Form CDFI - 0001 CDFI - 0001 Overview of the Combined Application for Financial Assis

FY 2012 NACA Program
Overview of the
Combined Application for
Financial Assistance or
Technical Assistance

OMB No. 1559-0021
CDFI-0001
Paperwork Reduction Act Notice
This submission requirements package is provided to Applicants for awards under the CDFI Program. The Estimated
average burden associated with this collection of information is 50 hours per respondent, depending on individual
circumstances. Comments concerning the accuracy of this burden estimate and suggestions for reducing this burden should
be directed to the Department of the Treasury, Community Development Financial Institutions Fund, 601 Thirteenth Street,
N.W., Suite 200-South, Washington, DC 20005.
All materials are available on the CDFI Fund Website: www.cdfifund.gov.
Catalog of Federal Domestic Assistance Number:

21.020

FY 2012 NACA PROGRAM
GUIDE TO THE COMBINED APPLICATION FOR FA OR TA
Table of Contents
Introduction
Fiscal Year 2012 NACA Program .................................................................................................. 3
Eligibility Requirements .................................................................................................................. 4
Application Materials and Deadlines ............................................................................................. 6
Application Checklist ...................................................................................................................... 7
Contacting the CDFI Fund ............................................................................................................. 8

Overview
Part I: Organizational Information……………………………………………………………………12
Part II: Eligibility………………………………………………………………………………………..15
Part II: Matching Funds xxxxxxxx…………………………………………..……………………......17
Part III: Activities and Financial Information………………………………………………………...23
Part IV: Forms and Certifications ……………………………………………………………………34
Part V: Narratives....…………………………………………………………………………………...35
Part VI: Pre-Submission Checklist ….……………………………………………………………...46

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INTRODUCTION
N O T E : Capitalized terms (other than titles) are defined in the Notice of Funds Availability
(NOFA) for the FY 2012 funding round, the NACA Program Regulations, and the CDFI Fund
Program Glossary. You may download these documents from the CDFI Fund’s website at
www.cdfifund.gov. Please be aware that certain terms used throughout the NACA Program
Application have meanings unique to the NACA Program.

Fiscal Year 2012 NACA Program
The Community Development Financial Institutions Fund (CDFI Fund) was established in 1994
to expand the capacity of financial institutions to serve populations and communities lacking
adequate access to Financial Products and Financial Services. One of the primary ways that
the CDFI Fund works to achieve that goal is by providing Financial Assistance (FA) and
Technical Assistance (TA) to Community Development Financial Institutions (CDFIs) through
its CDFI and NACA Programs.
This guide is intended to help you apply for an award through the Fiscal Year 2012 NACA
Program using the Combined Application for Financial Assistance and Technical Assistance.
Your Comprehensive Business Plan (CBP) is the key component that you will use when
applying for an FA or a TA award. Please see the NOFA for all deadlines for submitting
application information. Applications submitted late will not be considered for funding. We
encourage you to submit your application well ahead of the deadline.

Types of Awards
The CDFI Fund will provide three types of awards through the Fiscal Year 2012 NACA
Program:
Financial Assistance (FA): Only certified CDFIs may receive an FA award. The CDFI
Fund provides FA in the form of grants, loans, equity investments (including, in the case
of Insured Credit Unions, Secondary Capital accounts), deposits, and Insured Credit
Union Shares. The reporting period for an FA award is approximately three years as
specified in each Awardee’s Assistance Agreement.
Technical Assistance (TA): Non-certified CDFIs may apply for TA. Certified CDFIs
may apply either for FA or for TA, but not for both. You may request TA funds to build
your organization’s capacity, or, if your organization has not yet been certified as a
CDFI, to help it become certified. TA awards are grant funds and do not require
matching funds. You may use a TA grant for operating expenses such as personnel
salaries and fringe benefits, training, travel, professional services, material and supplies,
equipment, and other costs. You can find a detailed description of the TA Applicant
categories and related application requirements can be found in Part I of this application

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under “Technical Assistance Proposal.” The reporting period for a TA award is
approximately two years, as specified in each Awardee’s Assistance Agreement.
Healthy Food Financing Initiative (HFFI-FA): HFFI-FA awards are made to CDFIs to
address the need for healthy foods in their Target Markets. The CDFI Fund will
collaborate with the U.S. Departments of Agriculture (USDA) and Health and Human
Services (HHS), to implement this initiative and to make the final award selections. In
general, an HFFI-FA award is considered similar in nature to an FA award and is
subject to the same guidelines, including eligible uses, as an FA awards.
If you wish to apply for an HFFI-FA award, you must complete the FA application. You
must also indicate on Part 1. Organizational Information; Question 5 - Request
Award Type and Amount that you are applying for an HFFI-FA award. If you indicate
that you are applying for an HFFI-FA award, you will also be required to complete a
supplemental questionnaire, which the CDFI Fund will distribute to only those HFFI-FA
Applicants at a later date. If you do not indicate that you are applying for a HFFI-FA
award at the time your application is submitted, you will not receive the supplemental
questionnaire and can not apply for an HFFI-FA award. If you are not selected for an
HFFI-FA award, you will still be considered for an FA award.

Eligibility Requirements
To be eligible to apply for an award under the FY 2012 funding round, you must meet certain
eligibility requirements. The following table shows the types of organizations that are eligible
to apply, the types of funding they are eligible to apply for, and the documents they must
submit to ensure their eligibility. Please see the NOFA for additional information regarding
application eligibility, including requirements for prior CDFI Fund Awardees or Allocatees.
Please note that, at the time you submit your Application, your organization must be a duly
organized and validly existing legal entity under the laws of the applicable jurisdiction
(including a Tribal jurisdiction) in which it is incorporated or otherwise established.
Table 1 – Eligibility Information
Applicant Type

Eligible For

Certified CDFIs - Any certified CDFI
whose certification has not expired
and that has not been notified by the
CDFI Fund that its certification has
been terminated.

FA or TA

What to Submit

 Certification of Material Event Form. Submit the
Certification of Material Event Form to the CDFI Fund
by Wednesday, December 21, 2011, in accordance
with instructions on the CDFI Fund’s website. (The
Form and related guidance are available on the CDFI
Fund’s website at www.cdfifund.gov.)

 Applicant Type Questionnaire

4

Table 1 – Eligibility Information
Applicant Type

Eligible For

Certifiable CDFIs - For purposes of
this Application, a Certifiable CDFI is
an entity from which the CDFI Fund
receives a complete CDFI
Certification Application no later than
December 21, 2011 evidencing that
the Applicant meets the
requirements to be certified as a
CDFI.

FA or TA

What to Submit

 If seeking FA: CDFI Certification Application.
Certifiable CDFIs seeking FA must submit a CDFI
certification application to the CDFI Fund by December
21, 2011. The CDFI Certification Application is
available on the CDFI Fund’s website at
www.cdfifund.gov.

 If seeking TA Only: Certifiable CDFIs seeking TA may
also submit a CDFI Certification Application but are not
required to do so.

Note: The CDFI Fund will only
certify as a CDFI an entity that
submits a CDFI Certification
Application that the CDFI Fund
determines meets each certification
requirement.

 Applicant Type Questionnaire

Emerging CDFIs – For purposes of
this Application, an Emerging CDFI
is an entity that demonstrates to the
CDFI Fund that it has a reasonable
plan to be certified as a CDFI by
December 31, 2014.

TA Only

Sponsoring Entities

TA Only

 Applicant Type Questionnaire

 Applicant Type Questionnaire

For the purposes of this Application,
a Sponsoring Entity is an entity that
proposes to create a separate legal
entity (generally within three years)
that will become certified as a Native
CDFI.(Please see the following note
on examples that may constitute a
sponsoring entity.)

NOTE:

A Sponsoring Entity may include any of the following: (a) A Tribe, Tribal entity, Alaska Native Village,
Village Corporation, Regional Corporation, Non-Profit Regional Corporation/Association, or Inter-Tribal or Inter-Village
organization; (b) an organization whose primary mission is to serve a Native Community including, but not limited to an
Urban Indian Center, Tribally Controlled Community College, community development corporation (CDC), training or
education organization, or Chamber of Commerce, and that primarily serves (meaning, at least 50 percent of its activities are
directed toward serving) a Native Community.

5

Application Materials and Deadlines
Submission Method and Deadlines: You must submit your Application electronically through
Grants.gov. Please see the NOFA for critical application materials and deadlines.
Complete and Incomplete Applications: The CDFI Fund considers an Application complete
if it includes all of the required material listed on the Application Checklist. (Please see Table 2,
below). If some of the required material is missing, the CDFI Fund will consider the Application
incomplete and may reject it immediately depending on which items are missing.
Please note:
The CDFI Fund will reject immediately any Application that is missing the required SF 424
data or a valid EIN. You will not be given an opportunity to provide a missing SF 424 or
missing EIN after the Application deadline.
The CDFI Fund will allow two business days for you to submit the following missing items
if your Application is incomplete:
-

Internal Revenue Service (IRS) Documentation of your EIN - You can provide an
electronic copy of IRA documentation as evidence that your organization itself (i.e., not
its parent or Affiliate) has been assigned its own unique EIN.

-

Dun and Bradstreet Data Universal Numbering System (DUNS) Number - Any entity
applying for Federal assistance is required to have a DUNS number. To obtain this
number, call 1-866-705-5711 or visit www.DNB.com.

-

Environmental and legal certifications

-

Certification of Material Event Form

TIP Do not wait until the last minute to obtain a DUNS or EIN documentation. If either is
missing from your Application, the two days allowed by the CDFI Fund to submit these items
may not be sufficient for you to obtain them. Make sure that you have all the required items
and documentation before you submit your Application.

