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F

e d e r a l r e s e r v e

B

a n k

OF DALLAS
WILLIAM H. WALLACE

DALLAS, TEXAS 7 5 2 2 2

FIRST VICE PR ESIDENT

December 6, 1985
Circular 85-141

TO:

The Chief Executive Officer of all
member banks concerned in the
Eleventh Federal Reserve District
SUBJECT

Form FFIEC 004, Report on Indebtedness of Executive Officers and
Principal Shareholders and Their Related Interests to Correspondent Banks
DETAILS
Since 1979, member banks have been subject to certain reporting and
disclosure requirements set forth under the Board's Regulation 0, such
requirements established under Titles VIII and IX of the Financial
Institutions Regulatory and Interest Rate Control Act of 1978 (FIRA). The
Garn-St Germain Depository Institutions Act of 1982 amended certain of the
reporting'and disclosure requirements. A copy of Form FFIEC 004 is enclosed
to assist your bank and your bank's executive officers and principal
shareholders to comply with the reporting and disclosure requirements set
forth in Regulation 0.
Executive officers and principal shareholders subject to the
reporting requirements of Title VIII of FIRA must file annual reports
concerning their indebtedness, and the indebtedness of their related
interests, to the correspondent banks of the member bank. These reports are
filed with the member bank's board of directors by January 31 of each year.
The 1985 report covers the period January 1 to December 31, 1985.
Each member bank should notify its executive officers and principal
shareholders of the reporting requirements of Title VIII of FIRA. The persons
notified should include any person who was an executive officer or principal
shareholder of the member bank during the period January 1 to December 31,
1985, since all of these persons are subject to reporting requirements if they
were indebted to a correspondent bank of the member bank during this period.

For additional copies of any circular please contact the Public Affairs Department at (214) 651-6289. Banks and others are
encouraged to use the following incoming WATS numbers in contacting this Bank (800) 442-7140 (intrastate) and (800)
527-9200 (interstate).

This publication was digitized and made available by the Federal Reserve Bank of Dallas' Historical Library (FedHistory@dal.frb.org)

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Each member bank also is required to make available to its executive
officers and principal shareholders a list of the member bank's correspondent
banks. A correspondent bank is defined as a bank that maintains one or more
correspondent accounts for a member bank during the calendar year that in the
aggregate exceed certain amounts specified in the regulation.
Form FFIEC 004, or a similar form, that is filed by executive
officers and principal shareholders, must be kept on file at the member bank
for a period of three years. These reports are not required to be made
available to the public; however, the reports will be reviewed by examiners
during the course of the examination of the member bank. The report filed by
executive officers and principal shareholders are not required to be filed
with the Reserve Bank or Regional Administrator.
The enclosed Form FFIEC 004 is provided to your bank to assist your
executive officers and principal shareholders in meeting their continuing
reporting requirements under Title VIII of FIRA. The executive officers and
principal shareholders can, if they wish, provide the required information on
other forms.
Please duplicate the form in accordance with your needs. Forms
are being provided to national banks at the request of the Comptroller of the
Currency. Form FFIEC 004 has been approved by the FFIEC for use by
executive officers and principal shareholders of federally insured banks.
Thus, all insured banks are being provided uniform report forms for the use of
their executive officers and principal shareholders in complying with the
reporting requirements of Title VIII of FIRA.
ATTACHMENTS
The FFIEC 004 form is enclosed.
MORE INFORMATION
Any questions your bank may have on the current forms should be
directed to Marvin C. McCoy at (214) 651-6274. Questions regarding Regulation
0 should be directed to David W. Dixon of this Bank's Legal Department at
(214) 651-6228.
Sincerely yours,

Board of Governors of the Federal Reserve System
Comptroller of the Currency
Federal Deposit Insurance Corporation
Nam e o f Executive O fficer or Principal Shareholder Subm itting Report

Report on Indebtedness of Executive Officers and
Principal Shareholders and their Related Interests
to Correspondent Banks

Name o f Bank to which R eport is Subm itted

City

State

For the Calendar Year Ending December 31, 19___

Status o f Reporting Person:

A. Maximum amount o f indebtedness outstanding during the calendar year:

____ Executive Officer
____ Principal Shareholder
If the report is submitted for indebtedness o f a related interest, name and
address of related interest for which the report is submitted:

Form FFIEC 004
Approved by the Federal Financial Institutions
V T
Examination Council 11/15/79
OMB No. 7100-0034 (FRB) Expires 11/30/86
1557-0070 (OCC) Expires 12/31/86
3064-0023 (FDIC) Expires 11/30/86

To be submitted by executive officers and principal shareholders of Insured banks to the
boards of directors of their banks in satisfaction of the reporting requirements of the
Federal Reserve Board’s Regulation O (12 C.F.R. Part 215) and Part 349 of the Federal
Deposit Insurance Corporation’s Rules and Regulations (12 C.F.R. Part 349) with respect
to Indebtedness to correspondent banks.

D. Terms and Conditions of each extension o f credit included as
indebtedness in the amount reported in Box A (see Instruction 3). Use
additional pages if indebtedness consists of more than three loans
and/or more space is needed to report terms and conditions:

(In thousands of dollars) $
B. Method used to determine maximum amount of indebtedness outstand­
ing (check one):

Loan 1:

____ i. highest outstanding indebtedness during the calendar year
.ii. highest end o f the month indebtedness outstanding during the
calendar year
Name and address o f the correspondent bank to which the executive
officer, principal shareholder, or related interest is indebted:

Loan 2:

C. Am ount o f indebtedness outstanding 10 business days prior to the date
of filin g this Report:

Loan 3:

(In thousands of dollars) $.
I hereby certify that inform ation given above is complete, correct,
true to the best of my knowledge.

