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Note: This form is submitted through the ECIP IMPACT portal (ECIP Investment 

Monitoring Portal and Compliance Tracker; formerly the ECIP program portal)

Emergency Capital Investment Program

Impact Highlight 

Instructions: ECIP participating institutions, on a voluntary basis, may use this form to highlight to 

Treasury examples of how ECIP has positively impacted borrowers or the ECIP participant itself. This 

may include examples of new or expanded lending, new products, expanded markets, innovative

investments, or other changes in practices, particularly related to Qualified Lending and Deep Impact 

Lending, made possible because of participation in ECIP. Please contact ECIP at ecip@treasury.gov for 

technical assistance.

When completing this form DO NOT report the names or personal information of borrowers.

ECIP Participant 

Organization 

Contact Name

Contact Email Address

Contact Phone #

Which of the following categories best describes the information being provided (chose one and select a 

subcategory)? 

(-) Participant makes a Deep Impact loan or investment (please indicate subcategory);

+ consumer lending

+ small business lending

+ mortgage lending

+ commercial lending

+ other __________________________

(-) Participant makes a Qualified loan or investment that is NOT a Deep Impact loan or investment 

(please indicate subcategory);
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+ consumer lending

+ small business lending

+ mortgage lending

+ commercial lending

+ other __________________________

(-) Participant expands its target market; 

+ geography

+ target population

+ other __________________________

(-) Participant offers a new loan product or financial service; 

+ new loan product

+ expanded loan limits in an existing loan product

+ new financial service

+ new branch opened

+ other __________________________

(-) Participant leverages the ECIP investment

+ private sector balance sheet investment;

+ another public sector grant or investment;

+ off-balance sheet fund or investment vehicle managed by the ECIP participant;

+ co-investment by the ECIP participant in a particular transaction or portfolio of transactions

managed by an unrelated party (including public welfare investments).

+ other __________________________

Narrative (250 word 

limit) 
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Example Narratives: 

• In April 2023, XYZ Bank recently closed a $XX million loan to finance a community facility in ZYX

State, in partnership with ABC Organization, that also leveraged CBA Other Federal Program

resource as seed funding for the facility. One impact of ECIP was to allow XYZ to increase its

maximum loan size, so this loan would not have been possible prior to the ECIP investment.

• In July 2023, MDI Credit Union in XYZ State recently extended a working capital loan in the

amount of $XX to a Black owned construction company that employs 30 people.

• In June 2023, AAA Credit Union in XYZ State made a mortgage loan in the amount of $XX to a

Hispanic family to purchase their first home. The ECIP investment has allowed the Credit Union

to approve more than 30 mortgage loans to Other Targeted Populations from January to June

2023.

• In May 2023, BCD Bank leveraged a $XX million deposit from DFG Major Corporation. ECIP

made it possible for the Bank to accept this deposit and still maintain the appropriate balance

sheet ratios.

Paperwork Reduction Act Notice. 

OMB Approval No.: 1505-0275

Expiration Date: June 30, 2026

The estimated burden associated with this collection of information is 1 hour per response. Comments

concerning the accuracy of this burden estimate and suggestions for reducing this burden should be 

directed to the Office of Privacy, Transparency and Records, Department of the Treasury, 1500 

Pennsylvania Ave., N.W., Washington, D.C. 20220. DO NOT send the form to this address. An agency

may not conduct or sponsor, and a person is not required to respond to, a collection of information

unless it displays a valid control number assigned by OMB