STATE OF CALIFORNIA – DEPARTMENT OF FINANCIAL PROTECTION AND INNOVATIONBONA FIDE NONPROFIT AFFORDABLE HOUSING ORGANIZATIONAPPLICATION FOR REGISTRATIONDFPI-2666 (Rev. 11-20)

Fee: None

Department of Financial Protection and Innovation
File Number

DEPARTMENT OF FINANCIAL PROTECTION AND INNOVATIONSTATE OF CALIFORNIA
BONA FIDE NONPROFIT AFFORDABLE HOUSING ORGANIZATIONAPPLICATION FOR REGISTRATIONCALIFORNIA FINANCING LAW
Financial Code section 22013(b)(6)
CALIFORNIA RESIDENTIAL MORTGAGE LENDING ACTFinancial Code section 50003.5(b)(6)
A. DATE:
B. Check one:

Original Application

Amended Notice

C. Information about the Bona Fide Nonprofit Organization
1. Name of Bona Fide Nonprofit Organization:

If name has changed since a previous filing: Prior Name:

2. Address of Bona Fide Nonprofit Organization:
Number and Street

City

State

Zip CodeCity

State

Zip CodeMailing Address:
Number and Street

3. Area Code and Telephone Number:
4. Website Address:

STATE OF CALIFORNIA – DEPARTMENT OF FINANCIAL PROTECTION AND INNOVATIONBONA FIDE NONPROFIT AFFORDABLE HOUSING ORGANIZATION APPLICATIONFOR REGISTRATIONDFPI-2666 (Rev. 11-20) Page 2 of 3

5. Contact Person:
Name and Title
a. Business Phone:____________________________

b. Email Address:c. Mailing Address:
Number and StreetCity

State

Zip Code

D. Documentation of the following shall be attached to this application:
1.

Status of a tax-exempt organization under Internal Revenue Code of 1986 section
501(c)(3).

2.

That the organization promotes affordable housing or provides home ownershipeducation or similar services.

3.

That the organization conducts its activities in a manner that serves public orcharitable purposes, rather than commercial purposes.

4.

That the organization receives funding and revenue, and charges fees in a manner that
does not incentivize the organization or its employees to act other than in the bestinterests of its clients.

5.

That the organization compensates employees in a manner that does not incentivize
employees to act other than in the best interests of its clients.

6.

That the organization provides to, or identifies for, the borrower residential mortgage loans
with terms favorable to the borrower and comparable to mortgage loans and housing
assistance provided under government housing assistance programs (for residential
mortgage loans to have terms that are favorable to the borrower, the terms shall beconsistent with loan origination in a public or charitable context, rather than a commercial
context).

7.

That the organization is certified by the United States Department of Housing andUrban Development as a housing counselor who engages solely in traditional housing
counseling services, if applicable.

E.

Provide names and contact information of all mortgage loan originators employed by thebona fide nonprofit organization, including office address, business telephone number andemail information.

F.

Applicant acknowledges that pursuant to Financial Code sections 22013(b)(6) and50003.5(b)(6), the Commissioner may periodically require reports regarding the activities ofSTATE OF CALIFORNIA – DEPARTMENT OF FINANCIAL PROTECTION AND INNOVATIONBONA FIDE NONPROFIT AFFORDABLE HOUSING ORGANIZATION APPLICATION FOR
REGISTRATIONDFPI-2666 (Rev. 11-20) Page 3 of 3

the bona fide nonprofit organization, and shall examine the nonprofit organization’s books
and records in accordance with the regulations of the United States Department of
Housing and Urban Development, or any successor guidance or requirement bythe Consumer Financial Protection Bureau.
Applicant further acknowledges that if the bona fide nonprofit organization fails to provide
documentation as required by this application, or if it does not continue to meet the criteria
outlined above, the Commissioner may revoke the bona fide nonprofit’s status as aregistered bona fide nonprofit organization.

Date
Name of Bona Fide Nonprofit Organization
Print Name of Individual Signing on Behalf of Organization

Title

Signature