**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-to collateral 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:

0.00balance

# 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

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

3Includes 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

1Project 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 onfacilitatingfinancing (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