NEW YORK STATE HOMES AND COMMUNITY RENEWAL … NRPP Application_1.pdf · yes no If any question in...
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NEW YORK STATE HOMES AND COMMUNITY RENEWAL PRESERVATION PROGRAMS APPLICATION Preservation Company Program Year: New York Organization Name: Mailing Address: City: State: Zip: County: Telephone Number: *Is this address the location where Preservation Program activities are conducted? Yes (If no, please fill out next section.) Physical Street Address: City: State: New York Zip: Telephone Number: Federal I.D. Number: Charities Registration Number (6 Digits): Email Address (General Inquiry Contact): Company Website Address: 1 Executive Director: Email: Telephone Number: Is the Executive Director also the primary contact person for the Preservation Program? If no, please complete Program Contact Section on the next page. YES NO First Name: Last Name:
Transcript of NEW YORK STATE HOMES AND COMMUNITY RENEWAL … NRPP Application_1.pdf · yes no If any question in...
NEW YORK STATE HOMES AND COMMUNITY RENEWAL PRESERVATION PROGRAMS APPLICATION
Preservation Company
Program Year:
New York
Organization Name:
Mailing Address:
City:
State:
Zip:
County:
Telephone Number:
*Is this address the location where Preservation Program activities are conducted?
Yes (If no, please fill out next section.)
Physical Street Address:
City:
State: New York
Zip:
Telephone Number:
Federal I.D. Number:
Charities Registration Number (6 Digits):
Email Address (General Inquiry Contact):
Company Website Address:
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Executive Director:
Email:
Telephone Number:
Is the Executive Director also the primary contact person for the Preservation Program? If no, please complete Program Contact Section on the next page.
YES NO
First Name: Last Name:
New York
Board Chair / President:
Mailing Address:
City:
State:
Zip:
Email:
Telephone Number:
Organization:
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Preservation Program Contact:
Title:
Email:
Telephone Number:
By checking this box, the Preservation Company submitting this application to the Housing Trust Fund Corporation hereby certifies that the Preservation Company’s Neighborhood or Rural Preservation Program service area meets statutory requirements found in Section 903 (3)(b) of Article XVI for Neighborhood Preservation Companies or Section 1003(3)(b) of Article XVII for Rural Preservation Companies.
Service Area Certification - Needs Statement Provide a narrative description of the Preservation Company's service area and describe the housing and community development needs in the area. Describe how the service area qualifies under Section 903 (2) of Article XVI for Neighborhood Preservation Companies or Section 1003(2) of Article XVII for Rural Preservation Companies using demographic data. This may include data related to the displacement of low-income individuals, crime and drug problems, special needs populations, individuals impacted by housing segregation, or rates of homelessness.
SECTION A- Service Area Certification and Program Description
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Service Area QuestionsAnswer the following questions using census data* for the service area.
1. Calculate the percentage of census tracts in the company's service area whosemedian household income (MHI) is 90% of the MHI for the municipality**(NPP) or state (RPP).
2. Calculate the average percentage of all renters that are considered cost burdened inthe company's service area.
3. Calculate the average percentage of housing units built prior to 1960 in the company'sservice area.
4. Calculate the average percentage of all persons living below poverty in the company'sservice area.
5. Calculate the average percentage of homeowners in the company's service areapaying 30% or more of their income for housing expenses.
6. Calculate the average percentage of vacant housing units in the company's servicearea.
*American Community Survey 5-year estimates**Except for NPCs in NYC and Long Island--use the MHI for the county
Program DescriptionDescribe how the company’s proposed Preservation Program activities (as detailed in the work plan) in the 2019-20 contract year will impact residents, businesses, and other stakeholders in the service area. Describe how the Preservation Program funds help the company achieve this.
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SECTION B - Needs Assessment & Strategic Planning
YES NO 1. Does the company have a Mission Statement? If yes, please share the company's MissionStatement below.
YES NO
YES NO
YES NO
YES NO
YES NO
YES NO
YES NO
YES NO
4. Did the Board and staff review the Needs Assessment and Strategic Plan in the last 12months ensure the Plan’s relevance to the company and the service area needs?
5. When the Needs Assessment and/or Strategic Plan were developed, was:
a. The Board of Directors included?
b. The Company Staff included?
c. Input sought from community partners?
6. Are there short and long term objectives considered in the company's Strategic Plan?
7. Can the company demonstrate that it has qualified staff necessary to carry out thePreservation Program activities described in the current Strategic Plan and/or in theproposed work plan?
N/A
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2. Is there currently a Needs Assessment in place?a. If yes, state the completion date of the latest Needs
Assessment.3. Is there currently a Strategic Plan in place?
a. If yes, what is the time period for the Strategic Plan?
b. What year was the Strategic Plan adopted?
SECTION C - Governance & Board Requirements
YES NO
YES NO
YES NO
YES NO
1. Does the company have the required minimum number of five Board members?
a. For Neighborhood Preservation Companies, does 1/3 (at least 33 percent) ofBoard Members reside within the service area?
b. For Rural Preservation Companies, do the majority (at least 51 percent) ofBoard Members reside within the service area?
2. Are the Board positions currently filled for Chair (President), Vice‐Chair (Vice President),Treasurer and Secretary? If no, please provide a brief explanation below.
YES NO
YES NO
YES NO
YES NO
YES NO
3. Do the Board members have a written description of their duties and responsibilities?
4. Does the Board include members who have skills and abilities identified as important tothe organization (i.e. fundraising, community development, etc.)?
5. Do the organization's bylaws conform to the Non for Profit Revitalization Act of 2013?
6. Does the company provide an orientation for new Board members?
7. Does the Board authorize all of the company's contracts with HCR?
8. Is the company aware of the conflict of interest requirements of the PreservationPrograms (i.e. engaging in any activities promoting any political candidate or party orexpending Preservation Program funds to influence legislation, Article XVI, PHFL,§907and Article XVII, PHFL, §1007)?
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YES NO
SECTION D - Fiscal & Internal Controls
YES NO
YES NO
YES NO
YES NO
YES NO
YES NO
YES NO
YES NO
YES NO
YES NO
YES NO
N/A
N/A
N/A
N/A
1. Does the organization maintain the insurance required by HTFC? (General liability, fire /hazard insurance, workers' compensation, disability, and a fidelity bond)
2. Will the organization meet the one-third match requirement for the previous programfunding year (2018‐2019)?
3. Has the organization spent all Preservation Program funds for the previous year programyear (2018‐2019)?
a. If not, will all Preservation Program funds be spent by June 30, 2019?
4. Has the organization completed an agency‐wide audit for the prior fiscal year with aschedule that details preservation program costs, and uploaded a copy to Grants Gateway?
5. Do all professional services or consultants paid with Preservation Program funds have awritten agreement, and are fees paid in accordance with HCR policy?
6. If Preservation Program funds are paying for staff, are all staff hours documented?
7. Has all equipment purchased with Preservation Program funds been inventoried?
8. If property owned by the company is under the purview of HCR’s Asset Management Unit(AMU), is the company in good standing with AMU?
9. If property is owned by the company, are written policies and procedures in place for itsmaintenance and management?
10. Did the company finish the most recent fiscal year with a positive fund balance?
11. Does the Board have a finance committee that meets regularly?
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NO YES
If any question in Section C is answered "NO" please include a brief explanation below.
SECTION E - Performance in Previous Contract Years & Other HCR Contracts
YES NO
YES NO
YES NO
YES NO
1. Has the organization completed the majority (80% or more) of the company's approvedwork plan tasks from 2018-2019?
2. Does the company currently receive funding from other HCR funded programs orcontracts?
a. If yes to the above, is the company currently in good standing with of any otherHCR funded programs or contracts? (If no, please elaborate in the spacebelow.)
3. Does the company currently own or manage property (property owned or managedunder the same FEIN as the company)?
a. If yes, please fill out the “Property Management Questionnaire” on pages 11-12.
