Form ED-209 Semiannual Report for EDA-funded RLF Grants

EDA RLF Application

Page 1 of 3

Welcome,

Grantee Data
Grantee Name:

Contact Person:

Address Line 1:

Contact Phone:

Address Line 2:

Contact Email:

City:

EIN:

State:

DUNS:

Zip Code:

EDA Award Number(s):

Reporting Period: 

Reporting Unit:

Part I: PORTFOLIO STATUS
No.

RLF $ Loaned

RLF Principal Outstanding

Loan Losses

1. Current Loans:
2. Delinquent Loans:
3. In Default Loans:
4. Total Active Loans:
5. Fully Repaid Loans:
6. Written Off Loans:
7. Total Loans:

Part II: PORTFOLIO SUMMARY
A. Summary of Loan Activities
Total Loans

Active Loans

1. Number of RLF Loans:
2. RLF $ Loaned:
3. Private Non-RLF $ Leveraged by RLF:
4. Other Non-RLF $ Leveraged by RLF:
5. Total $ Leveraged:
6. Total Project Financing:
7. Private Sector Jobs Created:
8. Private Sector Jobs Saved:
9. Total Private Sector Jobs:
10. RLF $ Loaned for Fixed Assets:
11. RLF $ Loaned for Working Capital:
12. RLF $ Loaned for Start-Up:
13. RLF $ Loaned for Expansion:
14. RLF $ Loaned for Retention:
15. RLF $ Loaned for Industrial:
16. RLF $ Loaned for Commercial:
17. RLF $ Loaned for Service:
B. Comparision of RLF Portfolio to RLF Plan:
RLF Plan

Total Loans

Active Loans

1. Cost per Job:
2. Non-RLF Private Leverage Ratios:

:

3. Non-RLF Private and Other Leverage Ratios:

:

4. % Working Capital Loans:
5. % Loans for Start-Ups:

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EDA RLF Application

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6. % Loans for Industrial:

Part III: PORTFOLIO FINANCIAL STATUS
A. RLF Funding Sources
1. EDA Funding
2. Local Match
3. Voluntary Contributions
4. Total Funding
B. RLF Income Earned to Date
1. Interest Earned on Loans:
2. Interest Earned on Deposit Accounts:
3. RLF Income from Application Fees:
4. Other RLF Income:
5. Fees Earned on Closed Loans:
6. Total RLF Income:
7. Portion of RLF Income Used for Administrative Expenses:
8. RLF Income Added to Capital Base for Lending:
C. Status of RLF Capital
1. Total RLF Funding:
2. RLF Income Added to RLF Capital Base for Lending:
3. Loan Losses:
4. Current RLF Capital Base:

`

D. Current Balance Available for New Loans
1. RLF Principal Outstanding on Loans:
2. Current Balance Available for Lending:
3. RLF $ Committed but Not Disbursed:
4. Current Balance Available, Net of Committed RLF $:
5. Current Balance Available, as % of Capital Base:
6. Balance Available, as % of Capital Base, for Previous Reporting Period:

Part IV: PORTFOLIO LOAN LIST
Borrower Name:

NAICS :

City:

County:

State:

Zip Code:

Status
Loan Type:

Loan Status as of End of Reporting Period:

Loan Description:

Days Delinquent/In Default:

Loan Purpose:

Amount Delinquent:
Amount in Default:

Principal Repaid:

Amount Written-Off:

Interest Repaid:
Loan Account Number:

Jobs Created:
Jobs Saved:

Financing
Closing Date:

Original RLF $:

Term Months:

Current RLF $:

Type of Interest Rate:

Other Public $:

Interest Rate:

Private $:

Amount Guaranteed:

New Equity $:

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EDA RLF Application

Restructured\Closed:

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Fees (Loan Origination Fees, Loan Servicing
Fees, Late Payment Penalties):
Total Financing:

Part V: MISCELLANEOUS INFORMATION & CERTIFICATION
A. Recent Loan Activity (Last 6 Months Only)
1. Number of Applications Received During Reporting Period:
2. Number of Loans Closed During Reporting Period:
B. Capital Utilization
1. Amount of Excess Cash for Reporting Period:
2. Amount of Excess Cash Subject to Sequestration:
3. Change in Excess Cash Subject to Sequestration:
4. Amount Sequestered in a Separate Account, as Reported by Grantee:
5. Name of Bank in which Funds Are Sequestered:
6. Total Interest Remitted to EDA, as of End of Reporting Period:
C. RLF Income and Expenses
1. RLF Income Earned During Reporting Period:
2. RLF Income Used for Administrative Expenses During Reporting
Period:
3. % of RLF Income Used for Administrative Expenses During Reporting
Period:
D. Administration
1. Has there been any staff turnover during this reporting period?
2. If yes, please list:
3. Date of Most Recent Independent Audit:
4. Type of Most Recent Independent Audit:
5. Was the audit filed with the Federal Audit Clearinghouse on time?
6. If no, why not?
E. SEMIANNUAL RLF PLAN CERTIFICATION
1. Does the Revolving Loan Fund’s governing board certify that the RLF
is operating in accordance with its EDA-approved RLF Plan?
2. If no, why not?

F. SIGNATURE OF AUTHORIZED REPRESENTATIVE

Signature of Authorized Official

Date

Name of Authorized Official

Title of Authorized Official
Print ED-209

Re-open ED-209 in Tab Editing

https://edawhq-rlftest2/SemiAnnualReportForm.aspx?EDA209ID=4805&ReportingUnitID...

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7/6/2011