Internal Controls Certification for Nonprofit Organizations
Per Minnesota Statute 16B.981, subdivision 2, paragraphs 2 and 5, Minnesota Housing is required to review financial documentation for nonprofit organizations requesting grant awards of $50,000 or more. If your organization has not been in existence long enough to have filed Form 990 or Form 990 EZ with the IRS, you are required to submit this Certification of Internal Controls in place of those documents.
1.	Explain why your organization is exempt from filing Form 990 or Form 990 EZ.
	     
2.	Provide a narrative explanation documenting your board reviewed internal control practices for the organization. If your organization does not have a board, provide information about how the organization’s managing group addresses internal controls.
	     
Examples of internal controls, policies, and practices include but are not limited to:
•	Cash receipt and disbursement processing, including signing/approval authority
•	Payroll processing, including staff recording of time worked and supervisory review/approval of time worked
•	Bank account reconciliation
•	Procurement and contracting
•	Subgrantee selection, oversight, and monitoring
•	Board of directors’ oversight, bylaws, and meeting protocols
•	Separation of duties
•	Risk mitigation strategies
•	Other related items
Certification
NOTE: This form can be signed digitally, electronically or via wet signature.
By signing below, I certify I am an authorized representative or am otherwise authorized to sign contracts, financial documents, and legal documents on behalf of the organization. I also certify that the information contained in this document is true, correct, reliable, and complete.
I acknowledge that the submission of inaccurate or misleading information may be grounds for disqualification from a funding recommendation or award and may subject both me and my organization to suspension or debarment proceedings, as well as other remedies available to the State, by law.

     
Potential Grantee Name

	     
Authorized Signer Signature	Date

     	     
Authorized Signer Printed Name	Title