Signature o f official responsible fo r report

Date Signed

General Instructions
1. Persons Required to File Report
A Report on Indebtedness to Correspondent Banks (Form FFIEC 004),
or a similar form containing identical inform ation, must be completed
by each executive officer and each principal shareholder of an insured
bank who was indebted, or whose related interests were indebted,
during the calendar year for which the report is being submitted to a
correspondent bank of their bank. A ll insured banks are required by
law to make available to their executive officers and principal
shareholders a list of the bank's correspondent banks. "Correspondent
bank" means generally a bank that maintains a correspondent account
in excess of a certain amount fo r the officer's or shareholder's bank.
The executive officer or principal shareholder must file a separate
report concerning the indebtedness o f the officer or shareholder to each
correspondent bank and a separate report concerning the indebtedness
of each of the related interests of the officer or shareholder to each
correspondent bank. For example, if an executive officer is indebted to
tw o correspondent banks, the officer must file tw o reports, one fo r
each correspondent bank. If the executive officer has two related
interests that were also both indebted to tw o correspondent banks, the
officer would file six reports, tw o for the officer's own indebtedness
and four fo r the indebtedness of the officer's related interests. If the
executive officer is not indebted to a correspondent bank, but a related
interest of the officer is indebted to a correspondent bank, the
executive officer must file a report concerning the indebtedness of the
officer's related interest to the correspondent bank.
2. Where and When Reports are to be Filed
The executive officer or principal shareholder must submit the report
on indebtedness to correspondent banks to the board of directors of
the reporting person's bank for each calendar year by January 31 of the
next vear.
3. What Must be Reported
The reporting person must include in each report on indebtedness to
each correspondent bank: (a) the maximum amount o f indebtedness
outstanding during the calendar year, and (b) the terms and conditions
of each extension o f credit included in the maximum amount reported.
The terms and conditions to be reported are: (1) the original amount
and date; (2) the m aturity date; (3) the payment terms; (4) the range of
interest rates charged during the calendar year; (5) whether secured or
unsecured; (6) if secured, a description of collateral and its value; and
(7) any unusual terms or conditions.

In determining the maximum amount of indebtedness of a principal
shareholder, the indebtedness of a member of the shareholder's
immediate fam ily is to be treated as indebtedness o f the principal
shareholder. Each maximum amount of indebtedness reported may
include several separate extensions of credit. The reporting person must
report separately the terms and conditions of each of these extensions
of credit.
Each report on indebtedness to each correspondent bank must also
include the amount of indebtedness outstanding to the correspondent
bank 10 business days before the date the report on indebtedness is
filed. If the inform ation on the amount of indebtedness outstanding to
a correspondent bank 10 business days before the filing of the report is
not available or cannot be readily ascertained by the filin g date, an
estimate o f the amount of such indebtedness may be filed, provided
that the actual amount of such indebtedness is submitted to the bank's
board of directors w ithin the next 30 days.
4. Definitions
The follow ing definitions are intended to provide general guidance in
completing this report. For precise definitions, see the Federal Reserve
Board's Regulation O (12 CFR Part 215) and Part 349 o f the FDIC's
Rules and Regulations (12 CFR Part 349).
a. "Executive o ffic e r" is defined in section 215.2 of Regulation O and
means generally an individual who participates or who has authority
to participate (other than in the capacity o f a director) in major
policymaking functions o f the bank. Certain categories of bank
officers (e.g., vice presidents) are presumed in Regulation O to be
executive officers unless they are excluded by resolution o f the
board of directors o f the bank or by its bylaws from participation in
major policymaking functions of the bank and do not participate
therein.
b. "Principal Shareholder" means any individual or company (other
than an insured bank or a foreign bank) that, directly or indirectly,
owns, controls, or has the power to vote more than 10 per cent of
any class o f voting securities of the bank. The term includes a person
that controls a principal shareholder (e.g., a person that controls a
bank holding company).
For the purpose of determining who is a principal shareholder,
shares owned or controlled by a member of the individual's
immediate fam ily are presumed to be controlled by the individual.

"Immediate fa m ily " means the spouse of an individual, the
individual's minor children, and any of the individual's children
(including adults) residing in the individual's home. For reporting
purposes, only one individual in the immediate fam ily must file
reports, if that individual's reports include the inform ation on
indebtedness of the individual's immediate fam ily.
c. Control of a company is defined in section 215.2(b) of Regulation O
as generally ownership or control of 25 per cent or more of a
company's outstanding voting shares. However, the regulation
presumes control in some cases where less than 25 per cent
ownership or control exists.
d. "Related interest" means any company controlled by a person and
any political or campaign committee, the funds or services of which
w ill benefit a person or that is controlled by a person. However, a
related interest does not include a bank or a foreign bank.
e. "Indebtedness" includes any extension of credit (as defined in
section 215.3 of Regulation O), but does n o t include:
i. commercial paper, bonds and debentures issued in the ordinary
course of business; and
ii. consumer credit (as defined in section 226.2 of Regulation Z)
in an aggregate amount of $5,000, or less, from each corres­
pondent bank, provided the credit is incurred under terms that
are not more favorable than those offered the general public.
f. "M aximum amount of indebtedness" means, at the option of the
reporting person, either (i) the highest outstanding indebtedness
during the calendar year fo r which the report is made, or (ii) the
highest end of the month indebtedness outstanding during the
calendar year fo r which the report is made. The method chosen
should be consistently used for all indebtedness to the same
correspondent bank. The reporting person must indicate on the
report whether the maximum amount was determined as of the end
of the month or on a daily basis.
g. "Correspondent bank," "com pany," and other terms pertinent to
this report are defined in the Board's Regulation O, 12 CFR Part
215 and Part 349 of the Federal Deposit Insurance Corporation's
Rules and Regulations, 12 CFR Part 349.