Sample Non Profit Executive Director Contract Agreement

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Sample Non Profit Executive Director Contract Agreement Powered By Docstoc
					                 2009 FUNDING ROUND
SELF-HELP HOMEOWNERSHIP OPPORTUNITY PROGRAM (SHOP)
             APPLICATION FORMS PACKAGE




                   Housing Assistance Council
               1025 Vermont Avenue, NW Suite 606
                      Washington, DC 20005
             Phone: (202) 842-8600 Fax: (202) 347-3441
                        www.ruralhome.org


                 HAC is an equal opportunity lender
                           HOUSING ASSIST
        Self-Help Homeownership Opp
                                         Applicatio

                                         **** IMPOR

Please read the SHOP FY 2009 Program Description a
entirety. Before proceeding, all applicants must comp


                                            INSTRUC

 1. Each worksheet contained in this workbook is "pa
    unprotect the worksheets. Please contact HAC at
    need the password. The password is case-sensitiv
    Protection, Unprotect Sheet, then type in the passw
 2. Fill in ALL Yellow boxes, if applicable. Fields in "
    may be directly linked to other spreadsheet cells o

 3. Amounts fields are automatically set to round to t

 4. Fields with additional comments/instructions are
    hand corner of the cell. Roll the cursor over the tr
                           HOUSING ASSIST
        Self-Help Homeownership Opp
                                         Applicatio
 5. Use the "Page Up/Down" , "Tab" and "Enter" and
    After entering a field of information, hit "Enter", n


                                       APPLICATION

SHOP applications are due in HAC's national office n
October 7, 2009. Absolutely no exceptions will be ma
October 7, 2009 and received after that date will not b
is:
                                        Housing Assis
                                   Attention: SHOP 20
                                   1025 Vermont Aven
                                           Washington


                                          ASSISTANC

HAC staff is available to address questions on the com
respond to technical problems associated with the ap
Adams (ext. 159) Tanisha Jacob (ext.128), Loan Fund
8600 or by email at Brooke@ruralhome.org or Tanisha
                         HOUSING ASSIST
       Self-Help Homeownership Opp
                                       Applicatio
                                         SHOP 2009

This workbook contains the following application for
directly to the worksheet or the related webpage for t
selected "Disable Macros," please exit and re-open aga
functionality of the workbook.
        FORM 1: Application Submission Checklist
       FORM 2: Eligibility Questionnaire
       FORM 3: Applicant Information
       FORM 4: Project Funding/Financing Referen
       FORM 5: Project Information
       FORM 5A: Site Information Sheet
       FORM 5B: Certification of Consistency with t
       (form HUD-2990) Information
       FORM 6: Financial
       FORM 7: Summary of Loan Request
       FORM 8 - Project Development Budget (Sourc
       FORM 9: Application Narrative
       FORM 10: Application Assurances and Certif
                 HOUSING ASSIST
Self-Help Homeownership Opp
                              Applicatio
FORM 11: Certification of No Material Chang
FORM 12: Corporate Borrowing Resolution
FORM 13: Disclosure of Lobbying Activities (
              HOUSING ASSISTANCE COUNCIL
f-Help Homeownership Opportunity Program (SHOP 2009)
                            Application Forms

                            **** IMPORTANT ****

he SHOP FY 2009 Program Description and Application Instructions document in its
ore proceeding, all applicants must complete the Eligibility Questionnaire (Form 2).


                               INSTRUCTIONS

 ksheet contained in this workbook is "password-protected." A password is required
t the worksheets. Please contact HAC at (202) 842-8600, if you experience problems a
password. The password is case-sensitive. To unprotect the worksheet, go to Tools,
n, Unprotect Sheet, then type in the password obtained from HAC.
LL Yellow boxes, if applicable. Fields in "tan" automatically calculate. Some informa
 irectly linked to other spreadsheet cells or worksheets.

 fields are automatically set to round to the nearest dollar.

th additional comments/instructions are denoted with a red triangle in the upper-rig
ner of the cell. Roll the cursor over the triangle to reveal the comment.
              HOUSING ASSISTANCE COUNCIL
f-Help Homeownership Opportunity Program (SHOP 2009)
                           Application Forms
Page Up/Down" , "Tab" and "Enter" and arrow keys to maneuver through the works
ering a field of information, hit "Enter", not the "Tab" key.


                        APPLICATION DUE DATE

 ations are due in HAC's national office no later than 4:00 p.m. Eastern time on Wedn
009. Absolutely no exceptions will be made to this due date. Applications postmark
009 and received after that date will not be considered. The address of HAC's nation

                          Housing Assistance Council
                     Attention: SHOP 2009 Funding Round
                     1025 Vermont Avenue, NW, Suite 606
                             Washington, DC 20005


                           ASSISTANCE NEEDED?

 available to address questions on the completion of the SHOP application, as well as
echnical problems associated with the application forms. Do not hesitate to contact B
 159) Tanisha Jacob (ext.128), Loan Fund Assistants, at HAC's National Office at (202)
mail at Brooke@ruralhome.org or Tanisha@ruralhome.org.
             HOUSING ASSISTANCE COUNCIL
f-Help Homeownership Opportunity Program (SHOP 2009)
                           Application Forms
                             SHOP 2009 FORMS

ok contains the following application forms. Clicking on the hyperlink will take you
e worksheet or the related webpage for the required form. Upon opening this file, if
able Macros," please exit and re-open again. Select "Enable Macros" to obtain full
 of the workbook.
M 1: Application Submission Checklist
M 2: Eligibility Questionnaire
M 3: Applicant Information
M 4: Project Funding/Financing Reference List
M 5: Project Information
M 5A: Site Information Sheet
M 5B: Certification of Consistency with the RC/EZ/EC-Iis Strategic Plan
m HUD-2990) Information
M 6: Financial
M 7: Summary of Loan Request
M 8 - Project Development Budget (Sources and Uses of Funds)
M 9: Application Narrative
M 10: Application Assurances and Certifications
             HOUSING ASSISTANCE COUNCIL
f-Help Homeownership Opportunity Program (SHOP 2009)
                          Application Forms
M 11: Certification of No Material Changes
M 12: Corporate Borrowing Resolution
M 13: Disclosure of Lobbying Activities (SL-LL)
 ANCE COUNCIL
ortunity Program (SHOP 2009)
 n Forms

TANT ****

nd Application Instructions document in its
ete the Eligibility Questionnaire (Form 2).