6

Table 2 – Application Checklist
Application
Component
Standard Form (SF)
424

Prepare In…

Submit via…

Both TA Applicants and FA Applicants
Complete the SF-424 form first
Ensure that this form is signed by an authorized
person.

NACA Program Grants.gov
Combined
Application
(Fillable PDF)

Organizational
Information
Environmental
Review Form
501 (c)(4)
Certification

Both TA Applicants and FA Applicants
For Organizational Information: Complete in the
NACA Program Combined Application (Fillable
PDF) after completing the SF-424.
For Environmental Review and 501(c)(4) Forms:
Complete in the NACA Program Combined
Application (Fillable PDF)
For Assurances and Certifications: Electronic
Signature on the SF 424 certifies this form. It is
not necessary to submit a separate copy.

NACA Program
Grants.gov
Combined
Application
(Fillable PDF)

Assurances and
Certifications
FA/TA Application
Narrative

FA/TA Data Tables

Required for…

NACA Program
Grants.gov
Combined
Application
(Fillable PDF)
NACA Program
Grants.gov
Combined
Application
(Fillable PDF)

Both TA Applicants and FA Applicants:
Complete in the NACA Program Combined
Application (Fillable PDF)
Both TA Applicants and FA Applicants:
Complete in the NACA Program Combined
Application (Fillable PDF)

EIN Documentation

PDF

Grants.gov

Both TA Applicants and FA Applicants:
Provide IRS documentation of your organization’s
unique EIN.

Financial Statements

PDF

Grants.gov

Both TA Applicants and FA Applicants

Resumes of Key Staff MS Word

Grants.gov

Both TA Applicants and FA Applicants

Organizational Chart

MS Word

Grants.gov

Both TA Applicants and FA Applicants

Match Funds Cover
Sheet & Matching
Funds
Documentation

PDF

Grants.gov

FA Applicants: See Part II: Matching Funds
Provide an electronic copy of Match Fund
documentation.
Provide all documentation as a single attachment.
Submit the Matching Funds Cover Sheet in front
of all scanned documentation

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Contacting the CDFI Fund
The CDFI Fund will respond to questions between the hours of 9:00 a.m. and 5:00 p.m.
Eastern Time through the dates shown in Table 3, below. The CDFI Fund will not respond to
phone calls or e-mail inquiries received after those dates until after the funding Application
deadline. Please see the CDFI Fund’s Web site for information on the Certification Application
and other information at http://www.cdfifund.gov.
Table 3 – CDFI Fund Contact List
(Not toll-free numbers)
Main Office:

(202) 622-8662
www.cdfifund.gov
(202) 622-7754 (fax)

For general inquiries, phone numbers
for individual CDFI Fund staff, access
to MyCDFI Fund and program Web
page.

Program Support:

(202) 622-6355

For information about CBP,
certification, completing tables.

Compliance and
Monitoring Support

(202) 622-6330
[email protected]
(202) 622-7754 (fax)

For status of compliance with other
awards including outstanding reports.

IT Support

(202) 622-2455

For information about registering and
creating accounts on MyCDFI Fund.

Legal Support

If you have any questions or matters that you believe require response by the CDFI Fund’s
Office of Legal Counsel, please refer to the document entitled “How to Request a Legal
Review“on the CDFI Fund’s Web site at www.cdfifund.gov.

[email protected]

[email protected]

Table 4 - FY 2012 NACA Program Deadlines
Document Type

Due Date

CDFI Certification

11:59 p.m. ET, Wednesday, December 21, 2011

Certification of Material Event Form

5:00 p.m. ET, Wednesday, December 21, 2011

Technical Assistance (TA) Grant

11:59 p.m. ET, Wednesday, January 18, 2012

Financial Assistance (FA) Award

11:59 p.m. ET, Wednesday, January, 18, 2012

8

OVERVIEW (FA, HFFI-FA, & TA)
WHO MUST COMPLETE THIS SECTION OF THE APPLICATION?
ALL APPLICANTS MUST COMPLETE THIS SECTION.
IS THERE ANYTHING IN THIS SECTION THAT WILL CAUSE YOUR APPLICATION TO BE
REJECTED IF YOU MISS IT?
The SF-424 form is mandatory. Your application will be rejected immediately if you do not
provide the SF-424 form. Certain fields in this form are mandatory. These fields are
highlighted in yellow.
All applicants must submit the NACA Program Combined Application. This fillable PDF
replaces previous funding round’s Word and Excel templates for completing your
organization’s Comprehensive Business Plan.
THINGS TO NOTE:
The SF-424 is the first component of the application that you should complete.
The CDFI Fund recommends that you complete the SF-424 as early as possible.
Some fields will be populated automatically based on data you enter into the SF-424 and in
the NACA Program Combined Application.

Introduction
The purpose of this part of the Guide is to help you complete several forms that are required
for your Application for an FA or TA award through the FY 2012 funding round of the NACA
Program. These mandatory forms are:
SF-424 Form
Parts I-VI of the NACA Program Combined Application

The SF-424 Form
You must complete the SF-424 form first. The SF-424 is a mandatory form used throughout
the government for grant applications. Please be aware that the CDFI Fund will reject your
Application immediately if it is missing the SF-424 or the required SF 424 data. You will not be
given an opportunity to provide a missing SF-424 after the Application deadline.
You can find the SF-424 in the Grants Application Package downloaded from Grants.gov. The
form is listed in a box on the left side of the Grants Application Package labeled “Mandatory
Documents.”
To access this form:

9

1. Select the “Move Form to Complete” button
2. Select the “Open Form” button
Only the fields highlighted in YELLOW are mandatory. You are not required to complete any
of the other fields in the SF-424. All organizational information entered in the SF-424 will be
automatically carried over to the Applicant Information Form.
Regarding Item 13 - Funding Period: You must select a start date of August 1, 2012, and an
end date of September 30, 2014 (if you are applying for TA) or 2015 (if you are applying for FA
or HFFI-FA).

The NACA Program Combined Application (PDF)
The following six sections of the Application Guidance provide guidance on how to complete
the NACA Program Combined Application. New to this fiscal year, this document is now a
fillable PDF. In previous years, Applicants filled out separate Word and Excel templates when
completing their Comprehensive Business Plan.
Please be sure to follow all instructions and tips throughout the next six sections of the
Guidance. All Applicants need to address all questions and subquestions found in this
Guidance.
The new fillable PDF will automatically populate the appropriate tables and questions based on
your organization type (loan fund, bank, credit union, venture capital fund, etc.) and the
application you are creating (FA or TA). By selecting certain options in the PDF, new
questions will appear based on your answers.
Due to its dynamic nature, the new fillable PDF may appear to “jump” to different parts of the
form after certain options are selected. This will happen as questions appear or disappear and
is normal and to be expected. Please have patience with the form as it populates the
remaining questions.
Similar to the SF-424, fields highlighted in YELLOW are mandatory. You will be unable to
submit your application unless all mandatory fields are complete. You MUST validate that all
mandatory fields have been completed by clicking the “Check for Errors” button at the top of
the PDF. After you have checked for errors and validated the form, click “Save & Submit” when
you are ready to submit your final application.
DO NOT CLICK THE “SAVE & SUBMIT” BUTTON BEFORE VALIDATING.

10

TIPS:
Please save your progress regularly in case you accidentally change the fields available. For
example, you may decide to create a TA application and entered information into Question 3,
but then decided to change to a FA application. At this point, the data entered into Question 3
will be deleted and Question 2 will populate in its place.
Applic ants may find it us eful to pr epar e narr ative r espons es as Micr osoft W or d documents
bef or e cutting and pasting their r es pons es into the fillable PDF.

11

PART I: ORGANIZATIONAL INFORMATION (FA,
HFFI-FA, & TA)
WHO MUST COMPLETE THIS SECTION?
ALL APPLICANTS MUST COMPLETE PART I.
IS THERE ANYTHING IN THIS SECTION THAT WILL CAUSE YOUR APPLICATION TO
BE REJECTED IF YOU MISS IT?
You are required to use the PDF document in the application documents to respond to the
application questions.
THINGS TO NOTE:
Answers to questions in this section will impact what questions are available later in the
NACA Program Combined Application (fillable PDF) document.
1. ORGANIZATION
Complete questions A through H.
2. AUTHORIZED R EPRESENTATIVE
Complete questions A through L. The Authorized Representative (AR) has the authority to
enter into an assistance agreement on behalf of the Applicant.
3. APPLICATION POINT OF CONTACT
Complete questions A through L. The Point of Contact can be the same or different from the
AR and is responsible for any inquiries and follow up regarding the application.
4. ORGANIZATIONAL PROFILE
► APPLICANT TYPE: FA AND TA
► FA AND TA SCORE: NOT SCORED
► TEXT LIMIT: NOT TO EXCEED 1,500 CHARACTERS

You are required to write a brief profile of your organization that provides the following
information, using the sample template in the text box below:
1. The name of your organization
2. Your certification status
3. The year your organization was established
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4. Your major products and services
5. The geographic and, if applicable, population-based Target Market(s) you serve
6. Your plans for using the NACA Program funds you are requesting (summarize categories,
high cost items, and unique uses)
You may use the following template as a guide when writing your profile:
SAMPLE ORGANIZATIONAL PROFILE TEMPLATE: Smithtown loan fund is a Certified CDFI
established in 1973 that provides micro-loans and small business training to a targeted
population in Orange County, California. Smithtown loan fund will use the Financial
Assistance award as capital for its micro-lending program. (40 words)
5. REQUESTED AWARD TYPE AND AMOUNT
► APPLICANT TYPE: FA AND TA
► TA SCORE: NOT SCORED, BUT TAKEN INTO ACCOUNT WITH PART V, QUESTION 3

All Applicants: Please indicate whether you are requesting FA or TA funding. If you wish to
apply for a HFFI-FA award, you must complete the FA application and indicate here that you
are applying for an HFFI-FA award.
TA Applicants: Use Table A to identify the Applicant's TA budget request. The Total TA request
cannot exceed $150,000. Provide supporting narrative justification for each activity listed below
in Part V, Question 3, TA Proposal.
When you select a TA funding request, the TA Request Summary Table will appear in the
application. Please fill out the budget by filling in the line items being requested as part of the
TA funding request. The NACA Program Combined Application will automatically total all line
items.
You may request a TA grant for a wide range of purposes. For example:
Training - You may request a TA grant to acquire external training for your staff,
volunteers, or board members in order to increase the effectiveness of your existing and
future administrative operations and programs.
Travel expenses - You may request a TA grant to cover travel expenses for staff,
consultants, or board members. Allowable travel-related expenses include air or train
fare, lodging, mileage, rental cars, taxi and subsistence (e.g., meals). Indicate in the
TAP narrative if you plan to use federal or internal travel policies. If you plan to use
Federal travel policies, you must follow appropriate GSA rates. Those rates can be
found online at www.gsa.gov.
Professional services – You may request a TA grant to cover professional services,
such as:

13

-

Hiring a consultant to develop lending policies and procedures.

