2016-11-01T12:47:55-05:00 2015-12-31 521480805 CHACONAS & WILSON PC 2100 PENNSYLVANIA AVENUE NW SUITE 580 WASHINGTON DC 20037 990 2015-01-01 521290127 CAPITAL IMPACT PARTNERS CAPI 7036472360 2011 CRYSTAL DRIVE NO 750 ARLINGTON VA 22202 NATALIE GUNN CHIEF FINANCIAL OFFICER 7036472306 2016-11-01 1 JOSEPH WILSON JR P00049429 2024298890 2015 2017-02-10 21:41:12Z NATALIE GUNN 2011 CRYSTAL DRIVE SUITE 750 ARLINGTON VA 22202 21426105 0 X WWW.CAPITALIMPACT.ORG X 1982 DC SEE SCHEDULE 'O', PAGE 38. 11 11 92 0 0 0 17783870 3693789 16473217 17216179 299225 172179 140234 343958 34696546 21426105 1457795 3472315 0 0 12609129 13625059 0 0 275442 12829468 13153446 26896392 30250820 7800154 -8824715 243113575 251385700 106329174 124340707 136784401 127044993 X TO PROVIDE FINANCIAL SERVICES AND TECHNICAL SUPPORT TO COOPERATIVES AND OTHER COOPERATIVE-LIKE ORGANIZATIONS TARGETED TOWARD NEWER, LESS ESTABLISHED ORGANIZATIONS AND UNDERSERVED COMMUNITIES WHOSE RESIDENTS ARE DISADVANTAGED,LOW INCOME (CONTINUED ON SCHEUDLE O PAGE 44) AND/OR ELDERLY PERSONS WITH SPECIAL NEEDS. 0 0 11865881 602550 2670570 GENERAL LOAN PROGRAM:CAPITAL IMPACT PARTNERS (CIP) PROVIDES BELOW-MARKET LOANS AND FINANCIAL SERVICES TO COMMUNITY BASED ORGANIZATIONS FOCUSED ON PROVIDING GOODS AND SERVICES TO LOW INCOME AND ECONOMICALLY DISADVANTAGED POPULATIONS. 6334304 1554185 4437395 AFFORDABLE HOUSING/ASSISTED LIVING/NURSING HOME CARE:COMMUNITY SOLUTIONS GROUP (CSG),A SUBSIDIARY OF CIP, BRIDGES THE GAP BETWEEN POLICY AND DEVELOPMENT TO IMPROVE THE LIVES OF LOW-INCOME INDIVIDUALS AND THE FRAIL ELDERLY. CSG OPERATES IN TWO MAIN FIELDS: AFFORDABLE HOUSING AND AGING.CIP'S EFFORTS IN AFFORDABLE HOMEOWNERSHIP ARE TO BUILD CAPACITY AND SCALE FOR LONG-TERM AFFORDABLE HOUSING. THESE TYPES OF PROGRAMS ARE SHARED EQUITY MECHANISMS THAT OFFER HOMEOWNERS RELIABLE ASSET BUILDING OPPORTUNITIES WHILE ALSO PRESERVING PUBLIC INVESTMENT.IN THE LONG-TERM CARE FIELD, CSG RUNS THE GREEN HOUSE PROJECT AND THE CENTER FOR LONG-TERM SUPPORT INNOVATION (CLTSI).THE GREEN HOUSE PROJECT IS A NATIONAL INITIATIVE TO CREATE HUMANE, NON-INSTITUTIONAL NURSING HOMES PREDOMINANTLY SERVING ANYONE WHO NEEDS SKILLED NURSING CARE BY COMBINING A SMALL HOUSE MODEL WITH SELF-MANAGED TEAMS OF DIRECT CARE WORKERS.CLTSI CREATES POLICY INNOVATIONS AND DEVELOPMENT TOOLS FOR THE LONG-TERM CARE FIELD, ESPECIALLY IN THE HOUSING-WITH-SERVICES MARKET.THE GREEN HOUSE PROJECT HAS CREATED 188 ALTERNATIVE "SMALL HOUSE" NURSING HOME PROJECTS BETWEEN 2003 AND 2015, SERVING OVER 1,800 ELDERS.EFFECTIVE DECEMBER 31, 2015, CIP SPUN OFF THE GREEN HOUSE PROJECT AND CORNERSTONE PARTNERSHIP, TWO OF ITS TECHNICAL ASSISTANCE ENTITIES UNDER ITS COMMUNITY SOLUTIONS GROUP, LLC (CSG) SUBSIDIARY. THE SPIN OFFS WERE FORMALIZED BY A CONTRIBUTION AGREEMENT BETWEEN CIP AND THE ORGANIZATIONS TO WHICH THE ASSETS AND LIABILITIES OF THESE ENTITIES WERE CONTRIBUTED (THE "BENEFICIARIES"). CIP ALSO CONTRIBUTED $650,000 IN CASH TO THE BENEFICIARY OF THE GREEN HOUSE PROJECT. AS OF DECEMBER 31, 2015, CIP NO LONGER HAS ANY INTEREST IN EITHER OF THESE ENTITIES, EXCEPT THAT IT HOLDS ONE SEAT ON THE BOARD OF DIRECTORS FOR THE BENEFICIARY OF THE CORNERSTONE PARTNERSHIP. COMMUNITY SOLUTIONS GROUP, LLC (CSG) IS STILL A SUBSIDIARY OF CIP AS OF DECEMBER 31, 2015. 