Ventura County Housing Trust Fund
Preliminary Application
Revolving Loan Fund
Preliminary Application
Ventura County Housing Trust Fund
Linda Braunschweiger, CEO
(805) 407-2455
www.VCHousingTrustFund.org
Applicant / Sponsor:Additional Partners:
Organizational Type: / Non-Profit / Public Agency / Non-Profit/Private Partnership
(check appropriate box) / Private Developer / Other:
Development Capacity:
Briefly describe development experience of the sponsor & development team.
Contact / Name: / Title:
Address:
City: / State: / Zip:
Phone: / Fax:
Email: / Alt. Email:
Project Overview / Dev. Name:
Address:
Proposed Use of Funds:
Project Type: / New Construction / Redevelopment / Conversion of Non-Res. to Housing
(check appropriate boxes) / Single Family / Apartment / Condominium
Mixed Use / SRO / Acquisition/Rehab
Group Home / Assisted Living / Co-Housing or Self-Help
Other
Target Clientele: / Veterans / Homeless / Transitional Youth / Farm Workers
(check appropriate boxes) / Other
# of Units: / Ave. Unit Size: / Bedroom Mix:
Amenities:
Ownership Structure:
Management Structure:
Development Affordability
Affordability Term:
Unit Break-Down: / This development does not yet have a proposed unit break down.
# of Bedrooms / # of Units / AMI % / % of
Total Units / Comments
Loan Request & Development Financing / Requested Loan Amount: / $
Loan Type: / Bridge Loan / Predevelopment Expenses / Construction
(check appropriate box) / Other:
Proposed Use of Fund:
Total Projected Development Costs: / $
Other Funding Sources:
Note which are committed, pending and proposed sources
Funding Need:
Describe why the VCHTF
loan is needed.
Development Site / Land Use & Zoning Requirements:
(check any that apply to
the proposed dev. site) / General Plan Amendment / Specific Plan
Mello-Roos Assessment District / Zoning Change
Conditional Use Permit / Occupancy Permit
Other
Do you have site control? / Yes / No / Form:
Have you completed an appraisal? / Yes / No
Have you completed a Phase I Environmental Report? / Yes / No
Additional Information / Briefly describe the development timeline, key milestones and when loan funds are needed:
(e.g. site control, local application process, funding applications, etc.)
What development challenges exist for the development?
(e.g. environmental issues, relocation assistance, required zoning changes, variances or modifications.)
Describe any unusual site conditions:
(e.g. noise, groundwater levels, archeological artifacts, historic building, seismic, etc.):
Other relevant information:
You may attach a development site map and design schematics, if available.
GOOD STANDING STATEMENT
Please indicate by circling the appropriate answers to the following questions.
1. In the past ten years, has your organization ever had its non-profit Yes No
status revoked or withheld by the IRS, the Secretary of State,
the State Attorney General, or the Franchise Tax Board?
2. Has your organization or firm been sued in the last five years? Yes No
3. Are any of your managers or staff with fiscal responsibilities Yes No
presently involved in litigation that has any bearing on fiduciary
trust or employee relations?
4. In the last five years, has any court handed down any unfavorable Yes No
rulings against your Executive Director, CEO or organization?
5. Does your organization currently have any unresolved fiscal, reporting, Yes No
or program issues with any of its current or past funding sources?
6. Has your organization been a past recipient of local, state Yes No
or federal housing assistance programs?
7. If you answered "yes" to #6, has your agency experienced any development Yes No
or construction delay, finding or outstanding audit that local, state
or federal funding sources deem serious regarding the administration of
the housing assistance or program resources?
Please explain any yes answers on a separate sheet and attach to this application. (A "yes" answer to #6 does not require a response other than requested in #7).
Note: If selected to submit a full application, the applicant will need to obtain a Statement of Good Standing from the California Secretary of State.
______
Please submit this completed form along with a cover letter on agency letterhead summarizing your request via email or regular mail to:
Mailing or Hand Deliver to:Ventura County Housing Trust Fund
Attn: Linda Braunschweiger, CEO
4001 Mission Oaks Blvd., Suite O
Camarillo, CA 93012 / Email Version to:
For More Information or Questions about the application, please contact Linda Braunschweiger at the Ventura County Housing Trust Fund at (805) 407-2455 or email: .
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