 TIONS

 sword-protected." A password is required to
 202) 842-8600, if you experience problems and
e. To unprotect the worksheet, go to Tools,
word obtained from HAC.
 an" automatically calculate. Some information
  worksheets.

he nearest dollar.

 denoted with a red triangle in the upper-right
 angle to reveal the comment.
 ANCE COUNCIL
ortunity Program (SHOP 2009)
 n Forms
 rrow keys to maneuver through the worksheets.
ot the "Tab" key.


N DUE DATE

o later than 4:00 p.m. Eastern time on Wednesday,
de to this due date. Applications postmarked by
  considered. The address of HAC's national office

ance Council
09 Funding Round
ue, NW, Suite 606
 DC 20005


  NEEDED?

 pletion of the SHOP application, as well as
 lication forms. Do not hesitate to contact Brooke
Assistants, at HAC's National Office at (202)842-
 @ruralhome.org.
ANCE COUNCIL
ortunity Program (SHOP 2009)
n Forms
 FORMS

ms. Clicking on the hyperlink will take you
 e required form. Upon opening this file, if you
in. Select "Enable Macros" to obtain full
ANCE COUNCIL
ortunity Program (SHOP 2009)
n Forms
              APPLICATION SUBMISSION
                                                (Form 1)

DUE TO THE COMPETITIVE NATURE OF HAC'S S
FAILURE TO PROPERLY COMPLETE AND SUBMIT
UNLESS OTHERWISE NOTED AS "OPTIONAL", ON
RESULT IN THE REJECTION OF YOUR APPLICATI
INCLUDED AND ASSEMBLE YOUR APPLICATION
THIS SUBMISSION CHECKLIST.

Organization name:


TAB 1 - APPLICATION FORMS
    a) Application Submission Checklist (Form 1)
    b) Eligibility Questionnaire (Form 2)
    c) Applicant Information (Form 3)

    d) Project Funding/Financing Reference List (Form 4)
    e) Project Information (Form 5)
    f) Site Information Sheet (Form 5A)
    g) Certification of Consistency with the RC/EZ/EC-Iis Strategic P
    h) Financial Information (Form 6)
    i) Summary of Loan Request (Form 7)
    j) Project Development Budget, Sources and Uses of Funds (For
              APPLICATION SUBMISSION
                                               (Form 1)

DUE TO THE COMPETITIVE NATURE OF HAC'S S
FAILURE TO PROPERLY COMPLETE AND SUBMIT
UNLESS OTHERWISE NOTED AS "OPTIONAL", ON
RESULT IN THE REJECTION OF YOUR APPLICATI
INCLUDED AND ASSEMBLE YOUR APPLICATION
THIS SUBMISSION CHECKLIST.

Organization name:
    i) Summary of Loan Request (Form 7)
    j) Project Development Budget, Sources and Uses of Funds (For

    k) Application Narrative (Form 9)

    l) Application Assurances and Certifications (Form 10)

    m) Certification of No Material Changes (Form 11)
    n) Corporate Borrowering Resolution (Form 12)
    o) Disclosure of Lobbying Activities - SF-LLL (Form 13)



TAB 2 - ORGANIZATIONAL DOCUMENTS
      Corporate
    a) Articles of Incorporation [NEW SHOP APPLICANTS ONLY]
               APPLICATION SUBMISSION
                                                (Form 1)

DUE TO THE COMPETITIVE NATURE OF HAC'S S
FAILURE TO PROPERLY COMPLETE AND SUBMIT
UNLESS OTHERWISE NOTED AS "OPTIONAL", ON
RESULT IN THE REJECTION OF YOUR APPLICATI
INCLUDED AND ASSEMBLE YOUR APPLICATION
THIS SUBMISSION CHECKLIST.

Organization name:
    a) Articles of Incorporation [NEW SHOP APPLICANTS ONLY]
    b) Bylaws [NEW SHOP APPLICANTS ONLY]
    c) IRS Determination Letter [NEW SHOP APPLICANTS ONLY]
    d) Current List of Board of Directors, including contact informati
    e) Organizational Chart
    f) Section 3 Compliance Plan, if SHOP loan requested for site de
    g) Annual Report, brochures (optional)


TAB 3 - FINANCIAL DOCUMENTS
   a) Organizational operating budget for current fiscal year
   b) Interim financial statements (as of June 30, 2009 or later)
   c) Complete financial audit report for most recent fiscal year or I
              APPLICATION SUBMISSION
                                                (Form 1)

DUE TO THE COMPETITIVE NATURE OF HAC'S S
FAILURE TO PROPERLY COMPLETE AND SUBMIT
UNLESS OTHERWISE NOTED AS "OPTIONAL", ON
RESULT IN THE REJECTION OF YOUR APPLICATI
INCLUDED AND ASSEMBLE YOUR APPLICATION
THIS SUBMISSION CHECKLIST.

Organization name:
   b) Interim financial statements (as of June 30, 2009 or later)
   c) Complete financial audit report for most recent fiscal year or I
   d) Complete OMB Circular A-133 compliance audit for the most r
   e) Management Letter for most recent fiscal year, if applicable
   f) Evidence of administrative funding for self-help housing effort
   g) Quarterly Loan Status Report for 06/30/2009, if not already su
              APPLICATION SUBMISSION
                                                 (Form 1)

DUE TO THE COMPETITIVE NATURE OF HAC'S S
FAILURE TO PROPERLY COMPLETE AND SUBMIT
UNLESS OTHERWISE NOTED AS "OPTIONAL", ON
RESULT IN THE REJECTION OF YOUR APPLICATI
INCLUDED AND ASSEMBLE YOUR APPLICATION
THIS SUBMISSION CHECKLIST.

Organization name:


TAB 4 - PROJECT DOCUMENTS
   a) Copy of option or purchase contracts or settlement statement
   b) Site approval letter from source of permanent financing, if ava
   c) Documentation of "as-is" site value (i.e., current site appraisal

   d) Comparable completed unit appraisal
   e) Sample house plans for proposed units (maximum of 3 sampl
   f) Unit construction budget for sample unit(s).
   g) Site map or plat for each property for subdivision project
   h) Location map for project(s)
   i) Subdivision site plans
              APPLICATION SUBMISSION
                                              (Form 1)

DUE TO THE COMPETITIVE NATURE OF HAC'S S
FAILURE TO PROPERLY COMPLETE AND SUBMIT
UNLESS OTHERWISE NOTED AS "OPTIONAL", ON
RESULT IN THE REJECTION OF YOUR APPLICATI
INCLUDED AND ASSEMBLE YOUR APPLICATION
THIS SUBMISSION CHECKLIST.

