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Federal Reserve Bank
N E W Y O R K , N.Y.
AREA CODE

Fr e d e r i c k

C.

S

212

of

100-45

7 2 0 -5 5 4 5

New York

ku, dM!<M> '/OH-ZI

December 31, 1990

chadrack

E x e c u t i v e V ic e P r e s i d e n t

To the Chief Executive Officer of Each Member Bank
in the Second Federal Reserve District:
Since 1979 member banks have been subject to certain
reporting and disclosure requirements set forth under the Board's
Regulation O. These requirements were established in Titles VIII
and IX of the Financial Institutions Regulatory and Interest Rate
Control Act of 1978 (FIRA), as amended by the Garn-St. Germain
Depository Institutions Act of 1982.
A copy of Form FFIEC 004 is enclosed to assist your
bank and your bank's executive officers and principal
shareholders regarding compliance with the requirements set forth
in Regulation 0. Form FFIEC 004 has been approved by the FFIEC
for the use of executive officers and principal shareholders.
Please duplicate the form in accordance with your needs.
Executive officers and principal shareholders can provide, if
they wish, the required information on other forms.
Executive officers and principal shareholders subject
to the reporting requirements 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 1991 report covers the period
January 1 to December 31, 1990.
Each member bank should notify its executive officers
and principal shareholders of the reporting requirement. 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, 1990, 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.
Each member bank is also 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
aggregated exceed certain amounts specified in the regulation.




(Over)

FEDERAL

RESERVE

BANK

OF

NEW

YORK

2

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 an examination of the member bank. The
reports filed by executive officers and principal
shareholders are not required to be filed with the Reserve
Bank or Regional Administrator.
Any questions your bank may have on the current
forms should be directed to Bernard Jacobs, Supervising
Examiner (Tel. No. 212-720-5890), at this Reserve Bank.
Questions regarding the regulation should be directed to our
Compliance Examinations Division (Tel. No. 212-720-5914).




Sincerely,

Frederick C. Schadrack
Executive Vice President

Board of Governors of the Federal Reserve System
Office of the Comptroller of the Currency
Federal Deposit Insurance Corporation
Name of Executive Officer or Principal Shareholder Submitting Report

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

Name of Bank to which Report is Submitted
City

State

For the Calendar Year Ending December 31, 19
Status of Reporting Person:

A. Maximum amount of indebtedness outstanding during the calendar year:

Executive Officer
Principal Shareholder

Form FFIEC 004
Approved by the Federal Financial Institutions
Examination Council 11/15/79
"
OMB No. 7100-0034 (FRB)
Expires 9/30/92
1557-0070 (OCC) Expires 9/30/92
3064-0023 (FDIC) Expires 9/30/92

To be subhlilted by executive officers and principal shdtuliuldors of msuied 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 of credit included as indebted­
ness 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) $
Loan 1:

If the report is submitted for indebtedness of a related interest, name and
address of related interest for which the report is submitted:

B. Method used to determine maximum amount of indebtedness outstand­
ing (check one):
i. highest outstanding indebtedness during the calendar year
ii. highest end of the month indebtedness outstanding during the
calendar year

Name and address of the correspondent bank to which the executive officer,
principal shareholder, or related interest is indebted:

Loan 2:

C. Amount of indebtedness outstanding ten business days prior to the date
of filing this report:
Loan 3:

(In thousands of dollars) S
I hereby certify that the information given above is complete, correct, and
true to the best Of my knowledge.
—-------------------—--------------------------------------------------------------------------------------------------------Signature of official responsible for report

_____________________ _______________________________________________________________
Date Signed




Disclosure of Estimated Burden
The estimated average burden associated with this information collection is .95 hours per respon­
dent and is estimated to vary from .27 to 2 hours per response, depending on individual circum­
stances. Burden estimates include the time for reviewing instructions, gathering and maintaining
data in the required form, and completing the information collection, but exclude the time for compiling and maintaining business records in the normal course of a respondent’s activities. Cornments concerning the accuracy of this burden estimate and suggestions for reducing this burden
should be directed to the Office of Information and Regulatory Affairs, Office of Management and
Budget, Washington, D.C. 20503, and to one of the following:
Secretary
Board of Governors of the Federal Reserve System
Washington, D.C. 20551
Legislative and Regulatory Analysis Division
Office of the Comptroller of the Currency
Washington, D.C. 20219
Assistant Executive Secretary
Federal Deposit Insurance Corporation
Washington, D.C. 20429