249386 4688238 EDUCATION:CIP HAS BEEN A CHARTER SCHOOL LENDER FOR 19 YEARS AND HAS BECOME A VALUABLE FINANCING SOURCE FOR OUR NATION'S CHARTER SCHOOLS. TO ENSURE THAT LOW COST CAPITAL IS AVAILABLE NATIONWIDE, CIP OFFERS CONSTRUCTION AND RENOVATION AND, REAL ESTATE ACQUISITION AND TERM LOANS, EQUIPMENT LOANS, AND REVOLVING LINES OF CREDIT. CIP CONNECTS ITS BORROWERS TO INSTITUTIONAL INVESTORS TO IMPROVE THE AMOUNT AND TYPE OF FINANCING AVAILABLE. IN 2015, DISBURSEMENTS TOTALED $20.3 MILLION TO 6 CHARTER SCHOOLS THAT SERVE NEARLY 4,500 STUDENTS, 64% OF WHOM QUALIFY FOR FREE OR REDUCED PRICE LUNCHES. CIP DEVELOPED OR RENOVATED MORE THAN 185,000 SQUARE FEET OF EDUCATIONAL SPACE. 1801386 1315580 624528 HEALTHY FOOD: CIP PROVIDES LOANS TO COMMUNITY BASED ORGANIZATIONS THAT WILL FINANCE GROCERY STORES AND OTHER RETAIL OUTLETS TO IMPROVE THE ACCESS TO FRESH, HEALTH FOODS IN FOOD DESERTS AND OTHER UNDERSERVED AREAS.CIP PROVIDED FINANCING TO 13 HEALTHY FOOD PROJECTS IN 2015 TOTALING $20.3MM. THE PROJECTS ARE EXPECTED TO CREATE 283 JOBS AND WILL PROVIDE FRESH, HEALTHY FOOD ACCESS TO 61,000 LOW-AND MODERATE-INCOME PEOPLE. THE FINANCING IS FOCUSED TO DEVELOP AND EXPAND GROCERY STORES AND OTHER FORMS OF HEALTHY FOOD RETAILERS IN UNDERSERVED COMMUNITIES. 405459 4795448 NEW MARKET TAX CREDITS:CIP HAS RECEIVED SEVEN ALLOCATIONS OF NEW MARKETS TAX CREDITS (NMTC) TOTALING $492 MILLION TO PROVIDE HEALTH CARE PROVIDERS, HEALTHY FOOD GROCERY STORES, CHARTER SCHOOLS, AND OTHER OMMUNITY ORGANIZATIONS AFFORDABLE FINANCING NATIONWIDE. NMTC ALLOWS CIP TO OFFER BORROWERS MORE FLEXIBLE TERMS SUCH AS LONGER AMORTIZATION PERIODS, INTEREST-ONLY PAYMENTS FOR AS LONG AS SEVEN YEARS, HIGHER LOAN-TO-VALUE RATIOS AND POTENTIAL EQUITY BENEFIT AT THE END OF THE LOAN TERM. 2206845 1315580 5419976 20656416 1 1 0 1 0 0 0 0 0 1 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 133 0 1 92 1 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 CA DE X NATALIE GUNN 7036472360 2011 CRYSTAL DRIVE SUITE 750 ARLINGTON VA 22202 THOMAS BLEDSOE DIRECTOR 0.65 X 0 0 0 JANE GARCIA FORMER DIRECTOR 0.65 X 1000 0 0 JANIS HERSCHKOWITZ DIRECTOR 0.65 X 2000 0 0 ROSEMARY K MAHONEY DIRECTOR 0.65 X 4000 0 0 STEPHANIE MCHENRY DIRECTOR 0.65 X 1000 0 0 LRAY MONCRIEF DIRECTOR 0.65 X 2000 0 0 CHARLES E SNYDER DIRECTOR 0.65 X 2000 0 0 ELI KENNEDY DIRECTOR 0.65 X 3000 0 0 JUDY ZIEWACZ DIRECTOR 0.65 X 2000 0 0 THOMAS WALSH DIRECTOR 0.65 X 4000 0 0 DAN VARNER DIRECTOR 0.65 X 3000 0 0 MARY ANN ROTHMAN DIRECTOR 0.65 X 1000 0 0 DANA PANCRAZI DIRECTOR 0.65 X 0 0 0 TERRY SIMONETTE PRESIDENT & CEO 40.00 X 659638 0 47336 ELLIS CARR CHIEF FINANCIAL OFFICER 40.00 X 352836 0 30775 CAROLYN K BAUER CHIEF RISK OFFICER 40.00 X 284791 0 28090 SCOTT SPORTE CHIEF LENDING OFFICER 40.00 X 325543 0 43031 FRANKLIN D FASANO JR CHIEF INFORMATION OFFICER 