Consolidated Holding Company Report of Equity Investments in Nonfinancial Companies (Semiannually)

DRAFT

FR Y-12
OMB Number 7100-0300
Approval expires December 31, 2018
Page 1 of 4

Board of Governors of the Federal Reserve System

Consolidated Holding Company Report of
Equity Investments in Nonfinancial Companies—FR Y-12
Report at the close of business as of the last calendar day of the reporting period.
This report is required by law: Section 5(c) of the BHC Act
(12 U.S.C. § 1844(c)), section 10 of HOLA (12 U.S.C § 1467a(b)),
section 165 of the Dodd-Frank Act (12 U.S.C. § 5365), and
section 252.153(b)(2) of Regulation YY (12 CFR 252.153(b)(2)).

the instructions provided by the Federal Reserve System. 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.

The Consolidated Holding Company Report of Equity Investments
in Nonfinancial Companies is to be prepared in accordance with
NOTE: The Consolidated Holding Company Report of Equity Investments in Nonfinancial Companies must be signed and attested by
an Executive Officer of the reporting holding company.

Date of Report:
Month / Day / Year (BHEI 9999)

I, the undersigned Executive Officer of the named holding company, attest that the Consolidated Holding Company Report of
Equity Investments in Nonfinancial Companies for this report
date has been prepared in conformance with the instructions
issued by the Federal Reserve System and is true and correct to
the best of my knowledge and belief.

(RSSD 9017)
RSSD

Printed Name of Executive Officer at Holding Company (BHEI C490)

Legal Name of Holding Company (TEXT 9010)

Title of Executive Officer of Holding Company (BHEI C491)

(Mailing Address of Holding Company) Street / P.O. Box (TEXT 9110)

Signature of Executive Officer of Holding Company

City (TEXT 9130)

(BHEI H321)

State (TEXT 9200)

Zip Code (TEXT 9220)

Date of Signature (MM/DD/YYYY) (BHEI J196)

BHEI
Person to whom questions about this report should be directed:

Name / Title (TEXT 8901)

Area Code / Phone Number (TEXT 8902)

For Federal Reserve Bank Use Only
RSSD ID
C.I.

Area Code / FAX Number (TEXT 9116)

S.F.
E-mail Address (TEXT 4086)

Public reporting burden for this information collection is estimated to average16.5 hours per response, including time to gather and maintain data in the required form and to review instructions and complete the information collection. Comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing the burden,
may be sent to Secretary, Board of Governors of the Federal Reserve System, 20th and C Streets, NW, Washington, DC 20551, and to the Office of Management and Budget, Paperwork
Reduction Project (7100-0300), Washington, DC 20503.

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Legal Name of Holding Company

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FR Y-12
Page 2 of 4

For Federal Reserve Bank Use Only
RSSD ID
C.I.

As-of Date

Schedule A: Type of Investments
(If no activity or if the following section does not apply, please enter zero "0".)

(Column A)
Acquisition Cost

1.
2.
3.
4.

Dollar Amounts in Millions
Direct investments in public entities ......................
Direct investments in nonpublic entities .................
All indirect investments ......................................
Total portfolio (sum of items 1, 2, and 3) ................

BHEI

Amount

(Column B)
Net Unrealized
Holding Gains
Not Recognized
as Income
BHEI

Amount

(Column C)
Carrying
Value

BHEI

C088

C089

C090

C093

C094

C095

C097
C101

C098
C102

C099
C103

Memoranda

Amount

(Column D)
Publicly
Quoted Value

BHEI

Amount

C091

1.
2.
3.
4.

Number of Companies
BHEI 1-10 11-25 26-100 100+

1. Total portfolio............................................................................................................ C100

Thousands

(Column A)
Acquisition
Cost

Dollar Amounts in Millions BHEI
Financial holding companies only
2. Investments held under Merchant Banking (GLBA) authority .............. C104

Amount

(Column B)
Net Unrealized
Holding Gains
Not Recognized
as Income
BHEI
C105

Amount

M.1.
(Column C)
Carrying
Value

BHEI

Amount

C106

M.2.

