Annual Report of Holding Companies-FR Y-6. Date of Report {lop.lier holding company's fiscal year nd). December 31, Month I Day / Yr.

Size: px
Start display at page:

Download "Annual Report of Holding Companies-FR Y-6. Date of Report {lop.lier holding company's fiscal year nd). December 31, Month I Day / Yr."

Transcription

1 F'R:Y-6 OMS h\l"wtr 7101).()291 Ac,clfO'll'III )lli!ff Nt1Wm1b8' HI Pa0f 1 0l2 Board of Governors of the Federal Reserve System Annual Report of Holding Companies-FR Y-6 Report at the close of business as of the end of flsc.al year This Report 1s required by law: Secbon 5(c)(1 )(A) of the Bank Hokfr,g Company Act (12 U.S.C. 1844(c)(1)(A)): sections 8(a) and 13{a) of tne lntemational Banking Act (12 U.S.C. 3106(a) and 3108(a)): soetions 11(a)(1). 25, and 25A of the Federal Reserve Act (12 U.S.C. 248(a)(\), 602, and 611a); und sections t13, , 618, and 809 of the Codd-Frank Act (12 U.S.C. 536\, , 1850a(c)(1), and 5468(b)( 1)). Relurn to the appropriate Federal Reseove Bank the original and the number of copies specified. NOTE: The Annual Rep0tt of Holding Com{>8nies must be signed by one direclor of the top-b'er holding company. This individual should also be a senior official of the top-iler holding company. In the event!hat the top-tier hotdlng company does not have an individual wllo 1s a senior oif'ocial and is also a direclor, the chairman ol llmi boatd must sign the report II lhe holding company is an ESOPIESOT 10tm4!d as a corporation or is an, see the General lnsttucdons lor tne authorized individual who must sign lite repo,t. I, Kenneth J. Bonnet Nan-,e ot 1M Hold'.ns; Compan t Oi,.;sot and Oft<iaJ Director & Secretary/freasnuer Till~ of U'le Holding C~ny Oireelot atld (l«iqal attest that the Annual Repo!I of Holmng Companies (including the supporting attactvoonts) fo, this report date has been prepared in conformance with the 1nslnuctions issued by tho Federal Reserve System and ace true and CO<Te<:I to the best of my ~now.edge and belief Wnh tesp/ict to 21/ormahon regarding individuals conramed in this rel)orl. the Reporter certifies Iha/ st has the autholity to provide this information to the Federal Rese,ve. The Reporter also cettifies Iha/ ii has the aurhonty, on behalf of eaeh individual, ro consent or object to public release of information regarding thal individual. Tho Federal Rese,ve may assume, in the absence of a request for confloential treatment submitted In accordance with the Bo.?rd's "Rules Regsrdlng Availability of Information, 12 C.F.R. Patt 261. that the Rspottsr ividual con, re eass of all da1aif he re individual. This report form is to be filed by all top.tier bank holding companies. top.tier savings and loan holding companies, and U.S.,ntormediate holding companies organized under U.S. law. and by any foreign banking organi2ation that does nol meel the reqwe menls of and is not treated as a qualifying fo<eign banking o,ganiuilion under Section of Regulation K ( 12 C.FR ). (See page one of the general instructions for mo,e deta~ of who must file.) The Federal Reseove may not conduct or sponsor, and an organization (o, a person) Is not requorcd to respond to, an information collection unless it displays a currenuy valod 0 MB control number. Date of Report {lop.lier holding company's fiscal year nd). December 31, 2017 Month I Day / Yr. NIA R1p(W'let'$ Legel Enllt'/ ~ (LEI) ( 2l).Cnaractct LEI Code) Repo<1er's Name. Street ar\d Ma1l1ng Address ~avanna-thomson lnvestrnen\,_,, ln,,c" l e;.ai Til!e QC tloldifllj Co~ny 302 Main Street, c/o Savanna-Thomson State Bank CMallng Mdieu of th ~oldin9 ComPfll\y) Slfttt I P.O. 80Jt Savanna IL Stale Person to whom questions about this report should be directed: Randolph J. Mihm CPA. Honkamp Krueger Name A1111 Codt / Phom, Numbtit I ExieR$iOl'I Artl Code I F,.::Y. ~umc.r rmihm@honkamp.com Oita ot Signature For holding companies ~ registered with the SEC Indicate status or Annual Report to Shareholders: 0 ls lnclude<i with the FR Y-E report 0 w,11 be sent undet separate cover (El 1, not prepared - For Fodoral R.. erve Bank Use Only RSSDID C.I :~~:;:~~=::r.~'."'.'.~.~-~- ~-~... 1::.:1--0~1 In acx:otdance "'"' the General lnsll\dons tor lhis repon (dlod<odrone). I. lone, justifvlng 1llis requhi is being p,oyic!od aior,g ~ ""' ropo, D 2. 8 ltttler JUSfilying this request has beon p,o\/ided eoarately... 0 NOTia: lnfonnation lor wl1ic:h can110ential troalmenl is being requested must be pro,,ioed oepwalefy and labeled as co-~al.'

2 Form FR Y-6 Savanna-Thomson Investment, Inc. Savanna, Illinois Fiscal Year Ending December 31, 2017 Report Item 1: The bank holding company is not required to prepare Form 10K with the SEC. The bank holding company does not prepare an annual report for its shareholders. 2a: Organizational Chart Savanna-Thomson Investment, Inc. (LEI: None) Savanna, Illinois (Incorporated in State of Illinois) 100% I Savanna-Thomson State Bank (LEI : None) Thomson, Illinois (Incorporated in State of Illinois) 2b: Domestic branch listing provided to the Federal Reserve Bank. 1

3 Results: A Hst of branches for your depository institution: SAVA NNA-THOMSON STATE BAN K (ID_RSSD: ). Th is depository institution is held by SAVANNA-TH OMSON INVESTMENT, INC. ( ) of SAVAN NA, IL. The data are as of 12/31/2017. Data reflects information that was received and processed through 01/04/2018. 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 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. Delet e: 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, Delet e, 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 OK 2/26/2018 Full Service (Head Office) SAVANNA-THOMSON STAT BANK 2006 ILLINOIS ROUTE 84 THOMSON IL OK 2/26/2018 Full Service MOUNT CARROLL BRANCH 703 SOUTH AST STREET MOUNT CARROLL IL OK 2/26/2018 Full Service MAJN STREET OFFICE 302 MAIN STREET SAVANNA IL Zip Code County Country FDIC UNINUM* Office Number Head Office CARROLL UNITED STATES Not Required Not Required SAVANNA-THOMSON STAT BANK CARROLL UNITED STATES Not Required Not Required SAVANNA-THOMSON STATE BANK CARROLL UNITED STATES Not Required Not Required SAVANNA-THOMSON STAT BANK Head Office ID_RSSD* Comments

