CDFI 0007 CDFI Institutional Level Report

CDFI Program and NMTC Program Annual Report including CIIS

Blank 2012 CDFI ILR

CDFI Program and NMTC Program Annual Report including CIIS

OMB: 1559-0027

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CDFI Institution Level Report (2012)
I.
A.

ORGANIZATIONAL INFORMATION
BASIC INFORMATION
Date of Organization's Fiscal Year End

-2012

Organization Type
Organizational Structure
Year of Organization's Incorporation
Year Organization Began Financing Activities
FDIC Certification Number, Depository Institution Holding
Company Identification Number, or NCUA Charter Number
Street Address
City
State
Zip
Website Address (if available)
1
2

Name of Person Responsible for Completing the ILR
Telephone Number of Person Responsible

() - Ext:

(including Extension if applicable)

3

E-mail Address of Person Responsible
B.

4
5
6

Is the Organization Minority Owned or Controlled?
Is the Organization Women Owned or Controlled?
Is the Organization a "Faith-Based" Organization?
Did the Organization Finance or Provide Financial Services to any Religious
Institution(s) or Faith-Based Organization(s) During the Reporting Period?

7
C.
8

ORGANIZATIONAL STRUCTURE / AFFILIATION

POPULATIONS AND GEOGRAPHY FINANCED DURING THE REPORTING PERIOD
Which of the Following Racial Populations Did the Organization Finance During the Reporting Period?
* American Indian
* Alaska Native
* Asian
* Black or African American
* Native Hawaiian
* Other Pacific Islander
* White
* Other

Page: 1

CDFI Institution Level Report (2012)
I
C

ORGANIZATIONAL INFORMATION
POPULATIONS AND GEOGRAPHY FINANCIED DURING THE REPORTING PERIOD

9

Did the Organization Finance any Persons of Hispanic Origin
During the Reporting Period?

10

Which of the Following Geographic Areas did the Organization Provide Financing in During the Reporting
Period?
* Appalachia
* Colonias
* Hot Zones
* Lower Mississippi Delta
* Native American Areas
* Rural Areas
* Major Urban Area
* Minor Urban Area

11

Are 50% or More of the Customers or End Users American Indian,
Alaska Native, or Native Hawaiian or Located in Native American
Areas?
Please Check Here to Confirm That the Table Below is Complete

12
D.
13
14
15
16
17
18

Native American Community Activities
STAFF AND CONSULTANTS: # OF FULL-TIME EQUIVALENTS (FTEs)
Total Staff and Consultant Activity Breakout
FTEs Dedicated to Lending/Investing
FTEs Dedicated to Development Services
FTEs Dedicated to Financial Services Other than Lending/Investing
FTEs Dedicated to Administration and Other Activities
Total FTEs
Consultant/Contractor FTEs

Staff and Consultants

=

Page: 2

CDFI Institution Level Report (2012)
II.
A.

FINANCIAL POSITION
LENDING/INVESTING POOL
Please Check Here to Confirm That the Table Below is Complete

19

Investment Capital Table

20
21

Investment Capital Summary Table
Off-Balance Sheet Resources Committed to the Organization for
Lending/Investing.

B.
22
C.

$

FINANCING COMMITMENTS THE ORGANIZATION HAS MADE TO ITS BORROWERS/INVESTEES
Financing Commitments to Borrowers/Investees at Reporting Period End

$

SUMMARY BALANCE SHEET INFORMATION AS OF THE REPORTING PERIOD END

23

Cash and Cash Equivalents Available for Operating Expenses

$

24
25

Current Assets

$

Loss Reserves
a. Loan Loss Reserve -- Accrual

$

26

b. Loan Loss Reserve -- Cash
c. Depository Loss Reserves
Total Assets

$
$
$

27

Current Liabilities

$

28

Total Liabilities

$

29

Shareholders Equity, Net Assets, or Net Worth

$

=

D.

SUMMARY INCOME AND EXPENSE STATEMENT INFORMATION
Please Check Here to Confirm That the Table Below is Complete

30

Contributed Operating Revenue Table

31
32
33
34
35
36

EARNED REVENUE
Interest Income Earned on Portfolio
Fee Income Earned from Lending Portfolio and Retail Financial Services
Interest Earned on Cash & Marketable Securities
Contract, Training and Consulting Income
Other Earned Revenue
Total Earned Revenue

$
$
$
$
$
$

=

37

Total Operating Revenue (before gains/losses)

$

=

38
39
40

GAINS AND LOSSES (Realized/Unrealized)
Gains/Losses on Equity Investments
Gains/Losses - Other
Total Gains/Losses (Realized and Unrealized)

$
$
$

=

41
42
43

TOTAL REVENUE
Total Operating Revenue (after gains/losses)
Total Non-Operating Revenue
Total Revenue

$
$
$

=
=

Page: 3

CDFI Institution Level Report (2012)
II.
D.

FINANCIAL POSITION
SUMMARY INCOME AND EXPENSE STATEMENT INFORMATION

44

EXPENSES
Interest Expense

$

45

Loan Loss Provision

$

46

Salaries and Benefits for Staff

$

47

Professional Fees

$

48

Other Operating Expenses

$

49

Total Pre-Tax Operating Expenses

$

50

Total Non-Operating Expenses

$

51

Total Expenses

$

52

Dividends Paid Out (For-Profit CDFIs and Credit Unions only)

$

53

Estimated Value of Additional Expenses

$

54
55

PRIOR YEAR REVENUE AND EXPENSES
Total Revenue in the Fiscal Year Prior to the Current Reporting Period
Total Revenue in the Fiscal Year Two Years Prior to the Current Reporting
Period

$
$

56
57
III.
A.
58

Total Expenses in the Fiscal Year Prior to the Current Reporting Period
Total Expenses in the Fiscal Year Two Years Prior to the Current Reporting
Period

=
=

$
$

FINANCING
FINANCING
Will the Organization Submit a Transaction-Level Report for the Current
Reporting Period?
Please Check Here to Confirm That the Table Below is Complete

59

Loans/Investments Originated Table

60

Amount of Loans/Investments Originated in Community Facilities

61

Amount and Number of Loans/Investments Originated in Approved Target
Market

$
Amount ($)

Number (#)

Amount ($)

Number (#)

Please Check Here to Confirm That the Table Below is Complete

62

Portfolio Outstanding Table

63

Amount of Portfolio Outstanding Invested in Community Facilities

64
65
66

Total Recoveries

67

Net Amount Charged Off ($)

$

90 Days or More Past Due
Total Amount Charged Off
=

Page: 4

CDFI Institution Level Report (2012)
III.

FINANCING

B.

LOAN PURCHASES AND SALES
Please Check Here to Confirm That the Table Below is Complete

68

Loan Purchase Table
Sector Breakout for All Loans Purchased During the Reporting Period

69

Sector Breakouts

$ Paid

Business Loans
Commercial Real Estate Loans
Mortgage Loans
Other/Unknown Loans
Totals

# Loans

=

=

Please Check Here to Confirm That the Table Below is Complete

70

Loans Sold Table

71

Sector Breakouts for Loans Sold During the Reporting Period

Sector Breakouts

Presale Book
Value

Business Loans
Commercial Real Estate Loans
Mortgage Loans
Other/Unknown Loans
Totals
C.
72
73
74
75
76
77

=

Presale
Book Value
of
Guaranteed
Portion

=

OTHER FINANCING ACTIVITIES
OTHER FINANCING ORIGINATED
Loan Guarantees
Loans/Investments Underwritten for Other Organizations
Loans/Investments Serviced for Other Organizations
OTHER FINANCING OUTSTANDING
Loan Guarantees
Loans/Investments Underwritten for Other Organizations
Loans/Investments Serviced for Other Organizations

Amount ($)

Number (#)

Amount ($)

Number (#)

