6. Type of Documentation see instructions for requirements – Most recent board-reviewed financial statements Date ______________ Most recent IRS Form 990 Year ___________ Most recent certified financial audit Year _________ 7. DEBT 7(a) Debt incurred in the last 6 months Yes 1 No 0 7(b) New debt was reasonable and a plan for Yes 0 No 2 repayment is included 8. UNRESTRICTED FUNDS Current amount of unrestricted funds 5% 10% 20% or more compared to total revenues is less than 2 1 0 9. LEGAL ISSUES 9(a) Current or pending lawsuits Yes 2 No 0 9(b) Financial impact on organization Yes 2 No 0 9(c) Previous funds loss due to misuse, Yes No Issues Corrected accountability or fraud 3 0 0 Has this applicant been a grantee of your division before? Past Performance Evaluation notes to consider: Did you verify…. _ 501(c)3 status on IRS website Organization’s Current strong – Suspended investigate more, follow up with grantee – Revoked investigate, discuss with applicant and possible high risk – If No Status are they required to register? – __If the organization has been reviewed by MN Charities Review Council? Were there any areas of concern or recommendations for improvement? __ Guidestar for financial or other additional information on this organization __Attorney website for historical 990 financial information General’s __CPA firm named on audit opinion letter is listed on MN Board of Accountancy __ web presence and activity in the community? Organization’s with any past partners listed in application? __Applicant’s work
6. Type of Documentation – see instructions for requirements Most recent board-reviewed financial statements Date ______________ Most recent IRS Form 990 Year ___________ Most recent certified financial audit Year _________ 7. DEBT 7(a) Debt incurred in the last 6 months Yes 1 No 0 7(b) New debt was reasonable and a plan for repayment is included Yes 0 No 2 8. UNRESTRICTED FUNDS Current amount of unrestricted funds compared to total revenues is less than 5% 2 10% 1 20% or more 0 9. LEGAL ISSUES 9(a) Current or pending lawsuits Yes 2 No 0 9(b) Financial impact on organization Yes 2 No 0 9(c) Previous funds loss due to misuse, accountability or fraud Yes 3 No 0 Issues Corrected 0 Has this applicant been a grantee of your division before? Past Performance Evaluation notes to consider: Did you verify…. _ Organization’s 501(c)3 status on IRS website Current – strong Suspended – investigate more, follow up with grantee Revoked – investigate, discuss with applicant and possible high risk If No Status – are they required to register? __If the organization has been reviewed by MN Charities Review Council? Were there any areas of concern or recommendations for improvement? __ Guidestar for financial or other additional information on this organization __Attorney General’s website for historical 990 financial information __CPA firm named on audit opinion letter is listed on MN Board of Accountancy __ Organization’s web presence and activity in the community? __Applicant’s work with any past partners listed in application?