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Owner-Occupied Property Rehabilitation and Construction
Units to be In
Progress
Units to be Completed
Total Units
For In-Progress Units - Expected Completion
Date (mm/yy)
Home Improvements (up to $25,000)
Home Rehabilitation ($25,000 and above)
New Construction
Rental Property Rehabilitation and Construction Units to be Completed
Total Units
Home Improvements (up to $25,000)
Home Rehabilitation ($25,000 and above)
New Construction
Non-Residential Property Rehabilitation and Construction Units to be Completed
Total Units
Capital Improvements (up to $25,000 per unit)
Capital Improvements ($25,000 and above)
New Construction
Special Populations Affected by Rehab and Construction Activities Listed Above Number to be Served
Frail Seniors
HIV/AIDS
Developmental Disabilities
Homeless Persons
Homeless Families
Physical Disabilities
Victims of Domestic Violence
Psychiatric Disorders
Homeless Veterans
Veterans - Substance Abuse
Substance Abuse
Units to be In
Progress
Units to be In
Progress
For In-Progress Units - Expected Completion
Date (mm/yy)
For In-Progress Units - Expected Completion
Date (mm/yy)
SECTION F - Work Plan 1. Property Rehabilitation and Construction ActivitiesPlease use this document to explain the proposed use of N/RPP funds for the 2019-2020 Program Year.Units to be In-Progress are those units whose work will not be completed by the end of the program year.Units to be Completed are those units whose work will be completed during the program year.
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1. Property Rehabilitation and Construction NarrativePlease describe the anticipated activities under Property Rehabilitation and Construction. Include location, type work /projects to be done, funding source(s) and impact. *Use the future tense when describing project work. For example, "ABC Preservation Company intends to complete six (6) Home Improvement projects in the 2019-2020 Program Year with funding provided by XYZ... This effort will result in two (2) new bathrooms and four (4) new kitchens."
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SECTION F- Work Plan2. Client AssistancePlease use this document to explain the proposed use of N/RPP funds for the 2019-2020 Program Year.
# Individuals ≤90% AMI to be
Served
# Individuals >90% AMI to be
Served
Total
Financial Capability / Pre-Purchase Counseling
Reverse Mortgage /Home Equity Conversion Mortgage
Resolving / Preventing Mortgage Delinquency / Default
Post-Purchase Counseling Non-Delinquency
Evictions Prevented
Tenant Assistance/Rental Counseling
Subsidy Assistance (Section 8; SCRIE; Vouchers, etc.)
Relocation Assistance / Mobility Counseling
Homeless Assistance
Entering / Returning to Work Force
Assistance to Mobile / Manufactured Homes
Mortgages / Loans Obtained*
For Mortgages / Loans Obtained above (*), sum in dollars
Total # Workshops Total # Participants
Workshops Offered
Total # Associations
Property Management
Total # Properties
Special Populations Affected by Activities Listed Above # of Individuals
to be Served
Frail Seniors
HIV/AIDS
Developmental Disabilities
Homeless Persons
Homeless Families
Physical Disabilities
Victims of Domestic Violence
Psychiatric Disorders
Homeless Veterans
Substance Abuse--Veterans
Substance Abuse
Total # MembersTenant Associations
Total # Units
Downpayment / Closing Cost Assistance
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2. Client Assistance NarrativeIn a narrative format, describe the activities to be completed under Client Assistance. Include services offered,programs utilized, impact on community, etc. *Use the future tense when describing program work. Forexample, "ABC Preservation Company anticipates providing client assistance through reverse mortgagecounseling which will allow seniors stay in their homes."
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Complete the table for all properties within the company's service area that are owned and/or managed by the company.
Property Address Number of Units
Name of Managing Company
Amount of Program funds used to offset
costs?
Properties Within Service Area Properties Outside Service Area
HCR Oversight/Regulated
Non-HCR Regulated Non-HCR Regulated
Number of Units Managed
Number of Units Owned
Property Management Questionnaire
Complete this table for ALL properties owned and/or managed by the company.
Where in the budget are
these expenses
listed?
Number of Bldgs
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Does HCR regulate or
oversee thisproperty?
