Form FR Y 6. CHICO BANCORP, INC Chico, Texas Fiscal Year Ending December 31, 2016
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1 AMENDED
2 Form FR Y 6 CHICO BANCORP, INC Chico, Texas Report Item 1: a. The BHC is not required to file Form 10(k) with the SEC. b. The BHC does not prepare an annual report for its shareholders. 2. Organizational Chart Chico Bancorp, Inc. Chico, Texas Incorporated in Texas Direct ownership of 93 shares (100%) of common stock in Chico Statutory Trust 1 Chico Statutory Trust I Hartford, Connecticut Trust set up in Texas Direct ownership of 140,000 shares (100%) of First State Bank First State Bank Chico, Texas Incorporated in Texas Note: No entity has a LEI 3. Domestic Branch Verification listing follows the organization chart.
3 Results: A list of branches for your depository institution: FIRST STATE BANK (ID_RSSD: ). This depository institution is held by of. 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 column. 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 e mailing this to your FRB contact, put your institution name, city and state in the subject line of the e mail. 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 values is not required. Data Action Effective Date Branch Service Type Branch ID_RSSD* Popular Name Street Address City State Zip Code County Country FDIC UNINUM* Office Number* Head Office Head Office ID_RSSD* Comments OK Full Service (Head Office) FIRST STATE BANK 201 SOUTH WEATHERFORD CHICO TX WISE UNITED STATES FIRST STATE BANK OK Full Service BRIDGEPORT BRANCH TH STREET BRIDGEPORT TX WISE UNITED STATES FIRST STATE BANK OK Full Service PARADISE BRANCH 630 MAIN STREET PARADISE TX WISE UNITED STATES FIRST STATE BANK OK Full Service RUNAWAY BAY BRANCH 102 PORT O CALL DRIVE RUNAWAY BAY TX WISE UNITED STATES FIRST STATE BANK
4 Form FR Y-6 Report Item 3: Securities Holders Current Securities Holders with ownership, control or holdings of 5% or more with power to vote as of fiscal year ending Securities Holders not listed in 3(1)(a) through (3)(1)(c) that had ownership, control or holdings of 5% or more with power to vote during the fiscal year ending (1)(a) (1)(b) (1)(c) (2)(a) (2)(b) (2)(c) Name & Address (City, State, Country) Country of Citizenship or Incorporation Number and Each Class of Name & Address (City, State, Country) Country of Citizenship or Incorporation Number and Each Class of Voting Securities Bailey Family Group 750 shares, 20.31% (common) Berniece Bailey 730 shares, 19.83% (common) Cyd Bailey 264 shares, 7.15% (common) Chico, TX Llora Jones 121 shares, 3.28% (common) Aledo, TX, Marla Erickson 121 shares, 3.28% (common) Weatherford, TX, Daniel Wells 244 shares, 6.61% (common) Cook Family Group 487 shares, 13.19% (common) Jan Cook 487 shares, 13.19% (common) Bridgeport, TX Hines Family Group Georgia Family Holdings LP (Embry Hines) Runaway Bay, TX Johnson Family Group 547shares, 14.81% (common) 547 shares, 14.81% (common) 797 shares, 21.58% (common) Page 1 of 2 7/31/2017 2:46 PM
5 Form FR Y-6 Report Item 3: Securities Holders Current Securities Holders with ownership, control or holdings of 5% or more with power to vote as of fiscal year ending Securities Holders not listed in 3(1)(a) through (3)(1)(c) that had ownership, control or holdings of 5% or more with power to vote during the fiscal year ending (1)(a) (1)(b) (1)(c) (2)(a) (2)(b) (2)(c) Name & Address (City, State, Country) Country of Citizenship or Incorporation Number and Each Class of Name & Address (City, State, Country) Country of Citizenship or Incorporation Number and Each Class of Voting Securities Patsy Johnson 757 shares, 20.50% (common) Chico, TX Patrick Johnson 40 shares, 1.08% (common) Chico, TX Reasoner Family Group 656 shares, 17.76% (common) Paul Reasoner 588 shares, 15.92% (common) Chico, TX David Greg Reasoner 50 shares, 1.35% (common) Boyd, TX Dr. Alicia Sherea Reasoner 12 shares, 0.32% (common) Fort Worth, TX Peggy E. Corbell 6 shares, 0.16% (common) Decatur, TX Page 2 of 2 7/31/2017 2:46 PM
