3-04 - Attachment C - Organization Information.docx

DOCX document 41 KB Posted

Attached to
NOFA Dallas Financial Empowerment Centers – Drivers of Poverty/Drivers of Opportunity Program Community Development Block Grant Funds (CDBG)
Solicitation number
HCE-2026-00029900
Issued by
Dallas County, Texas

About this file

This is an Organization Information form issued by the City of Dallas Office of Housing and Community Empowerment for the NOFA Dallas Financial Empowerment Centers – Drivers of Poverty/Drivers of Opportunity Program. The form requires applicant organizations to provide their legal name, mailing address, primary contact information, program title, and organizational structure classification (public agency, private nonprofit, private for-profit, partnership/joint venture, or other). The grant program has a one-year term and seeks nonprofit subrecipients to provide professional financial counseling services, operate Dallas Financial Empowerment Center hub sites, deliver FEC services at city-owned co-locations, and offer financial literacy programming to very low-to-moderate income residents of Dallas in coordination with the City. Services should be integrated into existing social service delivery models through partnerships to expand access to benefits and resources that advance economic mobility.

The funding source is Community Development Block Grant (CDBG) funds allocated by the City of Dallas and subject to appropriation and approval by City Council, as well as U.S. Department of Housing and Urban Development approval of the City's Annual Action Plan. Applicants must provide their Federal Tax ID Number and certify authorization to bind their organization, compliance with insurance and indemnification requirements outlined in the RFA, and truthfulness of submitted information. Required supporting documentation includes a copy of Articles of Incorporation and By-Laws, an IRS letter of tax-exempt status for nonprofit organizations, and minutes from the organization's three most recent Board of Directors meetings. The form was issued on February 28, 2019, with a revision date of February 4, 2026.

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Other files

File Type Posted
14-21 - Attachment P- Resilient-Dallas-Strategy-Reduced-PDF.pdf PDF
9-16 - Attachment K - Direct Benefits Report.docx DOCX document
1-02 - Attachment A - Financial Empowerment Centers - Application Form.docx DOCX document
12-19 - Attachment N-FEC Counselor Training Overview.pdf PDF
11-18 Attachment M - Overview of Accomplishments.docx DOCX document
15-22 - Attachment Q - Qualifying Census Tracts - 2024.docx DOCX document
8-13 - Attachment I - Mayors Taskforce on Poverty.pdf PDF
13-20 - Attachment O- FEC Public Outcomes Counseling Activities.pdf PDF
6-07 - Attachment F - Dallas FEC - Responsiveness Checklist.docx DOCX document
2-03 - Attachment B - Budget Worksheet Form.xlsx XLSX spreadsheet
20-09 - Attachment H - Insurance Requirements CDBG Drivers of Opportunity Financial Empowerment.pdf PDF
16-23 - Attachment R - Financial Empowerment Center Model.pdf PDF
17-24 - Attachment S- Certain CDBG Regulations and Addendum A.pdf PDF
18-01 NOFA - Financial Empowerment Center - CDBG FY26 -v3 FINAL.docx DOCX document
10-17 - Attachment L - Request for Payment.docx DOCX document
19-15 - Attachment J- Monthly Target Analysis Report.docx DOCX document
4-05 - Attachment D - Board Information.docx DOCX document
7-08 - Attachment G - Financial Empowerment Centers - App Scoring-Evaluation Sheet v3.docx DOCX document
5-06 - Attachment E - Budget Revision Request Form.docx DOCX document
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Text version

Attachment C

City of Dallas Office of Housing and Community Empowerment

ORGANIZATION INFORMATION

1. Legal Name of Organization:

Mailing Address (if different from physical address):

CONTACT PERSON: PHONE:

TITLE:

E-Mail: FAX:

2. PROGRAM TITLE:

3. APPLICANT’S ORGANIZATIONAL STRUCTURE: (Check applicable box)

|_| Public Agency |_| Private, Non-profit |_| Private, For-profit |_| Partnership or Joint Venture |_| Other:

Organization Federal Tax ID Number:

4. AGENCY APPROVAL: By signing below, Organization certifies that Organization has read the entire RFA and provided true and correct information in Organization’s Application submission. Additionally, Organization certifies that the agency will be able and willing to comply with the insurance and indemnification requirements set out in the RFA, if selected. The signer of this form certifies that he/she is authorized to bind the Organization.

Signature of Authorized Individual

Typed Name and Title of Authorized Individual

Date

5. Attach copy of Articles of Incorporation, By-Laws

6. For non-profit organizations, attach copy of IRS letter of tax exempt status

7. Attach a copy of minutes from last three (3) most recent Board of Directors meetings

Issue Date: 2/28/19 Rev 02/04/2026

File details come from the government source that posted it. Updated .