SBA Form 1010-CDC 8(A) Business Development (Bd) Program Application Alaskan Native Corporation-Owned Concern

What Is SBA Form 1010-CDC?

SBA Form 1010-CDC, 8(a) Business Development (BD) Program Application Community Development Corporation-Owned Concern is a form filed by the Certified Development Company (CDC) that owns the business applying for the 8(a) Business Development Program.

The Small Business Administration (SBA) released the latest edition of the form in March 2011. An up-to-date SBA Form 1010-CDC fillable version is available for download and digital filing below.

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OMB Approval No.
3245-0331 Expiration Date:
02/29/20 20
Community Development Corporation Information
The Community Development Corporation that owns the applicant business concern
must complete this form. 13 C.F.R. § 124.111.
YOUR SIGNATURE ON THIS FORM INDICATES THAT YOU FULLY UNDERSTAND ALL QUESTIONS AND
CERTIFIES THAT ALL RESPONSES AND DOCUMENTS ARE TRUTHFUL AND ACCURATE. Please submit
this form with the 8(a) Business Development Program Application – SBA Form 1010. The information will be
used as part of the program eligibility determination.
Name of Applicant Business Concern (include any trade or d.b.a. names):
______________________________________________________________________________________
Name of Parent Community Development Center (CDC): _________________________________________
Note: A CDC means a nonprofit organization responsible to residents of the area it serves which has received financial
assistance under 42 U.S.C. 9805, et seq. 13 C.F.R. § 124.3.
Telephone: (
)____________________
Fax: (
)_________________________
Address: _______________________________________________________________________
City: _____________________ County: _____________ State: ______________ Zip: ______________
E-mail: __________________________________________ @ ____________________________
Mailing Address (if different from above)
Address: _____________________________________________________________________
City: _____________________ State: ______________ Zip: ______________
CDC percent ownership of applicant: ___________
Please answer the following questions and provide the required documents:
1. Does the CDC or subsidiary of the CDC own 50% or more of another business other than the
[ ]Yes
[ ]No
applicant business concern? If yes, identify the names of any other business concern(s), the
primary NAICS code of the other business concern(s), and which (if any) of the other business
concerns have ever participated in the 8(a) BD Program.
2. Does the CDC own the applicant concern directly (rather than through a subsidiary)?
[ ]Yes
[ ]No
[ ]Yes
[ ]No
3. Does the CDC own the applicant business concern through a subsidiary? If yes, provide the
name and address of that subsidiary.
Please provide the following documents:
Documentation which demonstrates the legal status of the CDC.
Documentation showing the CDC’s ownership of the applicant business concern.
1
OMB Approval No.
3245-0331 Expiration Date:
02/29/20 20
Community Development Corporation Information
The Community Development Corporation that owns the applicant business concern
must complete this form. 13 C.F.R. § 124.111.
YOUR SIGNATURE ON THIS FORM INDICATES THAT YOU FULLY UNDERSTAND ALL QUESTIONS AND
CERTIFIES THAT ALL RESPONSES AND DOCUMENTS ARE TRUTHFUL AND ACCURATE. Please submit
this form with the 8(a) Business Development Program Application – SBA Form 1010. The information will be
used as part of the program eligibility determination.
Name of Applicant Business Concern (include any trade or d.b.a. names):
______________________________________________________________________________________
Name of Parent Community Development Center (CDC): _________________________________________
Note: A CDC means a nonprofit organization responsible to residents of the area it serves which has received financial
assistance under 42 U.S.C. 9805, et seq. 13 C.F.R. § 124.3.
Telephone: (
)____________________
Fax: (
)_________________________
Address: _______________________________________________________________________
City: _____________________ County: _____________ State: ______________ Zip: ______________
E-mail: __________________________________________ @ ____________________________
Mailing Address (if different from above)
Address: _____________________________________________________________________
City: _____________________ State: ______________ Zip: ______________
CDC percent ownership of applicant: ___________
Please answer the following questions and provide the required documents:
1. Does the CDC or subsidiary of the CDC own 50% or more of another business other than the
[ ]Yes
[ ]No
applicant business concern? If yes, identify the names of any other business concern(s), the
primary NAICS code of the other business concern(s), and which (if any) of the other business
concerns have ever participated in the 8(a) BD Program.
2. Does the CDC own the applicant concern directly (rather than through a subsidiary)?
[ ]Yes
[ ]No
[ ]Yes
[ ]No
3. Does the CDC own the applicant business concern through a subsidiary? If yes, provide the
name and address of that subsidiary.
Please provide the following documents:
Documentation which demonstrates the legal status of the CDC.
Documentation showing the CDC’s ownership of the applicant business concern.
1
NOTICE OF CRIMINAL PENALTIES AND ADMINISTRATIVE REMEDIES FOR FALSE
STATEMENTS: Under Title 18 U.S.C. § 1001 and Title 15 U.S.C. § 645, any person who misrepresents a
business concern’s status as an 8(a) Program participant, or makes any other false statement in order to influence
the certification process in any way, or to obtain a contract awarded under the preference programs established
pursuant to section 8(a), 8(d), 9 or 15 of the Small Business Act, or any other provision of Federal Law that
reference Section 8(d) for a definition of program eligibility shall be: (1) Subject to fines and imprisonment of
up to 5 years, or both, as stated in Title 18 U.S.C. § 1001; (2) subject to fines of up to $500,000 and
imprisonment of up to 10 years, or both, as stated in Title 15 U.S.C. § 645; (3) Subject to civil and
administrative remedies, including suspension and debarment; and (4) Ineligible for participation in programs
conducted under the authority of the Small Business Act.
CERTIFICATIONS: By signing this form, I certify that all information in this application, including all
supporting documents, is true and complete to the best of my knowledge, and that I understand that SBA is
relying on this information in making its determination of my company’s eligibility for the 8(a) BD Program.
Form must be signed by the CDC’s President or CEO.
___________________________
________________________
__________________
Signature
Print Name
Date
The estimated burden for completing this form, including reading the instructions and gathering the information,
is 1 hour for initial application and each annual update. (A submission for reconsideration is estimated to require
approximately 30 minutes). You are not required to respond to any collection of information unless it displays a
currently valid OMB approval number. Comments on the burden should be sent to U.S. Small Business
Administration, Chief, AIB, 409 3rd St., S.W., Washington D.C. 20416, and/or SBA Desk Officer, Office of
Management and Budget, New Executive Office Building, Room 10202, Washington, D.C. 20503. PLEASE
DO NOT SEND FORMS TO OMB.
SBA Form 1010-CDC (3/11)
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Download SBA Form 1010-CDC 8(A) Business Development (Bd) Program Application Alaskan Native Corporation-Owned Concern

