Board Meeting Memorandum 09/10/2003 ‎(A)‎

• Board Meeting Date: 9/10/2003
• Description: Non Reimbursable Investments Document Imaging Program
• Board Meetings - Doc Type: Meeting

Non-reimbursable Investment Application-CWCB Construction Fund
Form Revised August 8,2003 •
Engineering, and Construction costs,if known:N/A
Estimated Planning/Study Costs: $
Estimated Engineering Costs: $
Estimated Construction Costs: $
Estimated Total Costs: $
10. What amount are you requesting? $145,000
Where will the rest of the funding come from? N/A
Part C.-Project Sponsor Financial Information
The CWCB Construction Fund is primarily a revolving loan fund. Non-reimbursable Investments
are approved only when the project or study is of Statewide interest and benefits a wide range of
people. The following information is requested to assist the CWCB in a preliminary assessment of
the applicant's financial capacity. It is also requested that the project sponsor submit with this
application copies of the two most recent annual reports, financial statements, corporate reports or
other current documentation of financial condition and operations. •
1. List any existing liability or indebtedness that exceeds one thousand dollars. For example,
bank loans, government agency loans, bond issues, accounts payable, etc. Include names
and addresses of lenders, amounts,due dates and maturity dates. (You may attach a separate
schedule if you wish): N/A
Lender Total Annual Maturity
Name/Address Amount Payment Date
2. Are any of the above liabilities now in default, or been in default at any time in the past?
YES NO . If"YES",please give detailed explanation:N/A
3. Please provide a summary of all revenues received during the last two fiscal years by
category(such as service charges,tap fees, assessments, etc.): N/A
4. Please provide a brief narrative description of potential sources of funding (in addition to
the CWCB)which have been explored or which will be explored for the proposed project or
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