4 Form FR Y-6 Savanna-Thomson Investment, Inc. Fiscal Year Ending December 31, 2017 Current securities holders with ownership, control of 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) Name and Address (City, State) (1 )(b) Country of Citizenship Or Incorporation (1)(c) Number and Percentage of Each Class of Voting Securities (2)(a) Name and Address (City, State) (2)(b) Country of Citizenship Or Incorporation (2)(c) Number and Percentage of Each Class of Voting Securities Robert A. Kehl Fulton, IL, USA 47, % Kristina L. Kehl Trust II Robert A. Kehl, Trustee Fulton, IL, USA 13, % Alexander J. Kruse Trust II Robert A. Kehl, Trustee Fulton, IL, USA 13, % Ruth A. Kehl Dubuque, IA, USA 48, % Judy A. Bonnet North Liberty, IA, USA 15, % Daniel J. Kehl Solon, IA, USA 14, % 2

5 Form FR Y-6 Savanna-Thomson Investment, Inc. Fiscal Year Ending December 31, 2017 Report Item 4: Insiders 1), (2), (3)(a)(b)(c) and (4)(a)(b)(c} (1) (2) (3)(a) (3)(b) (3)(c) (4)(a) (4)(b) (4)(c) Name & Address Principal Title & Title & Position with Title & Position with Other Percentage Percentage of List names of other companies (City, State, Country) Occupation if other Position with Subsidiaries (include Businesses (include names of of Voting ~oting (includes partnerships) if 25% or han with Holding Company Holding Company names of subsidiaries) other businesses) Securities in Holding Securities in Subsidiaries more of voting securities are held (list names of companies Company (include names ~nd percentage of voting pf subsidiaries) ~ecurities held) Robert A Kehl Fulton, IL, President, Kehl Management, Inc. President Chairman of the Board, Partner, Kehl Family Limited 46.96% Savanna-Thomson State Partnership Bank Shareholder, Director & President - Kehl Management, Inc. Shareholder, Director & Secretary - Kehl-Bonnet, Inc. Partner, KK & B Real Estate, Shareholder, CFB Holding Co. Partner, R.A. Kehl, Shareholder, KB Air, Inc. Director, Kehl Family Foundation Director, Grand Falls Casino & Resort, Director, Riverside Casino &Golf Resort, Shareholder, Kehl Development Corporation Partner, Kehl Group, Partner, KKMB, Shareholder, Maximum Bancshares Partner, Lyon Investment, Partner, Kehl Huntsville, Partner, Kehl Management Lyon County, Shareholder & Director, Kehl 3 None Kehl Management, Inc. 45% Kehl-Bonnet, Inc. 45% KB Air, Inc. 50% R.A. Kehl, 100% KKMB, 47% Kehl Huntsville, 33.3% Kehl Management Lyon County, 45% Kehl Gaming Ventures, Inc. 50% Kehl Management-Scott County, 45%

6 Gaming Ventures, Inc. Unit Holder and Manager, Kehl Group Scott County, Director, Scott County Casino, Director, Rhythm City Casino, Director, Lyon County Resort & Casino, Partner & Manager, Kehl Management-Scott County, Director, Washington County Casino Resort, Director, Elite Casino Resort, Director, Catfish Bend Casino, Trustee, Kristina L. Kehl Trust II Trustee, Alexander J. Kruse Trust II Manager, Gaming Acquisitions, Manager, Gaming Acquisitions II, Manaqer, Kehl Futures, Kenneth J. Bonnet Director& Director & Secretary, CFO - Kehl Management, Inc. 0% None KB Air, Inc. 50% North Liberty, IA, United ~ecretary/ ~avanna-thomson State Shareholder & CFO - Kehl- Riverside Management, ~tales lfreasurer Bank Bonnet, Inc. 50% Shareholder & President - KB Air, Inc. Manager, KJ Bonnet, Director, Kehl Family Foundation Partner & Manager, Riverside Management, Manager, Catfish Bend Riverside, Director & CFO, Riverside Casino & Golf Resort, Partner & Manager, KKMB, Partner & Manager, Kehl Management Lyon County, Partner & Manager, Lyon Investment, 4

7 Shareholder & Director, Maximum Bancshares, Inc. Partner & Manager, KK&B Real Estate, CFO, Kehl Family Limited Partnership CFO, Kehl Development Corporation Director, Fidelity Bank Director & CFO, Washington County Casino Resort, Director & CFO, Lyon County Resort &Casino, Director & CFO, Grand Falls Casino Resort, Manager, BRD, Manager, Kehl-Huntsville, Manager, Kehl Group, Manager, Kehl Group II, Manager, Kehl Investments of Nevada, Manager, Kehl Investments Cap V, CFO & Manager, Kehl Group Scott County, Partner & Manager, Kehl Management Scott County, CFO & Director, Grand Falls Casino Resort, CFO & Director, Scott County Casino, CFO & Director, Rhythm City Casino, CFO & Director, Elite Casino Resorts, Ruth A. Kehl Shareholder, Savanna- Director & Secretary -Kehl 30.54% None R& R Kehl, 100% Dubuque, IA, rthomson State Bank Family Foundation K K &B Real Estate, 50% Director & President, Kehl Kehl Gaming Ventures, Inc, Development Corp. 50% Director, Grand Falls Casino & Resort, Director, Riverside Casino & Golf Resort, Director, Catfish Bend Riverside, Director, Scott County Casino, 5

8 Director, Rhythm City Casino, Partner, R& R Kehl, Partner, Tanameva Resort Partners, Partner, Kehl Group, Partner, Lyon Investment, Partner, Kehl Huntsville, Partner, K K & B Real Estate, Manager, BRO Investments, Shareholder & Director, Kehl Gaming Ventures, Inc. Manager, Kehl Investment Cap V, Manager, Kehl Investments of Nevada, Manager, Lyon County Resort & Casino, Manager, Washington County Casino Resort, Director, Elite Casino Resorts, Daniel J. Kehl Shareholder, Savanna- Manager, Riverside Holdings, 9.20% None Kehl Asset Allocation, Solon, IA, Thomson State Bank 50% Manager, Low Tide, Riverside Holdings, 60% Manager, Kehl Asset Low Tide, 50% Allocation, Riverside Management, Manager, Riverside 50% Management, Kehl Management Scott Manager, KKMB County, 45% Manager, Kehl Management - Lyon County, Manager, Kehl Management - Scott County, Manager, Kehl Group Scott County, Manager, Lyon Investment, Shareholder, KK&B Real Estate Developers Shareholder, Kehl Development Corporation Shareholder, Maximum Bancshares Secretary & Director, Kehl Manaqement, Inc. 6

9 Secretary & Director, Kehl - Bonnet, Inc. General Partner, Kehl Family Limited Partnership CEO & Director, Lyon County Resort & Casino, CEO & Director, Riverside Casino and Golf Resort, Director, Catfish Bend Riverside, Director, Kehl Family Foundation Manager, Kehl Management Scott County, Manager, BRD Investments, Manager, Kehl Huntsville, Manager, Kehl Group, Manager, Kehl Group II, Manager, Kehl Investment Cap V, Manager, Kehl Investments of Nevada, Manager, Riverside Holdings, Manager, Kehl Group Scott County, CEO & Director, Grand Falls Casino Resort, CEO & Director, Washington County Casino Resort, CEO & Director, Rhythm City Casino, CEO & Director, Scott County Casino, CEO & Director, Elite Casino Resorts, Manager, Gaming Acquisitions, Manager, Gaming Acquisitions II, Manager, Kehl Futures, Partner, KKNB Real Estate, 7

For Use By Tiered Holding Companies

For Use By Tiered Holding Companies FR Y-6 Page 2 of 2 For Use By Tiered Holding Companies Top-tiered holding companies must list the names, mailing address, and physical locations of each of their subsidiary holding companies below. First

More information

FORM FR Y-6. FIRST EAGLE BANCSHARES, INC. HANOVER PARK, ILLINOIS December 31, The BHC does not prepare an annual report for its shareholders.

FORM FR Y-6. FIRST EAGLE BANCSHARES, INC. HANOVER PARK, ILLINOIS December 31, The BHC does not prepare an annual report for its shareholders. 1492956 FORM FR Y-6 Report Item 1) Annual Report to Shareholders FIRST EAGLE BANCSHARES, INC. HANOVER PARK, ILLINOIS December 31, 2016 The BHC does not prepare an annual report for its shareholders. 2)

More information

For Use By Tiered Holding Companies

For Use By Tiered Holding Companies AMENDED FR Y-6 Page 2 of 2 For Use By Tiered Holding Companies Top-tiered holding companies must list the names, mailing address, and physical locations of each of their subsidiary holding companies below.

More information

Form FR Y-6. ETEX Banco, Inc. Winnsboro, Texas Fiscal Year Ending December 31, 2016

Form FR Y-6. ETEX Banco, Inc. Winnsboro, Texas Fiscal Year Ending December 31, 2016 AMENDED Form FR Y-6 Report Item 1: N/A The holding does not issue an annual report to shareholders. 2a: Organization Chart (LEI: ) Winnsboro, TX Incorporated: Texas 55% Ownership The First National Bank

More information

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

Country of Citizenship 1 (b) United States. United States. United States 1203460 MARJON BANCORPORATION FORMFRY-6 December 31, 2016 REPORT ITEMS 1-3 1 (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.

More information

100% Icon Capital Corporation LEI: None. Houston, TX. Incorporated in Texas. Icon Bank of Texas, N.A. LEI: None. Houston, TX. Incorporated in Texas

100% Icon Capital Corporation LEI: None. Houston, TX. Incorporated in Texas. Icon Bank of Texas, N.A. LEI: None. Houston, TX. Incorporated in Texas AMENDED & Chairman Report Item 2a Icon Capital Corporation LEI: None Houston, TX Incorporated in Texas 100% Icon Bank of Texas, N.A. LEI: None Houston, TX Incorporated in Texas Results: A list of branches

More information

Form FR Y 6. CHICO BANCORP, INC Chico, Texas Fiscal Year Ending December 31, 2016

Form FR Y 6. CHICO BANCORP, INC Chico, Texas Fiscal Year Ending December 31, 2016 AMENDED 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

More information

Access National Corporation Reston, Virginia Form FRY-6 December 31, 2016

Access National Corporation Reston, Virginia Form FRY-6 December 31, 2016 Access National Corporation Reston, Virginia Form FRY-6 December 31, 2016 Report Item 1. Access National Corporation is registered with the SEC 2a. Organizational Chart Access National Corporation (ANC)

More information

Annual Report of Holding Companies-FR Y-6. l.lor,lh I Day / Year. none Reporte(s Legal Enlllv lden\jfler (LEI) (20-Cnaracter LEI Code)

Annual Report of Holding Companies-FR Y-6. l.lor,lh I Day / Year. none Reporte(s Legal Enlllv lden\jfler (LEI) (20-Cnaracter LEI Code) FRV-6 0MB Number 7100-0207 App11Nal e"!>ff$ September 30. 2018 Page 1 of 2 Board of Governors of the Federal Reserve System Annual Report of Holding Companies-FR Y-6 Report at the close of business as

More information

LINDEN BANCSHARES, INC. ANNUAL REPORT OF BANK HOLDING COMPANIES - FR Y-6. REPORT 1: ANNUAL REPORT TO SHAREHOLDERS FOR THE YEAR ENDED December 31, 2016

LINDEN BANCSHARES, INC. ANNUAL REPORT OF BANK HOLDING COMPANIES - FR Y-6. REPORT 1: ANNUAL REPORT TO SHAREHOLDERS FOR THE YEAR ENDED December 31, 2016 AMENDED LINDEN BANCSHARES, INC. ANNUAL REPORT OF BANK HOLDING COMPANIES - FR Y-6 REPORT 1: ANNUAL REPORT TO SHAREHOLDERS FOR THE YEAR ENDED December 31, 2016 Linden Bancshares, Inc. and Subsidiary Consolidated

More information

Carolina Trust BancShares, Inc. Form FR Y-6 Annual Report of Holding Companies For the Year Ended December 31, 2016

Carolina Trust BancShares, Inc. Form FR Y-6 Annual Report of Holding Companies For the Year Ended December 31, 2016 Report Item 1: Annual Report to Shareholders The company is registered with the Securities and Exchange Commission (the SEC ) and files the annual report as part of the Form 10-K that is filed with the

More information

Form FR Y 6. Capital Directions, Inc. Mason, Michigan For the Fiscal Year Ended % 100%

Form FR Y 6. Capital Directions, Inc. Mason, Michigan For the Fiscal Year Ended % 100% 1249132 Report Item: Form FR Y 6 For the Fiscal Year Ended 12 31 2016 1: No annual report was prepared due to merger on 1/1/17 with Commercial National Financial Corporation 2a: Organizational Chart 100%

More information

FR Y-6 12/31/2016 Joaquin Bankshares, Inc. LEI: N/A (not registered with the SEC) Report Item 1: Annual Reports to Shareholders

FR Y-6 12/31/2016 Joaquin Bankshares, Inc. LEI: N/A (not registered with the SEC) Report Item 1: Annual Reports to Shareholders FR Y-6 12/31/2016 Joaquin Bankshares, Inc. LEI: N/A (not registered with the SEC) Report Item 1: Annual Reports to Shareholders The audited financial statement as of 12/31/2016 for Joaquin Bankshares,

More information

Form FR Y-6 Report. Integrity First Bancorporation, Inc. Wausau, Wisconsin Fiscal Year Ending December 31, 2016

Form FR Y-6 Report. Integrity First Bancorporation, Inc. Wausau, Wisconsin Fiscal Year Ending December 31, 2016 3382976 Form FR Y-6 Report Report Item: 1: The bank holding company does not prepare an annual report for its securities holders. 2a: Organizational Chait INTEGRITY FIRST BANCORPORATION, INC.** WAU, WI

More information

Sandhills Bancshares, Inc. Organization Chart December 31, TEJAS BANK LEI: None Monahans, TX

Sandhills Bancshares, Inc. Organization Chart December 31, TEJAS BANK LEI: None Monahans, TX Report Item 2a: Organization Chart Sandhills Bancshares, Inc. Organization Chart December 31, 2016 SANDHILLS BANCSHARES, INC. LEI: None Monahans, TX Incorporated: State of Texas 100% TEJAS BANK LEI: None

