Form 1559-0032-201611 Use of Award Report Form

Recipient: «Recipient_Name»
Award No.: «Control_Number»
USES OF AWARD REPORT1
Total Award: $
Report Due Date:
Performance Period:
Category of Activity Description

of Activity

Total
Dollar
Amount ($)

Census Tract (if the
transaction is a Distressed
Community Financing or
Service Activity)*

CDFI Partner
(if CDFI
Related
Activity)*

Impact* Qualified*

*Only applicable for BEA Program Awards

1

CDFI and NACA Award Recipients should submit the Uses of Award Report to satisfy the Assistance Agreement
requirement to complete a Uses of Funds Report.

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Recipient: Example BEA
Award No:XXBEXXXXX
USES OF AWARD REPORT
Total Award: $250,000.00
Report Due Date:
Performance Period:

Category of Activity

3/31/2017
Federal Award Date through 12/31/2016

Descript
Total
ion of
Dollar
Activity Amount ($)

Census Tract (if the
transaction is a Distressed
Community Financing or
Service Activity)

CDFI Partner Impact
(if CDFI
Related
Activity)

Qualified

Distressed Community
Financing Activities

SBL

$100,000

00000000000

N/A

5

Y

CDFI Related
Service

ELL
TFS

$100,000
$50,000

N/A
22222222222

ABC CDFI
N/A

N/A
15

Y
Y

Recipient: Example CDFI
Award No.: XXXFAXXXXXX
USES OF AWARD REPORT
Total Award: $1,000,000
Report Due Date:
Performance Period:

3/31/2016
12/31/2015

Category of Activity
Financial Products
Direct Administrative Expenses

Total Dollar Amount ($)
Description of Activity
Loans
$500,000
Compensation – Salary for Loan $150,000
Officers

Development Services

Compensation – Salary for Small $350,000
Business Counselors

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BEA Program Award
If the Recipient receives a Bank Enterprise Award, the Recipient is required to submit the
Uses of Award Report to the CDFI Fund to demonstrate it has met its Performance Goal.
Using an electronic form, the Recipient must report on its uses of the Bank Enterprise
Award for its full Reporting Period.
The Recipient is not required to complete the Qualified column; this column will be
completed by the CDFI Fund.
Directions for completing the Uses of Award Report:
Category of Activity:
Select the applicable Category of the Activity.

Description of Activity:
Select the applicable Activity Type.
Total Dollar Amount:
Input the Total Dollar Amount of the Activity.
Census Tract (if the transaction is a Distressed Community Financing Activity or Service
Activity):
For Distressed Community Financing Activities or Service Activities, input the census tract
number that confirms the funds were deployed in a Distressed Community as defined in the
applicable BEA Notice of Funds Availability (NOFA) and BEA Program Regulations. If the
activity was a CDFI Related Activity, input N/A.
CDFI Partner(s) (if CDFI Related Activity):
For a CDFI Related Activity, list the name of the certified CDFI that received the loan,
technical assistance, or qualifying deposits defined in the applicable BEA NOFA and BEA
Program Regulations. If the activity was a Distressed Community Financing or Service
Activity, input N/A.
Impact:
For the activity types listed below, which are associated with either Distressed Community
Financing Activities or Service Activities, provide the number of the appropriate measure in
aggregate for all transactions funded within the category:
 Affordable Housing Development: Total number of units developed or rehabilitated as
part of the transaction.
 Small Business: Total number of full-time equivalent jobs created or maintained by
borrower.
 Commercial Real Estate: Total number of commercial real estate properties acquired,
developed or rehabilitated.
 Community Services: Number of individuals who received the identified service

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funded with the Award.
 Financial Services and Targeted Financial Services: Number of accounts opened,
checks cashed, etc. as a result of the related program funded with the Award
 Targeted Retail Savings/Investment Products: Number of products developed with
funds from the Award sold or opened.
CDFI and NACA Program Award
If the Recipient receives a CDFI or NACA Program Award, the Recipient is required to
submit the Uses of Award Report to the CDFI Fund to demonstrate it has met its
Performance Goal. Using an electronic form, the Recipient must report on its uses of the TA
Award or FA Award for its full Reporting Period.
Technical Assistance Award
Directions for completing the Uses of Award Report:
Category of Activity:
Select the applicable Category of the Activity.
Description of Activity:
Enter a description of the expense.
Total Dollar Amount:
Input the Total Dollar Amount of the Activity expended during the performance period.
Census Tract (if the transaction is a Distressed Community Financing or Service
Activity):
Not applicable.
CDFI Partner(s) (if CDFI Related Activity):
Not applicable.
Impact:
Not applicable.
Financial Assistance Award
Directions for completing the Uses of Award Report:
Category of Activity:
Select the applicable Category of the Activity.
Description of Activity :
Enter a description of the expense
Total Dollar Amount:
Input the Total Dollar Amount of the Activity expended during the performance period.
Census Tract (if the transaction is a Distressed Community Financing or Service

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Activity):
Not applicable.
CDFI Partner(s) (if CDFI Related Activity):
Not applicable.
Impact:
Not applicable.