Page: 5

CDFI Institution Level Report (2012)
IV.
78
79
80
81
82

COMMUNITY DEVELOPMENT IMPACTS
Will you Provide the Following Impact Data in a Transaction Level Report?
If Yes, Skip this Section
Type of Jobs Reported
Jobs in Portfolio Businesses at Origination
Net Change in Jobs
Source of Job Estimates
Source of Job Estimates - Other

83
84
85
86

87
88
89
90

Projected Number of Housing Units Assisted
Projected Number of Affordable Housing Units Assisted
Number of First-Time Homebuyers
Capacity of Community Facilities
A. Educational
B. Childcare
C. Healthcare
D. Arts Center
E. Other
Projected Square Feet of Commercial Real Estate Property Developed
Number of Equity Investments Held for 12 Months or More
Number of Equity Investments Held for 12 Months or More That Have
Decreased in Value in the Organization's Prior Fiscal Year
Other Impacts (1) (Description, #)

Not Applicable:

Description
Number of Units
91

Other Impacts (2) (Description, #)

Not Applicable:

Description
92

Number of Units
Did the Organization Introduce Any New Products or Services During the
Reporting Period?

93

Lending/Investing with Other Certified CDFIs

94

Lending/Investing with CDEs

Page: 6

CDFI Institution Level Report (2012)
V.

DEVELOPMENT SERVICES

Types of Development Services Provided During the Reporting Period:
Affordable Housing
95 Housing Technical Assistance
96 Homeownership Counseling
Economic Development
97 Business Technical Assistance
98 Real Estate Technical Assistance
Consumer Development
99 Credit Counseling
100 Financial Education
Other Services
101 Other Services (Not Included Above)
List the Types of Services Provided

Number of Development Services Clients - CDFI Fund Programmatic Priority (Totals Only)
102 Total Number of Development Services Clients Served (Organization / Other Development Services Providers)
Organization
Other Providers
Total Clients

103 Affordable Housing
Organization
Other Providers
104 Economic Development
Organization
Other Providers
105 Consumer Development
Organization
Other Providers
106 Other Services (Not Included Above)
Organization
Other Providers
107 Number of American Indians, Alaska Natives and Native Hawaiians
Served (Native American Community)
VI.

INDIVIDUAL DEVELOPMENT ACCOUNTS (IDAs)

108 Total Amount of All Open IDAs
109 Total Number of Individual Development Accounts Open

$

Please Check Here to Confirm That the Table Below is Complete

110 IDA Withdrawal Purpose Table

Page: 7

CDFI Institution Level Report (2012)
VII.
A.

AWARD COMPLIANCE
2005 - 2011 TECHNICAL ASSISTANCE AWARDEES

111 Expended Funds / Completed Activities Table
112 Date by Which the Organization Received Notice from the Appropriate Agency
Establishing the New Entity as a Legal Entity
Name of Legal Entity
EIN of Legal Entity
B.

2005-2011 Financial Assistance and Native Initiative with Financial Assistance Awardees
Portfolio at Risk (PAR) Ratio
Amount ($)

Number (#)

113 Total Loans Outstanding
114 90 Days or More Past Due
Native Initiatives Deployment of Resources
115 Total Amount Deployed in Target Market during the Reporting Period
Equity Investments
116 Number of Equity Investments Held for 12 Months or More
117 Number of Equity Investments Held for 12 Months or More That Have Decreased in
Value in the Organization's Prior Fiscal Year
C.

2007 FINANCAL ASSISTANCE AWARDEES

118 Total Amount deployed in 2007 Target Market during the Reporting Period
119 Total Amount deployed in 2007 Hot Zone during the Reporting Period
D.

2008 FINANCAL ASSISTANCE AWARDEES

120 Total Amount deployed in 2008 Target Market during the Reporting Period
121 Total Amount deployed in 2008 Hot Zone during the Reporting Period
E.

