Formal Letter Example of Loan Proposal - Excel - Excel
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Formal Letter Example of Loan Proposal document sample
Document Sample


TAB 1 1 of 12
GUIDE To All 2008-2009 Funding Announcement Forms ("App-2008-2009" Workbook)
This Workbook is to be used in conjunction with the separate August 2008 Funding Announcement for funding provided, in part, under
the Microenterprise Development Act (LB 327).
When opening for the first time, use the Save/As command to save this file with a different name. It would be helpful to the Nebraska Enterprise Fund if you
would use "R12AP-XYZ-08-089xls" (where XYZ = your organization's short name).
A complete application includes all required Forms included in this Workbook, a proposal narrative (3-6 pp), updated business plan, copy of 501c3, evidence of
received and committed match, map of service area and audit. Specific explanations from instructions are now provided in many of the cells; simply float the
mouse cursor over cells with a red triangle in upper right corner and instructions will appear.
1 Excel 2003: This Workbook requires the use of Excel 97 or a later version. NEF uses Excel 2003.
2 On-screen use: The forms are designed with two different shaded areas to guide data input. Information you supply goes into YELLOW -shaded
cells only . GRAY-shaded cells are formulas designed to automatically perform simple calculations. <>
3 Columns/rows: Row #'s (in Col. A) are NOT the same as the spreadsheet row #'s. Column #'s are the same.
4 Edit carefully: No cells are protected so you need to be careful not to delete already-existing text, numbers or formulas unintentionally. <>
5 Linked cells: Some cells in separate worksheets are linked to other worksheets in the Workbook. This is used only when information is identical,
and designed to save you from re-keying the same text or numbers. Since no cells are protected, you can overwrite this linkage by simply entering
new input. <>
6 Inputting text: Some cells request text: try to make answers as short as possible or reduce the font size (Format/Cells/Font). Do NOT widen or add
columns or the form may not fit within page margins and will not print properly. You may add additional rows if necessary; use the "Insert/Row"
command, but double-check formulas to make sure that new rows are properly added. <>
7 "Official" hard copy: After you complete and e-mail the application, print a hard copy, signe where required, and mail/fax to NEF by the
"postmarked" deadline. Your signed hard copy, will become part of your official application. <>
8 Use the following chart to determine which forms you must complete for the funding you are seeking.
Core Programs Special Program Evergreen Loan
Tab# / Forms: Core I Core II Grants Application
Tab 3. Operating Grant Budget Form (must be signed) yes yes yes yes
Tab 3, Box 4. Outcomes yes yes yes yes
Tab 4. Community Impact & Activities yes yes yes yes
Tab 5. Milestones yes yes yes yes
Tab 7. Evergreen Loan Application (must be signed) yes
Tab 8. Geographic Areas Served yes yes yes yes
Narrative yes yes yes yes
Business Plan yes yes yes yes
Audit yes yes yes yes
Program Director's Resume yes yes yes yes
Loan Policies and Procedures yes
R12-AP-2008-2009
TAB 2 2 of 12
INSTRUCTIONS to the Operating Grant Application
Overview: Read "GUIDE" (Tab 1) before starting forms.
Instructions have been inserted within most cells. Float mouse across cell with red triangle in
upper right corner and the comment box will appear.
A Tab 3, Boxes 1-4, must be completed by all applicants <>
B The on-screen version of this worksheet, like others in this R12-AP-2008-2009 Workbook, includes two types of shaded cells. On-screen
users should fill in the yellow-colored cells. The shaded dark cells contain formulas and should fill in automatically as data is entered. (Hard-
copy users should fill in all shaded areas. <>
C The "Total Project Budget" in Column G should be the 12-month budget for the entire microenterprise program for delivering lending and/or
training & technical assistance. Column H is limited to how your program would use LB 327 funds under the accompanying proposal. NOTE:
Col H, Line 57 is the AMOUNT OF YOUR LB 327 REQUEST under this proposal. Column I, Line 57 will fill automatically when you complete
Box 3. <>
D Many of the terms used in this application packet can be found in the packet's "Glossary." <>
E Be sure to explain any unusual budget items in your proposal's Budget Narrative section. <>
F Occasional token numbers have been added in tan-colored budget entries to prevent distracting "DIV/0!" signals in automatic gray-shaded
cells elsewhere in the budget. As you overwrite these token entries, these calculations will reflect your budget. <>
G While in an automatic gray-shaded cell, you can doublecheck the other cells involved in deriving the calculation by hitting the F2 key or
doubleclicking.
Line-by-line instructions:
1 Organizational info, Box 1, Line 1: The organization must be a legal entity with the legal capacity to enter into a grant contract. Typically this
organization will be a non-profit corporation. If your micro-lending activities are a "project" within a larger legal entity, the latter legal entity
must be the applicant on line 1. <>
2 Grant Start Date: All grants start in October 2008. <>
3 Audit, Line 9: Please include latest audit with your application. <>
4 Service area, Line 19: List the counties you serve for Core programs with high volume or plans to expand to currently unserved counties or
areas, be sure to pay special attention to Tab 8 (Counties Served).<>
5 Box 2 Budget, Col G & H: Note that all entries inserted (in tan cells) should be 12-month annualized numbers. Applicants should begin
inputs leading to overall Total Program Budget (Col. G) first. Then fill in the proposed LB 327 grant award (Col H, lines 31,38,43,49 and 56).
The LB 327 total (Col H, line 57) should represent your TOTAL request.<>
6 Staffing, Lines 24-31: In addition to staff compensation in Col. E, estimate full- or part-time status of staff in column D as "FTEs" (full-time
equivalents). Please enter a NUMBER; for example, 1.00=full-time, 0.50=half-time. In column C, provide job title. If your program uses
consultants, estimate the total number of consultant hours for the 12-month period. If you have more than 4 staff and more than 1 consultant,
add additional lines (Insert/Row) (double-check the formula in line 31, Col. G).<>
7 Fringe, Line 30: If your organization provides fringe benefits, those costs can be combined with staffing (lines 25-28) or (but not both)
separately on line 30. <>
8 Total staffing: Line 31, Col. G: When using on-screen, this cell (like all shaded cells in Column G) will automatically total the individual
entries from columns E. <>
9 Travel, Lines 32-38: Where appropriate, travel items should be estimated as "units" with appropriate "rates" used by your organization (per
diem), commonly accepted by a state or federal standard (mileage rates), or reasonably estimated (lodging, airfare). Combine and list any
"Other travel" costs in line 37. Programs may charge program costs to AEO's annual conference, and NEF trainings in addition to travel costs
for delivery of services. If a program would like to attend other trainings they must seek NEF approval for use of LB327 funds in advance of
10 Equipment, Lines 39-43: Using LB 327 grant funds for long-term equipment costs is available for core program funding only. Explain in
budget narrative any item over $500. <>
11 Supplies, Lines 44-49: Estimate annual amount of indicated items. Indicate additional items in Line 48, Column C-D, and combined costs of
such "other" supplies in Line 48, Column E. <>
12 Other, Lines 50-56: Estimate annual phone and space costs as provided. Please list (in Line 54, Col. C-D) and any additional program costs
(not already listed above.) <>
13 Indirect rate, Line 55: If your organization uses an indrect rate to proportion certain overhead costs, please enter the dollar amount in Cell E-
55. The indirect rate will be automatically calculated for you in cell D-55.The maximum Indirect Rate allowed is 15%. <>
14 TOTALS, Line 57: Col. G will automatically add projected cost of your entire microenterprise program (lending and training). Col. H will
automatically total your request under this proposal (see Inst # 5). This amount should be your entire LB 327 amount.
15 Other Funds (Col I, Line 57), Box 3 and Match: Cell I-58 will automatically fill in after you complete Box 3. NOTE that "funds from other
sources" is NOT the same thing as "available match." In 2008-2009, the required non-state match is 25%. As a result, many programs will
have significantly more eligible funds than the required 25%. In Box 3 you provide an estimate of all the available funds which support your
total microenterprise budget shown in Box 2 Col. G. If you want to designate a particular source of funds as your 25%, do so at Line 71. <>
16 Unmet need, Col. I, Line 58: "Unmet need" is a fact of life for most non-profit programs. It does not disqualify an applicant so long as the
applicant has a plan for raising those funds. If your program has an unmet need over 15% of the total budget, please explain how you plan to
meet that unmet need in the budget narrative and how a persisting unmet need would impact your program's capacity to perform the proposed
plan. If Cell I-58 shows a negative "unmet need," something is wrong. It could mean that you asked for a larger grant than you
need, and you should reduce your grant amount. Note that Col I "other" sources does NOT include the proposed LB 327 grant. <>
R12-AP-2008-2009
TAB 2 3 of 12
17 ALERT: Please review the amount of your total request (cell H-57) and make sure that you believe it to be realistic and justified
under the goals of LB 327.
18 Box 3, Other Sources (Lines 59-71): This table sorts out "other" funds in two ways: (1) by award decision-maker of other funds ( who made
the decision, rather than where the funds came from) (lines 61-67); and (2) by status of funds (cols. F-H). "Rec'd (in-hand)" funds (Col.F)
means any award transmittal you have received between Jan 1,2007 and now that will be available for Oct 2008- Sept 2009. "Committed"
(Col.G) means any written commitment of funds, not yet received, during that same period. "Pending" funds (Col.H) means any informal
commitment (no written documentation) of funding which you can reasonably expect to receive prior to September 30, 2009. <>
19 "Total possible" match, Line 68, Col. D: The formula in this cell automatically totals qualifying match, including matches from pending
sources, but excluding any amount from line 67 (State general funds do not qualify as LB 327 match). <>
20 "Available" qualifying match, Line 69, Col. D: While "pending" non-state funding qualifies as LB 327 for award purposes, for actual award
disbursement purposes only available qualifying match funds ("received" or "committed") can be counted. An award based on pending
qualifying matches will be adjusted to the full amount once documentation is provided that the pending match has, in fact, been "received"
prior to September 30, 2009. <>
21 Required match: Line 70 is the 25% of the minimum non-state match needed to support your request. Line 71 allows you to specify
particular funds as your match. <>
22 Box 4, Lines 72-109: All applicants are to complete Box 4<>
23 NOTE: There is no way to gauge the demand for Core II awards. The investment committee has the authority to adjust amounts and may
ask your organization to submit new, reduced budgets.<>
24 Signature needed: Please have authorized individual sign this application and forward to NEF. Thanks.<>
R12-AP-2008-2009
TAB 3 (3 pp) 4 of 12
OPERATING GRANT BUDGET FORM (See instructions at tab 2)
Attachments checklist:
________ Copy of 501c3 ________ Most recent audit ________ Map of service area
________ Business Plan ________ Program Dir. Resume ________ Evidence rec/com. match
Col: B C D E F G H I
Box 1: Organizational information * = See instructions
1 * Organization: Grant Yr (Oct 08-Sep 09):* Oct-08
2 Organizat'n type: Non-profit (Y/N): Tax-exmpt?(Y/N) Political subdiv'n (Y/N):
3 Project name (if different from organization name):
4 Address: E-mail:
5 City/town: State: Zip:
6 Phone: Fax:
Website:
7 Person to whom all communications are sent (contact person):
8 Person with the authority to sign grant agreement:
9 Month your fiscal year begins: Please attach your latest available audit.
Please state the amount of funds you are applying for in each category:
10 1. Core I Program 4. Evergreen Loan
11 2. Core II Program 5. Loan Plus Grant
12 3. Special Program (4% of loan)
13 Total Grant Request $ - Evergreen Loan Total $ -
Funds Received from NEF in past years:
Grants: Evergreen Loans:
14 2004-2005 Date Amount Date Amount -
15 2005-2006
16 2006-2007
2007-2008
Do you anticipate a need for NEF loan capital in the next 12 months? Enter "yes" or "no":
Which of the following services do you provide? Enter "yes" or "no":
17 Training Technical Assistance Micro Loans
18 IDA's Other (describe)
If you provide loans, what is the size of your loan pool? Total Outstanding Loan Portfolio
What was the program default rate for July 07-June 08?
19 * Microenterprise service area:
(list counties)
The following questions relate to MicroTest and CDFI reporting. Please answer to the best of your knowledge.
