Profile General Page (Rev)

Report Date: ______________

GENERAL INFORMATION

Charter Number :

Credit Union Name :

1 . Select the type of credit committee the credit union has :
a. Elected

b. Appointed

c. No Committee

2 . Select the credit union's Primary Settlement Agent (i.e., Member share draft clearing, ACH transactions, etc. -- See Instructions)
a. Federal Reserve Bank

b. CUSO

c. Corporate Credit Union

e. Other Credit Union

f. Bank

g. Not Applicable

d. Federal Credit Union

3 . Provide the credit union's Employer Identification Number (EIN) :
4. Provide the Research Statistics Supervision and Discount (RSSD) ID number issued
by the Board of Governors of the Federal Reserve System.
5 . Is your credit union a member of the Federal Home Loan Bank?
a. Yes

b. No

6 . Has your credit union filed an application to borrow from the Federal Reserve Bank Discount Window?
a. Yes

b. No

7 . Has your credit union pre-pledged collateral with the Federal Reserve Bank Discount Window?
a. Yes

b. No

8. Does your credit union sponsor a qualified defined benefit plan?
a. Yes

b. No

9. Does your credit union participate in a multiemployer defined benefit plan?
a. Yes

OMB No. 3133-0004

b. No

NCUA Profile Form 4501A
Effective March 31, 2019
Previous Editions Are Obsolete

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