2009 FINANCAL ASSISTANCE AWARDEES

122 Total Amount deployed in 2009 Target Market during the Reporting Period
F.

2010 FINANCAL ASSISTANCE AWARDEES

123 Total Amount deployed in 2010 Target Market during the Reporting Period
G.

2011 FINANCAL ASSISTANCE AWARDEES

124 Total Amount deployed in 2011 Target Market during the Reporting Period
VIII. DATA COLLECTION AND TRACKING SYSTEMS
125 Loan Portfolio Software
Other
126 Borrower Characteristics Software
Other
127 Community Development Impact Software
Other

Page: 8

CDFI Institution Level Report (2012)
IX.

CREDIT REPORTING AGENCIES USED

128 Credit Scores
129 Reporting Agency
* Equifax
* Experian
* TransUnion
130 Does the Organization Report Loan Repayment Data to at Least One of
the Credit Reporting Agencies?
131 What Types of Loan Repayment Data Does the Organization Report?
132 How Often Does the Organization Report to the Credit Reporting Agency(ies)?
X.

ILR FEEDBACK

133 Is the Organization Required to Have a Single Audit Pursuant to
OMB Circular A-133?
134 Success Story
135 Comments

XI.

SUMMARY RATIOS

CIIS will display results for ratios when complete data is provided. The ratio may change during the cleansing process.

136
137
138
139
140
141
142
143
144
145

Operating Liquidity Ratio
Portfolio at Risk
Equity Investments Ratio
Average Net Revenue
Net Asset Ratio
Capital Liquidity Ratio
Self-Sufficiency Ratio
Prompt Correct Action (PCA) Net Worth Ratio
Tier 1 Leverage Ratio
Net Loans & Leases to Deposits Ratio

%
%
$
%
%

Page: 9

CDFI Institution Level Report (2012)
CERTIFICATION STATEMENT
Prior to the CDFI Fund accepting the data submitted by an Awardee/Allocatee, the user must certify, on behalf of the organization,
to the following:

CIIS DATA SUBMISSION
1

The person(s) entering the data and making these certifications has been authorized, by the organization for which the data
is input, to enter the data and make the certifications.

2

The institution-level and transaction-level data to be submitted to the CDFI Fund through CIIS is true, accurate, and
complete, and accurately represents the activities and/or performance of the organization for which data is input.

ASSURANCES
1

If the Awardee received a 2003 or 2004 Native American Technical Assistance (NATA), Native American CDFI
Development (NACD) award, or Native American CDFI Assistance (NACA) award, 50 percent or more of the Awardee's or
the Awardee's Partner's activities primarily serve Native American, Alaska Native and/or Native Hawaiian communities.

2

If the Awardee has received an award from the CDFI Fund, none of the proceeds of said award has been used to engage in
the lobbying of the Federal Government or in litigation against the United States unless authorized under existing law.

3

If the organization has transferred any portion of its NMTC allocation authority to a subsidiary Allocatee and said subsidiary
Allocatee has issued a Qualified Equity Investment (QEI), the Allocatee hereby certifies that said subsidiary Allocatee has
obtained an unqualified opinion on its most recently completed audited financial statement. The certification applies to the
year in which the subsidiary Allocatee issued the QEI and each year thereafter until termination of the Allocation
Agreement.

REPRESENTATIONS AND WARRANTIES
The Awardee/Allocatee hereby represents and warrants to the CDFI Fund the following, as applicable:
1

Organization, Standing and Powers. The Awardee is a validly existing Tribal Government or Alaska Native Village
Government, or an entity validly existing and in good standing under federal law or the laws of the state or Tribe of its legal
formation, and has all requisite power and authority to own and operate its assets and properties, to carry on its business as
it is now being conducted and to carry out its proposed, hereby authorized use(s) of the Assistance provided pursuant to an
Assistance Agreement.

2

Qualification. The Awardee is duly qualified, in good standing and authorized to transact business in each jurisdiction where
the conduct of the Awardee's business, the carrying out of its authorized use(s) of the Assistance or the ownership of its
assets and properties requires such qualification, or, if not so qualified, the Awardee's failure to so qualify shall not have a
material adverse effect on the Awardee, its financial condition or operations and will not impair the Awardee's ability to carry
out its authorized use(s) of the Assistance or its right to enforce any material agreement to which it is a party.

