Form SBA Form 2233 SBA Form 2233 Premier Certified Lenders Program (PCLP) Quarterly Loan

OMB APPROVAL NO.: 3245-0346
EXPIRATION DATE: xx/xx/xxxx

PREMIER CERTIFIED LENDERS PROGRAM (PCLP)
QUARTERLY LOAN LOSS RESERVE REPORT
The PCLP Certified Development Company (CDC) completes this form to report its quarterly Loss
Reserves to the Lead SBA District Office serving the territory where the business is located.

CDC Name: _____________________________________________________
Quarter: ___________
Year: __________
I. Balances and Reconciliations
Bank Name

Statements for
Quarter Ending

LLRF
Balance

Statements
Attached

Bank 1
Bank 2
Bank 3
Bank 4
Bank 5
Bank 6
Bank 7
Bank 8
Bank 9
Bank 10
Total Loss Reserves
Required Loss Reserves
pursuant to
13 CFR § 120.847
Net Excess/(Shortage)

II. Attachments
CDC must attach copies of bank statements to support all stated reserve balances and attach
correspondence with banks on reconciling accounts.
III. CDC Certification
By signing below, you certify as to the following:
1.
2.
3.

The above information is true, complete and correct to the best of your knowledge.
CDC is in full and complete compliance with all SBA Loan Program Requirements applicable
to its PCLP Loan Loss Reserve Fund (“LLRF”).
Each LLRF account listed above is subject to a Loan Loss Reserve Fund Deposit Account
Control Agreement (“Control Agreement”) with SBA, and CDC is in full and complete
compliance with all Control Agreements.

SBA Form 2233 (09-16) Previous Editions Obsolete

Page 1 of 2

4.

CDC is diligently monitoring its LLRF to ensure that it contains sufficient funds to cover its
Exposure for its entire portfolio of PCLP Debentures, and if, at any time, LLRF does not
contain sufficient funds, CDC will, within 30 days of the earlier of the date it becomes aware
of this deficiency or the date it receives notification from SBA of this deficiency, make
additional contributions to the LLRF to make up this difference.

WARNING:
The undersigned certifies that all information provided to the CDC, and that all information in this application, including
exhibits whether submitted contemporaneously with this application or at a later date, is true and complete to the best of his
or her knowledge and is submitted to the CDC and to SBA so that SBA can decide whether to approve this application.
The undersigned acknowledges that whoever makes any false statement or report, or willfully overvalues any land property
or security for the purpose of influencing in any way the action of the SBA under the Small Business Investment Act, as
amended, may be punished by a fine of not more than $1,000,000 or by imprisonment for up to 30 years, or both, pursuant to
18 U.S.C. 1014. The undersigned further acknowledges that, in connection with a 504 loan, submission of any false
statement to the CDC or SBA or submission of any record to the CDC or SBA omitting material information can result in
civil money penalties and additional monetary liability up to three times the amount of damages which the Government
sustains because of the false statement under the False Claims Act, 31 U.S.C. 3729.

_________________________

________________

CDC Chief Executive Official Signature

Date

PLEASE NOTE: According to the Paperwork Reduction Act, you are not required to respond to this collection of
information unless it displays a currently valid OMB Control Number. The estimated burden for completing this form,
including time for reviewing instructions, gathering data needed, and completing and reviewing the form is 30 minutes.
Comments or questions on the burden estimates should be sent to U.S. Small Business Administration, Chief, RMD, 409 3rd
St., SW, Washington DC 20416 and/or SBA OMB Desk Officer, Office of Management and Budget, New Executive Office
Building, Room 10202, Washington, DC 20503. PLEASE DO NOT SEND FORMS TO THIS OMB ADDRESS.

SBA Form 2233 (09-16) Previous Editions Obsolete

Page 2 of 2