Annual Report on Operating Subsidiaries

Annual Report on Operating Subsidiaries (OS) for Year Ended ______

Parent national bank name (legal name) (72 characters)*
Charter number (6 characters)
	(Line intentionally left blank)
Name of OS #1 (72 characters)
Doing business as (DBA), abbreviated, or trade name(s) (40 characters)
Current street or PO box of OS (60 characters)
City of OS (28 characters)
State of OS (2 characters)
Zip code of OS (10 characters)
E-mail address of OS (40 characters)
Telephone number of OS (12 characters, including dashes)
Street address of principal place of business (PPB), if different from above (60 characters)
PPB city (28 characters)
PPB state (2 characters)
PPB zip code (10 characters)
North American Industry Classification System code (NAICS) (4–6 characters; separate multiples with a comma)
Activity description (use only if the NAICS code is 0000)
	(Line intentionally left blank)
Name of OS #2 (72 characters)
Doing business as (DBA), abbreviated, or trade name(s) (40 characters)
Current street or PO box of OS (60 characters)
City of OS (28 characters)
State of OS (2 characters)
Zip code of OS (10 characters)
E-mail address of OS (40 characters)
Telephone number (12 characters, including dashes)
Street address of PPB, if different from above (60 characters)
PPB city (28 characters)
PPB state (2 characters)
PPB zip code (10 characters)
NAICS code (4–6 characters; separate multiples with a comma)
Activity description (use only if the NAICS code is 0000)
If reporting data for more than two operating subsidiaries, copy and paste the above template here and complete for the additional operating subsidiaries.	(Line intentionally left blank)
Name of bank official submitting report (40 characters)
Bank official’s title (40 characters)
Bank official’s current street or PO box (60 characters)
Bank official’s city (28 characters)
Bank official’s state (2 characters)
Bank official’s zip code (10 characters)
Bank official’s e-mail address, if applicable (40 characters)
Bank official’s telephone number: (12 characters, including dashes)

*Indicates maximum number of characters to be entered.

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