More information

Form FR Y-6. Gilmer National Bancshares, Inc. Gilmer, Texas Fiscal Year Ending December 31, 2016

Form FR Y-6. Gilmer National Bancshares, Inc. Gilmer, Texas Fiscal Year Ending December 31, 2016 AMENDED Form FR Y-6 Gilmer National Bancshares, Inc. Fiscal Year Ending December 31, 2016 Report Item: 1: The bank holding company prepares an annual report for its shareholders and is not registered with

More information

MIDLAND BANCSHARES, INC MIDLAND, TEXAS FISCAL YEAR ENDING 12/31/2016 FORM FRY - 6

MIDLAND BANCSHARES, INC MIDLAND, TEXAS FISCAL YEAR ENDING 12/31/2016 FORM FRY - 6 MIDLAND BANCSHARES, INC MIDLAND, TEXAS FISCAL YEAR ENDING 12/31/2016 FORM FRY - 6 Report Item: # 1. Midland Bancshares, Inc. does prepare an annual report for its shareholders. Two copies of the annual

More information

I WB Funding Corporation West Des Moines, Iowa

I WB Funding Corporation West Des Moines, Iowa 1210066 Form FR Y-6 Fiscal Year Ending December 31, 2016 Report tem 2(a): Organization Chart West Bank West Des Moines, A ncorporated in owa LE: West Bancorporation Capital Trust 100% owned ncorporated

More information

HomcStar Financial Group, Inc. Manteno, IL. (A Delaware Corporation) 3/29/1983

HomcStar Financial Group, Inc. Manteno, IL. (A Delaware Corporation) 3/29/1983 1209088 Attachment A OrganiJ.ational Chart December 2016 Legal Entity Identifier (LEI) - C!Qllf for all entitles within the organization HomcStar Financial Group, Inc. (A Delaware Corporation) 3/29/1983

More information

F.R. Y-6 information FT BANCSHARES, INC. AURELIA, IOWA FISCAL YEAR ENDING DECEMBER 31, 2016 REPORT ITEM 2a: ORGANIZATION CHART BANK HOLDING COMPANY

F.R. Y-6 information FT BANCSHARES, INC. AURELIA, IOWA FISCAL YEAR ENDING DECEMBER 31, 2016 REPORT ITEM 2a: ORGANIZATION CHART BANK HOLDING COMPANY 1209800 F.R. Y-6 information FISCAL YEAR ENDING DECEMBER 31, 2016 REPORT ITEM 2a: ORGANIZATION CHART BANK HOLDING COMPANY Aurelia, Iowa Incorporated in Iowa (1,000,000 shares authorized - $1.00 par value

More information

Form FR Y-6. Old Line Bancshares, Inc. Bowie, MD. Fiscal Year Ending December 31, 2016

Form FR Y-6. Old Line Bancshares, Inc. Bowie, MD. Fiscal Year Ending December 31, 2016 Form FR Y-6 Item 1: Annual Report to Shareholders The bank holding company prepares an annual report for its securities holders and is registered with the SEC. No copies are enclosed. Item 2a: Organizational

More information

FORM F.R. Y-6. REPORT ITEM 2a BANCSHARES OF CLOVIS, INC. FISCAL YEAR ENDED DECEMBER 31, 2016

FORM F.R. Y-6. REPORT ITEM 2a BANCSHARES OF CLOVIS, INC. FISCAL YEAR ENDED DECEMBER 31, 2016 AMENDED FORM F.R. Y-6 REPORT ITEM 2a WESTER BANCSHARES OF CLOVIS, INC. ORGANIZATIO CHART FISCAL YEAR ENDED DECEMBER 31, 216 Western Bancshares of Clovis, Inc. Carlsbad, New Mexico (Incorporated in ew Mexico)

More information

[~PriorityJne. Report Item 1. Comments An annual report is not yet available. A copy will be forwarded to the FRB as soon as practicable.

[~PriorityJne. Report Item 1. Comments An annual report is not yet available. A copy will be forwarded to the FRB as soon as practicable. 220 MAIN AVENUE NORTH P.O. BOX 516 MAGEE, MISSISSIPPI 39111-0516 PHONE (601) 849-3311 FAX (601) 849-2130 www.priorityonebank.com [~PriorityJne CAPITAL CORPORATION Our One Priority Is You:" Report Item

More information

Vista Bancshares, Inc. Ralls, Texas. Fiscal Year Ending December 31, 2016 Organization Chart

Vista Bancshares, Inc. Ralls, Texas. Fiscal Year Ending December 31, 2016 Organization Chart Report Item 2 (a): Organization Chart Vista Bancshares, Inc. Fiscal Year Ending December 31, 2016 Organization Chart Vista Bancshares, Inc. A Texas Corporation 100% 100% Vista Bank A Texas Corporation

More information

To: The Chief Executive Officers at Bank Holding Companies or State Member Banks Located in the Second District

To: The Chief Executive Officers at Bank Holding Companies or State Member Banks Located in the Second District 33 LIBERTY STREET, NEW YORK, NY 10045-0001 RICHARD E. MOLLOY Assistant Vice President February 29, 2012 To: The Chief Executive Officers at Bank Holding Companies or State Member Banks Located in the Second

More information

Form FR Y 6. Chesapeake Bancorp Employee Stock Ownership Plan with 401(k) Provisions (The Plan) Formed in Maryland 16% Chesapeake Bancorp

Form FR Y 6. Chesapeake Bancorp Employee Stock Ownership Plan with 401(k) Provisions (The Plan) Formed in Maryland 16% Chesapeake Bancorp Form FR Y 6 Chesapeake Bancorp Employee Stock Ownership Plan with 401(k) Provisions (The Plan) Chestertown, Maryland Fiscal Year Ending December 31, 2016 Report Item 1: Chesapeake Bancorp Employee Stock

More information

Parent Company Only Financial Statements for Large Holding Companies FR Y-9LP

Parent Company Only Financial Statements for Large Holding Companies FR Y-9LP Board of Governors of the Federal Reserve System Parent Company Only Financial Statements for Large Holding Companies FR Y-9LP FR Y-9LP OMB Number 7100-0128 Approval expires July 31, 2018 1 Report at the

More information

Parent Company Only Financial Statements for Large Holding Companies FR Y-9LP

Parent Company Only Financial Statements for Large Holding Companies FR Y-9LP OMB Number 7100-0128 Approval expires July 31, 2018 Page 1 of 9 Last Update: 20151112.075905 Board of Governors of the Federal Reserve System Parent Company Only Financial Statements for Large Holding

More information

Form FR Y-6. McAllen, Texas. Fiscal Year Ending December 31, 2016

Form FR Y-6. McAllen, Texas. Fiscal Year Ending December 31, 2016 AMENDED AMENDED Form FR Y-6 Lone Star National Bancshares-Texas, Inc. McAllen, Texas Fiscal Year Ending December 31, 2016 Report Item 1: (a) The Bank Holding Company prepares an annual report for its shareholders

More information

AMARILLO NATIONAL BANCORP, INC. P.O. BOX 1 AMARILLO, TEXAS ATTACHMENT TO FR Y-6 December 31, 2016

AMARILLO NATIONAL BANCORP, INC. P.O. BOX 1 AMARILLO, TEXAS ATTACHMENT TO FR Y-6 December 31, 2016 AMARILLO NATIONAL BANCORP, INC. P.O. BOX 1 AMARILLO, TEXAS 79105 ATTACHMENT TO FR Y-6 December 31, 2016 Report Item 1: Response: Annual Report to Shareholders for Amarillo National Bancorp, Inc. and Amarillo

More information

LEI: None Many, LA Incorporated in Louisiana. Sabine State Bank and Trust Company. Sabine Insurance Agency, Inc.