Income Amount

Dollar Amounts in Millions BHEI

Amount

Only for holding companies filing FR Y-9C
3. Pre-tax impact on net income from items 1, 2, and 3 above ............................................................... B498

M.3.

Off-Balance-Sheet
Amount

Dollar Amounts in Millions BHEI
For all holding companies
4. Investments managed for others ................................................................................................... C716

Amount

M.4.

Income Amount

Dollar Amounts in Millions BHEI
Only for holding companies filing FR Y-9C
5. Pre-tax impact of management fee income (from item M4 above) ......................................................... J443

Amount

M.5.

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FR Y-12
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As-of Date

Schedule B: Type of Security
(Column A)
Acquisition
Cost

1.
2.
3.
4.

Dollar Amounts in Millions
Common stock ...............................................................................................
Convertible debt and convertible preferred stock ...................................................
Other equity instruments...................................................................................
Total portfolio (sum of items 1, 2, and 3)...............................................................

BHEI
C107

Amount

C109
C111
C113

(Column B)
Carrying
Value
BHEI
C108

Amount

1.
2.
3.
4.

C110
C112
C114

Thousands
Off-Balance-Sheet
Amount

Dollar Amounts in Millions BHEI
Memoranda
1. Unused equity commitments ..................................................................................................... C115

Amount

M.1.
Warrants

2. Does the holding company hold any warrants or similar instruments received in connection with equity
investment activity? (Enter "1" for yes; enter "0" for no.) ..................................................................

BHEI
1=Yes C717
0=No

M.2.

Schedule C: Type of Entity within the Banking Organization
(Column A)
Acquisition
Cost

Dollar Amounts in Millions
1. Depository institutions:
a. SBICs ..............................................................................
b. Edge and agreement corporations..........................................
c. All other ...........................................................................
2. Parent holding and other nonbank subsidiaries:
a. SBICs ..............................................................................
b. Edge and agreement corporations..........................................
c. Broker/Dealers ..................................................................
d. Private equity subsidiaries ...................................................
e. All other ...........................................................................
3. Total portfolio (sum of items 1.a through 2.e).................................

BHEI

Amount

(Column B)
Net Unrealized
Holding Gains Not
Recognized as
Income
BHEI

Amount

(Column C)
Carrying
Value

BHEI

Amount

C117
C121
C126

C718
C719
C720

C118
C122
C127

1.a.
1.b.
1.c.

C136
C722

C721
C723

C137
C724

C131
C726
C145

C725
C727
C729

C132
C728
C146

C150

C730

C151

2.a.
2.b.
2.c.
2.d.
2.e.
3.

Memoranda
1. Domestic investments .............................................................. C155
2. Foreign investments ................................................................ C157

C749
C750

C156
C158

M.1.
M.2.

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Legal Name of Holding Company

FR Y-12
Page 4 of 4

As-of Date

Schedule D: Nonfinancial Investment Transactions During Reporting Period
Direct Public Investments

Thousands

(Column A)
Acquisition
Cost

Dollar Amounts in Millions BHEI
Type of Transaction
1. Purchases ......................................................................
2. Less: return of capital .......................................................
3. Net valuation changes.......................................................
4. Other ............................................................................
5. Total transactions (sum of items 1 through 4) ........................

Amount

(Column B)
Carrying
Value
BHEI

Amount

Direct Nonpublic Investments
(Column C)
Acquisition
Cost
BHEI

Amount

(Column D)
Carrying
Value
BHEI

Amount

Indirect (Fund) Investments
(Column E)
Acquisition
Cost
BHEI

Amount

(Column F)
Carrying
Value
BHEI

C731

C732

J434

J435

C733

C734

C735

J436
J439

J437
J438
J440

C737

C741

C736
C739
C742

C743

C738
C740
C744

C745

C746

J441

J442

C747

C748

Amount

1.
2.
3.
4.
5.

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