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SBA Form 1010-CDC Instructions

A CDC is an independent nonprofit organization with financial assistance from the SBA that work together with financial institutions to provide funding for disadvantaged businesses that would otherwise have less access to financial resources.

The SBA Form 1010-CDC requires the CDC to provide paperwork that proves its legal status and ownership of the applicant business. The form also requires the representative of the CDC to answer the following three questions:

  1. Does the CDC or its subsidiary own more than 50% of any business other than the applicant business?
  2. Does the CDC own the applicant business directly?
  3. Does the CDC own the applicant business through a subsidiary?

The completed form must be signed by the CEO or President of the CDC to certify that all information provided in the form and in the supporting documents is complete and correct. The SBA will use the provided information to determine the applicant business's eligibility to participate in the 8(a) Program.

Additional guidelines and information can be found in the 13 C.F.R. § 124.111 (Do Community Development Corporations (CDCs) have any special rules for applying to the 8(a) BD program?).

SBA Form 1010-CDC Related Publications

  1. SBA Form 1010-ANC, 8(a) Business Development (BD) Program Application Alaskan Native Corporation-Owned Concern is a form filed by an Alaska Native Corporation-owned business applying for the 8(a) Business Development Program with the SBA.
  2. SBA Form 1010-NHO, 8(a) Business Development (BD) Program Application Native Hawaiian Organization-Owned Concern is a form completed by representatives of Native Hawaiian Organizations that own the businesses of 8(a) Business Development Program applicants.
  3. SBA Form 1010-AIT 8(a) Business Development (BD) Program Application American Indian - Tribally-Owned Concern is a form completed by a tribally-owned company that is applying for the 8(a) Program.
  4. SBA Form 1010-IND, 8(a) Business Development (BD) Program Application Individual Information is a form filled out by each individual owning more than 10% of a business applying for the 8(a) Program.
  5. SBA Form 1010, Representative Form 1010 Business is a form used by businesses to inform the SBA of the participating representatives and compensation paid for assistance with their 8(a) initial application.
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