General Instructions
1. Persons Required to File Report
A Report on Indebtedness to Correspondent Banks (Form FFIEC 004),
or a similar form containing identical information, 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 correspon­
dent bank of their bank. All 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 gener­
ally a bank that maintains a correspondent account in excess of a cer­
tain amount for the officer’s or shareholder’s bank.
The executive officer or principal shareholder must file a separate re­
port concerning the indebtedness of 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 cor­
respondent bank. For example, if an executive officer is indebted to two
correspondent banks, the officer must file two reports, one for each cor­
respondent bank. If the executive officer has two related interests that
were also both indebted to two correspondent banks, the officer would
file six reports, two for the officer’s own indebtedness and four for 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 offi­
cer 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
year.
3. What Must be Reported
The reporting person must include in each report on indebtedness to
each correspondent bank: (a) the maximum amount of indebtedness out­
standing during the calendar year, and (b) the terms and conditions of
each extension of credit included in the maximum amount reported. The
terms and conditions to be reported are: (1) the original amount and date;
(2) the maturity date; (3) the payment terms; (4) the range of interest rates
charged during the calendar year; (5) whether the extension of credit
is secured or unsecured; (6) if secured, a description of the collateral
and its value; and (7) any unusual terms or conditions.




In determining the maximum amount of indebtedness of a principal share­
holder, the indebtedness of a member of the shareholder’s immediate
family is to be treated as indebtedness of the principal shareholder. Each
maximum amount of indebtedness reported may include several sepa­
rate extensions of credit. The reporting person must report separately
the terms and conditions of each of these extensions of credit.

“Immediate family” 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 family must file reports if that individual’s
reports include the information on indebtedness of the individual’s
immediate family..

Each report on indebtedness to each correspondent bank must also
include the amount of indebtedness outstanding to the correspondent
bank ten business days before the date on which the report on indebt­
edness is filed. If the information on the amount of indebtedness out­
standing to a correspondent bank ten business days before the filing of
the report is not available or cannot be readily ascertained by the filing
date, an estimate of 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 within the next thirty days.

c. Control of a company is defined in section 215.2(b) of Regulation O
as generally ownership or control of 25 percent or more of a com­
pany’s outstanding voting shares; however, the regulation presumes
control in some cases where less than 25 percent ownership or con­
trol exists.
d. “Related interest” means (1) a company that is controlled by a per­
son or (2) a political or campaign committee that is controlled by a
person or the funds or services of which will benefit a person.

4. Definitions
The following definitions are intended to provide general guidance in com­
pleting this report. For precise definitions, see the Federal Reserve
Board’s Regulation O (12 CFR Part 215) and Part 349 of the FDIC’s Rules
and Regulations (12 CFR Part 349).
a. “Executive officer” 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 .of a director) in major
policymaking functions of 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 of the board of direc­
tors of the bank or by its bylaws from participation in major policymak­
ing 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 percent of any class
of voting securities of the bank. The term includes a person that con­
trols 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 family
are presumed to be controlled by the individual.

e. “Indebtedness” includes any extension of credit (as defined in sec­
tion 215.3 of Regulation O), but does not include:
i. commercial paper, bonds and debentures issued in the ordinary
course of business; and
ii. indebtedness in an aggregate amount of $5,000 or less from each
correspondent bank, provided the credit is incurred under terms
that are not more favorable than those offered the general public.
f. “Maximum amount of indebtedness” means, at the option of the report­
ing person, either (i) the highest outstanding indebtedness during the
calendar year for which the report is made, or (ii) the highest end
of the month indebtedness outstanding during the calendar year for
which the report is made. The method chosen should be consistently
used for all indebtedness to the same correspondent bank. The report­
ing 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,” “company,” and other terms pertinent to this
report are defined in the Board’s Regulation 0 , 12 CFR Part 215 an
Part 349 of the Federal Deposit Insurance Corporation’s Rules a'
Regulations, 12 CFR Part 349.