Form FFIEC 009a FFIEC 009a Country Exposure Information Report

Form FFIEC 009a
OMB No.

Board of Governors of the Federal Reserve System
Comptroller of the Currency
Federal Deposit Insurance Corporation

7100–0035 (FRB)
1557–0100 (OCC)
3064–0017 (FDIC)
Approval expires April 30, 2009

Page 1 of 2

Country Exposure Information Report
as of

Reporting Institution

City

State

Name, title, and phone number of bank officer to whom inquiries
regarding this report may be directed:
Name

Title

Area Code/Phone Number

A copy of this report will be released to the public upon request.

This report is required to be filed by national banks, state member
banks, bank holding companies, and insured state nonmember
commercial banks pursuant to authority contained in Section 907 of
12 U.S.C. 3906.
All FFIEC 009a respondents should submit their completed report, via the Federal
Reserve System's Internet Electronic Submission (IESUB) system, within 45 days
of the reporting date. Any FFIEC 009a respondent who needs guidance is encouraged
to visit the Federal Reserve System Web site http://www.reportingandreserves.org/
req.html for additional information on IESUB.
Public reporting burden for this collection of information is estimated to average
5.25 hours per response, including the time for reviewing instructions, searching
existing data sources, gathering and maintaining the data needed, and completing
and reviewing the collection of information. A Federal agency 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. Comments
concerning the accuracy of this burden estimate and suggestions for reducing this
burden should be directed to the Office of Information and Regulatory Affairs,
Office of Management and Budget, Paperwork Reduction Project (7100–0035),
Washington, D.C. 20503, and to one of the following:
Secretary
Board of Governors of the Federal Reserve System
Washington, D.C. 20551
Legislative and Regulatory Analysis Division
Office of the Comptroller of the Currency
Washington, D.C. 20219
Assistant Executive Secretary
Federal Deposit Insurance Corporation
Washington, D.C. 20429

FFIEC 009a
Page 2 of 2

Country Exposure Information Report
Amounts in millions of dollars

PART A — Information on exposure (as defined for Column 4) to any country that exceeds 1 percent of the reporting institution’s total assets
or 20 percent of its total capital, whichever is less.
Amount of
Amount of
Cross-border
Cross-border
Claims
Claims
Outstanding
Amount of
Outstanding
After Mandated
Net Foreign
from Derivative
Adjustments
Products
Office Claims on
for Transfer
Local Residents after Mandated
of Exposure
(including
Adjustments for
(excluding
derivative
Transfer of
derivative
Exposure
products)
products)

Country

CEX59209

CEXA

Distribution of Amounts in Column 1

By Type of Borrower

By Maturity

Total of
Columns (1)
Plus (2)
Plus (3)

Banks

Public Sector
Entities

Other

One Year
and Under

Over One
Year

5215

4252

4253

4254

5218

5219

5220

5221

5222

(1)

(2)

(3)

(4)

(5)

(6)

(7)

(8)

(9)

PART B — Information on exposures (as defined in Part A, Column 4) to any country not listed in Part A, where exposure exceeds
0.75 percent but does not exceed 1 percent of the reporting institution’s assets or is between 15 percent and 20 percent
of its total capital, whichever is less.
Names of countries where exposures meet the reporting criteria stated for Part B

Total amount of exposure to all of the countries listed in Part B

CEXA

5223

$

Statement by management of the reporting institution concerning the information reported above. (OPTIONAL)
(CEXA 5224)

MANAGEMENT'S STATEMENT WILL NOT BE EDITED OR SCREENED BY THE SUPERVISORY AGENCIES, DISCLOSURE OF THE
STATEMENT SHALL NOT SIGNIFY THAT ANY FEDERAL SUPERVISORY AGENCY HAS VERIFIED OR CONFIRMED THE
ACCURACY OF THE INFORMATION CONTAINED THEREIN.