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2018 NEBRASKA AFFORDABLE HOUSING TRUST FUND CHAPTER 5: NON-PROFIT OPERATING ASSISTANCE (TA) Application Forms, Instructions, and Application Guidelines Program Year (July 1, 2018 through June 30, 2019) Nebraska Department of Economic Development Nebraska Affordable Housing Trust Fund Program

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Page 1: Chapter 5 - Non Profit Operating Application Web viewBank Line of Credit/Bank Letter of Credit/Other Resources. ... Microsoft Word, ... (System for Awards Management documentation

2018NEBRASKA AFFORDABLE HOUSING TRUST FUND

CHAPTER 5:NON-PROFIT OPERATING ASSISTANCE (TA)

Application Forms, Instructions, and Application Guidelines

Program Year (July 1, 2018 through June 30, 2019)

Nebraska Department of Economic Development

Nebraska Affordable Housing Trust Fund Program

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Forms and Instructions

These Application Guidelines are for all non-profit operating assistance activities. These Guidelines are designed for those applicants applying in the Annual Cycle.

I. Eligibility

A. Eligible ApplicantsEligible applicants are:

1. Nebraska local or regional non-profit 501(c)(3) or 501(c)(4) housing or related service organizations and housing technical assistance providers.

Non-profit Operating Assistance applications will be scored in a separate pool of applications during the Annual Cycle application process. Any funds not allocated within the Annual Cycle that are designated for Non-Profit Operating Assistance projects will be reallocated within the Annual Cycle for other activities.

If your organization was awarded a non-profit operating assistance grant in 2017, you are not eligible to apply in the 2018 Non-Profit Operating Assistance Cycle.

B. Eligible ActivitiesWithin the Annual Cycle, the Department may award NAHTF funds for eligible operating expenses (not project related):

1. Assist the organization in maintaining the current level of production and/or development of affordable housing;

2. Assist the organization in increasing their capacity, including hiring new staff; and3. Assist the organization in expanding their services or coverage area.

C. Ineligible ActivitiesProject-specific expenses are not eligible. These expenses include costs directly related to implementing a NAHTF funded affordable housing project or program such as staff salaries to accept and review applications for a homebuyer assistance program. On-going rental project operating expenses are also not eligible for these funds.

D. Grant AmountsThe maximum grant amount per project type is as follows: A maximum of $20,000 per year for two years ($40,000 total) to support operational expenses, increase capacity, or expand services. All funds will be NAHTF funds. These amounts are to be used as a guideline. Amount of award will be determined on a case-by-case basis with consideration given to the number of applications and scoring and ranking criteria.

Each eligible applicant may only have one non-profit operating assistance grant (including previous projects defined as operating, technical assistance, capacity building, etc.) active at any single time. Any eligible applicant with a current non-profit operating assistance grant from 2016 or earlier, that wishes to apply during the 2018 Annual Cycle must have their current operating grant 50 percent expended and must be in the final period of their Contract with no additional renewal provisions. If a new non-profit operating assistance grant is awarded during the Annual Cycle, the start date of the new Contract would not begin until the day after the end of the current Contract end date (at the earliest). If your organization was awarded a non-profit operating assistance grant in 2017, you are not eligible to apply in the 2018 Non-Profit Operating Assistance Cycle.

2018 NAHTF Annual Application Cycle Application GuidelinesChapter 5 Non-Profit Operating Assistance Chapter 5-2 March 9, 2018

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2018 NAHTF Annual Application Cycle Application GuidelinesChapter 5 Non-Profit Operating Assistance Chapter 5-3 March 9, 2018

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II. Essential Documentation & Submittal Instructions

This section contains all forms and exhibits to be submitted so that your application can be scored and ranked effectively. Application narratives should be thorough and concise. The Department reserves the right to verify all information and to consult with other agencies on the proposed project.

Generally, there are more applicants requesting funds than there are funds available. Applicants must carefully read and review the 2018 Housing and Community Development Annual Action Plan, 2018 NAHTF Qualified Allocation Plan, and the NAHTF 2018 Application Guidelines Chapters to develop a competitive application.

A. Required Documentation The following checklist is to help ensure you have included all required information.

Part I Yes NoIs the applicant identification section complete?Is the program activity indicated?Is the application preparer’s section complete?Is the appropriate district indicated?Is the appropriate service area indicated? Is the area being served in an enterprise zone?Is the certified official section complete?Is the original copy appropriately bound and submitted?Is the digital copy uploaded in separate files; file names matching outline?Part IIIs the Funding Summary complete, clear, and correct?Part III Is the Part III Budget complete, clear, and correct?Table of ContentsIs an updated Table of Contents with page numbers and titles of sections included?One Page SummaryIs the One Page Summary included?Part IV Is the application complete?Is each application question answered?Is each appropriate exhibit included to support the application answers and labeled correctly?Is each exhibit and supporting documentation cited with page numbers?

Appendix D Required Exhibits for Non-Profit OrganizationExhibit Name

Description Yes No

Exhibit A Notice of Public Hearing/Meeting (Must include comments)Exhibit C-2 Citizen Participation Plan (OPTIONAL)Exhibit L FFATA Reporting Form/CertificationExhibit N SAM (System for Award Management Documentation)Exhibit Q-1 Non-Profit Organization Application Certification FormExhibit R Authorizing Resolution (Non-Profit)Exhibit S Determination of Level of Review FormExhibit T Proof of Non-Profit Status & Certificate of Good Standing

2018 NAHTF Annual Application Cycle Application GuidelinesChapter 5 Non-Profit Operating Assistance Chapter 5-4 March 9, 2018

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Appendix E Additional Exhibits for Non-Profit OrganizationsIf applicable to Part IV, please include the following exhibits:Exhibit Name

Description Yes No

Exhibit 101 Open grants information spreadsheet (Form on website)Exhibit 104 Match DocumentationExhibit 105 Leveraged FundsExhibit 106 In-Kind FundsExhibit 107 Bank Line of Credit/Bank Letter of Credit/Other ResourcesExhibit 108 Copy of the Transition (Succession) Plan including Board ApprovalExhibit 116 Copy of the Detailed Operating Budget for the Organization for the current

Operating YearExhibit 117 Most Recent prepared Fiscal Year End Financial Report (including: sources and uses

and cash flow)

Appendix F Applicant Specific Attachments (Optional) Name each Applicant Specific Attachment (not listed elsewhere) as: “Attachment [appropriately detailed title]” Attachment Name Description Yes No

The following criteria will be verified by DED:Yes No

1. NAHTF applicant’s eligibility on sam.gov.2. Applicant is eligible (non-profit: proof of non-profit status and Cert. of Good Standing).3. Activities are eligible and comply with Nat. Obj. and/or NAHTF regulations.4. Applicant has addressed compliance problems.5. Applicant is current with all reporting requirements.

2018 NAHTF Annual Application Cycle Application GuidelinesChapter 5 Non-Profit Operating Assistance Chapter 5-5 March 9, 2018

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B. Application Submittal Instructions

*Altering the Application questions in any way will automatically disqualify the application and result in the Applicant not being funded.

*Applicants must score a minimum of 200 total points on the application in order to be considered for an award recommendation. Failure of the Application to meet all of the threshold requirements (Threshold Questions) will result in the Application not being funded during the 2018 NAHTF Cycle.

*In submitting your application, these instructions must be followed: Submit the original signed hardcopy application and upload scanned copy of the original; Number all pages, exhibits inclusive, sequentially in the bottom right-hand corner, include the exhibit number above the page number; handwritten numbers are acceptable;

Upload scanned copy as separate files (PDF, Microsoft Word, or Excel only); each file should be named according to the following outline. (DED suggests printing and numbering the entire original hardcopy first, then scanning each portion into its own file and then uploading. This will ensure the page numbers of the digital copy match those of the original.) Be sure to print and keep a copy of the original, including necessary signatures for the Applicant file. See Examples on following pages.

Include page and section numbers for the exhibits for each question Two-Hole punch the original application in the center top; and Include a Table of Contents for each, the original hard copy and the scanned copy.