6 AMENDED Form FR Y-6 Report Item 4: Insiders (1)(a)(b)(c) and (2)(a)(b)(c) (1) (2) (3)(a) (3)(b) (3)(c) (4)(a) (4)(b) (4)(c) Names & Address (City, State, Country) Occupation if other than with holding with holding with Subsidiaries subsidiaries) with Other Businesses other businesses) in holding in Subsidiaries (include names of subsidiaries) List names of other companies (includes partnerships) if 25% or more of are held (List names of companies and percentage of held) Cyd Bailey Banker Director Director (First State Bank) N/A 7.150% None N/A Llora Jones Aledo, TX, Investor N/A N/A 3.280% None N/A Marla Erickson Weatherford, TX, Retired Nurse N/A N/A 3.280% None N/A Daniel Wells Retired Pharmacy Clerk N/A N/A 6.610% None N/A Georgia Family Holdings LP (Embry Hines) Runaway Bay, TX, N/A N/A N/A % None N/A Page 1 of 4 7/31/2017
7 AMENDED Form FR Y-6 Report Item 4: Insiders (1)(a)(b)(c) and (2)(a)(b)(c) (1) (2) (3)(a) (3)(b) (3)(c) (4)(a) (4)(b) (4)(c) Names & Address (City, State, Country) Occupation if other than with holding with holding with Subsidiaries subsidiaries) with Other Businesses other businesses) in holding in Subsidiaries (include names of subsidiaries) List names of other companies (includes partnerships) if 25% or more of are held (List names of companies and percentage of held) Patsy Johnson Retired Grocer/Retail Owner N/A N/A % None N/A Paul Reasoner Retired - Banker N/A N/A % None N/A David Greg Reasoner Boyd, TX, Wise County Appraiser N/A N/A 1.350% None N/A Dr. Alicia Sherea Reasoner Fort Worth, TX, Physician N/A N/A 0.320% None N/A Peggy E. Corbell Decatur, TX, Investor N/A N/A 0.160% None N/A Page 2 of 4 7/31/2017
8 Form FR Y-6 Report Item 4: Insiders (1)(a)(b)(c) and (2)(a)(b)(c) (1) (2) (3)(a) (3)(b) (3)(c) (4)(a) (4)(b) (4)(c) Names & Address (City, State, Country) Occupation if other than with holding with holding with Subsidiaries subsidiaries) with Other Businesses other businesses) in holding in Subsidiaries (include names of subsidiaries) List names of other companies (includes partnerships) if 25% or more of are held (List names of companies and percentage of held) Embry Hines Runaway Bay, TX, Steve Holt Runaway Bay, TX, Corey Ingram Bridgeport, TX, Patrick Johnson Banker Banker Director Chairman, President Director, Chairman (First State Bank) Director, Secretary Director, President and Chief Executive Officer (First State Bank) Banker Director Director and Branch President, (First State Bank) Banker Director Director and Branch President (First State Bank) N/A 0.000% None N/A N/A 0.000% None N/A N/A 0.320% None N/A N/A 1.080% None N/A Page 3 of 4 7/31/2017
9 Form FR Y-6 Report Item 4: Insiders (1)(a)(b)(c) and (2)(a)(b)(c) (1) (2) (3)(a) (3)(b) (3)(c) (4)(a) (4)(b) (4)(c) Names & Address (City, State, Country) Occupation if other than with holding with holding with Subsidiaries subsidiaries) with Other Businesses other businesses) in holding in Subsidiaries (include names of subsidiaries) List names of other companies (includes partnerships) if 25% or more of are held (List names of companies and percentage of held) Randy McComis Bridgeport, TX, Insurance Agent Director Director (First State Bank) Vice President - Meyers & McComis, Inc. General Partner - Meyers & McComis Partnership Managing Member - Mmi Insurance Agency, LLC 0.410% None Meyers & McComis, Inc. - 50% Meyers & McComis Partnership - 50% MMi Insurance Agency, LLC (70% owned by Meyers- McComis, Inc. Shelly Prost Decatur, TX, Retired - Banker Director Director,(First State Bank) N/A 1.520% None N/A Page 4 of 4 7/31/2017
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