40.00 X 256619 0 44914 AMY SUE LEAVENS GENERAL COUNSEL 40.00 X 279738 0 25824 NATALIE GUNN CONTROLLER 40.00 X 208324 0 14516 VIRGINIA ARNAUD-LEPAPE DEPT. DIRECTOR 40.00 X 199549 0 20729 LISA GRAMMER FINANCE DIRECTOR 40.00 X 183261 0 19175 ATEPTAYA RAKPRAJA DEPT. DIRECTOR 40.00 X 183245 0 23151 SCOTT BROWN DEPT. DIRECTOR 40.00 X 180018 0 33868 3138562 0 331409 46 0 1 0 COHNREZNICK LLP 500 EAST PRATT STREET BALTIMORE MD 21202 CONSULTING 757705 NATIONAL CLT NETWORK PO BIX 42255 PORTLAND OR 97242 CONTRACTUAL SERVICES 497325 EMERGING MARKETS INC 1024 ORANGE DRIVE SUITE 120 LOS ANGELES CA 90038 CONSULTING 303600 MARK HILTZ 16087 HAMILTON STATION ROAD WATERFORD VA 20197 CONSULTING 303491 NIXON PEABODY LLP 401 9TH STREET NW SUITE 900 WASHINGTON DC 200042128 LEGAL SERVICES 248249 14 3693789 3693789 INTEREST EARNED ON LOANS 900099 10451958 10451958 LOAN MANAGEMENT FEES 900099 5393461 5393461 CONTRACT REVENUE 900099 1356639 1356639 14121 14121 17216179 172179 172179 OTHER INCOME 900099 343958 343958 343958 21426105 17216179 0 516137 X 3472315 3472315 2404134 1456912 875849 71373 8873375 4804862 4052683 15830 798783 437614 359162 2007 827349 456953 365513 4883 721418 400874 315273 5271 794220 522673 257970 13577 530108 113602 395681 20825 277331 59432 207004 10895 3354238 2636764 681600 35874 613475 257772 338169 17534 321663 182746 131972 6945 1019179 572755 424103 22321 632201 432521 189696 9984 2634630 2634630 70695 67160 3535 162813 44262 112623 5928 CORPORATE DEVELOPMENT 1218617 776604 419912 22101 PROVISION FOR LOAN LOSS 948413 948413 TRAINING 251425 208781 40512 2132 MISCELLANEOUS 152562 64055 84080 4427 171876 171876 30250820 20656416 9318962 275442 61462826 56839744 12296545 852811 1871372 2648726 157369683 180961121 398517 243198 190018 155319 2642143 2616342 4773205 4745460 2507783 2566177 243113575 251385700 3875607 3915471 102453567 120425236 106329174 124340707 X 83799436 100460340 51497490 25097178 1487475 1487475 136784401 127044993 243113575 251385700 X -8824715 -278878 -635815 X X 0 1 X 1 1 1 X 9108350 9433473 10457416 17783870 3693789 50476898 9108350 9433473 10457416 17783870 3693789 50476898 15570321 34906577 116789 130810 184185 409513 172179 1013476 23067 130298 64989 140234 344016 702604 52192978 82450501 0.66880 0.64320 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 29467 29467 29945911 29975378 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 49004 27835 64830 29467 171136 250000 250000 250000 250000 1000000 1500000 52984965 3693789 10987 30105088 26584653 50271946 17783870 16937 15087788 52984965 47050766 10915312 33901 7728033 50271946 43391973 8680095 684837 5706139 47050766 40717908 7608350 108639 5042924 43391973 0.94410 0.05590 0 0 71609 15713 55896 236907 148592 88315 90001 78893 11108 155319 X 21669924 -278878 536818 257940 21411984 14121 14121 21426105 31379909 1129089 1129089 30250820 0 30250820 PART V, LINE 4: TEMPORARILY RESTRICTED NET ASSETS ARE USED FOR CIP'S PROGRAMS. PERMANENTLY RESTRICTED NET ASSETS ARE USED AS A REVOLVING LOAN FUND TO FINANCE HOUSING