*Below is an outline of what your Non-Profit Operating Assistance Application should look like: Part I. General Information (use required form) Part II. Funding Summary (use required form) Part III. Project Budget and Financing (follow instructions) Table of Contents (include page numbers and title of sections) One Page Summary (follow instructions) Part IV Application Questions (Include form & narrative, and page & section numbers) Required Exhibits (Appendix D, forms and instructions included in Chapter 8)

A Notice of Public Hearing (Must include comments)C-2 Citizen Participation Plan (OPTIONAL L FATA Reporting Form/Certification N SAM (System for Awards Management documentation Q-1 Non-Profit Organization Application Certification FormR Authorizing Resolution (Non-Profit)S Determination of Level of Review FormT Proof of Non-Profit Status & Certificate of Good Standing

Additional Exhibits (Appendix E, if applicable)101 Open grants information spreadsheet 104 Match Documentation105 Leveraged Funds106 In-Kind Funds107 Bank Line of Credit/Bank Letter of Credit/Other Resources108 Copy of the Transition (Succession) Plan including Board Approval116 Copy of the Detailed Operating Budget for the Organization for the current Operating Year117 Most Recent prepared Fiscal Year End Financial Report (including: sources and uses and cash flow)

Applicant Specific Attachments (Appendix F, if applicable)

2018 NAHTF Annual Application Cycle Application GuidelinesChapter 5 Non-Profit Operating Assistance Chapter 5-6 March 9, 2018

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Layout of Submitted Application

Upon review of the upload system, DED is asking that Applicants include the last five digits of the assigned Pre-Application # to beginning of each file name, followed by the file description label as noted within each chapter. Please DO NOT include the Applicant Name or Grant Type in the file name.

Example: If the assigned Pre-application # is: 18-TFTA-31019, then label uploaded files as shown.

31019 Part I General Information 31019 Part II Funding Summary 31019 Part III Project Budget and Financing 31019 Table of Contents 31019 One Page Summary 31019 Part IV Application Questions 31019 Appendix D Required Exhibit A 31019 Appendix D Required Exhibit C-2 31019 Appendix D Required Exhibit L 31019 Appendix D Required Exhibit N 31019 Appendix D Required Exhibit Q-1 31019 Appendix D Required Exhibit R 31019 Appendix D Required Exhibit S 31019 Appendix D Required Exhibit T 31019 Appendix E Additional Exhibit 101 31019 Appendix E Additional Exhibit 104 31019 Appendix E Additional Exhibit 105 31019 Appendix E Additional Exhibit 106 31019 Appendix E Additional Exhibit 107 31019 Appendix E Additional Exhibit 108 31019 Appendix E Additional Exhibit 116 31019 Appendix E Additional Exhibit 117 31019 Appendix F Attachment [specific name]

2018 NAHTF Annual Application Cycle Application GuidelinesChapter 5 Non-Profit Operating Assistance Chapter 5-7 March 9, 2018

Some forms may not be applicable depending upon the application

activity, content and organizational type.

Page numbers should reflect the page numbers on the original hard copy

submitted Application and correspond to the Table of Contents. Number every single page, include exhibit letter or

number (handwritten page numbers are appropriate).

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C. Application Forms and Instructions

Part I. General Information InstructionsType all information except where signatures are required.

Pre-application Number: Enter the Pre-application number assigned by the Department.

Box 1: Provide the requested information. Check the appropriate applicant type box under which funds are being requested.

Box 2: Provide the requested information. Check the appropriate application preparer box.

Box 3: Check the appropriate box(es) for the type of activity(ies) for which the Applicant is applying, including proposed activities to be funded with both NAHTF funds and Other funds

Box 4: Select the primary Congressional District (check only one box) where the project will primarily be located in for purposes of determining proper Congressional District allocation. Each applicant must designate a single Congressional District (and a single sub-district if applicable), but each applicant will not be restricted to only working within a single Congressional District or Sub-District. Statewide or regional programs also select which Congressional District their project will primarily be located in, but each applicant will not be restricted to only working within a single Congressional District or Sub-District.

Box 5: Indicate the service area where the program will take place. Enter the municipalities (i.e. Village or City) that will be served by the project and the counties where those municipalities will be located. Also, enter the appropriate Congressional and Legislative District(s) information. Please indicate if project is in an Enterprise Zone.

Box 6: Type the name and title of the Certifying Official and date. Sign in blue ink. The Certifying Official for a unit of general local government is the chief elected official. The Certifying Official for a non-profit or public housing authority applicant is the official authorized by the governing body to sign applications for state and federal funding. If the Certifying Official for a non-profit or public housing authority is not the Board President or Board Chair, attach the authorizing documentation of the governing body that allows the designated certifying official to sign the application.