3

Litigation. The Awardee has neither actual nor constructive knowledge of any suit, action, proceeding or investigation
pending or threatened that questions the validity of the Assistance Agreement including, but not limited to, the carrying out
of the authorized use(s) of the Assistance.

4

Disclosure. Neither the Assistance Agreement nor any attachment thereto, nor any certification or other document
referenced or incorporated therein and furnished to the CDFI Fund by the Awardee contains any untrue statement of a
material fact or omits to state a material fact necessary in order to make the statements contained herein or therein, in light
of the circumstances under which they were made, not misleading. The Awardee has disclosed, in writing, to the CDFI
Fund all facts that might reasonably be expected to result in a material adverse effect upon the Awardee_s ability either to
conduct its principal business or to carry out its authorized use of the Assistance. The Awardee has not knowingly and
willfully made or used a document or writing containing any false, fictitious or fraudulent statement or entry as part of its
correspondence or communication with the CDFI Fund. The Awardee acknowledges, under 18 U.S.C. section 1001, that if
it knowingly and willfully makes or uses such document or writing it or its employee(s) or agents shall be fined or imprisoned
for not more than five years, or both.

Page: 10

CDFI Institution Level Report (2012)
CERTIFICATION STATEMENT
REPRESENTATIONS AND WARRANTIES
5

Taxes; Debts; Bankruptcy. The Awardee is not delinquent on any debts owed to Federal, State, local or Tribal governments
including, but not limited to, amounts due under the Internal Revenue Code, and has never filed for bankruptcy nor had a
conservator appointed. The Awardee has neither actual nor constructive knowledge of any pending or anticipated
bankruptcy filings or conservatorship appointments on its behalf.

6

Debarment, Suspension and Other Responsibility Matters. Pursuant to 31 C.F.R. 19.335, neither the Awardee nor any of its
principals (as defined by 31 C.F.R. 19.995): (a) are presently excluded or disqualified from covered transactions by any
Federal department or agency; (b) within the three-year period preceding the date of the Assistance Agreement, have been
convicted of or had a civil judgment rendered against them for any of the offenses listed in 31 C.F.R. 19.800(a); (c) are
presently indicted for or otherwise criminally or civilly charged by a governmental entity (Federal, State or local) with
commission of any of the offenses listed in 31 C.F.R. 19.800(a); or (d) within the three-year period preceding the date of the
Assistance Agreement, have had one or more public transactions (Federal, State, or local) terminated for cause or default.

COVENANTS AND AGREEMENTS OF THE AWARDEE
Until the termination of the Assistance Agreement, the Awardee shall duly perform and observe each and all of the following
covenants and agreements:
1

Compliance with Government Requirements. In carrying out its responsibilities pursuant to the Assistance Agreement, the
Awardee shall comply with all applicable Federal, State, local and Tribal laws, regulations, ordinances, Office of
Management and Budget (OMB) Circulars, and Executive Orders.

2

Fraud, Waste and Abuse. If the Awardee becomes aware at any time of the existence or apparent existence of fraud, waste
or abuse of Assistance provided pursuant to the Assistance Agreement, the Awardee shall promptly report such
incidence(s) to the Office of Inspector General of the U.S. Department of the Treasury and/or the CDFI Fund.

3

Retention of Records. The Awardee shall comply with all record retention requirements set forth in OMB Circular A-110,
Uniform Administrative Requirements for Grants and Agreements with Institutions of Higher Education, Hospitals and Other
Non-Profit Institutions, and OMB Circular A-102, Grants and Cooperative Agreements with State and Local Governments.
Pursuant to this Circular, the Awardee shall retain all financial records, supporting documents, statistical records and any
other records pertinent to the Assistance for a period of three years after the conditions for termination have all been met.

4

Equal Credit Opportunity Act. The Awardee shall provide its products and services in a manner that is consistent with the
Equal Credit Opportunity Act (15 U.S.C. section 1691), to the extent that the Awardee is subject to the requirements of such
Act.

