: | Column G: | Column H: | Column I: | Column J: | Column K: | Column L: | Column M: |
| Service Provided/Borrower/ Investee | Total Dollar Value or Amount of Transactions |
Amount Disbursed to Date |
Street Address | City | State | Zip (9 digits) | Census Tract (11 digits) | Date of Execution mo/day/yyyy |
Date of Initial Disbursement mo/day/yyyy |
Date of Final Disbursement mo/day/yyyy |
Type of Activity |
Impact |
| For Service Activities, report each activity or transaction carried out during the Assessment Period by the service provided. For all other types of activities, report each activity by the borrower, investee, grantee, CDFI, or other recipient. | For Service Activities, report the grand total of each category of activity. For all other types of activities, report the total original dollar amount of each transaction. | List the total dollar amount disbursed on each transaction by the end of the Assessment Period. For Service Activities, TA provided to CDFIs, and Distressed Community Financing Activities of less than $250,000: record as fully disbursed. | For all Financing Activity transactions: enter the street address of the borrower or the location of the property (in the case of real estate loans). | For all Financing Activity transactions: enter the City of the borrower or the location of the property (in the case of real estate loans). | For all Financing Activity transactions: enter the State of the borrower or the location of the property (in the case of real estate loans). | For all Financing Activity transactions: enter the Zip of the borrower or the location of the property (in the case of real estate loans). | For CDFI Related Activities, leave this column blank. For all other types of activities, list in the census tract (including the state and county code) where the activity occurred or the borrower, investee, grantee, or other recipient is located. | List the date the activity occurred or the transaction was closed. Must occur in 2008. | List the date the Applicant made the initial disbursement. Leave blank if no initial disbursement has been made. | List the date the Applicant made the final disbursement. Leave blank if the transaction is not fully disbursed. Must be completed by 12/31/2008. | For all activities, select the type of activity using the abbreviations provided below. See sidebar for explanation of abbreviations. | For Distressed Community Financing Activities, provide the number of the appropriate measure for each transaction. See application for measures. |
| Smith Contracting (example) | $500,000 | $275,000 | 123 Clover Avenue | New York | NY | 11238-1234 | 12345678900 | 2/15/2008 | 2/15/2008 | SBL | 4 | |
| John Smith (example) | $225,000 | $225,000 | 456 Regal Drive | Philadelphia | PA | 19150-1234 | 23456789001 | 9/28/2008 | 9/28/2008 | 9/28/2008 | AHM | 1 |
| File Type | application/vnd.ms-excel |
| Author | hinesm |
| Last Modified By | mccalluma |
| File Modified | 2008-11-13 |
| File Created | 2003-06-10 |