Grantee:

Award	Amount:

Year	Awarded:	

Summary	Table:

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 Total	Since	Inception	

Loan	Amount	Leveraged $0

Amount	of	Loans	Directly	

Credit	Enhanced $0

Number	of	Schools	

Served	 0

Number	of	New	Schools	

Served 0

A. Year School Served B. School Name C. Type of Transaction D. City E. State F. NCES Identification 

Number

 G. Phone

H. Are there any ongoing 

construction/facilities 

projects at this school? 

I. How were grant funds 

used to secure or 

credit-enhance 

financing?

J. Briefly Describe 

Source and Type of 

Financing

K. Name of Bank or 

Banks Providing the 

Financing

L. Closing Date on 

Financing

M. Amortization 

Structure(s)

N. Amortization 

Schedule(s)

O. Maturity date(s) P. Conversion 

Feature(s) 

Q. Amount of Fees 

Paid by Charter School 

to Grantee

R. Basis for 

Calculating the Interest 

Rate(s)

S. Amount of Grant 

Funds Committed to 

the Project

 T. Amount of 

Financing Leveraged 

U. Size of the Loan 

Benefiting from the 

Credit Enhancement

V. Interest Rate on 

Loan Benefiting from 

the Credit 

Enhancement (Specify 

the Interest Rate on 

Other Components, if 

applicable)

Annual	Report	Year
W. What is the 

estimated debt-tocollateral ratio for this 

project?

X. How was the financing used?

Y. Was financing for 

an addition, an existing 

building, or a new 

building?

Z. Did the financing 

increase the amount of 

physical space available 

to educate students? 

AA. If you answered 

"yes" to question Z, 

how many additional 

students can be 

accommodated?

 AB. Financed Amount 

Outstanding for this 

School

AC. Amount of Grant 

Funds Committed to 

Project at End of 

Reporting Period 

(indicate "$0.00 if the 

credit enhancement 

has expired)

AD. How was the school served?

AE. If the answer to AD 

is "school served by 

guaranteeing or 

insuring the lease", 

what is the dollar 

amount of grant funds 

committed?

AF. If the answer to AD 

is "school served by 

guaranteeing or 

insuring the lease", 

what is the annual 

dollar amount of the 

lease?

AG. If the answer to AD 

is "school served by 

guaranteeing or 

insuring the lease", for 

how many years is the 

guarantee or insurance 

in place?

AH. Total leveraged (Sum 

of yearly lease amounts)

AI. In your opinion, 

what was the impact of 

the credit 

enhancement on the 

terms and the 

conditions of the 

loan?

AJ. In your opinion, 

what was the impact of 

the credit 

enhancement funds on 

the overall project of 

the school served? 

AK. What happened to 

the school after the 

credit enhancement 

expired? 

AL. Percent of 

Students Proficient 

and Advanced in 

Math (School Level)

AM. Percent of 

Students Proficient 

and Advanced in 

Math (State Level)

AN. Percent of 

Students 

Proficient and 

Advanced in 

Reading (School 

Level)

AO. Percent of 

Students Proficient 

and Advanced in 

Reading (State 

Level)

0

0

0

0

0

0

0
Predicted reserve account balance

Year 200_ 200_ 200_

beginning balance 0 0

plus earnings 0

less expenses 0

ending balance 0 0 0

Reserve account investments balance in total as of 9/30/200_

Investment(s) Value(s)

Total (actual balance) 0.00

Difference between predicted balance and actual balance:

0.00 balance
 

Budget Form: Grant Funds Expenditures

Budget 

categories

Project year 1 1 Project year 2 Project year 3 Project year 4 Project year 5 Project year 6 Project year 7 Project year 8 Remaining 

years 

Total

Actual amount 

spent (Y or N)

Y

A. Administrative 

funds (0.25%)

0

A.1. Indirect costs 0

A.2. 

Administrative 

costs other than 

indirect costs

0

A. Total 

administrative 

costs

0 0 0 0 0 0 0 0 0 0

B. Reserve 

account 

earnings

0

C.1.a. Personnel 

and fringe 

benefits

0

C.1.b. Payments 

to third parties to 

guarantee or 

insure debt

0

C.1.c. Other 

payments 

associated with 

guaranteeing and 

insuring debt and 

leases

0

C.1. Total 

Guaranteeing 

and insuring debt 

and leases 

payments

0 0 0 0 0 0 0 0 0 0

C.2.a. Personnel 

and fringe 

benefits

0

C.2.b. 

Contractual

0

C.2.c. Other 

payments 

associated with 

facilitating 

financing

0

C.2. Total grant 

funds spent on 

facilitating 

financing 

(including 

facilitating 

lending and the 

issuance of 

bonds) 

0 0 0 0 0 0 0 0 0 0

2

 Includes activities in Section 5225(a)(1) and (2).

3

 Includes activities in Section 5225(a)(3) and (4).

The purpose of this table is to determine the amount of Federal grant funds that the applicant intends to spend on activities to cover costs associated with the Credit Enhancement for Charter School Facilities Grant. The table should include funds from the reserve account only in the year they are spent. The table should 

not include funds that remain in the reserve account and are used to directly guarantee or insure debt or leases.

0 0 0 0 0

1

 Project years should coincide with Federal Fiscal Years (October 1 until September 30). In the event a grant is awarded just prior to the beginning of a fiscal year, the grantee may include the preceding few months 

as part of the following fiscal year.

C. Reserve account (99.75%)

C.1. Grant funds spent on guaranteeing and insuring debt and leases 2

C.2. Grant funds spent on facilitating financing (including facilitating lending and the issuance of bonds) 3

C.3. Total reserve 

account costs 

(lines A; C.1.; 

and C.2.)

0 0 0 0 0