20 Program Earned Income ( July 2007 - June 2008) $ - Lending
From Lending From Training $ - Training
Interest Income
Client Fees
Other: ___________
Total Program Income (July 2007 - June 2008) $ -
Program Expenses ( July 2007 - June 2008)
Salary/Fringe Loan Loss Reserve
Interest All Other Expenses
21 Total Program Expenses (July 2007 - June 2008) $ -
22 Program Self-sufficiency ratio #DIV/0!
23 Percent of clients in Low to Moderate Income category, (defined
by HUD as 80% of median income for the county)
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TAB 3 (3 pp) 5 of 12
Sources of Income (July 2006-June 2007).
Private Federal State
Earned Income $ - Local State-gen funds $ -
Total Sources of Income Jul 07 - June 08
Income Source Breakdown
Type of Funding 7/07 - 6/08 Reliability of Funding
Funding by Source Grant Contract A B C
Private foundation
Corporate foundation
Individual donors
Federal program
State program
Local/City program
Total $0 $0 $0 $0 $0
Box 2: Total Budget Expense Categories Col. E F G H I
* = See instructions 12-Month Use of LB327 From
24 Staffing Title or Function FTE% Annual Am't ($'s) Total Prog funds (base+ other
25 Staff 1 Budget supplmt) sources
26 Staff 2
27 Staff 3
28 Staff 4
29 Consultant
30 Total staff fringe *
31 Total Staffing > > > > > > >$ -
32 Travel No. of Units* Rate Ann.Am't (Col CxE)
33 Mileage miles @ 0.585 -
34 Per diem days @ -
35 Lodging nights @ -
36 Airfare Rd trips @ -
37 Other travel -
38 Total Travel > > > > > > >$ -
39 Equipment * (Core programs only) Annual Amount
40
41
42
43 Explain any item over $500 in budget narrative. Total Equipment > > > > > > >$ -
44 Supplies Annual Amount
45 Printing
46 Postage
47 Publications/prof. membership
48 Other:
49 Total Supplies > > > > > > >$ -
50 Other: Annual Amount
51 Phone
52 Space
53 Double Chk
54 Misc. No more than
55 Indirect * No more than 15% #DIV/0! $ -
56 Total Other > > > > > > >$ -
57 TOTALS > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > >$ - - -
58 UNMET NEED: (Prepare Box 3 first) Line 58 = G57 - (H57 + I57) Unmet Need: -
NOTE: Col H, Line 57 is request total. Unmet Need %: #DIV/0!
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TAB 3 (3 pp) 6 of 12
Col: B C D E F G H I
Box 3: Other Sources * = See instructions at Tab 2.
59 Other Sources break-out: Please categorize the amount from "Provided by Other Sources" (Col. I, Line 57):
60 By award decision-maker: Recv'd (in-hand)* Committed * Pending * Total
61 Private (foundations, indiv. donors) -
62 Federal (excl. state, or locally controlled) -
63 State (incl. Fed$ block granted to state) -
64 Local (incl. Fed$ rec'd from local govt, ie. CDBG-BD) -
65 Program earned income required entry -
66 Other: ________________________________________ -
67 State (general funds) -
68 Total possible match (excl. State funds) - - - - -
69 Available match (excl. pending) -
70 Required match (25% of line H-57) - Line 71 allows you to specify particular funds as your match if you so choose.
71 Designated 25% Match: (optional) SPECIFY: ___________________________________________________
B C D E F G H I
ALL PROGRAMS COMPLETE
72 Box 4: Outcomes
73 A 2000 amendment to LB 327 removed the maximum award size, and instead authorized the investment committee to
74 assure that the distribution of LB 327 grants provides equitable access to the act's benefits by all geographical areas of the
75 state. In order to implement this goal, the investment committee requests two things:
76 FIRST, make sure the Box 4 numbers below are filled in as completely and accurately as possible for your
77 program. GO TO TAB 8 AND COMPLETE before continuing. For current LB 327 Awardees, most
78 of these numbers can be taken directly from your June 2008 quarterly report submitted to NEF.
