Form FC-1 Weekly Consolidated Foreign Currency Report of Major Mar

Form approved: OMB No. 1505-0012
Estimated average burden: 0.8 hours
Foreign Currency Form FC-1, expires 2/28/2013
U.S. Department of the Treasury

Data reported on this form will be held in confidence
(See Section A of the Instructions.)

WEEKLY CONSOLIDATED FOREIGN CURRENCY REPORT
OF MAJOR MARKET PARTICIPANTS
Report to the Federal Reserve Bank of ______________
(Amounts outstanding in millions of currency units as of the close of business on Wednesday)

Name of Reporting Institution

Date
As of

This report is required by law (31 U.S.C. 5315, C.F.R. 128, Subpart C). Failure to report can
result in a civil penalty up to $10,000 (31 U.S.C. 5321(a)(3), 31 C.F.R. 128.4 (C)).
Check one box ⇐ Fully consolidated:

(1)
U.S.

Categories

DOLLARS

or Partially (per Section C.2 of General Instructions):

(2)
EUROS

(3)
SWISS
FRANCS

(4)
U.K.
POUNDS

(5)
JAPANESE
YEN

(6)
CANADIAN
DOLLARS

(1) Foreign exchange spot,
forward, and futures
purchased
(2) Foreign exchange spot,
forward, and futures
sold
(3) Net options position
Fair Value, long or
(short)

Name of Officer (please print or type):

(Area code) telephone number:

Title of Officer:

Email address:

Signature of Officer:

_______________________________________________________
Name of primary contact (if different than above):
Email address:

(Area code) telephone number:

Please read all of the instructions carefully before completing this report.