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Interagency Biographical And Financial Report Form. This is a Official Federal Forms form and can be use in Applications Structure Change Federal Reserve System.
Tags: Interagency Biographical And Financial Report, FR 2081c, Official Federal Forms Federal Reserve System, Applications Structure Change
Board of Governors of the Federal Reserve System OMB Number 7100-0134 Approval expires May 31, 2021 Federal Deposit Insurance CorporationOMB Number 3064-0006 Approval expires June 30, 2021 Office of the Comptroller of the Currency OMB Number 1557-0014 Approval expires February 28, 2021 Page 1 of 18Board of Governors of the Federal Reserve System Interagency Biographical and Financial Report227FR 2081cAn organization or a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. General Information and InstructionsThis Interagency Biographical and Financial Report (report) is used by individuals1 in conjunction with other corporate filings to the appropriate federal banking agency. This report is not a stand-alone document. PreparationUse of this report format is not mandatory. If an alternative format is used, it must provide all requested information, including the certification. All questions must be answered with complete and accurate information that is subject to verification. If the answer is "none," "not applicable," or "unknown," so state. Answers of "unknown" or "yes" should be explained. In addition, each appropriate federal banking agency specifically reserves the right to require up to five years of financial data from any individual as well as the filing of additional information or statements, such as a federal income tax return or a current appraisal to support an asset's value. 1. A company seeking to acquire direct or indirect control of a bank or savings association should consult with the appropriate federal banking agencyfor filing instructions.2.Provide the foreign currency exchange rate and conversion date, if applicable.Financial statements from individuals must have "as of" dates of not more than 90 days prior to the date the financial report is sub-mitted. All amounts in this report must be based on current market value in United States dollars2 and agree with any totals in the supplementary schedules. In addition to the sample finan-cial schedules, you may wish to provide supplementary sched-ules for other items on the financial statement. If the sample financial statement is used, an answer is required to each item. If you submit an alternative Financial Report format, the information must respond to each request for information contained in the sample Financial Report. If you have been convicted of any criminal offense involving dis-honesty, breach of trust, or money laundering, or have agreed to enter into a pretrial diversion or similar program in connection with a prosecution of such offense (12 U.S.C. 247 1829), you must obtain approval from the FDIC before you can own, control, par-ticipate in the affairs of, or become an institution-affiliated party of a depository institution.Each individual must report promptly any material change in the biographical report or financial condition that occurs during the review period for the filing. For additional information regard-ing the processing procedures and guidelines, and any supplemental information that may be required, refer to the appropriate federal banking agency's procedural guidelines (for example, the OCC's Rules and Regulations (12 C.F.R Part 5), the Comptroller's Licensing Manual, the FDIC's Rules and Regulations (12 C.F.R. Part 303), the Board's Regulations Y and LL (12 C.F.R. Part 225 and 12 C.F.R. Part 238, respectively), and relevant policy statements), contact the agency directly for specific instruction, or visit its website at www.occ.treas.gov, www.fdic.gov, or www.federalreserve.gov. DefinitionsFor purposes of this document: Affiliate means any company that owns or controls, is owned or controlled by, or is under common ownership or control with a depository institution or depository institution holding company.The questions are not intended to limit the presentation nor are the questions intended to duplicate information supplied on another form or in an exhibit. For example, a cross-reference to the informa-tion is acceptable. Any cross-reference must be made to a specific cite or location in the documents, so the information can be located easily. Use additional sheets as necessary. Each federal banking agency will provide additional instructions for use and preparation. If the report is not complete, the federal banking agency may either request additional information or return the filing. If you are a foreign national or a United States citizen who currently resides in a foreign country, additional information may be necessary.Public reporting burden for this collection of information is estimated to average 2.5 hours for biographical information and 2 hours for financial information. This estimate includes time to gather and maintain data in the required form, to review instructions, and to complete the information collection. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to: Paperwork Reduction Act, Legal Division, Federal Deposit Insurance Corporation, 550 17th Street, NW, Washington, DC 20429; Secretary, Board of Governors of the Federal Reserve System, 20th and C Streets, NW, Washington, DC 20551; or Licensing Activities Division, Office of the Comptroller of the Currency, 400 7th Street, SW, Washington, DC 20219; and to the Office of Management and Budget, Paperwork Reduction Project, Washington, DC 20503. 06/2018 American LegalNet, Inc. www.FormsWorkFlow.com FR 2081c Page 2 of 18General Information and Instructions 227ContinuedCompany means any corporation, association, partnership, lim-ited liability company, business trust, sole proprietorship, joint venture, or other similar organization.Depository institution means any bank (including a national, state, district, or foreign bank), savings association, savings bank, savings and loan association, building and loan associa-tion, homestead association, cooperative bank, trust company, industrial bank or loan company, or credit union. A United States office, including a branch or agency, of a foreign bank is a depository institution.Management official includes a senior executive officer; director; advisory or honorary director of a depository institution with total assets of $100 million or more; branch manager; trustee of a depository organization under the control of trustees; and any person who has a representative or nominee serving in any of those capacities.Principal shareholder or owner means a person who directly or indirectly owns, controls, or holds (either individually or as a member of a group) the power to vote 10 percent or more of any class of voting securities or other voting equity interest of the entity.ConfidentialityAny individual desiring confidential treatment of specific portions of the report must submit a request in writing with the report. The request must discuss the justification for the requested treat-ment. The individual's reasons for requesting confidentiality should specifically demonstrate the harm (for example, loss of competitive position, invasion of privacy) that would result from public release of information under the Freedom of Information Act (5 U.S.C. 247 552). Information for which confidential treatment is requested should be: (1) specifically identified in the public portion of the report (by reference to the confidential section); (2) separately bound; and (3) labeled "Confidential." The individual should follow the same procedure for a request for confidential treatment for the subsequent filing of supplemental information to the report.The individual should contact the appropriate federal bank-ing agency for specific instructions regarding requests for confidential treatment. The agency will determine whether the information will be treated as confidential and will advise the individual of any decision to make available to the public information labeled "Confidential."Associated means associated as an officer, director, organizer, partner, trustee, or principal shareholder or owner.06/2018 American LegalNet, Inc. www.FormsWorkFlow.com Purposes This form is used by cer