Box 7: SUBMIT THE FULL APPLICATION – Original Hard-copy and Scanned Copy

SUBMIT ORIGINAL HARDCOPY BY MAIL OR IN PERSON TO:Nebraska Department of Economic DevelopmentHousing Application CoordinatorHousing and Community Development301 Centennial Mall South- PO Box 94666Lincoln, NE 68509-4666

ALSO UPLOAD A SCANNED COPY TO: https://negov.sharefile.com/r-r3b6eb5fa1e447828

2018 NAHTF Annual Application Cycle Application GuidelinesChapter 5 Non-Profit Operating Assistance Chapter 5-8 March 9, 2018

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Part II. Funding Summary Instructions

Enter dollar amounts into the appropriate boxes in the funding summary table. The Part II Funding Summary should correlate with Part III Project Budget & Financing. Include requested NAHTF Funds, Matching Funds, Leveraged Funds, and In-Kind Funds to be included in the Award Contract. Please describe the source of all Matching Funds, Leveraged Funds, and In-Kind Funds, including funds provided by the homebuyer, lenders, builders, etc. Note: Nebraska Affordable Housing Program Funds cannot be used as match with any other form of Nebraska Affordable Housing Program Funds, including Program Income; also Matching Funds and In-Kind Funds cannot include mortgages.

If you have any questions about Activity Codes direct them to DED. Support activities are activities that are only allowed to be funded with NAHTF in conjunction with primary activities. Such activities include, but are not limited to: infrastructure costs, relocation, demolition, and homeowner rehabilitation.

The Department reserves the right to non-select an application at any point during the review process if the applicant does not have the full funding commitment of all other key investors prior to application due date.

Part III. Project Budget and Financing Instructions

Provide a detailed two-year housing development and operating budget for the organization, including program costs, staff salaries and benefits, office equipment, office rent, training, etc.

The more details that can be provided about the actual project, the methods used to achieve the project, and information about the persons responsible for project implementation and development will benefit the applicant in the DED application review process.

2018 NAHTF Annual Application Cycle Application GuidelinesChapter 5 Non-Profit Operating Assistance Chapter 5-9 March 9, 2018

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Table of Contents Instructions

Include a Table of Contents in both the original hardcopy application and in the scanned digital copy. Number every single page, include exhibit information above page number (handwritten page numbers are appropriate). Page numbers for the scanned digital copy should reflect the page numbers on the original hardcopy submitted Application and correspond to the Table of Contents.

DED suggests printing and numbering the entire original hardcopy first, then scanning each portion into its own file for upload to the DED link. This will ensure the page numbers of the digital copy match those of the original. Be sure to print and keep a copy of the original, including necessary signatures for the Applicant file.

Below is a sample Table of Contents. Some forms listed below may not be applicable depending upon the application activity, content and organizational type.

Part I. General Information Part II. Funding Summary

Part III. Project Budget and Financing Table of Contents

One Page Summary Part IV Application Questions

Required Exhibits (Appendix D, forms and instructions included in Chapter 10)A Notice of Public Hearing (Must include comments)C-2 Citizen Participation Plan (OPTIONAL)L FFATA Reporting Form/Certification N SAM (System for Award Management documentation) Q-1 Non-Profit Organization Application Certification FormR Authorizing Resolution (Non-Profit)S Determination of Level of Review FormT Proof of Non-Profit Status & Certificate of Good Standing

Additional Exhibits (Appendix E, if applicable)101 Open grants information spreadsheet 104 Match Documentation105 Leveraged Funds106 In-Kind Funds107 Bank Line of Credit/Bank Letter of Credit/Other Resources108 Copy of the Transition (Succession) Plan including Board Approval116 Copy of the Detailed Operating Budget for the Organization for the current Operating Year117 Most Recent prepared Fiscal Year End Financial Report (including: sources and uses and cash flow)

Applicant Specific Attachments (Appendix F, if applicable)

One Page Summary Instructions

Include a one-page summary of the proposed non-profit operating request. The one-page summary should describe the purpose of the Non-Profit Operating Assistance and the region of your organization.

