Form FR 2030a FR 2030a Application Federal Reserve Bank Stock (for Use by Nonme

FOR USE BY NONMEMBER STATE BANKS CONVERTING INTO NATIONAL BANKS.

FR 2030a
OMB No. 7100–0042
Approval expires September, 2008

APPLICATION FOR FEDERAL RESERVE BANK STOCK
(Date of Application)
Public reporting burden for this collection of information is estimated to average 0.5 hours per
response, including the time to gather and maintain data in the required form and to review
instructions and 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 Secretary, Board of Governors of the Federal Reserve System, Washington,

D.C. 20551; and to the Office of Management and Budget, Paperwork Reduction Project
(7100–0042), Washington, D.C. 20503. The Federal Reserve may not conduct or sponsor, and
an organization (or a person) is not required to respond to, a collection of information unless
it displays a currently valid OMB control number.

At a meeting of the Board of Directors of
Legal Name of Converting State Bank

day of

, duly called and held on the

,

,
Year

City or Town and State

the following resolution was duly adopted.
“WHEREAS, the Board of Directors, on behalf of this bank, has made application to the Comptroller of the Currency for approval of the
conversion of this bank into a national bank with the name of
Legal Name of Organizing National Bank

in accordance with the provisions of section 5154 of the Revised Statutes of the United States, as amended;
“WHEREAS, the Board of Directors of this bank, on behalf of the said national bank, desires to subscribe to the capital stock of the Federal
Reserve bank of the district in which this bank is located in accordance with the provisions of the act of Congress approved December 23,
1913, as amended, and known as the Federal Reserve Act;

$

and a paid-up surplus of
“WHEREAS, the said national bank will have a paid-up capital of $
at the time it is authorized by the Comptroller of the Currency to commence business as a national bank; and
;

“WHEREAS, six percent of such paid-up capital and surplus will amount to $

“NOW, THEREFORE, BE IT RESOLVED, that the President or Vice President and Cashier or Secretary of this bank be, and they are
hereby, authorized, empowered, and directed, on behalf of the said national bank to make application for and to subscribe to the appropriate
number of shares, of the par value of $100 each, of the capital stock of the Federal Reserve Bank of
and to pay for1 such stock in accordance with the provisions of the Federal Reserve Act.”
I hereby certify that the foregoing is a true and correct copy of a resolution duly adopted by the Board of Directors of this bank on the
date specified and still in full force and effect.
, Cashier or Secretary
Pursuant to the foregoing resolution this bank hereby subscribes to and makes application for
shares2 of the capital stock of the Federal Reserve Bank of
, of a par value
of $100 each, amounting to $
, to be issued in the name of if and when it is authorized by the Comptroller
of the Currency to commence business as a national bank, and agrees to pay for same in accordance with the provisions of the Federal
Reserve Act.

Legal Name of Converting State Bank

City or Town and State

ABA Number

By
[Seal of Bank]3

, President or Vice President
, Cashier or Secretary

Attest:

1. One-half of the amount of the bank's subscription shall be paid to the Federal
Reserve Bank and the remaining half will be subject to call when deemed necessary
by the Board of Governors of the Federal Reserve System.
2. If six percent of the paid-up or authorized capital and surplus amounts to a sum

not divisible by 100, the bank should apply for one additional share of stock for any
excess or fractional part of $100.
3. If a seal is not required under state law, it may be omitted from the application.

This application should be sent to the FEDERAL RESERVE BANK of your district.