2530

Capital Advance Section 811 Grant Application for Supportive Housing for Persons with Disabilities

2530

OMB: 2502-0462

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Previous Participation Certification

OMB Approval No. 2502-0118
(Exp. 11/30/2022 )

US Department of Housing and Urban Development

US Department of Agriculture

Office of Housing/Federal Housing Commissioner

Farmers Home Administration

Part I to be completed by Controlling Participant(s) of Covered Projects
(See instructions)
Reason for submission:

For HUD HQ/FmHA use only

1. Agency name and City where the application is filed

2. Project Name, Project Number, City and Zip Code

3. Loan or Contract amount $

4. Number of Units or Beds

5. Section of Act

6. Type of Project (check one)
Existing
Rehabilitation

Proposed (New)

7. List all proposed Controlling Participants and attach complete organization chart for all organizations showing ownership %
Name and address ( Last, First, Middle Initial) of controlling participant(s) proposing to participate

8 Role of Each Principal in Project

9. SSN or IRS Employer Number (TIN)

Certifications: The controlling participants(s) listed above hereby apply to HUD or USDA FmHA, as the case maybe, for approval to participate as controlling participant(s) in the role(s) and project listed above. The
controlling participant(s) certify that the information provided on this form and in any accompanying documentation is true and accurate. I/we acknowledge that making, presenting, or submitting a false, fictitious, or
fraudulent statement, representation, or certification may result in criminal, civil, and/or administrative sanctions, including fines, penalties, and imprisonment. The controlling participants(s) further certify to the truth and
accuracy of the following:
1. Schedule A contains a listing, for the last ten years, of every project assisted or insured by HUD, USDA FmHA and/or State and local government housing finance agencies in which the controlling participant(s) have
participated or are now participating.
2. For the period beginning 10 years prior to the date of this certification, and except as shown on the certification:
a. No mortgage on a project listed has ever been in default, assigned to the Government or foreclosed, nor has it received mortgage relief from the mortgagee;
b. The controlling participants have no defaults or noncompliance under any Conventional Contract or Turnkey Contract of Sale in connection with a public housing project;
c. There are no known unresolved findings as a result of HUD audits, management reviews or other Governmental investigations concerning the controlling participants or their projects;
d. There has not been a suspension or termination of payments under any HUD assistance contract due to the controlling participant’s fault or negligence;
e. The controlling participants have not been convicted of a felony and are not presently the subject of a complaint or indictment charging a felony. (A felony is defined as any offense punishable by imprisonment for a term
exceeding one year, but does not include any offense classified as a misdemeanor under the laws of a State and punishable by imprisonment of two years or less);
f. The controlling participants have not been suspended, debarred or otherwise restricted by any Department or Agency of the Federal Government or of a State Government from doing business with such Department or
Agency;
g. The controlling participants have not defaulted on an obligation covered by a surety or performance bond and have not been the subject of a claim under an employee fidelity bond;
3. All the names of the controlling participants who propose to participate in this project are listed above.
4. None of the controlling participants is a HUD/FmHA employee or a member of a HUD/FmHA employee's immediate household as defined in Standards of Ethical Conduct for Employees of the Executive Branch in 5
C.F.R. Part 2635 (57 FR 35006) and HUD's Standard of Conduct in 24 C.F.R. Part 0 and USDA's Standard of Conduct in 7 C.F.R. Part 0 Subpart B.
5. None of the controlling participants is a participant in an assisted or insured project as of this date on which construction has stopped for a period in excess of 20 days or which has been substantially completed for more
than 90 days and documents for closing, including final cost certification, have not been filed with HUD or FmHA.
6.None of the controlling participants have been found by HUD or FmHA to be in noncompliance with any applicable fair housing and civil rights requirements in 24 CFR 5.105(a). (If any controlling participants have been
found to be in noncompliance with any requirements, attach a signed statement explaining the relevant facts, circumstances, and resolution, if any).
7. None of the controlling participants is a Member of Congress or a Resident Commissioner nor otherwise prohibited or limited by law from contracting with the Government of the United States of America.
8.Statements above (if any) to which the controlling participant(s) cannot certify have been deleted by striking through the words with a pen, and the controlling participant(s) have initialed each deletion (if any) and have
attached a true and accurate signed statement (if applicable) to explain the facts and circumstances.
Name of Controlling Participant
Signature of Controlling
Certification Date
Area Code and Tel. No.
Participant
(mm/dd/yyyy)

This form prepared by (print name)

Area Code and Tel. No.

Previous editions are obsolete

ref 24 CFR 200 Subpart H Form HUD-2530 (10/2016)
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Previous Participation Certification

OMB Approval No. 2502-0118
(Exp. 11/30/2022 )

Schedule A: List of Previous Projects and Section 8 Contracts. Below is a complete list of the controlling participants’ previous participation projects and participation history
in covered projects as per 24 CFR, part 200 §200.214 and multifamily Housing programs of FmHA, State and local Housing Finance Agencies, if applicable. Note: Read and
follow the instruction sheet carefully. Make full disclosure. Add extra sheets if you need more space. Double check for accuracy. If no previous projects, write by your name, “No
previous participation, First Experience”.
1. Controlling Participants’ Name (Last, First)

2. List of previous projects (Project name,
project ID and, Govt. agency involved)

3.List Participants’ Role(s)
(indicate dates participated, and if
fee or identity of interest
participant)

4. Status of loan
(current, defaulted,
assigned, foreclosed)

5.Was the Project ever
in default during your
participation
Yes No If yes, explain

6. Last MOR rating and
Physical Insp. Score and
date

Part II- For HUD Internal Processing Only
Received and checked by me for accuracy and completeness; recommend approval or refer to Headquarters after checking appropriate box.
Date (mm/dd/yyyy)
Tel No. and area code
A. No adverse information; form HUD-2530 approval
recommended.
Staff
Processing and Control