5

Certain Insider Activities. The Awardee shall comply with the restrictions on Insider activities set forth in the CDFI Program
Regulations (at 12 CFR section 1805.807).

6

Certification. If the Awardee is a certified CDFI, the organization continues to meet the eligibility requirements for
certification as a CDFI. If the Allocatee is a certified CDE, the organization continues to meet the eligibility requirements for
certification as a CDE. The term "Organization" shall include the Allocatee and all of its subsidiary Allocatees, if applicable.
As applicable, the Awardee/Allocatee maintains its existence as an Insured Credit Union, an Insured Depository Institution,
or a Depository Institution Holding Company, as defined by the Appropriate Federal Banking Agency.

7

Applicability of Criminal Provisions. The criminal provisions of 18 U.S.C. section 657 regarding embezzlement or
misappropriation of funds are applicable to all Awardees and Insiders.

8

Compliance with Non-Discrimination Statutes. The Awardee shall comply with all Federal statutes relating to
non-discrimination, including, but not limited to: Title VI of the Civil Rights Act of 1964; Title IX of the Education
Amendments of 1972; Section 504 of the Rehabilitation Act of 1973; the Age Discrimination Act of 1975; the Drug Abuse
Office and Treatment Act of 1972; the Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and
Rehabilitation Act of 1970; section 523 and 527 of the Public Health Service Act of 1912; and Title VIII of the Civil Rights Act
of 1968.

If the Awardee / Allocatee is unable to comply with all applicable certifications, the organization must advise the CDFI Fund as
such in writing in reasonable detail. Such correspondence should be addressed to the CDFI Fund's Grants Manager at
[email protected].

Page: 11

CDFI Institution Level Report (2012)
12 Native American Community Activities
Name of Native American Community

% of Total
Financing

Page: 12

CDFI Institution Level Report (2012)
19 Investment Capital Table

Source of Capital

Type of Capital

Amount

Interest
Rate

Remaining
Origination Maturity
Term (in
Date
Date
months)

Debt Subtotal
Grand Total

Page: 13

CDFI Institution Level Report (2012)
20 Investment Capital Summary Table

Type of Capital

Amount

Percentage of
Total Capital

Weighted
Weighted
Average Interest
Average Term
Rate of Debt
(months) for Debt

Debt Subtotal
Grand Total

Page: 14

CDFI Institution Level Report (2012)
30 Contributed Operating Revenue Table
Type of Donor

Amount

Total

Page: 15

CDFI Institution Level Report (2012)
59 Loans/Investments Originated Table
Transaction Type

Purpose

Total Project Cost

$ Originated

# Originated

Totals

Page: 16

CDFI Institution Level Report (2012)
62 Portfolio Outstanding Table
Transaction Type

Purpose

$ Outstanding

# Outstanding

Totals

Page: 17

CDFI Institution Level Report (2012)
68 Loan Purchase Table
Purchase #

Purchase Date

Total $ Paid

Total # Loans

Presale Book Value

Totals

Page: 18

CDFI Institution Level Report (2012)
70 Loans Sold Table
Buyer Organization Name

Total # Sold

Presale Book Value
of Sale

Sale Price

Total

Page: 19

CDFI Institution Level Report (2012)
92

Lending/Investing with Other Certified CDFIs

Page: 20

CDFI Institution Level Report (2012)
93

Lending/Investing with CDEs

Page: 21

CDFI Institution Level Report (2012)
110 IDA Withdrawal Purpose Table
Purpose

Number

Amount

Totals

Page: 22

CDFI Institution Level Report (2012)
111 Expended Funds / Completed Activities Table
Award Control
Number

Expended All TA
Funds?

Date TA Funds
Expended

Completed All TA Date TA Activities
Activities?
Completed

Page: 23

CDFI Institution Level Report (2012)
134 Success Story

Page: 24

CDFI Institution Level Report (2012)
Notes
Question
No.

User

Date

Note

Page: 25


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