FOR THE FRAIL AND ELDERLY. PART X, LINE 2: PART X, LINE 2: UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, CIP IS EXEMPT FROM INCOME TAXES ON INCOME OTHER THAN NET UNRELATED BUSINESS INCOME. CIP DID NOT HAVE ANY UNRELATED BUSINESS INCOME FOR THE YEAR ENDED DECEMBER 31,2015. CIP HAS ADOPTED THE AUTHORITATIVE GUIDANCE RELATING TO ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES INCLUDED IN ASC TOPIC INCOME TAXES. THESE PROVISIONS PROVIDE CONSISTENT GUIDANCE FOR THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS AND PRESCRIBE A THRESHOLD OF 'MORE LIKELY THAN NOT' FOR RECOGNITION AND DERECOGNITION OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. CIP PERFORMED AN EVALUATION OF UNCERTAIN TAX POSITIONS FOR THE YEAR ENDED DECEMBER 31, 2015, AND DETERMINED THAT THERE WERE NO MATTERS THAT WOULD REQUIRE RECOGNITION IN THE FINANCIAL STATEMENTS OR WHICH MAY HAVE ANY AFFECT ON ITS TAX EXEMPT STATUS. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN EQUITY METHOD INVESTMENTS -11,886. INCOME FROM CONSOLIDATED SUBSIDIARIES 1,158,512. NEW MARKET TAX CREDIT UNWIND 109,427. RELINQUISHMENT OF GRANT FUNDING -719,235. PART XI, LINE 4B - OTHER ADJUSTMENTS: LOSS IN EXCESS OF BOOK FOR PASS THROUGH ENTITIES - SEE STATEMENT 2 14,121. PART XII, LINE 2D - OTHER ADJUSTMENTS: EXPENSES RELATED TO CONSOLIDATED SUBSIDIARY 1,129,089. 1 MOUNTAINLANDS COMMUNITY HOUSING ASSOCIATION 1960 SIDEWINDER DR SUITE 107 PARK CITY UT 84060 870514438 501(C)(3) 129945 OPERATING SUPPORT: CORNERSTONE HOMEOWNERSHIP INNOVATION PROGRAM HOME BASE 310 CORNAL STE 100 AUSTIN TX 78702 204467651 501(C)(3) 124608 OPERATING SUPPORT: CORNERSTONE HOMEOWNERSHIP INNOVATION PROGRAM HOMESTEAD COMMUNITY LAND TRUST 2524 16TH AVENUE SOUTH 300 SEATTLE WA 98144 911565651 501(C)(3) 147170 OPERATING SUPPORT: CORNERSTONE HOMEOWNERSHIP INNOVATION PROGRAM LONG ISLAND PARTNERSHIP INC 180 OSER AVENUE HAUPPAUGE NY 11788 112889068 501(C)(3) 136897 OPERATING SUPPORT: CORNERSTONE HOMEOWNERSHIP INNOVATION PROGRAM FOOD FORWARD INC 7412 FULTON AVENUE 3 NORTH HOLLYWOOD CA 91605 900678872 501(C)(3) 12500 OPERATING SUPPORT: HEALTHY FOOD ACCESS IN LOW AND MIDDLE INCOME COMMUNITIES HELLO HOUSING 1901 ROYAL OAKS DRIVE 200 SACRAMENTO CA 95815 141870357 501(C)(3) 131145 OPERATING SUPPORT: CORNERSTONE HOMEOWNERSHIP INNOVATION PROGRAM CHAMPLAIN HOUSING TRUST 88 KING STREET BURLINGTON VT 05401 222536446 501(C)(3) 263767 OPERATING SUPPORT: CORNERSTONE HOMEOWNERSHIP INNOVATION PROGRAM CITY FIRST ENTERPRISES 14360 U STREET 4TH FLOOR WASHINGTON DC 20009 522101165 501(C)(3) 90658 OPERATING SUPPORT: CORNERSTONE HOMEOWNERSHIP INNOVATION PROGRAM OPERATING SUPPORT;HEALTHY FOOD ACCESS IN LOW AND MIDDLE INCOME COMMUNITIES THE HOUSING FUND INC 305 11TH AVENUE NASHVILLE TN 37203 621632388 501(C)(3) 34523 OPERATING SUPPORT: CORNERSTONE HOMEOWNERSHIP INNOVATION PROGRAM HOUSING LEADERSHIP COUNCIL OF PALM BEACH COUNTY INC 2101 VISTA PARKWAY SUITE 258 WEST PALM BEACH FL 33411 204416008 501(C)(3) 90522 OPERATING SUPPORT: CORNERSTONE HOME OWNERSHIP INNOVATION PROGRAM AGRICULTURE INSTITUTE OF MARIN 400 SMITH ROAD SUITE D SAN RAFEL CA 94903 861156712 501(C)(3) 50000 HEALTHY FOOD ACCESS IN LOW AND MIDDLE INCOME COMMUNITIES AGRICULTURE AND LAND BASED TRAINING ASSOCIATION PO BOX 6264 SALINAS CA 93912 770566055 501(C)(3) 50000 HEALTHY FOOD ACCESS IN LOW AND MIDDLE INCOME COMMUNITIES AMPAC TRI STATE CDC INC 22365 BARTON ROAD SUITE 210 GRAND TERRACE CA 92313 753129234 501(C)(3) 40000 TECHNICAL ASSISTANCE TO SUPPORT FOOD ENTERPRISE MICROLENDING INTERMEDIARY PROGRAM FOR HEALTH FOOD ACCESS IN LOW AND MIDDLE INCOME COMMUNITIES CALVERT SOCIAL INVESTMENT 7315 WISCONSIN AVE 3 1100W BETHESDA MD 20814 521591398 501(C)(3) 412500 OPERATING SUPPORT: CAPITAL RAISING AND FINANCIAL SOLUTIONS TO SUPPORT AN IMPACT INVESTMENT FUND TARGETING ORGANIZATIONS THAT SUPPORT VULNERABLE POPULATIONS AGE 50 AND OLDER CANGRESSDBA LOS ANGELES COMMUNITY ACTION NETWORK 838 E 6TH STREET LOS ANGELES CA 90021 020661629 501(C)(3) 50000 HEALTHY FOOD ACCESS IN LOW AND MIDDLE INCOME COMMUNITIES CENTER FOR LAND BASED LEARNING 5265 PUTAH CREEK ROAD WINTERS CA 95694 680472121 501(C)(3) 30000 HEALTHY FOOD ACCESS IN LOW AND MIDDLE INCOME COMMUNITIES CLOVIS CULINARY CENTER 1033 FIFTH STREET CLOVIS CA 93612 464683085 501(C)(3) 50000 HEALTHY FOOD ACCESS IN LOW AND MIDDLE INCOME COMMUNITIES COMMUNITY SERVICES UNLIMITED INC PO BOX 62696 LOS ANGELES CA 90062 953218396 501(C)(3) 40000 HEALTHY FOOD ACCESS IN LOW AND MIDDLE INCOME COMMUNITIES EMERGING MARKETS DEVELOPMENT CORPORATION 1024 N ORANGE DRIVE SUITE 120 LOS ANGELES CA 90038 270574694 501(C)(3) 350000 HEALTHY FOOD ACCESS IN LOW AND MIDDLE INCOME COMMUNITIES FAIR FOOD NETWORK 205 E WASHINGTON ST SUITE B ANN ARBOR MI 48014 264143394 501(C)(3) 190050 DEVELOPMENT AND MANAGEMENT OF COMMUNICATIONS AND OUTREACH FOR MICHIGAN GOOD FOOD FUND FRESH PRODUCERS 420 I STREET SUITE 5 SACRAMENTO CA 95814 208747234 501(C)(3) 50000 HEALTHY FOOD ACCESS IN LOW AND MIDDLE INCOME COMMUNITIES LEADERSHIP FOR URBAN RENEWAL NETWORK INC PO BOX 331329 LOS ANGELES CA 90033 270584116 501(C)(3) 68000 HEALTHY FOOD ACCESS IN LOW AND MIDDLE INCOME COMMUNITIES NATIONAL CLT NETWORK PO BOX 42255 PORTLAND OR 97242 205513684 501(C)(3) 405000 OPERATING SUPPORT FOR A NEW INIATIATIVE THAT BUILDS INCLUSIVE COMMUNITIES TO SUPPORT LOW INCOME FAMILIES. OPPORTUNITY FUND NORTHERN CALIFORNIA 111 W ST JOHN STREET SUITE 800 SAN JOSE CA 95113 311719434 501(C)(3) 100000 HEALTHY FOOD ACCESS IN LOW AND MIDDLE INCOME COMMUNITIES PACE FINANCE CORPORATION 1055 WILSHIRE BLVD SUITE 1475 LOS ANGELES CA 90017 271285566 501(C)(3) 50000 HEALTHY FOOD ACCESS IN LOW AND MIDDLE INCOME COMMUNITIES PHOENIX FOOD USA INC 3032 AVENLDA CHRISTINA CARLSBAD CA 92009 463278605 501(C)(3) 50000 HEALTHY FOOD ACCESS IN LOW AND MIDDLE INCOME COMMUNITIES PUBLIC HEALTH INSTITUTE 555 12TH STREET 10TH FLOOR OAKLAND CA 946074046 941646278 501(C)(3) 42200 HEALTHY FOOD ACCESS IN LOW AND MIDDLE INCOME COMMUNITIES SOIL BORN FARMS URBAN AGRICULTURE PROJECT 2140 CHASE DRIVE RANCHO CORDROVA CA 95670 200774693 501(C)(3) 50000 HEALTHY FOOD ACCESS IN LOW AND MIDDLE