79 SECOND, provide a separate section in your narrative proposal (see page 5, #3 of 2008 funding
80 announcement) where you provide any additional explanation of Box 4 numbers or information that
81 relates to your program's plans to help achieve equitable access by all areas of the state.
82
83 (A). Loan & training volume: (The term "past 12-mo period" refers to July 2007 through June 2008)
84 Micro loan impacts:
85 Enter # of micro loans originated in past 12-mo period (Jul 2007-Jun 2008):
86 Enter estimated # of loans projected for future 12-mo year (Jul 08-Jun 09): 0 Auto calculation
87 Enter estimated # of loans projected for future 12-mo year (Jul 09-June 10):
88 New loans planned for July 08-June 09: 0 (Auto fr.Tab 8)
89
90
91 Training/TA impacts: ( Check trainee definition in red triangle.)
92 Enter # of new Training units/TA clients in the past 12-mo period (Jul 2007-Jun 2008):See red triangle
93 Enter estimated # of new trainees projected for future year (Jul 2008 - Jun 2009):See red triangle 0 Auto calculation
94 Enter estimated # of new trainees projected for future year (Jul 2009 - Jun 2010):See red triangle
95
96 New training planned for July 08-June 09: 0 (Auto fr.Tab 8)
97
98
99 Number of past referrals to other programs for business services (Jul 2007-June 2008)
100 Number of past loan packages in which your organization provided part of the loan funds (Jul 2007-June 2008)
Dollar amount of loan packages reported on line 100.
101 Number of past loan packages in which you provided t.a. but didn't make a loan (Jul 07-June 08)
Dollar amount of loan packages you reported on line 101.
102 Number of loans co-oped with another micro program. (Jul 2007-June 2008)
Dollar amount of co-oped loans from line 102.
103 How many loans did you make over $35,000 (7/07-6/08)?
Dollar amount of loans reported on line 103.
104
Application submitted by: ______________________________________ Date: ______________
685af545-f522-41b6-beef-0614e065bf39.xls (4/12/2011, 6:14 PM)
TAB 4 7 of 12
Community Impact & Activities Chart (2 year projection)
The Microenterprise Development Act calls for the establishment of a permanent, statewide infrastructure of microlending
programs. NEF needs to understand programs' long-term plans and strategies for being part of this permanent structure. All
applicants need to fill in lines 1-19. Some of your entries from Tab 3 show up below (gray-shaded cells). The table below
asks for your projections of those numbers over the next two years.
Organization: 0
Project (if different): ##### Year begins: Oct-08
E F G
Previous Year 1 Year 2
** Note: If you filled in Box 4 on Tab 3, lines 1 and 5 on this Tab are 12-mo. Period Projection Projection
already filled in. If you have not completed Box 4 on Tab 3, please do July 07-June 08 Jul 08- Jun 09 Jul 09 - Jun 10
so.
Microloan, trainee, & jobs impact: (New applicants fill in lines 1,3,5,7,9 manually for Cols. F & G)