-

Hiring a consultant to develop a market analysis with recommendations for
expansion.

-

Hiring a contractor to evaluate existing or new Financial Products or training
services.

-

Hiring a contractor to deliver training to potential borrowers.

The rate of compensation for Professional Services covered by a TA grant varies.
Services that are obtained outside of a competitive-bid process (i.e., sole-sourced)
cannot exceed the daily or hourly rate equivalent to the ES-4 federal salary. Current
rates can be found at the Office of Personnel Management (OPM) Web site
(www.opm.gov). Services obtained through a competitive bid process may exceed this
rate. You must designate your procurement policy in the TAP narrative.
Supplies and materials - You may request a TA grant to purchase supplies and/or to
produce materials (such as training materials associated with providing developmental
services or outreach materials to promote your loan products). Your narrative should
explain how you will use the requested items to build your capacity to serve your Target
market or to become certified as a CDFI.
6. OTHER CDFI FUND APPLICATIONS
Complete subquestions A and B and Table B if applicable.
7. PRIOR CDFI FUND AWARDS (INCLUSIVE OF ALL AFFILIATES)
Complete Table C if applicable.

14

PART II: ELIGIBILITY (FA, HFFI-FA, & TA)
WHO MUST COMPLETE THIS SECTION?
ALL APPLICANTS MUST COMPLETE PART II.
IS THERE ANYTHING IN THIS SECTION THAT WILL CAUSE YOUR APPLICATION TO BE
REJECTED IF YOU MISS IT?
You are required to use the PDF document in the application documents to respond to the
application questions.
THINGS TO NOTE:
Answers to questions in this section will impact what questions are available later in the
NACA Program Combined Application (fillable PDF) document.
1. ORGANIZATIONAL TYPE
Complete questions A-N as applicable.
2. CDFI C ERTIFICATION
Complete questions A-E as applicable.
The Certification Number can be found in your organization’s myCDFIFund account under the
“Awards” link. Your certification is listed as an “Award.”
Please note that question E, of the Certification Checklist is for Non-Certified Applicants only.
If your organization is Non-Certified, indicate whether it currently meets each of the seven
CDFI Certification requirements. You can find more detailed information about these
requirements on the CDFI Fund’s Certification Web page at:
http://www.cdfifund.gov/docs/certification/CDFI/CDFIcertificationApplication.pdf.
Also, if you answered “No” to any requirement, you should use the narrative portions of this
application to address those requirements.
3. G EOGRAPHIC M ARKETS AND TARGET AREAS
Complete questions A-C.
4. TARGET MARKET PROFILE
► APPLICANT TYPE: FA AND TA
► FA AND TA SCORE: NOT SCORED
► TEXT LIMIT: NOT TO EXCEED 1,000 CHARACTERS

15

You must provide a brief description of your Target Market.
1. Describe the Target Market (in terms relevant to the Investment Area and Targeted
Population) as defined in the NACA Program’s Notice of Funding Availability (NOFA) and
the CDFI Program Regulations (12 CFR Part 1805).
2. Provide a brief overview of the Target Market’s principal characteristics, such as its
demographic, economic, or household characteristics.
3. Discuss the Target Market in terms of customers or end-users of your Financial Products,
Financial Services, and/or Development Services.
4. If your organization is a Native CDFI serving a national market or statewide markets,
provide the geographic areas to which you have provided Financial Products, Financial
Services, and/or Development Services in the past five years. (To identify the geographic
areas, please use either county-level areas and/or census tracts.)
5. If your organization is not certified or is a start-up, describe the projected Target Market
that you will be serving.
5. LINES OF BUSINESS AND FINANCIAL PRODUCTS
Complete questions A-C. You can only select one response for question A, but may select
multiple responses for B and C.
6. CUSTOMER PROFILE
Complete Table E.
Use this chart to identify the Customer Profile for the Applicant's Aggregate Activities (All
Activities Combined). Please note that this line is mandatory.
You can also provide up to three primary Financial Products and/or Financial Services
provided by the Applicant for the most recent Fiscal Year. Select each Optional Product from
the options in the dropdown menu. For each activity, identify percentages within Location,
Income Characteristics, Gender, and Racial/Ethnic Characteristics; Use "Other" category for
any information particular to your activity.
Provide actual characteristics of clients served, not goals or targets. If this data is not
available, use your best estimates. In the narrative section of the application, explain how this
data or estimates were created.

16

PART II, QUESTION 8: MATCHING FUNDS (FA,
HFFI-FA)
WHO MUST COMPLETE THIS SECTION:
ONLY FA AND HFFI-FA APPLICANTS
IS THERE ANYTHING IN THIS SECTION THAT MAY CAUSE MY APPLICATION TO BE
REJECTED IF I MISS IT?
Matching Funds documentation is required at the time of submission.
The CDFI Fund will not accept matching funds documentation after the application
deadline.
The CDFI Fund reserves the right to rescind all or a portion of a FA award if an Applicant
fails to obtain the required Matching Funds In-Hand by the stated deadline.
THINGS TO NOTE:
Matching Fund requirements are the same for FA and HFFI-FA Applicants.
TA Grants do not require Matching Funds.
Applicants must fill out Table F: Matching Funds Summary, the Matching Funds
Documentation Cover Sheet, the Retained Earnings Calculator (if necessary), and submit
matching funds documentation. Please put the Matching Funds Documentation Cover
sheet in front of the scanned matching funds documentation and expand the number of
rows as necessary.
Matching Funds Overview (FA and HFFI-FA Applicants Only)
Matching Funds are required for all FA awards. Matching Funds are not required for TA
grants.
Matching Funds: FA Applicants must obtain non-federal matching funds from sources
other than the federal government. Matching funds must be at least comparable in form
and value to the FA award requested by the Applicant and provided by the CDFI Fund. The
CDFI Fund will not consider any FA Applicant for an award that has no matching funds inhand or firmly committed as of the NACA Program’s NOFA application deadline.
Matching Funds Window: FA Applicants must demonstrate that it has eligible matching
funds equal to no less than 25 percent of the FA amount requested in-hand or firmly
committed, on or after January 1, 2010, and on or before January 18, 2012 (application
deadline). For any Applicant that demonstrates it has less than 100 percent of matching
funds in-hand or firmly committed as of the application deadline, the CDFI Fund will
evaluate the Applicant’s ability to raise the remaining matching funds by March 14, 2013.

17

Applicants that Do Not Obtain the Projected Matching Funds: The CDFI Fund
reserves the right to: (1) rescind all or a portion of a FA award and re-allocate the rescinded
award amount to other qualified Applicant(s) if an Applicant fails to obtain the required
Matching Funds In-Hand by March 14, 2013 (with documentation of such receipt to be
received by the CDFI Fund not later than March 31, 2013); or (2) to grant an extension of
such Matching Funds deadline, if the CDFI Fund deems it appropriate.
Comparable Form: Matching Funds must be at least comparable in form and value to the
FA award provided by the CDFI Fund. For example, if an Applicant seeks a FA grant from
the CDFI Fund, the Applicant must obtain Matching Funds through grants that are at least
equal to the amount requested from the CDFI Fund. For loans or deposits, the terms will
be matched by the CDFI Fund to the extent possible and in the sole discretion of the CDFI
Fund. Thus, if a 10-year loan at 2 percent interest, with interest only payments is
requested from the CDFI Fund, the Applicant must match the request with a loan with the
same terms.
Non-Federal Source: Matching Funds must come from sources other than the federal
government and, regardless of the source, consist of non-federal funds. Community
Development Block Grant Program and other funds provided pursuant to the Housing and
Community Development Act of 1974, as amended, are considered federal government
funds and cannot be used as Matching Funds.
Previously Used Matching Funds: Funds used by an Applicant as Matching Funds for a
prior award under the NACA Program or under another Federal grant or award program
cannot be used to satisfy the Matching Funds requirement for this FA request. If an
Applicant seeks to use as Matching Funds, monies received from an organization that was
a prior Awardee under the NACA Program, the CDFI Fund will deem such funds to be
federal funds, unless the funding entity establishes, to the reasonable satisfaction of the
CDFI Fund, that such funds do not consist, in whole or in part, of NACA Program funds or
other Federal funds. An Applicant using Matching Funds from an Affiliate entity must be
able to demonstrate that the Affiliate entity received the same amount from an eligible, nonAffiliate source within the eligible Matching Funds window, described above.
Table F: Matching Funds Data Chart and Matching Funds Documentation Cover Sheet
All FA Applicants must complete Table F. This table captures aggregate information, as of
the submission date of the Application, on Matching Funds In-Hand, Firmly Committed, and To
Be Raised. Table F is located in the NACA Program Combined Funding application in Section
II, Question 8. Before completing the table, it is highly recommended that the Applicant:
Carefully read the instructions below and the sample completed table.
Read the FY 2012 NACA Program NOFA.
Gather all documentation so that dates, amounts, and other data are readily available.
Matching Funds Documentation Cover Sheet (Excel Worksheet)
Applicants are to also use the Matching Funds Documentation Cover Sheet to list each match
fund source for each matching funds documentation submitted. Please include the Matching
Funds Documentation Cover Sheet in the front of your scanned matching funds documentation

