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									Annual Small Cities Development Report
Overview & Directions
This report can be filled electronically. For those where Microsoft is not user-friendly, or the report does not load well, please call your SCDP
Representative and we will provide you with the pages you need and you can complete them manually.

This report is due to the SCDP by October 15 at 4:30 pm. Late reporting by administrators and grantees will be reflected in capacity
evaluations of administrators and grantees in SCDP review of future pre applications and full applications.

Submit reports to Gloria Stiehl by mail, fax (651-296-1290) or electronically by pdf file to Gloria Stiehl at gloria.stiehl@state.mn.us. Signature
is required at time of submission.

Definitions:
A project is a grant or summation of activities in the grant agreement, or a specific job within an activity. For example, a grant to Happy City
for commercial and rental housing rehabilitation is a project. A project is a grant or summation of activities in the grant agreement, or a
specific job within an activity. Rehabilitating the barbershop or rehabilitating Mrs. Anderson's house would also be a project.

An activity is a specific undertaking such as commercial rehabilitation, a sewer project, etc.
Most of the data is for the current reporting year only.

Pages 1 through 5 (Listed in the "REPORT" tab) must be completed for all grants.

The tab "Page for Final Only" only needs to be completed for final reports.

Please complete the specific activity (Housing, Commercial, or Facilities) tabs for pages that correspond with all the grant activities. Please
do not bother with or submit pages for activities that do not correspond with the grant. Please discuss with your SCDP Rep what the
most appropriate tab might be for rental housing rehabilitation, rental construction, large-scale rehabilitation, or conversions that you are
undertaking.

Use the Facilities tab for community center reporting.

Generally, boxes OUTLINED IN RED require a response. Exceptions would be some cells in demographic tables, budget tables, some cells
on page 2 where activities are listed, and if the directions in the pages instruct you to skip.




Boxes OUTLINED WITH A RED DOTTED LINE may require information if applicable. Please do not enter data into boxes or cells
OUTLINED IN GREEN as these cells are for SCDP use only. The cells are pre-set to zero and contain formulas. Generally boxes
OUTLINED IN BLUE require a response. Boxes OUTLINED IN BLUE also ask for cumulative, or total to date, information. Boxes
OUTLINED WITH A BLUE DOTTED LINE may require cumulative information if applicable.

The tabs for the pages and activity pages are located near the bottom of your computer screen. You may not see all of the tabs available on
your screen. You will most likely need to use the arrows found at the lower left of your screen to navigate and prompt the tabs to advance or
retreat.

Further instruction is contained within the report form.

Annual Report Key
               SOLID RED OUTLINE = REQUIRED FIELD, REPORTING YEAR DATA ONLY
               DOTTED RED OUTLINE = MAY BE REQUIRED IF APPLICABLE, REPORTING YEAR DATA ONLY
               SOLID BLUE OUTLINE = REQUIRED FIELD, CUMULATIVE DATA FOR ALL YEARS
               DOTTED BLUE OUTLINE = MAY BE REQUIRED IF APPLICABLE, CUMULATIVE TO DATA ONLY
               SOLID GREEN OUTLINE = AUTOMATIC CALCULATION, NO INPUT REQUIRED. FOR SCDP STAFF ONLY.
                         SCDP Annual Report
                                      Page 1
                                                                                                                                                        6/9/2011
1. General Information

Grantee Name
(From grant agreement or contract. Or, community receiving funds if multiple communities. For example: City of Frostbite Falls)

SCDP Program Region and Representative                                             (example: 8, Christine Schieber)
(Consult SCDP website for regional map and primary representative info if necessary)

Grant Number:                            CDAP-
(from grant agreement or contract)

Grantee DUN's Number

Is this an Annual Report or a Final Report?                           (Annual or Final)


If this is an Annual Report, the Report Period End Date is - September 30,                              (2010, 2011, etc.)


If this is a Final Report, use the first day after the grant's last annual report as the start date for the report. That date is October 1,
                    If this is a Final Report, Report end date is:                                                                            (2010, 2011, etc)


Person responsible for the data in this report:
Name of organization (workplace) of this person:
Phone number:
E-mail address:

I understand that information on this report outlined in RED boxes is generally for the current reporting period or year and that boxes outlined in
BLUE is cumulative (or total to date) data.                    (Y/N)         If no, please re-read instructions

I understand information on this report that is outlined in GREEN contains a formula and is only for SCDP use.                                  (Y/N)
If no, please re-read instructions

If labor standards are required for any activity, is reporting (award notices and final                                                         (Y/N)
reports) to the SCDP current? If no, please submit reports to become current along with
this report.
   If #5 is no, please submit applicable forms to the SCDP as soon as possible.
2. Audit and Federal Transparency Information

If the grantee fiscal year does not end on December 31, please provide date:                                                                    mm/dd/yy


1) Did the grantee (if joint communities, the community receiving the money) expend $500,000 or more                                            (Y/N)
  of federal funds (SCDP funds being at least some of those funds, in their PREVIOUS fiscal year?
   If yes, please submit a copy of the A-133 audit for the previous year with this report; if not yet submitted.

2) Will the grantee expend $500,000 or more of federal funds (including SCDP funds) in                                                          (Y/N)
the CURRENT fiscal year?
    If yes, a copy of the A-133 audit report must be submitted as soon as the report                                                            mm/dd/yy
is available; if not yet submitted. Estimated date of submission is:

3) Will or did the grantee receive $25 million or more of federal funds (including SCDP funds) in the
current or previous fiscal year? (If the answer is "YES" please contact the SCDP).                                                              (Y/N)



Grantee's Audit Firm:                                                 Audit Firm Telephone #

Name, title of grantee financial officer:

I understand questions 1 and 2 from above and agree with the answers associated


Signature of grantee financial officer
                        SCDP Annual Report
                                    Page 2

3. Expenditures this Report Period Only
All activities listed in contract or latest GAN. Report for this period only . List activities as they appear in the contract or latest GAN.
Abbreviate activity name if necessary. Examples would be "owner rehab, comm'l rehab, water, etc." Expenditures are defined as costs that have been
paid. The source is necessary for SCDP reports to HUD. *THE TABLES ON THIS PAGE ARE FOR EXPENDITURES, NOT A BUDGET.
Activity Name                                                       State/Local Expenditures
(Abbreviate if   SCDP                                                                                                          Other                             Leverage by
necessary)       Expenditures    Other Federal           PI or GI             Others           Subtotal           Private      Expenditures        TOTALS          Activity
                                                                                                          $0                                                $0             $0
                                                                                                          $0                                                $0             $0
                                                                                                          $0                                                $0             $0
                                                                                                          $0                                                $0             $0
                                                                                                          $0                                                $0             $0
                                                                                                          $0                                                $0             $0
       TOTALS            $0.00                 $0                     $0               $0                 $0              $0                  $0            $0

                                 Examples:          Examples:              Examples:                           Examples: Examples:
                                 Rural Develop./    Program                PFA/                                Building        Greater MN
                                 Army Corps/        Income/                DNR/                                Owner/          Housing Fund/
                                 Weatherization/    Generated              MHFA/                               Homeowner/ Federal
                                 HOME               Income                 HRA/EDA                             Landlord        Home Loan
                                                    (Both money used                                                           Bank/
                                                    from repayments)                                                           Donations


If any of the other federal expenditures listed above are HOME funds, what is the dollar
amount of HOME expended this period?

*If other expenditures (column H, not other federal, state/local, or program or generated income) please list/identify the source(s) and activity:

Total Leverage Without PI or GI =                                                      $0


4. Cumulative (All Years) Expenditures
All activities listed in contract or latest GAN. Report cumulative (all years) data only. List activities as they appear in the contract or latest GAN.
Abbreviate activity name if necessary. Examples would be "owner rehab, comm'l rehab, water, etc." Expenditures are defined as costs that have
been paid. The source is necessary for SCDP reports to HUD.
                                                                    State/Local Expenditures
                 SCDP                                                                                                          Other                             Leverage by
                 Expenditures    Other Federal           PI or GI             Others            Total             Private      Expenditures        TOTALS          Activity
                                                                                                          $0                                                $0             $0
                                                                                                          $0                                                $0             $0
                                                                                                          $0                                                $0             $0
                                                                                                          $0                                                $0             $0
                                                                                                          $0                                                $0             $0
                                                                                                          $0                                                $0             $0
       TOTALS            $0.00                 $0                     $0               $0                 $0              $0                  $0            $0

                                 Examples:          Examples:              Examples:                           Examples: Examples:
                                 Rural Develop./    Program                PFA/                                Building        Greater MN
                                 Army Corps/        Income/                DNR/                                Owner/          Housing Fund/
                                 Weatherization/    Generated              MHFA/                               Homeowner/ Federal
                                                    Income                 HRA/EDA                             Landlord        Home Loan
                                                                                                                               Bank/
                                                                                                                               Donations
If any of the other federal expenditures listed above are HOME funds, what is the dollar
amount of HOME expended?