1 ** Number of loans originated (#): 0 0 0
2 Change from previous year (%): #DIV/0! #DIV/0!
3 Amount of loans originated ($):
4 Change from previous year (%): #DIV/0! #DIV/0!
5 **Number of trainees (#): 0 0 0
6 Change from previous year (%): #DIV/0! #DIV/0!
7 Jobs created/retained by new loans (#):
8 Change from previous year (%): #DIV/0! #DIV/0!
9 Jobs created/retained by trainees (#):
10 Change from previous year (%): #DIV/0! #DIV/0!
11 Other proposed indicators of community impact:
12
13
14 Additional information from Microlending applicants:
15 Total microenterprise program operat'g bdgt ($): - -
16 Estimate of budget used for microlending (%):
17 Estimate of budget used for training (%): 100% 100% 100%
18 Estimate FTE used for micro lending:
19 Estimate FTE used for training/ta:
Instructions for Programs:
1 Actual results as base: Column E asks for actual results for your program from Jul 07- Jun 08 and serves as a base. For
most of the current NEF awardees, you have routinely submitted this Col. E information and have it available in your Access
Database. <>
2 Links: Column F represents the 12-months starting July 2008 and running through June 2009. The information provided in
this column should correspond to information in your proposal. Accordingly, the total budget number at Line 15 (Col. F)
should be the same number provided in your Operating Budget Form (Col G, Line 57) and are linked. <>
3 Community impact indicators: Lines 1, 3, 5, 7 and 9 are possible indicators of community impact, but other indicators
might be more important for your program's strategy and target population. If you would like to propose additional or
substitute impact measures, please indicate on lines 12 and 13 with measurements in Cols E-G. For other harder-to-
measure impacts & activities, use Tab 5 ("Quarterly Milestones").<>
4 Lending-to-trainee ratios: Most core microlending programs will also provide training/TA to clients. Please estimate
proportion of your program which supports lending activities (Line 16) and non-lending training/TA activities (Line 17). Your
program may not record such information, but we would like to ask you to take your best guess at the lending-to-training mix
for the last 12-months (2007-08) and project for the next 2-years. Thanks.<>
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TAB 5 8 of 12
QUARTERLY MILESTONES
Organization: 0
Project (if different): 0
Year begins: October-08
Fill out Tab 4 ("Community Impact & Activities Chart) first indicating there any appropriate quantifiable
impact & activity measurements. Additional milestones besides those indicated in Tab 4, should be entered
below (no more than 3/quarter). All applicants will provide these additional "milestones."
1 October-08 through December-08
2 January-09 through March-09
3 April-09 through June-09
4 July-09 through September-09
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TAB 6 9 of 12
INSTRUCTIONS for the Evergreen Loan Application (at Tab 7)
General instructions: Read "GUIDE" (Tab 1) before starting forms.
A As indicated in the GUIDE (Tab 1), the on-screen version of this worksheet, like others in this AP12-2008-2009
Workbook, includes two types of shaded cells. On-screen users should fill in the yellow-colored cells with the light
border. The gray-shaded dark bordered cells contain formulas and should fill in automatically as data is entered. Hard-
copy users should fill in all shaded areas (light & dark borders). <>
B Many of the terms used in this application packet can be found in the packet's "Glossary." <>
C Any specifically requested explanation on a budget item or any additional explanation you would like to supply should be
included in your proposal's Budget Narrative section. <>
D Automatic fill-in: For programs applying for core and special program operating awards (Tab 3), most of the information
in Box 1 will already be filled in. For applicants, like single community RLFs applying for evergreen loan only, you will
need to fill in this information. (Disregard any "0's" that appear in the yellow-shaded cells.) <>
E Fill in Tab 3 first: If you are not applying for an operating grant, you only need to fill out Tab 3 (Boxes 1-4), Tab 4, Tab 5,
Tab 7 and Tab 8. Fill out Tab 3 first, since entries there will automatically transfer to the loan application form. <>
Line-by-line instructions:
1 Organizational info, Box 1, Line 1: The organization must be a legal entity with the legal capacity to enter into a loan
contract. Typically this organization will be a non-profit corporation. If your micro-lending activities are a "project" within a
larger legal entity, the latter legal entity must be the applicant on line 1. <>
2 Audit, Line 10: Please include latest audit with your application. <>
3 Service area, Line 4: For single community revolving funds, name of county(ies) or town(s). For mulit-county programs,
number and geographic description of counties. For urban programs, names or descriptions of neighborhoods. For
applicants which have already filled in Tab 3, info should already be entered. If a long list or description, describe in
budget narrative or include map. <>
4 Authorized representative, Line 9: This is the name (and title) of the person who has the authority to sign on behalf of
the legal organization. <>
5 Evergreen loan amount, Line 14: Single community loan funds are limited to $25,000 (with 1-to-1 match) or $10,000
(with no match). Otherwise maximum loan is $100,000. <>
6 Lines 12-19: Much of the information needed to consider an evergreen loan application duplicates info that you may
have already answered in previous forms of AP12-2008-2009.xls. If you are also applying for operational support, fill in
those forms first (see Tab 1-GUIDE). If you are only applying for an Evergreen loan (no operating grant application), fill in
"Community Impact and Activities" (Tab 4) first. Entries made in earlier tabs will automatically transfer to these lines. <>
7 First Microloan, Line 23: If you are proposing to use the proceeds of this Evergreen loan for a microlending loan
product that is different from your previous style of micro lending, please explain the new lending and include any public
information you have prepared (brochures, policy and procedure statements, etc.) describing this new loan product. <>
8 Match, Line 34: See Glossary for definition and requirements. NEF normally requires one-to-one match or setaside of
current lending capital that is dedicated to micro lending along with the Evergreen Loan. If the only match available
comes from “Leveraged capital” as opposed to in-hand capital, this should be thoroughly explained in the application