18

submission. Please expand the number of rows as necessary. If Retained Earnings are being
proposed as a source, the Table G: Retained Earnings Calculator must be completed (see
instructions below).
Follow the instructions below for information on what to enter in each column in the Matching
Funds Documentation Cover Sheet.
 Type: Select the type applicable to your Matching Funds request. See more information

about each type (Loan, Grant, etc.) in the NACA Program NOFA.
 Amount [3 columns]: Enter the amount under the column corresponding to the status of the

match: In-Hand, Committed, or To Be Raised.
 Date: Enter a date corresponding to the status of the match as follows: In-Hand = Final

Disbursement Date; Committed = Date on Commitment Letter; To Be Raised = Expected
Date of Final Disbursement. All dates must be on or after January 1, 2010, and on or
before March 14, 2013.
 Comments & Contact Data: If the Matching Funds are from a state and/or local

government agency, the Applicant is required to provide the contact name, title, and phone
number of the Matching Funds source in the Comments/Contact column. Use same
column for any additional comments relevant to the Matching Funds.
Example: Matching Funds Documentation Cover Sheet
Matching Funds Documentation Cover Sheet
Type

Amount
Amount to
Amount In-Hand Committed be Raised

Grant

50,000

Grant

100,000

Grant

400,000

Loan

50,000

Secondary Capital
Deposits/Shares

Totals

Date By
Which

Comments &
Contact Data

9/12/2011123 donations, each
less than $1,000.
8/7/2011ACH transfer, payment
#1 of 2 on $1.5 million
commitment.
12/31/2011ACH transfer, payment
#2 of 2 on $1.5 million
commitment.
12/1/2011

Total
50,000
100,000

400,000

50,000

50,000

8/1/2011

50,000

1,000,000

4/12/2011

1,000,000

1,200,000

450,000

1,650,000

19

Documentation of Matching Funds
 Matching Funds In-Hand: For each Matching Funds In-Hand transaction provide copies of

executed documentation evidencing both the form of Matching Funds and that the
Matching Funds were disbursed.
Acceptable documentation of the form of Matching Funds is as follows:
Grant:
a. Grants $50,000 or greater: Applicants are required to submit supporting
documentation for grants greater than or equal to $50,000. This includes signed
copies of grant transmittal letters; grant agreements; a letter from the match
source indicating the grant amount and the purpose of the grant.
b. Grants less than $50,000: For each grant contribution less than $50,000, the
Applicant should list the grant source, amount, date, and source contact data in
the Matching Funds Documentation Cover Sheet.
c. Small Grant Contributions $5,000 or less: If an Applicant has identified several
small grant contributions (each $5,000 or less) as Matching Funds, record the
total sum of these small contributions as a single entry in the Matching Funds
Documentation Cover Sheet. Type “Small Contributions” in the “Comments and
Contact Data” column. Applicants must also provide a separate list with the
donors/contributors names, date, and amount for each individual
donor/contributor.
Loan: signed copies of promissory notes, loan agreements.
Equity Investment: signed copies of stock certificates, subscription agreements and
private placement memoranda.
Deposit/Shares: signed copies of certificates of deposit or share certificates.
Secondary Capital: signed copies of secondary capital agreement and the Disclosure
and Acknowledgement Statement.
Retained Earnings: see special section below describing using Retained Earnings as
match.
Acceptable evidence that the Matching Funds were disbursed to the Applicant includes:
(1) a copy of the check;
(2) a copy of wire transfer transaction; or
(3) other disbursement document deemed acceptable by the CDFI Fund.
 Matching Funds Firmly Committed: For each source of Matching Funds Firmly

Committed, provide written documentation evidencing that the Applicant has entered into or
received a legally binding commitment from the Matching Funds source, that the Matching
Funds have been committed, and are to be disbursed to the Applicant (such as a loan
agreement, promissory note, or grant agreement). Matching Funds Firmly Committed
documents must be in writing, signed and dated by the funder, indicate that the Matching
Funds are for the Applicant, correspond in form to the FA requested (i.e., grant for grant,

20

loan for loan), and provide a date by which the Matching Funds will be disbursed to the
Applicant. Commitments may be contingent upon receipt of a CDFI Fund FA award, and
other contingencies deemed reasonable by the CDFI Fund, in its sole discretion.

Matching Funds Submission Recap:
Complete Table F: Matching Funds Summary in the NACA Program Combined
Application. This will list the total amount of matching funds being submitted based on type
and status.
Complete the Matching Funds Documentation Cover Sheet (Excel document) to show
each individual matching funds source by type and status. Please include this as the first
page in your scanned Matching Funds documentation and expand the number of rows as
necessary. All Matching Funds documentation must be submitted electronically through
Grants.gov. All Matching Funds should be submitted as a single attachment with a clearly
labeled file name.
All Matching Funds documentation should be separated by source with page
breaks/dividers and numbered in accordance with the cover sheet.
Matching Funds letters and agreements should be attached to related disbursement
checks or wire transfer documentation.
Matching Funds with multiple disbursements should be identified with a notation such as:
“Disbursement 3 of 4, original letter or agreement dated June 13, 2011.”
Applicants are only required to submit grant letters and checks for grants greater than or
equal to $50,000.
For each grant contribution less than $50,000, the Applicant should list the grant source,
amount, date, and source contact data in the Matching Funds Documentation Cover Sheet.
A list should be provided of small grants ($5,000 or less), which includes the grantor name,
date, and amount.

Using Retained Earnings to Satisfy Matching Funds Requirement
An Applicant may use its Retained Earnings to match a request for a grant from the CDFI
Fund. An Applicant that proposes to meet all or a portion of its Matching Funds requirements
by committing available earnings retained from its operations shall be subject to the restrictions
described in this section. Retained Earnings shall be calculated as directed by the CDFI Fund
in the NOFA, NACA Program Combined Application, and/or related guidance materials.
Retained Earnings accumulated after the end of the Applicant’s most recent fiscal year ending
prior to the appropriate Application deadline may not be used as Matching Funds.
If using Retained Earnings as Matching Funds, the Applicant must complete the Retained
Earnings Calculator appropriate for its organization type. The Matching Funds Retained
Earnings Calculators are labeled as Tables G1, G2, and G3 in the NACA Program Combined
Application. The appropriate table will display based on the institution type selected previously
in the NACA Program Combined Application. In addition, the Applicant must list Retained
Earnings as a Matching Funds source in Table F. Enter the retained earnings total in the

21

“Amount In Hand” column to have the appropriate Table G: Retained Earnings Calculator
display.
Eligible Retained Earnings for All Applicants Other Than ICUs. For an Applicant other
than an Insured Credit Union (ICU), Retained Earnings that may be used for Matching Funds
purposes shall consist of:
The increase in Retained Earnings (meaning, operating income minus operating
expenses less any dividend payments) that has occurred over the Applicant’s most
recent fiscal year (e.g., Retained Earnings at the end of FY 2009 less Retained
Earnings at the end of FY 2008); or
The annual average of such increases that occurred over the Applicant’s three most
recent fiscal years.
 Chart for a For-Profit Applicant: Complete Table G1 or G3, as appropriate, using the

Applicant’s unconsolidated audited Financial Statements.
 Chart for a Non-Profit Applicant (other than an ICU): Complete Chart G1 using the

Applicant’s Financial Statements.
Eligible Retained Earnings for ICU Applicants. In the case of an Applicant that is an ICU
(including a State-Insured Credit Union), Retained Earnings that may be used for Matching
Funds purposes shall consist of:
Option 1: The increase in Retained Earnings that has occurred over the Applicant’s
most recent fiscal year;
Option 2: The annual average of such increases that has occurred over the Applicant’s
three most recent fiscal years; or
Option 3: The entire Retained Earnings that have been accumulated since the
inception of the Applicant, provided that the Applicant increases its Member and/or NonMember Shares or total loans outstanding by an amount that is equal to the amount of
Retained Earnings that is committed as Matching Funds by the end of the Awardee’s
second performance period, as set forth in its Assistance Agreement.
Please note that the CDFI Fund will assess the likelihood of this increase during
its review process. An award will not be obligated to any applicant that has not
demonstrated that they have increased shares or loans by at least 25 percent of
the requested FA award amount between December 31, 2010 and December 31,
2011 as demonstrated by its corresponding NCUA report.
 Chart for an ICU Applicant: Complete Tale G2 using the Applicant’s NCUA 5300 Call

Report.
If using Option 3, complete the table, including the narrative explaining the Applicant’s
methodology for increasing its total shares or loans. The CDFI Fund will verify the amounts
entered in the data portion of the table using the Applicant's NCUA 5300 Call Report. If the
Applicant is chosen to receive an award, the CDFI Fund will confirm the projected increase in
Total Member And/Or Non-Member Shares or total loans using the Applicant’s NCUA 5300
Call Report for the appropriate fiscal year. The baseline level of member/non-member shares
or loans outstanding will be calculated as of December 31, 2010
22

PART III: ACTIVITIES AND FINANCIAL
INFORMATION (FA, HFFI-FA, & TA)
WHO MUST COMPLETE THIS SECTION?
ALL APPLICANTS MUST COMPLETE PART III.
IS THERE ANYTHING IN THIS SECTION THAT WILL CAUSE YOUR APPLICATION TO BE
REJECTED IF YOU MISS IT?
You are required to use the PDF document in the application documents to respond to the
application questions.
THINGS TO NOTE:
Throughout this section of the Guide, be sure to pay close attention to the tips (in text
boxes) as well as to the commentary about the questions. These tips offer information for
various CDFI institution types, such as venture capital funds, banks, credit unions, and
loan funds.
All Applicants must complete Questions 1 through 4 and Tables H through L. The
Applicant’s organization type will impact which tables and narratives are available in the
PDF. Please provide as much information as possible. If some of the tables or fields are
not applicable or if there is need for additional justification of certain information, please
use the related narrative section in Part V: Narratives to explain.

Introduction
The purpose of this part of the guide is to help you complete the tables and supplemental
narratives found in Part III. In the following pages you will find guidance for each section.
1. FINANCIAL PRODUCTS (TABLE H: FINANCIAL PRODUCTS RATE SHEET )
Complete Table H to describe key details about your organizations main financial products,
such as loans or equity investments. Use the drop-down menus to select the appropriate
category (Consumer, Business, Affordable Housing, etc.) and sub-category (Personal,
Equipment, 1st Mortgage, etc.). Provide key details such as the minimum and maximum loan
size, interest rates, fees, maturity, security, and other special characteristics.
This information will help the CDFI Fund evaluate the appropriateness of your financial
products for the needs of the Target Market you have described. This will also allow the CDFI
Fund to evaluate the sustainability and “double bottom-line” nature of the financial products.
Applicants proposing to create a new financial product can also use Table H to describe the
proposed features of the product.

23

2. FINANCIAL SERVICES (TABLE I: FINANCIAL SERVICES RATE SHEET)
Use Table I to describe key details about the Applicant’s primary financial services, such as
checking and savings accounts, CDs, money market accounts, etc. Use the drop-down menus
to select the appropriate category, and the brand name for the financial service. Provide key
details such as the minimum balance, fees, interest earned, and other special characteristics.
This information will help the CDFI Fund evaluate the appropriateness of your financial
services for the needs of the target market you have described. This will also allow the CDFI
Fund to evaluate the sustainability and “double bottom-line” nature of the financial products.
Applicants proposing to create a new financial service can also use Table I to describe the
proposed features of the service.
Please leave Table I blank if the organization does not offer Financial Services.
3. ACTIVITIES LEVEL (TABLE J: FINANCIAL ACTIVITIES LEVEL CHART)
Please note that Table J pre-populates with information from Tables H and I.
Complete Table J for each financial activity (products or services) that your organization
provides. Starting from the left hand column, supply three years of historic activity, followed by
year-to-date information for the current fiscal year. Continue by entering reasonable
projections for the next five years as part of the Comprehensive Business Plan.
Each fiscal year is divided into four boxes for each financial activity. On the first line, enter the
number of transactions of that financial activity that was provided, as well as the percentage
that went to the Target Market. On the second line, enter the aggregate dollar value of the
particular financial activity that was provided, as well as the percentage that went to the target
market.
If the Applicant is a start-up, enter information on its parent or its own activities (if it has
applicable activities), or N/A if it has not yet started to provide financial products or services.
Provide details about each activity in the Application Narrative.
4. STAFF AND BOARD OF DIRECTORS INFORMATION (TABLES K: BOARD S UMMARY INFORMATION AND
TABLE L: STAFF SUMMARY INFORMATION)
Complete Tables K and L by briefly describing the Applicant’s board of directors, management
team and key staff.

24

Example:
Table K - Board Summary Information
Name

Title

Years
On Board

Role in Implementing Comprehensive
Business Plan

Ex: Joe Smith

Chairman

8

Overall management, fundraising

Table L - Staff Summary Information
Name

Title

Years of
Experience

Role in Implementing Comprehensive
Business Plan

Ex: Jen Smith

Sr. loan
officer

5

Oversees small business portfolio, manages
delinquencies, trains jr. staff

5. FINANCIAL DATA INPUT CHARTS
All applicants must complete the financial data input tables (Table M). This information allows
the CDFI Fund to evaluate your organization’s safety and soundness, projected financial
health, and portfolio performance.
There are data tables specific to non-regulated applicants, credit unions, and
banks/thrifts/holding companies. For non-regulated entities, the CDFI Fund will calculate key
financial ratios. For regulated entities, the CDFI Fund requires key ratios found on the
respective Call Reports. Regulated entities must provide information as to the applicable MPS
that is held by its regulator.
TABLE M1: FINANCIAL DATA INPUT CHART (NON-REGULATED ENTITIES)
Table M1 will appear if you select “Loan Fund or Venture Capital Fund” as the Financial
Institution Type in Part II: 1(a)

25

The historic section of the Financial Data Input Chart requires actual financial data from
audited or reviewed financial statements for the last three completed fiscal years (or less,
depending on length of time in operation). The projected activities should include the next five
fiscal years, in addition to the current fiscal year. Applicant's should assume receipt of NACA
Funding in FY 2012, and include any Matching Funds (if applicable) in the projections. The top
portion of the chart does not include any formulas. All formulas are yellow.
Non-Regulated entities should submit financial information directly from their audited or
reviewed financial statements.
The following table lists definitions for most line items in Chart M1.
Row
ASSETS

Note

Total Cash and Cash
Equivalent

Highly liquid, very safe investments which can be easily
converted into cash, such as Treasury Bills and money
market funds.
Enter Cash + Cash Equivalents available to cover current
operating expenses and obligations. This entry is used to
calculate the Operating Liquidity Ratio
Enter the current portion (total principal due within 12
months) of the total outstanding loan portfolio at the end of a
fiscal year. Current (C) + Noncurrent (F) = Gross Loans
Receivable, the aggregate dollar amount of all loans
receivable without giving effect to any allowance for the
collectability thereof (i.e. before deducting for Loan Loss
Reserves).
A lender's intent to provide a loan or equity investment to a
borrower evidenced with a legally binding document such as
a note or commitment letter AND the lender has reserved
cash, cash equivalents, or other assets to fund at a later
date, but the lender has not yet disbursed. For example, a
loan that has been approved, including provisional approval,
by the Loan Committee but the borrower or investee has not
yet signed a promissory note or has not received funds.
Cash and other assets which can be converted to cash
within the next 12 months.
The noncurrent portion of the total outstanding loan portfolio
at the end of a fiscal year. Current (C) + Noncurrent (F) =
Gross Loans Receivable, the aggregate dollar amount of all
loans receivable without giving effect to any allowance for
the collectability thereof (i.e. before deducting for Loan Loss
Reserves).
Funds set aside in the form of cash reserves or through
accounting-based accrual reserves that serve as a cushion
to protect an organization against future losses. Loan Loss

Unrestricted Cash and Cash
Equivalents
Current Gross Loans
Receivable

Total Commitments

Total Current Assets
Noncurrent Gross Loans
Receivable

Less: Loan Loss Reserves

26

Row
ASSETS

Total Outstanding Equity
Investment Portfolio
Less: Net Unrealized Loss
Total Net Loans Receivables
and/or Equity Investment
Portfolio
Total Assets
LIABILITIES
Total Current Liabilities
Total Notes Payable
Total Adjusted Notes Payable

Total Liabilities
NET ASSETS
Unrestricted Net Assets

Note
Reserves typically show up as a contra asset on a balance
sheet. Loan Loss Reserves are not the expense listed on
the income/expense statement.
Enter the book value of any equity investments considered
part of the Applicant's CDFI financing portfolio
Enter difference between book value of equity investment
portfolio and original investment.
This line is automatically calculated as:
Line (C+F+H) - (G+I)
Enter as it appears on balance sheet
Liabilities due to be paid within the next 12 months.
Notes payable that may be used to support financial
products, such as lending or equity investment activities.
Adjusted Notes Payable is calculated by deducting from total
notes payable, all notes payable that are specifically used
for non-financing activities. For example, if an organization
has an outstanding mortgage on its office building, the
outstanding principal should be deducted from total notes
payable.
Enter as it appears on balance sheet

Net assets that are not permanently or temporarily
restricted.
Total Net Assets Available for
Enter the Applicant's amount of net assets that are
Financing
permanently or temporarily restricted for lending or equity
investment activities, and net assets that are unrestricted,
that may be used, or are being used (e.g., loans receivable)
to support lending or equity investment activities.
Total Net Assets
Enter as it appears on balance sheet
OFF-BALANCE SHEET ACTIVITIES
Total Off-Balance Sheet
Loan or other financial resources committed by third party
Assets Available for Financing funders to support financing activities (e.g., loan packaging;
co-investing), which are under the management or guidance
of the Applicant but not recognized as an asset on the
Applicant's balance sheet. Report all available assets,
regardless of whether deployed or not.
Total Off-Balance Sheet
Potential liabilities or commitments not recorded on the
Liabilities
balance sheet that might have an impact on the Applicant’s
overall organizational health. This should include financial
transactions with recourse to the Applicant, such as loan

27

Row
ASSETS

Note
sales, or any other contingent liabilities that may impact the
Applicant.

INCOME AND EXPENSES
Interest Payments From
Financial Products
Fee Income from Financial
Products, Financial Services,
and other activities
Total Earned Income
Total Grants and Contributions
Total Income
Total Pre-Tax Expenses
Long-Term Maturities Due
(Debt and Equity)

The portion of long-term maturities that will be paid in each
fiscal year. Information for this line-item is frequently found
in the notes to the audited financial statements.