*If other expenditures (column H, not other federal, state/local, or program or generated income) please list/identify the source(s) and activity:


Total Leverage Without PI or GI =                                                      $0
                       SCDP Annual Report
                                   Page 3

5. Goals and Completed Units Per Activity

All Activities in Contract     IDIS Number                                    Units                     Cumulative
or Latest GAN. Do Not List     (from B5 of Unit goal from contract            Completed                 Units
Admin. Only Budget Lines.      pay request) or latest GAN                     This Period               Complete to Date

                                                                                                                       Make sure that
                                                                                                                       your cumulative totals
                                                                                                                       balance with any other
                                                                                                                       reporting year(s).
                                                                                                                       (for example: 3 units
                                                                                                                       completed for previous
                                                                                                                       period + 4 for this period
                                                                                                                       equal cumulative of 7.)

6. Fair Housing Report

Grantee Name                   0
(from grant agreement)

One different activity must be performed each year that the grant is open. Activities must be performed even if housing is not a grant activity, per
HUD requirements. Enter date on corresponding line of activity completed for each report year. Have all years' activities to date on this report.

                                                                                                                       Date Completed
Fair Housing Activity Option                                                                                           (month/day/year)

Issue a press release stating that people with questions about fair housing can contact the grant administrator

Display a fair housing poster at city hall/county office running the program. (Must be ongoing until grant closeout)

Conduct a fair housing awareness event

Place a fair housing discussion on the agenda of a council or board meeting

Broadcast a fair housing public service announcement. (contact your SCDP Rep for a fair housing video)

Incorporating the fair housing logo on community letterhead or application forms for rehabilitation applications

Publicly advertise the city/county as a "Fair Housing City/County"

Work with area schools to have kids participate in a fair housing poster contest

Make fair housing brochures available at city hall or area banks

OTHER (Explain below):




Was one activity completed for this project year and is it indicated above?                                                            (Y/N)
If no, please complete prior to submitting report or contact your
SCDP Representative to discuss compliance options.
                       SCDP Annual Report
                                   Page 4

7. Program or Generated Income Reporting (Not Post Closeout)
(If post closeout, use post closeout report on SCDP website, not this report)

Was there program or generated income from this grant for this period?                                              (Y/N)

(If public facility is only activity (sewer, water, etc.) - Enter no. If answer is no, you are done with this page.
Program income or generated income IS NOT funds disbursed from the SCDP. Please ask your SCDP Rep. if guidance is needed.

Note: Any income expended reported on this page should match with expenditure budget on page 2.

Balance of Generated or Program Income at end of last reporting period for this activity (can be $0. If first report, also enter $0):

        Generated or Program Income Received this period, for this activity:

        Generated or Program Income Expended this period, for this activity:

                                                                                                         Balance =                      $0
                      SCDP Annual Report
                                   Page 5

8. Equal Opportunity, Women and Minority Business Report

Grantee Name                   0

Women and Minority Owned Businesses
Of the contractors (including subs and administrators ) used to implement the grant this period,
how many are women or minority-owned?                       0 This Number can be 0.
                                             Box E

Section 3 Businesses
Of the contractors (including subs and administrators ) used to implement the grant this period,
how many are a Section 3 business?                          0 This Number can be 0.
                                             Box F
* If necessary, please consult the SCDP website for the definition of a Section 3 Business.
             0 =Box G
If Box G is 0, you are done with this page.

If Box G is one, please complete Parts 1, 2 and 3 below.
If Box G is two or more, please complete Parts 1, 2 and 3 below for each contractor, subcontractor or administrator.
Provide all pages to the SCDP, if multiple pages are necessary.

Part 1)
 Contractor Name:
 Contractor Address:
 Contractor ID Number:

Part 2)
 Is contractor a woman-owned business?                         (Y/N)
 Is contractor a Section 3 business?                           (Y/N)
 Dollar amount of contract:
 Prime contractor or subcontractor?                            Prime                       Subcontractor

Part 3)                                       Indicate                                               Indicate Type of Contract
Contractor owner race/ethnicity               with an X                                              with an X
 White American                                                             New Construction:
 Black American
 Native American                                                            Repair or Rehab:
 Hispanic American
 Asian/Pacific American                                                     Engineering:
 Hasidic Jew
                                                                            Project Management
                                                                            or Administration:




Part 4) (Only complete if you have Section 3 Businesses)
Number of New Hires
Percentage of New Hires with income below 80% of area median income
Percentage of New Hire hours completed by persons earning income below 80% of area median income
Percentage of total staff hours completed by Section 3 Employees and Trainees
Number of Section 3 Trainees
If any, what trades do the Section 3 new hires/employees work? Examples: Professionals, technicians
office/clerical, construction. If construction, please indicate specific trade(s).

Please now complete the activity page(s) that correspond with the grant. Remember from the instructions that the tabs for the activity pages are
located near the bottom of your computer screen. You may not see all of the tabs available on your screen. You will most likely need to use the
arrows found at the lower left of your screen to navigate and prompt the tabs to advance or retreat so they can be seen.
              SCDP Annual Report
            Owner Occupied Housing Rehab

Were there no expenditures, or expenditures but no completed
units, for this activity this period?                                                              (Y/N)
If yes, provide a brief narrative of progress (such as # of applications
taken, # of rehabs bid out, # in progress, etc.) to date in the box
directly below. You are then done with this page.




Deferred Loans
NOTE: Deferred loans do not require monthly payments.
Total CUMULATIVE number of signed SCDP repayment agreements on Deferred
Loans in place to date:

Total dollar amount of these signed Deferred Loan repayment agreements
to date:
Length of deferred loans in repayment agreements:                                                  (in Months)


Installment Loans
NOTE: Installment loans require regular (usually monthly) payments.
Total CUMULATIVE number of signed SCDP Installment Loans in place to date:


Total dollar amount of Installment Loans, if applicable, to date:
If applicable, length of SCDP installment loans:                                                   (in Months)
If installment loans, what is the interest rate?

Of completed units this period, the number of benefiting households who are:
                                                                             Number of households who are
                                Column 1
                                                                             listed in Column 1 AND are
                                                                             Hispanic/Latino
White
Black/African American
Asian
American Indian/Alaskan Native
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native and White
Asian and White
Black/African American and White
American Indian/Alaskan Native and
Black/African American
Multi - Racial or Other
             Formula Total =                               0     Box A               0 Total Hispanic/Latino


Of the households in the units completed this period, how many had incomes at:
30% and lower of the county median Income
31-50% of county median income
51-80% of county median income
Non - LMI (Urgent Need, or rental still meeting fed. obj.)                                         (Most often zero)
                                                                             TOTAL =           0       Box B

Do your numbers Match?
For the total Owner Occupied Rehab Units this period from Section                      Section 5 from Page 3
5, Page 3, Box A and Box B should be the same. Are they? If not                      0 Box A
please correct prior to submission.                                                  0 Box B

Of the number of units rehabilitated this period, how many:
Were occupied by at least one person age 62 or over?

Were households headed by a female? (includes 1 person households):

Had lead hazards corrected?

Received accessibility improvements?
               SCDP Annual Report
                Rental Housing Rehabilitation

Were there no expenditures, or expenditures but no completed units,
for this activity this period?                                                                          (Y/N)

If yes, provide a brief narrative of progress (such as # of applications
taken, # of rehabs bid out, # in progress, etc.) to date in the box
directly below. You are then done with this page.




Deferred Loans
NOTE: Deferred loans do not require monthly payments.
Total CUMULATIVE number of signed SCDP repayment agreements on Deferred
Loans in place to date:

Total dollar amount of these signed Deferred Loan repayment agreements
to date:
Length of deferred loans in repayment agreements:                                                       (in Months)


Installment Loans
NOTE: Installment loans require regular (usually monthly) payments.
Total CUMULATIVE number of signed SCDP Installment Loans in place to date:


Total dollar amount of Installment Loans, if applicable, to date:
If applicable, length of SCDP installment loans:                                                        (in Months)
If installment loans, what is the interest rate?

If activity is complete, how many units are not yet occupied?

Of completed units this period, the number of benefiting households who are:
                                   Column 1                                       Number of households who are
                                                                                  listed in Column 1 AND are
                                                                                  Hispanic/Latino
White
Black/African American
Asian
American Indian/Alaskan Native
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native and White
Asian and White
Black/African American and White
American Indian/Alaskan Native and
Black/African American
Multi - Racial or Other
                        Total =                                       0   Box A           0 Total Hispanic/Latino



Of the households in the units completed this period, how many had incomes at:

30% and lower of the county median Income
31-50% of county median income
51-80% of county median income
Non - LMI (Urgent Need, or rental still meeting fed. obj.)
                                                                                  TOTAL =           0       Box B

Of units completed this period, how many are designated as affordable units or
those that meet Fair Market Rents?

Of units completed this period, how many are currently occupied?

Do your numbers Match?
For the total units currently occupied this period, Box A and Box B                                 0   Occupied Units
should be the same. Are they? If not, please correct prior to                                       0   Box A
submission.                                                                                         0   Box B


If units are completed but not yet occupied, what is the estimated                                      mm/dd/yy
date of full-occupancy?

Of the number of units rehabilitated this period, how many:

Were occupied by at least one person age 62 or over?

Were households headed by a female? (includes 1 person households):

Had lead hazards corrected?

Received accessibility improvements?
              SCDP Annual Report
        Public Facilities and Community Centers

If there is more than one facility activity in the project (such as wastewater or sewer, water or community center)
please complete separate pages for each activity.)

Name of Activity (line-item from grant agreement or latest GAN):


Is activity complete?                                                                                  (Y/N)
If no, please provide a brief narrative of progress to date (SHPO cleared, when bids are expected to be let,
when construction completion is expected, etc) in the space provided directly below. You are then done
with this page.




If demographic and income information is not available, please use the websites below to estimate information.
For cities: http://govpubs.lib.umn.edu/census/profile_city.phtml
For many townships: http://govpubs.lib.umn.edu/census/profile_twp.phtml
Search for the specific community, then use the data to estimate your information.

Use the data starting on the lower left of page 1 of the above sites to estimate information for Table G (Race/ethnic
data and directly below). Use the data starting on the right hand side of page 3 of the sites to estimate information
for Table H (income breakdown and below right).
Table G
Number of people benefiting who are:
                                                                          Number of people who are listed in
                               Column 1
                                                                          Column 1 AND are
                                                                          Hispanic/Latino
White
Black/African American
Asian
American Indian/Alaskan Native
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native and White
Asian and White
Black/African American and White
American Indian/Alaskan Native and
Black/African American
Multi - Racial or Other
                        Total =                            0    Box A                 0 Total Hispanic/Latino

    Total Number of LMI People Served =                         Box L
 Total Number of non-LMI People Served =
        Total Number of People Served =                    0    Box B          LMI%      #DIV/0!       Box E

The number in Box L should match the "Number of LMI persons served" from the budget on page 2 of the grant
agreement. If not, please correct or discuss with your SCDP Representative.
The LMI figure listed next to Box E should be at least .51. If not, please correct entries prior to submission or
contact your SCDP Representative.

Of the total Number of people served (Box B), how many had incomes at the following categories:

                                                                                        Table H
                                     30% and lower of the county median Income
                                               31-50% of county median income
                                               51-80% of county median income
                                                                     Non - LMI                     0
                                                                      TOTAL =                      0     Box C


Do your numbers Match?
Box A, Box B and Box C should all be the same number.                                              0 Box A
Furthermore, the "Number of Persons Served" from the budget on                                     0 Box B
page 2 of the grant agreement should be the same number as well.
Are all numbers the same? If not, please correct prior to
submission. If assistance needed, please call your SCDP Rep.                                       0 Box C


Please check one of the boxes below that best describes this activity
Did this activity involve replacement/corrections to an existing facility?

Did this activity involve construction of a facility that did not previously exist?
(i.e. previously unsewered areas or areas without municipal water service)
                 SCDP Annual Report
                    Commercial Rehabilitation


Were there no expenditures, or expenditures but no completed units, for this                                         (Y/N)
activity this period?
If yes, provide a brief narrative of progress (such as # of applications
taken, # of rehabs bid out, # in progress, etc.) to date in the box directly
below. You are then done with this page.



Deferred Loans
NOTE: Deferred loans do not require monthly payments.
Total CUMULATIVE number of signed SCDP repayment agreements on Deferred
Loans in place to date:


Total dollar amount of these signed Deferred Loan repayment agreements
to date:
Length of deferred loans in repayment agreements:                                                      (in Months)


Installment Loans
NOTE: Installment loans require regular (usually monthly) payments.
Total CUMULATIVE number of signed SCDP Installment Loans in place to date:




Total dollar amount of Installment Loans, if applicable, to date:
If applicable, length of SCDP installment loans:                                                       (in Months)
If installment loans, what is the interest rate?

Of completed units this period, the number of benefiting owners who are:
                                                                                  Number of owners who are listed
                                     Column 1
                                                                                  in Column 1 AND are
                                                                                  Hispanic/Latino
White
Black/African American
Asian
American Indian/Alaskan Native
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native and White
Asian and White
Black/African American and White
American Indian/Alaskan Native and
Black/African American
Multi - Racial or Other
               Formula Total =                                        0   Box A           0 Total Hispanic/Latino

Do your numbers Match?
The total units completed this period from Section 5, Page 3 and Box
A should be the same. Are they? If not, please correct prior to
submission.


DUNS Numbers
Specify DUNS numbers for businesses associated with rehabilitated buildings for this period:
A "DUNS" Number is a unique nine character identification number provided by Dun & Bradstreet (D&B). To get
assigned a free DUNS number, the business would call 1-866-705-5711, or visit http://fedgov.dnb.com/webform/.
Please begin asking for DUN's numbers in your applications, if you have not yet started doing such.
              DUN's #
              SCDP Annual Report
                        Acquisition


Were there no expenditures, or expenditures but no completed units,                               (Y/N)
for this activity this period?
If yes, provide a brief narrative of progress (such as # of applications
taken, # of appraisals done, etc.) to date in the box directly below. You
are then done with this page.




Total number of acquisitions to date:

Total dollar amount of acquisitions to date:

Were any of the acquisitions this period of rental housing?                                       (Y/N)

Were any of the acquisitions this period of multi-unit (2 + units) housing?                       (Y/N)

Of completed acquisitions this period, the number of benefiting households (or units)
who are:
                                                                            Number of households who are
                               Column 1
                                                                            listed in Column 1 AND are
                                                                            Hispanic/Latino
White
Black/African American
Asian
American Indian/Alaskan Native
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native and White
Asian and White
Black/African American and White
American Indian/Alaskan Native and
Black/African American
Multi - Racial or Other
             Formula Total =                               0    Box A               0 Total Hispanic/Latino

Number of Households Headed by a Female (includes 1 person households):

Of the households or units completed, how many had incomes at:
You can assume the building owner (if applicable) is not LMI.
30% and lower of the county median Income
31-50% of county median income
51-80% of county median income
Non - LMI (Urgent Need, or rental still meeting fed. obj.)
                                                                            TOTAL =           0      Box B

Do your numbers Match?
The total number of households or units served this period from                       Section 5 from Page 3
Section 5, Page 3, Box A and Box B should be the same. Are they? If                 0 Box A
not, please correct prior to submission.                                              Box B
                SCDP Annual Report
                    Homeowner Assistance

Were there no expenditures, or expenditures but no completed units,
for this activity this period?                                                                          (Y/N)
If yes, provide a brief narrative of progress (such as # of applications
taken, # in progress, etc.) to date in the box directly below. You are
then done with this page.




Deferred Loans
NOTE: Deferred loans do not require monthly payments.
Total CUMULATIVE number of signed SCDP repayment agreements on Deferred
Loans in place to date:


Total dollar amount of these signed Deferred Loan repayment agreements
to date:
Length of deferred loans in repayment agreements:                                                       (in Months)


Installment Loans
NOTE: Installment loans require regular (usually monthly) payments.
Total CUMULATIVE number of signed SCDP Installment Loans in place to date:




Total dollar amount of Installment Loans, if applicable, to date:
If applicable, length of SCDP installment loans:                                                        (in Months)
If installment loans, what is the interest rate?

