Black-, Indigenous-, People of Color-owned Business Enterprises or Women-owned Business Enterprises Qualification Form
Instructions: This form is applicable for the 2025 and 2026 Multifamily Consolidated Request for Proposals (RFP) and 2026 and 2027 Housing Tax Credit (HTC) funding rounds. This Black-, Indigenous-, People of Color-owned Business Enterprises or Women-owned Business Enterprises Qualification Form can be used as documentation for projects claiming the selection criterion in the Self-Scoring Worksheet. The form must be completed by an authorized officer of the organization. Submit the completed qualification form through Multifamily Customer Portal (Portal) in the checklist. 
This form should be completed for each entity claiming the selection criterion. Minnesota Housing will not accept only one Qualification Form if more than one entity claims the selection criterion. See the Self-Scoring Worksheet for eligible entities and additional supporting documentation, if applicable.
Project Information
Project Name:      	D#:      
Business Enterprise Information
Full Legal Name:      
Street Address:      
City, State ZIP Code:      
The business enterprise is a .
The business enterprise is the project’s: Check all that apply.
	Owner and Sponsor	
	Developer	
	Architect		
	General Contractor
	Management Agent 
	Service Provider 
	Development Consultant	
The business enterprise is participating in a Capacity Building Partnership:  
Individual Ownership Interest of a For-profit Business Enterprise
Complete Table A if the business enterprise is a for-profit entity. If there are additional owners, beyond the number of rows included in Table A, replicate the table in a separate document and submit as supporting documentation for the selection criterion.
Table A: For-profit Individual Ownership Interest
Name of Individual Owner	Black, Indigenous, or Person of Color or Woman	Ownership Interest %	
     		     	
     		     	
     		     	
     		     	
     		     	
TOTAL	     	
The information included in the Table A verifies that the for-profit business enterprise is at least 51% owned by one or more individuals that are .
Nonprofit or Governmental Entities
The executive director or equivalent, of the  business enterprise is .
Certification
The undersigned hereby certifies that the information set forth herein, and in any attachments in support thereof, is true, correct, and complete to the best of my knowledge and belief.
     
Name of  Business Enterprise
      	     
Authorized Signatory Printed Name	Title
     	     
Authorized Signature	Date