HCR Oversight/Regulated
Complete the table for all properties within the company's service area that are owned and/or managed by the company.
Property Address Number of Units
Name of Managing Company
Amount of Program funds used to offset
costs?
Where on budget are
these expenses
listed?
Number of BldgsDoes HCR
regulate or oversee this
property?
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SECTION F - Work Plan3. Community RenewalPlease use this document to explain the proposed use of N/RPP funds for the 2019-2020 Program Year.
Total to be In-Progress
Total to be Completed
Total for Activity
Assistance to Neighborhoods / Municipalities
Community Planning - Neighborhoods / Municipalities
Grants - Assistance to Neighborhoods / Municipalities Total
Grant Applications Written
Grants Administered
Business Assistance
Business Loan Products Provided
Total
Businesses Attracted
Businesses Retained
Formation / Participation in Local Merchants Associations
Programs
Crime Watch
# Programs # Served
Weed and Seed
Block Clubs / Neighborhood Associations
Youth (i.e. Recreation; After-school, etc.)
Organizational Activities
Staff & Board Development (Trainings / Conferences, etc.
# Events # Individuals
Partnerships Created
With Local Agencies
With the Private Sector
Total Partnerships
With Statewide or National Not-for-Profits
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3. Community Renewal NarrativeIn narrative format, describe the tasks to be completed under Community Renewal. List specific assistance to be offered, grants to be written / administered, etc. *Use the future tense when describing program work. For example, "ABC Preservation Company will provide assistance to the neighborhood by organizing three clean-up days and maintaining four (4) vacant lots in our service area. ABC Preservation Company will also apply to two grants this year that will..."
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SECTION G - BudgetPreservation Company Salaries
A.List the name and title of each staff person whose salary will be funded (all / or in part) with 2019-2020 PreservationProgram funds.B.List the weekly hours worked by that staff person on Preservation Program contract activities.C. Indicate the amount of Preservation Program funds used for the salary of the staff member listed.D.List the portion of salary covered by other funds. (These can be used as matching funds.)E.Form calculates staff member's total annual salary. Confirm this number is accurate.
A B C D E
Staff Person Name, Title
Weekly Hours
Worked on Preservation
Program Activities
Salary Portion Funded by
Preservation Program Funds
Salary Portion
Funded by Other
Sources
Total Annual Salary
TOTALS
Total Number of Company Staff Persons
Total Number of Preservation Program Staff Persons
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SECTION G - Budget TOTAL N/RPP FUNDS
Preservation Program
Funds
Non- Preservation
Program Funds Total Funding
Personnel Services
Total Salaries
Total Fringe Benefits
Total Personnel Services
Regulated Other than Personnel Services (OTPS)
Insurance/Bonding
Professional Services- Agency Audit
Professional Services- Legal
Professional Services-Other:
Professional Services-Other:
Equipment:
Regulated OTPS Other:
Regulated OTPS Other:
Total Regulated OTPS
General Other than Personnel Services (OTPS)
Rent/Mortgage
Utilities (Phone, Electric, Etc.)
Office Supplies
Printing/Postage
Travel
Bank Charges (not interest)
General OTPS Other:
General OTPS Other:
Total General OTPS
TOTAL BUDGET:
COMPANY’S TOTAL ANNUAL ADMINSTRATIVE BUDGET:
1. Total Preservation Program Funds should be: $88,671.33 for NPCs and $88,305.08 forRPCs.
2. Required Match Funding is 1/3rd of the Program Funds ($29,557.00 for NPCs and$29,435.00 for RPCs). 18
Please complete this section by providing the company's proposed use of Preservation Program funds and other funding related to Preservation Program activities in the 2019-2020 Program Year.
*If funds are listed in one of the "Other" categories, write a brief description of the expense in the spaceprovided.
SECTION H- Application Certification
The Preservation Company applying to the Housing Trust Fund Corporation hereby certifies that all of the responses provided are true and accurate and in accordance with the requirements described under Articles XVI and XVII of PHFL. The Preservation Company understands that NYS HCR may ask for documentation to support the responses provided in this application.
Signature of Executive Director or Board Chair:
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