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U.S. SMALL BUSINESS ADMINISTRATION |
OMB Control No. ____-3245 |
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INTERMEDIARY LENDING PILOT PROGRAM (ILP) |
Exp. Date: |
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ILP Program Activities Report |
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YEAR____________ |
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Quarterly Report as of: |
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Name of Insured Depository Institution: |
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Location of Institution: |
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SBA Loan Number: |
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ILP Relending Fund Bank Account #: |
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ATTACH: |
3 MONTHS BANK STATEMENTS FOR THE ILP RELENDING FUND ACCOUNT |
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(Lines 1 thru 15) |
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ILP RELENDING FUND ACCOUNT |
DOLLAR AMOUNT |
REMARKS |
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1 |
BALANCE FROM PREVIOUS QUARTER |
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2 |
SBA Disbursement |
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3 |
Principal repayment from borrowers |
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4 |
Interest paid by borrowers |
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5 |
Recoveries from past Charge offs |
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6 |
Interest Earned on ILP Relending Fund Deposit Acct. |
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7 |
Income from other sources |
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8 |
TOTAL INCREASE (Lines 2+3+4+5+6+7) |
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$0.00 |
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9 |
Less: Disbursements to ILP Program Borrowers |
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10 |
Less: Repayment to SBA |
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11 |
Less: Other disbursements |
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Program Administration |
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12 |
TOTAL DECREASE (Lines 9+10+11) |
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$0.00 |
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Salaries & Expenses |
13 |
NET INCREASE (Lines 8 minus 12) |
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$0.00 |
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Other: Please specify in Comments |
14 |
BALANCE,END OF QUARTER ( Lines 1+13) |
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$0.00 |
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Name of Insured Depository Institution: |
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Location of Institution: |
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ILP Loan Loss Reserve Bank Account #: |
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ATTACH: |
3 MONTHS BANK STATEMENTS FOR THE ILP LOAN LOSS RESERVE ACCOUNT |
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LOAN LOSS RESERVE |
DOLLAR AMOUNT |
REMARKS |
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15 |
Total Outstanding ILP Portfolio |
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16 |
Loan loss reserves dedicated to ILP |
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17 |
Minimum Reserve Req: 5% of Total Outstanding Portfolio |
$0.00 |
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18 |
Variance in Loan Loss Reserves (Lines 16 minus 17)* |
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$0.00 |
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* Note: If line 18 shows a shortage, please explain in Comments how this shortage will be corrected by the beginning of the next quarter. |
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Comments: |
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Name of Intermediary Lender: |
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Street Address: |
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City: |
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Reported By: |
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Signature: |
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Date: |
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Print Name and Title |
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Submission Instructions: The ILP Program Activities Report is to be submitted electronically through the Intermediary Lending Program’s Electronic Reporting System (ILPERS). Intermediaries must access ILPERS using an account established through the General Login System (GLS) at https://eweb.sba.gov/gls/dsp_login.cfm To access GLS, Intermediaries must providing certain identifying and contact information (including, name, date of birth, taxpayer’s identification number, address and telephone number) for the person accessing the system. When submitting this ILP Program Activities Report, Intermediaries should attach scanned or electronic copies of applicable bank statements. This Report must be submitted by the 30th calendar day following the end of each calendar quarter. |
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SBA Form 2418 |
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NOTE: According to the Paperwork Reduction Act, you are not required to respond to 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 form is 1 hour per response. Comments or questions on the burden estimate should be sent to U.S. Small Business Administration, Chief, Administrative Information Branch, Washington, DC 20416. PLEASE DO NOT SEND FORMS TO THIS ADDRESS. |
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