Country of Citizenship 1 (b) United States. United States. United States

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2 MARJON BANCORPORATION FORMFRY-6 December 31, 2016 REPORT ITEMS (a) The BHC is not required to prepare Form lok with the SEC 1 (b) The BHC does prepare an annual report for its stockholders. Enclosed are two copies of thefry Organization chart Marj on Bancorporation, Inc (Parent Company) Colesburg, Iowa Incorporated in Iowa (Owns 100%, 1,215 shares, of the Bank's 1,215 shares outstanding Common stock) Farmers Savings Bank of Colesburg, Iowa Incorporated in Iowa None of the entities have an LEI. 3. Stockholders, greater than 5% Name and Address l(a) Tim Juergens Elkader, Iowa Jolene Niehaus Edgewood. IA Jeff Juergens Manchester, IA Country of Citizenship 1 (b) Voting Securities Percentages number of Shares Ownership Common l(c) % % %

3 Results: A list of branches for your depository institution: FARMERS SAVINGS BANK (ID_RSSD: ). This depository institution Is held by MARJON BANCORPORATION, INC. ( ) of COLESBURG, IA. The data are as of 12/31/2016. Data reflects information that was received and processed through 01/10/2017. Reconciliation and Verification Steps 1. in the Data Action column of each branch row, enter one or more of the actions specified below 2. If required, enter the date in the Effective Date column Actions OK: If the branch information is correct, enter 'OK' in the Data Action column. Change: If the branch information is incorrect or Incomplete, revise the data, enter 'Change' in the Data Action column and the date when this information first became valid in the Effective Date coll Close: If a branch listed was sold or closed, enter 'Close' in the Data Action column and the sale or closure date in the Effective Date column. Delete: If a branch listed was never owned by this depository institution, enter 'Delete' in the Data Action column. Add: If a reportable branch is missing. insert a row, add the branch data, and enter 'Add' in the Data Action column and the opening or acquisition date in the Effective Date column. If printing this list, you may need to adjust your page setup in MS Excel. Try using landscape orientation, page scaling. and/or legal sized paper. Submission Procedure When you are finished, send a saved copy to your FRB contact. See the detailed instructions on this site for more information. If you are ing this to your FRB contact, put your institution name, city and state in the subject line of the . Note: To satisfy the FR Y-10 reporting requirements, you must also submit FR Y-10 Domestic Branch Schedules for each branch with a Data Action of Change, Close, Delete, or Add. The FR Y-10 report may be submitted in a hardcopy format or via the FR Y-10 Online application - FDIC UNINUM, Office Number, and ID_RSSD columns are for reference only. Verification of these value.s Is not required. U... Adlon Effective Date Branch Service Type Branch ID RSSD Popular Name Street Address Oty State 0... Full Service (Head Office) FARMERS SAVINGS BANK 205 MAIN STREET COLESBURG IA 0 I ' Full Service 17564S ARLINGTON BRANCH 747 MAIN STREET ARLINGTON IA () '- Full Service AURORA BRANCH 401 MAIN STREET AURORA IA 0 -, Limited Service ELKPORT BRANCH 100 GRANDVIEW ROAD ELKPORT IA O r Full Service STRAWBERRY POINT BRANCH 130 WEST MISSION STREET STRAWBERRY POINT IA Zip Code County DELAWARE FAYETTE BUCHANAN CLAYTON CLAYTON

4 1mn. Country FDIC UNINUM* Office Number Head Office Head Office ID RSSD* Comments UNITED STATES FARMERS SAVINGS BANK UNITED STATES FARMERS SAVINGS BANK UNITED STATES FARMERS SAVINGS BANK UNITED STATES 23216S 1 FARMERS SAVINGS BANK UNITED STATES FARMERS SAVINGS BANK

5 EXHIBIT C - Report Item 4 Directors and Officers December 31, 2016 Principal Occupation if Title and Title and Percentage of Other Than Position With Title and Position With Voting Shares in Percentage of Names& Bank Holding Bank Holding Position With Other Bank Holding Voting Shares in List Names of Address Company Company Subsidiaries Businesses Company Subsidiaries Other Companies Jolene Niehaus Cashier - (Farmers President Cashier - (Farmers NIA % None Colesburg Insurance Colesburg, Iowa Savings Bank) Savings Bank) % Jeffrey Juergens Loan Officer - Secretary Loan Officer - NIA % None Colesburg Insurance Manchester, Iowa (Farmers Savings (Farmers Savings % Bank) Bank) Tim Juergens President - Director Director President % None Colesburg Insurance Elkader, Iowa (Clayton (Clayton % County Abstract) County Abstract) Clayton County Abstract I 00%

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