Organization name:

   i) Subdivision site plans
   j) Completed HUD Environmental Review - RROF form HUD-7015

   k) Copy of Section 3 Compliance Plan- outlining how org. intend
   l) Market study (optional)
   m) Preliminary title report (optional)
   n) Phase I Environmental (optional)
   o) Site photos (optional)
   p) Feasibility study (optional)
   q) As-developed site appraisal, comparable (optional)
              APPLICATION SUBMISSION
                                             (Form 1)

DUE TO THE COMPETITIVE NATURE OF HAC'S S
FAILURE TO PROPERLY COMPLETE AND SUBMIT
UNLESS OTHERWISE NOTED AS "OPTIONAL", ON
RESULT IN THE REJECTION OF YOUR APPLICATI
INCLUDED AND ASSEMBLE YOUR APPLICATION
THIS SUBMISSION CHECKLIST.

Organization name:


TAB 5 - LEVERAGING DOCUMENTS
    a) Commitment letters from project financing sources

    b) Commitment letters or MOU's from public or governmental en
    c) Commitment letters or MOU's from local business, commercia
   APPLICATION SUBMISSION CHECKLIST
                                  (Form 1)

 HE COMPETITIVE NATURE OF HAC'S SHOP 2009 FUNDING ROUND,
TO PROPERLY COMPLETE AND SUBMIT ALL FORMS REQUIRED,
OTHERWISE NOTED AS "OPTIONAL", ON THIS CHECKLIST MAY
N THE REJECTION OF YOUR APPLICATION. CHECK ALL ITEMS
 D AND ASSEMBLE YOUR APPLICATION PACKAGE ACCORDING TO
 MISSION CHECKLIST.




PPLICATION FORMS
 ation Submission Checklist (Form 1)
 lity Questionnaire (Form 2)
 ant Information (Form 3)

ct Funding/Financing Reference List (Form 4)
ct Information (Form 5)
 formation Sheet (Form 5A)
 cation of Consistency with the RC/EZ/EC-Iis Strategic Plan - form HUD-2990 (Form 5B)
 cial Information (Form 6)
 ary of Loan Request (Form 7)
 t Development Budget, Sources and Uses of Funds (Form 8)
   APPLICATION SUBMISSION CHECKLIST
                                   (Form 1)

 HE COMPETITIVE NATURE OF HAC'S SHOP 2009 FUNDING ROUND,
TO PROPERLY COMPLETE AND SUBMIT ALL FORMS REQUIRED,
OTHERWISE NOTED AS "OPTIONAL", ON THIS CHECKLIST MAY
N THE REJECTION OF YOUR APPLICATION. CHECK ALL ITEMS
 D AND ASSEMBLE YOUR APPLICATION PACKAGE ACCORDING TO
 MISSION CHECKLIST.



 ary of Loan Request (Form 7)
 t Development Budget, Sources and Uses of Funds (Form 8)

 ation Narrative (Form 9)

ation Assurances and Certifications (Form 10)

 fication of No Material Changes (Form 11)
orate Borrowering Resolution (Form 12)
osure of Lobbying Activities - SF-LLL (Form 13)



 RGANIZATIONAL DOCUMENTS
es of Incorporation [NEW SHOP APPLICANTS ONLY]
   APPLICATION SUBMISSION CHECKLIST
                                     (Form 1)

 HE COMPETITIVE NATURE OF HAC'S SHOP 2009 FUNDING ROUND,
TO PROPERLY COMPLETE AND SUBMIT ALL FORMS REQUIRED,
OTHERWISE NOTED AS "OPTIONAL", ON THIS CHECKLIST MAY
N THE REJECTION OF YOUR APPLICATION. CHECK ALL ITEMS
 D AND ASSEMBLE YOUR APPLICATION PACKAGE ACCORDING TO
 MISSION CHECKLIST.



es of Incorporation [NEW SHOP APPLICANTS ONLY]
 s [NEW SHOP APPLICANTS ONLY]
 etermination Letter [NEW SHOP APPLICANTS ONLY]
nt List of Board of Directors, including contact information.
nizational Chart
 n 3 Compliance Plan, if SHOP loan requested for site development is $200,000 or more; see Appendix B.
al Report, brochures (optional)


 NANCIAL DOCUMENTS
 izational operating budget for current fiscal year
m financial statements (as of June 30, 2009 or later)
 ete financial audit report for most recent fiscal year or IRS Form 990 if audit is not required to be completed
   APPLICATION SUBMISSION CHECKLIST
                                    (Form 1)

 HE COMPETITIVE NATURE OF HAC'S SHOP 2009 FUNDING ROUND,
TO PROPERLY COMPLETE AND SUBMIT ALL FORMS REQUIRED,
OTHERWISE NOTED AS "OPTIONAL", ON THIS CHECKLIST MAY
N THE REJECTION OF YOUR APPLICATION. CHECK ALL ITEMS
 D AND ASSEMBLE YOUR APPLICATION PACKAGE ACCORDING TO
 MISSION CHECKLIST.



m financial statements (as of June 30, 2009 or later)
 ete financial audit report for most recent fiscal year or IRS Form 990 if audit is not required to be completed
 ete OMB Circular A-133 compliance audit for the most recent fiscal year, if applicable
gement Letter for most recent fiscal year, if applicable
 ce of administrative funding for self-help housing efforts (i.e., executed copy of USDA RD 523 grant agreement,
erly Loan Status Report for 06/30/2009, if not already submitted [EXISTING SHOP AFFILIATES ONLY]
   APPLICATION SUBMISSION CHECKLIST
                                     (Form 1)

 HE COMPETITIVE NATURE OF HAC'S SHOP 2009 FUNDING ROUND,
TO PROPERLY COMPLETE AND SUBMIT ALL FORMS REQUIRED,
OTHERWISE NOTED AS "OPTIONAL", ON THIS CHECKLIST MAY
N THE REJECTION OF YOUR APPLICATION. CHECK ALL ITEMS
 D AND ASSEMBLE YOUR APPLICATION PACKAGE ACCORDING TO
 MISSION CHECKLIST.