Table M2: Financial Data Input Chart (Credit Unions)
This Chart will appear if “Credit Union” is selected as the Financial Institution Type in Part II:
1(a)
Regulated entities should submit key ratio information directly from their call reports; the NACA
Program application will not calculate key ratios.
Table M3: Balance Sheet (Banks, Thrifts, Holding Companies)
This Chart will appear if “Bank Holding Company” of “Bank or Thrift” is selected as the
Financial Institution Type in Part II: 1(a)
Regulated entities should submit key ratio information directly from their call reports; the NACA
Program application will not calculate key ratios.
6. MPS RATIOS
Table N1: MPS Ratios (Non Regulated)
For Loan Funds or Venture Capital Funds- This chart will be filled in automatically from the
data entered in Table M1 above. Please note that if this table (Table N1), is not complete for
all applicable years, your organization may lose points during the application review process.
Please provide as much information as possible. If there are any discrepancies between these
charts and the audited financial statements you should address these issues in the narrative

28

space provided in Question 5b: Organizational Capacity. If your organization fails two or more
of the MPS ratios, you can address these issues in 7d: Action Plan for Financial Health and
Viability Narrative.
Financial Ratio Minimum Prudent Standards (MPS)
Measure

Non-Regulated CDFIs

Capital
Measures the underlying financial strength of an Awardee
and whether it has sufficient cushion of assets to cover
unexpected losses. The capital ratio identifies the
percentage of the CDFI’s total assets unencumbered by
debt.
Asset-Liability Management
Is the structure of the Applicant’s debt appropriate for its
financial products?

Net Asset Ratio > 20%
Net Assets divided by Total Assets

Deployment
Measures how much of the Applicant’s available funds are
lent out or invested.
Self-Sufficiency
Measures the percentage of operating costs a CDFI can
cover with earned revenue.
Operating Liquidity
Measures whether the Applicant has sufficient cash to cover
at least 3 months of operating expenses. The operating ratio
reports the availability of cash to cover short-term operating
expenses.
Earnings
Measures whether the Applicant is earning sufficient revenue
to cover its expenses.

Deployment Ratio > 50%

Current Ratio = 1.25: 1
Current assets divided by current liabilities.

Self-Sufficiency Ratio = > 40% (non-profit) > 70% (forprofit)
Operating Liquidity Ratio= 1: 1
Cash and Cash Equivalents that are not restricted in a manner
that prevents their use in satisfying obligations represented by
operating expenses DIVIDED BY 25% of total operating
expenses for the four most recently completed quarters.
Net Income = $0
Gross Revenues (including grants or other contributions) less
Total Expenses. For-profit Applicants should deduct total pretax expenses from Total Revenue.

Table N2: MPS Ratios (Credit Union) & Table N3: MPS Ratios (Banks, etc.)
For Credit Unions, Banks, Thrifts, and Bank Holding Companies- This chart (N2 or N3) will not
be automatically calculated from Charts M2 or M3. Please submit the key ratio information
directly from your call report.
Please provide as much information as possible. If there are any discrepancies between these
charts and the audited financial statements you should address these issues in the narrative
space provided in Question 5b: Organizational Capacity. If your organization fails two or more
of the MPS ratios, you can address these issues in 7d: Action Plan for Financial Health and
Viability Narrative.
TIP: Failure to meet any of the historic and/or projected MPS does not necessarily preclude
the Applicant from receiving a Financial Assistance or Technical Assistance award. However,
the Applicant must explain why it believes it is financially sound despite not meeting the MPS.

29

7. ACTION PLAN FOR FINANCIAL HEALTH AND VIABILITY
Answer sub-questions a, b, and c. If you answer “Yes” to any of these sub-questions, a new
section of the application will open up with a 5000 character limit. Please use this section to
explain and mitigate any of the failed financial ratios, reasons for prompt corrective action, or
findings in the audited financial statements. This section’s 5000 character limit is separate
from the space provided in Part V: Narratives Question 6b (Organizational Capacity).
Please do not answer “yes” to sub-questions a, b, and c unless your organization has actually
met one of the adverse criteria. This section is not intended to be used as extra narrative
space in order to exceed the character limits provided in other sections.
8. PORTFOLIO QUALITY (TABLE O : LOAN PORTFOLIO QUALITY; TABLE P: LOAN LOSS R ESERVES &
WRITE-OFFS; & TABLE Q: EQUITY INVESTMENT PORTFOLIO VALUATION)
All Applicants are to use Table O and Table P to provide the Applicant’s aggregate loan
portfolio quality. Aggregate loan portfolio information is mandatory, as is Applicant’s Loan
Loss Reserve and Write-Off information. Delinquency is defined as 90+ days past due.
Starting in the left most column, enter data for the past 3 fiscal years and end with data for the
most current fiscal year. For example, if FY2012 is the most current completed fiscal year,
then the data in the chart should reflect FY 2009, FY 2010, FY 2011, and Current FY2012.
For Optional Product A and Optional Product B, enter data for the two most relevant financial
products your organization discussed in this application. Example: (A) Affordable HousingConstruction Loan; (B) Microenterprise- Working Capital Loan.
Once you enter the data in Rows A and B, the appropriate percentages will automatically
calculate in Row C.

30

Table O: Loan Portfolio Quality
Example:
Aggregate Loan
Portfolio
A

Portfolio
Outstanding
B Delinquent
Portfolio
C Total PAR
Optional Product
A
A Portfolio
Outstanding
B Delinquent
Portfolio
C Total PAR
Optional Product
B
A Portfolio
Outstanding
B Delinquent
Portfolio
C Total PAR

FY 2008

FY 2009

FY 2010

Current FY

#
4

$
10,000

#
8

$
30,000

#
10

$
40,000

0

0

0

0

2

3,000

2

8,000

0

0

0

0

0
0%
25 10%
20
20%
Example: Affordable Housing (Construction Loans)

#

Weighted
Average PAR:

$

13.75%
Weighted
Average PAR:

Example: Microenterprise Loans (Working Capital)

Table P: Loan Loss Reserves and Write-Offs
Example:
FY 2008
FY 2009
FY 2010
A Total
10,000
30,000
40,000
Outstanding
Loan Portfolio
B Net Write-Offs
0
300
800
or Charge-Offs
C Annual Net
0%
1%
2%
Loan Loss Ratio
D LLR (Cash)
100
500
1,000
E LLR (Accrual)
F Loan Loss
1%
1.6%
2.5%
Reserve Ratio

Current FY
0

Weighted
Average PAR:

Historic

0
0%

1.38%

0
0%

2%

Table Q: Equity Investment Portfolio Valuation
This table should be completed for all Equity Investments. Enter the Applicant’s Equity
Investment portfolio as of the last day of the fiscal year for the last three years (if applicable),
and the current year to date. Follow-on investments into the same company should be
counted as unique investments.

31

Example:
A

B
C

D
E
F
G

Total Number of
Equity Investments
and Combined Value
of Investments
Equity Investments
Exited During the
Year
Equity Investments
Written Off During
the Year
Unrealized Gains
(Losses)
Realized Gains
(Losses)
Target Rate of
Return
Actual Rate of Return
(During Period
Shown on Chart)

#
0

FY 2008
$
0

#
1

FY 2009
$
100,000

#
3

FY 2010
$
300,000

1

5,000

1

(5,000)

#
4

Current FY
$
350,000

4%
(.125%)

The following chart outlines the MPS for each of three portfolio management ratios: Portfolioat-Risk (PAR), Annual Net Loan Loss Ratio, and Loan Loss Reserves (LLR) or Provision for
Losses.
Loan Portfolio Quality Minimum Prudent Standard (MPS)
for Non-Regulated Entities
Product Grouping

Portfolio-at-Risk Annual Net Loan
(PAR)
Loss Ratio

Affordable Housing-First
Lien

< 7.00%

< 1%

Affordable HousingSubordinate Lien

< 7.00%

< 3%

Business

< 10.00%

< 5%

Consumer & Microenterprise

< 12.00%

< 9%

Overall MPS

< 15.00%

Narrative Only

32

Loan Loss Reserves
(LLR) Or Provision for
Losses
Loan Loss Reserves are
expected to be no less than
half the actual Portfolio-atrisk and no more than one
and a half times the actual
portfolio at risk: .5 PAR <
LLR < 1.5 PAR

Loan Portfolio Quality Minimum Prudent Standard (MPS)
for Regulated Entities
Institution Type

Insured Credit Unions

IDIs / DIHCs

Portfolio-atRisk (PAR)
Delinquent
Loans/Total
Loans < 3.5%

Non current
Loans &
Leases/Total
Loans & Leases
< 2.0%

Annual Net
Loan Loss
Ratio

Loan Loss Reserves (LLR)
Or Provision for Losses

Net Charge
Comparing the two most
offs/Average
recent fiscal years, Applicant’s
Loans < 0.75%. provision for loan losses
changed by at least the same
percentage and direction as
the change in delinquent
loans.
Net Loss/Avg
Total Loans &
Leases < 0.5%

Loans & Leases
Allowance/Total Loans &
Leases > 0.5% PAR

9. ACTION PLAN FOR PORTFOLIO M ANAGEMENT
Answer sub-questions A and B. If you answered “Yes” to either of these sub-questions, a new
section of the application will open up with a 5,000 character limit. Please use this section to
explain and mitigate failure to meet MPS ratios for Delinquency or Net Write-Offs in Question 8
(Charts O, P, and Q), or findings in the audited financial statements. This section’s 5000
character limit is separate from the space provided in Part V: Narratives Question 6b
(Organizational Capacity).
Please do not answer “yes” to sub-questions A and B unless your organization has actually
met one of the adverse criteria. This section is not intended to be used as extra narrative
space in order to exceed the character limits provided in other sections.

