Form 203B-RRDL
Qualifications of Sponsor
Instructions 
Please submit this completed qualification form and the required attachments listed below for each sponsor in the project’s ownership structure, defined as follows:
A Sponsor is an individual, legal entity, or nonprofit board of directors who exercises control and decision-making authority over the project.

Qualification forms must be completed by an authorized officer of the organization. Submit the completed qualification form to mhfa.app@state.mn.us through Partner Login on Minnesota Housing’s website.

Do not email financial or other private data directly to Minnesota Housing staff email accounts. Minnesota Housing is not able to access files provided on thumb drives or other forms of external plugins. Directions can be found on the Partner Login webpage on Minnesota Housing’s website. 

Contact Larry Kelly at 651.296.3434 or larry.kelly@state.mn.us with questions. 

Sponsor Information	
Full Legal Name of Sponsor	     	
Address	     	
City, State, Zip	     ,            	
Website	     	
Contact Person 	      Discuss private data Yes No	
Contact Person Email Address/Phone#	     	

Required Information/Attachments
1.	Organizational chart showing project’s ownership structure, including percentage of ownership for each entity:
     
2.	List the Project’s:
a.	Additional Sponsor(s)
     
b.	Board members for nonprofits, as well as tenure for each member:
     
c.	If there is a nonprofit Board, what is the frequency of meetings? Please provide minutes from the last 2-3 meetings.
     
3.	Is the organization at least 51%:
a.	Led or owned by a woman or women?
 Yes     No
b.	Led or owned by a person or people of Black, Indigenous or people of color*? 
*includes Native and Indigenous North and South American, Black and African-decent, Hispanic or Latinx, Asian and Pacific Islander, or other nonwhite communities.
 Yes     No
c.	Is the organization a tribe or tribally designated housing entity, tribal corporate entity
 Yes     No 
4.	Please provide a detailed description of any prior bankruptcy or filed petitions of bankruptcy, assignments for the benefit of creditors, unsatisfied judgements outstanding, any litigation in the last five years, any property foreclosed upon or title given deed in lieu thereof, or circumstances related to ineligibility for any federally insured lending programs.
     
5.	Provide a list of projects being submitted in connection with this document (e.g., multiple Request for Proposal project applications), or that Minnesota Housing is engaged with (e.g., pipeline, refinancing, Housing Tax Credits, Requests for Action), including D# (if applicable) and unrelated developer entity and/or processing agent (if applicable).
     

Financial Information Sponsors Provide
Individuals
1.	Most current tax returns, including all schedules and K-1s. Minnesota Housing reserves the right to request IRS Form 4506-T (Request for Transcript of Tax Return).
2.	Personal credit report, no older than sixty (60) days from the date of application submission, from one of the following credit bureaus: Equifax, Experian, or Transunion.  
3.	Personal Financial Statement, or HUD Form 92417, or a CPA prepared personal financial statement.
Tennessen Warning Notice: Information requested for individuals will be used to assess qualifications. If you do not provide this information, Minnesota Housing will not be able to assess qualifications and this may result in the denial of funding for the project. The information you provide may include private data on individuals, will be shared with Minnesota Housing staff whose job requires them to use it, and will be securely stored. Where access to the information is authorized by state statute or federal law, it may be available to others as authorized. Public data is subject to disclosure to the public upon request.

Corporations or Partnerships
1.	Most current tax returns, including all schedules and K-1s. Minnesota Housing reserves the right to request IRS Form 4506-T (Request for Transcript of Tax Return).
2.	Corporate credit report from one of the three large national credit bureaus.
3.	Financial Statements: Most current of independent audits if the organization has one, otherwise owner certified financial statements.

Local Units of Government (HRA, EDA, CDA, City, or County)
1.	Financial Statements: Most current of independent audits.
2.	Bond Rating and Taxing Authority.

Minnesota Housing reserves the right to request any additional financial information deemed necessary to complete its financial review at its sole discretion. 

CERTIFICATION 
The undersigned sponsor certifies to Minnesota Housing and its assigns, that the information set forth herein, and in any attachments in support thereof, is true, correct, and complete in all respects, and gives a correct showing of the financial condition of the signor. The signor further acknowledges that this submission may inform Minnesota Housing decision making, and that significant monetary or other damages may result from actions based on false or inaccurate representations.   

     		     	
Name of Sponsor
(check one)		Signature

     	     	     	
Printed Authorized Signatory	Title of Authorized Signatory	Date