2018 NAHTF Annual Application Cycle Application GuidelinesChapter 5 Non-Profit Operating Assistance Chapter 5-10 March 9, 2018

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NON-PROFIT OPERATING ASSISTANCE (TA) PROGRAMPart IV: Application Questions

Answer the Part IV Application Questions by explaining your answer in the space provided below the question.

For sections that ask for more information in the form of an exhibit, please include the exhibit in the application. For sections that require further documentation beyond requested exhibits, please include the documentation as an Applicant Specific Attachment, labeling it appropriately.

Selection Criteria MatrixThe following Selection Criteria Matrix is provided in order to provide information for each application.

Failure of the Application to meet all of the threshold requirements (Threshold Questions) will result in the Application not being funded during the 2018 NAHTF Cycle. In addition, failure of the Applicant to score 200 total points on the application will result in the Application not being funded during the 2018 NAHTF Cycles.

If your organization was awarded a non-profit operating assistance grant in 2017, you are not eligible to apply in the 2018 Non-Profit Operating Assistance Cycle.

SELECTION CRITERIA MATRIX FOR NON-PROFIT OPERATING ASSISTANCECriteria Points

PossiblePoints

AwardedNeed/Impact/Sustainability 150Collaboration 100Readiness/Capacity 100Financial Management 150Total Possible Points 500

2018 NAHTF Annual Application Cycle Application GuidelinesChapter 5 Non-Profit Operating Assistance Chapter 5-11 March 9, 2018

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2018 APPLICATION FOR THE DED USE ONLY

NEBRASKA AFFORDABLE HOUSING TRUST FUNDNebraska Department of Economic Development (DED) Date Stamp Below Application Number

PART I. GENERAL INFORMATION18-

Pre-application Number: 18-TFTA-      

TYPE OR PRINT ALL INFORMATION

1. APPLICANT IDENTIFICATION 2. APPLICATION PREPARER INFORMATION

Name:       Name:      

Contact person:       Contact person:      

Address:       Address:      

City/State/Zip:       City/State/Zip:      

Phone:       Phone:      

Fax:       Fax:      

Email:       Email:      Tax ID:       Application Preparer (check one)

Duns #:       Local Staff Out-of-State ConsultantIn-State Consultant Non-Profit Organization

Non-Profit 501(c)(3) Non-Profit 501(c)(4)

Economic Development District

Other      

3. ACTIVITIES (check all that apply)

Improve current services and activities

Expand service area

Build capacity to undertake new activities

Planning for a new project

Administration cost of a non-NAHP-assisted project

Technical Assistance. Please specify     

4. DISTRICT INDICATOR-(Select only ONE)

Congressional District 1 Congressional District 2 Congressional District 3

5. SERVICE AREAArea to be served [city, county(ies)]. Please list:      

Nebraska Legislative District(s)      Nebraska Congressional District(s)      

Is the project in an enterprise zone? Yes No

6. CERTIFYING OFFICIAL:To the best of my knowledge and belief, data and information in this application is true and correct, including any commitment of local or other resources. The governing body of the applicant has duly authorized this application. This applicant will comply with all Federal and state requirements governing the use of NAHTF funds.

Signature in blue ink:

Typed Name and Title:       Date Signed:      

Address/City/State/Zip:      

7. SUBMIT THE ORIGINAL FULL APPLICATION TO: UPLOAD THE SCANNED COPY of FULL APPLICATION TO:Nebraska Department of Economic DevelopmentHousing Application CoordinatorHousing and Community Development301 Centennial Mall South - PO Box 94666Lincoln, NE 68509-4666

https://negov.sharefile.com/r-r3b6eb5fa1e447828

Individuals, who are hearing and/or speech impaired and have a TTY, may contact the Department through the Statewide Relay System by calling (800) 833-7352 (TTY) or (800) 833-0920 (voice). The relay operator should be asked to call DED at (800) 426-6505 or (402) 471-3111.

2018 NAHTF Annual Application Cycle Application GuidelinesChapter 5 Non-Profit Operating Assistance Chapter 5-12 March 9, 2018

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NON-PROFIT OPERATING PROGRAMPART II. FUNDING SUMMARY

Project Financing Code Activity NAHTF

FundsMatching

Funds1Leveraged

Funds2In-Kind Funds3

Total Funds

Source(s) of Project Financing

0505 Organizational Operating                                    

1000 TOTAL PROGRAM COSTS                              

Clarification for the above activities should be directed to DED.