INCOME COMMUNITIES STRONG FOOD LA KITCHEN INC PO BOX 31345 LOS ANGELES CA 90031 461639779 501(C)(3) 50000 HEALTHY FOOD ACCESS IN LOW AND MIDDLE INCOME COMMUNITIES TIDES CENTER 1014 TORNEY AVENUE SAN FRANCISCO CA 94129 943213100 501(C)(3) 40330 HEALTHY FOOD ACCESS IN LOW AND MIDDLE INCOME COMMUNITIES VALLEY ECONOMIC DEVELOPMENT CENTER 5121 VAN NUYS BLVD VAN NUYS CA 91403 953139419 501(C)(3) 100000 HEALTHY FOOD ACCESS TO LOW AND MIDDLE INCOME COMMUNITIES VERMONT SLAUSON ECONOMIC DEVELOPMENT CORPORATION 1130 WEST STAUSON AVENUE LOS ANGELES CA 90044 953464837 501(C)(3) 20000 HEALTHY FOOD ACCESS TO LOW AND MIDDLE INCOME COMMUNITIES WEST ANGELES COMMUNITY DEVELOPMENT CORPORATION 6028 CRENSHAW BLVD LOS ANGELES CA 90043 954486925 501(C)(3) 20000 HEALTHY FOOD ACCESS TO LOW AND MIDDLE INCOME COMMUNITIES 33 1 PART I, LINE 2: GRANTEES MUST REPORT ACTUAL EXPENSES FOR EACH MONTH AND SUBMIT QUARTERLY FINANCIAL REPORTS. 1 X X X 0 0 0 0 0 0 0 0 0 TERRY SIMONETTE PRESIDENT & CEO 386069 0 273569 0 0 0 31200 0 16136 0 706974 0 0 0 ELLIS CARR CHIEF FINANCIAL OFFICER 259652 0 93184 0 0 0 30775 0 0 0 383611 0 0 0 CAROLYN K BAUER CHIEF RISK OFFICER 220471 0 64320 0 0 0 26293 0 1797 0 312881 0 0 0 SCOTT SPORTE CHIEF LENDING OFFICER 247207 0 78336 0 0 0 30050 0 12981 0 368574 0 0 0 FRANKLIN D FASANO JR CHIEF INFORMATION OFFICER 196563 0 60056 0 0 0 24574 0 20340 0 301533 0 0 0 AMY SUE LEAVENS GENERAL COUNSEL 216626 0 63112 0 0 0 25824 0 0 0 305562 0 0 0 NATALIE GUNN CONTROLLER 182886 0 25438 0 0 0 14516 0 0 0 222840 0 0 0 VIRGINIA ARNAUD-LEPAPE DEPT. DIRECTOR 178346 0 21203 0 0 0 20729 0 0 0 220278 0 0 0 LISA GRAMMER FINANCE DIRECTOR 160555 0 22706 0 0 0 19175 0 0 0 202436 0 0 0 ATEPTAYA RAKPRAJA DEPT. DIRECTOR 178110 0 5135 0 0 0 17468 0 5683 0 206396 0 0 0 SCOTT BROWN DEPT. DIRECTOR 180018 0 0 0 0 0 20734 0 13134 0 213886 0 0 0 SEE SCHEDULE O SEE SCHEDULE "O" X 2283910 16915125 0 1 1 16915125 FORM 990, PART VI, SECTION A, LINE 6 YES, CIP HAS MEMBERS. THE ARTICLES OF INCOPORATION, AS AMENDED (THE "ARTICLES"), AND THE BYLAWS, AS AMENDED (THE "BYLAWS"),OF CIP, PROVIDE THAT THE MEMBERS OF THE BOARD OF DIRECTORS OF THE NATIONAL CONSUMER COOPERATIVE BANK SHALL SERVCE, EX OFFICIO, AS THE MEMBERS OF CIP. FORM 990, PART VI, SECTION A, LINE 7A EACH OF THE MEMBERS OF CIP IS ENTITLED TO CAST ONE (1) VOTE WITH RESPECT TO ANY AMENDMENT TO CIP'S ARTICLES, AND WITH RESPECT TO ANY AMENDMENT TO, OR THE REPEAL OF, CIP'S BYLAWS. THE MEMBERS DO NOT HAVE ANY OTHER VOTING POWER AND THUS ARE NOT ENTITLED TO VOTE WITH RESPECT TO THE COMPOSITION OF THE BOARD OF DIRECTORS. THE ARTICLES AND BYLAWS PROVIDE THAT THE MEMBERS OF THE BOARD OF DIRECTORS OF CIP SHALL BE ELECTED BY THE THEN-CURRENT MEMBERS OF THE BOARD OF DIRECTORS OF CIP. FORM 990, PART VI, SECTION A, LINE 7B THE BYLAWS PROVIDE THAT ANY AMENDMENT TO THE ARTICLES AND ANY AMENDMENT TO, OR THE REPEAL OF, THE BYLAWS MUST BE APPROVED BY THE AFFIRMATIVE VOTE OF AT LEAST SIX (6) OF THE ELEVEN (11) DIRECTORS. THE ARTICLES PROVIDE THAT EACH OF THE MEMBERS OF CIP IS ENTITLED TO CAST ONE (1) VOTE WITH RESPECT TO ANY AMENDMENT TO CIP'S ARTICLES, AND WITH RESPECT TO ANY AMENDMENT TO, OR THE REPEAL OF, CIP'S BYLAWS. IN PARTICULAR, THE ARTICLES PROVIDE THAT ANY AMENDMENT OF THE ARTICLES MUST BE APPROVED BY THE AFFIRMATIVE VOTE OF AT LEAST TWO-THIRDS (2/3) OF THE VOTES ENTITLED TO BE CAST BY THE MEMBERS PRESENT AT A MEETING OF THE MEMBERSHIP; AND THAT ANY AMENDMENT OR REPEAL OF THE BYLAWS MUST BE APPROVED BY THE AFFIRMATIVE VOTE OF A MAJORITY OF THE MEMBERS PRESENT AT A MEMBERSHIP MEETING. THE PROCEDURAL METHOD AND MANNER OF GIVING NOTICE OF MEETINGS, ESTABLISHING QUORUM AND SUBMITTING MATTERS TO A VOTE ARE SPECIFIED IN THE BYLAWS. FORM 990, PART VI, SECTION B, LINE 11 THE BOARD OF DIRECTORS HAS DELEGATED THE RESPONSIBILITY FOR REVIEWING AND APPROVING THE FORM 990 TO THE FINANCE AND AUDIT COMMITTEE (THE "AUDIT COMMITTEE") OF THE BOARD OF DIRECTORS, PURSUANT TO THE COMPANY'S BOARD-LEVEL DELEGATIONS OF AUTHORITY AND THE FINANCE AND AUDIT COMMITTEE CHARTER. THE CHAIR OF THE AUDIT COMMITTEE REVIEWS THE FORM 990 WITH THE CORPORATION'S CHIEF FINANCIAL OFFICER AND CONTROLLER BEFORE IT IS SUBMITTED TO THE AUDIT COMMITTEE. THE AUDIT COMMITTEE THEN INDEPENDENTLY REVIEWS AND APPROVES THE FORM 990 PRIOR TO FILING. THE CHAIR OF THE AUDIT COMMITTEE REPORTS ON THE PROCESS AND FINDINGS OF THE AUDIT COMMITTEE AT THE NEXT REGULARLY SCHEDULED MEETING OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD OF DIRECTORS REVIEWS AND APPROVES THE CORPORATION'S CODE OF CONDUCT AND ETHICS POLICY ON AN ANNUAL BASIS; THE CODE OF CONDUCT AND ETHICS POLICY INCLUDES, AMONG OTHER THINGS, THE CORPORATION'S CONFLICT OF INTEREST POLICY. THE CODE OF CONDUCT AND ETHICS POLICY IS MADE AVAILABLE TO ALL OFFICERS AND EMPLOYEES OF THE CORPORATION AND ALL MEMBERS OF THE BOARD OF DIRECTORS, EACH OF WHOM IS REQUIRED TO CERTIFY AS TO MATTERS SET FORTH IN THE POLICY AND PROVIDE CONFLICTS OF INTEREST DISCLOSURES (IF ANY) ON AN ANNUAL BASIS. THE GENERAL COUNSEL AND THE ETHICS OFFICIAL DESIGNATED IN THE CODE OF CONDUCT AND ETHICS POLICY JOINTLY EVALUATE ALL CONFLICTS OF WHICH THEY BECOME AWARE AND SUBMIT SUCH CONFLICTS FOR RESOLUTION TO THE BOARD'S FINANCE AND AUDIT COMMITTEE. MINUTES REFLECTING ALL MEETINGS HELD AND ACTIONS TAKEN BY THE FINANCE AND AUDIT COMMITTEE, INCLUDING WITH RESPECT TO CONFLICTS MATTERS, ARE INCLUDED IN THE CORPORATE RECORD BOOK. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS HAS DELEGATED THE RESPONSIBILITY FOR REVIEWING AND MAKING RECOMMENDATIONS WITH RESPECT TO EXECUTIVE COMPENSATION TO ITS EXECUTIVE COMMITTEE (THE "EXECUTIVE COMMITTEE"), PURSUANT TO THE BOARD-LEVEL DELEGATIONS OF AUTHORITY AND THE EXECUTIVE COMMITTEE CHARTER. THE EXECUTIVE COMMITTEE REVIEWS THE COMPENSATION OF THE EXECUTIVE OFFICERS OF THE CORPORATION; THE EXECUTIVE COMMITTEE THEN REPORTS ITS PROCESS, FINDINGS AND RECOMMENDATIONS TO THE BOARD OF DIRECTORS FOR INDEPENDENT REVIEW AND APPROVAL BY THE BOARD OF DIRECTORS. ALL MEETINGS AND ACTIONS OF THE EXECUTIVE COMMITTEE AND THE BOARD OF DIRECTORS ARE RECORDED IN THE MINUTES OF THE