ROJECT DOCUMENTS
of option or purchase contracts or settlement statements for each property, if available
pproval letter from source of permanent financing, if available
mentation of "as-is" site value (i.e., current site appraisal, tax assessment, comparables)

arable completed unit appraisal
 e house plans for proposed units (maximum of 3 samples)
onstruction budget for sample unit(s).
 ap or plat for each property for subdivision project
 on map for project(s)
 sion site plans
   APPLICATION SUBMISSION CHECKLIST
                                   (Form 1)

 HE COMPETITIVE NATURE OF HAC'S SHOP 2009 FUNDING ROUND,
TO PROPERLY COMPLETE AND SUBMIT ALL FORMS REQUIRED,
OTHERWISE NOTED AS "OPTIONAL", ON THIS CHECKLIST MAY
N THE REJECTION OF YOUR APPLICATION. CHECK ALL ITEMS
 D AND ASSEMBLE YOUR APPLICATION PACKAGE ACCORDING TO
 MISSION CHECKLIST.



 sion site plans
eted HUD Environmental Review - RROF form HUD-7015.15, if available [required prior to disbursement of SHOP

of Section 3 Compliance Plan- outlining how org. intends to meet New Hire and Contract requirements if/when o
 study (optional)
minary title report (optional)
 I Environmental (optional)
hotos (optional)
 ility study (optional)
veloped site appraisal, comparable (optional)
   APPLICATION SUBMISSION CHECKLIST
                                    (Form 1)

 HE COMPETITIVE NATURE OF HAC'S SHOP 2009 FUNDING ROUND,
TO PROPERLY COMPLETE AND SUBMIT ALL FORMS REQUIRED,
OTHERWISE NOTED AS "OPTIONAL", ON THIS CHECKLIST MAY
N THE REJECTION OF YOUR APPLICATION. CHECK ALL ITEMS
 D AND ASSEMBLE YOUR APPLICATION PACKAGE ACCORDING TO
 MISSION CHECKLIST.




 EVERAGING DOCUMENTS
mitment letters from project financing sources

mitment letters or MOU's from public or governmental entities, if applicable
mitment letters or MOU's from local business, commercial lenders, private individuals, other grant/loan sources, if
                            ELIGIBILITY QUEST
                                          (Form 2)
APPLICANT ORGANIZATIONS MUST RESPOND TO AL
QUESTIONNAIRE MUST BE INCLUDED AS PART OF TH

Please select the appropriate response.

               1.




                2.




                3.




                4.
5.




6.




7.




8.




9.
                    ELIGIBILITY QUESTIONNAIRE
                                      (Form 2)
ANT ORGANIZATIONS MUST RESPOND TO ALL QUESTIONS BELOW. THE
ONNAIRE MUST BE INCLUDED AS PART OF THE APPLICATION SUBMISSION.

elect the appropriate response.

          Is the applicant organization a public or private non-profit self-help housing
          organization? [Eligible applicants must have experience in self-help housing
          and be chartered under state nonprofit laws or be public entities producing
          evidence of nonprofit or IRS 501(c)(3) tax exempt status. The U.S. Department

          Does the applicant organization have self-help housing experience or
          staff/consultants with self-help housing experience or relevant housing
          development experience?

          Does the applicant organization have an established or recurrent
          administrative funding source to cover the costs associated with
          administering a self-help program and completing the proposed SHOP 2009
          project? [If SHOP funds are awarded, applicant organization must have
          evidence of committed administrative funding in place prior to closing on its
          Will the applicant organization's proposed self-help project/units serve
          eligible homebuyers that are low-income individuals or families whose
          incomes do not exceed 80% of the median income for the area, as established
          by HUD?
Will the applicant organization's proposed self-help project require
participant homebuyers to contribute a minimum of 100 hours of sweat
equity towards the construction of their own home and/or the homes of
other homebuyers participating in the self-help housing program?
Will the applicant organization's proposed self-help project development
timeline meet the following tentative SHOP 2009 deadlines: (a) if project
consists of less than four units, SHOP-funded units must be completed and
occupied by within two years of award date (estimated 12/31/2012); or (b) if
project consists of five or more units, SHOP-funded units must be completed

Will the applicant organization not require a homebuyer to make an up-front
financial contribution to a housing unit other than cash contributed for down
payment or closing costs at the time of acquisition?


Has the applicant organization only submitted a SHOP 2009 application for
funding to the Housing Assistance Council (HAC)? [If an applicant
organization applies for funds through more than one HUD SHOP NOFA
applicant, it may be disqualified for any funding.]
Will the applicant organization take specific energy-saving actions to
incorporate energy-efficiency measures in the design, construction, and/or
rehabilitation of self-help housing units. [All SHOP units must meet Energy
Star construction standards and use Energy Star labeled products and
appliances.]

     If you responded "NO" to any of the above questions, your
     organization may not be eligible to receive HAC SHOP 2009 funding.
     Please contact Dierdra Pressley, Loan Officer, at (202) 842-8600, ext. 154
     to provide clarification on your organization and/or project's
to provide clarification on your organization and/or project's




If you responded "YES" to all of the above questions, please proceed
UESTIONNAIRE
rm 2)
TO ALL QUESTIONS BELOW. THE
OF THE APPLICATION SUBMISSION.
funding.
      154
                                       APPLICANT INFORMATION
                                               (Form 3)
   Check here if New SHOP Applicant

SECTION I: CONTACT INFORMATION
Organization name:
Organization acronym:
Executive Director's name:
Executive Director's e-mail:
Application contact person:
Application contact e-mail:
Position title:
Address line 1:
Address line 2:
City:
State:
Zip:
Phone number:                                                                      Ext.:
Fax number:
Contact person's e-mail:
Website:

SECTION II: ORGANIZATION INFORMATION
Type of organization:
Date incorporated (mm/yy):
Tax exempt status:
Federal Tax ID #:
Fiscal year end (mm/dd):
No. of FTE/PTE:                                            Number of volunteers:
No. of minority staff:                                     % of minority staff:                   #DIV/0!
No. of housing development staff:                          No. of board members:
No. of minority board members:                             % of minority board members:           #DIV/0!
Congressional district no.:
Congressional representative's name:

SECTION III: SELF HELP HOUSING EXPERIENCE
Number of years of experience in self help housing:       Number of Self-Help units completed, to date
    New to Self Help Housing/ no units produced to date                        New Construction/ Subdivision
    Less than 2 years                                                          New Construction /Scattered Sites
    2-5 years                                                                  Rehabbed
         6-10 years                                                               TOTAL
         More than 10 years

SECTION IV: TECHNICAL ASSISTANCE PROVIDER INFORMATION (IF APPLICABLE)
Provider organization:
Contact person:
Position Title:
Phone number:                                                                      Ext.:
                                              PROJECT FUNDING/FINANCING REFERENCE LIST
                                                               (Form 4)
                                                          (attach additonal copies as needed)

                                 PRE-DEVELOPMENT                                                                   ACQUISITION

Financing Source/Entity:                                                       Financing Source/Entity:
Type of financing:                                                             Type of financing:
Contact name:                                                                  Contact name:
Contact phone number:                                                          Contact phone number:
Amount of financing:                                                           Amount of financing:


Financing Source/Entity:                                                       Financing Source/Entity:
Type of financing:                                                             Type of financing:
Contact name:                                                                  Contact name:
Contact phone number:                                                          Contact phone number:
Amount of financing:                                                           Amount of financing:


                                 SITE CONSTRUCTION                                                              UNIT CONSTRUCTION


Financing Source/Entity:                                                       Financing Source/Entity:
Type of financing:                                                             Type of financing:
Contact name:                                                                  Contact name:
Contact phone number:                                                          Contact phone number:
Amount of financing:                                                           Amount of financing:


Financing Source/Entity:                                                       Financing Source/Entity:
Type of financing:                                                             Type of financing:
Contact name:                                                                  Contact name:
Contact phone number:                                                          Contact phone number:
Amount of financing:                                                           Amount of financing:


                       PERMANENT FINANCING SOURCES                                                     HOMEBUYER SUBSIDY SOURCES


Financing Source/Entity:                                                       Financing Source/Entity:
Type of financing:                                                             Type of financing:
Contact name:                                                                  Contact name:
Contact phone number:                                                          Contact phone number:
Amount of financing:                                                           Amount of financing:


Financing Source/Entity:                                                       Financing Source/Entity:
Type of financing:                                                             Type of financing:
Contact name:                                                                  Contact name:
Contact phone number:                                                          Contact phone number:
Amount of financing:                                                           Amount of financing:


                          OTHER SELF-HELP REFERENCE                                                      OTHER SELF-HELP REFERENCE


Contact name:                                                                  Contact name:
Contact phone number:                                                          Contact phone number:
Contact email:                                                                 Contact email:
Relation to Self Help activity                                                 Relation to Self Help activity
                                                        PROJECT INFORMATION
                                                               (Form 5)

SECTION I: PROPOSED SHOP 2009 PROJECT


Type of project (subdivision and/or scattered sites):
Name of proposed project:
Number of proposed units for project (total units):
Number of SHOP funded units:                                                                      -
Number of persons expected to be assisted (including all household members):
AMI (%) served by project (minimum and maximum)
Proposed use of SHOP 2009 forgivable portion (90%):

SECTION II: PROJECT LOCATION


                                                        COUNTY 1                       COUNTY 2                           COUNTY 3
          Insert County name here
State:
Number of proposed SHOP-funded units:
Town name:
Town population:
Urban or Rural area:
Within Metropolitan Statistical Area (SMSA)
HAC High Needs Area:


                                                        COUNTY 4                       COUNTY 5                           COUNTY 6
          Insert County name here
State:
Number of proposed SHOP-funded units:
Town name:
Town population:
Urban or Rural area:
Within Metropolitan Statistical Area (SMSA)
HAC High Needs Area:


RC/EZ/EC - II INFORMATION
If any portion of proposed SHOP 2009 units will be located in a federally designated Empowerment Zones (EZs), renewal communities (RCs), or
enterprise communities (Ecs) designated by the United States Department of Agriculture (USDA) in Round II (EC-IIs), please complete form HUD-
2990, Certification of Consistency with RC/EZ/EC-IIs Strategic Plan. (This is form 17 in HAC application package.) A list of RC/EZ/EC-IIs can be
obtained from HUD's grant website at:
                           http://www.hud.gov/offices/cpd/economicdevelopment/programs/rc/tour/roundnumber.cfm


                       Name of RC/EZ/EC:
            # of SHOP units in RC/EZ/EC:


SECTION III: PROJECT TIMELINE

          SITE DEVELOPMENT                      MONTH/YEAR                       SELF-HELP                      MONTH/YEAR


Site control:                                                          Participant family recruitment:
HUD ER complete:                                                       Eligibility determined:
Zoning/permits approved:                                               Construction/perm. loan approval:
Site development start:                                                Participant family loan closings:
Site development complete:                                             Unit construction start:
Unit construction start:                                               Unit construction complete:
Unit construction complete:
                                                       SITE INFORMATION SHEET
                                                                         (Form 5A)
                                                            (Complete a sheet for each property)

Location of property:

Legal description of site, if available:

Describe topography of site:

Past and current uses of site:

Describe uses of abutting property:


Site Control
Option or Purchase Contract (please attach):                               Site Control:                         Yes                No

Closing Date:                                                              Option Currently in Negotiation:      Yes                No

Terms:                                                                     Sales Price:
Undeveloped Property- Property Information
Size (Acres):                                                              Estimated Number of Lots:
Price Per Acre:                                                            Price Per Lot:
Current Zoning/Use:                                                        Proposed Zoning/Use:
Developed Lots - Property Information

Number of Lots:                                                            Price per Lot:
Average Size of Lots:                                                      Zoning:
Site Market Value:                     As-is               As- Developed

Market Value of Site: $                                                    Market Value of individual lots:
Valuation Method (choose one):
Appraisal:                Tax Assessment:                                  Comparables:
Site Feature - Availability and Distance to Parcel Line

Electricity:       Yes      No           Distance:                         Natural Gas:             Yes   No           Distance:
Public Water:      Yes      No           Distance:                         Public Sewer:            Yes   No           Distance:
Individual septic systems:        Yes     No                               Individual wells:        Yes   No

Percolation tests completed and accepted by authorities:           Yes     No

Parcel has road frontage:        Yes     No                                Streets installed to City/County specs:     Yes     No

Streets accepted by City/County for
                                                     Yes      No           Street Lights present:         Yes   No
maintenance:

Curbs and gutters:        Yes      No                                      Sidewalks present:             Yes   No

Elementary School Distance:                                                Middle School Distance:
Senior High School Distance:                                               Shopping District Distance:
Medical Services Distance:                                                 Employment Centers Distance:
                                                       SITE INFORMATION SHEET
                                                                        (Form 5A)
                                                           (Complete a sheet for each property)

Location of property:

Legal description of site, if available:

Describe topography of site:

Past and current uses of site:

Describe uses of abutting property:


Site Control
Option or Purchase Contract (please attach):                              Site Control:                         Yes                No

Closing Date:                                                             Option Currently in Negotiation:      Yes                No

Terms:                                                                    Sales Price:
Undeveloped Property- Property Information

Size (Acres):                                                             Estimated Number of Lots:
Price Per Acre:                                                           Price Per Lot:
Current Zoning/Use:                                                       Proposed Zoning/Use:
Developed Lots - Property Information
Number of Lots:                                                           Price per Lot:
Average Size of Lots:                                                     Zoning:
Site Market Value:              As-is            As- Developed

Market Value of Site: $                                                   Market Value of individual lots:
Valuation Method (choose one):
Appraisal:                Tax Assessment:                                 Comparables:
Site Feature - Availability and Distance to Parcel Line

Electricity:       Yes      No           Distance:                        Natural Gas:             Yes   No           Distance:
Public Water:      Yes      No           Distance:                        Public Sewer:            Yes   No           Distance:
Individual septic systems:         Yes    No                              Individual wells:        Yes   No

Percolation tests completed and accepted by authorities:          Yes     No

Parcel has road frontage:         Yes    No                               Streets installed to City/County specs:     Yes     No

Streets accepted by City/County for
                                                     Yes    No            Street Lights present:         Yes   No
maintenance:

Curbs and gutters:        Yes       No                                    Sidewalks present:             Yes   No

Elementary School Distance:                                               Middle School Distance:
Senior High School Distance:                                              Shopping District Distance:
Medical Services Distance:                                                Employment Centers Distance:
      CERTIFICATION OF CONSISTENCY WITH THE RC/EZ/EC-Iis
               STRATEGIC PLAN - FORM HUD-2990

                                   (Form 5B)

APPLICANT ORGANIZATIONS PROVIDING A VALID FORM HUD-2990 FOR PROJECTS LOCATED IN
CURRENT ENTERPRISE ZONES OR ENTERPRISE COMMUNITIES RECEIVE UP TO FIVE (5) BONUS
POINTS IN THE SCORING OF THEIR APPLICATION.



                           CLICK HERE FOR LINK TO FORM
                                                    FINANCIAL INFORMATION
                                                            (Form 6)
ENTER FINANCIAL DATA IN THE AREAS BELOW FROM THE EARLIEST TO THE MOST RECENT FISCAL YEAR (I.E.,
Y1=9/30/06;Y1=9/30/07; Y3=9/30/08; INTERIM=06/30/09.

SECTION I: FINANCIAL STATUS OF ORGANIZATION

Enter Type of Financial Statements                                                                                               % Change
                                                              Y1              Y2              Y3            Interim         Y2-Y1           Y3-Y2

                                 Enter Period Ended:
                                 What is the organization's current fiscal year's operating budget?
Statement of Financial Position or Balance Sheet
Current Assets                                                                                                                #DIV/0!        #DIV/0!
Cash & Equivalents                                                                                                            #DIV/0!        #DIV/0!
Fixed Assets                                                                                                                  #DIV/0!        #DIV/0!
Land and Buildings                                                                                                            #DIV/0!        #DIV/0!
  Total Assets                                                                                                                #DIV/0!        #DIV/0!
Current Liabilities                                                                                                           #DIV/0!        #DIV/0!
  Total Liabilities                                                                                                           #DIV/0!        #DIV/0!
Unrestricted Net Assets                                                                                                       #DIV/0!        #DIV/0!
Temporarily Restricted Net Assets                                                                                             #DIV/0!        #DIV/0!
Permanently Restricted Net Assets                                                                                             #DIV/0!        #DIV/0!
    Total Net Assets                                                 -                -               -               -       #DIV/0!        #DIV/0!
Statement of Activities or Income Statement
Revenue                                                                                                                       #DIV/0!        #DIV/0!
Expenses                                                                                                                      #DIV/0!        #DIV/0!
Change in Net Assets                                                 -                -               -               -       #DIV/0!        #DIV/0!
Key Ratios
Current                                                       #DIV/0!         #DIV/0!         #DIV/0!         #DIV/0!         #DIV/0!        #DIV/0!
Debt-to-Equity                                                #DIV/0!         #DIV/0!         #DIV/0!         #DIV/0!         #DIV/0!        #DIV/0!
Debt Ratio                                                    #DIV/0!         #DIV/0!         #DIV/0!         #DIV/0!         #DIV/0!        #DIV/0!


PLEASE EXPLAIN ANY RATIO INCREASES/DECREASES FROM PREVIOUS REPORTING PERIOD:




DEFINITION OF KEY RATIOS:
Current Ratio (liquidity) The ratio is an indicator of an organization's ability to pay its short-term liabilities (debt and payables) with its short-
term assets (cash, inventory, receivables). The higher the current ratio, the more capable the organization is of paying its obligations. A ratio
under 1 suggests that the organization would be unable to pay off its obligations if they came due within one year.

Debt-to-Equity Ratio (leveraging). The debt-equity ratio is another leverage ratio that compares an organization's total liabilities to its total
shareholders' equity (net assets). This is a measurement of how much suppliers, lenders, creditors and obligors have committed to the
organization versus what the shareholders have committed.

Debt Ratio (leveraging). The debt ratio compares an organization's total debt to its total assets, which is used to gain a general idea as to the
amount of leverage being used by a company. A low percentage means that the organization is less dependent on leverage, i.e., money
borrowed from and/or owed to others. The lower the percentage, the less leverage an organization is using and the stronger its equity
position. In general, the higher the ratio, the more risk that organization is considered to have taken on.
                                                   SUMMARY OF LOAN REQUEST
                                                                 (Form 7)
NOTE: A FULL PROJECT DEVELOPMENT BUDGET IS ALSO A REQUIRED SUBMISSION. COMPLETE THE PROJECT
DEVELOPMENT BUDGET, SOURCES AND USES OF FUNDS (FORM 8 - PART I) OR SUBMIT IN ANOTHER FORMAT WITH
SIMILAR LINE ITEMS.

                                USES OF FUNDS                                                SOURCES OF FUNDS

                                                                                                Other HAC Loan
                                                                            SHOP 2009                Funds4              Total Request

Land Acquisition Costs1
    Land option
    Land acquisition
    Appraisals
    Legal expenses for acquisition2
    Acquisition closing costs
    Other (please list) :

                                                                                N/A



                            Sub-Total Acquisition Costs
Infrastructure Improvement Costs
    Clearing/grading
    Water/Sewer, Wells/septic installation
    Utility hook-ups
    Street/curbs/sidewalks
    Impact/Tap fees
    Permit fees
    Engineering surveys/fees
    Removal of environmental hazards3
    Legal expenses for site development
    Other (please list) :

                                                                                N/A



                            Sub-Total Infrastructure Costs
Unit Construction Costs
Unit Construction
  Other (please list) :
                                                                                N/A


                      Sub-Total Unit Construction Costs
                     TOTAL AMOUNT OF REQUEST

1
    SHOP reimbursement for eligible land acquisition costs are only allowable if SHOP funds are also requested and approved for land
    acquisition.
2
    Refer to Appendix A , "SHOP Eligible and Ineligible Expenses."
3
    SHOP funds can only reimburse SHOP eligible costs incurred to resolve findings documented on Form HUD-4128, "Environmental
    Assessment and Compliance Findings for the Related Laws" and or resolve findings indicated on the "Request for Release of Funds"
    (RROF).
4
    Eligible uses of HAC Loan Funds include predevelopment, acquisition and site development costs associated with development of
    affordable housing. Current terms include 5% interest rate, 1% service fee, and 1-5 year term.
                                                            PROJECT DEVELOPMENT BUDGET
                                                                Sources and Uses of Funds
                                                                         (Form 8 )

Organization Name:
Project Name:
Site Address/Location
Total Project Units


                        USES                                               SOURCES          TOTALS   PER UNIT
                                                            Other HAC
                   Name of Funder (abbrev.)     SHOP 2009     Funds

                   Amount                                                                              #DIV/0!
                   Lien Position
                   Interest Rate                                 5.00%
                   Status

PREDEVELOPMENT
  Site Appraisal                                                                                       #DIV/0!
  Environmental/Assessment                                                                             #DIV/0!
  Engineering/Surveying                                                                                #DIV/0!
  Other                                                                                                #DIV/0!
  Other                                                                                                #DIV/0!
  Other                                                                                                #DIV/0!
                      Total Pre-Development                                                            #DIV/0!

ACQUISTION
  Land Option                                                                                          #DIV/0!
  Land Acquisition                                                                                     #DIV/0!
  Appraisal                                                                                            #DIV/0!
  Legal Expenses for Acquisition                                                                       #DIV/0!
  Acquisition Closing Costs                                                                            #DIV/0!
  Other                                                                                                #DIV/0!
  Other                                                                                                #DIV/0!
  Other                                                                                                #DIV/0!
                            Total Acquisition                                                          #DIV/0!

INFRASTRUCTURE IMRPOVEMENTS
  Clearing/Grading                                                                                     #DIV/0!
  Water/Sewer/ Wells/ Septic                                                                           #DIV/0!
  Utility hook-ups                                                                                     #DIV/0!
                                                          PROJECT DEVELOPMENT BUDGET
                                                              Sources and Uses of Funds
                                                                       (Form 8 )

Organization Name:
Project Name:
Site Address/Location
Total Project Units


                         USES                                            SOURCES          TOTALS   PER UNIT
                                                          Other HAC
                   Name of Funder (abbrev.)   SHOP 2009     Funds

  Streets/Curbs/Sidewalks                                                                            #DIV/0!
  Impact/Tap fees                                                                                    #DIV/0!
  Permit Fees                                                                                        #DIV/0!
  Removal of Environmental Hazards                                                                   #DIV/0!
  Other                                                                                              #DIV/0!
  Other                                                                                              #DIV/0!
  Other                                                                                              #DIV/0!
        Total Infrastructure Improvements                                                            #DIV/0!

PROJECT-RELATED SOFT COSTS
  Accounting and Audit                                                                               #DIV/0!
  Architect                                                                                          #DIV/0!
  Engineering Design                                                                                 #DIV/0!
  Administration                                                                                     #DIV/0!
  Construction Bond Fee                                                                              #DIV/0!
  Construction Loan Interest                                                                         #DIV/0!
  Construction Loan Fee                                                                              #DIV/0!
  Consultant Fees                                                                                    #DIV/0!
  Developer Fees                                                                                     #DIV/0!
  Home Buyer Preparation                                                                             #DIV/0!
  Inspection Fees                                                                                    #DIV/0!
  Insurance, Liability                                                                               #DIV/0!
  Legal Fees                                                                                         #DIV/0!
  Financing Fees                                                                                     #DIV/0!
  Marketing Fees                                                                                     #DIV/0!
  Soft Cost Contingency                                                                              #DIV/0!
  Taxes                                                                                              #DIV/0!
  Title and Recording                                                                                #DIV/0!
  Other                                                                                              #DIV/0!
                                                            PROJECT DEVELOPMENT BUDGET
                                                                Sources and Uses of Funds
                                                                         (Form 8 )

Organization Name:
Project Name:
Site Address/Location
Total Project Units


                        USES                                                           SOURCES                                                TOTALS   PER UNIT
                                                            Other HAC
                 Name of Funder (abbrev.)       SHOP 2009     Funds

  Other                                                                                                                                                  #DIV/0!
  Other                                                                                                                                                  #DIV/0!
  Other                                                                                                                                                  #DIV/0!
  Other                                                                                                                                                  #DIV/0!
  Contingency                                                                                                                                            #DIV/0!
           Total Project-Related Soft Costs                                                                                                              #DIV/0!
                                    Subtotal                                                                                                             #DIV/0!

UNIT CONSTRUCTION
  Unit Construction                                                                                                                                      #DIV/0!
  Building Permits/Fees                                                                                                                                  #DIV/0!
  Other                                                                                                                                                  #DIV/0!
  Other                                                                                                                                                  #DIV/0!
  Other                                                                                                                                                  #DIV/0!
  Contingency                                                                                                                                            #DIV/0!
                      Total Unit Construction                                                                                                            #DIV/0!


                                Total Development Costs (pre-ddevelopment, acquisition, infrastructure improvements, project-related costs)              #DIV/0!
           Total Development Costs (pre-ddevelopment, acquisition, infrastructure improvements, project-related costs, unit construction)                #DIV/0!


                                                                                                                  DEVELOPMENT GAP                       #DIV/0!
If there is a development gap between the Sources and Uses, please explain below.
                                                        PROJECT DEVELOPMENT BUDGET
                                                            Sources and Uses of Funds
                                                                     (Form 8 )

Organization Name:
Project Name:
Site Address/Location
Total Project Units


                      USES                                             SOURCES          TOTALS   PER UNIT
                                                        Other HAC
                 Name of Funder (abbrev.)   SHOP 2009     Funds
                         APPLICATION NARRATIVE
                                     (Form 9)

PLEASE RESPOND TO ALL QUESTIONS. IF A QUESTION DOES NOT APPLY, PLEASE INDICATE
WITH AN "N/A."'

                            CLICK HERE FOR LINK TO FORM
                            APPLICATION ASSURANCES AND CERTIFICATIONS
                                                                   (Form 10)

As part of your application for SHOP funding, you, as the official authorized to sign on behalf of your organization, must provide the
following assurances and certifications. By submitting this form, you are certifying that to the best of your knowledge and belief, all
assertions listed below are true and correct. Furthermore, you understand that intentional misrepresentations of the facts may result
in the rejection of the application or denial of funding.



 1. The information contained in the SHOP 2009 application and related attachments hereto is current and complete.

 2. As part of your application for SHOP funding, you, as the official authorized to sign on behalf of your organization, must
    provide the following assurances and certifications. By submitting this form, you are certifying that to the best of your
    knowledge and belief, all assertions listed below are true and correct. Furthermore, you understand that intentional
    misrepresentations of the facts may result in the rejection of the application or denial of funding.

 3. The organization will not require homebuyer families to make an up-front financial contribution to a housing unit other than
    cash contributed for down payment or closing costs at the time of acquisition.

 4. The organization is not currently debarred or suspending from receiving Federal contracts or certain subcontracts and from
    certain types of Federal financial or nonfinancial assistance and benefits or on the Excluded Parties List System (EPLS). (The
    EPLS is the electronic version of the List of Parties Excluded from Federal Procurement and Nonprocurement Programs - website:
    http://epls.arnet.gov/)
 5. The organization is in good legal standing as of the date of application submission. (If awarded SHOP 2009 funds, a "Certificate of
    Good Standing" must be submitted as part of the loan closing documents. An organization in good standing means all required reports and
    taxes have been filed and annual registration fees paid, as of the date the certificate has been issued, which officially proves the company has
    not been suspended or canceled.)


 6. No Federal funds appropriated have been paid, or will be paid, by or on behalf of the applicant, to any person for influencing or
    attempting to influence an officer or employee of any agency, a Member of Congress, and officer or employee of Congress, or an
    employee of a Member of Congress, in connection with awarding of SHOP loan/grant or its extension, renewal, amendment or
    modification. (Complete SF-LLL, Disclosure of Lobbying Activities, to disclose lobbying activities pursuant to 31 U.S.C. 1352. If not,
    applicable, indicate "non-applicable" on form.)

 7. The organization has legal authority to apply for Federal assistance, has the institutional, managerial and financial capability
    (including funds to pay the non-Federal share of program costs) to plan, manage and complete the project as described in the
    application and the governing body has duly authorized the submission of the application, and authorized me as the official
    representative of the organization to act in connections with the application and to provide any additional information as may be
    required. (A Corporate Borrowing Resolution may be submitted with the application or at loan closing, if approved.)

 8 The organization must incorporate energy-efficiency measures in the design and construction of self-help housing units. All
   newly constructed units assisted with SHOP funds under the NOFA must qualify and receive Energy Star Certification by an
   independent Home Energy Rater (HER) upon completions and only Energy Star labeled products and appliances may be used in
   these units.



     Name of Organization



     Signature of Executive Director/President                                                                        Date



     Printed Name
                             CERTIFICATE OF NO MATERIAL CHANGES
                                                     (Form 11)
                                   (To be completed by current SHOP borrowers only)


I certify that
has previously submitted to the Housing Assistance Council the documents indicated below, and that no material changes
have occurred in the documents since the submission of the last SHOP application.


  Note: If the last time your organization applied for SHOP funds was 2005 (FY 2005 funding round), you must submit
  updated documents.



                                                                 Year Document         No Material Changes
                            Document
                                                                   Submitted             ("Yes" or "No")

Articles of Incorporation

Bylaws

IRS Determination Letter


  Please only submit items for which a "Yes" is indicated. If "No" to all, DO NOT resubmit these documents.




Signature of Executive Director/President




Printed Name and Title




Date
                                   CORPORATE BORROWING RESOLUTION
                                                              (Form 12)

The Governing Board of Directors of

Hereby authorizes the submission of a loan application, the incurring of and indebtedness, the execution of a loan agreement and
any amendments thereto, a promissory note, and any other documents necessary to secure a loan from the Housing Assistance
Council.


Whereas,
                                                                                                      (name of corporation)
which is (hereinafter referred to as "Corporation") is a corporate entity established under the laws of the State of

                                       and empowered to own property, borrow money, and give security for loans.



Housing Assistance Council (hereinafter referred to as “HAC”) is authorized to make loans for hard and soft costs associated with
affordable housing development, including: predevelopment, land acquisition, site development, unit rehabilitation and
construction, working capital and equity capital. Eligible applicants for SHOP funds include nonprofit organizations, Indian Tribes,
housing authorities, units of local government, and other entities eligible for federal funding.



The Corporation wishes to obtain from HAC a loan for the development of

(project type), (hereinafter referred to as “Project”) on the property located
at
                                                                                               (Address/location of property)


It is now resolved that the Corporation shall submit to HAC an application for a loan for the project to be developed in
the County of                                                          (county)     in the State of
(State).


If the loan is approved, the Corporation is hereby authorized to incur indebtedness in an amount not to exceed the amount approved
by HAC and to enter into a loan agreement with HAC for the purposes set forth in the loan application and approved by HAC. It
also may give a promissory not and execute security and other instruments required by HAC to evidence and secure the
indebtedness.

The Corporation is further authorized to request amendments, including increases in the loan amount up to the amounts approved
by HAC, and to execute any and all documents required by HAC to evidence and secure these amendments.




     The Corporation authorizes                           (Name and Title of Authorized Officer)


                                                          (Name and Title of Authorized Officer)
                                      CORPORATE BORROWING RESOLUTION
                                                                   (Form 12)
To execute in the name of the Corporation, the loan application and the loan agreement, promissory note, and any amendments
thereto.



    The Corporation authorizes                                 (Name and Title of Authorized Officer)


                                                               (Name and Title of Authorized Officer)

To execute in the name of the Corporation, any and all documentation required by HAC for the disbursement of funds during the
term of the loan.


Passed and adopted on this the                                 day of                ,                         .   by the following vote:


                                         Ayes:                              Abstain:
                                         Nayes:                             Absent:


The undersigned, secretary of the Corporation does hereby by attest and certify that the foregoing is a true and full copy of a
resolution of the Governing Board of Directors adopted at a duly convened meeting on the date mentioned above, and that said
resolution has not been altered, amended or repealed.




                                                                                                      (Date)
   (Secretary)




* This is intended to be model for resolutions authorizing loan applications. Applicants may use their own format if it contains substantially all
the authorizations in the model.
                  DISCLOSURE OF LOBBYING ACTIVITIES (SL-LL)
                                                (Form 13)

This disclosure form shall be completed by the reporting entity, whether subawardee or prime Federal
recipient, at the initiation or receipt of a covered Federal action, or a material change to a previous filing,
pursuant to title 31 U.S.C. section 1352. The filing of a form is required for each payment or agreement to
make payment to any lobbying entity for influencing or attempting to influence an officer or employee of
any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of
Congress in connection with a covered Federal action. Complete all items that apply for both the initial filing
and material change report. Refer to the implementing guidance published by the Office of Management and
Budget for additional information.)


                                      CLICK HERE FOR LINK TO FORM

				
DOCUMENT INFO
Description: Sample Non Profit Executive Director Contract Agreement document sample