LEI: None Many, LA Incorporated in Louisiana. Sabine State Bank and Trust Company. Sabine Insurance Agency, Inc. Report Item 2a: Organizational Chart LEI: None Many, LA Incorporated in Louisiana 100% Sabine State Bank and Trust Company LEI: None Many, LA Incorporated in Louisiana 100% Sabine Insurance Agency, Inc.

More information

OFFICE OF CHILDREN, YOUTH AND FAMILIES BULLETIN

OFFICE OF CHILDREN, YOUTH AND FAMILIES BULLETIN OFFICE OF CHILDREN, YOUTH AND FAMILIES BULLETIN COMMONWEALTH OF PENNSYLVANIA * DEPARTMENT OF PUBLIC WELFARE NUMBER: ISSUE DATE: February, 2010 EFFECTIVE DATE: July 1, 2010 SUBJECT: BY: Out Of Home Placement

More information

Rosehill Resources Inc. (Name of Issuer)

Rosehill Resources Inc. (Name of Issuer) UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13D Under the Securities Exchange Act of 1934 (Amendment No. 4)* Rosehill Resources Inc. (Name of Issuer) CLASS A COMMON

More information

Federal Deposit Insurance Corporation (FDIC) Rules

Federal Deposit Insurance Corporation (FDIC) Rules July 24, 2013 SR 13~11 Filing P.oocednres for Annual Independent Audits and Reports Required Under Federal Deposit Insurance Corporation (FDIC) Rules Attention: In Brief: Highlights: Chief Executive Officer

More information

THE BANK OF NEW YORK MELLON TRUST COMPANY, N.A. (Exact name of trustee as specified in its charter)

THE BANK OF NEW YORK MELLON TRUST COMPANY, N.A. (Exact name of trustee as specified in its charter) SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM T-1 STATEMENT OF ELIGIBILITY UNDER THE TRUST INDENTURE ACT OF 1939 OF A CORPORATION DESIGNATED TO ACT AS TRUSTEE CHECK IF AN APPLICATION TO

More information

FY 2009 Annual Financial Report Multi-Purpose Long Form

FY 2009 Annual Financial Report Multi-Purpose Long Form FY 2009 Annual Financial Report Multi-Purpose Long Form CC Copy - 12/30/2009 10:37:27AM DO NOT SEND THIS PAPER COPY - THIS IS YOUR COPY. MAKE SURE YOU HAVE CLICKED THE SUBMIT BUTTON IN THE COMPTROLLER

More information

Pursuant to Section 19(b)(1) of the Securities Exchange Act of 1934 ( Act ) 1 and

Pursuant to Section 19(b)(1) of the Securities Exchange Act of 1934 ( Act ) 1 and This document is scheduled to be published in the Federal Register on 03/10/2015 and available online at http://federalregister.gov/a/2015-05479, and on FDsys.gov 8011-01p SECURITIES AND EXCHANGE COMMISSION

More information

AON PLC Filed by CAPITAL RESEARCH & MANAGEMENT CO

AON PLC Filed by CAPITAL RESEARCH & MANAGEMENT CO AON PLC Filed by CAPITAL RESEARCH & MANAGEMENT CO FORM SC 13G/A (Amended Statement of Ownership) Filed 02/11/02 Telephone (44) 20 7623 5500 CIK 0000315293 Symbol AON SIC Code 6411 - Insurance Agents, Brokers,

More information

SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C SCHEDULE 13G (RULE 13D-102)

SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C SCHEDULE 13G (RULE 13D-102) SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 SCHEDULE 13G INFORMATION STATEMENT PURSUANT TO RULES 13D-1 AND 13D-2 -- - Page 1 of 6 Pages PNC Bank Corp. 25-1435979 4) Citizenship or Place of

More information

West-Central Bancorp, Inc. 216 Market Street Spencer, WV December 31, 2017

West-Central Bancorp, Inc. 216 Market Street Spencer, WV December 31, 2017 FORM FR Y-6 West-Central Bancorp, Inc. 216 Market Street Spencer, WV December 31, 2017 Report Item: 1. The bank holding company prepares an annual report for its shareholders and is not registered by the

More information

MFC Statutory Trust II. LEI: None. Wilmington, Delaware Incorporated in Delaware. Vertex Financial, Inc.

MFC Statutory Trust II. LEI: None. Wilmington, Delaware Incorporated in Delaware. Vertex Financial, Inc. AMENDED Security Star Bancshares, Inc. Organizational Chart Security Star Bancshares, Inc. LEI: None Midland, Texas Top-tier holding company Incorporated in Texas Security Bank LEI: None Midland, Texas

More information

Illinois Department of Financial and Professional Regulation

Illinois Department of Financial and Professional Regulation Illinois Department of Financial and Professional Regulation Division of Banking PAT QUINN Governor BRENT E. ADAMS Acting Secretary JORGE A. SOLIS Director of Banking DEFAULT AND FORECLOSURE REPORT FOR

More information

AGENCY: Occupational Safety and Health Administration (OSHA), Department of Labor.

AGENCY: Occupational Safety and Health Administration (OSHA), Department of Labor. This document is scheduled to be published in the Federal Register on 02/05/2016 and available online at http://federalregister.gov/a/2016-02069, and on FDsys.gov DEPARTMENT OF LABOR Occupational Safety

More information

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.

