Application Guidelines for

This application is used by certified Community Development Financial Institutions (“CDFIs”)

that are federally-insured credit unions

(“NCUA”) or the appropriate Stat

Community Development Capital

(“TARP”). Through the CDC

qualifying assets from CDFI credit unions

The application must be submitted to the

preparation of the application should be directed to the

additional information from the applicant.

All applications must be submitted no later than 5pm (EST),

information, including submission instructions, can be found

http://FinancialStability.gov/ and the NCUA’s website

The terms of the CDCI are described generally in this application. However, this description is

not binding on Treasury and is intended to provide general information only. The actual terms

and conditions of the CDCI are contained in documentation that will be available from Treasury

online at http://FinancialStability.gov/

Eligible Institutions

The CDCI is available to credit union

Federal Credit Union Act or under the laws of any State, the District of Columbia or any territory

or possession of the United States; (2) ha

(3) are certified CDFIs.

Institutions must consult with

Certain Conditions for Participation in the

To be eligible for the CDCI, the applicant must receive approval

applicant must agree to certain terms and conditions and make certain representations and

warranties described in various agreements that will be prepared by

online at http://FinancialStability.gov/

OMB Control Number 1505

1

Application Guidelines for TARP Community Development

certified Community Development Financial Institutions (“CDFIs”)

credit unions regulated by the National Credit Union Administration

the appropriate State Supervisory Authority to request participation in the

Capital Initiative (“CDCI”) under the Troubled Asset Relief Program

CDCI, the U.S. Department of the Treasury (“Treasury”) may purchase

CDFI credit unions.

The application must be submitted to the NCUA for the applicant. All inquiries regarding

preparation of the application should be directed to the NCUA. The NCUA may request

additional information from the applicant.

All applications must be submitted no later than 5pm (EST), April 30, 2010

information, including submission instructions, can be found online at Treasury’s website

and the NCUA’s website http://www.NCUA.gov/

are described generally in this application. However, this description is

binding on Treasury and is intended to provide general information only. The actual terms

are contained in documentation that will be available from Treasury

alStability.gov/.

credit unions that: (1) are federally insured and chartered under the

Federal Credit Union Act or under the laws of any State, the District of Columbia or any territory

the United States; (2) have a low-income designation per 12 C.F.R. 701.34; and

Institutions must consult with the NCUA prior to submitting this application.

Certain Conditions for Participation in the CDCI

, the applicant must receive approval from Treasury. In addition, the

applicant must agree to certain terms and conditions and make certain representations and

warranties described in various agreements that will be prepared by the Treasury and available

http://FinancialStability.gov/. Failure to agree to all terms and conditions may result in

OMB Control Number 1505-0223

Community Development Capital Initiative

certified Community Development Financial Institutions (“CDFIs”)

National Credit Union Administration

to request participation in the

under the Troubled Asset Relief Program

, the U.S. Department of the Treasury (“Treasury”) may purchase

for the applicant. All inquiries regarding

The NCUA may request

2010. More detailed

Treasury’s website

http://www.NCUA.gov/.

are described generally in this application. However, this description is

binding on Treasury and is intended to provide general information only. The actual terms

are contained in documentation that will be available from Treasury

chartered under the

Federal Credit Union Act or under the laws of any State, the District of Columbia or any territory

income designation per 12 C.F.R. 701.34; and

prior to submitting this application.

Treasury. In addition, the

applicant must agree to certain terms and conditions and make certain representations and

the Treasury and available

. Failure to agree to all terms and conditions may result in
2

disqualification from the CDCI. A summary term sheet currently is available online at

http://FinancialStability.gov/. Detailed investment agreements and associated documentation

will be posted soon. Each applicant must obtain and review a copy of these agreements and

agree to all of the terms and conditions, including representations and warranties, contained in

these agreements.

Among the conditions to participation in the CDCI is the requirement that the applicant and its

covered officers and employees must agree to comply with the rules, regulations and guidance of

Treasury with respect to executive compensation, transparency, accountability and monitoring,

as published and in effect at the time of the investment closing. These rules, regulations and

guidance are explained online at http://FinancialStability.gov/.

Assets Purchased by Treasury

For CDFI credit unions, the assets eligible for purchase by Treasury under the CDCI are

subordinated debentures that do not constitute a class of stock or represent equity ownership in

the issuing credit union and are senior to other capital instruments.

Other Information

The applicant must identify and describe any mergers, acquisitions, or other capital raisings that

are currently pending or are under negotiation and the expected consummation date.

Confidentiality

Any applicant desiring confidential treatment of specific portions of the application must submit

a request in writing with the application. The request must discuss the justification for the

requested treatment. The applicant’s reasons for requesting confidentiality should specifically

demonstrate the harm (for example, loss of competitive position, invasion of privacy) that would

result from public release of information (See 5 U.S.C. § 552). Information for which

confidential treatment is requested should be: (1) specifically identified in the public portion of

the application (by reference to the confidential section); (2) separately bound; and (3) labeled

“Confidential.” The applicant should follow the same procedure when requesting confidential

treatment for the subsequent filing of supplemental information to the application.

The applicant should contact the NCUA for specific instructions regarding requests for

confidential treatment. The NCUA will determine whether the information will be treated as

confidential and will advise the applicant of any decision to make available to the public

information labeled as “Confidential.”
Application for TARP

Please complete the following information and follow the submission instructions as described

on the Treasury or NCUA website

please provide a description of any mergers, acquisitions, or other cap

currently pending or are under negotiation and the expected consummation date (no longer than

1 page).

Institution Name:

Address of Institution:

Primary Contact Name:

Primary Contact Phone Number:

Primary Contact Fax Number:

Primary Contact Email Address:

Secondary Contact Name:

Secondary Contact Phone Number:

Secondary Contact Fax Number:

Secondary Contact Email Address:

Charter Number:

OMB Control Number 1505

1

Application for TARP Community Development Capital Initiative

Please complete the following information and follow the submission instructions as described

websites. In addition to completing the information on this form,

description of any mergers, acquisitions, or other capital raisings that are

currently pending or are under negotiation and the expected consummation date (no longer than

Primary Contact Phone Number:

Number:

Primary Contact Email Address:

Secondary Contact Phone Number:

Secondary Contact Fax Number:

Secondary Contact Email Address:

OMB Control Number 1505-0223

Community Development Capital Initiative

Please complete the following information and follow the submission instructions as described

In addition to completing the information on this form,

ital raisings that are

currently pending or are under negotiation and the expected consummation date (no longer than
2

Amount of Investment Requested:

Amount of Institution’s Net Worth:

Amount of Institution’s

Outstanding Secondary Capital:

Amount of the Institution’s Total

Assets as of its Most Recent Call

Report:

Institution has Reviewed the Term

Sheets and Related Documentation

on Treasury’s Website (Yes/No):

Signature of Chief Executive

Officer (or Authorized Designee):

Date of Signature: