"Nebraska Nonprofit Organization Annual Renewal Attestation - Company Renewal Application Checklist" - Nebraska

Nebraska Nonprofit Organization Annual Renewal Attestation - Company Renewal Application Checklist is a legal document that was released by the Nebraska Department of Banking and Finance - a government authority operating within Nebraska.

Form Details:

  • Released on September 13, 2012;
  • The latest edition currently provided by the Nebraska Department of Banking and Finance;
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Download "Nebraska Nonprofit Organization Annual Renewal Attestation - Company Renewal Application Checklist" - Nebraska

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Company Renewal Application Checklist
NE
Agency Requirements
NEBRASKA NONPROFIT ORGANIZATION ANNUAL RENEWAL ATTESTATION
This document includes instructions for the required annual attestation for a nonprofit organization
certificate of exemption as authorized by Section 45-703.01 of the Residential Mortgage Licensing Act.
This document also contains the renewal attestation form. There is no filing fee associated with this
application.
Use the checklist below to complete the requirements for the Nebraska Department of Banking &
Finance. The checklist provides instructions and requirements for documents to be submitted to the
Department. A copy of the checklist should be submitted with the application form. Applications should
be submitted to the following:
For U.S. Postal Service:
For Overnight Delivery:
Nebraska Department of Banking and Finance
Nebraska Department of Banking and Finance
P.O. Box 95006
Commerce Court, Suite 400
Lincoln, NE 68509
1230 “O” Street
Lincoln, NE 68508
Applicant Legal Name: ________________________________________________
NOT
NEBRASKA NONPROFIT ORGANIZATION
ATTACHED
APPLICABLE
ANNUAL RENEWAL ATTESTATION
N/A
Annual Filing with IRS: Attach the latest annual filing to the IRS that is
related to the Applicant’s nonprofit status. (IRS Form 990, 990-EZ, or
990-PF).
N/A
Latest Financial Statements: Financial statements must be prepared in
accordance with Generally Accepted Accounting Principles and must
include a balance sheet (statement of assets and liabilities) and profit and
loss statement.
Attach a current financial statement as of the most recent quarter
end for the Applicant.
Attach a copy of the Applicant’s most recent audited financial
statement. If audited financial statements are not available, please
contact the Department for further instructions.
Promoting Affordable Housing: If the information previously submitted is
outdated, attach documentation or an explanation showing how the
Applicant promotes affordable housing or homeownership education.
Public Service or Charitable Purposes: If the information previously
submitted is outdated, attach documentation or an explanation showing
how the Applicant conducts its activities in a manner that serves public or
charitable purposes.
Updated 09-13-12
Page 1 of 2
Company Renewal Application Checklist
NE
Agency Requirements
NEBRASKA NONPROFIT ORGANIZATION ANNUAL RENEWAL ATTESTATION
This document includes instructions for the required annual attestation for a nonprofit organization
certificate of exemption as authorized by Section 45-703.01 of the Residential Mortgage Licensing Act.
This document also contains the renewal attestation form. There is no filing fee associated with this
application.
Use the checklist below to complete the requirements for the Nebraska Department of Banking &
Finance. The checklist provides instructions and requirements for documents to be submitted to the
Department. A copy of the checklist should be submitted with the application form. Applications should
be submitted to the following:
For U.S. Postal Service:
For Overnight Delivery:
Nebraska Department of Banking and Finance
Nebraska Department of Banking and Finance
P.O. Box 95006
Commerce Court, Suite 400
Lincoln, NE 68509
1230 “O” Street
Lincoln, NE 68508
Applicant Legal Name: ________________________________________________
NOT
NEBRASKA NONPROFIT ORGANIZATION
ATTACHED
APPLICABLE
ANNUAL RENEWAL ATTESTATION
N/A
Annual Filing with IRS: Attach the latest annual filing to the IRS that is
related to the Applicant’s nonprofit status. (IRS Form 990, 990-EZ, or
990-PF).
N/A
Latest Financial Statements: Financial statements must be prepared in
accordance with Generally Accepted Accounting Principles and must
include a balance sheet (statement of assets and liabilities) and profit and
loss statement.
Attach a current financial statement as of the most recent quarter
end for the Applicant.
Attach a copy of the Applicant’s most recent audited financial
statement. If audited financial statements are not available, please
contact the Department for further instructions.
Promoting Affordable Housing: If the information previously submitted is
outdated, attach documentation or an explanation showing how the
Applicant promotes affordable housing or homeownership education.
Public Service or Charitable Purposes: If the information previously
submitted is outdated, attach documentation or an explanation showing
how the Applicant conducts its activities in a manner that serves public or
charitable purposes.
Updated 09-13-12
Page 1 of 2
NOT
