Form NCUA-4501 Report of Officials

National Credit Union Administration
Report of Officials

Charter Number:
Credit Union Name:
Annual Meeting Date:
Mailing Address:

Check Digit:
Report Date:

Days Open:
Phone:
Office Location:

Office HOUfS:
Fax:
Email:

Credit Committee:

None

Officials:
Name:
Address:

Home 1:lllOnc:
EmaH:

Name:
Address:

Home Phone:
Email:

Name!
Address:

Home Phone:
Email:

Doe, John
123 Abc Way
Anyplace, VA 11111
(000) 000-0000
john [email protected]

Title:

Doe, John
123 Abc Way
Anyplace, VA 1111 J
(000) 000-0000
john [email protected]

Title:

Doe) John

Title:

123 Abc Way
AnypJace, VA )jIll
(000) 000-0000
john [email protected]·'

Board Member

Work Phone:

Board Member

Work Phone:

Vice-Chairperson

Work Phone:

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. in the'CreditUj'\File Typeapplication/pdfFile Modified2014-01-22File Created2014-01-22