501(c)(3) Nonprofit Bond Application

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

First Name Last Name
Title:
Address:

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number:

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

First Name Last Name
Address:

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number:

Area Code Phone Number
E-mail:

Finance Team Information
Bond Counsel
Firm Name:
Primary Contact:

First Name Last Name
Title:
Address:

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number:

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

First Name Last Name
Title:
Address:

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number:

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

First Name Last Name
Title:
Address:

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number:

Area Code Phone Number
E-mail:
Trustee
Firm Name:
Primary Contact:

First Name Last Name
Title:
Address:

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number:

Area Code Phone Number
E-mail:

Application Attachments
Upon submission of your application, please send a nonrefundable $5,000 issuance fee deposit* made payable to CSCDA to 1700 North Broadway, Suite 405, Walnut Creek, CA 94596

*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 Attachment B:
Upload Attachment C:
Application Prepared By
Phone Number

Area Code Phone Number
Should be Empty: