CDFI 0031 NMTC Recovery Act Allocatee Quarterly Report

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Overview

QNMR
Table 11
Table 12

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Sheet 1: QNMR

I - Organizational Information

Qualified Equity Investments (QEIs)

Basic Information

Human Resources - RECOVERY ACT SPECIFIC

Has organization issued any QEIs relating to its NMTC Recovery Act allocation award?

II - Financial Report - RECOVERY ACT SPECIFIC

III - Community Development Benefits - RECOVERY ACT SPECIFIC

Organization Name

Organization EIN

Award Number of NMTC Recovery Act Allocation (e.g., 00NMAxxxxxx)

Website Address

Person Responsible for Completing QNMR

Number of FTEs as a Result of Recovery Act Allocation:

If organization has issued QEIs relating to its NMTC Recovery Act allocation award and has made loans or investments in a QALICB or CDE or purchased loans from another CDE, complete the tables listed below:

Name

Telephone Number

E-mail Address

Total FTEs Retained

Total FTEs Created

Consultant/ Contractor FTEs Retained

Consultant/ Contractor FTEs Created

COMPLETE TABLE 11

COMPLETE TABLE 12

M

M

M

R

M

M

M

M

M

M

M

M

R

R

M = Mandatory

M = Mandatory

M = Mandatory

M = Mandatory

R = Required, if applicable

R = Required, if applicable

R = Required, if applicable

R = Required, if applicable

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Sheet 2: Table 11

Table 11: Loans/Investments Originated - RECOVERY ACT SPECIFIC

Table 11: Loans/Investments Originated - RECOVERY ACT SPECIFIC

Project Type

Project Number

Date Closed (MM/DD/YY)

Purpose

Original QLICI Amount ($)

Total Project Cost ($)

Portion of Total Project Cost from Public Sources ($)

Portion of Total Project Cost from Affiliates & Related Programs ($)

Project Street Address

Project City

Project State

Project Zip Code

Project FIPS Code

NAICS Code

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Sheet 3: Table 12

Table 12: Community Development Benefits - RECOVERY ACT SPECIFIC
Business Description	Jobs as a Result of Recovery Act Allocation			Square Feet of Facility Development and Rehabilitation
	FTEs Created at Businesses	FTEs Retained at Businesses	Construction FTEs Created at Businesses