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. AMENDED Results: A list of branches for your holding company: AMERIBANCSHARES, INC. (2507183) of WICHITA FALLS, TX. The data are as of 12/31/2016. Data reflects information that was received and processed

More information

AGENCY: Board of Governors of the Federal Reserve System. SUMMARY: The Board of Governors of the Federal Reserve System (Board) is repealing

AGENCY: Board of Governors of the Federal Reserve System. SUMMARY: The Board of Governors of the Federal Reserve System (Board) is repealing FEDERAL RESERVE SYSTEM 12 CFR Part 216 [Docket No. R-1483] RIN 7100 AE13 Privacy of Consumer Information (Regulation P) AGENCY: Board of Governors of the Federal Reserve System. ACTION: Final rule. SUMMARY:

More information

NEVADA GOLD & CASINOS INC Filed by HABERKORN STEPHEN J

NEVADA GOLD & CASINOS INC Filed by HABERKORN STEPHEN J NEVADA GOLD & CASINOS INC Filed by HABERKORN STEPHEN J FORM SC 13G (Statement of Ownership) Filed 11/13/14 Address 133 E. WARM SPRINGS ROAD SUITE 102 LAS VEGAS, NV 89119 Telephone (702) 685-1000 CIK 0000277058

More information

[] COPY. This report form is to be filed by all top-tier bank holding companies and top-lier savings and ioan holding companies organized

[] COPY. This report form is to be filed by all top-tier bank holding companies and top-lier savings and ioan holding companies organized [] COPY Ffl Y-6 OMB N11mt.1e(7\00.02g7 Appmv:il i?)(rirns SortI 2 Board of Governors of the Federal Reserve System Annual Report of Holding Companies-FR Y-6 Report at the close

More information

Discount Window Lending Agreement Instructions

Discount Window Lending Agreement Instructions Federal Reserve Bank of Atlanta Discount Window Lending Agreement Instructions Operating Circular 10 Federal Reserve Bank of Atlanta Discount Window Lending Agreement Instructions 2 Table of Contents Discount

More information

Structure Overview and Reporting FR Y-10. Updated: 02/05/2016

Structure Overview and Reporting FR Y-10. Updated: 02/05/2016 Structure Overview and Reporting FR Y-10 Updated: 02/05/2016 Richmond Structure FR Y-10 Report Find and track transactions related to BHC, SLHC and Depository Institution changes Analyze and process the

More information

VISA BUSINESS CREDIT CARD APPLICATION

VISA BUSINESS CREDIT CARD APPLICATION E UMB i1510018 (R 09/10) It s easy to Apply. VISA BUSINESS CREDIT CARD APPLICATION Incomplete information may cause delays. Please complete in full. Fax to 816.860.3152 or email to corebankcommericalcard@umb.com

More information

Consolidated Financial Statements for Bank Holding Companies FR Y-9C

Consolidated Financial Statements for Bank Holding Companies FR Y-9C Board of Governors of the Federal Reserve System FR Y-9C OMB Number 7100-0128 Ave. hrs. per response: 34.73 Expires March 31, 2005 Consolidated Financial Statements for Bank Holding Companies FR Y-9C Report

More information

Contents of the Application Package. Additional Documents to Provide INSTRUCTIONS FOR SUBMISSION. Silvergate Bank Correspondent Services Group

Contents of the Application Package. Additional Documents to Provide INSTRUCTIONS FOR SUBMISSION. Silvergate Bank Correspondent Services Group Thank you for your interest in becoming an approved correspondent client with Silvergate Bank. In order to make the application process as customerfriendly as possible, we have outlined the documents and

More information

Small Disadvantaged Business Certification Application Community Development Corporation (CDC) Owned Concern

Small Disadvantaged Business Certification Application Community Development Corporation (CDC) Owned Concern OMB Approval No. 3245-0317 To be completed by Private Certifier or SBA Name of Private Certifier Private Certifier ID Number Date Application Received: SDB Case #: Small Disadvantaged Business Certification

More information

Self-Regulatory Organizations; Financial Industry Regulatory Authority, Inc.; Notice of

Self-Regulatory Organizations; Financial Industry Regulatory Authority, Inc.; Notice of This document is scheduled to be published in the Federal Register on 10/01/2015 and available online at http://federalregister.gov/a/2015-24885, and on FDsys.gov SECURITIES AND EXCHANGE COMMISSION [Release

More information

OFFICE OF PERSONNEL MANAGEMENT. 5 CFR Part 179 RIN 3206-AM89. Administrative Wage Garnishment

OFFICE OF PERSONNEL MANAGEMENT. 5 CFR Part 179 RIN 3206-AM89. Administrative Wage Garnishment This document is scheduled to be published in the Federal Register on 01/06/2014 and available online at http://federalregister.gov/a/2013-31500, and on FDsys.gov Billing Code 6325-23-P OFFICE OF PERSONNEL

More information

FY 2016 Annual Financial Report

FY 2016 Annual Financial Report STATE OF ILLINOIS COMPTROLLER SUSANA A. MENDOZA DO NOT SEND THIS PAPER COPY - THIS IS YOUR COPY. MAKE SURE YOU HAVE CLICKED THE SUBMIT BUTTON IN THE COMPTROLLER CONNECT PROGRAM. THIS WILL PROVIDE THE COMPTROLLER'S

More information

UCAA Expansion Application Insurer User Guide December 2017

UCAA Expansion Application Insurer User Guide December 2017 UCAA Expansion Application Insurer User Guide December 2017 2017 National Association of Insurance Commissioners All rights reserved. Revised Edition National Association of Insurance Commissioners NAIC

More information

Pursuant to Section 19(b)(1) of the Securities Exchange Act of 1934 ( Act ) 1, and

Pursuant to Section 19(b)(1) of the Securities Exchange Act of 1934 ( Act ) 1, and This document is scheduled to be published in the Federal Register on 06/03/2015 and available online at http://federalregister.gov/a/2015-13450, and on FDsys.gov SECURITIES AND EXCHANGE COMMISSION [Release

More information

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C SCHEDULE 13D. Under the Securities Exchange Act of 1934 (Amendment No.

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C SCHEDULE 13D. Under the Securities Exchange Act of 1934 (Amendment No. SEC 1746 (11-2) Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. UNITED

More information

Annual Shareholders' Meeting

Annual Shareholders' Meeting Annual Shareholders' Meeting February 1, 2017 Notice is hereby given: That the annual meeting of the shareholders of First Citizens Bancshares, Inc., in Waxahachie, Texas, will be held in the Director

More information

For Calendar Year 1999, or Tax Year Beginning, 1999 and Ending, 20. Legal Name of Taxpayer. Trade Name of Business if different from legal name above

For Calendar Year 1999, or Tax Year Beginning, 1999 and Ending, 20. Legal Name of Taxpayer. Trade Name of Business if different from legal name above NJ-1065 1999 STATE OF NEW JERSEY PARTNERSHIP RETURN For Calendar Year 1999, or Tax Year Beginning, 1999 and Ending, 20 Federal EIN Legal Name of Taxpayer Principal Business Activity Trade Name of Business

More information

UNITED STATES OF AMERICA Before the OFFICE OF THRIFT SUPERVISION

UNITED STATES OF AMERICA Before the OFFICE OF THRIFT SUPERVISION UNITED STATES OF AMERICA Before the OFFICE OF THRIFT SUPERVISION In the Matter of Order No.: CN 09-19 IRWIN UNION BANK, F.S.B. Effective Date: July 24, 2009 Columbus, Indiana OTS Docket No. 16835 ORDER

More information

Consolidated Financial Statements for Bank Holding Companies FR Y-9C

Consolidated Financial Statements for Bank Holding Companies FR Y-9C Last Update: 212222.7365 Board of Governors of the Federal Reserve System OMB Number 71 128 Avg. hrs. per response: 45. Expires March 31, 214 RSSD ID: 1132449 Consolidated Financial Statements for Bank

More information

AGENCY: Board of Governors of the Federal Reserve System.