33

PART IV: FORMS AND CERTIFICATIONS (FA, HFFIFA, & TA)
WHO MUST COMPLETE THIS SECTION?
ALL APPLICANTS MUST COMPLETE PART IV.
IS THERE ANYTHING IN THIS SECTION THAT WILL CAUSE YOUR APPLICATION TO BE
REJECTED IF YOU MISS IT?
You are required to respond to all applicable assurance and certification questions.
ARE THERE TEXT LIMITS IN THIS YEAR’S APPLICATION?
Yes. Each question has Text Limits. The Text Limit for each question is specified in number of
characters allowed. One page is approximately 5,000 characters.

34

PART V: NARRATIVES (FA, HFFI-FA, & TA)
WHO MUST COMPLETE THIS SECTION?
ALL APPLICANTS MUST COMPLETE PART V
IS THERE ANYTHING IN THIS SECTION THAT WILL CAUSE YOUR APPLICATION TO BE
REJECTED IF YOU MISS IT?
You are required to respond to all applicable application questions below.
ARE THERE TEXT LIMITS IN THIS YEAR’S APPLICATION?
Yes. Each narrative question has Text Limits. The Text Limit for each question is specified in
number of characters allowed. One page is approximately 5,000 characters.
THINGS TO NOTE:
Throughout this section of the Guide, be sure to pay close attention to the Tips (in text
boxes) as well as to the commentary about the questions. These Tips offer information for
specialized types of CDFIs, such as venture capital funds, banks, credit unions, and loan
funds.
Do not submit additional materials that are not specifically requested in this Application.
The CDFI Fund will read only the information it requests. It will not read organizational
strategic plans, marketing plans, letters of support, or other materials that have not been
specifically requested.
The CDFI Fund strongly recommends working offline to avoid loss of work. Due to the
nature of the dynamic PDF, loss of data could result from altering certain choices made in
proceeding questions. For example, loss of data while working in the PDF will occur in Part
V, Question 2 if the TA button is selected in Part I, Q5a.
Part V, Question 2 is only available for FA Applicants; Part V, Question 3 is only available
for TA Applicants.

Introduction
The purpose of this part of the guide is to help you complete the Financial Assistance or
Technical Assistance Narrative. In the following pages you will find guidanc e for each section
of the Narrative Application.
The CDFI Fund will review your Application and score each section. The maximum points
available for each section of the application are as follows:

35

Comprehensive Business Plan (CBP) Sections

FA Applicants

Executive Summary

TA Applicants

Not Scored

Not Scored

10 points

Not Applicable

Not Applicable

20 points

Target Market Needs

10 points

10 points

Responsiveness to Target Market Needs

40 points

30 points

Delivery Capacity

40 points

40 points

Not Scored

Not Scored

High Impact Narrative
Technical Assistance Proposal (TAP)

Performance on Past Awards (If Applicable)

Narrative Questions for FA and TA Applications
1. EXECUTIVE SUMMARY
► APPLICANT TYPE: FA AND TA
► FA AND TA SCORE: NOT SCORED
► TEXT LIMIT: NOT TO EXCEED 5,000 CHARACTERS

You are required to provide a one-page summary of your proposal, including the following key
points:
1. Your organization’s mission statement.
2. A brief description of the main products and services you offer.
3. A track record of your organization’s activities.
4. Your organization’s impacts to date in its Target Market.
5. Details about your award request, including the exact amount and intended use of funds.
6. A brief description of the Comprehensive Business Plan’s key elements and expected
outcomes if you receive an award.
7. If your organization is an Emerging CDFI, you should discuss your plans to become a
certified CDFI, particularly focusing on plans to begin lending and providing Development
Services.
8. If you are applying as a Sponsoring Entity, you should discuss your plan to create a
Native CDFI, particularly focusing on your efforts to incorporate a separate legal entity
and providing a projected timeline for developing it into a Native CDFI.

36

High Impact Narrative
2. SIGNIFICANCE OF R EQUESTED AWARD (FA APPLICANTS ONLY)
► APPLICANT TYPE: FA ONLY
► FA SCORE: 10 POINTS MAXIMUM
► TEXT LIMIT: NOT TO EXCEED 10,000 CHARACTERS

Provide a two-page narrative explaining why the application should be funded, bearing in mind
that funding for the CDFI Program is limited and the applicant pool is very competitive.
The narrative should include the following:
1. Describe in detail how your organization will use the NACA Program award.
2. Explain why your organization needs the award from the NACA Program.
3. Provide a timeline for achieving the major Comprehensive Business Plan’s objectives
(and for deploying the FA award over the next three years).
4. Discuss how the requested award will enable your organization to build its capacity as a
CDFI.

Technical Assistance Proposal (TAP)
3. TAP (TA APPLICANTS ONLY)
► APPLICANT TYPE: TA ONLY
► TA SCORE: 20 POINTS MAXIMUM
► TEXT LIMIT: NOT TO EXCEED 15,000 CHARACTERS

In this section, you must explain how your organization will use the TA funds and why the
funding is necessary. Provide the following information:
1. Brief summary of how the requested TA grant will address the organizational
improvements needed to achieve your Business Plan’s objectives.
2. Narrative for each requested TA item entered in the TA Budget (Table A). Each
description must include:
a Detailed description of the requested TA item.
b Detailed description of how the TA item will improve your capacity to serve your
Target Market and/or become a certified CDFI, achieving your Business Plan’s
objectives.
c

Explanation of how you calculated each activity.

d Timeline including when the activity/purchase will be initiated and completed.

37

e If you received a TA award in the past for the same item, a description of how the
item further builds your capacity. The CDFI Fund will not provide funding for the
same activities funded through prior awards without a compelling justification.
When you write the TAP, be aware of the following guidelines:
Usually, all TA grants must be used and all activities must be completed within 24
months of receipt, as indicated in the Awardee’s Assistance Agreement. For Sponsoring
Entities this must be within 36 months of receipt.
TA grants cannot be expensed prior to the execution of an Assistance Agreement.
The CDFI Fund will evaluate the TAP for the eligibility and appropriateness of the
requested TA grant.
The CDFI Fund will not provide funding for construction costs.
If your organization is not a certified CDFI and is requesting TA to address certification
requirements, you must explain how the TA will help you meet the certification
requirements. The CDFI Fund will assess the reasonableness of the plan to become
certified by December 31, 2014, taking into account the requested TA.
State whether your organization will use federal or internal procurement and/or travel
policies.

Target Market Needs
4. ECONOMIC DISTRESS INDICATORS
►
►
►
►

APPLICANT TYPE: FA AND TA
FA AND TA SCORE: 10 POINTS MAXIMUM
TEXT LIMIT: NOT TO EXCEED 15,000 CHARACTERS
PLEASE CITE ALL DATA SOURCES

You are required to discuss the needs of your Target Market. Specifically:
1. Discuss the extent of economic distress within your Target Market, in terms of credit,
capital, and financial services.
2. If possible, provide additional quantitative and qualitative data that substantiate the
distress in the Target Market or, if your organization is a national or state CDFI, in the
geographic area to be served.
3. Discuss how the customer profile in Table E compares with the Target Market as
described
4. Cite all data sources.

38

All Applicants should discuss the Target Market in terms of customers or recipients of their
Financial Products and Financial Services. Community needs and economic distress should be
discussed in relation to the Applicant’s mission and activities.
Credit Union Applicants should discuss the needs of their members, including their access to
Financial Products and Financial Services.
Bank Applicants should discuss the needs of their borrowers and accountholders, including
their access to Financial Products and Financial Services.
Venture Capital Applicants should discuss the Target Market in terms of deal flow and
potential investees, and should discuss the lack of access to equity capital in businesses
located within their Target Market.

Responsiveness to Target Market Needs
5.A. FINANCIAL PRODUCTS AND FINANCIAL SERVICES
►
►
►
►

APPLICANT TYPE: FA AND TA
FA SCORE: 30 POINTS MAXIMUM
TA SCORE: 20 POINTS MAXIMUM
TEXT LIMIT: NOT TO EXCEED 25,000 CHARACTERS

In this section, describe your relevant Financial Products and/or Financial Services.
1. Discuss the Financial Products and Financial Services listed on Table H and Table I,
respectively. Table H and Table I should include all relevant Financial Products and
Financial Services.
2. Describe how each Financial Product and Financial Service addresses the needs of the
Target Market described in Question 4 of this application.
3. Describe how each Financial Product and Financial Service is appropriate for the Target
Market’s population. If applicable, include items such as flexible underwriting criteria,
nontraditional forms of collateral, low down payment requirements, and closing costs
assistance.
4. Discuss how you leverage your current Financial Products and Financial Services with
other resources (both public and private).
TIPS:
All Applicants should discuss their overall business plans, including their organizational
goals. Products and services should be indentified in relation to an overall strategy for
meeting the Target Market needs.

39

Bank Applicants should discuss Financial Services as well as Financial Products, and
should discuss how they respond to specific customer needs.
Venture Capital Applicants should discuss the overall investment strategy. The narrative
should show how investment offerings are appropriate for investee firms.
Credit Union Applicants should discuss Financial Services as well as Financial Products,
and should discuss how they respond to specific needs among their members.

