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Control No: 3245-0361
Expiration Date:
COMMUNITY ADVANTAGE LENDER PARTICIPATION APPLICATION
The Community Advantage Lender Participation Application (Application) should be completed by lenders requesting to approve loans under the Community Advantage Pilot Program (CA Pilot Program). Please complete Section 1 before completing Sections 2, 3 and 4. Section 1 will assist the lender in determining whether the organization meets the general eligibility requirements to participate in the CA Pilot Program. After completing the questions in Section 1 and the lender initially determines that it is eligible to participate in the CA Pilot Program, the lender should complete Sections 2, 3 and 4. If the lender determines that it is not eligible to participate in the CA Pilot Program, then the lender does not complete Sections 2, 3and 4.
Sections 3 and 4 identify all required documents that lenders must submit along with this Application. Also, please review the “Community Advantage Participant Guide” [add hyperlink] for a more detailed explanation of CA Pilot Program requirements.
SECTION 1. Lender’s Eligibility Questions
Identify
lender’s type of organization:
SBA-CDC
SBA-Micro-lender Community Development None of the Three
Financial Institution (CDFI) Does
the Organization have an executed Loan Guaranty Agreement,
Yes No SBA
Form 750, making it eligible to participate in SBA’s 7(a) loan
program? Has
the Organization been in business for less than 12 consecutive
months? Yes No Is
the Organization regulated by a Federal financial regulator?
Yes No If
the Organization is an SBA-CDC, SBA-Micro-lender, or CDFI and
answered No
to
the preceding questions, it is eligible to participate in the CA
Pilot Program. If
your Organization is not eligible to participate in the CA Pilot
Program, please visit www.sba.gov
for the location of the closest SBA District Office to determine
which SBA program best fits your Organization’s needs. Please
do not submit a Community Advantage Lender Participation
Application.
SECTION 2. Lender Contact Information
Applicant
Name
Business
Address
Contact
Person and Title
Telephone
Number
Fax
Number
Business
Email Addresses What
is the Organization’s Employer Identification Number? What
date was the Organization established?
Is
Organization regulated by a State Agency? Yes No
Name
of State Regulator (if applicable):
_______________________________________________ Are
you interested in selling your Community Advantage loans into the
Secondary Market? Yes No
SECTION 3. Required Documents (Submit the documents identified in this section as part of Application)
|
** Not required if already submitted to SBA as part of SBA’s 504 or Micro loan programs |
SECTION 3: Required Documents (Submit the documents identified in this section as part of Application)
SECTION 4: Representations and Certifications
Authorized Representative: The undersigned is an authorized representative of the Organization submitting an application to participate in the CA Pilot Program.
Organization: The undersigned certifies that they have filed articles of incorporation and by-laws with either the SBA or the CDFI Fund in connection with their participation in the 504, Microloan, and/or CDFI programs and that those organizing documents submitted have not materially changed. Alternatively, if material changes have occurred, the undersigned certifies that a copy of the current articles of incorporation and/or by-laws is included with this application.
State Regulation: The undersigned certifies that the Organization is not subject to regulation by a state financial regulator. Alternatively, if the Organization is subject to state regulation, the undersigned certifies that the Organization is in good standing with the State regulator and provides the following information to SBA with this application:
Copy of the State statute or regulations governing the Organization’s operations
Copy of the latest report of examination of Organization
Description of State prescribed capital requirements and a certification that the Organization meets the established capital requirements.
Composition of Board/Officers: The undersigned certifies that it is an SBA-CDC and/or an SBA Micro-Lender, and that the identification of the organization’s officers and directors previously provided to SBA is current. Alternatively, if changes have occurred, the undersigned certifies that a list of the current officers and directors, with resumes, SBA Form 1081s and, as applicable, fingerprint cards for each new officer and director, is included with this application. This certification is not applicable to CDFIs.
Additional Information: The undersigned gives SBA permission to obtain any additional information necessary regarding applicant’s relationship with creditors, other federal agencies, or other entities as necessary to evaluate the application.
Correct Information: The undersigned also certifies that the information provided has been accurately prepared on behalf of the Organization and that the information is true and correct, to the best of my knowledge, and that due diligence has been exercised to obtain true and correct information. I realize that the penalty for knowingly making a false statement is that I may be fined up to $250,000 and/or be put in jail for up to five years under 18 USC 1001, and subject to other penalties as provided by law.
_______________________________
NAME:
TITLE:
DATE:
Where to send the application:
The Community Advantage Lender Participant Application should be sent to the following address:
U.S. Small Business Administration
Office of Risk Management
Attn: Community Advantage Pilot Program/Lender Application
409 3rd Street, S.W., 8th Floor
Washington, DC 20416
NOTE: According to the Paperwork Reduction Act, you are not required to respond to this collection of information unless it displays a currently valid OMB Control Number. The estimated burden for completing this form, including time for reviewing instructions, gathering data needed, and completing and reviewing the Section is 7 hours per response. Comments or questions on the burden estimates should be sent to U.S. Small Business Administration, Chief, AIB, 409 3rd St., SW, Washington DC 20416 and/or SBA Desk Officer, Office of Management and Budget, New Executive Bldg., Room 10202 Washington, DC 20503. PLEASE DO NOT SEND FORMS TO THIS ADDRESS.
SBA
Form 2301, Part E (Ver. 12-2010)
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Felicia Daniels Smith |
File Modified | 0000-00-00 |
File Created | 2021-02-01 |