Of completed units this period, the number of benefiting households who are:
                                    Column 1                                      Number of households who are
                                                                                  listed in Column 1 AND are
                                                                                  Hispanic/Latino
White
Black/African American
Asian
American Indian/Alaskan Native
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native and White
Asian and White
Black/African American and White
American Indian/Alaskan Native and
Black/African American
Multi - Racial or Other
             Formula Total =                                          0   Box A           0 Total Hispanic/Latino

Of the households in the units completed, how many had incomes at:

30% and lower of the county median Income
31-50% of county median income
51-80% of county median income
Non - LMI (Urgent Need, or rental still meeting fed. obj.)                                              (Most often zero)
                                                                                  TOTAL =           0      Box B

Do your numbers Match?
The total number of households served this period from Section 5,                           Section 5 from Page 3
Page 3, Box A and Box B should be the same. Are they? If not,                             0 Box A
please correct prior to submission.                                                       0 Box B

Of the households in Box A, how many received housing counseling,
and/or Homestretch?

Of the households in Box A, how many were households headed by a female?
Note:(includes 1 person households)
              SCDP Annual Report
                 Assessment Abatement

Were there no expenditures, or expenditures but no completed units, for this                      (Y/N)
activity this period?
If yes, provide a brief narrative of progress (such as project itself not
complete, # of applications taken, # in progress, etc.) to date in the
box directly below. You are then done with this page.




Total number of assessments abated to date:

Total dollar amount of abatements to date:

Of completed abatements, the number of benefiting households who are:
                                                                            Number of households who are
                               Column 1                                     listed in Column 1 AND are
                                                                            Hispanic/Latino

White
Black/African American
Asian
American Indian/Alaskan Native
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native and White
Asian and White
Black/African American and White
American Indian/Alaskan Native and
Black/African American
Multi - Racial or Other
              Formula Total =                               0    Box A              0 Total Hispanic/Latino


Number of Households Headed by a Female (includes 1 person households):


Of the households in the units completed, how many had incomes at:
30% and lower of the county median Income
31-50% of county median income
51-80% of county median income                                                                    Should be 0

Non - LMI (Urgent Need, or rental still meeting fed. obj.)                                        Should be 0

                                                                            TOTAL =           0       Box B


Do your numbers Match?
The total number of households served this period from Section 5,                     Section 5 from Page 3
Page 3, Box A and Box B should be the same. Are they? If not,                       0 Box A
please correct prior to submission.                                                 0 Box B
              SCDP Annual Report
                  Clearance/Demolition


Were there no expenditures, or expenditures but no completed                                      (Y/N)
units, for this activity this period?
If yes, provide a brief narrative of progress (numbers expected to be
demolished in a certain period of time, etc.) to date in the box directly
below. You are then done with this page.



Total number of clearances to date:

Total dollar amount of clearances to date:

Were any of the acquisitions of rental housing?                                                   (Y/N)

Were any of the acquisitions of multi-unit (2 + units) housing?                                   (Y/N)

Of completed clearances this period, the number of benefiting households (or units)
who are:
                                                                            Number of households who are
                               Column 1                                     listed in Column 1 AND are
                                                                            Hispanic/Latino

White
Black/African American
Asian
American Indian/Alaskan Native
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native and White
Asian and White
Black/African American and White
American Indian/Alaskan Native and
Black/African American
Multi - Racial or Other
             Formula Total =                               0    Box A               0 Total Hispanic/Latino


Number of Households Headed by a Female (includes 1 person households):


Of the households or units completed, how many had incomes at:

30% and lower of the county median Income
31-50% of county median income
51-80% of county median income
Non - LMI (Urgent Need, or rental still meeting fed. obj.)
                                                                            TOTAL =           0      Box B

Do your numbers Match?
The total number of households or units served this period from                       Section 5 from Page 3
Section 5, Page 3, Box A and Box B should be the same. Are they?                    0 Box A
If not, please correct prior to submission.
                                                                                    0 Box B
              SCDP Annual Report
          Rental Construction or Large Rehab


Were there no expenditures, or expenditures but no completed units,                              (Y/N)
for this activity this period?
If yes, provide a brief narrative of progress (such as SHPO status, # of
units underway, expected full completion date, etc.) to date in the box
directly below. You are then done with this page.