1 Matching Funds are resources used within the project and are included in the contract budget. Matching Funds are unrestricted cash contributions committed at the time of application. Matching Funds exclude NAHP Funds, including Program Income.

2 Leveraged fund are resources used to leverage the project and are not included in the contract budget.3 In-Kind funds are additional resources or activities that enhance the project and are not included in the contract budget. In-Kind funds exclude mortgages, donations, and fees from the low-income beneficiary.

2018 NAHTF Annual Application Cycle Application GuidelinesChapter 5 Non-Profit Operating Assistance Chapter 5-13 March 9, 2018

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NON-PROFIT OPERATING ASSISTANCEPart IV: Application Questions

Threshold Questions

1. Did the Applicant submit a complete Pre-Application to DED by the required due date (including: Pre-Application Part 1 and the One-Page Summary)?

Yes No

2. Is the Applicant an eligible applicant as defined on Page 5-1 which includes: Nebraska local or regional non-profit 501(c)(3) or 501(c)(4) housing or related service organizations?

Yes No

3. Applicant has achieved the required percentages, by the application due date, of State HOME and NAHTF funds drawn down for prior NAHTF-funded housing projects applied for during the 2018 Application Cycle.

Open NAHTF and HOME Awards: All NAHTF and HOME projects that have been open for more than 18 months (NAHTF) and 12 months (HOME) since release of funds must have drawn down 50% of the funds by the application due date.

2015 & Prior HOME Awards 100% Drawn Down2014 NAHTF Awards and prior 100% Drawn Down

(Exhibit 101)

Yes No NA

4. Applicant has provided documentation for the required 10% Match of total project costs for the application?

Yes No

5. Was the full application submitted to DED by the required due date? Yes No*Failure of the Application to meet all of the threshold requirements (Threshold Questions) will result in the Application not being funded during the 2018 NAHTF Cycle.

Full Application

6. Was the full application submitted to DED by the required due date (including: required exhibits, attachments, and page numbers and sections indicated on each page)?

Yes No

I.

2018 NAHTF Annual Application Cycle Application GuidelinesChapter 5 Non-Profit Operating Assistance Chapter 5-14 March 9, 2018

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Need/Impact/Sustainability Page # & Section Cite Below

Describe the organization’s need for Non-Profit Operating Funds.           

Describe how the Non-Profit Operating Funds will be used within the organization.           

Describe how the Non-Profit Operating Funds will impact your organization.           

Describe the organization’s region or service area.           

Describe the overall impact your organization has on your region or service area.           

Need Possible Points – 150Collaboration Page # & Section

Cite Below Describe the relationships that the organization has that make both housing and non-housing services successful. These could include: community at-large, local government, and community leadership.

     

     

Describe the reputation of the organization and the relationship with the community (and/or service area), including those with the community at-large, local government, and community leadership.

     

     

Describe how the community supports the organization overall. Examples: volunteers, activities, board membership, financial contributions, etc.

     

     

Collaboration Possible Points – 100 Readiness/Capacity Page # & Section

Cite Below Board Stability – Describe the stability/continuity of the organization’s board members over the last 3 years; and, the board’s professional skills directly relevant to housing development.

     

     

Strategic Plan – Has the organization produced a strategic plan that specifies an action plan for housing development? Please describe and provide the current status of the action plan for housing development for your organization, including an update to the information found within your strategic plan.

     

     

Decision-making – Describe how the board and/or Executive Leadership has demonstrated the ability to make timely decisions.

     

     

Describe the key roles and responsibilities of the organization’s staff.           

Describe anticipated staff changes, including but not limited to: promotions, new hires, programs, full-time to part-time and vice-versa, and retirements.

     

2018 NAHTF Annual Application Cycle Application GuidelinesChapter 5 Non-Profit Operating Assistance Chapter 5-15 March 9, 2018

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Copy of the transition (succession) plan including Board approval.           

# of DED housing projects involved with over the last 3 years and the number of units and households assisted through these.

     

     

# of non-DED housing projects involved with over the last 3 years and the number of units and households assisted through these.

     

     

Describe all other projects and/or services involved with over the last 3 years; include the number of units, households, and participants or individuals assisted through these (or other relevant data).

     

     

Describe the staff training plan of the organization.           