NEBRASKA NONPROFIT ORGANIZATION
ATTACHED
APPLICABLE
ANNUAL RENEWAL ATTESTATION
Employee Compensation Promotes Best Interests of Clients: If the
information previously submitted is outdated, attach documentation or an
explanation showing how the Applicant’s employees are compensated in a
manner that incentivize them to act in the best interests of their clients.
Oversight of Employees’ Actions to Protect Clients: If the information
previously submitted is outdated, attach documentation or an explanation
showing how the Applicant ensures that the actions of all individual
employees in the course of their loan origination duties are consistent with
the Applicant’s mission and practices.
Provides Clients with Favorable Rates: If the information previously
submitted is outdated, attach documentation or an explanation showing how
the Applicant provides or identifies for the borrower residential mortgage
loans and housing assistance comparable to government housing
assistance programs.
Business Plan: If the information previously submitted is outdated, attach
a business plan detailing how services will be provided and funding
generated. Also include the specific products and services the Applicant
intends to offer under this exemption.
Organizational Chart/Description: If the information previously submitted
is outdated, attach an organizational chart if Applicant is related to another
entity.
The Department will review the filing and all required documents and communicate with you via email sent to
the primary contact listed on the application form.
WHO TO CONTACT – Contact Nebraska Department of Banking & Finance licensing staff by telephone at
402-471-2171 or send your questions via e-mail to
dob.mortgage@nebraska.gov
for additional assistance.
THE APPLICANT/LICENSEE IS FULLY RESPONSIBLE FOR ALL OF THE REQUIREMENTS OF THE EXEMPTION
FOR WHICH IT IS APPLYING. THE AGENCY SPECIFIC REQUIREMENTS CONTAINED HEREIN ARE FOR
GUIDANCE ONLY TO FACILITATE APPLICATION. SHOULD YOU HAVE QUESTIONS, PLEASE CONSULT LEGAL
COUNSEL.
Updated 09-13-12
Page 2 of 2
NonProfit Organization Renewal Attestation
I, ___________________________________, of ___________________________________________, a
non-profit organization (“organization”) and duly appointed and authorized by the same, swear (or affirm)
the following are true and correct to the best of my knowledge and belief:
(1)
The organization, if incorporated, remains in good standing with the Secretary of State’s office, or
other applicable agency, in both the state of its incorporation and in this state.
(2)
The organization remains in good standing as an exempt entity with the Internal Revenue Service
under Section 501(c)(3) of the Internal Revenue Code.
(3)
The organization has filed its annual return, Form 990, Form 990-EZ, or Form 990-PF, with the
Internal Revenue Service and that a true and complete copy of such return, with all applicable
schedules, is attached to this attestation.
(4)
The organization continues to promote affordable housing and/or provide homeownership or similar
services, and the documentation previously provided to the agency supporting such claim remains
true and correct, or if changed, new documentation has been submitted.
(5)
The organization continues to conduct its activities in a manner that serves public or charitable
purposes rather than commercial purposes and the documentation previously provided to the agency
supporting such claim remains true and correct, or if changed, new documentation has been
submitted.
(6)
The organization receives funding and revenue and charges fees in a manner that does not
incentivize it or its employees to act other than in the best interests of its clients and the
documentation previously provided to the agency supporting such claim remains true and correct, or
if changed, new documentation has been submitted.
(7)
The organization compensates its employees in a manner that does not incentivize employees to act
other than in the best interests of its clients.
(8)
The organization continues to provide or identify for the borrower residential mortgage loans with
terms favorable to the borrower and comparable to mortgage loans and housing assistance provided
under governmental assistance programs and the documentation previously provided to the agency
supporting such claim remains true and correct, or if changed, new documentation has been
submitted.
(9)
The organization continues to meet any additional requirements established by this state.
(10) The organization has provided true and correct copies of its most recent financial statements.
(11) The organization’s business plan remains true and correct, or if changed, a new business plan has
been submitted.
Updated 09-13-12
Page 1 of 2
(12) The organization’s previously submitted management chart/and or organizational chart remains true
and correct, or if changed, a new management chart and/or organizational chart has been submitted.
(13) The organization’s previously submitted list of locations remains true and correct, or if changed, a
new list of locations has been submitted.
Date: _______________________________
Signature: ___________________________
Title: _______________________________
Updated 09-13-12
Page 2 of 2
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