Form FR 2030 FR 2030 Application for Federal Reserve Bank Stock (for use by d

FR 2030
OMB Number 7100-0042
Approval expires February 28, 2018
Page 1 of 2

FOR USE BY DE NOVO NATIONAL BANKS.

Board of Governors of the Federal Reserve System

Application for Federal Reserve Bank Stock—FR 2030

Date of Application

Report Dollar Amounts in Thousands
At a meeting of the Board of Directors of
Legal Name of Organizing Bank

, duly called and held on the
City or Town

day of
Day

State

,
Month

,
Year

the following resolution was adopted:
“WHEREAS, the Board of Directors, on behalf of this 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 authorized capital of this bank is $
have agreed to pay in a surplus of $

, and the subscribers to its capital stock
;

and a paid-up surplus of
“WHEREAS, it is contemplated that this bank will have a paid-up capital of $
$
at the time it is authorized by the Comptroller of the Currency to commence business; and
“WHEREAS, six percent of such (authorized/paid-up)1 capital and surplus (amounts/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 to make application for and to subscribe to the appropriate number of shares, of a par value
of $100 each, of the capital stock of the Federal Reserve Bank of
and to pay for2 such stock in accordance with the provisions of the Federal Reserve Act.”
I hereby certify that the foregoing is a true and complete 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, Secretary, or Treasurer

1. In order to avoid the necessity of making applications for additional stock in the Federal Reserve Bank, as additional installments of the capital stock
and surplus of the applying bank are paid in, application may be made for stock in the Federal Reserve Bank in an amount equal to six percent of the
authorized capital of the applying bank plus six percent of the amount of surplus, if any, which the subscribers to the capital stock of the applying bank
have agreed to pay in.
2. 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.

This application should be sent to the FEDERAL RESERVE BANK of your district.
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, DC 20551; and to the Office of Management and Budget, Paperwork Reduction Project (7100–
0042), Washington, DC 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.
02/2015

FR 2030
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Pursuant to the foregoing resolution, this bank hereby subscribes to and makes application for
shares3 of the capital stock of the Federal Reserve Bank of
, of a par value of
, and agrees to pay for same in accordance with the provisions
$100 each, amounting to $
of the Federal Reserve Act.
By
Legal Name of Organizing Bank

President or Vice President

[SEAL]4
ABA Number

Attest
City or Town

State

Cashier, Secretary, or Treasurer

3. If six percent of the paid-up or authorized capital and surplus, whichever is adopted as the base of this application, 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.
4. If the seal of the bank has not been obtained, or if a seal is not required under state law, it may be omitted from the application.

09/2011