Form ED-209 Revolving Loan Fund Financial Report

Economic Development Administration
Revolving Loan Fund Financial Report
ED-209 for Semiannual or Annual Reporting

Part I: Grantee Data
Grantee Name:
Address Line 1:
Address Line 2:
City:
State:
Zip Code:
Reporting Period End Date (MM/DD/YYYY):
Report Type:
Semiannual
Annual

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

Other

Part II: Portfolio Financial Status
A. RLF Funding Sources

Federal Grant Rate

1. EDA Funding:
2. Local Match:
3. Total RLF Funding:

0.00%

$ 0.00
$ 0.00

$ 0.00

B. Cumulative RLF Income Earned
1. Interest Earned on Loans:
2. Interest Earned on Deposit Accounts:
3. Fees Earned on Closed Loans:
4. RLF Income from Application Fees:
5. Other RLF Income:
6. Total RLF Income:
7. Portion of RLF Income Used for Administrative Expenses:
8. RLF Income Added to Capital Base for Lending:
9. Explanation of Other Income:
C. Status of RLF Capital
1. Total RLF Funding:
2. RLF Income Added to Capital Base for Lending:
3. Voluntarily Contributed Capital:
4. Loan Losses:
5. Disallowance:
6. RLF Capital Base:

$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00

$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00

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

$ 0.00
$ 0.00
$ 0.00
$ 0.00
0.00%

Form ED-209
OMB Control Number 0610-0095
Expires MM/DD/YYYY

Economic Development Administration
Revolving Loan Fund Financial Report
ED-209 for Semiannual or Annual Reporting
Part III: Loan Portfolio Summary
A. Portfolio Status

Number

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

0
0
0
0
0
0
0

RLF Principal Outstanding

RLF $ Loaned

$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00

Loan Losses

$ 0.00
$ 0.00
$ 0.00
$ 0.00

$ 0.00
$ 0.00

8. Number of Applications Received during reporting period:

0

9. Number of Loans Closed during reporting period:

0

$ 0.00

B. Portfolio Loan List
Report the following information for each RLF Loan made, whether Active, Written Off, or Fully Repaid.
Name:
Recipient
ID:
Loan Purpose and Description Purpose:
Borrower:
Source of Financing
Date Closed:
Loan Terms
Loan Status
Modified Loan
Principal Repaid:
Repayment
Pre-Loan jobs:
Job Impact

Location:

NAICS:
RLF:
Payment
Schedule:
Balance:

Description:
Private:
Other Public:
Term:
months
Interest Rate:
Date:
Payment:
Interest Paid:
Fees Paid:
Jobs Created:
Jobs Saved:

Part IV: Risk Scoring Measures
A. Capital
1. Capital Base Index:
B. Assets
1. Default Rate:
2. Default Rate over Time:
3. Loan :ULWH-2II5DWio:
4. Dollars :ULWtHn-2II:

E. Strategic Results
1. Total $ Leveraged:
2. Loan Leverage Ratio:
3. Jobs Created:
4. Jobs Saved:
5. Total Jobs:
6. Cost per Job:

C. Earnings

0.00%
0 months
0.00%
0.00%

1. Net RLF Income:

0.00%

2. Administrative Expenses % of Income, Fiscal Year:

0.00%

3. RLF Income used for Admin. Expenses, Fiscal Year:

$ 0.00

4. RLF Income earned during Fiscal Year:

$ 0.00

D. Liquidity
1. Allowable Cash Percentage:
2. Cash Percentage:
3. Cash Percentage over Time:
RLF Plan Target
0.00 : 1

$ 0.00

0.00%

0.00%
0 months

Active LoansTotal Loans
$ 0.00
: 1
0.00
0.00
0.00

$ 0.00
: 1
0.00
0.00
0.00

Form ED-209
OMB Control Number 0610-0095
Expires MM/DD/YYYY

Economic Development Administration
Revolving Loan Fund Financial Report
ED-209 for Semiannual or Annual Reporting
Part V: RLF Management Summary
A. RLF Plan
1. Date of EDA Approved RLF Plan (MM/DD/YYYY):
2. Date of Annual RLF Plan Certification (MM/DD/YYYY):
B. Audit
1. Fiscal Year End Date (MM/DD/YYYY):
Program Specific
2. Date of Most Recent Audit (MM/DD/YYYY):
Single
3. Was the audit submitted to the Federal Audit Clearinghouse on Time?
4. If not, why not?
5. Does the Audit Contain any Findings?

(Yes or No?)
(Yes or No?)

C. Management
(Yes or No?)

1. Has there been any key staff turnover during this reporting period?
2. If yes, please explain:

D. Retention of Key Personnel

Name

Title

Tenure
(Please make a selection)
(Please make a selection)
(Please make a selection)
(Please make a selection)

1. Executive Director:
2. Lending Director:
3. Finance Director:
4. Reporting Official:
E. Signature of Authorized Representative:

,KHUHE\FHUWLI\WKDWWKH5/)LVRSHUDWLQJLQDFFRUGDQFHZLWKLWV('$DSSURYHG5/)SODQDQGWKDWWKHLQIRUPDWLRQSURYLGHG
in my organization’s electronic submission of the RLF report form is complete and accurate.

Signature of Authorized Official

Date

Name of Authorized Official

Title of Authorized Official

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Form ED-209
OMB Control Number 0610-0095
Expires MM/DD/YYYY