Is any of the SCDP assistance structured as a deferred loan?                                     (Y/N)


If so, total dollar amount of the deferred loan:                                                 (Y/N)


If any SCDP assistance is an installment loan, what is the dollar
amount of the loan?

Length of SCDP deferred loan, if applicable:                                                     (in Months)
Length of SCDP installment loan, if applicable:                                                  (in Months)
If installment loan, what is the interest rate?

If activity is complete, how many units are not yet occupied?

Number of years that affordable units will remain affordable:

Of completed units occupied this period, the number of benefiting who are:
                               Column 1                                    Number of households who are
                                                                           listed in Column 1 AND are
                                                                           Hispanic/Latino
White
Black/African American
Asian
American Indian/Alaskan Native
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native and White
Asian and White
Black/African American and White
American Indian/Alaskan Native and
Black/African American
Multi - Racial or Other
             Formula Total =                              0     Box A              0 Total Hispanic/Latino



Of the households in the units completed, how many had incomes at:

30% and lower of the county median Income
31-50% of county median income
51-80% of county median income
Non - LMI (Urgent Need, or rental still meeting fed. obj.)
                                                                           TOTAL =           0       Box B


Of unit goal this period, how many are designated as affordable units
or those that meet Fair Market Rents?
Of completed units this period, how many are currently occupied?
If units are completed but not yet occupied this period, what is the                             mm/dd/yy
estimated date of full-occupancy?

Of the number of units made available this period, how many:
Are occupied by someone 62 years of age or older?

Were households headed by a female? (includes 1 person households):
Are specifically designated for homeless?
Are designed for use by the handicapped or meet Section 504 standards?
Have occupants receiving rental assistance:

Had lead hazards corrected?

Received accessibility improvements?
               SCDP Annual Report
                        Final Reports


Citizen Participation
1. Were there any written citizen comments about the implementation of the                     (Y/N)
   grant by the grantee or its agents that required a response?

If #1 is yes, please describe below the action taken in response to the comment, as required by the
SCDP. Or, attach a description with the submission of the report.




One for One Replacement
One for One Replacement would most likely only be associated with acquisition and/or clearance. The
answer to #2a below will almost always be no unless these activities were grant components.

2a) Have any occupied or vacant, habitable affordable dwelling units have
   been eliminated (such as demolished) or converted to a use other than                       (Y/N/NA)

   affordable housing?

2b) If the answer to 2a is yes, has the grantee followed their Replacement                     (Y/N)
Housing Plan?

If the answer to 2b is no, please contact your SCDP representative as soon as
possible. to discuss ways to comply.

Use of Real Property
Question #3 only applies to grantees that used SCDP funds for acquisition.

3) Did the grantee acquire or improve any real property (i.e. land, buildings,                 (Y/N)
  and whatever is attached or affixed), in whole or in part, using SCDP funds
  in excess of $100,000?

If the answer to 3 is yes, the grantee must NOT change the use of the real property until five years
after closeout of this grant, unless the requirements of 24 CFR, Part 570.489(j) are met.

Inventory
The answer to Question #4a will very rarely be yes.

4a) Did the grantee purchase any equipment or supplies with SCDP funds                         (Y/N)
    that has a useful life of more than one year and a cost of $5,000 or
    more?

4b) If the answer to 4a is yes, identify what the property is (computer, XRF
machine, etc) and the purchase price:
                                                                        Property:
                                                                 Purchase Price:

Closeout Information

5) Does a balance of SCDP funds remain?                                                        (Y/N)
If balance, amount remaining:

5b) If #5 is yes, do the local officials of the grant's cities, townships, or                  (Y/N)
   counties understand that the SCDP program will be recapturing the
   SCDP funds that remain?

If 5b is no, please inform local officials that no more SCDP funds will be used.

6a) Is there a balance of program or generated income dollars?                                 (Y/N/NA)
6b) Are there deferred and/or installment loans associated with this project?                  (Y/N/NA)

If the answer to either 6a or 6b is yes, provide contact information for the person responsible for
submission of post closeout program income reports:

Name/Title:
Organization:
Phone Number:

e-mail address

								
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