Official Federal Forms > Federal Reserve System > Applications Structure Change
Interagency Notice Of Change In Control FR 2081a - Official Federal Forms
| Interagency Notice Of Change In Control Form. This is a national form and can be used in Applications Structure Change Federal Reserve System . |
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Board of Governors of the Federal Reserve System OMB Number 7100-0134 Approval expires September 30, 2013 Federal Deposit Insurance Corporation OMB Number 3064-0019 Approval expires May 31, 2014 Office of the Comptroller of the Currency OMB Number 1557-0014 Approval expires November 30, 2013 Page 1 of 7 Board of Governors of the Federal Reserve System Interagency Notice of Change in Control--FR 2081a An organization or a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. General Information and Instructions Preparation and Use This form is used to file notice to acquire control of a depository institution or a holding company, pursuant to the Change in Bank Control Act, as amended (12 U.S.C. § 1817(j)). As used in this form, "holding company" means a bank holding company, a savings and loan holding company, or other company that controls a depository institution. The information must be submitted to the appropriate regulatory agency of the institution whose shares are to be acquired. All inquiries on preparation of the notice should be directed to that agency which, in some circumstances, may modify the information requested. The regulatory agency will review the submitted notice to determine if it is complete. If the submitted notice is not complete, the regulatory agency may either request additional information or it may return the notice. If the required information is not available, please explain. When the notice is complete, the regulatory agency will confirm its determination in writing. The questions are not intended to duplicate information supplied on another form or in an exhibit; a cross-reference to the information is acceptable. Any cross-reference must be made to a specific location in the documents, so the information can be found easily. If additional space is needed to provide complete answers, please attach additional sheets or exhibits. For additional information regarding the processing procedures and guidelines, and any supplemental information that may be required, refer to the appropriate regulatory agency's procedural guidelines (that is, Comptroller's Licensing Manual, the FDIC's Rules and Regulations (12 C.F.R. Part 303) and relevant policy statements), contact the agency directly for specific instruction, or visit its Website at www.occ.treas.gov, www.fdic.gov, or www. federalreserve.gov. Biographical and Financial Report To assist the regulatory agencies in evaluating the factors specified in the Change in Bank Control Act, an Interagency Biographical and Financial Report must be submitted for each person named in the notice. Supporting Information The formal questions in the notice are not intended to limit the acquirer's presentation, and the regulatory agency may request additional necessary information. If any information furnished i n the Public reporting burden for the collection of information for this notice is estimated to average 30 hours, including the time to gather and maintain data in the required form, to review instructions, and to complete the information collection. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to: Paperwork Reduction Act, Legal Division, Federal Deposit Insurance Corporation, 550 17th Street, NW, Washington, DC 20429; Secretary, Board of Governors of the Federal Reserve System, 20th Street and Constitution Ave., NW, Washington, DC 20551; or Licensing Activities Division, Comptroller of the Currency, 250 E Street, SW, Washington, DC 20219; and to the Office of Management and Budget, Paperwork Reduction Project, Washington, DC 20503. 12/2011 American LegalNet, Inc. www.FormsWorkFlow.com notice changes materially during the processing of the notice or prior to consummation, such changes should be communicated promptly to the regulatory agency with which the notice was filed. Compliance The proposed acquirer is expected to comply with all representations and commitments made in this notice. Transactions subject to the Hart-Scott-Rodino Antitrust Improvements Act of 1976 (15 U.S.C. § 18a), which applies to certain very large transactions, require a pre-merger filing with the Federal Trade Commission and the Department of Justice. Notice of Publication An acquirer must publish an announcement of the proposed acquisition in a newspaper of general circulation in the community in which the head office of the depository institution or holding company is located. In the case of a bank holding company, an announcement also must be published in each community in which the head office of a bank subsidiary of the holding company is located. A copy of the affidavit(s) of publication should be submitted to the appropriate regulatory agency. Contact the appropriate regulatory agency for the specific requirements of the notice of publication. Confidentiality Any acquirer desiring confidential treatment of specific portions of the notice must submit a request in writing with the submission ofthenotice.Therequestmustdiscussthejustificationfortherequestedtreatment.Anacquirer's reasonsforrequestingconfidentialityshouldspecificallydemonstratetheharm(forexample,loss of competitive position, invasion of privacy) that would result from public release of information (5 U.S.C.§552). Informationforwhichconfidentialtreatmentisrequestedshouldbe(1)specifically identifiedinthepublicportionofthenotice(byreferencetotheconfidentialsection);(2)separately bound; and (3) labeled "Confidential." An acquirer should follow the same procedure for a request for confidential treatment for the subsequent filing of supplemental information to the notice. An acquirer should contact the appropriate regulatory agency for specific instructions regarding requests for confidential treatment. The appropriate regulatory agency wil determine whether the informationwil betreatedasconfidentialandwil advisetheacquirerofanydecisiontopubliclyrelease informationlabeledas"Confidential." FR 2081a Page 2 of 7 Interagency Notice of Change in Control--Continued 1. Identify: a. Name and address of proposed acquirer(s): (If an individual, provide last name, first name, and middle name) (If a corporation or other entity, provide the full legal name and the type of organization, for example, ABC Company, a corporation, or ABC, a partnership) Name Street Address City State Zip Code b. Name and address of depository
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