5.B. SERVICE TO THE TARGET MARKET
► APPLICANT TYPE: FA AND TA
► FA AND TA SCORE: 10 POINTS MAXIMUM
► TEXT LIMIT: NOT TO EXCEED 20,000 CHARACTERS

Describe your Development Services.
1. Describe the services your organization offers, such as credit and financial counseling,
homebuyer classes, or business development classes. Include an overview of the
curriculum, the qualifications of the instructors, the frequency of the offerings, any fees or
costs charged to the client, and the systems used to evaluate effectiveness. Also
describe the format of the instruction such as one-on-one sessions, group training, and
online counseling.
2. Discuss how your Development Services are linked to your Financial Products and
Financial Services. What is the relationship between the number of clients receiving
Development Services and the number ultimately qualifying for Financial Products?
3. Explain how you determined the services were needed in your Target Market.
Discuss Marketing and Outreach efforts that show your efforts are appropriate for the Target
Market.
1. Describe how you market your Financial Products and Financial Services.
2. Discuss how you expand the reach of your Marketing and Outreach efforts.
Discuss Strategies for Serving the Target Market
1. Discuss your efforts to reach out to marginalized or isolated populations.
2. Discuss the extent to which your efforts will be part of, and contributing to, an area’s
broader neighborhood revitalization strategy, including your collaboration and
coordination with tribal government agencies, banks, credit unions, CDFIs, state
agencies and any other relevant entities.

40

TIPS:
Venture Capital Applicants should discuss the impact of board service and business
consulting on firms within their Target Market, and should detail their overall value-added (for
example, in areas such as marketing and raising capital) to their investees.
Credit Union Applicants should discuss the extent, quality, and impact of their Development
Services. All relevant types of service to members should be detailed.
Bank Applicants should discuss the extent, quality, and impact of their Development
Services. All relevant types of services to customers should be detailed.

Delivery Capacity
6.A. M ARKET DEMAND
► APPLICANT TYPE: FA AND TA
► FA AND TA SCORE: 10 POINTS MAXIMUM
► TEXT LIMIT: NOT TO EXCEED 15,000 CHARACTERS

Provide a narrative about the demand for your Financial Products, Development
Services, and/or Financial Services within your Target Market.
1. Discuss and quantify the demand for your Financial Products, Development Services,
and/or Financial Services within your Target Market. Please note that the response
should not simply be a restatement of the target market needs identified in Question 4.
Discuss the market demand for your products and services.
2. Discuss the indicators used to determine the demand in the Target Market, such as
market studies for specific products, trends in product deployment, and/or the number of
applications/inquiries per month.
3. Describe why residents of your Target Market are not able to obtain the services they
need from other financial institutions.
4. Describe your pipeline of borrowers. How many show they are “ready” to borrow?
5. Demonstrate that there is sufficient market demand to deploy the requested award within
the required timeframe (3 years for FA, 2/3 years for TA/Sponsoring Entities).
TIPS:
Credit Union Applicants should discuss the ratio of potential members to members, and the
ratio of members to borrowers; they should also discuss the market for both Financial
Products and Financial Services.
Bank Applicants should discuss the market for both Financial Products and Financial

41

Services.
Venture Capital Applicants should discuss the market for investments (into VC funds), the
market for firms seeking venture capital, and the market for different types of exits.

6.B. ORGANIZATIONAL CAPACITY
► APPLICANT TYPE: FA AND TA
► FA AND TA SCORE: THE ORGANIZATIONAL CAPACITY SECTION IS WORTH A

TOTAL OF 30 POINTS MAXIMUM. THIS INCLUDES THE COMBINED TOTAL FOR ALL
FOUR COMPONENTS OF THE SECTION.
► TEXT LIMITS: THE ORGANIZATIONAL CAPACITY SECTION IS NOT TO EXCEED A
TOTAL OF 45,000 CHARACTERS FOR THE FOUR COMPONENTS COMBINED
Describe your organization’s track record in providing Financial Products, Development
Services, and/or Financial Services.
1. Discuss your past activities, focusing on those specifically in which you serve clients in
your Target Market. Wherever appropriate, use historic data from the Financial Activities
Level Chart (Table J) as support.
2. Discuss the underlying circumstances supporting your track record. For instance, relate
growth patterns in the Target Market to explain the increased activities in the Financial
Activities Level Chart. If you have experienced alternating periods of growth and decline,
explain why this has occurred.
3. Discuss the impacts and outcomes that have resulted from your activities (including
leverage).
4. Discuss projected activity levels and impacts. What are your organization’s goals for the
5-year period covered by the CBP?
5. Explain how you will expand or increase your activities if you receive a NACA Program
award, including any additional financial or programmatic risks that may be related to the
expansion.
TIP:
Sponsoring Entities should discuss their prior track record of serving its Native Community,
their record of success in serving the targeted Native Community, and how it will use an
award from the CDFI Fund to expand its operations to create a Native CDFI. If your
organization has an existing loan portfolio, discuss plans to transfer the portfolio to the future
Native CDFI.

42

Complete Tables K and L, briefly describing your key board and staff.
6. Briefly describe key staff persons, their functions in supporting the activities in the CBP,
and their expertise. The narrative should demonstrate the key staff’s ability to carry out
the proposed activities in this application.
7. List any key committees that are an integral part of your operations (for example,
loan/investment committee, and audit committee). Detail how these committees relate to
your overall organization’s performance.
Describe your systems, policies, and procedures. Specifically, describe your:
8. Underwriting process: Describe your underwriting process and review criteria for each
product. Address the roles and responsibilities for due diligence and the initial
recommendation; also describe your process for making interest rate, risk level, and final
loan decisions. Explain how your underwriting policies are responsive to the needs of the
Target Market. For example, do you make accommodations for low credit scores or
blemished credit histories? If so, how are these accommodations applicable to the Target
Market? Provide an example illustrating these policies in practice.
9. Portfolio review: Discuss your methodology for portfolio review, including the role of
your staff, your Governing Board, and/or your committee members. Describe when and
how you conduct portfolio review. Describe how you address delinquencies and defaults
in your portfolio.
10. Management of financial accounts: Discuss your management of financial accounts,
and state whether you conduct annual audits. Describe your systems for tracking and
reporting on the use of funds from public and private sources.
11. Management Information System (MIS): Describe your MIS, including software and
other technology used for: underwriting, monitoring your portfolio monitoring, tracking
your data and impact, and developing internal Financial Statements. Is your MIS
sufficient to meet the CDFI Fund’s reporting requirements?
Describe your financial capacity.
13. Discuss your overall financial health and viability, capitalization, and portfolio
performance.
14. Describe the type of Financial Statements included with the Application. If you provided
anything less than the most recent three years of audited Financial Statements, or if you
did not include your most recent tax return, explain why.
15. Explain any major discrepancies between key financial statement line items and
corresponding entries in Table M. Include information about any transactions (such as
off-balance sheet lending or activities undertaken by affiliates) that remain unclear on
Table M.
43

16. Discuss whether you have sufficient financing capital to meet the current and projected
level of demand for your Financial Products and/or Financial Services?
17. Discuss sources and costs of capital, the returns generated by financial products and
services, and the financial sustainability of each.
18. Discuss each Financial Ratio from Table N in terms of your financial soundness.
19. Discuss loan performance and/or equity investment performance, and discuss each
MPS measure (from Table O and P) in terms of your capacity to manage your loan
and/or investment portfolio.
TIPS:
All Applicants should be aware that this section requests a great amount of information.
Narrative space is limited, and applicants should carefully weigh which information is truly
vital to describing their organizational capacity.

Required Financial Data You must submit financial statements for your three most recently

completed fiscal years, as well as financial statements for the most recently completed quarter.
If you have been in operation for less than three years, submit financial statements for as many
years as you can. Please note:
If you are a Non-Regulated Applicant: Submit audited or reviewed financial
statements, including any associated notes to the financial statements. If audited or
reviewed financial statements are not available, submit internally generated balance
sheets (statements of financial position) and Income and Expense Statements
(statements of activities), and respond in question 6. Submit internal financial
statements for the most recently completed quarter. Also submit your most recentlyfiled tax return.
If you are an Applicant with an Affiliate(s): Submit a separate set of internally
generated financial statements for your organization if your audited financial
statements are consolidated with the statements of your Affiliate(s) and do not
include separate schedules of your financial position and Income and Expense
Statements,
If you are an Insured Credit Union, Insured Depository Institution or a
Depository Insured Holding Company: In addition to audited financial statements,
submit Financial Performance Ratios (FPR) as reported by your appropriate federal
regulating agency for the last three completed fiscal years. Regulator reports
include the National Credit Union Administration Form 5300 or Uniform Bank
Performance Report. Submit only the financial ratio summary pages rather than the
complete reports. If you are a regulated entity, enter key ratios from your Call
Reports directly into the Financial Information Tables.

44

Performance on Past Awards (If Applicable)
7. PRIOR AWARDEES
► APPLICANT TYPE: FA AND TA
► FA AND TA SCORE: NOT SCORED. THE NARRATIVE RESPONSE WILL BE USED

AS PART OF THE COMPLIANCE REVIEW PROCESS.
► TEXT LIMIT: NOT TO EXCEED ONE PAGE.
If your organization or your Affiliate has received an award under any of the CDFI Fund’s
programs between FY 2007-2010, discuss the extent to which the Applicant has been
successful in meeting performance goals and reporting requirements.
If you are a previous FA Awardee: At any time during the performance period, did you fail to
meet a performance measure or a financial soundness covenant? If yes, explain:
What caused the failure?
How the issues leading to the failure have been addressed and/or resolved.
Also, if you are a previous FA Awardee and are requesting FA for the same type of activities,
please explain if the projected activity levels coincide with the previous award’s level of activity.
If you are a previous TA Awardee: If a previous TA award was to assist you become a
certified CDFI, but you did not become certified, explain why.

45

PART VI: PRE-SUBMISSION CHECKLIST (FA, HFFIFA, & TA)
WHO MUST COMPLETE THIS SECTION?
ALL APPLICANTS SHOULD COMPLETE PART VI.
IS THERE ANYTHING IN THIS SECTION THAT WILL CAUSE YOUR APPLICATION TO BE
REJECTED IF YOU MISS IT?
No, although all Applicants are encouraged to check each box to ensure that all required
application items are completed.

46