C. Disclosure or Certification problem

B. Name match in system
Signature of authorized reviewer

Signature of authorized reviewer

D. Other (attach memorandum)
Approved
Yes

Previous editions are obsolete

Date (mm/dd/yyyy)
No

ref 24 CFR 200 Subpart H Form HUD-2530 (10/2016)
Page 2 of 4

Instructions for Completing the Previous Participation Certificate, form HUD-2530
Carefully read these instructions and the applicable regulations. A copy of the regulations published at 24 C.F.R. part 200, subpart H,
§ 200.210-200.222 can be obtained on-line at www.gpo.gov and from the Account Executive at any HUD Office. Type or print neatly
in ink when filling out this form. Incomplete form will be returned to the applicant.
Attach extra sheets as you need them. Be sure to indicate "Continued on Attachments" wherever appropriate. Sign each additional page
that you attach if it refers to you or your record. Carefully read the certification before you sign it. Any questions regarding the form
or how to complete it can be answered by your HUD Account Executive.
Purpose: This form provides HUD/USDA FmHA with a certified report of all previous participation in relevant HUD/USDA programs
by those parties submitting the application. The information requested in this form is used by HUD/USDA to determine if you meet the
standards established to ensure that all controlling participants in HUD/USDA projects will honor their legal, financial and contractual
obligations and are of acceptable risks from the underwriting standpoint of an insurer, lender or governmental agency. HUD requires
that you certify and submit your record of previous participation, in relevant projects, by completing and signing this form, before your
participation can be approved.
HUD approval of your certification is a necessary precondition for your participation in the project and in the capacity that you
propose. If you do not file this certification, do not furnish the information requested accurately, or do not meet established standards,
HUD will not approve your certification.
Note that approval of your certification does not obligate HUD to approve your project application, and it does not satisfy all other
HUD program requirements relative to your qualifications.
Who Must Sign and File Form HUD-2530: Form HUD-2530 must be completed and signed by all Controlling Participants of
Covered Projects, as such terms are defined in 24 CFR part 200 §200.212, and as further clarified by the Processing Guide (HUD
notice H 2016-15) referenced in 24 CFR §200.210(b) and available on the HUD website at:
http://portal.hud.gov/hudportal/HUD?src=/program_offices/housing/mfh/prevparticipation.
Where and When Form HUD-2530 Must Be Filed: The original of this form must be submitted to the HUD Office where your project
application will be processed at the same time you file your initial project application. This form must be filed with applications for
projects listed in 24 CFR §200.214 and for the Triggering Events listed at 24 CFR §200.218.

Page 3 of 4

Review of Adverse Determination: If approval of your participation in a HUD project is denied, withheld, or conditionally granted on
the basis of your record of previous participation, you will be notified by the HUD Office. You may request reconsideration in
accordance with 24 CFR §200.222 and further clarified by the Processing Guide. Request must be made in writing within 30 days from
your receipt of the notice of determination.
The Department of Housing and Urban Development (HUD) is authorized to collect this information by law 42 U.S.C. 3535(d) and
by regulation at 24 CFR 200.210. This information is needed so that principals applying to participate in multifamily programs
can become HUD-approved controlling participants. The information you provide will enable HUD to evaluate your record with
respect to established standards of performance, responsibility and eligibility. Without prior approval, a controlling participant
may not participate in a proposed or existing multifamily or healthcare project. HUD uses this information to evaluate whether or
not controlling participants pose an unsatisfactory underwriting risk. The information is used to evaluate the potential
controlling participants and approve only individuals and organizations that will honor their legal, financial and contractual
obligations.
Privacy Act Statement: The Housing and Community Development Act of 1987, 42 U.S.C. 3543 requires persons applying for a
Federally-insured or guaranteed loan to furnish his/her Social Security Number (SSN). HUD must have your SSN for identification
of your records. HUD may use your SSN for automated processing of your records and to make requests for information about you
and your previous records with other public agencies and private sector sources. HUD may disclose certain information to Federal,
State and local agencies when relevant to civil, criminal, or regulatory investigations and prosecutions. It will not be otherwise
disclosed or released outside of HUD, except as required and permitted by law. You must provide all of the information requested
in this application, including your SSN.
Purpose: The information collected by form HUD-2530 is required for principals applying to participate in multifamily programs to
become HUD-approved controlling participants. The information you provide will enable HUD to evaluate your record with respect to
established standards of performance, responsibility, and eligibility.
Routine Use: The information collected by this form will not be otherwise disclosed outside of HUD, except to public agencies and
private sector sources for automated processing of your records and for requesting information about you for participant approval; to
appropriate agencies, entities, and persons when it is reasonably necessary to mitigate a breach or related incident; to Federal, state
and/or local agencies when relevant to civil, criminal, or regulatory investigations and prosecutions or for other inquiries.
Disclosure: Providing the information is voluntary. You must provide all information requested in this application, including your
SSN. Without prior approval or information, a controlling participant may not participate in a proposed or existing multifamily or
healthcare project.
SORN ID/URL:https://www.govinfo.gov/content/pkg/FR-2016-07-29/pdf/2016-18026.pdf

Page 4 of 4

Public reporting burden for this collection of information is estimated to average three hour per response, including the time for
reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing
the collection of information. This agency may not collect this information, and you are not required to complete this form, unless
it displays a currently valid OMB control number.
A response is mandatory. Failure to provide any of the information will result in your disapproval of participation in this HUD
program.

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File Typeapplication/pdf
File TitleMicrosoft Word - HUD 2530 8-25-20.docx
Authorspham
File Modified2020-08-26
File Created2020-08-25

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