501(c)(3) Nonprofit Bond Application

501(c)(3) Nonprofit Bond Application
Applicant Information
Name of Organization:
Primary Contact
Name:

First NameLast Name
Title:
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number:

Area CodePhone Number
E-mail:
Primary Billing Contact
Organization:
Title:
Name:

First NameLast Name
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number:

Area CodePhone Number
E-mail:

Finance Team Information
Bond Counsel
Firm Name:
Primary Contact:

First NameLast Name
Title:
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number:

Area CodePhone Number
E-mail:
Underwriter/Bank/Bond Purchaser
Firm Name:
Primary Contact:

First NameLast Name
Title:
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number:

Area CodePhone Number
E-mail:
Financial Advisor
Firm Name:
Primary Contact:

First NameLast Name
Title:
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number:

Area CodePhone Number
E-mail:
Trustee
Firm Name:
Primary Contact:

First NameLast Name
Title:
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number:

Area CodePhone Number
E-mail:

Application Attachments
Upon submission of your application, please send a nonrefundable $5,000 issuance fee deposit* made payable to CSCDA to 3201 Danville Blvd., Suite 267, Alamo, CA 94507

*Applied to issuance fee collected upon bond issuance.

After submission of your application, please forward the following Application Attachments via email to CSCDA Staff or you may upload the attachment files below.

Attachment A: Detailed Applicant Background

Attachment B: Description of Project and Each Facility to be Financed or Refinanced

Attachment C: Sumary of Project's Public Benefits
Upload Attachment A:

Upload a File

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Upload Attachment B:

Upload a File

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Upload Attachment C:

Upload a File

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Application Prepared By
Phone Number

Area CodePhone Number
Should be Empty: