Summary Statements: Reading Between The Lines

Applicants are starting to receive their Summary Statements from grant reviews that took place in September/October NIH study sections. The Summary Statement is the written record of the review of your grant.
It contains the written reviews of the assigned reviewers (usually two, three, or four of them), as well as the Resume and Summary of Discussion, which is a summary written by the Scientific Review Officer of the discussion of your grant by the study section. This latter section is only there if your grant was discussed–i.e., not triaged without discussion.
A colleague of mine from another institution was kind enough to share with me the Summary Statement she just received, as she found it confusing and wanted to get my take on it.