cover letter. <>
9 Past due loans, Line 37: Check Glossary for NEF’s definition. If your program uses a different definition, please
explain. <>
10 Loan loss reserves, Line 41: Describe your loss reserve system and policies (provide policy statements if available).
Many programs simply set aside a loss reserve account that represents a fixed percentage of anticipated losses based on
past experiences.
Ideally, loan loss reserves are based on a regular portfolio analysis and grading system of past due loans accompanied
by an accounting-based accrual reserve. Newer programs with no track record must set aside an amount that represents
a loss estimate based on type of loan product (uncollateralized or not, etc.), target population, and size of loans.
Programs adding new loan products will need to conduct a similar analysis as new programs. <>
11 Business Plan: Applicants are required to submit a business plan if they are not a current grantee of NEF.
12 Loan Policies and Procedures: Applicants are required to submit a copy of loan policies and procedures
for lending these funds.
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TAB 7 10 of 12
Evergreen Loan Application
(See instructions at tab 6) (Words in bold italics in Glossary)
Col: B C D E F G H I
Box 1: Organizational information * = See instructions
1 * Organization: 0 Qtr begins *:
2 Organizat'n type: Non-profit: 0 Tax-exm't: 0 Political subdiv'n: 0
3 Project name (if different from organization name):
4 * Microlending service area: #VALUE!
5 Address: 0 E-mail: 0
6 City/town: 0 State: 0 Zip: 0
7 Phone: 0 Fax: 0
8 Person to whom all communications are sent: 0
9 Person (& title) with the authority to sign loan agreement: 0
10 Month your fiscal year begins: Please attach your latest available audit.
11 Are all reports to NEF current? (Y/N) .
12 Is there a copy of your loan policies and procedures on file with NEF? (Y/N)
13 List previous Evergreen Loans from NEF: Date Amount
Add additional lines if necessary.
Box 2: Application information
14 What size Evergreen Loan are you requesting? ($10,000-$100,000; see instructions)
15 No. of Microloans you expect to make (from all sources) during the next 12-mos.?
16 What do you expect the average size of those Microloans to be?
17 Describe the demand for loans in your service area:
18 Does your program provide Training or TA to borrowers? If yes, # in last 12 mos?
If no, please attach an explanation including programs you have linked with to provide these services.
19 Estimated organizational cost for making/delivering Microloans and Training/TA ?
20 Amount of operating budget that is in-hand or firmly committed?
21 * What proportion of Line 19 was for Microlending ? 0% (From Tab 3)
22 * What proportion of Line 19 was for non-lending Training/TA='3.Opert''g Form'!C7 ? 100%
Box 3: Loan Fund History & Match
23 * Date first Microloan ($35,000 or less) was made by your program? (mm/yy)
24 How many Microloans did you make in your last fiscal year?
25 Total amount (face value) of those Microloans ? (from line 24)
26 Avg. size of those loans? (line 25 divided by line 24) #DIV/0!
27 How many total Microloans have you made since the program started?
28 Total amount (face value) of those Microloans ? (from line 27)
29 Avg. size of those loans? (line 28 divided by line 27) #DIV/0!
List sources of lending capital dedicated to micro business loans (under $35,000):
Type: (see GLOSSARY) Describe source (and, if debt capital, terms of loan agreement):
30 * Total equity capital:
31 * Total debt capital:
32 Total capital: -
33 Leveraged capital: (do not include "Leveraged capital" in "Total capital")
685af545-f522-41b6-beef-0614e065bf39.xls 4/12/2011, 6:14 PM
TAB 7 11 of 12
34 * Match: Amount of "Total Capital" dedicated to microloans and not coming from (1) previous NEF
loans or (2) appropriations from the State of Nebraska. (should at least=Evergrn Loan request)