AGENCY: Board of Governors of the Federal Reserve System. FEDERAL RESERVE SYSTEM 12 CFR Part 229 Regulation CC; Docket No. R-1620; RIN 7100 AF-14 Availability of Funds and Collection of Checks AGENCY: Board of Governors of the Federal Reserve System. ACTION:

More information

AGENCY: Federal Deposit Insurance Corporation (FDIC). SUMMARY: The Federal Deposit Insurance Corporation (FDIC) invites public

AGENCY: Federal Deposit Insurance Corporation (FDIC). SUMMARY: The Federal Deposit Insurance Corporation (FDIC) invites public 6714-01-P FEDERAL DEPOSIT INSURANCE CORPORATION 12 CFR Part 327 RIN 3064-AE98 Assessments AGENCY: Federal Deposit Insurance Corporation (FDIC). ACTION: Notice of proposed rulemaking. SUMMARY: The Federal

More information

Wisconsin Department of Regulation & Licensing

Wisconsin Department of Regulation & Licensing Mail To: P.O. Box 8935 1400 E. Washington Avenue Madison, WI 53708-8935 Madison, WI 53703 FAX #: (608) 261-7083 E-Mail: web@drl.state.wi.us Phone #: (608) 266-2112 Website: http://drl.wi.gov DIVISION OF

More information

IN THE UNITED STATES BANKRUPTCY COURT FOR THE DISTRICT OF DELAWARE

IN THE UNITED STATES BANKRUPTCY COURT FOR THE DISTRICT OF DELAWARE IN THE UNITED STATES BANKRUPTCY COURT FOR THE DISTRICT OF DELAWARE In re: Chapter 11 TROPICANA ENTERTAINMENT, LLC, et al., 1 Case No. 08-10856 (KJC Debtors. Jointly Administered NOTICE OF COMMENCEMENT

More information

Domestic Branch Schedule. Jason Stein Banking Structure Division Federal Reserve Bank of New York

Domestic Branch Schedule. Jason Stein Banking Structure Division Federal Reserve Bank of New York Domestic Branch Schedule Jason Stein Banking Structure Division Federal Reserve Bank of New York 1 Specific Instructions Domestic Branch Schedule: What to Report Use this schedule to report information

More information

Your decisions regarding participation in the Traditional Catch-Up

Your decisions regarding participation in the Traditional Catch-Up State of California Savings Plus Program 457 Deferred Compensation Plan traditional Catch-Up Booklet All information contained in this booklet was current as of the printing date. The Plan Administrator

More information

ALger FAmiLy of Funds CoverdeLL education savings ACCount (esa) AppLiCAtion

ALger FAmiLy of Funds CoverdeLL education savings ACCount (esa) AppLiCAtion please print ALger FAmiLy of Funds CoverdeLL education savings ACCount (esa) AppLiCAtion Please complete this application to open an Alger Education Savings Account (ESA). If you would like to transfer

More information

ACS YEAR-END FREQUENTLY ASKED QUESTIONS. General Ledger

ACS YEAR-END FREQUENTLY ASKED QUESTIONS. General Ledger ACS YEAR-END FREQUENTLY ASKED QUESTIONS This document includes answers to frequently asked questions about the following ACS modules: General Ledger Payroll Accounts Payable Accounts Receivable General

More information

Consolidated Financial Statements for Bank Holding Companies FR Y-9C

Consolidated Financial Statements for Bank Holding Companies FR Y-9C Board of Governors of the Federal Reserve System FR Y-9C OMB Number 7100-0128 Avg. hrs. per response: 40.50 Expires February 28, 2011 Consolidated Financial Statements for Bank Holding Companies FR Y-9C

More information

Executive Branch Personnel Public Financial Disclosure Report (OGE Form 278e)

Executive Branch Personnel Public Financial Disclosure Report (OGE Form 278e) Nominee Report U.S. Office of Government Ethics; 5 C.F.R. part 2634 Form Approved: OMB No. (3209-0001) (March 2014) Executive Branch Personnel Public Financial Disclosure Report (OGE Form 278e) Filer's

More information

NMLS Company Renewal Query. Field Definitions

NMLS Company Renewal Query. Field Definitions MLS Company Renewal Query Field Definitions Last Updated: October 18, 2013 Conference of State Bank Supervisors 1129 20 th Street W, inth Floor Washington, D.C. 20036 State Company Reports: Field Definitions

More information

VT Loan Solicitation License Amendment Checklist (Company)

VT Loan Solicitation License Amendment Checklist (Company) Amendment Checklist (Company) CHECKLIST SECTIONS General Information Amendments GENERAL INFORMATION Instructions When making changes to your record in, Vermont Department of Financial Regulation requires

More information

AGENCY: Federal Deposit Insurance Corporation (FDIC). SUMMARY: The Federal Deposit Insurance Corporation (FDIC) invites public

AGENCY: Federal Deposit Insurance Corporation (FDIC). SUMMARY: The Federal Deposit Insurance Corporation (FDIC) invites public This document is scheduled to be published in the Federal Register on 02/21/2019 and available online at https://federalregister.gov/d/2019-02761, and on govinfo.gov 6714-01-P FEDERAL DEPOSIT INSURANCE

More information

FY 2015 Annual Financial Report

FY 2015 Annual Financial Report STATE OF ILLINOIS COMPTROLLER LESLIE GEISSLER MUNGER DO NOT SEND THIS PAPER COPY - THIS IS YOUR COPY. MAKE SURE YOU HAVE CLICKED THE SUBMIT BUTTON IN THE COMPTROLLER CONNECT PROGRAM. THIS WILL PROVIDE

More information

Commvault Systems, Inc. Securities Litigation

Commvault Systems, Inc. Securities Litigation Page 1 of 8 ELECTRONIC FILING INSTRUCTIONS Commvault Systems, Inc. Securities Litigation I. Important Notes PLEASE READ Electronic claim submission is available to institutions filing on their own behalf

More information

SCHEDULE 13G. Amendment No. 5 Jack in the Box Incorporated Common Stock Cusip #

SCHEDULE 13G. Amendment No. 5 Jack in the Box Incorporated Common Stock Cusip # SCHEDULE 13G Amendment No. 5 Jack in the Box Incorporated Common Stock Item 1: Reporting Person - FMR Corp. Item 4: Delaware Item 5: 38,300 Item 12: HC Item 1: Reporting Person - Edward C. Johnson 3d Item

More information

Short Form Return of Organization Exempt From Income Tax

Short Form Return of Organization Exempt From Income Tax Form 99-EZ Department of the Treasury Internal Revenue Service Short Form Return of Organization Exempt From Income Tax Under section 51(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private

More information

December 27, Mr. Patrick McKenna, Director Missouri Department of Transportation P.O. Box 270 Jefferson City, Missouri 65102

December 27, Mr. Patrick McKenna, Director Missouri Department of Transportation P.O. Box 270 Jefferson City, Missouri 65102 U.S. Department of Transportation Mr. Patrick McKenna, Director Missouri Department of Transportation P.O. Box 270 Jefferson City, Missouri 65102 Federal Transit Administration Federal Highway Administration