Exhibit 108 Copy of the Transition (Succession) Plan including Board Approval Readiness/Capacity Possible Points – 100

Financial Management Page # & Section Cite Below

Describe how the organization is funded and meets operational and programmatic expenses, including other resources available to the organization, i.e. bank line or letter of credit, or other sources.

     

     

Provide a summary of the most recent audit for the organization, including any management plan and response to the management plan. If your organization has not met the regulatory requirement for an audit, please provide the organization’s most recent alternative comprehensive financial report.

     

     

Describe actual financial commitments of leveraged and/or in-kind funds relative to this Non-Profit Operating request.

     

     

Describe how the organization will meet the needs of the communities and regions served without DED assistance after two years.

     

     

MATCH: All Nebraska Affordable Trust Fund activities require a 10% match of the total award. Match is governed by Chapter 58 Section 707 of the Nebraska Revised Statute.

Matching funds are resources used within the project and are included in the contract budget. Matching funds are unrestricted cash contributions committed at the time of application. Unrestricted cash contributions are cash available at time of contract to be used on the project and shown in the Sources and Uses of Funds in the contract. (Must be documented on the Part II in the Matching Funds column).

     

     

Exhibit 104 Match DocumentationExhibit 105 Leveraged Funds

2018 NAHTF Annual Application Cycle Application GuidelinesChapter 5 Non-Profit Operating Assistance Chapter 5-16 March 9, 2018

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Exhibit 106 In-Kind FundsExhibit 107 Bank Line of Credit/Bank Letter of Credit/Other ResourcesExhibit 116 Copy of Detailed Operating Budget for the Organization for the current Operating YearExhibit 117 Most recent prepared Fiscal Year End Financial Report (including sources and uses and cash flow)

Financial Management Possible Points – 150TOTAL POSSIBLE POINTS – 500 pts

2018 NAHTF Annual Application Cycle Application GuidelinesChapter 5 Non-Profit Operating Assistance Chapter 5-17 March 9, 2018

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APPENDIX D – REQUIRED EXHIBITS (FOUND IN CHAPTER 8)

The following EXHIBITS must be submitted with the application.

Non-profit organization applicants:EXHIBIT A Notice of Required Public Hearing or Public Meeting Notice (Application Guidelines Exhibit

A form language must be used for the official public hearings and must be submitted with either Proof of Publication or Certificate of Posting, and a summary of citizens’ comments).

EXHIBIT C-2 Citizen Participation Plan (OPTIONAL EXHIBIT L FFATA Reporting Form/Certification (required form)EXHIBIT N SAM (System for Award Management documentation) EXHIBIT Q-1 Non-Profit Application Certification Form (required form)EXHIBIT R Authorizing Resolution for Non-profit organization Applicants (sample format provided)EXHIBIT S Determination of Level of Environmental Review (required form)EXHIBIT T Proof of Non-Profit Status and Certificate of Good Standing

APPENDIX E – ADDITIONAL EXHIBITS

If applicable, please include the following exhibits noted below. Clearly identify each exhibit number in bottom right of each page of the exhibit.

Exhibit 101: Open grants information spreadsheet at: http://opportunity.nebraska.gov/community/community-info/documentslibrary-a-forms/trust-fund

Exhibit 104: Match Documentation

Exhibit 105: Leveraged Funds

Exhibit 106: In-Kind Funds

Exhibit 107: Bank Line of Credit/Bank Letter of Credit/Other Resources

Exhibit 108: Copy of the Transition (Succession) Plan including Board Approval

Exhibit 116: Copy of Detailed Operating Budget for the Organization for the current Operating Year

Exhibit 117: Most recent prepared Fiscal Year End Financial Report (including sources and uses and cash flow)

APPENDIX F – APPLICANT SPECIFIC ATTACHMENTS

If applicable, please include any attachments not previously included. Clearly identify each attachment name in bottom right of each page. On the scanned copy, please label each attachment name to correspond with the original submitted copy. Please include as many additional attachments as is necessary to support the Part IV application answers.

Attachment [Specific Name]

Attachment [Specific Name]

Attachment [Specific Name]

Attachment [Specific Name]

Attachment [Specific Name]

2018 NAHTF Annual Application Cycle Application GuidelinesChapter 5 Non-Profit Operating Assistance Chapter 5-18 March 9, 2018