35 Total Outstanding Loan Portfolio: See Glossary.
36 Uncommitted Funds Available to Lend
37 Past due loans: Loan amounts 30 days past due(for current Awardees, see last quarter's Client Rept Form).
* (if you track past due loans using different standards, please indicate in cover letter)
38 Current percent of Portfolio-at-risk (Delinquency rate) : #DIV/0!
(equals Past due loans divided by the Total Outstanding Loan Portfolio; see GLOSSARY)
39 Portfolio-at-risk Historically (Average delinquency rate since beginning of program)
40 Deployment ratio: Total Outstanding Loan Portfolio divided by Total capital. #DIV/0!
41 Loan loss reserves: Funds set aside as cash reserves to protect against future losses.
* (in the case of peer group borrowing programs, can include the amount of group-maintained local loss reserves)
42 Net charge-off: Amount of loans determined to be a loss or non-recoverable during your
organization's last fiscal year.
43 Historical net charge-off: Percentage of loans determined to be a loss or non-recoverable since
your program started lending.
Attachments: Current copies of the following documents should be attached if NEF does not have these on file.
____ Loan Policy and Procedures ____ Audit
____ Business plan ____ 501c3
____ Program Director's Resume ____ Map of Service Area
Application submitted by: ______________________________________ Date: ______________
685af545-f522-41b6-beef-0614e065bf39.xls 4/12/2011, 6:14 PM
TAB 8.Distressed Counties 12 of 12
TAB 8. Counties Served
Low-income Target Areas
ALL APPLICANTS ARE REQUIRED TO COMPLETE THIS SECTION.
C. Loans (#) D. Trainees (#) Projections C. Loans (#) D.Trainees (#) Projections
prog. deliv'd prog. trained For 7/08 - 6/09 prog. deliv'd prog. trained For 7/08 - 6/09
County 7/07-6/08 7/07-6/08 E. Loans F.Trnees County 7/07-6/08 7/07-6/08 E. Loans F.Trnees
1 ADAMS 48 JEFFERSON
2 ANTELOPE 49 JOHNSON
3 ARTHUR 50 KEITH
4 BANNER 51 KEARNEY
5 BLAINE 52 KEYAPAHA
6 BOONE 53 KIMBALL
7 BOYD 54 KNOX
8 BOX BUTTE 55 LANCASTER
9 BROWN 56 LINCOLN
10 BUFFALO 57 LOGAN
11 BURT 58 LOUP
12 BUTLER 59 MADISON
13 CASS 60 MCPHERSON
14 CEDAR 61 MERRICK
15 CHASE 62 MORRILL
16 CHERRY 63 NANCE
17 CHEYENNE 64 NEMAHA
18 CLAY 65 NUCKOLLS
19 COLFAX 66 OTOE
20 CUMING 67 PAWNEE
21 CUSTER 68 PERKINS
22 DAKOTA 69 PHELPS
23 DAWES 70 PIERCE
24 DAWSON 71 PLATTE
25 DEUEL 72 POLK
26 DIXON 73 RED WILLOW
27 DODGE 74 RICHARDSON
28 DOUGLAS 75 ROCK
29 DUNDY 76 SALINE
30 FRANKLIN 77 SARPY
31 FILLMORE 78 SAUNDERS
32 FRONTIER 79 SCOTTS BLUFF
33 FURNAS 80 SEWARD
34 GAGE 81 SHERIDAN
35 GARDEN 82 SHERMAN
36 GARFIELD 83 SIOUX
37 GOSPER 84 STANTON
38 GRANT 85 THAYER
39 GREELEY 86 THOMAS
40 HALL 87 THURSTON
41 HAMILTON 88 VALLEY
42 HARLAN 89 WASHINGTON
43 HAYES 90 WAYNE
44 HITCHCOCK 91 WEBSTER
45 HOLT 92 WHEELER
46 HOOKER 93 YORK
47 HOWARD TOTAL 0 0 0 0
685af545-f522-41b6-beef-0614e065bf39.xls, (4/12/2011, 6:14 PM)
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