More information

DEBT & EQUITY INVESTING IN U.S. REAL ESTATE

DEBT & EQUITY INVESTING IN U.S. REAL ESTATE DEBT & EQUITY INVESTING IN U.S. REAL ESTATE INVESTOR PRESENTATION 2019 Investment Highlights Unique Status as Canada s Only Exchange Traded Debt & Equity Investor in U.S. Real Estate The Company provides

More information

** PUBLIC DISCLOSURE COPY ** Short Form Return of Organization Exempt From Income Tax

** PUBLIC DISCLOSURE COPY ** Short Form Return of Organization Exempt From Income Tax Short Form Return of Organization Exempt From Income Tax OMB No. 1545-1150 Form Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or 990-EZ private

More information

DEBT & EQUITY INVESTING IN U.S. REAL ESTATE

DEBT & EQUITY INVESTING IN U.S. REAL ESTATE DEBT & EQUITY INVESTING IN U.S. REAL ESTATE INVESTOR PRESENTATION Q3 2018 Table of Contents Investment Highlights Business Overview Investment Strategy Market Opportunity Investment Profile Experienced

More information

(Street Address) State. Fax Number. 2. INITIAL INVESTMENT $500,000 minimum investment Payable to The CRA Qualified Investment Fund

(Street Address) State. Fax Number. 2. INITIAL INVESTMENT $500,000 minimum investment Payable to The CRA Qualified Investment Fund CRA QUALIFIED INVESTMENT FUND- CRA SHARES SHAREHOLDER APPLICATION Date A corporate resolution (and certificate of incumbency if the corporate resolution is more than 60 days old) is required along with

More information

APPENDIX A TO SUBPART I OF PART 103- CERTIFICATION REGARDING CORRESPONDENT ACCOUNTS FOR FOREIGN BANKS. [OMB Control Number ]

APPENDIX A TO SUBPART I OF PART 103- CERTIFICATION REGARDING CORRESPONDENT ACCOUNTS FOR FOREIGN BANKS. [OMB Control Number ] APPENDI A TO SUBPART I OF PART 103- CERTIFICATION REGARDING CORRESPONDENT ACCOUNTS FOR FOREIGN BANKS [OMB Control Number 1505-0184] The information contained in this Certification is sought pursuant to

More information

DEBT & EQUITY INVESTING IN U.S. REAL ESTATE

DEBT & EQUITY INVESTING IN U.S. REAL ESTATE DEBT & EQUITY INVESTING IN U.S. REAL ESTATE Investors Presentation Q3 2018 Investment Highlights Business Overview Investment Strategy Market Opportunity Investment Profile Experienced Team Financial Profile

More information

Filing instructions guide for HMDA data collected in 2018

Filing instructions guide for HMDA data collected in 2018 September 2018 Filing instructions guide for HMDA data collected in 2018 OMB Control #3170-0008 Version log The following is a version log that tracks the history of this document and its updates: Date

More information

How to request a refund in Arkansas:

How to request a refund in Arkansas: General Instructions Arkansas Claim for Refund ARKANSAS STATE AND LOCAL SALES/USE TAXES This packet may be used by a buyer or a seller to request a refund of state and local sales/use tax paid in error.

More information

AGENCY: Board of Governors of the Federal Reserve System. SUMMARY: The Board of Governors (Board) is adopting, in final form and

AGENCY: Board of Governors of the Federal Reserve System. SUMMARY: The Board of Governors (Board) is adopting, in final form and This document is scheduled to be published in the Federal Register on 11/23/2016 and available online at https://federalregister.gov/d/2016-28231, and on FDsys.gov FEDERAL RESERVE SYSTEM 12 CFR Part 209

More information

Annual Return/Report of Employee Benefit Plan

Annual Return/Report of Employee Benefit Plan Form 5500 Department of the Treasury Internal Revenue Service Department of Labor Employee Benefits Security Administration Pension Benefit Guaranty Corporation Part I Annual Return/Report of Employee

More information

NH Debt Adjuster License New Application Checklist (Company)

NH Debt Adjuster License New Application Checklist (Company) NH Debt Adjuster License New Application Checklist (Company) CHECKLIST SECTIONS General Information License Fees Requirements Completed in Requirements/Documents Uploaded in Requirements Submitted Outside

More information

Federal Deposit Insurance Corporation

Federal Deposit Insurance Corporation Monday, May 16, 2005 Part LI Federal Deposit Insurance Corporation Semiannual Regulatory Agenda VerDate Aug2004 10:42 May 09, 2005 Jkt 205001 PO 00000 Frm 00001 Fmt 4717 Sfmt 4717 D:\UAPRESS\UA050451.TXT

More information

DIRECT STOCK PURCHASE PLAN (DSPP) ENROLLMENT Page 1

DIRECT STOCK PURCHASE PLAN (DSPP) ENROLLMENT Page 1 DIRECT STOCK PURCHASE PLAN (DSPP) ENROLLMENT Page 1 HELPFUL INFORMATION This application enables you to begin investing directly with Page 1 and 2 are required, page 3 is optional. For new investors, the

More information

VORNADO REALTY TRUST Filed by INTERSTATE PROPERTIES

VORNADO REALTY TRUST Filed by INTERSTATE PROPERTIES VORNADO REALTY TRUST Filed by INTERSTATE PROPERTIES FORM SC 13D (Statement of Beneficial Ownership) Filed 03/06/15 Address 888 SEVENTH AVE NEW YORK, NY 10019 Telephone 212-894-7000 CIK 0000899689 Symbol

More information

Common Stock, par value $0.01 per share (Title of Class of Securities)

Common Stock, par value $0.01 per share (Title of Class of Securities) UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G Under the Securities Exchange Act of 1934 (Amendment No. 1) EVINE Live, Inc. (Name of Issuer) Common Stock, par value

More information

Consolidated Financial Statements for Holding Companies FR Y-9C

Consolidated Financial Statements for Holding Companies FR Y-9C Last Update: 2151112.183 Board of Governors of the Federal Reserve System FR Y-9C OMB Number 71-128 Approval expires July 31, 218 Page 1 of 65 RSSD ID: 1378434 Consolidated Financial Statements for Holding

More information

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C SCHEDULE 13G. Under the Securities Exchange Act of (Amendment No.

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C SCHEDULE 13G. Under the Securities Exchange Act of (Amendment No. UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G Under the Securities Exchange Act of 1934 (Amendment No. ) VMWARE INC (Name of Issuer) COMMON STOCK (Title of Class

More information

Individual Retirement Account (IRA) New Account Application

Individual Retirement Account (IRA) New Account Application Individual Retirement Account (IRA) New Account Application ederated The USA PATRIOT Act requires the Funds to obtain, verify, and record information that identifies each person who opens an account. Failure

More information

FY 2016 Annual Financial Report

FY 2016 Annual Financial Report STATE OF ILLINOIS COMPTROLLER LESLIE GEISSLER MUNGER DO NOT SEND THIS PAPER COPY - THIS IS YOUR COPY. MAKE SURE YOU HAVE CLICKED THE SUBMIT BUTTON IN THE COMPTROLLER CONNECT PROGRAM. THIS WILL PROVIDE

More information