CORPORATION. IN SUM, CIP IS COMPLYING WITH THE OPTIONAL REBUTTABLE PRESUMPTION MECHANISM OF TREASURY REGULATION SECTION 53.4958-6. THE PROCESS INCLUDES: MANAGING THE PROCESS OF COLLECTING AND REVIEWING MARKET DATA FOR THE PRESIDENT AND CHIEF EXECUTIVE OFFICER, THE CHIEF FINANCIAL OFFICER, THE CHIEF RISK OFFICER, THE CHIEF LENDING OFFICER, THE CHIEF INFORMATION OFFICER AND THE GENERAL COUNSEL; PERIODICALLY ENGAGING INDEPENDENT CONSULTANTS TO PERFORM INDEPENDENT MARKET ANALYSIS; EVALUATING THE PERFORMANCE OF THE PRESIDENT AND CHIEF EXECUTIVE OFFICER; AND RECOMMENDING ANNUAL EXECUTIVE-LEVEL COMPENSATION AND INCENTIVES (IF ANY) TO THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 18 CIP'S FORM 1023 AND FORM 990 ARE AVAILABLE FOR IN-PERSON INSPECTION UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 CIP MAKES ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE UPON WRITTEN REQUEST. CIP'S ANNUAL REPORT, WHICH CONTAINS A CONDENSED VERSION OF ITS FINANCIAL STATEMENTS, IS POSTED ON ITS WEBSITE. FORM 990, PART IX, LINE 11G CONTRACTUAL SERVICES: PROGRAM SERVICE EXPENSES 2,636,764. MANAGEMENT AND GENERAL EXPENSES 681,600. FUNDRAISING EXPENSES 35,874. TOTAL EXPENSES 3,354,238. FORM 990, PART XI, LINE 9: INCOME IN EXCESS OF BOOK FOR PASS THROUGH ENTITIES - SEE STATEMENT 2 -14,121. CHANGE IN EQUITY METHOD INVESTMENTS -11,886. GAIN ON NEW MARKET TAX CREDIT UNWIND 109,427. RELINQUISHMENT OF GRANT FUNDING -719,235. FORM 990, PART XI, LINE 2C: USE OF AUDIT COMMITTEE AS IN PRIOR YEARS, CIP HAS AN AUDIT COMMITTEE COMPRISED OF MEMBERS OF THE BOARD OF DIRECTORS. IT IS RESPONSIBLE FOR OVERSIGHT OF THE AUDIT. PART 1, LINE 1: DESCRIPTION OF ORGANIZATION MISSION: CIP WAS ESTABLISHED PURSUANT TO SECTION 211 OF THE NATIONAL CONSUMER COOPERATIVE BANK ACT AS AMENDED (THE "BANK ACT")(12 U.S.C.3051), AS A SECTION 501(C)(3) ORGANIZATION FORMED EXCLUSIVELY FOR CHARITABLE AND EDUCATIONAL PURPOSES, INCLUDING PURPOSES THAT ARE EXPRESSLY DEEMED CHARITABLE WITHIN THE MEANING OF SECTION 501(C)(3) UNDER SECTION 211 (C)(2) OF THE BANK ACT. ITS PRIMARY PURPOSE IS TO PROVIDE FINANCIAL SERVICES AND TECHNICAL SUPPORT TO COOPERATIVES AND OTHER DEMOCRATICALLY STRUCTURED, COOPERATIVE-LIKE ORGANIZATIONS, TARGETED TOWARD NEWER, LESS ESTABLISHED ORGANIZATIONS AND UNDERSERVED COMMUNITIES WHOSE RESIDENTS ARE DISADVANTAGED, LOW-INCOME AND/OR ELDERLY PERSONS WITH SPECIAL NEEDS. SCHEDULE L TRANSACTIONS WITH INTERESTED PERSONS: IN THE NORMAL COURSE OF BUSINESS, MEMBERS OF CIP'S BOARD OF DIRECTORS MAY BE AFFILIATED WITH COOPERATIVES RECEIVING OR ELIGIBLE TO RECEIVE LOANS. CIP HAS CONFLICT OF INTEREST POLICIES, WHICH REQUIRE, AMONG OTHER THINGS, THAT A BOARD MEMBER BE DISASSOCIATED FROM DECISIONS THAT POSE A CONFLICT OF INTEREST OR THE APPEARANCE OF A CONFLICT OF INTEREST. LOAN REQUESTS FROM COOPERATIVES WITH WHICH MEMBERS OF THE BOARD MAY BE AFFILIATED ARE SUBJECT TO THE SAME ELIGIBILITY AND CREDIT CRITERIA, AS WELL AS THE SAME LOAN TERMS AND CONDITIONS, AS ALL OTHER LOAN REQUESTS. 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