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 Number 7100–0042
Approval Expires September 30, 2011

Board of Governors of the Federal Reserve System

Application for Federal Reserve Bank Stock
Date of Application

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

, duly called and held on the

day of

, 20

,

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;
“WHEREAS, the said national bank will have a paid-up capital of $
; and a paid-up surplus 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.

(Over)

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.

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.

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

FR 2030a
Page 2

Application for Federal Reserve Bank Stock—Continued
By
Legal Name of Organizing Bank

President or Vice President

[SEAL]3
ABA Number

Attest
City or Town and State

3. If a seal is not required under state law, it may be omitted from the application.

Cashier or Secretary