Form ED-209 Revolving Loan Fund Semi-Annual Financial Report

Revolving Loan Fund Reporting and Compliance Requirements

EDA_Form_E-209_with_Affirmation V4.2 Extended Historical Dates

RLF Semiannual Report

OMB: 0610-0095

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Economic Development Administration
Revolving Loan Fund Semi-Annual Financial Report
ED-209 Version 4.2
Grantee Data
Grantee Name:
Address Line 1:
Address Line 2:
City:
State:
Zip Code:
Reporting Period: 10/01/2012 - 03/31/2013

Contact Person:
Contact Phone:
Contact Email:
EIN:
DUNS:
EDA Award Number(s):

Web Site URL:

Reporting Unit:

Part I: Portfolio Status
No.
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:

RLF Principal Outstanding

RLF $ Loaned

0

$ 0.00

$ 0.00

0

$ 0.00

$ 0.00

Loan Losses

$ 0.00

Part II: Portfolio Summary
A. Summary of Loan Activities
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:

Total Loans

Active Loans

0
$ 0.00

0
$ 0.00

$ 0.00
$ 0.00

$ 0.00
$ 0.00

0

0

OMB Approved Form ED-209
OMB Control Number 0610-0095
Expires 09/30/2014

Economic Development Administration
Revolving Loan Fund Semi-Annual Financial Report
ED-209
B. Comparison of RLF Portfolio to RLF Plan
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:
6. % Loans for Industrial:

RLF Plan
:
:

Total Loans

Active Loans
:
:

:
:
0.00%
0.00%
0.00%

0.00%
0.00%
0.00%

0.00%
0.00%
0.00%

Part III: Portfolio Financial Status
A. RLF Funding Sources
1. EDA Funding:
2. Local Match:
3. Voluntary Contributions:
4. Total Funding:

$ 0.00

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:

$ 0.00
$ 0.00

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:

$ 0.00
$ 0.00
$ 0.00
$ 0.00

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:

$ 0.00
$ 0.00
$ 0.00
0.00%
0.00%

OMB Approved Form ED-209
OMB Control Number 0610-0095
Expires 09/30/2014

Economic Development Administration
Revolving Loan Fund Semi-Annual Financial Report
ED-209
Part IV: Miscellaneous Information and 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:

0.00%

D. Administration
1. Has there been any staff turnover during this reporting period?
2. If yes, please list:

Yes

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?

Program Specific Audit
Yes

E. Semiannual RLF Plan Certification
Yes

1. Does the RLF’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 ,KHUHE\FHUWLI\WKDWWKHLQIRUPDWLRQSURYLGHGLQP\RUJDQL]DWLRQ
VHOHFWURQLF
VXEPLVVLRQRIWKH5/)UHSRUWIRUP('LVFRPSOHWHDQGDFFXUDWHWRWKHEHVWRIP\NQRZOHGJH
Signature of Authorized Official

Date

Name of Authorized Official

Title of Authorized Official
OMB Approved Form ED-209
OMB Control Number 0610-0095
Expires 09/30/2014


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File TitleDate
AuthorVHendershot
File Modified2013-03-27
File Created2012-06-22

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